Need help on my milestone 3 HSE 210


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I have already got 2 good grades but have run into family problems and have been late on this assignment since Sunday. Attaching the Rubrics for this assignment and the past 2 Milestones already completed. Thanks for the help.

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Introduction Milestone 1 Daniel McAlister In this case, Jean is an 87 year old woman patient that has had a deliberating stroke that has paralyzed her whole left side of her body. This has led to lack of mobility, more mental health issues. All this to add on top of the PTSD she already has due to a violent attack and rape by her neighbor. In looking at this case there is one thing that stands out the most and that is all the issues she is going to have taking care of herself. With the lack of family living close and low income this can definitely take a toll mentally and physically. In my review of the issues that Jean have and will have to deal with she will need a lot of assistance. She will need to get help improving the quality of her life at home. She is going to need home healthcare and a nurse to come help her. Hopefully her conditions get better so they can help her feel more independent. This could also help with some of the mental strain caused from the depression ect. from the stroke. They would give out medicines, give therapy, do light housework, and also will need transportation to doctor visits. There is another serious aspect that has to be address and that is her mental illness. She has been already diagnosed with PTSD from the traumatic event she suffered. She is also going to more than likely struggle with more issues due to her stroke conditions. Jean will need to also have appointments to mental health in her town and also a psychiatrist. This will ensure she will be on the right medications to help her mental diagnoses. Most of this review is of course in the respect that Jean’s family doesn’t move close to help. If they don’t she may be better off in an assisted living center. This will all depend on the results of her impatient plan and to be considered when it is time to put together her discharge plan. The case study is for Jean who is an 87-year-old woman with issues of mobility, trauma, and who recently suffered a stroke and was hospitalized as a result. In reviewing the case study, Jean’s mobility issues have taken a toll on her, being that she is not able to perform daily activities and needs assistance. Her recent stroke paralyzed the left side of her body in which requires her to get help to eat, sleep, and other routine daily living tasks. In addition to her already complicated life she is struggling financially, and due to this stroke, her insurance is not willing to cover her medical expenses. In reviewing Jean’s case, there are two options that may help to improve her quality of life, which is Home Healthcare or Rehabilitation Center. Home care would bring health services to Jean’s home in which provides a least restrictive care and allows the patient to feel more independent. Home care includes nursing, changing dressings, monitor medications, therapy and homemaker services. This would benefit Jean create a better quality of living being that she has a beautiful sense of humor and likes to be with friends and community. The second option would be a Rehabilitation Hospital in which “specialize in intensive therapeutic services to restore the maximum level of functioning in patients who have suffered recent disability due to illness or accident.” (Shi & Singh, 2017). Rehabilitation hospitals serve those that have endured sports injuries, amputees, and stroke victims to name a few. The rehabilitation center caters to those that cannot be cured but help on how to live with the condition. The rehabilitation center consists of psychical, occupational, and speech-language therapists. This would also be suitable for Jean however due to the insurance issues Home healthcare would be the best fit for Jean. References Shi, L., & Singh, D. A. (2017). Essentials of the U.S. health care system (4th ed.). Burlington, MA: Jones & Bartlett Learning. Milestone 2 SNHU HSE 210 Daniel McAlister The patient Jean is a 87-year-old female who has became paralyzed on the left side of her body due to a recent stroke. Jean needs care in all areas of medical specialists, professionals, nurses, including inpatient and outpatient care. Jean has three children, but all three children live out of state and though they are with her now. Hopefully they will help by being there for her everyday needs after Jean’s discharge. Jean also struggles with PTSD from a recent rape by her male neighbor, leaving her to feel helpless at home. Jean will also go through other mental issues like depression ect. due to the lack of now being independency that she now faces due her having a stroke and being paralyzed on her whole left side now. As Jean is over the age of 65 she is considered a senior entitled to Medicare, which will allow filling the gap of her helpless financial situation. In Jean’s diagnosis’, it would be great for her to have a specialty physician in this case would be a neurologist and psychiatrist. The specialty physicians will make the appropriate patient care plan that will be provided to Jean to get proper inpatient care needed. Jean’s inpatient care, she would be treated with a wide range of care, in all aspects of her health. Not only have the neurology team follow her but also having mental health psychiatry follow her. Jean’s emotional, mental, and security conditions will cause a big negative impact on her life. She lives alone and is undergoing a case of a traumatic rape case that was done by her neighbor in her own house. To add to all this, she just suffered a stroke, enabling her to not be ab use the left side of her body. Inpatient care is new to Jean and she has been independent to the most part. I think that Jean will be able to follow a discharge plan because