The Mental Health Status Of Elderly Patients

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During my clinical rotations I have had numerous oppurtunities to asses the mental health status of elderly patients. The majority of the mental health assessements that I conducted were in accordance with the Medicare annual wellness assessment. The Medicare annual wellness is apart of the Afforable Care Act program aimed towards improving, preventing and managing the healthcare of patients. According to Hains (2014), "The Patient Protection and Affordable Care Act of 2010 (Affordable Care Act) includes many provisions aimed at improving the health of Americans and preventing the onset of chronic conditions. The Annual Wellness Visit (AWV) is a part of the Affordable Care Act specifically targeting older adults (age 65 and older). In 2011, Medicare beneficiaries became eligible for an AWV, which includes a health risk assessment (HRA) and a customized wellness or personal prevention plan. This AWV supplements the "welcome to Medicare" preventive visit, which is a one-time, comprehensive health assessment offered to beneficiaries within the first 12 months of enrolling in Medicare. Medicare pays for one first AWV per beneficiary and subsequent visits on an annual basis. The AWV can be provided by a physician, nurse practitioner (NP), clinical nurse specialist, or physician assistant and should include, at the very least, a history and physical, preventive screening, and personalized health planning. The law specifies that HRA guidelines will identify chronic disease(s),
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