Plan Of Care: A Case Study

I found this particular portfolio more challenging than previous ones. The main reason for this was the fact that I was the required to actively take part in the assessment, planning, implementation and evaluation of a patients care within the service. Doing this came with responsibility that I had not had in previous placements.

SC received phone from Pa’s dtr starting that she spoke with provider agency Accucare regarding changing Pa’s schedule from a split shift to one shift starting at 5:00 AM and ending at 9:00 AM. SC informed DCW that she is not authorized to make any change to Pa’s care plan or schedule. DCW was furious demanding to know why she is not authorize to make changes to Pa’s care plan since Pa’s she’s Director of Care. SC explained to DCW that she is not Pa’s director of care because Pa’s is directs own care and moreover she cannot be the direct care worker and the Director of Care because both role conflict with each other. DCW stated that she is only being paid for 4 hours but is constantly assisting Pa’s managing her health and navigating services/resources,

The long-term care system is aimed at providing continued care to individuals both in facilities and at home. Many people associate long-term care specifically with nursing and assisted living facilities, but long-term care is so much more. This care can be provided to an individual whether they are home or in a specialized facility (National Institute on Aging, 2017). In essence, the system of long-term care involves the coordination of facilities, providers, and case manager support to provide the best quality of care for individuals.

This assignment will focus on the holistic assessment and care plan of a patient who was cared for during practice placement. It aims to discuss how the care planning decisions were made and relate these decisions with the relevant literature. The setting was an emergency trauma and orthopaedic ward and the care plan was developed in order to meets the patient’s needs after 1 week admission. The care plan was compiled by the student nurse and his mentor and aimed to identify the patient’s needs and the necessary interventions to meet these needs.

carers system, procedures expanding information and mindfulness, suicide anticipation techniques, job opportunities, organizational working financial wellbeing, consideration destruction stigma, social attachment.

Many aging Americans often struggle to pay for home care, assisted living and other forms of long term care. When choosing the right type of care much consideration and research should be given. In determining whether one must self-fund their care can be a process which can leave the door open for many unanswered questions. Questions like, what is the expected cost, will Medicare help to cover any cost, or can one use their property to pay the cost for long term care. Since elder care and senior care can be in a variety of forms, the biggest concern is who takes on the brunt of payments. According to Benjamin (2015), “99% of our services are a private pay product with some assistance for veterans; long-term care insurance does account for part of the remaining 1%, along with some waivers provided by Medicare. “Private Pay can be funded by savings and investments, long term care insurance or annuities, social security or other retirement benefits, Veterans’ benefits, and through the conversion of a life insurance policy into a Life Care Benefit Plan or Long Term Care Benefit Plan” (Orestis, 2013, para 1). Most anyone can pay or arrange their care cost, however cost is usually determined by ones need and where they live.

Following this, the health care system has been attempting to adjust to the decreased funding which has attributed to the rise in health inequalities and challenges with accessing quality care (Hick, 2014). Furthermore, these reductions in the financing have emerged in many long-term care (LTC) facilities that have cut their expenses by employing lower educated staff and decreasing their staffing levels (Walter, Wodchis, Anderson, Anderson, 2007). As a result, research on the cost of implementing good quality care in long-term care facilities revealed that by having well-trained staff, they could save money by preventing risks to seniors health (Walter et al., 2007). For example, skin ulcers, use of physical restraints, incontinence and levels

The Australian Government’s Better Access to Psychiatrists, Psychologists and General Practitioners through the Medicare Benefits Schedule (Better Access) initiative is a health promotion program that an older person may benefit from in addressing this area of development. The Department of Health and Ageing (DoHA, 2012) advises that the central goal of this national program is to enable access to evidence-based treatment to promote health outcomes for individuals with clinically indicated mental disorder. For these individuals, access to care is enabled by subsidising the financial cost of up to ten individual and ten group allied mental health services each calendar year (DoHA, 2012).

In deciding how to treat the issue of the eldercare facility bankruptcy information, it has been determined that Grass Man has an error in his previously issued financial statements due to the timing of available information. One might argue that an error in estimation would be appropriate; however the bankruptcy of the Eldercare Facility was not new information, but rather an, “… oversight or misuse of facts that existed at the time the financial statements were prepared.” ASC 250-10-20 [Emphasis added]

Globally, unlike in the past, it is rare for a patient to consult with the same healthcare provider over their lifetime, often referred to as healthcare provision “from the cradle to the grave” of a patient (Mostert-Phipps, Pottas & Korpela, 2012). This rarity is credit to the fact that currently patients move between healthcare providers due to various reasons (Medical School, 2003; Naylor & Keating, 2008; National Transitions of Care Coalition, 2010; Picton & Wright, 2012; Masango-Makgobela, Govender & Ndimande, 2013). The Joint Commission (2013) terms this movement as the “transition of care”. However, this transition of care results in the fragmentation of provision of patient healthcare, and thus challenges continuity of care (CoC) (Haggerty

Question 1. Working as a team in the health department is not only critical, but should be considered a high priority. One of the important areas of team work is communication and the priority of keeping everyone on the same page. One of the areas that has been important in our office is cross-training. Having people help teach others in different areas of expertise has made us stronger as a team. One of my primary areas of inspections is with swimming pools. Many of the hotels have both swimming pools as well as serve a continental breakfast. I have been trained by other inspectors to oversee the food areas and the swimming pools at hotels. This would not have happened had we not looked at the bigger picture, with being there to inspect pools

I concur with your synopsis that the coordination of care across hospitals and care delivery networks-coordinating a multidisciplinary plan that moves clients across the continuum of care is the most essential function of the nurse case manager. Finally, case managers have the opportunity for greater responsibilities in care coordination from the acute, subacute arenas, home care to include long-term care as well (Dunham-Taylor & Pinczuk, 2015, p. 635)

On Sunday, January 10, 2016 at approximately 2135 hours, FHEO Security Officers were dispatched to the Special Care Unit (SCU) room E.D. #38 for a Disorderly Baker Act patient attempting to leave. Security Officer Omar Alonso along with Officer Thomas Mejia and Supervisor Steven Evans, arrived at 2136 hours and met with Nurse Kristen Strauch who was standing next to the patient. The patient, Tyler Hull (DOB: 01/07/1987; FIN# 85068604) was in a state of anxiety and stating that he could no longer take being coped up in a room and he needed to leave. Security staff explained to the patient what the Baker Act Law meant and why he was not allowed to leave until he had been medically cleared and seen by a Psychotherapist.

For the last two weeks I have had the opportunity to shadow a case involving Mr. S, who is 36-years-old. He was admitted to the hospital due to aggressive behaviour at his group home. Mr. S has a complex health and placement history. He has grown up in foster homes as a child and was diagnosed with fetal alcohol syndrome without any formal documentation of an evaluation. Moreover, Mr. S was in a motor vehicle accident in his early 20s which lead to a brain injury. Mr. S had to go through brain surgery and since then his behavior has changed significantly. After his surgery, he stayed at the Burnaby general hospital for 5 months and was placed in a group home. His behavior was unmanageable and reports indicate that he was at risk of self-harm

Often the topic of death and dying is informally discussed by the physician, not allowing enough time also follow up regarding the advance directives (NIA, 2014). Unfortunately, families unclear while avoiding the subject of death or dying, that leaves loved one's unclear or unaware ones wish to die, lack of planning results in wishes not unfulfilled.