Nursing Case Study: An Adult Day Care

In the case study, it starts out talking about a couple Juan and Maria who were immigrants from another country that came to the United States to move with their daughter (Carla), her husband (Soloman), and two grandchildren. Maria has diabetes and she pays for her insulin out-of-pocket, she’s worked as a housekeeper where they were paid cash. Juan has high blood pressure and high cholesterol, he receives help from the federal health center for his prescription. He worked as a janitor, at his job they were paid by salary, received Social Security and had a small amount of money put into his 401(k). On the other hand, neither of their jobs provided them with health insurance.

Later in the case, Juan had a stroke and had to retire from his janitor

When Soloman and Carla are at work and the grandchildren are at school Juan and Maria can go to this program and have a productive activity filled day. A home health aide program allows a trained aid to come in and mentor a client while family members are at work or school. Since Solomon feel that taking care of Juan and Maria are a distraction for his children this would be a great way for them to continue to live at home without putting stress on the children to look after them. PACE (Program of All-inclusive Care for the Elderly) is program sponsored by a Medicare and Medicaid program. It 's helps people meet their health care needs in the community (residence) instead of going to a nursing home or other health care facility. Since Maria is against her and her husband going into a nursing home this is a great program the will teach them how to live independently. Since they both already receive Medicaid the program would be free of

Half were sent to the hospital as a result of these events. Six percent died. And 60 percent of these adverse events were deemed “clearly or likely” preventable by medical experts.” (Gleckman, 2014) Although, a nursing homes and rehabilitation centers provide need service most people fear for their loved on being in them because of this tragic reason. These all are important factors that helped me come up with my recommendations.

All of the listed problems could be resolved by placing Juan in a nursing home. Since Maria is in fairly good health besides her diabetes I do not see the need of her to be in a nursing home beside to accompany her husband. At a nursing home the can help Juan regain his independence by professional teaching and strengthening him on how to improve and live with his disabilities. The only other alternative is to seek help through the PACE program, adult day, and by hiring a home health