Unit 4 Case Study Part 2 of 2
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Mr. Jones, I am your physical therapist. I would like to evaluate you for a home exercise program focused on safety in ambulation/fall prevention, strength training and balance training. We can tape your ankle to assist you in safe ambulation and possibly obtain an assistive device. I would also like to educate you on the RICE method to use in your home.
Mr. Jones, I am your Occupational Therapist. I have been told you have been having trouble making your own meals and completing activities of daily living. My job is to help you get back to doing these things for yourself both safely and effectively given you history of a CVA and CHF. If you don't mind, I would like to perform several test on you including a tinetti, TEMPA and FIM. These test will help me to prepare an individualized home exercise program.
Hello Mr. Jones, I am the administrator of your home health company. I am calling to welcome you to our services and let you know my job is to oversee all clinicians, sign the final plan of care, ensure our care is compliant with federal guidelines (Medicare) and review the final bill for your care. Behind the scenes I also research current laws affecting you when you are hospitalized. I also work closely with Dr. Smith for continuity of care and orders. We will have you on our service for the next 60 days. At this time, we will re-asses for continued need. This is called the recertification period. Additionally, please let me know if you start driving as this will affect your in-home treatment.
Hi Mr. Jones. I am a health informatics specialist. I wanted to introduce myself, but I will tell you that my role is primarily behind the scenes. To give you better idea of what I do I work closely with your entire health care team to ensure you are getting both effective and cost effective care based upon your diagnosis and insurance. I stay abreast of the latest laws, such as the ACA to provide my patients with top-notch care.
Mr. Jones was recertified for 2 certification periods under Medicare Part A and received in home PT/OT/MSW/RN services. He learned to manage his CHF and complete a home exercise program as well as gain independence in his activities of daily living. He is currently working with his athletic trainer 2-3 times a week under his private insurance. Mr. Jones sent a thank you note to the home health company thanking them for the interdisciplinary care plan.
References: Luaren Ornelas. (2010). Shinning a light on the valley of heart’s delight. Take a look at access to healthy food in Santa Clara county’s communities of color and low-income communities. Retrieved from Food Empowerment Project website: http://www.foodispower.org/documents/FEP_Report_web_final.pdf Mary, N. (2016). Noncompliant and nonadherent: Time toretire these labels. Home Healthcare Now, 34(1), 4–7. http://dx.doi.org/10.1097/NHH.0000000000000317 U.S. Centers for Medicare & Medicaid Services. (n.d.). What part A covers. Retrieved from http://www.medicare.gov/what-medicare-covers/part-a/what-part- a-covers.html Sprainedankle. (2018, March 09). Retrieved fromhttps://www.mayoclinic.org/diseases-conditions/sprained-ankle/diagnosis-treatment/drc-20353231 Levinger, I., Bronks, R., Cody, D. V., Linton, I., & Davie, A. (2005). Resistance training for chronic heart failure patients on beta blocker medications. Int J Cardiol, 102(3), 493-499. doi:10.1016/j.ijcard.2004.05.061
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