Case Study

You work for a marketing department in a hospital within a suburban location of a large metropolitan area. Though it neighbors million-dollar homes, the hospital’s mission includes providing care to underserved and indigent populations in the area.

A new primary care physician moved into the area and approached your hospital to partner with her as she begins a new practice in the community. Because the administration is always anxious to welcome new practitioners to the hospital, you agree to meet with the physician. During the meeting, the physician explains that she wants to establish the first concierge medical practice in the community. The physician plans to attract around 100 families to her practice, and she plans to charge from $300 to $1,000 per month, depending on the size of the family unit. (Note: A goal of 100 families may not be realistic; however, the number makes for easier calculations.)

The patients who join the concierge practice will receive access to the physician’s services 24 hours a day, 7 days a week, at an office located near the hospital. Families will receive preventive care services, and the physician will design wellness programs to encourage healthy lifestyles for her patients. The physician will use the hospital for all emergent care, day surgeries, rehabilitation, and in-patient care. The physician also plans to use nutritionists and the hospital’s fitness center facilities.

1. Discuss some of the goods or services that could be highlighted in a marketing campaign that involves a concierge practice of medicine.
2. What advantages do you think a concierge practice of medicine might contribute to the hospital’s offerings of products to the community?
3. Discuss some of the issues and challenges that may arise from the hospital sponsoring a concierge practice of medicine. 

By Tuesday, July 4, 2017, submit your report in a 2- to 3-page Microsoft Word document to the W4: Assignment 2 Dropbox. 

Save your document as SUO_HCM3006_W4_A2_LastName_FirstInitial.doc.

Past History
Kenneth Patterson is a 78 year old gentleman who was admitted to hospital following a fall at his home. X-Rays have

confirmed a fractured neck of femur. On admission to the Emergency Department, Kenneth revealed he had experienced

increasing levels of pain in his right hip recently, however had not seen a GP. Surgery has now been scheduled for a

Right Total Hip Replacement.
Medical History
Type II diabetes mellitus – On admission BGL – 15.2
Hypertension – On admission 170/85
Osteoarthritis
Ex-Smoker (Ceased 5 years ago)
Medications
Metformin – 500mg BD
Paracetamol Osteo – 665mg x 2 BD
Metroprolol – 50 mg BD
Ibuprofen – 400 mg TDS
Esomeprazole – 20 mg OD
Background Information
Kenneth has lived alone for the past two years following the death of his wife, Marie. He has three adult children who

are supportive, however they live with their families in the capital, five hours drive away. He does not recall what led

to his fall, and was lucky that his neighbour dropped in and found him in the bathroom and called an ambulance.

Your Task
You are to provide a comprehensive nursing care plan for Kenneth that demonstrates the critical reasoning cycle. Your

plan must be focused on the holistic nursing management of Kenneth and include the pre-operative care and education, as

well as the post-operative management.