Psychological counseling, the assistance of a nurse, even a meal provision service for the sick and the disabled all might be necessary to ensure that the man was compliant. The goal of comprehensive case management is to provide interventionist services over the long-term, and AIDS is a long-term, chronic illness, even (or especially) when treated with antiretroviral drugs. In the case of a comprehensive case management intervention, the individual's immediate needs are first met (for example, the cost of the drugs or problems with coordinating medical treatment with employment). But then provisions are made to integrate social support services into the individual's life, such as home visits by a nurse, free home-delivered meals, or financial assistance. For example, the patient might be contacted by a nursing facility to arrange for home visits to check on the individual's medical status. or, he could receive psychological as well as physical healthcare services on a regular basis. If the depression or mental issues are the obstacle regarding taking his medications, he may be connected with counseling services or a support group specifically designed to help AIDS patients cope with their illness. Long-standing social support is more likely to act as an additional motivator to be treatment-compliant than a few, brief sessions. If finances are an issue and cannot be resolved in the short-term with the patient's insurance company, "services may be supported by grant funds or Medicaid reimbursement" (Case management definitions,...
For example, supportive case management may be appropriate for clients who have completed comprehensive case management but still require a maintenance level of periodic support from a case manager or case management team. Also, the person's need for supportive services may change with his health status. For example, if the patient's health is currently not strong, comprehensive care with continual meetings with a nurse and financial and nutritional support may be required. This can be followed by a supportive period that only addresses certain specific health or lifestyle issues, like fine-tuning the timing of the drugs, or providing transportation to work. Then, comprehensive care may be needed in the far future, if his health status changes once again. However, the fact that the patient was treatment-resistant is a 'red flag' for future problems. Even if it is determined that this first sign of a crisis is a short-term problem appropriate for supportive therapy, such as frustration with certain side effects of one of his new medications, the client should be aware that comprehensive case management options exist, should he need to avail himself of them in the future.
Nursing Case Study Case Discussion This case scenario is a classic case of professional misconduct carried out by Nurse X. The nurse did not have enough medical or chemical knowledge and therefore she made this mistake. It is common sense for any health care professional to realize that nasogastric or endoscopic route is very different to an IV route. All nurses and health care providers must be extra careful when administering to
Nursing Case Study The first concern is that Mrs. Baker is taking a new drug that has side effects such as she is experiencing. Although the other high blood pressure medication has similar side effects (Drugs.com, 2012), she has been taking it for a long period of time and should not be experiencing as much difficulty. It seems germane to ask her how long she has been taking the hydrochlorothiazide though.
Nursing Case Study Managing a possible Case of Gastroenteritis: A Nursing Case Study The effective delivery of optimal nursing care requires a comprehensive treatment plan that addresses both the patient's symptoms and the security of the immediate environment. This report presents a case study of appropriate evidence-based nursing practices in treating an elderly female patient presenting with abdominal discomfort in a residential care setting. The client presents with new onset faecal incontinence, diarrhoea
Nursing Case Study Family nursing diagnosis is a holistic process that involves a thorough and complete family assessment to establish both curative and preventive concerns in a given family. The assessment from the participating family established a number of diagnostic issues. One of the family members suffers from obesity. D.K. who is ten years old and in second grade took two years to complete first grade. Obesity is a condition whereby
When this happens, they will be effective in reaching out to different patients (from a host of backgrounds). This is the point that the underlying quality of care will improve. As a result, I have learned how to apply these concepts to real world health care environments. This will help in day-to-day practices by preparing me for the new challenges that will be faced on a continuing basis. Recommendations /
This is done for the purpose of having a safe and workable discharge plan. The nurse uses their experience and assessment skills reviewing the patient's current course, past medical history and what family or friend support there is outside the hospital (Case Management, 2009). Case management in the home setting is designed with the same goals in mind as case management in the acute care setting. The role of home
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