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Global Health Systems 1st Edition by Margie Lovett Scott ,Faith Prather
Edition 1ISBN: 978-1449618995Global Health Systems 1st Edition by Margie Lovett Scott ,Faith Prather
Edition 1ISBN: 978-1449618995 Exercise 3
Samuels' Long-Term Care Service Options
Mr. Samuels, a 93-year-old severely hard of hearing male, slipped on the ice, suffered severe contusions and sprains of his left lower leg, and was hospitalized for three days before being transferred to a nearby nursing home for rehabilitation. His hearing aid was misplaced somewhere between the hospital and the nursing home; however, no one ever claimed responsibility for it. Prior to being hospitalized, Mr. Samuels lived independently in his own home in the New York City area. He never complained about his care at the nursing home where he spent most of his time in bed or sitting for extended periods in a chair, but he repeatedly begged his niece, who lived almost 600 miles away, to take him out of the nursing home. Once assured by Medicare that, with the exception of a wheelchair, her uncle would receive full home care services, the niece had him discharged after five months in the nursing home, and he was to continue rehabbing at her home in upstate NY. Upon discharge, Mr. Samuels had lower extremity weakness, could not take more than a few steps without his knees buckling, and he needed to be bathed. Despite a home care referral being submitted by his new primary care physician, for the first six weeks no one visited from the local home care agency. When services did begin around the 7th week, physical therapy and occupational therapy services abruptly ended after 4 visits, and the home health aide services provided two hours a day, ended after 40 hours. Although the niece made several appeals for continuation of services, no one from Medicare contacted her to clarify the numerous questions she had about the change in services or to explain why the services were halted.
There are several quality of life issues for Mr. Samuels as he moves through various stages of care. Let's address his situation at each phase.
In view of the problems and confusion with Medicare, where does the niece go from here?
Mr. Samuels, a 93-year-old severely hard of hearing male, slipped on the ice, suffered severe contusions and sprains of his left lower leg, and was hospitalized for three days before being transferred to a nearby nursing home for rehabilitation. His hearing aid was misplaced somewhere between the hospital and the nursing home; however, no one ever claimed responsibility for it. Prior to being hospitalized, Mr. Samuels lived independently in his own home in the New York City area. He never complained about his care at the nursing home where he spent most of his time in bed or sitting for extended periods in a chair, but he repeatedly begged his niece, who lived almost 600 miles away, to take him out of the nursing home. Once assured by Medicare that, with the exception of a wheelchair, her uncle would receive full home care services, the niece had him discharged after five months in the nursing home, and he was to continue rehabbing at her home in upstate NY. Upon discharge, Mr. Samuels had lower extremity weakness, could not take more than a few steps without his knees buckling, and he needed to be bathed. Despite a home care referral being submitted by his new primary care physician, for the first six weeks no one visited from the local home care agency. When services did begin around the 7th week, physical therapy and occupational therapy services abruptly ended after 4 visits, and the home health aide services provided two hours a day, ended after 40 hours. Although the niece made several appeals for continuation of services, no one from Medicare contacted her to clarify the numerous questions she had about the change in services or to explain why the services were halted.
There are several quality of life issues for Mr. Samuels as he moves through various stages of care. Let's address his situation at each phase.
In view of the problems and confusion with Medicare, where does the niece go from here?
Explanation
Verified
Verified
The niece can go to the hospital or the ...
Global Health Systems 1st Edition by Margie Lovett Scott ,Faith Prather
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