Discussion: You have a patient who only has Medicare Part A and B. She has limited income most of which is used to pay for Medicare Part B. She is in dire need of placement into a nursing home as she can no longer care for herself at home. You gleaned from your reading that long-term care needed by low-income elderly people is paid by Medicaid, and you feel your patient meets the criteria. What are the steps you would take to advocate for your patient while she is still in the acute care setting?

Discussion: You have a patient who only has Medicare Part A and B. She has limited income most of which is used to pay for Medicare Part B. She is in dire need of placement into a nursing home as she can no longer care for herself at home. You gleaned from your reading that long-term care needed by low-income elderly people is paid by Medicaid, and you feel your patient meets the criteria. What are the steps you would take to advocate for your patient while she is still in the acute care setting?

Discussion: You have a patient who only has Medicare Part A and B. She has limited income most of which is used to pay for Medicare Part B. She is in dire need of placement into a nursing home as she can no longer care for herself at home. You gleaned from your reading that long-term care needed by low-income elderly people is paid by Medicaid, and you feel your patient meets the criteria. What are the steps you would take to advocate for your patient while she is still in the acute care setting?

You have a patient who only has Medicare Part A and B. She has limited income most of which is used to pay for Medicare Part B. She is in dire need of placement into a nursing home as she can no longer care for herself at home. You gleaned from your reading that long-term care needed by low-income elderly people is paid by Medicaid, and you feel your patient meets the criteria. What are the steps you would take to advocate for your patient while she is still in the acute care setting? Who are some of the other health care professionals you would collaborate with to ensure your patient receives the additional healthcare coverage she needs? Analyze the role Medicaid plays in supporting long-term care for the elderly and disabled.

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Discussion Question

Medicare is a government-funded program that provides insurance coverage for older adults aged 65 or older. This program compromises four parts: A, B, C, and D. Part A covers for inpatient services while Part B covers outpatient services (El-Nahal, 2020). Based on the patient case scenario, she qualifies for Medicare Part A and B, meaning she will benefit from inpatient and outpatient services. As a healthcare professional, I would evidence-based care to the patient while she is still in the acute care setting by executing my advocacy role. According to Abbasinia et al. (2020), advocacy refers to “public support for or recommendation of a particular cause or policy” (p. 143). Attributes and strategies for patient advocacy include safeguarding her safety by tracking medication errors, providing information about the patient’s diagnosis, treatment, and prognosis, enabling the patient to make decisions by upholding her autonomy and playing a mediator role by communicating her preferences, values, and priorities to the healthcare team. Also, it will be essential to champion social justice in care provision by addressing inequalities, linking the patient to community resources, and confronting inappropriate practices and organizational regulations.

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Discussion: You have a patient who only has Medicare Part A and B. She has limited income most of which is used to pay for Medicare Part B. She is in dire need of placement into a nursing home as she can no longer care for herself at home. You gleaned from your reading that long-term care needed by low-income elderly people is paid by Medicaid, and you feel your patient meets the criteria. What are the steps you would take to advocate for your patient while she is still in the acute care setting?

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Collaborating with Other Healthcare Professionals to Ensure the Patient Receives Appropriate Coverage

While the patient satisfies the eligibility criteria for Medicare Part A and B, it is essential to collaborate with other healthcare professionals in the inpatient and outpatient care settings to provide her with the deserved coverage. In this sense, I would collaborate with physicians, nurses, nurse assistants, home-based care professionals, and social workers to ensure care coordination and continuum. Also, it would be vital to collaborate with nurse informaticists to develop a triage system necessary for utilizing information in delivering quality care to the patient.

The Role of Medicaid in Supporting Long-term Care for the Elderly and People with Disability

Long-term care encompasses medical and non-medical services provided to people who are unable to perform the basic activities of daily living, including bathing and dressing. Healthcare professionals provide long-term care in assisted living and nursing homes. According to Crowley et al. (2022), Medicaid covers children and adults with physical, intellectual, and developmental disabilities. Also, the program provides financial assistance to Medicare beneficiaries through cost-sharing.

References

Abbasinia, M., Ahmadi, F., & Kazemnejad, A. (2019). Patient advocacy in nursing: A concept analysis. Nursing Ethics, 27(1), 141–151. https://doi.org/10.1177/0969733019832950

Crowley, R., Atiq, O., Hilden, D., Beachy, M. W., Brislen, H. C., Curry, W. A., Engel, L. S., Hollon, M., Mathew, S. M., Southworth, M., Tan, M. J., Mellacheruvu, P., Shoushtari, C. S., Sagar, A., Beachy, M. W., Brislen, H. C., Curry, W. A., Engel, L. S., Hollon, M., & Mathew, S. M. (2022). Long-term services and supports for older adults: A position paper from the American College of Physicians. Annals of Internal Medicine, 175(8), 1172–1174. https://doi.org/10.7326/m22-0864

El-Nahal, W. (2020). An overview of Medicare for clinicians. Journal of General Internal Medicine, 35(12), 3702–3706. https://doi.org/10.1007/s11606-019-05327-6

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Discussion: You have a patient who only has Medicare Part A and B. She has limited income most of which is used to pay for Medicare Part B. She is in dire need of placement into a nursing home as she can no longer care for herself at home. You gleaned from your reading that long-term care needed by low-income elderly people is paid by Medicaid, and you feel your patient meets the criteria. What are the steps you would take to advocate for your patient while she is still in the acute care setting?

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