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18422. CHRONIC ILLNESS CASE MANAGEMENT OF AN ELDERLY PATIENT WITH DIABETES, RENAL FAILURE, AND HEART FAILURE. Drawing on the Betty Neuman Systems Model for case assessment, this paper provides a nursing case management plan for an 85-year-old female with multiple chronic illnesses including congestive heart failure, chronic renal failure, and type 2 diabetes. Following assessment including identification of client stressors, lines of resistance, lines of defense, and variables, the paper describes the need for a case manager with the client and the appropriate interdisciplinary team and community resources. A plan for communicating and coordinating care along with a plan for monitoring and ongoing evaluation of the patientís progress, along with appropriate alternative interventions is presented. APA Style. 18 pages, 41 footnotes, 14 bibliographic sources. 4,660 words.
TAGS: nursing case management, geriatric chronic illness, diabetes, renal failure, heart failure, diabetic patient, neuman systems model nursing assessment elderly.

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