Uninsured Head Trauma
Uninsured patients often experience huge barriers to a safe discharge, especially if they require post-discharge services. In our current practice, a 27-year-old Hispanic male had been admitted to the medical-surgical unit due to head trauma. However, there were barriers to his discharge since he was uninsured. Since the patient no longer required acute inpatient care, keeping him in the hospital until he got the money to pay the hospital bill was not the ideal solution for the patient or the hospital. The patient also needed healthcare services after discharge to monitor his progress and evaluate for any complications. This became challenging because the hospital policy did not welcome unfunded patients.
It was a huge challenge finding post-discharge services for a patient who no longer met inpatient criteria but did not have funding for the services. It was more cost-effective for the hospital to pay for post-discharge care instead of keeping the uninsured patient as an inpatient since he no longer met the acute care criteria (Misky et al., 2018). Besides, it was more beneficial for the patient to receive the discharge services he needed for head trauma. The financial issues could be prevented by the hospital partnering with post-acute providers who provide a lower level of care instead of keeping the patient in the acute care beds (Misky et al., 2018).
The patient was at risk of complications like seizure, CSF leakage, cranial nerve injuries, cognitive impairment, and sensory processing and communication difficulties, leading to readmission (Seifi et al., 2021). Therefore, the hospital assigned the patient a committed social worker who followed him throughout his stay and identified his discharge needs. Furthermore, the social worker linked the patient with community resources that would help him recover and assist with his care after discharge.
References
Misky, G. J., Burke, R. E., Johnson, T., del Pino Jones, A., Hanson, J. L., & Reid, M. B. (2018). Hospital readmission from the perspective of Medicaid and uninsured patients. The Journal for Healthcare Quality (JHQ), 40(1), 44-50.
Seifi, A., Bahadori, M., Gheibi, Z., Kanegi, S. L., & Mirahmadizadeh, A. (2021). Hospital Outcomes in Uninsured Patients With Disease and Disorders of Nervous System: A National Cohort Study During a Decade in the United States. Cureus, 13(3), e13702. https://doi.org/10.7759/cureus.13702
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Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
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Important information for writing discussion questions and participation
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Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource