I was assigned a patient with Type II diabetes who had recently stopped all his medications and opted to try diet only to control his blood sugar. Unfortunately, he did not follow through with diet and exercise changes and his A1C increased to 12% (well above target range of < 7%). Read more.

I took care of a 66 year old male who went to an ARC After Hours Clinic for abdominal pain, nausea, vomiting, and diarrhea and was then sent to the emergency room. The patient and his wife both felt overwhelmed and afraid. I visited with them and answered questions about the labs and tests done, which helped lower their fears.  Read more.

I met a patient for the first time during an appointment to evaluate his high blood pressure. I could tell from the look on his face and the sheer number of medication bags, bottles and papers that he needed guidance. Read More.

My story involves a patient who has diabetes and a limited income. His insulin, as prescribed, was too expensive. Read more.

The process of being discharged from a hospital can be a stressful and confusing time. Medications are changed, appointments are scheduled, and a large amount of medical education is provided while someone is busy preparing to return home. Read more.

My story begins with my assignment to work with a couple who both struggle with complicated chronic health problems, many of which are in the hands of specialists. Read more.

My patient was in a rehabilitation facility after a hip fracture he sustained after a fall. Read more.

My success story is about patient medication management and education. My patient has cognitive deficits and has difficulty remembering to take all her daily medications at the correct times. Read more.

My story is one of education and support. When I met my patient, he had been recently hospitalized for uncontrolled diabetes, and was experiencing anxiety with chest pain. He would require lots of teaching about diabetic dietary recommendations. Read more.

My success story is one of medication compliance that developed through both trust and communication. I met my patient early on in my journey as a Nurse Navigator and knew from the start that it was going to be a challenge to build a relationship with her. Read more.

My story is about reducing hospital stays through enhanced care coordination in a patient with chronic illness. When I first met my patient, he had been recently discharged from the hospital. I noted that he had several recent hospitalizations for Congestive Heart Failure (CHF) symptoms within less than 30 days. Read more.

This patient’s story is close to my heart because of my hospice background. The patient and her family had been told numerous times by the pulmonologist that there was nothing more that could be done medically for her. The patient was chair/bed bound with little quality of life. Read more

My story’s focus is on care coordination and medication management. The patient’s husband called because his wife was not feeling well and felt weak after we had seen her recently in the clinic. Through careful medication reconciliation we discovered she was taking a lower dose of diuretics than the provider prescribed and had stopped taking one of her other medications. Read more

My story is about care coordination for a patient with chronic pain and several other health conditions. She had recently been in the ICU for 2 weeks for an infection and repeat trips to the emergency room. Read more

My success story is about care coordination and motivation. My patient was referred to ACCC by Dr. Jadhav. She has a condition that gives her frequent diarrhea, nausea, vomiting. She has been hospitalized multiple times this year. She was in the ICU once as well. Read more

My story is about careful post hospital discharge follow-up. When I first met him he was fluid overloaded, 30 pounds overweight, had a diabetic foot wound, and needed some extra support in self-management of diabetes. His inconsistency in taking his medications and eating properly had gotten him in trouble. Read more

My story highlights care coordination in patient with several complex medical conditions. My patient has cerebral palsy, epilepsy, history of brain injury at birth, and history of stroke as a child. After a recent hospitalization he began experiencing some alarming weight loss and deconditioning. Read more

My story is one of care coordination. My patient has multiple chronic illnesses. Last year he started having problems with memory, hallucinations, and headaches, which were quickly worsening. I was able to get him established with a specialist for vascular dementia. Read more