Case Study: Case Management Process For Heart Disease

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Case Management Process for Heart Disease
Heart disease is the leading cause of death in the United States and the estimated cost of treatment is $32 billion yearly. Approximately 5 million people living in the United States suffer from congestive heart failure (CHF) and half of those diagnosed will die within 5 years. An individual may present to the hospital with weakness, short of breath (SOB), swelling of the extremities, ascites, and breathing difficulties while lying down. The quality and length of life for someone suffering from heart failure can be improved with early diagnosis, medication, physical activity, and diet modification (CDC, 2013).
Studies indicate that nurse case management has reduced patient readmissions to the hospital and improved patient’s overall health. Case management uses assessment, planning, facilitation, coordination, and advocacy to meet the needs of the patient and family/caregiver (CMSA, 2014). Using a holistic and patient-centered approach, case managers can address each patient’s specific needs. Communication is vital between the patient/family, physician, case manager, and others departments involved in the care. The five principles that case management functions under include: 1) focus on the patient and family, 2) …show more content…

Case managers use this process to coordinate patient care, which influences both care and financial outcomes. The case manager will assess the patient and family/caregivers needs and knowledge on CHF, then provide resources and services to match. The patient is called within 3 days after discharge for education reinforcement and to answer any questions they may have. The case manager will also schedule a follow-up appointment with an outpatient clinic within a week. The patient will be assessed for symptoms associated with CHF and a medication reconciliation may be done (CHRT,

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