Thesis on "Nursing Case Management"

Thesis 3 pages (1001 words) Sources: 2 Style: APA

[EXCERPT] . . . .

Nursing Case Management

Case management contrast: Treatment refusal of a thirty-year-old male with AIDS

Innovations in drug treatment have transformed AIDS into a chronic illness, not the death sentence it once was, for many sufferers. Today, antiretroviral drugs are prescribed for most AIDS patients. However, because of the difficulties of the complex and finely calibrated drug treatment regime and the high frequency of debilitating side effects as a result of these drugs, treatment compliance can prove challenging. In the case of a thirty-year-old male with AIDS who refuses to adhere to his treatment regime, the AIDS Institute offers two models of case management as a way of dealing with the problem: supportive case management and comprehensive case management. Both approaches are multi-step processes and address the medical, psychological, and social needs of the patient and his support system, but the latter is far more intensive, and likely more appropriate for this particular patient than the former.

The supportive case management model is focused on the immediate needs of the person living with HIV / AIDS, such as the lack of medical treatment and self-care, as opposed to long-standing issues, as to why the man is not taking his medication. "Supportive case management is suitable for persons with discrete needs that can be addressed in the short-term" (Case management definitions, 2009, Department of Health). The individual's reasons for not taking his medication would be identified -- such as a lack of funds or comprehension of the necessity of his treatment. He would then be referred to appropriate agency services to address this immediate need. For example, if the man did not adhere to the drug regime because it was too difficult to take the drugs at the right time during his employment, he might speak to a legal advocacy group for disabled people, who could negotiate with his place of work to see if he could be accommodated. If he needed financial assistance for the costly drugs, he would be referred to the social service agencies that could help him. A nurse case manager might be able to go over his treatment plan with him for clarity, or the treatment plan could be simplified and fine-tuned, if possible.

However, a failure to comply with a life-saving but difficult drug treatment is likely to be due to multifactoral problems, not a single problem. That is why comprehensive case management, which is intended to serve the needs of patients who are willing to agree to a longer and more intrusive levels of supervision, service and intervention, is likely to be more appropriate for this patient. The lack of willingness of this client to engage in positive self-care may be due to a combination of economic, social, and psychological factors. "Clients engaged in comprehensive case management will receive frequent contact, follow-up provided in the community and, in some programs, home visitation. Comprehensive case management services may be provided by a single case manager or by a case management team" (Case management definitions, 2009, Department… READ MORE

How to Reference "Nursing Case Management" Thesis in a Bibliography

Related Thesis Papers:

Nurse Case Management Thesis

Nurse Case Management

Case Management Plan

The goal of a comprehensive case management plan for a terminally ill client should be to promote the highest possible quality of life and… read more

Thesis 7 pages (2202 words) Sources: 6 Style: APA Topic: Healthcare / Health / Obamacare

---

Nursing Nurse Case Management Thesis

Nursing

Nurse Case Management

The term case management has been used in community health settings for many years, but is relatively new to the acute care setting. Case management, as… read more

Thesis 4 pages (1316 words) Sources: 6 Style: APA Topic: Healthcare / Health / Obamacare

---

Nurse Case Management Code of Ethics: HIV Thesis

Nurse Case Management

Code of Ethics: HIV Case Management

There have been many changes in the ethical codes of nursing and other medical/helping profession over the past few decades. While… read more

Thesis 3 pages (1056 words) Sources: 5 Style: APA Topic: Healthcare / Health / Obamacare

---

Nursing Case Management Thesis

MS Case Costs

Multiple Sclerosis Case Study: Cost Management

Though it seems callous to consider health outcomes in terms of cost to the system, this is often the reality for… read more

Thesis 2 pages (680 words) Sources: 4 Style: APA Topic: Healthcare / Health / Obamacare

---

Nursing Management Relating to Communication and Staff Case Study

Nursing Management Relating to Communication and Staff Welfare: A Case Study

Facts Of The Case Study

The fact of this case include a transfer for Senior Public Health Nurse Comrie… read more

Case Study 20 pages (5097 words) Sources: 1+ Topic: Nursing / Doctor / Physician

---

View 100+ more related papers  >>