Tertiary Prevention Of Poor Transitional Care

997 WordsJul 13, 20154 Pages
Tertiary Prevention Tertiary prevention of poor transitional care focus on remediating problems associated with CSHCN who have poor health outcomes or are noncompliant due to lack of transitional care. Although no one strategy can be deployed to increase patient compliance and outcomes several can be utilized on the various levels focusing on the self-management, clinical and population levels of care. From a self-management level, patients who are not meeting goals and health outcomes have to reevaluate their personal and health-related goals. If patients are not meeting health outcomes due to non-compliance or motivational issues, it is appropriate for patients to set individual goals and action plans (Bodenheimer, Davis, & Holman, 2007). Individually, or with provider assistance, goals should be set by the patient that are specific, measurable, attainable, realistic, and time oriented (Bodenheimer et al., 2007). Once goals have been set, follow up from providers or caregivers are helpful in keeping patients accountable (Bodenheimer et al., 2007). Clinically, tertiary prevention can occur if young adults who are still attending office visits yet are experiencing poor outcomes due to compliance, self-care or disease education issues. When this occurs, it is appropriate to move from transitional care management techniques to standard chronic disease management techniques. In the more modern models of chronic disease management, it is suggested the primary care
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