The Breakdown Of Continuum Care

Includes the design of health services that impact the way in which services are given. Some of this involves

Berry, L., Rock, B., Houskamp, B., Brueggeman, J., & Tucker, L., (2013). Care coordination for patients with complex health profiles in inpatient and outpatient settings. Mayo Clinic Proceedings, 88(2), 184-94. Retrieved from http://search.proquest.com/docview/1312503895?accountid=34574

The health care sector is impacted by numerous changes and challenges, such as increasing need for health care provision, changing demands from patients or rapidly evolving technologies. In the context of evolving technologies, the developments occur not only in the actual provision of the medical act, but also at the level of the complementary operations, such as health care information management.

Throughout Unit 6 we reviewed the continuum of care in long-term care facilities and its many aspects. The continuum of care, also referred to as the delivery system of health care, is best defined as a full range of long-term care services increasing in level of acuity and complexity from one end to the other (PowerPoint). This delivery system is comprised of three substantial components. These components are the informal system, community based care, and the institutional system.

Describe the methodology which supports the financial, ethical, legal, social support, and provider components of the care continuum.

Create a homelike-feel facility for our patients by managing and incorporating various aspects of their health to guarantee complete and all-inclusive care.

According to the Agency for Healthcare Research and Quality (2015), "care coordination involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care". This multidisciplinary team usually includes nurses, patients, physicians, social workers, physical therapists, pharmacists, etc. Care coordination across the continuum improves communication, quality of care, patient safety and patient satisfaction while reducing admissions and readmissions and medical costs. Another activity, public health nursing involves collaboration and partnerships with communities and special population, with a focus on health promotion and preventative care (Kulbok, Thatcher & Meszaros, 2012). Public health nursing includes home care, clinics, case management, and local and state health departments, etc. Finally, nurses joining committees is another way to strengthen healthcare. For example, a readmission review committee involves nurses from the hospital, case managers, social workers, hospital physicians, skilled nursing facility physicians, etc. who come together to review patient cases and identify why patients were readmitted, what fell through the cracks and then develop workflow/protocols to minimize the chance for future readmissions. Committees like these improve patient care and

1 a.) I have been performing my fieldwork at Whittier Health Network in Haverhill, Massachusetts. There many different types of patients and clients receiving services at my fieldwork site, from patients receiving rehabilitation services, to residents receiving dialysis. Some of the patients that my fieldwork supervisor and I have been meeting with have ranged in age from mid-forties to late eighties, and have had various diagnoses. One patient that my supervisor and I have met with was a women in her mid-fifties. She has recently had knee surgery, and has been suffering from respiratory problems. She also has been experiencing high levels of anxiety, which appears to be due to her inability to breathe properly and easily. Another patient we have been seeing who has been experiencing difficulties with respiration and breathing is a man in his early seventies. He has been ill, and was experiencing difficulty with breathing. He is currently using a tracheostomy tube, which has allowed him to breathe, and make great progress throughout his stay at the facility. Another patient we have been seeing is a women in her mid-sixties. This patient had obtained an injury to the lumbar region of her spinal cord, and in turn has recently had spinal surgery. Other patients that we have seen have been experiencing various injuries that they are working on recovering from; are experiencing various ailments such as dementia, confusion, and Alzheimer’s; or are experiencing difficulties with

2. Challenges - the challenges facing the health information services and how change can be alike-particular section at the level of industry Changes can be gradual. This will help to develop the skills of the staff.

Care management is a set of health IT tools that provides services to assist the patients and their support system in managing behavior and managing medical conditions, to improve patients’ health status, enhance coordination of care, eliminate duplicate services, and reduce the need for expensive medical services. The focus of the care management program has been chronic conditions. Paper charts did not allow for the sharing of data. The role of health IT in care

Healthcare exists to enhance the quality of life for the individuals we serve and to provide a healing environment for them to flourish in. I would incorporate brokenness into my approach to my philosophy of health care is by understanding that healthcare is more than just helping someone with physical care. As a healthcare professional, I need to be able to diagnose and care more than just a person physical needs, but their emotional and mental needs too. Human brokenness can range from a number of factors like loss or grief, self-loathing, addiction, emptiness, and so on. In order for one to be healed from brokenness, it requires healing of the mental, physical, emotional, and spiritual aspects. To deal with brokenness requires compassion.

In the same way the human body needs proper care to keep functioning precisely. There are some pathology’s that are inevitable such as Diabetes Mellitus type 1 but controllable with the proper plan of care. The good news is that a diabetic patient is never alone, along with medical treatment and physical therapy, there are support groups. These can be available by contacting “the American Diabetes Association…or the Juvenile Diabetes Research Foundation” (Mayo Clinic Staff 2014). A patient does not have to embrace the disease but embrace a better life with the disease and surrounding yourselves with people who deal with this on a regular day basis could build a desire to

All communication are put into this system to save double handling and mistakes to do with the residents care. Plus all information of residents are on this system which improves confidentiality.

Knowing this reality, as part of a care team, I realize the necessity of being patient with this person affected and support him.

Lastly, there is a supplement store and café that will have vitamins, pre made meals, and medication alternatives for purchase. As long as the patient sticks to the program, maintains a healthy lifestyle, and gets off the medications then the program will be free to them. If patients are not following directions or steady getting worse they will have to pay a monthly amount for the program until they are back on track. This will be a place that is not covered by insurance and is up to the patient to take care of but being non-profit it will rely on grants and funds from the government.