presented by Donna Williams
Many people acquire multiple diagnoses as they age. Some complications may come from a chronic illness, but these illnesses or other medical/orthopedic/neurologic concerns may complicate the long-term health alterations, disability or dementia that may already exist. For this population, case management can assist in the reduction of complications, promoting successful aging and safety. This course will describe the assessment and coordination necessary to assist in reducing complications.
Donna Williams, MSN, RN, CRRN, is a Case Manager at Kaiser Foundation Rehabilitation Center in Vallejo, CA. She has more than 40 years of experience and is certified as a rehabilitation registered nurse. She has worked for over 25 years in case management in inpatient rehabilitation facilities and as an external case manager, working with injured workers and catastrophically injured people in the private sector. She has prepared life care plans for the purpose of projecting needs over a life span. She has spoken on case management and the transition of patients at multiple conferences. She is an active member of the Association of Rehabilitation Nurses (ARN), has served as President of ARN, and has been involved in forming guidelines for leadership of the organization. As a case manager, she has worked with families and patients to ensure that they are ready for transition between care settings, attending to emotional and physical status, preparation of caregivers; the environment and follow-up care or support; and preparation for return to work. Ms. Williams has authored 5 chapters on case management as well as chapters on the roles of the rehabilitation nurse. Her aim is to coordinate care, ensuring patient-centered, time- and cost-efficient care.
This chapter will review the medical and orthopedic concerns in the patient aging with a spinal cord injury. Monitoring and management of potential complications in order to reduce risk will be discussed.
This chapter will present general goals of case management for the patient with chronic illness such as diabetes, orthopedic and neurological disorders. It will also address management of risk factors to prevent further disability.
This chapter will briefly discuss dementia and concerns as people with dementia age. Five to eight percent of people over the age of 65 have some form of dementia, and the number doubles every 5 years over age 65. Dementia can reduce the ability of individuals to monitor their own health care. Safety and prevention of complications will be addressed.