Abstract
This is a paper examines a health assessment of an elderly individual, including the choice of assessment tools, and the outcome and case presentation. Here, a 78 year old male with type two diabetes, high blood pressure, obesity and high cholesterol presented for a wound that did not heal properly. The assessment and decision for case management and the presentation on case management was based on the Neumann Systems Model which is a holistically based model calling for an interdisciplinary team.

From the Paper
"Case Management and the Elderly: Case management is rapidly becoming a requirement for the growing population of elderly individuals who experience a chronic or debilitating health issue. This paper presents a comprehensive assessment of a 78 year old male diabetic patient who presented to a community clinic setting for problems related to a wound that was not healing properly and discusses the various assessments used and the role of case management. The case presentation will incorporate the comprehensive nature of health assessment requirements for the elderly consistent with the holistic nature of the Neumann Systems Model. Based on the case presentation, the need for a case manager and the development of a multi-disciplinary team of healthcare professionals in the community health setting are required. Plans for follow-up and continuity of care are provided as are schedules and type of monitoring and future evaluations."

Tags:elderly, case, assessment

Abstract
The paper reveals that the greatest challenges in the healthcare system currently consist of controlling costs, improving clinical outcomes, and ensuring quality care. The paper discusses how barriers to those goals include the nursing shortage, a rapidly aging population, competition, and reduced government reimbursement. The paper addresses the most problematic issues in healthcare today but merely offers direction for their solution rather than facile solutions. The paper goes on to explore how evidence-based practice already is impacting on the scope of practice of registered nurses because care management and case management are the most widespread strategies used by clinicians and hospital administrators to meet their challenges.

From the Paper
"The greatest challenges in the healthcare system currently consist of controlling costs, improving clinical outcomes, and ensuring quality care. Barriers to those goals include the nursing shortage, a rapidly aging population, competition, and reduced government reimbursement. Although the current pressures are more intense than at any other time in history, they are not without precedent since industry has confronted them often (Cummings, 2003). This article therefore addresses the most problematic..."

Tags:care, case, quality

Abstract
This paper reviews the necessary steps in order to create a successful case management plan. These steps not only ensure consistency in the record-keeping process, but also ensure that clients are provided with plans that will enable them to function adequately as members of society.

Tags:case, social, assessment

Abstract
The paper looks at the practice of case management and case management nursing duties and discusses acute care case management. The paper also discusses case management in the home setting and how it is designed with the same goals in mind as case management in the acute care setting. The paper brings out how overall, the goal of case management is to provide the best possible services and outcomes to the patients that are involved, whether in the acute care or home care setting.

From the Paper
"Hospital based or acute care management is also referred to as episodic case management. This type of case management is applied to patients during an episode of illness that is short term. This model uses the staff nurse in the position of case manager. In addition to hands on direct nursing care, they are also responsible for indirect nursing functions that include: physical assessments, medication administration, intravenous administration, wound management and patient/family education (Cesta, and Tahan, 2002).
"The goals of acute case management often include: encouraging timely discharges, prompt, efficient use of all available resources, achievement of expected outcomes, collaborative practice, coordination of care across the continuum, and performance improvement activities which lead to optimal patient outcomes (Cohen, and Cesta, 2005).
"A nurse case manager can be used in three different ways. The first is as a Utilization Review Manager. These case managers are responsible for reviewing charts for the use of interdependent hospital systems, timeliness of service as well as safe and appropriate utilization of services. The Utilization Review Manager Nurse works closely with the physician for monitoring quality services to the patient. If after reviewing the patient's stay and utilization of services, a patient no longer needs the stay in an acute care setting, the Utilization Review Manager Nurse may request that the patient have outpatient or other services provided for the patient to the attending (Case Management, 2009)."

Tags:nursing, patients, admission, discharge, treatment

Abstract
This paper explains that nursing case management is a care delivery model designed especially to coordinate and manage high-quality patient service across the variety of healthcare systems. The author suggests that, with steadily rising medical costs combined with an increasing number of older patients, case management provides a means of practicing cost containment and yet providing excellent care. The paper conducts a literature review on the role of nursing case management in the areas of quality of life and re-hospitalization and concludes that the literature review was disappointing because it did not reveal any studies comparing case management versus traditional nursing care and that the articles reported generalizations lacking statistics.

Table of Contents:
Introduction
Case Management and Quality Of Life
Case Management and Rehospitalization
Discussion

From the Paper
"In a study specifically providing care to older women with breast cancer, Jenning-Sanders and Anderson (2003) recognized the many challenges that an older woman and her family face when diagnosed with breast cancer. They hypothesized that using nurse case managers may help older clients and their families to adapt to the many issues associated with this illness. The purpose of this qualitative study was to describe how older breast cancer clients perceive the care received from nursing case managers."

