Medications and medical appointments. Another intervention the case manager would need to address would be to connect the individual with services that can ensure the individual can receive the necessary medications such as HAART. HAART is a cocktail of medications customized to each infected individual’s viral load and that individuals with HIV must take every day to stave off the progression of AIDS (“What Is HAART?,” 2012). The individual is more likely to continue HIV/AIDS treatment if they are not having to constantly struggle to obtain said treatment.
The main factors associated with retention in HIV care at six months was prescription of HAART, increased number of intervention appointments and more hours in the intervention (Table 5). A significant dose-response trend was observed between retention in HIV care and increasing number of hours in the intervention (p=0.02) and increasing number of intervention appointments (p=0.05) (Wohl, et al., 2011. p 992 para 3).
By acting as a care coordinator the case manager could help to guarantee that the necessary groups and facilities communicate and work together to provide the individuals with the medications they need. The case manager will likely be working with the same groups with regularity and the case manager should make a point to get to know the staff that work at the medical offices and facilities on a much more informal and almost personal level. Doing so will help to concrete a relationship that allows for
The Case Management program is offered by Kaiser Permanente to support members with complex medical, psychosocial, and care management essentials. This specialized service is provided by case managers. The case managers are either Registered Nurses who are certified in case management or qualified Social Workers. Case managers provide necessary information and education to promote understanding, reduce the chance of possible complications, and facilitate effective and proper delivery of care and services.
A review of the records reveals the member to be an adult female with a birth date of 03/14/1983. The member has a diagnosis of Generalized Anxiety Disorder. The member’s treating provider, Vickki-Ann Samuel, MD recommended the member continue treatment using the prescription medication Pexeva 30 mg.
This is a complex medication visit. This is a young woman who I have treated for (lipastimea) and depression last seen a year ago. She returns now complaining of increasing depression over the past several months culminating an emergency room visit.
Engages and collaborates with patients, families, inpatient multi-disciplinary staff, the primary care provider, and the community in care planning, delivery of care, and discharge target populations during the transition period (normally 30 days post discharge.) Responsible for developing a comprehensive individualized plan of care and targeted interventions. Continually monitors patient/family response to plan of care, and revises the care plan as indicated.
In this setting the case manager would work best using the role-based case management model and with their primary role to function as a generalist, “This role, widely used in human service delivery, focuses primarily on providing the services that can be delivered by a helper with knowledge and skills applicable to a range of clients in various settings” (Woodside, & McClam, 2013. p 75 para 3); following the role of generalist the case manager would likely take on the roles of counselor, care coordinator, problem solver, and record keeper. Under the role of counselor and broker an intervention strategy that could be implemented is for the case manager to meet with the individuals on their caseload and after completing an assessment create a treatment plan that would help to resolve any barriers that the individual may be facing that would hinder their ability to attend their medical appointments and strict regimen of medications, the case manager would then continue to hold regular meetings with their clients to ensure the individual treatment plan is being adhered to (Wohl, et al. 2011). The problem a case manager may see while trying to help provide services to people living with HIV/AIDS under the model of role-based manager is that the case manager may be working for an agency with very limited resources which can then severely restrict the benefit of the program and leave the case manager feeling frustrated and overwhelmed and the though there may be a wide array of services that may be needed, the agency can only afford to focus on the cheapest. If the agency does happen to be well funded then the benefits of role-based case management model mean that the individual will only have the one contact person to reach out to and allows for a better relationship to develop which makes for a more effective case manager (Woodside, & McClam,
In my experience as a medical case manager, I am the first contact person when a client is scheduled to see a medical provider at the health center or seek other supportive services. As their medical case manager, my responsibility is to do the client’s first initial intake by getting the client’s demographics, medical coverage information, and link the client with healthcare services.
