Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Today in America the homeless account for almost 1.8 million with nearly 44 % of them being men. Disease and mortality are greatest in the homeless, there has “been a 51% increase in the number of patients age 50 or older between 2008 and 2014 (Healthcare).” With these increasing numbers, the growing need for advanced care planning in the homeless is becoming more relevant. The case study that was examined was Paul: No Surrogate.
There are still many homeless people who have not had a chance to look into healthcare programs because of demands on services for the homeless. In the article “Health Care for the Homeless: What We Have Learned in the Past 30 Years and What’s Next” the writer explains information about older programs and how they affect the poor and homeless. The writer claims “Concerns about rapidly growing demands on service systems fueled local and national attempts to accurately enumerate homeless persons” (Lanese 1). This may prove that older and more recent programs are starting to become a growing demand for the services that they could receive. It should be easier for the homeless to get this access, but due to the lack of funding and resources to fully address the issue, it makes it
In this model medical and non medical professional staffs are co-ordinate by a case/care manager to address the needs of a client. Case meetings, care planning and exchange of information are coordinated by case manager. An individual care plan is often the product of case management meetings. In this model, the professionals are linked together, because their working relationship with the case manager. • Key worker assumed leadership role; • Coordinating care, reporting back to the professionals; • Addressed patient needs in a co-ordinate manner; • Professionals usually came from the same organization, but involved other community
According to Goldstein, Luther, Haas, Gordon, & Appelt (2009), “many homeless individuals with psychiatric difficulties experience often untreated general health problems” (p.200). TB, HIV, lung disease, and other critical healthcare concerns are of the many medical issues faced by homeless veterans. Although there are benefits and insurance for war veterans, some veterans who become homeless do not have that option to cover insurance and therefore cannot see a medical professional to cure any disease that could impede this veteran once homeless for a long period of time. Analyze the Impact of Local, State, and National Public Policies on the Quality and Accessibility of Clinical Mental Health Services Luckily there have been many advocates for the homeless veterans who have been fighting to change the world and give these heroes a place to call home.
If this death rate continues, there will be over 100 homeless deaths by the end of 2017. Almost every homeless person deals with mental health and drug addiction, and need professional help. We hope that the government notices these issues and provide healthcare
Our capstone project is aimed at combating the lack of basic healthcare and basic service in the poor and homeless. The biggest factors toward poor health are discriminatory behavior towards homeless communities and insufficient clothing to combat weather. According to a study done by Diversity and Equality in Health and Care, “people who are homeless are frequently treated as objects or dehumanized by nurses.” A comprehensive study done by NCBI and the city of Toronto confirms this behavior in cities throughout Canada and the United States.
On any given night, approximately 30,000 Canadians struggle to find a safe place to spend the night. Research indicates that lack of a stable and supportive living environment is detrimental for one’s health and well-being. Consequently, homeless individuals have significantly worse physical and mental health than the general population, and are at higher risk of death. Compared to the general population, homeless individuals are more likely to resort to emergency care services and have longer hospital stays, bearing increased financial burdens on the healthcare system. Although this population requires high levels of medical attention, people who are homeless have substantial unmet health care needs within Canada’s traditional model of primary
Continuity of care is an essential determinant of both quality of care and health outcome. Good indicators of continuity of care include likelihood of having regular doctor, and the organization of referral and feedback among providers and the same level of care and between levels of care. Continuity is essential and crucial for guaranteeing coordination of care. Lack of coordination mostly affects people with higher needs for care, such as those with chronic conditions and older people. Given the increasing burden of chronic diseases and the presence of comorbidities a single patient might move from one provide to the next without any coordination, and therefore a high risk of duplicating tests and harmful prescriptions of drugs.
However, there is a close relationship between healthcare and the homeless population, in that most of the homeless population does not have access to good healthcare. According to a report by the National Coalition for the Homeless (2009), poor health is closely associated with homelessness. For instance, even if one belongs to the middle or lower class in society, a serious illness will lead to a financial downward spiral starting from losing one’s job due to a lot of time spent away from work, usage of one’s savings to pay for medical bills and this can lead to one being evicted from his/her house and one eventually ends up in the streets where the person will become vulnerable to infections and
Patient centered care focuses on getting to know the older person as an individual such as their values, Aspirations, health, social needs, preferences and providing care specific to their needs. It enables the older person to make decisions on what kind of options with assistance available, promoting his/her Autonomy and independence. It involves them in such way to be included in shared decisions between healthcare teams and families, so the can be control with a choice of specific care / services. It provides information that is tailored for the individual in order to assist them in decision making based on evidence, helping them to understand their options and consequences of this. Supporting a person on his/her choice and letting them pursue their stated wishes, As a patient centered approach so they are involved as equal partners in their care ( Manley et al,
In a clinical environment, person centred care is an essential approach in order to achieve the best outcomes for the patients individual needs. Person centred care involves taking a holistic approach to healthcare in which multiple factors such as age, beliefs, spirituality, values and preferences are taken into consideration when assessing, treating and caring for a patient (Epstein & Street 2011). It enables the patient to have a more interactive and collaborative approach in their healthcare, share responsibility and maintain their dignity and values. It involves a bio-psychosocial perspective to healthcare as opposed to a biomedical attitude. In order to provide patient centred care, the clinician needs to consider the individual’s needs
Firstly, the collaboration between government entities, nonprofits, and community organizations is essential to develop comprehensive procedures that address the various aspects contributing to homelessness. This collaboration can streamline the coordination of resources, expertise, and funding needed to implement practical programs. Furthermore, sustained funding is essential to support the implementation and continuity of homelessness prevention and intervention programs. Adequate financial resources at the federal, state, and local levels are necessary to construct affordable housing, provide comprehensive services, and support community-based organizations that specialize in addressing homelessness. By prioritizing funding and allocating resources effectively, we can ensure that homelessness remains a priority on the societal
Increase the number of the free clinics that will provide some health issue. Homeless population are at risk for chronic illness making them vulnerable to volience and substance abuse. This population has limited access to resources; difficulty in essentials of daily living: food, clothing, shelter. Often these individual has an underlining mental health issues or substance abuse problems. They do not have support outside their homeless community.
With that being said the not all states deal with the issue of hemelessness to the magnitude that others do. The states which have the highes rates of homelessness are “Alaska, California, Colorado, Hawaii, Idaho, Nevada, Oregon, Rhode Island, Washington State, and Washington, D.C. According to a study released in 2007 by The National Allliance to End Homelessness,” with 66% reporting mental health problems and/or substance abuse (PBS, 2009). The reporting shows that in the United States the homeless population has grown to 1,750,000 people, and of those individuals 1,155,000 people are suffering the effects of mental health, drug abuse, and alcohol problems. To understand the dilema, one must look to the source of the issue.
