Healthcare Case Management Assignment

Case Management

1. Define case management, care management, and disease management.

To meet the needs of an individual in terms of their health care, case management is a collaborative undertaking that requires an assessment, planning, implementation, coordination, monitoring, and evaluation. Care coordination, decreasing or eliminating unnecessary duplication, and giving patients and caregivers assistance in better managing their health problems are all actions that fall under the umbrella of care management and can improve patient outcomes and lower medical costs (Ahmed, 2016). For those with chronic illnesses, disease management aims to either slow or even stop the progression of the disease’s symptoms using an integrated treatment approach to save money on medical bills and improve the well-being of patients.

2. Choose a single disease process. Describe how case management, care management, and disease management would apply or differ in acute vs. home care settings.

Asthma management can only be successful if the patient actively participates in the process. One of the components of asthma case management involves self-monitoring of symptoms and peak expiratory flow to improve asthma treatment by self-adjusting medication. Its care management is forming a recorded asthma action plan medical exam conducted by skilled medical experts (Sterling & Linville, 2015). Home nebulizers should not be used since they can make an acute asthma attack appear less severe than it is. Disease management for acute asthma exacerbations is commonly inhaled agonists. A pressurized metered dose inhaler with a spacer is the most effective treatment for mild to moderate exacerbations.

In-home care settings, all asthmatic patients should be given systemic corticosteroids if they are experiencing an abrupt deterioration of their condition—five to seven days, at the very least, during case management. The inhaled corticosteroid treatment patients with asthma get after receiving OCS constitutes what care management is. Patients should be admitted to the hospital if their PEF falls below 75% of their personal best or after one hour of treatment, whichever comes first (Sterling & Linville, 2015). In disease management, persisting health issues Living alone or becoming isolated due to hypoxia-related psychological difficulties cause a decrease in asthma. Patients may be discharged with a WAAP if their symptoms improve and their asthma is more than 75% of their personal best or what is expected one hour after starting therapy.

3. Describe how these three types of patient management might be affected by a patient facing any two of the following barriers:

i. Aging and Culture

Non-elderly Americans in the United States face access gaps in medical care because of a lack of health insurance, a problem that has long been acknowledged. Young people’s racial and economic backgrounds strongly correlate with their lack of health insurance coverage. There is a direct correlation between patient management and a population’s socioeconomic status, socioeconomic position, and the sort of insurance coverage they have (Ahmed, 2016). In deciding whether elderly individuals have access to medical care, poverty and race may have a more significant role than other factors, such as mental and physical health. The government, medical groups, and individual practitioners in the United States are all concerned with ensuring everyone has access to quality health care.

ii. Patient Gender

Women, on average, have smooth patient management services more frequently than males. Medical attention for women who have gone through menopause and are suffering from cardiovascular disease or osteoporosis is substantially higher, despite the general idea that women receive most of their medical treatment during their reproductive years. Regarding obesity and cardiovascular disease and the need for general medical services and diagnostic procedures, women are more likely than men to receive the three patient management services even though men have a greater incidence of these conditions. Although men receive more general medical visits, diagnostic treatments, screening services, dietary counseling, and sexual health care than women, their service is not always the case.

References

Ahmed, O. I. (2016). Disease management, case management, care management, and care coordination. Professional Case Management, 21(3), 137-146. https://doi.org/10.1097/ncm.0000000000000147

Sterling, Y. M., & Linville, L. J. (2015). A qualitative study of case management of children with asthma. Professional Case Management, 20(1), 30-39. https://doi.org/10.1097/ncm.0000000000000068