Roger McClucky ALL SOLVED 100% CORRECT FALL-2021 LATEST GUARANTEED GRADE A+

Roger McClucky Room Roger McClucky, 70-year-old male recently diagnosed with Alzheimer’s Disease dementia following evaluation of forgetfulness, difficulty processing new information, and increased confusion. With his declining memory and hearing impairment Roger’s daughter, Lisa, is concerned about his ability to care for himself and is interested in care options to assist him in staying in his home. Medications: NKDA, memantine (Namenda) one tablet daily. Social history: Roger lives alone in a two-bedroom home in a rural community. Roger came to the community as a migrant worker 40 years ago and worked as farm help for a local farmer providing manual labor in the fields. Roger is active in his church and attends with the men’s Bible study weekly. His daughter lives nearby and visits Roger multiple times per week. Community Assessment: Roger lives in a small rural community with a small downtown. On the Main Street there is a grocery store, a family-owned pharmacy and milk shake shop, gas station, diner, second-hand store, and an outreach family practice clinic. There are two churches, one on the north side and one on the west end of town. The houses are spaced “a country mile,” separated by farmland and fields. Most of the side roads are gravel. There are no public transportation options. You responded correctly to 7 out of 10 evaluations: Category Your response Explanation Surveillance Increased acuity Education/Counseling Increased acuity Health Promotion Increased acuity There is no mechanism of the need for surveillance of Alzheimer’s Disease dementia. Roger and Lisa have an increased need for education and counseling on Alzheimer’s Disease dementia, disease pr management of symptoms. Health promotion strategies include diet, exercise, home safety, routine schedules, social interaction, engagement and simplifying the home. Self-management Increased Roger has increased need for self-management of his activity of daily living, medication administration, nutrition, a acuity Community Assessment Increased The rural community creates challenges with access to services due to the houses spaced “a country mile” and gra acuity engagement in church and the men’s Bible study requires transportation and no public transportation options exist can increase the burden on Lisa and demands dependence on community members for Roger to maintain his enga activities that he enjoys and create mental stimulation for him. Additional community assessment needs include fa allowing respite for Lisa in the care of her father, especially as he experiences progression with his dementia. Culture/Beliefs/Spirituali Normal Roger is involved with his church and the men’s Bible study group. It is important there is continued engagement w ty acuity Familiar activity and interactions assist with memory and orientation for Roger. His Bible study group also decrease isolation. Disease/Illness Increased Preventing further advancement of Roger’s dementia will be a focus for disease management and illness preventio Prevention acuity considerations are hearing aids, social interaction, establishing routines, safe physical activity, and a diet high in fr wholes grains, fish and poultry. Resource Identification Increased acuity There is need for additional resources to support Roger and his family. It will be important to identify and prepare f including financial management, care services, and community support. Risk Reduction Increased Risk reduction and injury prevention are important considerations for Roger. Risk reduction in the home will include acuity removing clutter, removing flammable or potentially dangerous substances, safely locks, and gates on stairs. Social Determinants of Normal Roger’s social determinants include being an older adult, living alone in a home, and recent diagnosis with Alzheim Health acuity Additionally, Roger’s hearing loss and living in a rural, low resource community increases risk potential for social is Scenario 1 Stat us Label Explanation Case management is a Case management is a collaborative process of assessment, planning, facilita Stat us Label Explanation collaborative proces coordination, evaluation and advocacy for options and services to meet an in family’s comprehensive health needs through communication and available r promote patient safety, quality of care, and cost-effective outcomes. Case management is a linear The case management model is not a linear process. The phases may be revi process that includes screening, until the desired outcome is reached. The case management process consists assessing, planning, and evaluation Screening-determine if the patient would benefit from case management serv health risk assessment and biomedical screening are done based on the patie Stratifying Risk- determines the appropriate level of intervention by classifyin being at low or high risk · Planning- process of determining specific objectives actions designed to meet the client’s needs as identified through the assessm Implementing (Care Coordination)- The process of executing specific case ma activities and/or interventions that will lead to accomplishing the goals set for management plan · Follow-up- information from all relevant sources is evalua the effectiveness of the current case management plan · Transitioning- educa and caregivers on post transition care and follow-up to maintain continuity of care settings · Communication Post Transition-determine how things are goin or concerns and manage additional follow-up items. · Evaluation- assess the e the case management plan of care and its effect on the client’s condition Case management is an appropriate job for a newly licensed nurse Nurse Case Managers function as advocates. To obtain the skills and qualifications, the Nurse Case Manager role generally years of nursing experience. Because Nurse Case Managers function with mu must possess many skill sets including (but not limited to) effective communi judgment, conflict resolution, teamwork, delegation, political shrewdness, tol and cultural sensitivity. Nurse Case Managers act as patient advocates and make sure the needs of t effectively and efficiently. There is a certification examination The certified case manager exam is practice-based. The examination content for Nurse Case Managers following five domains: · Care Delivery & Reimbursement Methods · Psychoso Support Systems · Quality & Outcomes Evaluation and Measurement · Rehabi & Strategies · Ethical, Legal & Practice Standards A philosophy of case management The underlying premise of case management is based in the fact that when