Prescribed Pediatric Extended Care: A Case Study

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Prescribed Pediatric Extended Care (PPEC) centers were specifically designed to decrease health care costs by delivering cost effective health services for chronic conditions in children, thereby reducing frequent hospitalizations. Parents who enroll their children in PPECs not only expect their child’s medical needs to be taken care of, but they also expect that the PPEC functions as a regular daycare and in turn advances their child’s academic and social performance. Hence, the expectation placed on PPECs is double of that of a regular daycare. Due to their medical centered nature, PPECs require nurses who can respond to each child’s individual needs in addition to medical emergencies. PATCHES Inc., a PPEC, offers medical treatment, therapy, and education to children with complex medical conditions. However, given that PATCHES is functioning within a system with severe resource limitations, it should be noted that …show more content…

Following the mandated 3:1 rule for daycares, there is three children per nurse or care partner. This model allows for cost-effective personalized health care for each child, while preventing the occurrence of burn out in caregivers. Caregivers are responsible for feeding, cleaning, changing, and playing with the child. However, their tasks may change based on the age and diagnosis of the child. Each day a speech, occupational, and physical therapist visits the child in order to deliver the required therapy, gauge the child’s developmental progress, and create draft care plans for future care. This setup enables the children to achieve their developmental milestones while acquiring new skills to lead independent lives. Children ages three and over receive preschool education from a teacher who tests the students’ academic progress and presents progress reports to the children’s parents so that they can work with their child on the areas requiring

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