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The Future is Bright for Medical Home: Prevention and ... - HRSA

The Future is Bright for Medical Home: Prevention and ... - HRSA

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Every Child, Youth, & Adult<br />

Benefits from a Proactive, Planned, <strong>and</strong> Coordinated <strong>Medical</strong> <strong>Home</strong><br />

• Jamie, an 11‐yo female, affected by Spina Bifida, arrives at<br />

pediatricians <strong>for</strong> a well child examination.<br />

examination<br />

• Special<strong>is</strong>ts—orthoped<strong>is</strong>t, urolog<strong>is</strong>t, <strong>and</strong> neurosurgeon<br />

• Jamie’s mother has two pressing concerns:<br />

1) JJamie i <strong>is</strong> i pubescent; b t will ill likely lik l begin b i menstruating t ti soon<br />

oHow to h<strong>and</strong>le th<strong>is</strong> event given Jamie’s catheterization program, (both<br />

at school <strong>and</strong> home).<br />

o Jamie’s Jamie s father has declared he does not want to be a part of Jamie Jamie’ss<br />

“home team” once menarche has occurred.<br />

2) Jamie endures teasing at school because her periodic urine leakage<br />

leaves an odor.<br />

o<strong>The</strong> office nurse finds that none of the recent special<strong>is</strong>t’s notes have<br />

arrived &<br />

o<strong>The</strong> PCP did not plan time to address these concerns today…

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