Home Care / Case Management Case Study
You are caring for a home care elderly client with newly diagnosed diabetes and recovering from open heart surgery complicated by pneumonia. The patient is on six medications. The patient is having difficulty getting in and out of bed, taking a shower and has leg cramps. The family has a contract with a proprietary agency to assist with activities of daily living two hours a day. Nursing orders include wound care s/p surgery; education related to new diagnosis of Diabetes; new medications including insulin, and new diet restrictions. The case manager planned for continuity of care from the hospital to the home setting.
During your visit, the daughter explains has numerous concerns about her mother’s safety if she remains living at home alone. The daughter reports her mother loses her keys on a weekly basis; does not eat the correct food; often does not take her medications correctly and can no longer get to her primary care doctor by herself. She is asking for assistance in managing her mother’s care as she lives out of State and is only visiting during this hospitalization crisis.
1. According to your reading, what is the difference between care management and case management?
2. There are many choices of reimbursement for home healthcare. This patient is being managed by a proprietary agency. What is a proprietary agency?
3. This client requires both skilled and nonskilled nursing care. Please provide one example of both related to this case.
4. What services/referrals should be considered as part of your care plan? What areas need addressed and how are you going to address them?
5. Provide an example of a program / process from your community clinical site or your practice site that illustrates Case Management.