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Managing Patients Outside the Hospital

Managing Patients Outside the Hospital

Nov 13, 2017

Although accountable care organizations have appeared I still feel there is little management of patients when they are discharged.  The concept was to have this umbrella over coordinating care for patients at discharge to keep them from being readmitted but there just isn't enough.Enough of what? Enough nurses, enough information, enough collaboration, enough management, enough questions, enough accountability!! Enough nurses that ...
Dementia and the Emergency Department

Dementia and the Emergency Department

Nov 13, 2017

It pains me to meet one of my clients with dementia in the emergency department. If I don't get there quickly I fear that once it is known that the person has dementia and lives in a memory care unit the response from staff is that they cannot have a conversation with that person as well as thinking that the person has no cognitive ability. The truth is that many of those living in those communities can converse quite nicely. They aren&...
Get Out of Bed! Please!

Get Out of Bed! Please!

Nov 13, 2017

I'M REPOSTING THIS BECAUSE IT IS STILL STILL A BIG PROBLEM!!! Who is in charge when you get sick? Is it your primary physician? The hospitalists? You? It should be a collaboration. Your primary physician won't be in charge.  You would hope that he/she would at least know that you are hospitalized.but not always. So what is the problem? There shouldn't be a problem if in fact everyone communicates. That's the problem. Re...
Why Care Managemnent is so Important

Why Care Managemnent is so Important

Nov 13, 2017 by Sharon Gauthier RN/MSN/CGM

Care management has been around for a long time. Case Managers in the past have been those who were social workers who looked at the social concerns of patients entering the hospital and worked with families to assist with concerns related to finances, housing, food and perhaps some help with coordinating care outside of the hospital. Managed care escalated in the 1990's when costs rose for insurance companies who wanted to get a handle on ut...

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