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

Betty Case Fillable Assessment and Plan

Pdf Summary

Betty Maldonato, a 61-year-old morbidly obese Caucasian woman, faces multiple medical challenges, including severe physical limitations, depression, and anxiety. In her first visit to the Home Centered Care Institute, Betty reports difficulty in daily activities due to her weakness and pain, and she has been unable to leave her basement for several months. Betty also struggles with respiratory issues, presenting symptoms of COPD and a new abscess under her right axilla.<br /><br />Betty's detailed medical history includes conditions such as hypertension, Stage 3 COPD, Stage 4 CKD, type 2 diabetes, migraine headaches, chronic pain, and major depression among others. Her limited mobility exacerbates her issues, necessitating devices such as a wheeled walker and an oxygen concentrator. Household conditions are concerning, with a cluttered environment and poor kitchen hygiene, contributing to her deteriorating health.<br /><br />Her current medications span a range of treatments for her various conditions, indicating a highly complex pharmaceutical regimen. Notably, her mental health is critically impacted, evidenced by a score of 15 on the PHQ-9 depression scale and reports of visual hallucinations. A cognitive assessment confirming these findings is lacking.<br /><br />Betty expresses a desire to improve her living conditions and regain some independence, though her prognosis remains uncertain given her myriad health issues and lack of family support. Her husband, a long-distance truck driver, and her verbally abusive daughter offer limited assistance, further emphasizing the need for external support resources.<br /><br />Betty's physical examination reveals alarming findings such as reduced strength, poor hygiene, and a fluctuating abscess with systemic signs of infection. Immediate actions should focus on addressing her skin abscess and reviewing her complex medication regimen for consistency with best practices. The comprehensive plan should also seek to improve her mental health and living environment, possibly involving social services to better meet her extensive care needs.

Keywords

morbid obesity

COPD

chronic pain

major depression

type 2 diabetes

hypertension

CKD

home care

mental health

complex medication regimen