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Those individuals or families who need case management services usually do so be

by | Jun 23, 2022 | Other

 

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Those individuals or families who need case management services usually do so because they have a number of mitigating factors. Like Lonnie and Dorothy, they may “get by” for a period of time, but at some point, their problems escalate, multiply, or both, making it difficult to cope. It is at the point when Lonnie is beginning to experience some serious medical problems that you enter their lives as a case manager. Read the following information about Lonnie and Dorthy and answer the questions that follow. Answers will be graded based on how reasonable, thorough, and well written your responses.
Lonnie and Dorothy live in the southern part of town in a low income area. At one time the neighborhood was nice, but this was long before Lonnie and Dorothy arrived. They have two grown sons, John and Leroy who occasionally come by to visit, and a grown daughter they never talk to. Lonnie, age 62, works at a nursing home as a janitor and Dorothy, age 60, does not work due to health problems (thought she has worked as a personal nurse at some time in the past). They have been married for 39 years but do not get along very well. They bicker constantly and Dorothy has talked of times when Lonnie would lock her in the house due to jealousy while he was at work. Now they basically coexist together without much substantial interaction.
Lonnie’s job is rough on him because he works seven-day shifts and then has three days off. He drives 45 minutes to work in his 1997 pickup (which he still makes payments on). He spends all day on his feet and is exhausted when he gets home. For years Lonnie was the head janitor at a truck stop and enjoyed the job, but unfortunately he was laid off due to cutbacks and has been trying to find a job with better pay. He found that his age kept him from getting better work and has been working at the nursing home since. He has talked of finding better work, but because they live from paycheck to paycheck, they cannot afford for him to take any kind of pay cut, even temporarily. Lonnie spends most of his spare time in front of the television.
This is hard on Dorothy. Due to heart problems, she is on disability and rarely gets away from the house, often spending days alone in the house. This causes her to be lonely, but also to have a limited view of the world (the “other side of town” is like another world to her). If she does get away, it is only to go to the grocery store or the pharmacy. She also has a tendency to be paranoid. For instance, if her disability check does not come on the exact day it did last month, she spends the afternoon on the phone talking to the disability office and the post office positive that someone has “made a mistake” or has “taken her check”. In some ways this is understandable since without this check, they cannot pay all of their bills. Dorothy’s check pays the rent and what little spending money she gets while Lonnie’s covers the car payment, food, utilities, and medical bills. They spend every penny each month, leaving nothing for savings. Last month, Lonnie started to have some medical problems himself and has ahd to go to the doctor more frequently than usual.
1. List at least 6 issues you think need to be addressed in order to help Lonnie and Dorothy have an improved quality of life. Organize them according to what you consider to be the most important to the least. Explain the reasoning behind your response.
2. For each of the issues you addressed in the above question, identify two essential roles that the case manager will have and what the case manager will be doing in that particular role.
3. Of the various roles that case managers have when serving clients, which do you think will present the greatest challenge for you? How might you improve your knowledge and skills in that role?
4. Compare and contrast the function of the case manager in each of the models of case management described in the chapter.

 

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