Chronic Care Management Plan
\n________________________________________
\nPeople living with a chemical or behavioral addiction often struggle with daily living functions, employment, family, and social relationships. Applying a chronic care management plan can be useful to help a patient manage their chronic disease. Utilize the case below and outline a chronic care management plan for this patient.
\nInstructions:
\n1.\tReview this case scenario
\n.
\n2.\tUse this template Assignment 5.1 Chronic Care Management Plan
\nto create your chronic care management plan.
\n3.\tBe sure to thoroughly address each area (review the grading rubric for more information). You will be graded based on the thoroughness of your responses and the integration of course materials.
\n4.\tSupport your response with evidence and\/or examples from the course materials and\/or find additional resources from the UTA Library.
\n5.\tCite any resources using APA format Links to an external site..
\nExpectations:
\nPlease submit this assignment by 11:59 p.m. (CT) on Friday of Module 5. Submit as a Word document or PDF file only in the format provided.
\nGrading:
\nA rubric is provided to explain the criteria for points and how you are graded.<\/p>\n
Criteria\tRatings\tPts
\nAssessments
\nview longer description\t20 to >17 pts
\nExceptional
\nIdentifies 3-4 key assessments relevant to medical diagnoses. Identifies 3 psychosocial concerns.
\n17 to >13 pts
\nProficient
\nIdentified 1-2 key assessments relevant to medical diagnoses. Identifies 2 psychosocial concerns.
\n13 to >0 pts
\nUnacceptable
\nIdentifies assessments not relevant to medical diagnoses. Identifies 0-1 psychosocial concern.\t\/ 20 pts
\nDiagnoses
\nview longer description\t10 to >8 pts
\nExceptional
\nIdentifies accurate diagnoses specific to patients history and symptoms.
\n8 to >6 pts
\nProficient
\nIdentifies somewhat accurate diagnoses specific to patients history and symptoms.
\n6 to >0 pts
\nUnacceptable
\nIdentifies no or inaccurate diagnoses specific to patients history and symptoms.\t\/ 10 pts
\nInterventions & Rationale
\nview longer description\t25 to >22 pts
\nExceptional
\nIdentifies 3 independent interventions. Scientific rationale relevant and supported by citations.
\n22 to >17 pts
\nProficient
\nIdentifies 2 independent interventions. Scientific rationale somewhat relevant and supported by citations.
\n17 to >0 pts
\nUnacceptable
\nIdentifies 1 independent interventions. Scientific rationale not relevant or supported by citations.\t\/ 25 pts
\nExpected Outcomes
\nview longer description\t10 to >8 pts
\nExceptional
\nDescribes relevant outcomes specific to identified interventions.
\n8 to >6 pts
\nProficient
\nDescribes somewhat relevant outcomes specific to identified interventions.
\n6 to >0 pts
\nUnacceptable
\nDescribes irrelevant outcomes specific to identified interventions.\t\/ 10 pts
\nReferrals
\nview longer description\t15 to >13 pts
\nExceptional
\nLists 3 or more appropriate collaborative issues\/concerns. Demonstrates excellent understanding of interventions.
\n13 to >10 pts
\nProficient
\nLists 2 appropriate collaborative issues\/concerns. Demonstrates satisfactory understanding of interventions.
\n10 to >0 pts
\nUnacceptable
\nLists inappropriate collaborative issues\/concerns. Demonstrates unsatisfactory understanding of interventions.\t\/ 15 pts
\nAssessment\/Monitoring Plan
\nview longer description\t20 to >17 pts
\nExceptional
\nFollow-up plan is specific and detailed related to interventions and referrals.
\n17 to >13 pts
\nProficient
\nFollow-up plan is somewhat specific and detailed related to interventions and referrals.
\n13 to >0 pts
\nUnacceptable
\nFollow-up plan is not specific or detailed related to interventions and referrals.\t\/ 20 pts
\n—-
\nDiscussion Board 5.2: Case Scenario
\n________________________________________
\nSuzanne has come by the free drop-in counseling clinic where you work to get some information and advice. Suzanne is a 22-year-old single woman who has been living with her boyfriend Jack in Manhattan\u2019s lower east side for the last four years. She and Jack have been heroin addicts for as many years.
