During her regularly scheduled visit to a blood pressure clinic in a local apartment cluster, a Hispanic resident, Mrs. B., 45 years old, complained of feeling dizzy and forgetful. She could not remember which of the six medications she had taken during the last few days. Her blood pressure readings on reclining, sitting, and standing revealed gross elevation. The nurse and Mrs. B. discussed the danger of her present status and the need to seek medical attention. Mrs. B. called her physician from her apartment and agreed to be transported to the emergency department.
In the urgent care clinic, Mrs. B. manifested the progressive signs and symptoms of a cerebrovascular accident (a CVA, or stroke). She was transferred to a local hospital. During hospitalization, she lost her capacity for expressive language and demonstrated hemiparesis and loss of bladder control. Her cognitive function became intermittently confused, and she was slow to recognize her physician and neighbors who came to visit. The utilization review/discharge planning nurse at the hospital contacted the case manager from the health department to screen and assess for the continuum of care needs as early as possible, because Mrs. B. lived alone, and family members resided out of town.
It became apparent that family caregiving in the community could only be intermittent because family members lived too far away. Mrs. B. had residual functional abilities for ADL’s, but cognitive deficits that would demand longer-term care.
As the case manager contracted by the plan, what would be the actions you would take to construct a case management plan?
After completing the reading assignment this week please state your opinions about the similarities and /or differences between a clinical nursing role and a population-focused role of the public-health nursing specialist. What are some of the complex issues between these roles? Be specific
Go to the Intervention Wheel website (Links to an external site.)
Choose one of the 17 interventions to explore. Read about the recommended strategies to use when intervening with a client. Explain the level of practice and how you can apply the intervention. provide a concrete example. (Refer to Chapter 11 in your textbook)
3. When considering the care given in the community considering the 10 Caritas Processes (Links to an external site.) link one of them to the new knowledge you have acquired this week and as you begin to reflect on the community you are assessing.
