See the attached file for instruction. I am going to send you the powerpoint to read to answer this question.
mk.docx
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CASE:
Mr. S is a 65-year-old male diagnosed with type 2 diabetes 15 years ago.
About 2 years ago Mr. S developed kidney failure secondary to his diabetes,
and began a thrice-weekly regimen of hemodialysis. Mr. S remained stable,
regularly attending dialysis treatments until 6 months ago, when his wife died
unexpectedly. Since then he began missing treatments. His glycemic control
worsened and his interdialytic weight gains increased significantly. He was
diagnosed with and began treatment for depression, but, Mr. S admitted that
with his wife gone, he doesn’t see the point of taking care of himself anymore.
He no longer performs glucose checks, and frequently misses the numerous
medications that he is prescribed. He finds his dietary regimen to be
confusing and because he is not accustomed to cooking for himself, Mr. S
finds it more convenient to eat at fast food restaurants. Mr. S sees
his nephrologist (Dr. D) every month. Dr. D feels frustrated because he
encourages Mr. S to comply with his recommendations without success.
Likewise, Mr. S is frustrated because he feels Dr. D lectures him at every visit
and doesn’t allow time for him to discuss matters of most concern to him—
the
loss of his wife and other difficulties that have interfered with his ability to
manage his care. (Case is from Sevic et al., 2007).
ADDITIONAL BACKGROUND:
Demographic shifts in the United States have increased the number of people
with chronic illnesses; however, the nation’s healthcare delivery system has not
significantly evolved to meet the changing needs of its population. As a result,
many people, especially older adults, suffer needlessly, and healthcare costs
continue to rise.Chronic care management may alleviate older adults’ chronic health problems, reduce
expenditures for their health care, and promote their satisfaction and quality of life.
& Wojciechowski, 2005).
(Hendrix
QUESTION:
For the sake of this discussion, consider the case described above and the
quote by Hendrix and Wojciechowski (2005), especially the last
sentence. Develop a discussion that draws upon the course videos for this
week and any other prior information. Your discussion should consider the
case above and build upon the statement expressed above by Hendrix
and Wojciechowsk, while responding to the following: (1) describe what a
chronic healthcare model should look like and why it’s needed for Mr. S and/or
older adults in general, (2) discuss strategies for targeting the management of
multiple chronic conditions among older adults to achieve best outcomes,
and (3) describe how efforts to improve transitions between providers over
time affect elder health. Provide evidence and examples in support of your
position.
…
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