July 11 Case Studies

CASE 1 BY VNM

(1a) What is the role of the interdisciplinary team members in the delivery of care to the patient

The role of the interdisciplinary team is to ensure the patient receives the best quality of care. By communicating effectively and utilizing the healthcare facilities they can meet the needs of the patient.

(1b) What disciplines have been involved in the case thus far and what other disciplines can be anticipated

The following are the disciplines involved in this case:

Nurse
Physician (MD)
Emergency Transport Staff
Infectious Disease Specialist (MD)
Case Managers
Lab Technicians
Pathologists

(2a) What services could the Simulated Health Department provide to the patient

The Nurse does the assessment, the physician wrights a referral to a specialist after examining the patient, the specialist examines and makes a medical decision based on the patients history and current status.

(2b) What services will need to be provided to the public as a result of this diagnosis

As a result of this case the Department of Health (DOH), Environmental Protection Agency (EPA) and the Department of Agriculture will have to make a decision for craven county to be sprayed with by airplane to reduce the causative agents of Eastern Equine Encephalitis.

This Virus is “susceptible to many disinfectants including 1% sodium hypochlorite, 70%
ethanol, 2% glutaraldehyde and formaldehyde. They can also be destroyed by moist or dry heat, as well as drying” (CDC 2007).

Treatment consists of supportive care. Investigational EEE vaccines may be available for
humans at high risk of infection.

3) What documentation needs are associated with this case

On the subject of documentation of the patient’s health care status the patient may be advised to keep his or her own Personal Health Record. The Health Care Center can utilize an Electronic Health Record System or Paper based Health Care record. It is very essential for the healthcare system to keep a record on the status of the patient at all times.

CASE 2 FROM VNM

(1) What is the composition of health care team necessary to deliver services

Nurse
Physician (MD)
Pathologist
Lab Technician
Health Care Educator


(b) What is the identification of resources and service both from the Simulated Health Department and community that can be used to provide care to the patient

The nurse will provide the assessment of the patient. The physician will examine and make a medical decision on the state of the patient. The health care educator should provide helpful information on how the patient should associate with the community members and how to live with the illness.

Since the patient comes from an economically secure family the patient should be able to pay for health care from out of pocket or through his health care insurance.


(c) What is the patient's role in his/her care

The patients should be able to read and understand the informed consent. He should be able to communicate effectively when providing the past family and social history and the history of the present illness.

The patients should be able to read any health care material he receives from the health department on his illness.

(d) What public health risks does this case create? Be comprehensive in thinking about the patient as an expansion of the community in this case and services that will be needed for the aggregate.

Doctors are required to report newly diagnosed cases to the state health department and CDC because this is a sexually transmitted disease and can easily be transmitted to the public because of promiscuity.

The community should receive the following from the Health Care Department:

1) education and counseling of persons at risk on ways to avoid STDs through changes in sexual behaviors;

2) identification of asymptomatically infected persons and of symptomatic persons unlikely to seek diagnostic and treatment services;

3) effective diagnosis and treatment of infected persons;

4) evaluation, treatment, and counseling of sex partners of persons who are infected with an STD; and

5) preexposure vaccination of persons at risk for vaccine-preventable STD

Both cases need Population oriented health care. The cases can turn into an epidemic or pandemic within a short period. Therefore educating the community and taking preventive measures can help reduce the spread of the diseases.