Dear writers, place your bids, please. Instructions: Complete this 3-part exercise, and submit your work here by the end of Week 5. Part 1: Case Study Review the following case study. (It is Appendix C in the syllabus, if you want to print and annotate it.) Identify the individual, family, and community needs, preferences, and possible goals implicit in the scenario. Identify possible members of the transitional care team Juanita and her family will need to not only reduce her chances of re-hospitalization, but to move her towards her optimal level of health and well-being. Juanita is a 16-year-old female who has a history of moderate, persistent asthma. She lives with her mother and brother in an urban setting in an apartment building that was built 60 years ago. The apartment has forced hot air heat that does not always work well and is plagued by rodent infestation. Although there is no smoking in her apartment, there are multiple cigarette smokers on her floor in the building. The road in front of her apartment is used frequently by trucks, often idling for hours while they await unloading at a distribution center located on her block. It has been a challenging year in school for Juanita, having missed about 45 days due to two hospital admissions for asthma in the last five months. She has also missed school on days when she stayed home because she felt that her breathing would not allow her to make it through the school day. The school is concerned that Juanita may not be able to pass to the next grade at the end of the current academic year. This has Juanita and her family quite sad. Juanita has a primary care provider in her community, but she needs to take three different buses to get there. She has seen a pulmonologist in the past, but that was during an inpatient stay. These providers have prescribed a regimen of three different medications that she is supposed to take every day. Her insurance coverage has been problematic, since her family`s eligibility for coverage lapses every year. She is eventually able to be reinstated for insurance coverage, but it does lead to her having gaps in obtaining the necessary maintenance and “rescue” medication to keep her asthma check” (Lamb, 2013, p. 177). (From the book Care Coordination: The Game Changer, “Chronically Ill Youth with Multiple Un-Planned Inpatient Readmissions” (Lamb, G., 2013, p. 168 & 177) Part 2: Family Care Map Design a “Family Care Map” (Lamb, 2013,p.168; see sample below). Depict the Care Transition Team members that Juanita needs. Depict the on-going community members (both professional and lay members) that Juanita needs. You may draw electronically or draw with pencils/pens on paper, and then scan your paper. You will submit your Family Care Map file with your Part 3 submission. Family Map (Sample Family Care Map) Part 3. Ask Me Three After you identified the needs of Juanita and her family, and have identified key members that she needs on her team, answer the following Ask Me Three questions. Respond to the questions in a 1-to-2-page Word document. *Ask Me Three questions: What is my main problem? What do I need to do? Why is it important for me to do this? *Ask Me Three questions are trademarked by National Institute for Healthcare Improvement (Links to an external site.). Submit the following: Your Ask Me Three Word document Your Family Care Map file. Rubric Care Transitions Rubric Care Transitions Rubric Criteria Ratings Pts This criterion is linked to a Learning OutcomePart One: Case Study Review 10 pts Full Marks Student accurately identifies needs of client/family and key members of transitional care team Family Care map present 5 pts Fair Needs expansion/lacking family care map 0 pts No Marks Needs & team members not identified 10 pts This criterion is linked to a Learning OutcomeAsk Me Three All three questions identified to align with client & family needs 15 pts Full Marks Ask Me Three fully developed in a 1-2 page document. 7.5 pts Fair Partial completion of the 3 questions 0 pts No Marks Not completed 15 pts This criterion is linked to a Learning OutcomeAPA and Writing Style Ask Me Three document is in 7th edition APA format and free of grammatical errors 5 pts Full Marks Ask Me Three document is in 7th edition APA format and free of grammatical errors 3 pts Fair Minor APA errors/grammar 0 pts No Marks Not in APA format of the word document 5 pts Total Points: 30
