...providing assistance in a much greater scope to meet client needs. Casemanager.com and Case Manager Resource Guide help specifically with the work of the case manager in providing clients’ resources. The populations that were reviewed primarily include behavioral health, disease management and welfare reform. Welfare reform encompasses the management of welfare and low income families. The aim is to develop evaluation plans and assess the effects on the government. On the part of the client, the aim is to help them to attain skills that will improve their self-esteem and ability to be financially self-sufficient. Disease Management includes teaching and sharing of information with clients and family members that will help them to understand and better control their conditions. The client is encouraged to make lifestyle changes to be able to stay healthy and improve life. Behavioral health deals with clients with mental health issues or substance abuse. It can encompass family conflict, productivity and homelessness. My Contribution to my Special Population After reviewing the populations, Disease Management appeals the most with the main focus directly on health issues. Though disease management focuses mostly on chronic conditions, it can also be considered...
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...produce quality healthcare at a cost that is sufficient to both the system and to the healthcare consumer. In practice Managed Care Organizations take a variety of shapes and thus there is no one fit all model that works ideally for each type of healthcare organization. In terms of the disease management of chronic long-term conditions, MCOs can offer services at cheaper cost than the fee-for-service model. A key function of a manage care system with a disease management inclusion is the integration between all of the providers providing care. This paper will primarily act to define disease management and give a brief overview of its clinical framework....
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...MSN “Chronic illness is the irreversible presence, accumulation, or latency of disease states or impairment that involve the total human environment for supportive care and self-care, maintenance of function and prevention of further disability” (Curtin and Lubkin, 1995, pp. 6-7). Once a person is diagnosed with a chronic disease their lifestyle changes completely. The purpose of this assignment is to research the personal impact of a patient living with a chronic disease. I will discuss how the life style of this patient changed completely from being an active super model and independent to be dependent on her family. I will discuss the social, financial and personal effects that has incurred with this patient. I will also discuss how the patient learned about her disease, educational experience, and motivators the patient used in learning about her disease. (Towner & Inter-mountain Healthcare,Utah,USA, 2008). Sonya D is middle aged African American woman whom had a career as a super model; until she was diagnosed with Lupus. A married woman and mother of a teenager, she enjoyed walking and spending family time with her spouse and daughter. Patient is not obese, non-smoker and non-alcoholic. She had been extremely tired and in bed a lot. She noticed her extremities going numb and went to the doctor for a physical, not expecting to hear the diagnosis of Lupus. Lupus is an autoimmune disease in which the immune system produces antibodies to cells within the body. This leads...
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...known that people suffering from chronic diseases have major impact in the healthcare delivery systems, including the elderly population over the age of 65. With the advances in technology combined with the aging population, more people are living longer with chronic diseases. Longer life expectancies count for higher costs in healthcare for the treatment, management and prevention of further complications arising from chronic diseases. The third most common chronic disease of the older adults is Parkinson’s disease. It is a debilitating disease affecting a person’s motor ability, causing tremors, rigidity, akinesia or slow movement, and postural instability. According to the National Institutes of Health, about 500, 000 individuals in the United States suffer from Parkinson’s Disease, and it is estimated that males are more often affected than females. Parkinson’s disease has a large economic impact and directly affects medical costs, as well as the affecting the person financially, such as lost wages and decreased productivity. According to a recent interview with a client suffering from PD over the course of ten years, the disability directly impacted his personal life, financial status, and family members. The next discussion talks about how the patient learned about his disease and the personal impact it created at the beginning of the disease process until the peak onset later in his life. How the patient learned about his disease During the interview with the 65 year...
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...Multimorbidity is a clinical condition which is defined as a state where three or more chronic illness conditions prevail in a patient either centrally or dependant upon one or more central condition (Fortin et al., 2007). This clinical condition is characterised by overlapping pathophysiology, synergetic disease intensity and intersection of individual illnesses management (Boyd et al., 2010). Few examples of the composing illnesses include coronary heart diseases, dyspepsia, migraines, sleep disturbances, bowel imbalance and Sarcopenia ( Fortin et al., 2007) Prevalence of multi morbidity varies across different parts of the world depending upon variance of population sample, age group of the society, advancement of health care monitoring systems and ethnic conditions. In developing countries like most of the Asian countries, rates of life expectancy are reported to increase due to advances is environmental and working conditions of the population. With the increase in life expectancy rates, the prevalence of coexistence of these diseases also steeply increases and is directly proportional (Akker et al., 1998). Further more, the prevalence of this clinical condition is more in developing countries when compared to that of developed countries due to increased percentage of vulnerable groups like young children, diseased and unattended patients and poor economical conditions (Valderas et al., 2009). The government of UK launched a initiative in collaboration with the NHS...