Tags:coordinate, chronic disease, family low-profile generalities

Abstract
This paper explores the reasons why case management has been determined to be an important element for the cost-effective improvement of patient health. It looks at the objective of case management, the defined roles of case managers, their functions and responsibilities, the various models of case management in health care systems and the differences in these models, and how case management affects patient welfare and economic variables. All of these aspects are explored with the intention of demonstrating the value of case management in the health care system.

From the Paper
"In the face of continuing healthcare reform, it is crucial to examine strategies that will carefully balance high quality patient care with cost efficiency. The emphasis of primary care has become a priority due to the increasingly dependent elderly patient population. Services and care need to be provided that focus on prevention and patient empowerment for self-care, which ultimately improve health incomes as well as save financial resources."

Tags:coordination, service, care, individual, responsibility, relationship, nurses

Abstract
This essay states that the greatest challenges in the healthcare system currently consist of controlling costs, improving clinical outcomes, and ensuring quality care. Barriers to those goals include the nursing shortage, a rapidly aging population, competition, and reduced government reimbursement. This article addresses the most problematic issues in healthcare today but offers direction for their solutions rather than facile solutions. The paper goes on to claim that the overwhelming question for the current healthcare system presently concerns how to improve quality while reducing costs. Case management and care management are two valuable strategies which can control costs while improving clinical outcomes and ensuring quality care.

Outline:
Introduction
Rationale
Case Management vs. Care Management
Attempts for Quality
Journal Selected for Submission

From the Paper
"The current nursing shortage appears to be intractable. Recent government downsizing and cutbacks have been followed by reduced funding for the healthcare system that is about to be overwhelmed by the baby boom generation. Never have there been so many obstacles to cost-effective, quality care. Two choices are available: case management and care management, with the latter actually being the common alternative. High-risk patients need individual case management but the vast majority of patients require some form of care management (Doyle et al., 2003). Care management is evidence-based practice since such practice is an essential element in clinical pathways and protocols. Even though standard pathways are used, stringent pathways are being eliminated since evidence-based protocols and guidelines are becoming the norm."

Tags:government healthcare cost-effective shortages quality, patient care

Abstract
The paper looks to develop a body of information that will facilitate the tasks of health care institution administrators in the development of strategies and programs for the application of the case management concept in the pursuit of care quality and patient satisfaction. To accomplish this study purpose, the writer analyzes the interrelationships between the factors affecting resource use by health care institutions in relation to the case management concept.

Table of Contents:
Introduction
Review of Literature
The Managed Care Environment
Related Research
Prior Studies in the Field
Applying the Case Management Concept
Methodology
Research Design
Research Hypotheses
Variables and Operational Definitions
Population and Samples

From the Paper
"Improving the quality of the care provided is widely suggested in the 1990s as the solution to many of the problems being faced by health care institutions (Phipps, 1992). While medical professionals have no quarrel with striving for high quality health care, many of these individuals do tend to reject initiatives that appear to be further manifestations of codified bureaucratic machinations that likely will have no long-lasting positive impacts on the quality of health care services (Jeffer, 1991). Nevertheless, many theorists and observers both inside and outside the medical establishment suggest that a quality management program can lead to improved quality in health care (Banham, 1993)."

Tags:health, program, medical, patient, quality

Abstract
This paper explains that case management involves helping the patient find, access, and benefit from the medial procedures, treatments, and lifestyle solutions available to his or her particular needs. The author points out that case management, which usually is administered under the centralized direction of a case manager, is indicated for complex or chronic patients, including those in long-term or geriatric care, in order to insure that their unique and usually complex needs are adequately met. The paper relates that CCPED provides home and community-based services for Medicaid-eligible persons who are 65 years of age or older or persons of any age who are disabled, including traditional home health care services, medical day care, medical transportation, respite care, and social adult daycare.

From the Paper
"Some examples of services that can be coordinated and supported through good case management is the creation of an individualized treatment/care plan, establishment of a connection between the patient and government support or benefits, education aimed at helping the patient manage his or her condition in a positive way, coordination between the many providers often required in complex, chronic or long term cases, as well as help in scheduling needed treatment or services."

Tags:assessment, plan, treatment, benefits, educate

Abstract
This paper defines and discusses care management in nursing from the early 1900s to the present. The paper examines the roles of nurse case managers and enumerates the advantages and disadvantages of nurse case management. The paper also mentions the training needed to be a successful nurse case manager and assesses the future of the profession.

From the Paper
"This paper looks at what constitutes case management, how it developed historically, the roles of nurses in case management, and the advantages and disadvantages of case management...."

Tags:case management, utilization review, discharge planning, medical necessity, resource management, cost reduction