Principles And Goals Of Case Management In J. F.'s Case

Principles and goals of case management Due to the rapid progression of his cancer, J.F.’s case requires cares that are “…extremely complex and require a range of disciplines to work together, across different settings…” (Freijser, Naccarella, McKenzie, & Krishnasamy, 2015, para. 1). This is something that I want to keep in mind while coordinating cares for this client.

Depending on the route the client chooses, the length of the current hospital stay could vary. Regardless, there are a few things I feel a case manager must look into prior to coordinating cares; those being insurance, goals, and expectations of the client. There are potentially three routes the client could choose in this position, and my part is to make sure he is well

If the client is interested in this avenue of care, I would recommend some of the same things mentioned above; however, many of the interventions in palliative care are focused on quality of life and overall comfort of the client rather than for active treatment of the disease. Due to the fact that this client’s symptoms are getting progressively worse, I would communicate with a palliative care provider to see what the options are for this family. This route would focus more on providing the right resources by the right provider at the right time; maximizing cares in the least restrictive setting; empowering the patient and his family to provide cares; avoiding fragmentation and reducing variances. Depending on his overall health and resources in his community, I may advocate for this client to go home after communicating with the physician in order to make him more comfortable (if he desires). If he were to go home, I would want both the patient and his family to feel empowered and confident in the cares required for J.F. in the home setting as well as know providers in the area to contact if needed.

The last route is focused on talking to another provider/specialist about the current diagnosis to get a second opinion. Case management’s role may vary in this situation, but the case manager may aid in the process of finding a specialty provider in the area. However, if cares were to continue they would reflect the same goals and

I feel it would also be important to address the current status of his advance directive and if his decision has changed since it was implemented. It is important the family is present during this discussion because “difficult issues can arise when families aren’t aware of advance directives or don’t agree with other family members on steps that should or should not be taken at end of life” (Meyer, 2012, para. 3). By having them present, it may avoid conflict and heartache when the time comes when the advanced directive is