Community case management commences after the referral intake process with a service coordinator making contact with the client over the telephone to a get a better picture of the client needs prior to a home visit. The client's needs is then assessed at the home visit utililising standardised documentation which is set out to assist with the support planning process. A support plan detailing the client's goals, services agreed as well as other referrals made (eg. nursing, allied health, other community programs, etc) is then formulated and agreed with the client and their next of kin if they wish for them to be present. Other documentations (eg. consent forms, home safety checks, non-response plans, service agreement, light clinical assessment
According to Statistics Canada Report 2013, “life expectancy in Canada is one of the highest in the world” and it is expected to grow, making the aging population a key driver to our health-systems reform. By 2036, seniors in Canada will comprise of twenty five per cent of the population (CIHI, 2011). Seniors, those aged 65 years and older are the fastest growing population in Canada. Currently there are approximately 4.8 million Canadians aged 65 or greater. It is projected that this number will increase to 9 to 10 million by 2036 (Priest, 2011). As the population get aged the demand for health care and related services are expected to increase. Currently, the hospitals in Ontario are frequent faced with overcrowding emergency departments, full of admitted patients and beds for those patients to be transferred to. It has been reported that 20% of the acute care beds in the hospital setting are occupied by patients that do not require acute hospital care. These patients are termed Alternate Level of Care (ALC). ALC is “When a patient is occupying a bed in a hospital and does not require the intensity of resources/services provided in this care setting (Acute, Complex, Continuing Care, Mental Health or Rehabilitation), the patient must be designated Alternate level of Care at that time by the physician or her/his delegate.” (Ontario Home Care Association, 2009, p.1).
Angela Burke who was a patient admitted to the psychiatric ward for suspected mental health issues required care. When working with mental health patients, it is necessary to use a patient centered care approach which emphasizes on each individual’s personal preferences and needs (Bromley, 2012). The main goal of this is to empower patients so that they can participate and become active in their care and allowing them to have a sense of control of their life (Bromley, 2012). For this to happen, it is essential for Authorised Mental Health Practitioners (AMHPs) to work together in collaboration using the NMBA’s Nursing Practice Decision Making Framework Tool in order to develop an efficient and effective patient centred care plan using goals to avoid or minimise potential risks in a ward setting. This paper will also discuss the different appropriate delegation, supervision and mentoring strategies which can be used amongst the inter-professional in order to create an effective shared
SOCIAL SUPPORT UPDATE: CM informed the client that she has a Conference Meeting to change client’s son goal is scheduled on 2/17/2016 at Edwin Gould Foster Care and Adoption Agency. CM also use baby steps to explain to the client in baby steps the important in attending meeting. CM also inquires if the client understand the severity of not attending scheduled meeting. Client replies” Por lo mismo, mi family me han dicho que ellos tiene que devolverme a mi hijo, pero ya” translate in English “For the same, my family told me, that they need to return
Case conceptualization and treatment planning is used by therapist to assist in determining a client’s diagnosis, goals, and treatment plan that is most effective in determining the issues surrounding the clients diagnosis. It is crucial that the client’s treatment plan is specific to the individual, is relational and appropriate to the needs of the client.
Shultz, J.M. & Videbeck, S.L. (2009) Lippincott Manual of Psychiatric Nursing Care Plans. 8th ed. Philadelphia: Wolters Kluwer/ Lippincott Williams & Wilkins.
Self-Referral: This is when someone has approached the professional on their own and not through another care professional. Most of the time this is done by taking themselves to the surgery, school etc. But as the children in an early years’ service are usually too young to refer themselves this would usually be a parent or carer. For example is a parent calling or visiting a school to see if there are any available spaces for their child to attend. Another example is the parent contacting the local authorities about getting a placement at a school. Also, a child could talk to a teacher if they needed help with their homework.
The Scottish Government [TSG] (2005). National Care Standards - support services (revised march 2005) [PDF] available at The Scottish Government website; scotland.gov.uk/Resource/Doc/239525/0066023.pdf
Dr. Hamilton, I am emailing you to update you on the anticipating changes in my project. These changes will be reflected in future assignments. The changes are including but not limit to the Freedom House of Miracles will be a 90 day program, and modified as an therapeutic community residential treatment program. The reason(s) is because of the implementation of the Wrapround service model. My project is an intervention structured program based on community-as-method, that is, the community is the treatment agent. These changes are necessary once my project was no longer a permanent housing treatment program. I will add and revise the goals and objectives to reflected these changes including transiting the residents to the next level upon
The nursing process is one of the most fundamental yet crucial aspects of the nursing profession. It guides patient care in a manner that creates an effective, safe, and health promoting process. The purpose and focus of this assessment paper is to detail the core aspects of the nursing process and creating nursing diagnoses for patients in a formal paper. The nursing process allows nurses to identify a patient’s health status, their current health problems, and also identify any potential health risks the patient may have. The nursing process is a broad assessment tool that can be applied to every patient but results in an individualized care plan tailored to the most important needs of the patient. The nurse can then implement this outcome oriented care plan and then evaluate and modify it to fit the patient’s progress (Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P., 2011). The nursing process prioritizes care, creates safety checks so that essential assessments are not missing, and creates an organized routine, allowing nurses to be both efficient and responsible.
...mparison to the Ward: A Service Evaluation of Amethyst House and Crisis Resolution Home Treatment Team: Liverpool City Council and Mersey Care NHS Trust: Liverpool.
In some cases within the social care sector there are a multitude of agencies or professional practitioners to help with the needs of an individual. There are a multi-disciplinary and an interagency approach that some workers use to develop a support plan.
The types of services provided during the follow-up phase must be “determined based on the needs of the individual.” Examples of Supportive Services during follow-up include:
According to Levett-Jones’ Clinical Reasoning process (2013), before the first home visit, the nurse should go through all the information about the patient, including John’s medical history, the results of previous observations, assessments and exams, current using
Such as if the client needs information for living that is wheelchair accessible or community activity centers, this information could be provided shortly after the assessment to help the client get motivated towards their discharge goals. Giving them information early allows the client to process the information and be able to communicate with the TRS if this is helpful or if they need other material. Another example could be if the client was in pain, an immediate action could be for the TRS to contact someone to that could help with the client’s
According to IC & RC, Case Management is defined as, “activities intended to bring services, agencies, resources, or people together within a planned framework of action toward the achievement of established goals. It may involve liaison activities and collateral contacts” (Herdman, John W., 6th Edition). Case management is a concerted effort of various professionals in the human social services network that assess’, plans, implements, coordinates,