she hopefully will now have her children with her and they have human service professionals and doctors as well as the care to allow Jean to have a smooth transition and recovery without too much worry. If Jean’s health was to worsen it would truly slow her recovery process. Like if her symptoms of paralysis never got better or got worse. She would not be able to possibly leave on her discharge care plan. Also, it would impact her to possibly never being able to live at home alone. While Jean is under care, she can be helped by a couple of different ways. She would need female personal hygiene care, of course from a female. I am sure after the trauma of PTSD from the rape of her neighbor she will suffer from trust issues with males and strangers in general. There are numerous programs to help with finances, there is state run agencies such as (DSS) Department of Social Services. Jean should be able to qualify for many different services they provide help with. These are some that can help her such as Medicare, Medicaid benefits, Medicare Advantage and Supplement Plans, and there is also some prescription assistance programs for the elderly. ( The team that should be involved with Jean will have doctors, specialists and home healthcare nurses. There will be more than one specialized doctor that will be involved in Jean’s care. For example, the neurologist, psychiatrist as well as her primary care doctor that will follow these doctor for long term. The neurologist would make sure the damages due to her stroke is under control and the proper medications are prescribed and follow patient care plan that is provided for patient to get proper therapy. Psychiatrist will help with emotional and her mental disorders like her PTSD and possible depression because of the stroke. Also, stability of nurses, who provide proper care both medication, hygiene and with helping her feel as independent and secure as possible. Social workers who will Social workers to recognize co-occurring diagnoses when evaluating clients for treatment and additional resources like finances. Human service professionals, who complete skills assessment of progression and what comes next after Jeans stay, and work on resources to keep Jean involved in actives for her mental and physical wellness. These teams should be working together in Jean’s life to help with her plans and observe her improvements or weaknesses. Also, the team of specialists should help Jean and her family, so they have the understanding and knowledge of her future care in the discharge plan. Making sure Jean’s questions are answered by both herself and her family and accommodations are made by human service professionals and doctors pair up for cost efficient after care plan. If Jean has any wishes of how her care plan may go, this should be taken into serious consideration to help her with her personal comfort and security. References: Shi L., & Singh, D.A, (2017). Essentials of the U.S. health care system. Burlington, Ma: Jones & Bartlett learning. HSE210 Milestone Three Guidelines and Rubric Follow-Up Care Plan and Conclusion (Sections IV and V) Overview: In your final milestone in preparation for your final project submission, you will work on a draft of the follow-up care plan and conclusion to your collaborative care guide. As with previous milestones, you will be working on these elements as they relate to Jean’s case study: Jean is an 87-year-old woman who was admitted to Manchester Community Hospital, in Manchester, New Hampshire, after having a debilitating stroke that paralyzed the left half of her body. She is a widow, and her three adult children live in different states. She needs assistance eating, transferring to her wheelchair, and most other activities of daily living. Her medical issues related to the stroke are quickly being resolved, and it is time to begin assessing her needs for discharge and post-discharge. It is important to note that Jean’s savings have been totally depleted and her medical bills are mounting since her healthcare insurance has proven to be inadequate to cover her medical expenses. Her limited pension and social security barely covered her living expenses prior to her stroke and are unlikely to cover the escalating expenses that she will undoubtedly encounter based on her medical condition. Moreover, Jean has been clinically diagnosed with PTSD after being raped by a neighbor in her home two years ago. She is still grappling with the effects of the trauma, even as the criminal case against the perpetrator slowly moves forward. Although her family modified the home to make it more secure and less vulnerable to intrusion, her current lack of mobility is weighing heavily on her psychologically. Despite her current issues, Jean derives great comfort from her faith as a devout Catholic. She typically has a wonderful sense of humor and is highly organized, having worked as an elementary school teacher during her earlier years. She participates regularly in the local garden club and on her neighborhood welcoming committee. She has a wide circle of friends with whom she interacts. Her children are currently staying in Manchester to oversee her care and to contribute to the development of her post-discharge care plan. It is unclear whether any of the children will stay on after her discharge to help care for Jean, but this seems unlikely unless considered essential by the medical team. An interdisciplinary team is being developed to design a comprehensive plan for Jean’s post-discharge care. The follow-up care plan occurs after discharge from the hospital. The initial discharge plan addresses immediate needs of the client as he or she transitions back to his or her home. Once that transition is complete, some issues remain. These are the issues that will be addressed in the follow-up care plan. Consider agencies in the community that can assist the patient in addressing the issues. As you work on your plan, you may find the following resources valuable:   Improving Hospital Discharge