Assignment 3 Comprehensive discharge plan
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Assignment 3 Comprehensive discharge plan
You are to develop a comprehensive case management plan for a terminally ill client.
You may choose to write a plan for a 65 y/o man who is dying from congestive heart failure, a woman who is 32 y/o dying of ovarian cancer, or an infant born with a severe congenital defect.
Be certain to include the following components (it will work best for each of these to be level two headings-see APA manual)
- Describe where the patient will receive post hospital services? Rehab unit? Long term care? Hospice home services? with a clear rationale.
2. Identify how care will be paid for? How to connect patient/ family to reimbursers?
3. Describe what resources are needed to safely manage patient’s care post discharge? Where will they be obtained? Who will pay? - Discuss all personnel and services who will be involved in the plan and their roles as well as their time-frames of involvement. Explain clearly how each member of the team will document the plan of care.
- Create a one day 24/7 hourly plan including all services, treatments, caregivers
Assignment 3 Comprehensive discharge plan
OR
Person-centered Individualized Support Plan
You are to develop a comprehensive case management plan for a 21 year old developmentally disabled man whose primary caretaker- mother- recently died. He graduated from high school, has a high GPA, and skills in technology. His social skills, communication, and daily life routines need assistance.
Be certain to include the following components (it will work best for each of these to be level two headings-see APA manual)
- The person’s life stage and needs with clear rationale.
- Use the I AM tool to specify how to assess the individual’s preferences, hopes and dreams
- Identify supportive routines to be considered- including daily life and employment/ volunteer activities
- Describe where, with whom and how the person lives– housing and living options, community access, transportation, home adaptation and modification
- Explain how the person can manage finances, emergencies, well-being, decision making supports, legal rights and issues
- Develop a plan for managing and accessing healthcare and staying well –medical, mental health, behavior, developmental, wellness and nutrition.
Assignment 3 Comprehensive discharge plan
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