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...Demographics on Patients Requiring Long-Term Care HCS/490 Ada Martin February 4, 2013 Cindy Perkins Populations around the world are aging, and more people are living with the effects of serious chronic illness toward the end of their lives. Meeting their needs presents a public health challenge. Better palliative care practices are needed to help those involved in planning and supporting care-oriented services most appropriately and effectively suited to the elder care needs. Long-term care encompasses a wide assortment of medical, social, personal, supportive and specialized housing services needed by individuals who have lost some capacity for self-care because of a chronic illness or disabling condition. With long-term care needs and, services are wide-ranging and complex, statistics studies vary from study to study. A report prepared by the U.S. Senate Special Committee on Aging (February 2000) described long-term care as follows: “It [long-term care] differs from other types of health care in that the goal of long-term care is not to cure an illness, but to allow an individual to attain and maintain an optimal level of functioning…” The first estimated yearly percentage contribution of an aging population development to rise in price for the periods of 1975 through 1990 and anticipated their probable development between 1990 and 2005. Comparable outlines of change are given an account for the hospital, physicians, and other sectors. Predictable demographics influences...
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...Annotated Bibliographies Lisa Stevens Kaplan University Annotated Bibliographies Au, A., McAlister, F., Bakal, J., Ezekowitz, J., Kaul, P., & vanWalraven, C. (2012). Predicting the risk of unplanned readmission or death within 30 days of discharge after a heart failure hospitalization. American Heart Journal, 164(3). 365-372. Retrieved from: http://www.medscape.com/viewarticle/771215_print This article sought to find an appropriate model to predict the risk of unplanned heart failure readmissions. The primary outcome from chart reviews also included death of heart failure patients within 30 days of discharge. The study looked at Centers for Medicaid and Medicare Services (CMS) models and the LACE+ index, to mention two of many that looked at prediction ability. The LACE+ index is a model that looks at length of stay, acuity, the Charlson comorbidity score and age, to predict readmissions. They found that no one model was appropriate in predicting the 30-day readmission rates, although using a combination of the models was an improvement to that predictor. The authors are all physicians, PhDs, or have a Master’s degree- helping to establish credibility. The authors also make a statement as to the funding of the project and that they (the authors) were solely responsible for all data collection, design and submission approval writing for the project, also lending credibility to the study. The references used for this study were appropriate in age, of the 28; 13 were...
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...sure that in the body, you find a chronic care framework and relate in to the chronic condition (.i.e. epilepsy) Also, The treatment control, personal control and illness dimensions needs to be included in the assignment. Notes that need to be included in the assignment: My chosen chronic condition is Epilepsy. Introduction: You need to tell the reader what the assignment is about and write something brief about your chosen chronic illness (pathophysiology). E.g. what is Epilepsy due to? This has to be followed by psychosocial problems. E.g. what are the consequences of having this disease? E.g. the person feels frustrated, guilty, low self-esteem, stigma, body image, finding a problem to dress up by themselves, feeling a sense of anger, social isolation, anxiety, depression. Psychosocial consequences of having a disease: How did it affect me? When you deal with the consequences of a disease, it can affect the quality of life. Body: You have to describe the psychosocial implications that you identified in the introduction. Discuss these implications within a chronic care framework of your choice, e.g. common-sense model for...
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...Companies in Disease Management Abstract This paper will analyze the increase in healthcare costs that has attributed to a trend in health insurance plans’ and employer groups focus on disease management through emphasis on wellness programs (Ex; health club credits), and disease management with the hopes of preventing and decreasing the number of insured’s with chronic illnesses. Disease management is defined as a systematic approach to coordinated health care that seeks to identify individuals and populations who are at risk of developing certain chronic medical conditions. In the past couple of years, health insurance companies such as Blue Cross Blue Shield, Aetna and United HealthCare have implemented various extensive disease management programs with a goal of prevention rather than cure. The Role of Health Insurance Companies in Disease Management The main goal of chronic disease management is to help patients self-identify any irregularity before the condition progresses to a life threatening. More than 133 million Americans, or 45 percent of the population, have at least one chronic condition. These conditions include but not limited to; arthritis, asthma, cancer, cardiovascular (heart) disease, and diabetes, though these are only a few of many chronic illnesses that negatively impact the lives of Americans (Centers for Disease control, 2013). According to a survey conducted by Hewitt Associates (2001), 76 percent of employers availed disease management programs...
