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Clinical Accuracy Spoken Here
Behavioral Health: MDD

Most depressed patients can be treated as outpatients, either in a physician's office or in an outpatient clinic. Inpatient care and careful medical monitoring may be necessary when an episode of depression is:

  • Particularly severe and accompanied by serious weight loss or marked agitation

  • Accompanied by intent to harm self or others

  • So incapacitating that a patient cannot perform self-care, follow the physician's instructions, or describe feelings to the physician

Behavioral Health: Module A, Depression www.athenaforum.com

HF: Life-Saving Transplants

Heart transplants are done as a life-saving measure for end-stage HF when medical treatment and less drastic surgery have failed. Transplantation is the last option for improved survival and quality of life. Transplantation is indicated for otherwise healthy patients who have end-stage HF with severely impaired functional capacity. Following transplantation, patients must remain on lifelong immunosuppression to avert rejection. This raises susceptibility to opportunistic infections and malignancies. Survival after cardiac transplantation is about 85% at 1 year then declining 4% annually.

Heart Failure Care: Module C, Treatments and Interventions
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Excellence in Case Mgmnt
Discharge Planning: Unrealistic Patients:

A patient-centered discharge plan must be safe and realistic, even though the patient may want to choose an inappropriate service or unrealistic goal. The discharge planner’s professional judgment, experience, and negotiating skills come into play in this kind of situation, to evaluate the choices and explain why the goal may not be realistic, and then guide them into making better choices. If the patient persists, a team meeting might produce suggestions for resolution. Unrealistic goals that are not thoroughly evaluated and documented may place the patient, the discharge planner, and the hospital at risk.

[Reference: Discharge Planning: Module A, Philosophy and Standards.]
In the Headlines . . .
HHS Applauds SMP

A senior received a series of calls and a home visit from Perpetual Home Health (PHH). A representative from PHH then persuaded her to disclose her social security number on a medication form. Immediately she realized she shouldn’t have done that. Through a senior services facility she was connected to the Senior Medicare Patrol (SMP). The man behind PHH, John Gabriel Jr. had no medical training or license and is alleged to have swindled $20 million from Medicare, submitting false claims for medical services. This summer, thanks to SMP, he was indicted. Remarks by Secretary of HHS, Kathleen Sebelius at the Senior Medicare Patrol National Conference August 9, 2011.


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The look of confidence
  CM Excellence® Series: 
  » Principles of Case
     Management
  » Patient Advocacy
  » Utilization Management
  » Discharge Planning
  » Hospital Revenue Cycle

  Clinical Series: 
  » Asthma
  » Behavioral Health
  » Colorectal Cancer
  » COPD
  » CV Risk: Stroke & MI
  » Diabetes
  » EOL & Palliative
  » GI Disorders
  » Heart Failure
  » Multiple Sclerosis
  » Obesity Management
  » Pain Management
  » Rheumatoid Arthritis
  » Women’s Health

Confidence

HelpDesk

Cathy Wright Cathy Wright, BSN, RN
Clinical Editor
Athena Forum

cathy.wright@athenaforum.com


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