Planning for Elderly Patients Best Practices Manual for Discharge Planning Prompt: Create a draft of Sections IV and V of your final project, a collaborative care guide. IV. Follow-Up Care Plan Create a comprehensive follow-up care plan for Jean, applying her needs identified in the case study. A. Applying best practices, explain the basic post-discharge client needs represented within the case study. B. Develop strategies to arrange provision of services to the client. C. Develop effective strategies to address the client’s post-discharge financial needs. What strategies will you use to ensure client access to recommended services? Consider organizing this section of your milestone in table format: Client Needs (Including Financial Needs) from the Case Study Issue 1: Issue 2: Issue3: Issue 4: Issue 5: Strategies to Address Needs and Suggested Agencies That Will Provide Needed Services (Including Financial Needs) Issue Strategy and Agency/Source of Services V. Conclusion Discuss the impact of navigating available resources for both inpatient and discharge needs on the client in the short and long terms. Finally, describe the expected outcomes of the care plan. Be sure to include the following: A. Based on the case study, how would the difficulty of navigating the available resources for both inpatient and discharge needs impact the client physically and psychologically? B. What long-term effects will the strategies you developed for addressing the client’s inpatient and post-discharge financial deficits potentially have on her survival and well-being? C. Describe the expected outcomes of this care plan. Given the follow-up care plan and the anticipated impact of available resources, what realistic outcomes for the patient do you foresee? Consider physical, emotional, and financial outcomes. Guidelines for Submission: Your draft of Sections IV and V should be about 2 to 3 pages in length and should use double spacing, 12-point Times New Roman font, one-inch margins, and APA formatting. Critical Elements Follow-Up Care Plan: Client Needs Follow-Up Care Plan: Provision of Services Follow-Up Care Plan: Post-Discharge Financial Needs Conclusion: Available Resources Conclusion: LongTerm Effects Conclusion: Expected Outcomes Proficient (100%) Accurately explains the basic post-discharge client needs represented within the case study; all needs are cited and explained clearly and succinctly, including evidence of the need Develops comprehensive, effective strategies to arrange provision of services to the client; strategies minimize complexity, are realistic, and are directed to the specific client needs Develops effective strategies to address post-discharge financial needs and ensure client has access to services; there is a consistent match between strategies and the financing to ensure service delivery Describes how the difficulty of navigating the available resources for both inpatient and discharge needs would impact the patient, based on the case study; includes potential impact on client physical and psychological well-being, and the possibility of resorting to less desirable alternatives (where client needs are only partially met) Thoroughly describes the potential long-term physical and psychological effects, both positive if they are successful and negative if they fall short, of the developed strategies for addressing the client’s inpatient and postdischarge financial deficits; all relevant factors are considered Comprehensively and realistically describes the expected outcomes, physical and psychological, of the care plan if successfully implemented; supports expectations with citations from the case study Needs Improvement (75%) Explains the basic post-discharge client needs represented within the case study, but explanation is not accurate or lacks detail and evidence Not Evident (0%) Does not cite all of the basic post-discharge client needs and/or fails to explain each Value 15 Develops strategies to arrange provision of services to the client, but strategies are not comprehensive; one or more strategies are overly complex, unrealistic, and/or not directed at specific client needs Develops strategies to address the client’s post-discharge financial needs, but not all strategies are matched with financial resources to ensure that the client has access to those services Describes how the difficulty of navigating the available resources would impact the patient in general terms, but does not include both physical and psychological well-being, fails to relate description to the case study, and/or neglects to describe both inpatient and discharge needs Does not develop strategies to arrange provision of services, or most strategies are ineffective and/or unrealistic 15 Does not develop strategies to address the client’s post-discharge financial needs, or most strategies are not matched with sufficient financial resources to ensure service delivery Does not describe how navigating the available resources would impact the patient, or the description is vague and unspecific 15 Describes the potential long-term effects of the developed strategies for addressing the client’s inpatient and post-discharge financial deficits, but description lacks sufficient detail, overlooks relevant factors, or fails to consider physical and psychological effects Does not describe the potential long-term effects, or fails to address critical factors 15 Describes the expected outcomes of the care plan, but description is not comprehensive or partially fails to logically follow from the evidence Does not describe the expected outcomes, or expectations are not realistic given the evidence 15 15 Articulation of Response Submission has no major errors related to citations, grammar, spelling, syntax, or organization Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas Submission has critical errors related to citations, grammar, spelling, syntax, or organization that prevent understanding of ideas Total 10 100% ...
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