LC1001:Catastrophic Case Management and Life Care Plans
By Roger Weed, Ph.D., Sue Riddick, RN, CCM and Anne-Sluis-Powers, RN, Ph.D, CCM
Printed with permission from Elliott and Fitzpatrick, Inc.

TAKE THIS COURSE NOW !

OVERVIEW

1. Identify catastrophic cases that warrant a life care plan

2. Describe step-by-step procedures for Life Care Planning

3. Review the topics covered in a Life Care Plan

4.  Discuss life care planning questions regarding vocational needs

5. Describe desirable traits for a life care planner.

6. Explain process of creating a life care plan based on example case study.

OUTLINE

I. CATASTROPHIC CASE MANAGEMENT AND LIFE CARE PLANS

A INTRODUCTION

B. HISTORY

C. PROCEDURES

    1. Projected Evaluations
    2. Project Therapeutic Modalities
    3. Diagnostic Testing / Educational Assessment
    4. Wheelchair Needs
    5. Wheelchair Accessories and Maintenance
    6. Aids for Independent Function
    7. Orthotics and Prosthetics
    8. Home Furnishing and Accessories
    9. Drug and Supply Needs
   10.Home Care / Facility Care
   11.Future Medical Care – Routine
   12.Transportation
   13.Health and Strength Maintenance
   14. Architectural Renovations
   15. Potential Complications
   16. Future Medical Care / Surgical Intervention or Aggressive Treatment
   17.Orthopedic Equipment Needs
   18.Vocational / Educational Plan

D. THE ROLE OF THE VOCATIONAL EXPERT IN LIFE CARE PLANNING

E. THE NURSE AND OTHERS AS CASE MANAGER AND LIFE CARE PLANNER

F. THE ROLES OF THE REHAB NURSE

    1. Working with Other Professionals
    2. Working with the physician or other treating professionals

G. ETHICAL ISSUES

   1. Professional Preparation
   2. Who is the Client?
   3. Informed Consent
   4. Confidentiality

H. SUMMARY

II. EXAMPLE CASE STUDY

A. REASON FOR REFERRAL
B. INJURY
C. SOCIAL HISTORY
D. HOBBIES / LEISURE TIME ACTIVITIES
E. MILITARY HISTORY.
F. EDUCATIONAL HISTORY
G. SCHOOL RECORDS REVIEWED
H. WORK HISTORY
I. JOB ANALYSIS
J. SKILLS
K. EMPLOYMENT INTERESTS
L. FINANCIAL
M. MEDICAL HISTORY
N. MEDICATIONS
O. PERTINENT MEDICAL INFORMATION
P. MEDICAL RECORDS REVIEWED
Q. DEPOSITIONS REVIEWED
R. PHYSICIAN COMMENTS
S. NEUROPSYCHOLOGIST COMMENTS
T. SUBJECTIVE COMPLAINTS
U. ACTIVITIES
V. ACTIVITIES OF DAILY LIVING
W. COMMENTS REGARDING THE INTERVIEW
X. EMPLOYER COMMENTS
Y. CONCLUSIONS
Z. Appendix A – VOCATIONAL WORKSHEET

    1. Rehabilitation Plan
    2. Access to the labor market
        a. Vocational Considerations
        b. Physical demands and working conditions
        c. Cognitive and emotional considerations
     3. Placeability
     4. Earnings Capacity Analysis
     5. Pre-accident Earnings Capacity
     6. Post-Accident Earnings Capacity
     7. Labor Force Participation (Work life expectancy)

III. LIFE CARE PLAN
IV. RESOURCES ON TOPICS FOR LIFE CARE PLANNERS
V. STANDARDS FOR LIFE CARE PLANNING PRACTICE