We are pleased to present three case studies showing the previously posted “Three Phases Chart” below showing the different phases of care available free at Hotel Oakland Village: Independent Living (Phase 1), Assisted Living Level Care (Phase 2) and Skilled Nursing Level Care (Phase 3). These free medical and health services at Hotel Oakland Village allow residents to live independently with the support of the on-site medical professionals at Hong Fook and avoid costly Medicaid-funded nursing home costs that exceed $150,000 annually per person in the Bay Area.
Case Study 1: Phase 1, Independent Living:
Resident Ms. X is an 80-year-old woman who came to our Wellness Connection office to start her Health Plan after being diagnosed with Depression by her physician after losing her husband. This loss caused Mrs. X to stop eating, sleeping, feeling hopeless and isolating herself. Her isolation and depression began deteriorating her health. After I had a comprehensive talk with Mrs. X, we found an outlet for her to decrease loneliness through her wellness plan. She started by joining the Neighbors Helping Neighbors Group. Mrs. X’s mood and happiness increased over the months as she joined more groups to keep herself occupied such as the Participation = Good Health Group, Fall Prevention Group, Exercise Group, Gardening Group, and Healthy Eating Group. Mrs. X’s psychological and physical health improved exponentially and she commits her time to helping and motivating other residents by directing them to see me at the wellness office for consultation.
Case Study 2: Phase 2, Assisted Living Level Care:
Resident Mrs. Y is an 89-year-old woman. I noticed that she lost a lot of weight since our last consultation. I asked the resident about her appetite and weight loss and notified her daughter to further discuss the resident’s health status. I learned the resident’s weight loss was due to her declining appetite and poor meal preparation. Mrs. Y’s daughter stated that she had difficulty preparing meals and caring for Mrs. Y because she was occupied with her own medical issues. Her daughter was caught in caregiver role strain and burnout so I arranged for Mrs. Y to connect with our Nurse Navigator to assess her overall health. The Nurse Navigator found Mrs. Y’s Body Mass Index (BMI) dropped into the underweight range for her height and weight. The Nurse Navigator and I assessed Mrs. Y’s “health plan” and discussed how to improve her declining health. We both agreed it would be beneficial to Mrs. Y’s health and wellness to sign her up at Hong Fook Center so she could receive enhanced medical care. I also suggested she enroll in the Healthy Easting Group Education Program and other Health Groups. The Nurse Navigator and I introduced Mrs. Y to Hong Fook Center’s social worker to help enroll her. At Hong Fook Center, Mrs. Y was assessed by the nurses, therapists, and dietitian to help improve her nutrition and health status. She was provided nutritious hot meals and nutrition education at Hong Fook Center. Mrs. Y’s BMI is now in the normal range and expresses being healthier and happier while attending Hong Fook Center regularly. She now devotes time reading stories to the clients at Hong Fook Center. Her daughter expresses appreciation for “Hotel Oakland Village Health and Wellness Connection” program in helping her mother’s health status improve while decreasing her caregiver role-strain.
Case Study 3: Phase 3, Skilled Nursing Level Care, Community-Based Health Home (CBHH):
Mrs. W is a 76-year-old female with multiple chronic illnesses. She attends Hong Fook Center five times a week where she receives exercise, activities, and a hot meal while under the care of nurses, therapists, social workers, and aides. The interdisciplinary team and Nurse Navigator at Hong Fook Center discussed Mrs. W’s increasing decline in both her cognitive and physical functions due to her advancing Parkinson’s Disease and decided it would be beneficial for Mrs. W to be enrolled in CBHH to receive additional services outside Hong Fook Center’s walls. During the intake and assessment by the Nurse Navigator, Mrs. W stated she was having difficulty drinking and reported coughing after every sip of tea or water. The Nurse Navigator referred her to the Occupational Therapist at Hong Fook for a swallow evaluation. Mrs. W is now on a doctor-ordered thickened liquid diet and Mrs. W no longer has difficulty drinking. While in the CBHH program, the Nurse Navigator also attended doctor visits with Mrs. W and her family and also made home visits to her apartment. The doctor’s main concern is Deep Vein Thrombosis (DVT) prevention because Mrs. W has a history of DVT. While at the Center, the Nurse Navigator encourages Mrs. W to elevate her legs at least 30 minutes every day and receive Occupational and Physical Therapy exercises 2-3x/week at Hong Fook to promote circulation and muscle strength. Mrs. W lives with her husband and he is unable to fully care for her needs. The Nurse Navigator and Occupational Therapist helped Mrs. W obtain medical equipment (including a shower chair, raised toilet seat, bath mat and wheel chair seat belt). Her health has stabilized and she is able to continue to live independently with the help of Hong Fook, the Nurse Navigator and the Hong Fook medical staff. The Nurse Navigator’s care under the CBHH program has allowed Mrs. W to live a dignified, independent life, while at the same time saving Medical-funded nursing home care.