The PSW Nurse Care Manager was able to convince the patient that there were other ways they could receive help and the nurse was able to secure an appointment for the patient with an access clinic Advanced Practice Nurse Practitioner (ARNP). With this support, the patient’s medications and inhalers were refilled right away. Also, the care team felt it was important to monitor the patient’s breathing and oxygen levels, so the patient was enrolled into PSW’s Remote Patient Monitoring (RPM) program. This program helped to deliver timely information to the care team to continue supporting the patient.
The PSW Nurse Care Manager then began working to help the patient become established with a Primary Care Provider (PCP). The patient mentioned that they feared going to the doctor and that they had not seen a PCP in over 8 years. However, the patient felt so comfortable with the PSW Nurse Care Manager that they agreed to finding a new PCP and begin working to turn their life around. The patient has now engaged in efforts to quit smoking and has already reduced their daily smoking from a pack per day to only 2 cigarettes per day. The patient is also working with the nurse on a plan to start nicotine patches and complete a Medicaid application to receive help from local food banks in the area.
To this day, this patient is still enrolled in PSW services, regularly engages with multiple members of their care team, and carries a newly positive attitude towards improving their health.
|