While John is under a great deal of stress, he is in the hands of seasoned professionals who all share the same goal, getting John better. St. Luke’s, a medical center geared towards helping veterans, has provided John a knowledgeable health care provider team to help meet his needs. John’s interprofessional team is being put together by John’s primary care physician, Dr. Jackson, and his licensed clinical social worker, Tessa. The team is kept small due to John’s reservations about opening up to people. The rest of his team will consist of a veterans affairs representative to help John seek any veterans benefits he is entitled to, as well as a mental health case manager. Lastly, a CNA assigned to help John integrate into life in a home with others while he tries to get a handle on his depression and Alzheimer’s. Every member in …show more content…
The team assigned to John is important in the process of his recovery since every individual involved in the process will impact the life of John. For example, Dr. Jackson is in charge of making sure everyone on his team is going to give John the proper care that will help John in the long run. Tessa is unique in helping John because she provides essential resources to John ranging from healthcare services to shelters. Tessa assist John in many tasks that are not necessarily her job duty, but she do so because her passion to help John. Tessa also directed John to the U.S department of Veteran Affairs. John wasn’t informed of all the different benefits he could receive from being a veteran until he met Tessa. The veteran affair representatives are important because they provide John with mental health care services and counseling. The veteran affairs break many rules by allowing John to see the mental health care physician
“How can I make a difference?” that was the first thought when I learned about this assignment. When I was assigned a patient at the community health worker’s office I was nervous. I was given discharge papers and I was told I had 30 minutes left before seeing my patient in outpatient. By reading the documents I learned my patient was a 46 year old quadriplegic who was discharged from the Temple hospital for a DVT several weeks ago. I talked to Sherron, the
As expected, my professional identity will affect how I approach my work with Betty. As I operate via a wellness paradigm, my work with Betty will be multifaceted with a focus on physical, mental and spiritual health in favor of treatment based solely on her diagnosis. Moreover, I will focus a great deal of attention on the development of a positive counselor-client relationship as I believe that a supportive and nurturing environment is the basis for successful therapeutic outcomes.
I am a busy primary care physician, and several months ago had a challenging patient struggling with alcohol addiction and abuse. Such addictions manifested in the repeated use of the emergency room and hospital. I struggled with coordinating his care across primary care, addiction behavior health, emergency room and hospital services, and as such referred him to the Health Home team.
To stay on the JMU cheer team or to quit was a very hard decision that I had to make this past month. Knowing I had leadership responsibilities as a third year veteran on the team made this decision extremely difficult for me. I had to consider all the parties involved which consisted of myself, my teammates, and my coaches. Several factors fell into play when deciding what was best not only myself but for my team as well. The first and most important factor I had to consider was my physical health as I have back problems that requires annual back procedures in order to be able to cheer. A relatively new factor in my decision making progress was the hiring of the new JMU cheer coach, which was extremely difficult for the upperclassmen to adjust to. My last few personal factors that played a role in my decision consisted of getting a job and focusing more on my school work. Next I had to consider what was best for the cheer team. I knew as an upperclassmen I needed to support the cheer program to help keep it strong and consistent during the coaching transition. This was hard to do when several other upper classmen were quitting the team due to this change. I also knew I had a responsibility to teach the incoming freshman new skills the same way the juniors and seniors taught me when I was a freshman. Not only did my team need me but I also took into consideration the contract I signed when making the team my freshman year. After taking everything into consideration
On January 30, 2018, the Office of Inspector General’s Office (OIG) received a hotline report alleging Dr. Katrina Alexander committed abuse, fraud, mismanagement and waste against the VA by purposely lying and manipulating scheduling to receive un-deserved overtime pay, misleading providers, clerks and patients about availability in her schedule. Further, the Psychologist doubled billed for groups, misused the billing codes for psychological testing getting her higher Relative Value Units (RVU), possibly overcharging patients, then allowing her to appear as working more than any other provider. The claimant alleges that this is causing significant access issues for the Mental Health Center (MHC). Additionally, leadership at the facility permitted the Psychologist sole control of her schedule (only Mental Health provider in MHC with this permission) that led to her ability to mask the improper activity, and no action taken by the Texas Veterans Health Care System’s leadership to rectify the alleged improper activity.
Robert G Thompson, MD and his Soldotna and Anchorage teams understand that finding the right health clinic for your unique needs is a difficult and often impossible task. Yet, as a patient, it is extremely important that you do not compromise when selecting a health care team to work with. There are many criteria to evaluate before settling on a health clinic, but the most important should be whether or not the clinic’s team is willing to work with you to provide the support and care you need to maintain optimum health for your mind and body.
