Case management applies to the ongoing care that a patient can receive in the community. Case management involves either one individual directing the care or a team of people; this includes coordinating all necessary medical and mental health care, along with supportive services. The main functions of case management is to conduct an assessment on the patient, plan the patients care, monitor the patient, linking, outsource services and evaluate the patients health and the effectiveness of the interventions in place (Elder et al, 2012, p 445). In the assessment phase the case manager will identify the patient’s needs and endeavour to meet these needs either by providing the service or outsourcing the service. There is not set definition of case …show more content…
This model aims to develop the patient’s skills and constantly assess the skills the patient currently has to allow the patient to lead a normal life within the community. The focus is not only to keep the patient out of hospital but to enable the patient to live a meaningful life within the community. The focus is on improving the patient’s health and not focusing on the patient’s mental illness or disability. Training is usually offered to assist the patient in daily activities such as how to work a washing machine and dryer (Elder et al, 2012, p …show more content…
Looking at the case management in other areas of health the difference is that often case management involves a management of a group of patients rather than focusing on the one patient. The nurse that is the case manager is usually a clinical specialist and the group of patients will have similar healthcare needs (Koutoukidis et al, 2013, p 129). Another example of other nursing models is the task orientated model; the nurse will ensure specified tasks relating to a group of patients have been completed to meet the patient’s needs (Koutoukidis et al, 2013, p 129). These other nursing models main goal is to promote the patients independence and the ability to live and cope with the health condition and continue with everyday life. Whereas the case management for mental illness patients is continually ongoing, so as to enable the patient to live in community and assist in keeping the patient out of hospitals through constant management of the patients mental health
The NHS Outcomes Framework has five standard domains which is set out to improve the quality and outcome of care and services that is being delivered to the patients and service users (National Quality Board, 2011). As such, this project plan is focused on domain 2 as it has been mentioned before, is based on improving the quality of people with long term conditions. Nurses will give cardiac discharge advice to patients on self care, thus identifying how to improve and manage their condition so that they can continue with their normal lifestyle. Furthermore patients will be advised on how to overcome stress and depression which will help them in maintaining the activities of living (DoH, 2013).
Historically, case management is a relatively new term. There have, of course, been interventions and assistance for those in need in the past, however the actual concept of case management has only been introduced within the last few decades. Joel Kanter states “Although environmental interventions have been conducted for many years, the term case management did not enter our professional vocabulary until 1976, when it was articulated as a key element of the Principles for Accreditation of Community Mental Health Service Programs, issued by the Joint Commission on Accreditation of Hospitals.” Case management is a complex term, often hard to define, which historically caused issues. No person’s issues are exactly the same, and there was not much of a guideline to address both environmental and psychological components. Finally, as Kanter states, a case management model was created to help alleviate these historical issues. The Case Management Model helped define what case management case, and that there are both psychological and environmental issues that need to be addressed when using case management. The model helped address the issue of case management being a “loose” term, and gave it more definition and structure.
There are many nursing theories that are being used in the emergency room when the employees are treating psychiatric patients. Jean Watson’s caring theory is seen being used in the emergency room when the staff members are involved in the care of the psychiatric patients (McEwen & Wills, 2014, p. 182). The staff members are trying to provide the patients with holistic care and having a therapeutic environment is important for the patient to receive holistic care. The nurses and staff members are taking time out of his or her busy assignment to sit down, talk with these patients, and make sure that the patient is comfortable and has everything that he or she needs. Hildegard Peplau’s theory of nurse to patient relationship is another nursing theory that is currently being used in the emergency
Nurse case management serve an important role in the hospital. They identify needs of the patient prior to discharge and help allocate resources to them as well. Case management is a collaborative process, they work with physicians, nurses, social workers and other healthcare professionals. The role of the case manager includes working to meet the complex needs of patients. They also make provisions for current and future needs, promotes quality care, and facilitates the use of appropriate allocation of resources. The case manager is also in charge of ensuring that ethical and legal issues are met and addressed for each individual patient. They need to have a great knowledge base on government, public, private insurance reimbursement policies in regards to their healthcare facility. Furthermore, they review charts and have meetings with healthcare professionals to ensure that the patient is receiving the proper level of care. Finally, they mediate and facilitate during the admission and discharge process of the patient.
