Begin by identifying a patient from your clinical who has a chronic health condition with hypertension. Discuss all aspects of healthcare coordination with the chosen diagnosis. Your paper should include the following information:
A patient from your clinical who has a chronic health condition
Begin by identifying a patient from your clinical who has a chronic health condition with hypertension. Discuss all aspects of healthcare coordination with the chosen diagnosis. Your paper should include the following information:
Description of the patient’s health issues, diagnoses, and treatment plan.
Description of the interdisciplinary team that will participate in this care.
Can the CCCR model be used in managing this patient’s care? How so? If not, can you name another model to help in managing this patient’s care?
What is the cost of managing this disease? Are there resources available for the patient and family to help with costs and other factors such as commute and etc?
What is your role as the APRN in this team?
As the APRN, how can you evaluate if the care management is successful?
As the APRN, how can you evaluate if this patient needs a higher level of care?
Are there any barriers or challenges that you foresee for this patient? How can you overcome these barriers?
What is Clinical Assessment?
For a mental health professional to be able to effectively help treat a client and know that the treatment selected worked (or is working), he/she first must engage in the clinical assessment of the client, or collecting information and drawing conclusions through the use of observation, psychological tests, neurological tests, and interviews to determine the person’s problem and the presenting symptoms.
This collection of information involves learning about the client’s skills, abilities, personality characteristics, cognitive and emotional functioning, the social context in terms of environmental stressors that are faced, and cultural factors particular to them such as their language or ethnicity. Clinical assessment is not just conducted at the beginning of the process of seeking help but throughout the process. Why is that?
Consider this. First, we need to determine if a treatment is even needed. By having a clear accounting of the person’s symptoms and how they affect daily functioning, we can decide to what extent the individual is adversely affected. Assuming a treatment is needed, our second reason to engage in clinical assessment will be to determine what treatment will work best. As you will see later in this module, there are numerous approaches to treatment.
These include Behavior Therapy, Cognitive and Cognitive-Behavioral Therapy (CBT), Humanistic-Experiential Therapies, Psychodynamic Therapies, Couples and Family Therapy, and biological treatments (psychopharmacology). Of course, for any mental disorder, some of the aforementioned therapies will have greater efficacy than others. Even if several can work well, it does not mean a particular therapy will work well for that specific client.
Assessment can help figure this out. Finally, we need to know if the treatment we employed worked. This will involve measuring before any treatment is used and then measuring the behavior while the treatment is in place. We will even want to measure after the treatment ends to make sure symptoms of the disorder do not return. Knowing what the person’s baselines are for different aspects of psychological functioning will help us to see when improvement occurs.
In recap, obtaining the baselines happens in the beginning, implementing the treatment plan that is agreed upon happens more so in the middle, and then making sure the treatment produces the desired outcome occurs at the end. It should be clear from this discussion that clinical assessment is an ongoing process.
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