Recommended Service Packages for Managing Complex Patient Cases- CHF with Depression and Diabetes with Substance Use Disorder

Recommended Service Packages for Managing Complex Patient Cases- CHF with Depression and Diabetes with Substance Use Disorder

Vignette #1: Aiding Robert: A PLWD suffering from alcohol addiction, chronic lung disease, and panic attack.

The recommended service package for the following case scenario is the administration of cognitive-behavioral therapy (CBT) to avert the progression of the psychopathology of the panic-spectrum attack. Pateraki and Morris (2018) affirm that CBT may also be utilized to avert the clinical manifestations of anxiety. Nonetheless, there ought to be a systematic and integrated approach to realize an evidence-based practice intervention that would culminate in better health outcomes. Hire our assignment writing services in case your assignment is devastating you.

Treatment Goals for Robert’s Case

The appropriate treatment goal for Robert’s case is to ensure that the subject has sufficient knowledge regarding the condition. The subject must be taught the signs and symptoms linked with respiratory distress alongside infection, such as dyspnea, fever, productive cough, and tachypnea (Kathol, Andrew, Squire, & Dehnel, 2018). The underlying rationale for this is that it would encourage the patient to seek early medical attention if the need arises. Besides, it is also pertinent that the providers allow Robert to express concerns and ask questions regarding the condition. This offers an immense opportunity for the patient to vent feelings as well as to secure information required to decrease anxiety.

Intervention Goals and Objectives to Aid Robert’s Distress Level Of Motivation

To foster motivation, the subject ought to be introduced to a behavior change process to ensure that he acquires positive, healthy behavior. Furthermore, to address any distress level to ensure that the subject engages in his activities of daily living (ADLs), the subject must be guided on a consistent way of covering his medical needs as well as other social support systems that he may require.

Creating a Plan to Keep Robert Safe

One of the action plans that would ensure that the client is kept safe pertains to evaluating the history of treatment that was effective and clarifying it to Robert’s case manager. Besides, all the actions of clinicians tasked with Robert’s case ought to be coordinated and should primarily aim to foster patient education that aligns with evidence-based mental treatment and management.

Vignette #2: Aiding Luciana: A depressed Mexican-American suffering from type (ii) diabetes, poor glycemic control, multiple diabetes-related complications, and high service utilization.

The recommended service package for Luciana’s case is cognitive-behavioral therapy (CBT) to aid the subject in managing her depressive symptoms, as well as insulin to manage diabetes (Wroe & Hassy, 2018). For the several complications that the subject presents, the ideal intervention will be to subject her to proper glycemic control to decrease some of the complications that are attributed to neuropathy.

Appropriate Intervention Goal

The appropriate treatment goal for Lucinda is to provide diabetes education that should primarily focus on the empowerment of the patient to address any changes in health behavior alongside self-care. The provision of sufficient information alongside appropriate education to the subject will dramatically elevate adherence to the treatment regimen recommended above.

 Intervention Goals and Objectives to Aid Luciana’s Distress Level Of Motivation

The intervention goal for Luciana is to aid her in resolving her distress level, including managing her depressive symptoms alongside the complications arising from type (II) diabetes. The goal of the intervention is to aid Luciana in regaining control and reducing the overutilization of health services. To elevate Luciana’s motivation levels, it is paramount that she takes an active role in the care plan alongside decisions revolving around decision-making and planning.

 Action Plan to Keep Luciana Safe

To ensure that Luciana is kept safe, it is pertinent that relevant clinicians formulate a diet plan alongside an exercise regimen. The caloric content of the subject should be adjusted depending on her level of physical activity alongside basal metabolic index (BMI).

References

Kathol, R. G., Andrew, R. L., Squire, M., & Dehnel, P. J. (2018). The integrated case management manual: assisting complex patients to regain physical and mental health. In Open WorldCat (Second edition). Cham: Springer.

Pateraki, E., & Morris, P. G. (2018). Effectiveness of cognitive behavioral therapy in reducing anxiety in adults and children with asthma: a systematic review. Journal of Asthma, 55(5), 532-554.

Wroe, A. L., & Hassy, A. (2018). Is cognitive behavioral therapy focusing on depression and anxiety effective for people with long-term physical health conditions? A controlled trial in the context of type 2 diabetes mellitus. Behavioral and cognitive psychotherapy, 46(2), 129-147.

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elect two of the three vignettes found in Chapters 12-14. Complete the following in a 250-300 word summary for each vignette: The Integrated Case Management Manual: Assisting Complex Patients Regain Physical and Mental Health

Recommended Service Packages for Managing Complex Patient Cases- CHF with Depression and Diabetes with Substance Use Disorder

Read Chapters 12-14 in The Integrated Case Management Manual.

Which service package would you recommend for each client’s clinical presentation?
Describe appropriate treatment goals for each of the vignettes that you have chosen.
Describe the treatment goals and objectives you would propose to help with each client’s distress level, including details about motivation.
Explain how you would create a plan to keep these clients safe.