The CPA is a care management process for people with mental health and social care needs, including managing associated risks. The CPA main elements are: Assessment, Care coordinator, Care planning, Review, Transfer and Discharge. The National Standard Framework for Mental Health introduced it to supply a framework for effective mental health care (DOH, 1999; DOH, 2008; Gamble, 2005). Under CPA, John may use an Advance statement to illustrate his personal preferences and what he would like to happen in regards to his personal and home life should they come to lack capacity. These are important mechanisms for safeguarding and promoting a patient’s interests and health. The CPA is grounded in values and principles that are central to personalisation brought about when in March 2008 ‘Refocusing the Care Programme Approach’ was issued. This updated guidance highl...
One of such early interventions may be offered by Roper, Logan, Tierney (1980) called the activities of daily living model. As explained in the presentation, the model consists of an individual’s ability to carry out self-care tasks such as functional mobility, self-feeding, personal hygiene and grooming (Roper, Logan & Tierney, 1980). Thus, any change in these may be considered as a deteriorating patient.
Rehabilitation has been described as a secondary goal of incarceration. The concept of rehabilitation was not adapted until the 1870s as delegates in Cincinnati encouraged the reformation of prisoners. Rehabilitation remained a primary goal of incarceration for nearly one hundred years, until the 1970s. It was then that Americans began to reject the notion of rehabilitation. With a shift away from rehabilitation, Americans adopted punishment, deterrence, and incapacitation as the primary goals of imprisonment. It can be argued that there was a shift away from rehabilitation due to high recidivism rates; however, it becomes questionable whether or not offenders were continuing to commit crime because they were not given adequate support and
Morris, C; Michie, V. (2011) Level 3 Health and Social Care Diploma: London, GBR: Hodder Education.
without a shelter, and homeless due to release from any institutionalized facilities. People living in a shelter and are monitored by the facility under case management. Case management is position held by the facility administrator who makes sure that the individual applies themselves the best way possible to the assorted task...
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,
Case management has become the standard method of managing health care delivery systems today. In recent decades, case management has become widespread throughout healthcare areas, professionals, and models in the United States; and it has been extended to a wide range of clients (Park & Huber, 2009). The primary goal of case management is to deliver quality care to patients in the most cost effective approach by managing human and material resources. The focus of this paper is on the concept of case management and how it developed historically, the definition of case management, the components of case management, and how it relates to other nursing care delivery models.
My experience in mental health clinical was very different from any other clinical I had before. In a mental health clinical setting, I am not only treating client’s mental illnesses, I am also treating their medical problems such as COPD, diabetes, chronic renal failure, etc. Therefore, it is important to prepare for the unexpected events. In this mental health clinical, I learned that the importance of checking on my clients and making sure that they are doing fine by performing a quick head-to toes assessment at the beginning of my shift. I had also learned that client’s mental health illness had a huge impact on their current medical illness.
Cohen, E. L., & Cesta, T. G. (2005). Nursing case management: From essentials to advanced practice applications (4th ed.). St. Louis, MO: Elsevier Mosby.
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.
As a case manager we are “to coordinate needed services provided by any number of agencies, organizations, or facilities” (Kirst-Ashman & Hull, 2015, p. 31). Not only did she advocate for health services for Brenna but she also working on her housing issue, helped her set up a monthly food budget, helped her find counseling, and helped her build a support network (Kirst-Ashman & Hull, 2015, p. 32). By providing Brenna with all of these resources the case manager is building up her self-worth and showing her that even though she had some hard times she can survive and make better for herself and her