Bonnie is a 69 year old divorced

Bonnie is a 69 year old divorced female, of Poland origin, and has lived in the United States for over 40 years. She has been in and out of the local hospital (Mercy) behavioral health unit for several years, and frequently referred to your home health agency for follow-up home visits. She has a social worker case manager at Mercy. Bonnie has a long history of bizarre and impulsive behavior, but has had a steady decline since her divorce three years ago. The patient has a long history of medication non-compliance. She is on medication for bipolar disorder, osteoporosis, and hypertension. She is grossly overweight and recently developed a venous insufficiency ulcer on her right lower calf, measuring 1 cm diameter. She has two daughters who both live out of town. She is estranged from all other family members. You are familiar with this client who has been on your caseload in the past for assistance with medication self-management. Bonnie states that she believes in self-healing and does not like to see a physician for any reason. She lives in a senior-living housing one-bedroom apartment. The apartment building is part of Cincinnati Metropolitan Housing Authority. She started smoking at the age 12, 20/day. She was recently released from the local hospital behavioral health unit with orders for home health care nursing for medication instruction and management of the peripheral vascular ulcer. Health services are covered under Medicare. Questions: How would you apply case management in this scenario? How could the community health nurse advocate for social justice in this case, including eliminating health disparities? In your answer, consider the following: Bonnie’s health risk factors and determinants of health Priority diagnoses. Goal-Setting Health Promotion Strategies Care Coordination Strategies – Facilitating Access to Health Care In your initial posts, include two websites that would provide a resource to you as the case manager.

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