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You are a healthcare service coordinator for a health insurance organization. You have been tasked with coordinating healthcare services for a new client, a 74-year-old man.
A review of his past medical history includes the following information:
He takes daily cardiac medications to treat atrial fibrillation and anticoagulants to prevent blood clots. He is a widower who lives alone in a two-story home in a rural community. He lives independently and does not need assistance with activities of daily living or with managing medications. He drives himself to his appointments and has been active in the community.
His 48-year-old daughter lives nearby with her husband and two children. She checks on him by phone every day but only visits in person weekly due to her busy work and family schedules.
The client’s medical history describes the following incident that occurred two weeks ago:
When the man did not answer the phone one evening, his daughter decided to check on him. She found him lying in the bathroom on the second floor, trapped between the toilet and bathtub. He was lethargic and unable to answer her questions, and he had a laceration on the right side of his forehead. She called for an ambulance, and he was brought to the emergency room in his local community hospital. He was treated for his head injury, and a CT scan showed bleeding in his brain tissue.
In his neurological evaluation, he was unable to move his left arm or left leg, and as he regained consciousness, it was determined that he had left-sided facial droop.
His community hospital did not have a neurologist on staff, so he was transferred to a larger hospital in the nearest metropolitan area 45 miles away for a higher level of care. He is currently admitted in the neuro-ICU unit.
The man wants to return home and continue to live independently. His daughter is concerned about fall risks and feels it is unsafe for him to return home, especially since it is not possible for her to stay with him.
As the healthcare service coordinator for your new client and his family, you are responsible for determining the services your client will need throughout his acute care stay and transition into the most appropriate post-acute services.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the submission and no more than a 10% match to any one individual source can be directly quoted or closely paraphrased from sources, even if cited correctly. The originality report that is provided when you submit your task can be used as a guide.
You must use the rubric to direct the creation of your submission because it provides detailed criteria that will be used to evaluate your work. Each requirement below may be evaluated by more than one rubric aspect. The rubric aspect titles may contain hyperlinks to relevant portions of the course.
A. Identify three healthcare professionals that should be involved in creating a comprehensive care plan for the client’s transition from acute care to post-acute care.
1. Describe specific contributions that each of the three professionals make in determining prevention, intervention, or treatment strategies for the client. B. Describe the process for setting realistic healthcare goals for the client by doing the following:
1. Develop a plan to involve each of the following perspectives in the process of setting healthcare goals: the client, his family, and the healthcare professionals involved in his care plan.
2. Describe two potential differences of opinion that may arise between the client, his family members, or healthcare professionals when setting healthcare goals for the client, as well as a strategy to resolve these differences.
3. Describe one interviewing technique and one communication skill that can be used to encourage the client’s self-determination.
4. Develop an intervention strategy to use in the event of the client’s noncompliance with agreed-upon healthcare goals. C. Recommend three potential community or healthcare partner resources that the client could use for ongoing support in achieving his long-term healthcare goals.
1. Identify two potential socioeconomic or physical barriers that would likely hinder the client’s access to the resources described in part C.
2. Propose a strategy to overcome each of the potential barriers described in part C1. D. Describe how third-party insurance or reimbursement requirements may negatively impact continuity of care for the client. E. Describe how to apply the five A’s of evidence-based practice (EBP) to support the client’s care plan. F. Acknowledge sources, using APA-formatted in-text citations and references, for content that is quoted, paraphrased, or summarized. G. Demonstrate professional communication in the contebcint and presentation of your submission
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