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1. 86yrs old. Lives alone without family members
2. Will organise/ schedule routined home visits and community support activities
3. Provide financial assistance, counselling, necessary medical equipments for self monitoring, frequent befriender visits
4. Helps to better manage his condition, help avoid feeling lonely, emotional support, routine checks

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Ans:

1. 86 years old, single, lives alone, no family members, few social contacts, odd-job worker, on several medications to control his heart and diabetes condition.

2. Conduct home visits to understand his situation better and link up with community care support near his place of residence.

3. Have regular visits daily. Provide counselling and financial assistance.

4. Helps Mr. Sim to adapt and overcome challenges to better manage his condition so that he feels supported with his activities of daily living.

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1. Age: 86 year old single, alone
-frail
-Medical conditions: cardiac and diabetes
2. Detailed assessment of client's medical and financial conditions and get family members to help and support client eg. accompany to see doctors
3. Goals and plans proposed must be agreed upon family members
4.Liase and coordinate care activities - eg. counselling
5. Evaluate and follow up plans -home visits
6. Achievement of goals set - client feel he is not alone to handle his condition, would help greatly in his recovery
7. No longer able to provide services but client informed of services to seek help

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ans 1.  86 yr old , stay also and  have Chronic  dieaseses
ans2. discuss with client and if  he needs Financial help and discuss the plan with him about the senior activity center .
ans3.educate the client about his chronic conditions and regular use of medicine. educate about frequent visits to polyclinics and healthy life style.
Frequent visits of case manager and  volunteers, to check on him. meals provided by befriender services.
ans 4. if he takes benefits of financial and volunteers service he can live more independently and healthy.

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Ans:

1. Frail 86yo, independent, lives alone, has chronic health issues but does not want to go for med. appt.
2. Home visit, home care services if needed to, prefer not to leave the house
3. Finance assistance. Counselling.
4.  Prevent self-neglect.

# data[].attributes.body
1.  Mr. Sim, a frail 86-year-old single lives alone and had no family members, few social contacts, and was an odd-job worker.

He was on several medications to control both his cardiac condition and his diabetes. However, he does not go for medical appointments or calls an ambulance when his condition becomes exacerbated

2. Have a good chat with the client to understand his needs. Check with the hospital on the various caregiver resources after determining the services and resources that are required. Coordinate with the CNS.

3. Financial Assistance service and Caregiver support at regular intervals to check in on him on taking his medication and his other medical conditions.

4. Mr Sim will be able to manage his conditions better. All the necessary help rendered to Mr Sim will ease his anxieties and help him to recover better. Regular visits by Care Giver will provide social support.

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1. Use Assessment tool - alone with no family support, needs medical support

2. Determine needs / issues. Comprehensive assessment to understand condition with family. Design care plans, determine which services/support needed.

3. Assess to provide proper services, needs like financial support, medical and frequent home visits

4. Less time consuming, timely /appropriate treatment &  care and follow up given to patient. Easier to allocate personnel to follow up the case

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Ans:
1. Client issue is crucial, based on the chronic disease and his age at 86, might potentially has fall but without no one around to help him.
2. Find out client's financial situation, and arrange necessary arrangement with FSC for counseling and Centre Based Service. as well as Transport, meal arrangement
3.  Diabetic needs to eat well, and not to have falls or cuts, regular visits is necessary.
4. with the case management and constant support to guide him to learn appropriate skill in managing his lifestyle, well being and able to accept treatment and care provided. To prevent him from future serious issues arise.

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Ans:
1.  Frail 86 yrs old elderly having cardiac condition and diabetes.  No family members, dew social contacts and odd-job worker
2. Need to follow-up periodically by home visits for his diabetic condition as he is rather independent and do not go for medical consultation unless on emergency
3. Provide him with a health tracking device to monitor his heart condition
4. Able to monitor his health and follow-up

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Answers:
1.  Weak, single, alone, 86 old man with no family members and not much income.
2. Assessment of client to determine the range of support for the client.
3. Refer the social worker to help him  Financial Assistance, volunteer to help him with medical appointments.
Refer him to go for health check ups at polyclinic to get medicines for his cardiac and diabetes condition.
4. Client to go to Day Care centre during the week day.

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1.He acts against doctor’s advice even though he is not able to and is a high risk patient.
2.Engage him, coordinate resources to manage his health condition, monitor whether he is implementing the plan of care. such as connect him to homecare service, family service center for financial service support
3.Recommend job that provide stable income, empower him to have a healthy lifestyle.
4.He can manage his life independently , can manage his critical health condition to manageable condition.

