This case study explores the practice of interactive case management service delivery for a 77-year-old female with upper GI bleed and indeterminate pulmonary nodules. It discusses unique strengths and needs, appropriate advocacy skills, and ethical considerations.
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Running head:PROJECT MANAGEMENT - CASE STUDY Project Management - Case Study Name of the Student Name of the University Author Note
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1PROJECT MANAGEMENT - CASE STUDY Table of Contents Question 1..................................................................................................................................2 Question 2..................................................................................................................................3 Question 3..................................................................................................................................3 Bibliography...............................................................................................................................5
2PROJECT MANAGEMENT - CASE STUDY Question 1 Practice of Interactive case management service delivery:As the case being studied, it has identified that 77 year old female P.W has an upper GI bleed, indeterminate pulmonary nodules that result in muscle weakness and hand swelling. P.W wanted to go to assisted living facility but her son denied to her response and now P.W could not comb her hair, and most medication and blood draws have been refuse. Therefore, it become necessary to practice the service delivery of integrative case management. With this service she can receive collaborative support from the assisted living facility. As the Case managers work through every information provided by the patient and try to improve the services to deliver them a satisfactory services. The Case management is a collaborative approach through which an individual can assess, implement, plan, coordinates, evaluate and monitors the services and options that can meet the need of the clients’ health and the services of the human. The Case Management has been characterized by resource management, communication and advocacy that promotes some cost-effective and quality outcomes and interventions. The Case Management Model have 3 unique model of which one of the model that is the Clinical Case Management Model in which the model recognizes that clients has to face some service barriers. The case manager provides a direct counselling for every concerns of the individual clients. So this can be a better option for P.W to get assisted for her upper GI bleed, indeterminate pulmonary nodules disease. With the clinical service provided to the client, the case manager could get a unique insight about the need of the clients. The clinical care provider significantly has the ability to encourage and get connect to the client. With such collaboration the client willingness to follow the service increases. The case manager can then address the social, mental and emotional barriers of the client and provide a better service to them. Clients who need extended time period are supported voluntarily with the services.
3PROJECT MANAGEMENT - CASE STUDY Question 2 Unique Strength and needs For an Interactive Case Management, approaching to strengths is something that guides and influences the practice. With the approach of this process the Cash Manager able to identify and also consider all the complex issues and provide a possible solutions. It use collaboration and generate a responses through which the need of the person can be meet. Appropriate advocacy skills The advocacy of the patient is one of the important part in the case management. The advocacy promotes justice, autonomy and beneficence for the clients. The main aim of advocacy is to foster the independence of the client’s. The clients is also being provided with some information related to healthcare and human benefits, services and resource, their rights, facilitate informed and appropriate decision making. It also includes client’s value, interests and beliefs. The advocacy of the certified case managers will identify the client’s needs. The clients will be able to opt for necessary services. The individual needs of the client can be meet with access to resources. The person will have the ability to work within the professional standards and legislation that are applicable to case management standards, regulations and government policies. They are able to aggregate the data and examine the clients so that the performance of the case manager is reflected. Question 3 Identify and describe ethical consideration It is important to resolve the ethical dilemmas to understand the principles and values of the Case Management. The standard of ethics exceeds some of the legal duties to provide a
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4PROJECT MANAGEMENT - CASE STUDY professional standard. Here, case management looks into various problems to solve or either resolve such problems in the payer systems and the health care delivery. Case managers challenge often the ethical dilemmas. Case managers abide the professional code of ethics as this will provide some guidance and support based on the conflict for the specific profession. It is very important to resolve the ethical dilemmas as it will help in understanding the principles and the underlying values of the Case management. This ethical dilemmas may be related to issues that have an end of live, refusal of care or experimental treatment.The principles that are underlying for the Case management are: -Placing a public interest -The clients’ dignity and rights are respected. Objectivity of the clients’ relationships is maintained -Facilitate the client in achieving the maximum benefits by dealing with integrity to other professionals -Laws and regulations are obeyed
5PROJECT MANAGEMENT - CASE STUDY Bibliography Forsetlund, L., Bjørndal, A., Rashidian, A., Jamtvedt, G., O'Brien, M. A., Wolf, F. M., ... & Oxman, A. D. (2009). Continuing education meetings and workshops: effects on professional practice and health care outcomes.The Cochrane Library. Kovner,A.R.,&Rundall,T.G.(2006).Evidence-basedmanagement reconsidered.Frontiers of health services management,22(3), 3. Quijano, L. M., Stanley, M. A., Petersen, N. J., Casado, B. L., Steinberg, E. H., Cully, J. A., & Wilson, N. L. (2007). Healthy IDEAS: A depression intervention delivered by community-basedcasemanagersservingolderadults.JournalofApplied Gerontology,26(2), 139-156. Ralston, J. D., Revere, D., Robins, L. S., & Goldberg, H. I. (2004). Patients' experience with a diabetes support programme based on an interactive electronic medical record: qualitative study.Bmj,328(7449), 1159. Von Korff, M., Gruman, J., Schaefer, J., Curry, S. J., & Wagner, E. H. (1997). Collaborative management of chronic illness.Annals of internal medicine,127(12), 1097-1102. Wagner, E. H., Glasgow, R. E., Davis, C., Bonomi, A. E., Provost, L., McCulloch, D., ... & Sixta,C.(2001).Qualityimprovementinchronicillnesscare:acollaborative approach.The Joint Commission journal on quality improvement,27(2), 63-80.