HSE 210 Milestone Two Guidelines and Rubric

Inpatient Assessment and the Interdisciplinary Team (Sections II and III)

Overview

For this milestone, you will submit a draft of Sections II and III of your final project, identifying the inpatient needs and the interdisciplinary team tasked with developing a care plan for Jean, the patient in the provided case study.

You will work to identify Jean’s inpatient needs and potential strategies to address them. You will also have an opportunity to analyze roles and responsibilities related to improving Jean’s patient outcomes.

As you can see, the inpatient assessment and formation of the interdisciplinary team continue to rely on your analysis of Jean’s needs and the particulars of her case, as well as your knowledge of research-based strategies for helping her. Keep the details of Jean’s case in mind as you work on the specific critical elements:

Jean is an 87-year-old woman who was admitted to Manchester Community Hospital, in Manchester, New Hampshire, after having a debilitating stroke that paralyzed the left half of her body. She is a widow, and her three adult children live in different states. She needs assistance eating, transferring to her wheelchair, and most other activities of daily living. Her medical issues related to the stroke are quickly being resolved, and it is time to begin assessing her needs for discharge and post-discharge. It is important to note that Jean’s savings have been totally depleted and her medical bills are mounting since her healthcare insurance has proven to be inadequate to cover her medical expenses. Her limited pension and social security barely covered her living expenses prior to her stroke and are unlikely to cover the escalating expenses that she will undoubtedly encounter based on her medical condition. Moreover, Jean has been clinically diagnosed with PTSD after being raped by a neighbor in her home two years ago. She is still grappling with the effects of the trauma, even as the criminal case against the perpetrator slowly moves forward. Although her family modified the home to make it more secure and less vulnerable to intrusion, her current lack of mobility is weighing heavily on her psychologically. Despite her current issues, Jean derives great comfort from her faith as a devout Catholic. She typically has a wonderful sense of humor and is highly organized, having worked as an elementary school teacher during her earlier years. She participates regularly in the local garden club and on her neighborhood welcoming committee. She has a wide circle of friends with whom she interacts. Her children are currently staying in Manchester to oversee her care and to contribute to the development of her post-discharge care plan. It is unclear whether any of the children will stay on after her discharge to help care for Jean, but this seems unlikely unless considered essential by the medical team. An interdisciplinary team is being developed to design a comprehensive plan for Jean’s post-discharge care.

Prompt

Create a draft of Sections 2 and 3 of your final project, the collaborative care guide.

1. Inpatient Assessment (Section 2)
1. In a narrative format, provide an overview—using a strengths-based focus—to identify the inpatient client needs represented in the context of the case.
1. What are the central physiological, emotional, social, and environmental issues facing this client?
2. How will her strengths help her make any needed transitions?
3. Does trauma impact this client? How?
2. What potential complexities could the client encounter during her inpatient stay? How will these complexities impact the client?
3. What types of strategies could you employ in this setting to ensure that the client is not re-traumatized?
4. Develop effective strategies to address the client’s inpatient financial needs. How can you best facilitate access to recommended services?
1. What resources might be available in her community to fill unmet financial needs?
2. Are there state or federal resources available to assist this client?
2. The Interdisciplinary Team (Section 3)
1. Based on the case study, ideally who should serve on the interdisciplinary team tasked with developing the client’s care plan? Why?
2. Analyze the role of each member of the interdisciplinary team in relation to the following:
1. Improving patient care. For instance, you might consider the role of a team member who would have day-to-day interaction with the client throughout the client’s hospital stay.
2. Improving patient outcomes. For instance, you might consider the role of a team member who would be responsible for developing cost-effective outcomes.
3. What strategies should be implemented by the team to ensure the patient understands the terms and outcomes of the post-discharge plan?

What to Submit

Your draft of Sections 2 and 3 should be about 3 to 4 pages in length and should use double-spacing, 12-point Times New Roman font, one-inch margins, and APA formatting.