CMSA Today - Issue 7, 2016 - 28

Patient Perspective Diversity of Role Reversal: When the Case Manager Becomes the Patient BY WENDY DE VREUGD, RN, BSN, PHN, FNP, CCDS, MBA; ANNE LLEWELLYN, RN-BC, MS, BHSA, CCM, CRRN; MARGARET (PEGGY) LEONARD, MS, RN-BC, FNP I n keeping with the theme of this issue, Diversity in Healthcare, we share three stories that explain the role reversal when the case manager becomes the patient. The stories that follow are from three case management leaders who had major ANNE LLEWELLYN, RN-BC, MS, BHSA, CCM, CRRN O ver my 28 years as a nurse case manager, I have been privileged to work with patients, their families and the providers who cared for them as they transitioned through the broad healthcare system. I also worked closely with their payer case manager to ensure care was evidencebased and was meeting the individual needs of each patient. I kept all who were involved updated and worked closely with the team to ensure the patient was progressing. My role was to effect change and to educate and empower patients so they were actively 28 CMSA TODAY healthcare challenges in 2015. Each contributor shares her experiences and take-away messages that have allowed her to view the healthcare experience with a renewed vision. It is their hope that their experiences inspire you to look at your role as a case manager and how you are working to meet the needs of the patients who transition though your setting. They hope that their stories will impress upon you to realize the critical role you play in helping each patient and caregiver have a sensitive and caring healthcare experience. involved in their care and had their voices heard. When problems were identified, I notified the team and shared information so the patient could be re-evaluated and the plan of care reorganized to meet new needs. As a professional case manager, I used my clinical expertise to coordinate care with the team and my knowledge of community resources to meet the individual needs of each patient. As my patient's advocate, I was there to make sure they had a voice in their care and received the best care to meet their needs. I was a good case manager and proud of my work over the years. I had always thought that if I ever became sick, I would have a case manager like me. On Nov. 24, 2014, I was thrust into the complex work of healthcare after being diagnosed with a Central Nervous System Lymphoma. All of my training, expertise and expectations went out the window as I listened to the doctor tell me and my husband what was going to happen. I don't recall much of the next few weeks, but over time, the blanks have been filled in by my husband and friends who became my advocates. The day I was admitted, my husband called my good friend and longtime case management colleague, Marilyn Van Houten. Marilyn immediately took on the role of being my case manager and helped my husband understand what was going on and made some suggestions that helped him cope with a sick wife and a complex and scary healthcare system. The hospital I was in was a small community hospital; Marilyn and my husband knew that my condition was way too complex for this setting and thought I would fare better in a teaching academic medical center. Marilyn took to the phones, used her connections and got me an appointment with a neurosurgeon Issue 7 * 2016 * DIGITAL "I was a good case manager and proud of my work over the years. I had always thought that if I ever became sick, I would have a case manager like me."

Table of Contents for the Digital Edition of CMSA Today - Issue 7, 2016

PRESIDENT’S LETTER
ASSOCIATION NEWS
CMSA CORPORATE PARTNERS
Are You Culturally Competent?
Return to Culture – Return to Healing
Appalachian Culture: A Guide for Case Managers
Professional Case Management’s Ethical Quartet for 2017: Part 1, Workplace Bullying and End of Life Care
Diversity of Role Reversal: When the Case Manager Becomes the Patient
INDEX OF ADVERTISERS
CMSA Today - Issue 7, 2016 - cover1
CMSA Today - Issue 7, 2016 - cover2
CMSA Today - Issue 7, 2016 - 3
CMSA Today - Issue 7, 2016 - 4
CMSA Today - Issue 7, 2016 - 5
CMSA Today - Issue 7, 2016 - PRESIDENT’S LETTER
CMSA Today - Issue 7, 2016 - 7
CMSA Today - Issue 7, 2016 - 8
CMSA Today - Issue 7, 2016 - 9
CMSA Today - Issue 7, 2016 - ASSOCIATION NEWS
CMSA Today - Issue 7, 2016 - 11
CMSA Today - Issue 7, 2016 - CMSA CORPORATE PARTNERS
CMSA Today - Issue 7, 2016 - 13
CMSA Today - Issue 7, 2016 - Are You Culturally Competent?
CMSA Today - Issue 7, 2016 - 15
CMSA Today - Issue 7, 2016 - Return to Culture – Return to Healing
CMSA Today - Issue 7, 2016 - 17
CMSA Today - Issue 7, 2016 - 18
CMSA Today - Issue 7, 2016 - 19
CMSA Today - Issue 7, 2016 - Appalachian Culture: A Guide for Case Managers
CMSA Today - Issue 7, 2016 - 21
CMSA Today - Issue 7, 2016 - 22
CMSA Today - Issue 7, 2016 - Professional Case Management’s Ethical Quartet for 2017: Part 1, Workplace Bullying and End of Life Care
CMSA Today - Issue 7, 2016 - 24
CMSA Today - Issue 7, 2016 - 25
CMSA Today - Issue 7, 2016 - 26
CMSA Today - Issue 7, 2016 - 27
CMSA Today - Issue 7, 2016 - Diversity of Role Reversal: When the Case Manager Becomes the Patient
CMSA Today - Issue 7, 2016 - 29
CMSA Today - Issue 7, 2016 - 30
CMSA Today - Issue 7, 2016 - 31
CMSA Today - Issue 7, 2016 - 32
CMSA Today - Issue 7, 2016 - 33
CMSA Today - Issue 7, 2016 - INDEX OF ADVERTISERS
CMSA Today - Issue 7, 2016 - cover3
CMSA Today - Issue 7, 2016 - cover4
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http://www.nxtbook.com/nxtbooks/naylor/CMSQ1112
http://www.nxtbook.com/nxtbooks/naylor/CMSQ0411
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http://www.nxtbook.com/nxtbooks/naylor/CMSQ0111
http://www.nxtbook.com/nxtbooks/naylor/CMSQ1111
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