Case Management for Mrs. O

Case Management

Case management refers to a process which combines care coordination, assessment, evaluation, facilitation, planning, and advocacy for alternatives to meet an individual’s and family’s quality healthcare needs cost-effectively through communication. This paper focuses on case management for Mrs. O.

Comprehensive Patient Assessment Profile for Mrs. O

First, a comprehensive patient assessment profile for Mrs. O contains a medical history which shows that she has systemic Lupus. Also, she had type 1 diabetes since the age of 12 years. She was on IV steroids and currently on lower doses of prednisone. Mrs. O was admitted to hospital for a week. She presented with gastrointestinal tract (GIT) disorders, fatigue, and joint pains. She also developed a rash on her face. Mrs. O’s social and family history indicates she is married to one husband for over two years and is pregnant with her first baby. Mrs. O’s occupation history shows that she is a manager for a large manufacturing firm and usually work for 60 to 70 hours a week and comes home with stress from work. Her husband is in sales and travels more often. She has a mother, five sisters, and two brothers. Of her siblings, she is the youngest. When managing Mrs. O’s medical conditions, it is important to consider her medical, family, occupation, and social histories (Morton, Fontaine, Hudak, & Gallo, 2017).

Managing Mrs. O’s Healthcare Needs

In managing Mrs. O’s healthcare needs, necessary resources may include an ambulance for emergency transportation to the hospital since her pregnancy does not allow to walk for longer distances. Since she is diabetic and pregnant, she needs a healthy diet like fruits (Garber et al., 2015). She requires a continuous supply of drugs such as insulin and prednisone for treatment of her conditions. Apart from doctors and nurses, other healthcare personnel that she may need to include a cardiologist, rheumatologist, or physiotherapist to help her with physical exercise to manage her diabetes and arthritis. The minor staff comprises ambulance drivers. Her medical expenses are payable through healthcare insurance and family members (Morton, Fontaine, Hudak, & Gallo, 2017).

Mrs. O’s Supportive Family

Mrs. O has an advantage of a supportive family which could help her ensure she follows a healthy diet to manage arthritis, diabetes, and pregnancy. I emphasize the need for a regular medical check-up with her physician. Also, there is a need for her siblings to handle physical duties for her to avoid straining. Her family should ensure she gets adequate rest days and even takes her medicines. Conclusively, they should report any medical attention they notice to a doctor. A social canceling therapy can help Mrs. O overcome her worries about her pregnancy and new disease. Engaging in indoors and outdoors activities like talking strolls, playing dices, or watering flowers can relieve her stress (Garber et al., 2015).

Combining Therapy and Treatment for Mrs. O

Mrs. O should combine both drug therapy, of steroids like prednisone, non-steroidal anti-inflammatory drugs (NSAIDS) like diclofenac, insulin, and non-medical treatment like the use of sunscreens, physical exercise, and nutrition to manage her conditions (Kenny et al., 2018). She should know that corticosteroids and lupus arthritis might cause high blood pressure, muscle weakness, depression, anxiety, obesity, and consequently loss of diabetic control. Also, osteoporosis and GIT symptoms like nausea may occur. According to Kenny et al. (2018), Mrs. O needs to know that too much stress and systemic lupus may worsen diabetes and aggravate congenital disabilities. Lupus antibodies may cause pregnancy complications such as miscarriages. The above mentioned medical and non-medical therapy is used to reduce effects of systemic lupus, stress, and steroids on pregnancy as well as diabetes.

Summary

In summary, the main lesson learned from case management is that it focuses on quality management of the health of individuals by communication and engaging their families. Communication entails teaching and monitoring them. Moreover, case management must offer value for money as well as affordability. Coaching and teaching chronically ill patients employs both a medical and a psychological approach. Therapeutic approach mostly deals with the administration of drugs. Social approach challenges patients and families to take part in therapy like controlling stress, physical exercise, and the rest mentioned earlier.

Reference

Garber, A. J., Abrahamson, M. J., Barzilay, J. I., Blonde, L., Bloomgarden, Z. T., Bush, M. A., ... & Garvey, W. T. (2015). AACE/ACE comprehensive diabetes management algorithm 2015. Endocrine Practice, 21(4), 438-447.

Kenny, E., Abed, U. A., Kuehl, A., Raupach, B., Brinkmann, V., & Zychlinsky, A. (2018). PS5: 92 Clarification of the role of dnase 1 on the onset of systemic lupus erythematosus in a murine model.

Morton, P. G., Fontaine, D., Hudak, C. M., & Gallo, B. M. (2017). Critical care nursing: a holistic approach (p. 1056). Lippincott Williams & Wilkins.