For this assignment, put yourself in the role of a Nurse Case Manager (NCM. Gene

For this assignment, put yourself in the role of a Nurse Case Manager (NCM. Generate a case report on a patient encountered at your current job or during your clinicals in nursing school, who experienced an acute exacerbation of an underling chronic physical illness. Use the same patient throughout the entire Assignment 1. Select a patient you cared for who required or would have benefited from having a NCM at both the patient and the system levels. The report will be narrated (written in paragraphs, following APA [7th ed.] guidelines for writing papers), not outlined or bulleted.
See grading rubric below.
• Patient profile: gender, age, ethnicity, socioeconomic status-including work status, financial sources, insurance coverage, living arrangements (needed for proper discharge planning), e.g., type of housing- one, two or more levels, any stairs etc.; marital status; social support.
• Acute and chronic illness description: medical diagnosis for the chronic illness, length of time with diagnoses, primary medical treatment (pharmacologic and non-pharmacologic);
NCM identified priority patient need/problem (at either the System or patient-level) affecting the pts health care; NCM identified priority intervention the NCM must implement to accomplish set goals, using NCM strategies (see below).
• Patient self-care and self-management capacity: summary of self-care capacity and specific self-management skills required for patient to adhere to recommended treatment and general statement about the patient’s functional status in terms of ADL and IADL, including patient’s ability to drive. If patient does not drive, who drives and are they willing to assist.
• Patient pattern of health care utilization: summary statement about the patient’s usual use of both primary and specialty care to manage chronic condition; include any acute care (urgentPage
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general statement about the patient's functional status in terms of ADL and lADL, including patient's ability to drive. If patient does not drive, who drives and are they willing to assist.
• Patient pattern of health care utilization: summary statement about the patient's usual use of both primary and specialty care to manage chronic condition; include any acute care (urgent care, ED, and hospital) accessed by the patient as well, and any supportive care (e.g., home health or any other system of care in the community).
When writing your case report paper, select from the following NCM strategies that would lead you to accomplish the goals/intervention set forth in the NCM plan to address the identified priority patient problem/need. You can use one or more NCM strategies if necessary. The system and patient level NCM strategies must be relevant for your patient. Provide justification for the selection of the NCM strategies (e.g. if you say you will use teaching disease and treatment strategy to educate your patient, then the justification would be that the patient lacks self-management skills or lacks an understanding of the disease or treatment).
Partnership:
Clinical:
* Empowering patients; Supporting transitions
Assessing health; Monitoring physiologic stability; Planning health care at patient level; Using specific nursing interventions
Education:
* Teaching disease and treatment, Coaching symptom self-management*, Coaching caregiving for family
Communication:
Managed Care:
Advocacy; Team communication, Therapeutic communication Risk Management (* risk stratification), Utilization Management.
Planning and coordinating, Resource Management, Cost management
*Key NCM Strategies