Case Studies 8a and 8b Valerie Yanowski, RN, CM. Motivating “Mr. Z” 55 y.o. male h/o ischemic cardiomyopathy w/ EF of 15%-has BVICD Frequent hospitalizations.

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Presentation transcript:

Case Studies 8a and 8b Valerie Yanowski, RN, CM

Motivating “Mr. Z” 55 y.o. male h/o ischemic cardiomyopathy w/ EF of 15%-has BVICD Frequent hospitalizations for acute on chronic CHF systolic /diastolic H/o W/C back injury-disability; recent job loss Has one child w/ disability Co-morbidities: lumbar stenosis, OSA, Depression, Obesity, pulmonary HTN, MI-2006, COPD Stay-at-home husband Frequent dietary indiscretions Recent Hospitalization-BNP 1198, severe SOB CM plan: –Education / Motivation / Recognition / –Nutrition consult, PT consult

Care Management of the Psychiatric Patient 28 y.o. Female Long term psychiatric hx-SI, frequent suicidal attempts Multiple hospitalizations for same Most recent: took multiple psych meds, then calls ambulance Has psychiatrist, S.A.M. counselor How to care manage w/o being a psych nurse?