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Zes Chin

1. Chronic Disease - diabetes and Cardiac, Single, living alone and no family member
2. To arrange a care staff or give him a device to remember him for medicine intake
3. Apply financial assistance scheme for him so that it ease his worry of the treatment cost
4. He will receive timely treatment and less suffering from his condition.

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1.check chronic detail and social issue
2.determine client need and client condition
3.very weak single with few social contact, has cardiac condition and diabetes.
never want to do for medical appointment
4.achieve to get client to appreciate the new lifestyle and no longer to provide follow up services.

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Ans:
1. Mr Sim might have a heart attack or faint at home without anyone knowing. His diabetic conditions might worsen if he does not take his medications regularly.  He is not eating healthily due to financial issues.

2. I will check whether he has any relatives or family members he is still in touch with and find out his financial situation. Whether does he follow the doctor's advice to take his medications regularly.

3. I will arrange a befriending social service to visit his home to ensure he is eating well and taking his medications regularly. Link him up with a government agency for financial support for his daily needs and medical treatments.

4. Mr Sim will be able to manage his diabetic condition well and take better care of his health. He will know how to seek help immediately if he has a cardiac arrest or fainting spell.

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1. 86 years old, frail, living alone, diabetic, cardiac condition, not going for medical appointment

2. Home visit, counselling

3. Transport and accompany to go for medical appointment, financial assistance

4. Patient will receive timely and due medical care and hospital will not be unduly burden with hospitalization for conditions or events which could have been prevented.

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1. single old man living alone
2. site visit of his home, determine if possible to stay on his own, refer to community hospital if not possible. Financial assistance to help him after means testing
3. if he still insists to go home, get volunteers to visit him everyday to check on his wellbeing and to send him meals if he is not able to cook, cleaning of wounds by nurses.
4. empower him to take care of himself given his condition, and to take part in activities at nearby center

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1. Elderly man with chronic health issue
2. Living alone and no caregiver
3. Good to have someone from family care service to help him follow up with his medical appts since he isnt too keen to go for medical appts
4. Financial assistance as he is an odd job worker and i guess isnt much savings. he must be educated on importance of self-care

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1. No support network (no family members, few social contacts); Potentially low and inconsistent income (odd job worker); No longer on medications? ("...was on several medications"); Self negligent; elderly with chronic disease, may have more health issues if further untreated.
2. Chat with client to understand why he does not call for help when his condition worsens. Find out the type of help that he will accept. Referral from hospital or grassroots to provide enrol in elder care near his place of residence + regular check-ins. Educate the client in case his hesitation to seek help is financially driven.
3. Frequency of visit, financial assistance, regular scheduled health checks at polyclinic or hospital.
4 Client may feel more supported and empowered with his own health, and be more receptive of his care plan. Age well

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1. Issues of client without family or friend care support but want to be discharged against the doctors' advice AOR.

2. Find a community care support that is nearest to his place of stay. And organize regular day visit.

3. To have case management programme that can cope with Mr Sim cardiac condition and diabetes. So that he is having regular medicine to maintain stable health.

4. When we convey the case management to Mr Sim. And let him know this is the best solution to allow him to return home as he wanted. While he still get a certain level of healthcare.

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1. 86 alone, chronic health issues
2. Determine needs of client - need a visit every day for some while. So speak to AIC and check if financial help can be given.
3.  Financial Assistance
Case management services eg visits and frequency or send him to community care hospital for a while
4. Get Mr Sim to appreciate his new lifestyle in community home care 1st until he is strong enough to go home

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Ans:
1. Frail, Single, alone 86. Cardiac condition + Diabetes. No caregiver/family support. Highly independent, strong convictions

2. Find out about client's financial situation, living condition (pay a visit), frame of mind.

3.  Counseling before recommending community support. Getting him to attend medical appointments either thru home visits or arrangement for chaperon service.

4. Patient avoids hospitalisation and is able to live more independently.

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Ans

1.Acute

2.Look for the agencies for help.  Knock on the door of of those agency that is nearer to his house.   As them to visit his home and check on him regularly.

3.Job help:  to look for a easier but higher paid job for him.
Financial help: apply Medifund for him.

4.Explain to him the benefit of case management.  He is old and forgetful. It is better to have a professional to take care of him and update him on what are the best ways to take care of him.

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1.Identify the issues. (actual or potential)

2.What approach you would take to organise the range of community support needed?

3.Identify the core components of a case management programme illustrated in the case.

4.Discuss the benefits of case management when it is implemented effectively from the perspective of the patient and the healthcare system.