Question

In paragraph format, that includes the high points of the integrated treatment plan. Be sure to include all aspects of mental health and wellness to include any natural supports you can think of for the client or patient. Describe steps that can be implemented to increase adherence or motivation for patients to the integrated care plan. Describe how the following professionals on the team will work together to integrate care including how to keep the patient engaged: physician lead, care manager, and behavioral health professional.

I NEED HELP WITH OUTLINING THIS AS I WILL HAVE TO WRITE A 850-WORD PAPER. THANK YOU
Robert is a 49-year-old electrician for a large manufacturer who has been identified through the employer’s disability management report. The disability management company at Robert’s worksite notes that he has been on short-term disability for 4 months and would be a candidate for long-term disability soon. Robert’s disability manager, Charlene, is concerned that if Robert is placed on long-term disability, which has more rigorous definitions of what constitutes disability, he will not remain qualified for disability support. Robert would then find it difficult to obtain alternative employment because of his health history. Charlene indicates to her supervisor that Robert has been seen in the emergency room five times in the last 2 months and has been in contact with his personal doctor twice monthly. He is on five medications, all prescribed by his general practitioner, Dr. Couch, who, as a retired surgeon, is supplementing his income doing general practice during a challenging economy.In addition to chronic lung disease, Robert has a long history of anxiety with panic attacks. There is, however, no mental health professional involved in his care. Since the company’s contracting health plan changed 3 years earlier, Robert has been forced to see Dr. Couch because his old primary care doctor was not in the new health plan network. Dr. Couch is. For three years, Robert’s work performance record has deteriorated. Disability and family leave time tracking indicate that he has taken time off for breathing problems, chest pain, back pain, headaches, anxiety, and flu-like episodes. This is, however, the first extended leave that he has taken. Dr. Couch, who signs Robert’s disability forms, projects that he will be permanently disabled according to a discussion he has had with the disability plan’s medical director.Since his early 20s, Robert has been treated for anxiety disorder with panic attacks, a condition that runs in his family, but has stopped going to a therapist or psychiatrist because he can save out-of-pocket expenses by getting all of his care from Dr. Couch. Robert’s last admission of 2 days was 6 months earlier for chest pain. At that time, oxygen saturation was 91% and FEV1 was 58% of predicted. Despite a normal heart tracing and little other evidence of a cardiac origin for his chest pain, Robert refused to leave the emergency room because he thought he was going to die. He smokes two packs of cigarettes per day.

Answer 1

Integrated Treatment Plan for Robert:

Overview:

Robert, a 49-year-old electrician with a history of chronic lung disease and anxiety disorder, requires an integrated treatment plan to address his physical and mental health needs. The plan aims to improve his overall well-being, enhance his work performance, and reduce his reliance on disability support. It involves a collaborative effort among healthcare professionals, including a physician lead, a care manager, and a behavioral health professional.

High Points of the Integrated Treatment Plan:

Comprehensive Assessment:

Conduct a thorough assessment of Robert's physical health, including lung function and overall medical condition, and his mental health, focusing on anxiety and panic attacks.

Engage Robert in the assessment process to gather relevant information about his symptoms, medication history, and previous treatments.

Multidisciplinary Team Collaboration:

Form a multidisciplinary team consisting of a physician lead (Dr. Couch), a care manager, and a behavioral health professional (e.g., therapist or psychiatrist).

Regularly communicate and collaborate to ensure a holistic approach to Robert's care.

Mental Health Support:

Assign a behavioral health professional to work closely with Robert to address his anxiety disorder.

Provide evidence-based therapies, such as cognitive-behavioral therapy (CBT), to help manage panic attacks and anxiety symptoms.

Encourage Robert to attend regular therapy sessions to build coping skills and resilience.

Physical Health Management:

Continuously monitor and manage Robert's chronic lung disease, focusing on optimizing lung function and addressing symptoms.

Ensure adherence to prescribed medications and provide education on smoking cessation to improve lung health.

Collaborate with pulmonologists and respiratory therapists as needed.

Medication Management:

Review Robert's medication regimen to assess efficacy and potential interactions.

Consider adjustments to his medications under the guidance of the physician lead to optimize his mental and physical health.

Health and Lifestyle Education:

Offer health education sessions to Robert, addressing topics such as smoking cessation, nutrition, and physical activity.

Emphasize the importance of a healthy lifestyle in managing both physical and mental health.

Return-to-Work Plan:

Develop a phased return-to-work plan in consultation with Robert's employer, considering any necessary workplace accommodations.

Monitor Robert's work performance and provide ongoing support to ensure a smooth transition.

Motivational Enhancement:

Implement motivational interviewing techniques to enhance Robert's motivation to engage in treatment and make positive lifestyle changes.

Set achievable goals and track progress to boost his confidence and commitment to the integrated care plan.

Regular Follow-Up:

Schedule regular follow-up appointments to assess Robert's progress, adjust the treatment plan as needed, and address any emerging issues.

Maintain open communication between the care team, Robert, and his employer to track improvements and address challenges.

Keeping the Patient Engaged:

To keep Robert engaged in the integrated care plan, the team can:

Foster a collaborative and non-judgmental relationship with Robert, building trust and rapport.

Involve Robert in treatment decisions and goal-setting to enhance his sense of ownership.

Provide education about the benefits of integrated care for improved overall well-being and work performance.

Offer ongoing support, encouragement, and reminders to attend appointments and adhere to the treatment plan.

Celebrate milestones and achievements to boost Robert's motivation and self-esteem.

In conclusion, the integrated treatment plan for Robert addresses his physical and mental health needs through collaboration among healthcare professionals. By combining medical, behavioral health, and lifestyle interventions, the plan aims to enhance Robert's well-being and work performance while reducing his reliance on disability support. Regular assessment, multidisciplinary teamwork, and patient engagement strategies are essential components of this comprehensive approach.

Step-by-step explanation: