Case Study #1
You are rounding on a 86 year old male who was admitted 24 hours ago for urosepsis and confusion. The patient has been admitted to the observation area. Please review the medical record and develop a tentative discharge plan. Carefully note each colored tab in the medical record. As the Case Manager you are responsible for taking all information into consideration including the laboratory results. The discharge plan should be no greater than three pages excluding the cover and reference page. APA format is required but an abstract is not required.
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According to the Agency for Healthcare Research and Quality nearly 20% of patients experience an adverse event within 30 days of discharge. The majority of these problems could have been prevented or reduced in severity. Using the attached framework or an alternate approach from your research please develop your plan to include:
1. Identify if the patient is stable for discharge home or if the patient needs placement. Defend your your plan with details regarding why you chose that path. Incorporate all stakeholders; Patient, family interdisciplinary team, agency and insurer.
2. Discuss resources that may be available to the patient at home or at a facility, explaining how the resource will be beneficial.
3. Outline information that you will need from the patient, family, interdisciplinary team, and insurers to complete your discharge plan. (Your patient wants to go home, the family refuses to take him home and the hospital needs to make a decision if this patient meets criteria for continuing stay)
4. Provide a minimum of two research or review articles to support your plan.
5. Up to 3 pages excluding cover and reference page.
Attachments
Discharge Planning Patient Chart case study 1.xlsxDownload Discharge Planning Patient Chart case study 1.xlsx
AHRQDIdschargePlan(1).pdfDownload AHRQDIdschargePlan(1).pdf
Rubric
Case mgr case study 2022 (1)
| Case mgr case study 2022 (1) | ||
|---|---|---|
| Criteria | Ratings | Pts |
| This criterion is linked to a Learning OutcomeKnowledge of Topic/Depth of Discussion: Identification of Key Issues in Case Study All stakeholders: -patient -family -agency -insurerDemonstrates full understanding of concepts/content for this topic. Is able to apply the information to professional practice. Provides concluding remarks that show analysis and synthesis of ideas. | 60 ptsExpert55 ptsProficient50 ptsCompetent45 ptsNovice | 60 pts |
| This criterion is linked to a Learning OutcomeQuality of References/Sources, at least 2 research or review articlesAppropriate peer-reviewed research, other appropriate scholarly sources, and authoritative websites are cited/referenced and are relevant to the assigned topic. | 20 ptsExpert18 ptsProficient16 ptsCompetent14 ptsNovice | 20 pts |
| This criterion is linked to a Learning OutcomeStructure of Paper/CohesivenessDemonstrates an understanding of the relationship between all sources of information and the assigned topic. Paper flows from one idea to the next with ease. Writing is professional and/or scholarly. | 10 ptsExpert9 ptsProficient8 ptsCompetent7 ptsNovice | 10 pts |
| This criterion is linked to a Learning OutcomeSpelling and GrammarNo spelling &/or grammar errors | 5 ptsExpert4 ptsProficient3 ptsCompetent2.5 ptsNovice | 5 pts |
| This criterion is linked to a Learning OutcomeAPA formatNo APA format errors. Cites all information obtained from other sources. Reference page is done in appropriate APA style | 5 ptsExpert4 ptsProficient3 ptsCompetent2.5 ptsNovice | 5 pts |
| Total Points: 100 | ||