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...self-monitoring symptoms, and self-managing their conditions and medications (Pearson, Mattkle, Shaw, Ridgeley& Wiseman, 2007). As with prevention programs, there is no one size fit all for self-management strategies. However, investment in comparative effective research could provide a better understanding of how different programs work, what features might be optimal, and examples of promising or best practices to implement (Pearson, Mattkle Shaw, Ridgeley& Wiseman, 2007). With this advance knowledge, community associates may consider developing general strategies to harmonizing...
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...Disease Classification Structures Health care information systems cover a wide range of issues dealing with the supervision and use of biomedical information. Health information systems are central support tools in the administration of health care services. An acceptable health information system is important not only for evaluating the health needs of populations but also for preparation and for application of health interventions. It is equally imperative in the assessment of programs. The goal of information systems is to create an appropriate working environment. This is done by providing initial and going training, allocating resources, and by managing unintended consequences (Wager, Lee & Glaser, 2009). This summary will examine disease classification information structures necessary for reimbursement and epidemiological data collection. Discussions will describe disease classification, analyze reasons why it was selected, and explain how it is applicable to work, review the benefits of the systems and also discuss the negative draw backs of the system. To begin discussions will focus on defining disease classification structures. Disease Classification Structures Disease classification structures are essential to health care. The International Classification of Disease Ninth Revision (ICD-9) is a classification system developed by the World Health Organization (WHO) to categorize diseases. ICD-9 collects data on disease and in the United States the ICD-9...
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...HIV/AIDS tests and Cancer Screening tests to the population. This project will help to bond the company with the customers and will directly benefit the community. The sensitization will be about informing the community about the two dangerous diseases that are attributed to causing high deaths each year. Therefore, the company will be helping to preserve the health of the customers by showing their concern about the disease and offering free testing services (Lindgreen & Swaen, 2010). The project has strategic goals and objectives. The project's goals include informing the population about the means of dealing and contracting the diseases, informing the people of the importance of regular medical checkups and also making the community aware of their health status. On the other hand the project objectives include making the population aware of the diseases, to make the clinics aware of the prevalence rates of the infections and also to make the community aware of their concern and support for those who are affected by the disease. The customers who are involved in the project are the employees of the organization and the market population themselves. The stakeholders who are identified in the project are the company management, the health agencies and the clinics that are in the...
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...Liver Cirrhosis Jenna M. Keirn Institute of Technology Clovis Liver Cirrhosis What is liver cirrhosis? It is a chronic liver disease. By definition in Textbook of Basic Nursing ( Roshdal B. Caroline, Kowalski T. Mary) “ Cirrhosis is a chronic, degenerative disease of the parenchymal cells ( the normal architecture and functioning cells) of the liver.” When you have cirrhosis eventually it will get to the point where your liver can no longer do what it is supposed to do. If a patient has uncontrolled cirrhosis it can result in hepatorenal syndrome and hepatic coma. Eventually all body functions will deteriorate. According to Textbook of Basic Nursing (Roshdal B. Caroline, Kowalski T. Mary) “ Toxins absorbed by the GI tract...
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...setting. In order to treat this population is crucial to know their culture, believes, and practices to received their cooperation in the prevention and care of their medical condition. Hispanic population traces their ancestry to countries that were previously under Spanish rule, including Mexico, large part of Central and South American, and some Caribbean islands. Many of the Hispanic have variable proportion of European, Amerindian, and African ancestry. Peer-reviewed articles suggest that there is marked variation in the prevalence, morbidity, and mortality of asthma in Hispanics in the United States and Hispanic America (Akinbani, 2010). According to Akimbami, 2010, in his work posted in the Centers of Disease and Control, there is an estimate of a 6% prevalence of Asthma among Hispanics. The marked...
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...make you feel you should live in a bubble. From what medications to avoid to holistic therapies to diet changes, the means of prevention and management are seemingly endless much like the disease and its variety. Today however, we will focus on colorectal cancer. While many such as myself believe that lung or pancreatic cancer are the leading causes of deaths related to cancer, I, we, are sadly misinformed and mistaken. Let’s take a closer look. Colorectal Cancer Explained Colorectal cancer, the leading cause of death from cancer in the United States, is a type of cancer that begins in the colon or rectum (University of Phoenix, 2010). The illness can be referred to as either depending on where the disease began. Risk factors for colorectal cancer include age, long standing ulcerative colitis, race such as African American, inherited syndromes, low fiber high fat diets, obesity, smoking, and not participating in an active lifestyle. Unfortunately some of the risk factors indicated you cannot change such as your race and age. However, various lifestyle changes as well as surgeries, and medications can lessen your chances of developing colorectal cancer or assist with the management of the disease. Hypothetically speaking, if I were diagnosed with colorectal cancer I would focus mainly on changing habits that contribute to the disease in...
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