Innovations and Efficiencies in Home-Based Care: HCCI Solutions Suite for NPHI Members-Betty Case

Betty Case

Pdf Summary

Betty is a 61-year-old morbidly obese Caucasian woman with multiple medical ailments including severe physical limitations, depression, and anxiety. She has been confined to her basement for several months due to weakness, pain, and fear, preventing her from visiting her primary care provider. Her medical history includes severe depression, COPD, diabetes, hypertension, chronic pain, cerebral vascular accident with left hemiparesis, and more. She has a significant past and family medical history, marked by chronic conditions and surgical history.<br /><br />Betty exhibits many symptoms including increased wheezing, generalized pain, and a new untreated abscess under her right axilla. She is also experiencing severe signs of depression and visual hallucinations. Her daily activities and mobility are significantly impaired, as she struggles to get out of a chair and requires a walker for even short distances.<br /><br />Betty's living environment is concerning; her house, particularly the kitchen, is cluttered and unsanitary with no direct exit from the basement where she resides. She depends on family members for assistance with medications and groceries. Notably, her daughter Alyson, who also has a mood disorder, is verbally abusive towards her. Betty scores high for risk of falls, depression, and functional decline, presenting multiple complex care needs.<br /><br />Betty's current medication regimen is extensive, including insulin, antidepressants, pain management drugs, and more, but also highlights non-compliance with some prescriptions.<br /><br />Recommendations for Betty’s care include addressing her immediate physical health needs, particularly her untreated skin abscess, and reviewing her medication for optimal management of her conditions. Enhancing her living conditions, providing mental health support, and improving her mobility and safety are essential steps. Exploring additional resources and support systems to assist both Betty and her family should be prioritized to enhance her quality of life and promote better health outcomes.

Keywords

morbidly obese

depression

anxiety

chronic pain

COPD

diabetes

hypertension

visual hallucinations

non-compliance

functional decline