The Medicines Act 1968:- The Medicines Act controls the manufacture and supply of medicines for human and veterinary use. The act defines three categories of the supply of drugs; Prescription only medicines, Pharmacy Medicine, and General sales list medicines the act controls
I worked directly with the HIV/AIDS population as well as individuals whose behaviors place them at high risk for becoming infected. I am currently the Supervisor for the AIDS Institute Linkage and Navigation Program where I am responsible for overseeing the delivery of services. These services encompass but are not limited to entitlements, referral to agencies that assist with identifying appropriate housing, referral to medical, mental health and substance use services. I also, oversee treatment adherence services which support clients in their readiness to begin (ARV) antiretroviral therapy and maintain adherence to their prescribed medication for treatment for HIV/AIDS.
Nearly half of seniors do not take their medications when or how they were prescribed. There are mistakes on dosages, methods of delivery, time of delivery, what they should be taken with, and even if they should still be taken. Compounding the issue, most seniors over the age of 65 are taking between 8 and 13 different medications. Put these numbers together and it is no wonder that problems with medication management are one of the leading reasons seniors end up in the emergency room, and is the number one reason seniors end up back in the hospital after being recently discharged. According to a study published in "Pharmacotherapy", nearly 70 percent of hospitalized seniors suffered from at least one
The purpose of medicine is as contested of a notion as the term patient. While there are certain ends in which it is clear that medicine seeks to achieve, controversy often arises over how medicine chooses to achieve these certain goals. One such controversy is the treatment of patient-symptoms, more specifically, the role of medication in treating patients. The purpose of this essay is not to discuss the general issues of prescribing medication. Rather, the purpose is
Many patients are finding it more difficult to afford their prescription medications. Comparing health care expenditures in the United States, prescription drug costs rank third compared to hospital expenses and physician services (Omojasola, Hernandez, Sansgiry, & Jones, 2012, p. 479). The rising cost of prescription drugs is concerning to many patients. “The high out-of-pocket prescription drug cost is associated with medication non-adherence and adverse health outcomes” Omojasola, et al., 2012, p. 480).
Despite medicinal commodities, a pharmaceutical company delivers a product with the intention to produce profit. As a direct result, often highly infectious diseases with little to no marketable potential will not be developed or available for those who need it most. When you take into consideration that a drug application process takes nearly 10 years to develop, millions of dollars to fund and then is often denied acceptance, it is not surprising that companies are hesitant to spend valuable time and money on a product with absolutely no disposition for revenue. Nonetheless, this still goes to question the morality of a company when medication and health is advertised as a necessity in the western world but neglected in the developing world. This divide is incredibly prevalent as, “the World Health Organization estimates that 15 per cent of the world’s population consumes over 90 per cent of the world’s production of pharmaceuticals” (Forman, 26). The most common examples of these neglected diseases are malaria, tuberculosis, Dengue fever, Buruli ulcers, leishmaniosis, trypanosomiasis, diarrheal diseases and in some cases, HIV/AIDS where resources are inaccessible in Africa and South-East Asia. In fact, HIV is a primary killer in lower income countries and due to the neglect of both society and large pharmaceutical industries. Through multiple resources, this paper
The undersigned facilitated a session focused on effective on medication management. James refilled his medication containers with the correct medication few minutes before the session began. However, the provider had to double check to ensure everything was correct before session could proceed. After rechecking the containers, the provider instructed James to count the remaining medication and make sure that he has enough for the following week. On the same note, the undersigned also educated James the values of communication skills by instructing him to call the pharmacy and ask to refill the medications needed to be refilled. In addition to that, few minutes before the session ended, James opened up to the provider that he had one drink
Introduction: A number of factors should be considered when a paediatric dispense is taking place (Bartlam, 2014). This case study will discuss the dispensing process of a four-year-old child. It will discuss the frame choice, lens materials, measurements and the laws and regulations involved in dispensing a child. Laws and regulations GOS 3: The NHS will contribute towards the cost of Patient A’s spectacles, using the voucher system (Abdo, 2016).
Medication errors are a major issue affecting patient safety in hospitals, which can create deadly consequences for patients. It is crucial to identify and analyzed medication errors so healthcare professionals can pinpoint why medication errors occur and provide insight into how to prevent or reduce them.