The medicine / surgery patients, as the hospital population, are culturally diverse. Medicine / surgery patients are adults ranging in age from 19 to 89 years of age. The patient population consists of the insured and uninsured. Many of the patients in medicine are the working poor with some middle class mixed in.
Lack Family Support: Patients often require assistance and or supervision at home.
Homeless: Most have no family support, no income, no jobs, often requiring wound care and placement in an assistant living facility, non-compliant with benefit applications, continuously causing multiple hospital admissions
Inpatient Hospice: Requires family meetings, assistance with decision making, withdrawal of care decisions, supportive counseling, grief/bereavement counseling and working with out side agencies.
Guardianship: Requires hours of investigation to locate family members if any, act as coordinator and facilitator of the guardianship process, work with hospital physicians, attorney and out side agencies, requires a court appearance. This process also requires placement either in assisted living, rehab or a skilled facility.
New Hemodialysis Patient: Requires family meetings, assisting patient/family with selecting an out patient dialysis center and faxing required medical information.
Illegal Immigrants: Patients do not have health insurance coverage, ineligible for most benefits and prescription plans, lack sufficient income, and no family support in the United States of America. Many require the above and placement.