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Catalog
Innovations and Efficiencies in Home-Based Care: H ...
MJ Case
MJ Case
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Pdf Summary
The document outlines Session 11 of a course focused on conducting home-based primary care (HBPC) for older adults. The session aims to prepare participants to conduct three simulated house calls, discuss the impact of HBPC on patient outcomes, and demonstrate optimal coding for these visits.<br /><br />The session includes a detailed example of a new patient, MJ, who is 83 years old and has a complex medical history following multiple hospital admissions. MJ has several chronic health conditions including multiple ischemic strokes, Parkinson’s disease, heart failure, diabetes, hypertension, renal stones, and a large left inguinal hernia among other issues. MJ also has functional limitations, such as right-sided weakness and difficulty swallowing due to dysphagia from Parkinson’s disease progression.<br /><br />The document provides detailed information on MJ’s medical and social history, current medications, physical examination findings, and various screenings including alcohol use, opioid risk, mobility, fall risk, mood and cognitive assessments, and social determinants of health. MJ’s primary support comes from his niece, Olivia, who faces financial and caregiving burdens due to the costs associated with MJ’s wife, who resides in a facility with advanced dementia.<br /><br />Key discussion questions for the session include understanding patient preferences and goals of care, assessing mental status and depression, evaluating mobility needs and fall risks, reviewing medication management for best practices, and addressing the complexities of MJ's care plan. Participants are also tasked with planning their visits and considering the critical elements to address in each patient’s plan of care.<br /><br />The session underscores the importance of comprehensive preparation and assessment to ensure effective and patient-centered home-based care for older adults with complex health needs.
Keywords
home-based primary care
older adults
simulated house calls
patient outcomes
optimal coding
chronic health conditions
functional limitations
caregiving burdens
medication management
comprehensive assessment
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