In this situation I will provide perspective of Nurse Practitioner. By helping patients to understand the balance of benefits and risks of treatment, nurse practitioners may be able to help improve adherence and thereby improve patient outcomes.The nurse practitioner may offer practical advice on the management of multiple therapies, such as creating a medication administration schedule tailored to suit individual lifestyles. In addition, the nurse practitioner can help to educate the patients about self-monitoring of symptoms, can help to determine whether any dosage adjustments or other changes in treatment are required and can collaborate with other healthcare professionals regarding socioeconomic needs of patients. For Mr. S first of all after he discharge from hospital he needs some place to live. It is not easy to be homeless with such a chronic condition. Chronic obstructive pulmonary disease (COPD) is the third leading cause of death and the fastest growing of the major causes of mortality in the United States. Patients with COPD may require long-term treatment and person in streets will not be able to follow the instructions of providers.
Nurse practitioner can collaborate with social worker and case manager to find a shelter for patient (low income shelters). Mr. S is unemployed so it is not easy for him to buy food and in this matter nurse practitioner can collaborate with social worker regarding food stamps arrangement to prevent malnutrition due to lack of adequate food resources and then can arrange oxygen therapy as he is not stable to discharge from hospital. It is clear that poor people face barriers in obtaining health care beyond simply their inability to afford it so nurse practitioner can help to arrange Medicaid for Mr. S. Medicaid is the largest source of financing for long-term care; elderly and disabled beneficiaries make up only 25 percent of Medicaid enrollees, but account for about 70 percent of spending.
Spencer, P., & Hanania, N. A. (2013). Optimizing safety of COPD treatments: role of the nurse practitioner. Journal of Multidisciplinary Healthcare, 6, 53–63. http://doi.org/10.2147/JMDH.S35711