Deliberately unfinished, NU433's Unit 8 draft opens an invented stroke patient's case with assessment, needs and goals, and maps only the acute and rehabilitation settings. Searches like "nu 433 unit 8 assignment example", "nu433 unit 8 sample" and "nu433 unit 8 example" land here.
Case Management Plan Draft on Hospital Day Three After a Stroke: Assessment Across Nine Domains, Two Settings Filled
[Student Name]
Purdue University Global
NU433: Case Management Across the Continuum of Care
Unit 8 Assignment
[Instructor Name]
[Date]
Composite patient written as a model document. This is a draft; open items are marked "Open item" and later settings are pending.
Why He Entered Case Management
A new stroke, loss of independent walking, aphasia, and a complex decision about post-acute care.
Assessment Across Nine Domains
Medical: left middle cerebral artery stroke; right-sided weakness; blood pressure controlled. Source: chart, neurology note.
Functional: needs moderate help to transfer and walk. Source: physical therapy evaluation.
Communication and cognition: expressive aphasia; understands simple yes-no questions reliably. Source: speech-language pathologist, with the patient.
Psychosocial: tearful when trying to speak; wife reports he was independent and proud. Source: wife, observation.
Caregiver capacity: wife, 68, had knee surgery last year; cannot lift him. Source: wife.
Home: bedroom upstairs; one bathroom upstairs. Source: wife, son.
Payer and benefits: Medicare Advantage plan. Open item: prior authorization for inpatient rehabilitation, submitted [date].
Health literacy: wife reads well; prefers written instructions. Source: wife.
Advance directives: none on file. Open item.
His own voice was sought through aphasia-friendly methods: yes-no questions, written choices and a picture board with the speech-language pathologist present. Much of the history comes from his wife. Each domain therefore records who reported the finding, so that later readers can see which facts came from him and which came from others.
Needs, Ranked by What Blocks the Next Transition
1. Authorization for inpatient rehabilitation, since without it the next setting cannot be arranged.
2. A safe home layout: the upstairs bedroom and bathroom.
3. Caregiver capacity: his wife cannot provide lifting help.
Goals, Written With Him
Acute stay: to stand at the bedside with help; he pointed to "stand" on the board when shown three choices. Rehabilitation: to walk to the bathroom with a device. His agreement was obtained with yes-no questions, repeated on two occasions.
Continuum Grid
Acute care: complete. Inpatient rehabilitation: planned, pending authorization; stroke rehabilitation guidance supports inpatient rehabilitation for patients who can take part in it (Winstein et al., 2016). Home health: pending. Outpatient therapy: pending. Community services: pending.
Questions for the Completed Plan
Authorization outcome; whether a first-floor bedroom can be set up; and whether his wife can be trained to assist with transfers. Each must be known before later settings can be planned (Case Management Society of America, 2022). The case manager will also ask the speech-language pathologist to repeat his goals with him before the plan is finalized, since his ability to take part may improve over the next week, and a plan made largely through his wife should be checked against his own wishes as soon as he can express them.
References
Case Management Society of America. (2022). Standards of practice for case management. Case Management Society of America.
Winstein, C. J., Stein, J., Arena, R., Bates, B., Cherney, L. R., Cramer, S. C., Deruyter, F., Eng, J. J., Fisher, B., Harvey, R. L., Lang, C. E., MacKay-Lyons, M., Ottenbacher, K. J., Pugh, S., Reeves, M. J., Richards, L. G., Stiers, W., & Zorowitz, R. D. (2016). Guidelines for adult stroke rehabilitation and recovery: A guideline for healthcare professionals from the American Heart Association/American Stroke Association. Stroke, 47(6), e98-e169. https://doi.org/10.1161/STR.0000000000000098
How this NU433 Unit 8 example is structured
Assessment is the heaviest part of the draft, as it should be at this stage. Each domain records what was found, who reported it and how it was checked, because much of the history comes from his wife and his own voice has to be sought through aphasia-friendly methods: yes-no questions, written choices and a picture board with the speech-language pathologist present. Needs follow from the table and are ranked by what blocks the next transition. Goals are written with him, not about him, and the draft says how his agreement was obtained. The payer section flags the Medicare Advantage plan's prior authorization for inpatient rehabilitation as the critical open item, with the date submitted. A closing list of questions for the completed plan states what must be known before the later settings can be planned: authorization outcome, home modification, and his wife's capacity.
Get an NU433 Unit 8 example written to your instructions
Along with the scenario from the Unit 8 prompt, send the rubric and any plan template your course provides; if the final plan comes later in the term, say so, and the draft will leave the right columns open for it. The model draft returns in 24-48h, the first one free, built on a composite client with bracketed values. The paper above is an original model document written by our desk, not a submitted student paper and not an official Purdue University Global document.
NU433 Unit 8 questions, answered
How complete should a case management plan draft be?
Complete in assessment and honest about the rest. A draft usually needs every assessment domain, stated needs and early goals, while later settings can stay open if the information does not exist yet. Label those parts as pending and list what would complete them. Filling gaps with guesses tends to cost more than leaving them visibly unfinished.
How does the plan record goals for a client with aphasia?
By showing how his agreement was obtained. The sample documents supported communication with the speech-language pathologist, with key words written out and his responses recorded as he gave them. Goals agreed only with a spouse can still appear, but should be labeled as such. Rubrics tend to credit the effort to reach the client directly.
Why does prior authorization matter this early?
Because many Medicare Advantage plans require it before inpatient rehabilitation or skilled nursing, and a denial or delay changes every later setting. Flagging it in the draft, with the submission date, shows the case manager is planning the transition rather than reacting to it. If your case uses traditional Medicare, the payer section will look different.