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 care in the success of case management is critical. The implementation of chronic care management and disease management programs have provided a unique opportunity for home care case management to reduce the need for acute care services. This has allowed for healthcare providers and executives to curtail costs and reduce lengths of stay (Cesta, and Tahan, 2002).
The goals of home care case management include:
Optimizing the delivery of all aspects of care
Keeping patients in less costly care settings
Facilitating a proactive approach to patient care delivery and management
Reducing a patients risk and the need for acute care services
Preventing deterioration in patients conditions
Home care case management targets patients with chronic illnesses and seriously complex medical and psychosocial conditions and those who need immediate post acute care (Cesta, and Tahan, 2002). These are the people that can benefit from more personal care because of the nature of their conditions.
Case managers in the home care setting are responsible for coordinating and integrating care for patients with complex therapeutic modalities and treatment plans, such as the following: non-healing wounds and wound care management, infusion therapy, speech therapy, physical and occupational therapy, mechanical ventilation and oxygen therapy, Polypharmacy, tube feedings, psychosocial counseling along with pain management and palliative care (Cesta, and Tahan, 2002).
Overall the goal of case management is to provide the best possible services and outcomes to the patients that are involved. Whether this is done in the acute care setting or in the home care setting the goals are basically the same. The implementation strategies are a bit different depending on the setting. In the acute care setting, the strategy is to get the patient...
b. The nurse must ascertain the status of a health care proxy and other mandates by the patients request such as DNR (Do Not Resuscitate) orders, etc. c. The mental stability of the patient may need to be reviewed to ascertain whether such decision by the patient can be made according to hospital policy, state and federal laws. Interpretation: 4: The issue of informed consent and/or refusal has several dimensions when dealing with
Advance Directives should include documented patient decisions about health care, which should be honored (Advanced practice in nursing: ethical and role issues in end-of-life care, 2004). As medical knowledge and technology increase, so do options for healthcare. When decisions arise concerning the treatment of dying patients, these options present complex ethical dilemmas. Many are faced with decisions about the best treatment to ease a patient's final suffering (End of Life Care:
For example, the individual may not feel he is truly 'sick' because he does not feel bad, may not wish to suffer the side effects of the drugs, and not fully how to understand to take them properly. 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
Nurse Case Management for Pregnant Women Experiencing or at Risk for Abuse," by Curry et al. The research article chosen to critique is titled, "Nurse Case Management for Pregnant Women Experiencing or at Risk for Abuse." This title accurately reflects the topic of the research study. The topic of the study is very specific and narrow. It would not be of broad interest to many nurses. However, the issue of
Nurse Case Manager: Case management in the nursing field is basically described as the functions and activities carried out by the nurse case manager within a specific care setting. In some cases, these functions and activities are usually performed by a self-governing practitioner, especially in private case management practices and community nursing facilities (Cohen & Cesta, 2005, p.278). Generally case management responsibilities are provided by the nurse case manager in acute
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
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