Personal Aging
Case Management
Lisa Reinback
Facilitator: Jean sherri
NUR 370: Gerontology
January 13, 2013
Case Management A 75 year old male Hispanic male with history of chronic obstructive pulmonary disease (COPD), hypertension, glaucoma, motor vehicle accident (MVA) 5yrs ago that resulted in a chronic lumber spine pain was recently discharged from the hospital for COPD exacerbation. COPD is the fourth leading cause of death in both men and women, and it is steadily on the rise (Touhy & Jett,2010). He was sent home on home oxygen and a prescription for a sleep study test for a suspicion of sleep apnea. He recently moved to Illinois to be closer to his daughter who lives 50miles away. Due to his recent move to Illinois, he currently has no insurance and no financial means of paying out of pocket.
He currently lives alone in a senior apartment building, his wife moved back to Mexico 3 years ago to be with their son who is mentally challenged and in his 20’s. He is unemployed and on a subsidy income from the government and food stamp. He feels like a burden to his family and he does not want to ask his daughter for assistance. He use to go to Catholic church every Sunday, until recently, he lost faith in God due to his increased depression. He felt like God has abandoned him. He non compliant with his medical health and smokes 1 pack of cigarette per day. His glaucoma has taken a turn for the worse and studies have shown that even when treated, glaucoma can cause blindness (NEI, 2011). His personal hygiene is poor, he does not know how to cook so he prefers fast food restaurants. Due to his financial woes, he has no means of going to and from his doctor’s appointment.
The Nueman’s system model helps nurses identify a client as a unique individual with his or her own goals and coping abilities (Neuman & Fawcett, 2011). Using the Nueman’s model, the core line is his history of hypertension, MVA, COPD, sleep apnea and depression. He is 70 years of age, Hispanic
Lisa Reinback
Facilitator: Jean sherri
NUR 370: Gerontology
January 13, 2013
Case Management A 75 year old male Hispanic male with history of chronic obstructive pulmonary disease (COPD), hypertension, glaucoma, motor vehicle accident (MVA) 5yrs ago that resulted in a chronic lumber spine pain was recently discharged from the hospital for COPD exacerbation. COPD is the fourth leading cause of death in both men and women, and it is steadily on the rise (Touhy & Jett,2010). He was sent home on home oxygen and a prescription for a sleep study test for a suspicion of sleep apnea. He recently moved to Illinois to be closer to his daughter who lives 50miles away. Due to his recent move to Illinois, he currently has no insurance and no financial means of paying out of pocket.
He currently lives alone in a senior apartment building, his wife moved back to Mexico 3 years ago to be with their son who is mentally challenged and in his 20’s. He is unemployed and on a subsidy income from the government and food stamp. He feels like a burden to his family and he does not want to ask his daughter for assistance. He use to go to Catholic church every Sunday, until recently, he lost faith in God due to his increased depression. He felt like God has abandoned him. He non compliant with his medical health and smokes 1 pack of cigarette per day. His glaucoma has taken a turn for the worse and studies have shown that even when treated, glaucoma can cause blindness (NEI, 2011). His personal hygiene is poor, he does not know how to cook so he prefers fast food restaurants. Due to his financial woes, he has no means of going to and from his doctor’s appointment.
The Nueman’s system model helps nurses identify a client as a unique individual with his or her own goals and coping abilities (Neuman & Fawcett, 2011). Using the Nueman’s model, the core line is his history of hypertension, MVA, COPD, sleep apnea and depression. He is 70 years of age, Hispanic
References: Health care intelligence network, (2012). The challenging role of healthcare case manager. Retrieved from http://www.hin.com/sw/healthLaw_regulation122710_case_manager_hospital_discharge_primary_care_ROI_ER.html National eye institute, (2011). Facts about glaucoma. Retrieved from http://www.nei.nih.gov/health/glaucoma/glaucoma_facts.asp National Institute of Medicine.(2012). Chronic Obstructive Pulmonary Disease. Retrieved from http://www.nlm.nih.gov/medlineplus/copdchronicobstructivepulmonarydisease.html Neuman, B., & Fawcett, J. (2011). The Neuman system model. New Jersey: Person Education Northeastern Univerity. (2013). The Interdisciplinary Team. Retrieved from http://www.northeastern.edu/geriatricsbiger/the_team/ Touhy, T.A. & Jett, K. (2012). Ebersole and Hess’ Toward Healthy Aging. Human needs & aging response (8th ed.). St. Louis, MO: Elsevier Saunders Waldman, P.(2012). The benefit of Medicaid: What having insurance means. Retrieved from http://prospect.org/article/benefits-medicaid. Wills, M.E. & McEwen, M. (2011). Theoretical Basis for Nursing. Philadelphia: Lippincott Williams & Wilkins