A survey of OEF/OIF Veterans identified major rates of post-traumatic stress disorder (PTSD), depression, alcohol-related problems, social and family problems, and suicidal behavior. However the most alarming statistic is not about deployment rates or rates of diagnoses, the most alarming fact is that fewer than 10% of those diagnosed with PTSD or depression have received the recommended the mental health treatment upon re-integration into society. The dropout rate at the Veterans Association (VA) PTSD clinics is distressingly high as well when looking into VA records it was found that 68% of OEF/OIF Veterans dropped out of their prescribed counseling and programs prior to completion (Garcia et al., 2014). Because most of these men were deployed mul...
In this event, the matter that is unusual can be the fact that I have experienced and witnessed the process for interprofessional collaboration between the community nurse and other professionals that I have never knew about before. This event made me realize that there are many aspects of community nursing that I have knew about before where in this situation it is the importance and accountability of interprofessional collaboration. From my nursing theory course I have learned that interprofessional collaboration is when the nurse forms relationships with other professionals that enable them to achieve a common goal to deliver care and strengthen the health system and clients involved in it. (Betker & Bewich, 2012, p.30) In this event, our mutual goal is to provide the appropriate care for the patients/residents so they can restore their health after their hip or knee surgery. In the nursing leadership and management textbook it stated “interprofessional practice removes the gatekeeper and allows client access to all caregivers based on expertise needed.” (Kelly & Crawford, 2013, p.35) In this event, my preceptor and I gained knowledge about Revera and will pass on this information to patients who are interested in staying at a retirement home after they discharge from the hospital. One literature talked about how according to the Institute of Medicine, it is critical to have the capacity to work together as part of the interdisciplinary team to assist in delivering high quality, patient-centered care. In addition, effective collaboration among health care professionals results in improved patient care and outcomes. (Wellmon, Gilin, Knauss & Linn, 2012) This indicates the importance of interprofessional collaboration to provide...
After reading the article in CQ Researcher related to veterans health care, answer the following questions:
I’ve been working in a rehabilitation facility as a physiotherapist for the past three years. I’ve treated a variety of cases ,in every case I treated & cared for my patients, as the way I wish to be treated if someday I were in their place, but no matter how much I tried to prepare my patients for the
This bill was introduced to “enforce the Secretary of Veteran Affairs to conduct annual evaluations of mental health care and suicide prevention programs of the Department of Veterans Affairs.” In essence, it was proposed because of the high suicide rates that occur with veterans and as a way to help those individuals with increase access to better quality health care and ultimately decrease the statistics of veteran suicide. The bill wants to propose three different acts if passed. First it would like to increase health care by programs, peer community groups, and online resources to help individuals going through mental trauma. Secondly, it wants to start a program to pay the college loans of students in psychiatry in order to easier recruit
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
Weissbecker, I. (2013). What is Unique About International Medical Corps’ Approach to Mental Health and Psychosocial Support. Retrieved March 31, 2014, from http://internationalmedicalcorps.org/document.doc?id=236.
Ms X was a 42 year old female with the past medical history of diabetes. In last 2 weeks she had scheduled three appointments, but ended up missing them all. During her this visit Ms X mentioned that she has not taken her medication since last month, she explained she had missed her appointments because she felt too tired and didn 't feel like doing anything. During our conversation she expressed concern that it was all due to her diabetes. On further inquiry she told me how hopeless, she was feeling and have been having difficulty falling asleep. Although her blood sugar levels were raised, but all her symptoms were pointing towards depression. As tracked Ms X’s progress and discussed it with my attending, my first lesson was to take a holistic approach while managing my patients. I learned to perceive health problems in a broader scope and integrate biomedical, psychological and social perspectives while treating them, to care for not just the physical complaints, but emotional, social and mental issues as well. During my rotation that month I took care of patients from the infants coming for their well-child visit to 72 years old man with dementia. I was fascinated by the wide range of medical problems encountered and the opportunity to care for a diverse array of patients of all ages from birth to the end
Mona Counts is a Nurse Practitioner at her own primary care facility. Her clinic provides health care to over five thousand patients who live in the heart of Appalachia. Bob Wilkinson is a Pediatric Oncology Nurse. Bob takes care of very sick children and their families. Ardis Bush started as a Staff Nurse over 25 years ago and worked her way up to being Nurse Manager. These nurses establish a rapport with their patients and their patients’ families by talking to them like normal human beings, and not just as patients. These nurses relate and listen to their patients, which makes them feel comfortable. Both Mona and Ardis even make house visits to check up on patients and to see how they are doing.