\nWhen Suzanne was 10 years old, her father, whom she says was a very heavy drinker, left her mom and the kids and never came back. At 14 she started drinking and smoking marijuana. At 16 she had dropped out of high school and at 18 she moved in with Jack. He introduced her to heroin. She reports using about a 1\/2 gram of heroin per day just to be able to function and feel comfortable. In order to pay for the heroin and pay the rent on their apartment, Jack doesn\u2019t work, instead, she works the streets at night. She usually drinks four or five beers each night before going out to work. If she can\u2019t score enough heroin, she will try to score either some Valium or Klonopin to \u201ctide me over until I can get some \u2018horse\u2019.\u201d She says she has tried cocaine but, \u201cI really didn\u2019t care for the high all that much.\u201d Suzanne tells you that the alcohol and heroin help to calm her nerves and get her through the night.
\nShe and Jack are not having sex all that much. When they do make love, he never wears a condom. He says that\u2019s what makes him different from her John\u2019s. \u201cWhich is true because I won\u2019t work without a condom.\u201d Lately she has noticed that her breasts have become swollen and more tender. She also hasn\u2019t had her period in the last 12 weeks. She is pretty sure she is pregnant and knows it\u2019s her boyfriend\u2019s baby. However, she not sure she can stop using dope or work to have the baby even though Jack wants her to keep it. She is really confused at what she should do and is asking for you to help her make some decisions. Her friend who works with her at night told her not to stop using dope if she is pregnant because it\u2019s worse for the baby than to keep using. \u201cI just don\u2019t know what I should do?\u201d
\nConsiderations
\nAs you write your care management plan for Suzanne, consider the following questions.
\n1.\tWhat substance does she seem most addicted to and which pose the greatest danger to withdraw from?
\n2.\tWhat dangers do you see in this case, for Suzanne and for the baby?
\n3.\tWhat treatment options would you offer Suzanne?
\n4.\tWhat referrals would you give her?
\n5.\tWhat legal issues are likely to present themselves if she decides to keep the baby?
\n—
\nAssignment 5.1: Chronic Care Management Plan
\n________________________________________
\nPeople living with a chemical or behavioral addiction often struggle with daily living functions, employment, family, and social relationships. People with substance use disorders also have high healthcare utilization and comorbidities but receive poor overall care quality. Applying a chronic care management plan can be useful to help a patient manage their chronic disease.
\nInstructions:
\nReview the case scenario in the Canvas Assignment. Using the template below, outline a care management plan for this patient.
\nCare Management Plan
\nAssessments: What types of assessments might you want to conduct to gather more information regarding the patient\u2019s past and current situation? These can be medical tests, psychosocial and\/or environmental assessments etc.<\/p>\n
Clinical Problems: Prioritize a list of clinical (medical\/social) problems specific to this patient.<\/p>\n
Interventions: What interventions would you recommend for this patient? These can include medical treatments, mental health treatments, psychosocial interventions, etc. that are appropriate for your identified clinical problems. (You can assume the patient is pregnant.) Be sure to cite your selected interventions to ensure they are evidence-based. Do not include assessments\/tests or referrals in this section.<\/p>\n
Rationale: Provide your rationale for the selected interventions above. Be sure to provide citations to support why your rationale is appropriate for your identified clinical problems and interventions.<\/p>\n
Expected Outcomes: If the patient completes the recommended interventions what are the expected outcomes for the patient?<\/p>\n
Referrals: What referrals would you recommend for this patient and why? These can include medical specialists, mental health providers, community programs\/interventions, etc. What other resources would help this patient?<\/p>\n
Assessment\/Monitoring Plan: How would you plan to evaluate this patients progress? How often would you follow-up with the patient?<\/p>\n","protected":false},"excerpt":{"rendered":"
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