4-2 Final Project Milestone Two: Inpatient Assessment and the Interdisciplinary Team
4-2 Final Project Milestone Two: Inpatient Assessment and the Interdisciplinary Team
Britane Webb
HSE 210
SNHU
November 25, 2022
4-2 Final Project Milestone Two: Inpatient Assessment and the Interdisciplinary Team
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Jean is an 87-year-old female who has experienced a lot of traumas throughout her life.
She was sexually abused by her neighbor, and she had a stroke that paralyzed her affecting the
entire ire left side of her body. She is currently living all alone and does not have any family that
is nearby. With her limited mobility, she requires assistance with eating, transporting to and from
her wheelchair, as well as normal day-to-day activities. Due to her living off her pension and her
disability, she is experiencing financial hardships. The health care coverage she currently has
does not cover all the medical bills which are coming about. I believe to help improve Jean's
quality of life she will need in-home health care, in-home rehabilitation, and social services.
The Collaborative Care Model is the best model to use in Jean's case. This model would
accommodate the health and general medical services to assist Jean to alleviate as well as saving
money. With Jean's health concerns her nest egg had been exhausted mostly due to her health
insurance not covering her doctor's bills. The team would focus all their attention on Jean and
her progress with her treatment plan. The worse outcome would be, if she were to have another
stroke that affected the right side of her body or even worsened her paralyzed left side, her
condition would worsen. Having another stroke would implicit longer stays in the hospital as
well as rehab centers, and it would cause another increase in her medical costs.
A collaborative care plan would represent an evidence-based approach to her health
integration. This would focus on addressing any of Jean's needs, as this will continue assisting
her even as she gets older. The team would oversee all the costs for any medical expenses, this
includes the hospital stay. There are options that she could take in order to pay all the healthcare
providers which will assist with her quality of life. With the patient being a senior citizen, she
qualifies for Medicare and Medicaid.
4-2 Final Project Milestone Two: Inpatient Assessment and the Interdisciplinary Team
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The Collaborative Care team would be administered by her primary care physician
(PCP), as well as a case manager, therapists, as well as various other health care providers. Her
case manager would oversee Jean's appointments, get her progress for the therapist weekly,
assist with conveying information from her primary care provider, and her therapist. The case
manager oversees everything and ensures communication between the entire team. As well as
acting as the primary contact as.
Additionally, the case manager will inform the patient of any changes within her
treatment plan and can help with getting a home health aide, and in-home rehabilitation which
can all help Jean