Benchmark- client care plans | Reading homework help

  

Plagiarism free, APA is required for this assignment, solid academic writing is expected, and three references of sources should be presented. Need back on Tuesday February 13, 2018 by 7:30 p.m.

   

Review the three clinical vignettes of (Lucidena , Robert and Paul) as a case management; distinguish which service package you would recommend given the clinical presentation of each client.  (search the web for a client care plans).

In 250 words discuss the treatment goals and objectives you would propose to help with each client’s distress level, including details about motivation. 

In an additional 250 words, discuss how you would create a plan to keep these clients safe. 

    

This assignment assesses the following programmatic competency:

Describe strategies to help mental health and wellness professionals increase motivation and effectiveness.

LUCINDA’S STORY

The patient, Lucinda, is a 37-year-old overweight Mexican-American female referred for integrated case management by insurance reviewers specifically looking for patients who use many health services. She came to their attention because a request was being made for approval to remove a gangrenous toe. Lucinda has had numerous procedures, hospitalizations, and emergency room visits in the past 2 years. During the past 12 months, she has filled 32 prescriptions for eight different medications from six independent physicians, one of whom is a diabetic specialist, one a psychiatrist (for diazepam), and one a surgeon (for a pain medication). Three prescribers are primary care physicians. Lucinda has four other physicians who have submitted medical charges for her care in the past year. Her last ad-mission was 2 weeks earlier for 2 days and she has been to the emergency room three times in the last month. During her hospitalization, at that time, she had blood sugar levels of 400+, a gangrenous toe, and a fever of 104 degrees Fahrenheit. Her last HbA1c was 9.2.

ROBERT’S STORY

Robert is a 49-year-old electrician for a large manufacturer who has been identified through the employer’s disability management report. The disability management company at Robert’s worksite notes that he has been on short-term disability for 4 months and would be a candidate for long-term disability soon. Robert’s disability manager, Charlene, is concerned that if Robert is placed on long-term disability, which has more rigorous definitions of what constitutes disability, he will not remain qualified for disability support. Robert would then find it difficult to obtain alternative employment because of his health history. Charlene indicates to her supervisor that Robert has been seen in the emergency room five times in the last 2 months and has been in contact with his personal doctor twice monthly. He is on five medications, all prescribed by his general practitioner, Dr. Couch, who, as a retired surgeon, is supplementing his income doing general practice during a challenging economy.

In addition to chronic lung disease, Robert has a long history of anxiety with panic attacks. There is, however, no mental health professional involved in his care. Since the company’s contracting health plan changed 3 years earlier, Robert has been forced to see Dr. Couch because his old primary care doctor was not in the new health plan network. Dr. Couch is. For three years, Robert’s work performance record has deteriorated. Disability and family leave time tracking indicate that he has taken time off for breathing problems, chest pain, back pain, headaches, anxiety, and flu like episodes. This is, however, the first extended leave that he has taken. Dr. Couch, who signs Robert’s disability forms, projects that he will be permanently disabled according to a discussion he has had with the disability plan’s medical director.

Since his early 20s, Robert has been treated for anxiety disorder with panic attacks, a condition that runs in his family, but has stopped going to a therapist or psychiatrist be-cause he can save out-of-pocket expenses by getting all of his care from Dr. Couch. Robert’s last admission of 2 days was 6 months earlier for chest pain. At that time, oxygen saturation was 91% and FEV1 was 58% of predicted. Despite a normal heart tracing and little other evidence of a cardiac origin for his chest pain, Robert refused to leave the emergency room because he thought he was going to die. He smokes two packs of cigarettes per day.

PAUL’S STORY

Paul is a 13-year-old male with truncus, arteriosis, a congenital heart condition, for which he is currently receiving symptomatic care. The reason for the cardiology clinic visit was to evaluate high levels of fatigue, which significantly affect his ability to attend school. Consistently for the past 9 months, Paul’s oxygen saturation levels have been running between 85% and 89% (pO2 50–55), a dangerously low range, and are slowly becoming progressively worse. His extremities have a blue/purple tint, and there is significant clubbing of his fingers.

Paul has very limited daily activities. He becomes easily fatigued when he goes out, and he has not attended middle school since the beginning of the academic year (nearly 6 months). Despite nonattendance at his school, he receives no tutoring or home schooling and is far behind in the special program provided by his middle school teachers. 

Medical management consists of water pills and heart strengthening medications. His cardiologist also recommends the use of oxygen while sleeping. However, Paul is very anxious about wearing an oxygen mask or even nasal prongs. His parents have not followed through to arrange for this and are not pushing him. As a result, Paul has been to the emergency room six times in the last 2 months for water pill adjustments and oxygen supplementation. He has never been admitted to the hospital, though it was encouraged on three occasions.

Paul’s cardiologist recommends cardiac catheterization to determine the status of his heart condition. Paul and his parents, however, are very fearful about his undergoing this procedure. Paul underwent several surgeries during his first few years of life to correct his cardiac defect. Paul’s doctors feel that given the physical deterioration observed in him, he will likely require further corrective surgery. Both parents are fearful that surgery will kill Paul or that it would provide little benefit to their son’s quality of life.

Order a unique copy of this paper
(550 words)

Approximate price: $22

Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees


We value our customers, and so ensure that our papers are 100 percent original. Our Team of professionals does not miss the mark; they ensure that step by step each paper is written uniquely. We never duplicate or work as we compare papers rest assured. We deliver our work a day before time to ensure that you don’t miss your deadlines. It is not only doing the work but delivering it at the right time. We capture the consequences of late remittances. .

Money-back guarantee

We value customer satisfaction here at popularessaywriters.com and make sure that you get the best value for your Money. It happens that sometimes you can pay twice for your order or may want to cancel it, or you feel that it doesn’t meet your requirements; our money back guarantee will give you the opportunity to get back your money. We will also refund 100% of money paid double. In case your paper does not satisfy your requirements , we request that you notify us via writing within 2 days otherwise on the third day we will assume that you have been satisfied. Do all your correspondences through our email address popularessaywriters@gmail.com.

Read more

Zero-plagiarism guarantee

At popularessaywriters.com, our professional writers know the consequence plagiarism does for our clients. We have updated software’s such as article checker and copyscape to check for originality of the custom papers before submission of the final paper to the you. Our guarantee to the customer is that we will write 100% original papers for them that are quality, timely and of low cost. We have experienced professional and competent PhD writers who will write quality custom papers for you..

Read more

Free-revision policy

. At popularessaywriters.com, we are proud to provide top-quality Essay writing service to our esteemed customers. We are ready to take up that challenging academic assignment that is giving you sleepless nights and simplify it for you according to your desired requirements. We are willing to revise your paper if it does not meet your requirements. At popularessaywriters.com, we do not compromise with quality; thus, we offer unlimited free revisions until the customer is satisfied with their custom paper. Our unlimited free revision services are provided under the following terms:.. .

Read more

Privacy policy

Popularessawriters.com knows that client’s information is an essential tool for our company. It means that whatever the client requests from our service is kept strictly confidential. It means that whoever writes for this company understands the terms and conditions hence you should not be worried because you will never see your work somewhere else...

Read more

Fair-cooperation guarantee

Rest assured that we will always be attentive to your needs and requirements. We belief in the phrase treat your neighbour as you would want them to treat you. We leave nothing to chance and always look forward to a good interaction with each other.. .

Read more

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
$26
The price is based on these factors:
Academic level
Number of pages
Urgency