Every setting from rehabilitation discharge to community support is mapped with services, owners, payers, handoffs and contingencies in this NU433 Unit 9 continuum of care plan for one composite client. Searches like "nu 433 unit 9 assignment example", "nu433 unit 9 sample" and "nu433 unit 9 example" land here.
Every Column Filled: A Continuum of Care Plan for a Stroke Survivor Leaving Inpatient Rehabilitation
[Student Name]
Purdue University Global
NU433: Case Management Across the Continuum of Care
Unit 9 Assignment
[Instructor Name]
[Date]
Composite patient written as a model document. Dates and durations are bracketed.
What Changed Since the Draft
Inpatient rehabilitation was authorized after one peer-to-peer review. His son set up a first-floor bedroom. His wife completed caregiver training and was cleared to help with transfers. He now answers most yes-no questions reliably and chose his own outpatient goals with the speech-language pathologist.
The Grid
Acute care: complete; summary sent to rehabilitation on transfer.
Inpatient rehabilitation: 19 days; discharge summary and therapy notes sent to the home health agency before he arrives home. Payer: Medicare Advantage, authorized. Fallback: if home health cannot start within 48 hours, the unit holds discharge one day.
Home health, [four] weeks: nursing, physical and occupational therapy. Owner: agency RN case manager. Start: day after discharge. Payer: Medicare Advantage.
Outpatient speech and physical therapy: start after home health ends. Owner: outpatient clinic. Fallback: telehealth speech sessions if transport fails.
Primary care: visit within [seven] days. Owner: practice RN. Handoff: rehabilitation summary and medication list.
Neurology: visit at [six weeks]. Owner: neurology scheduler.
Community services: stroke support group; [four] hours a week of respite through the Area Agency on Aging; a driving evaluation before he drives again. Owner: social worker.
Every setting has a fallback, because a plan that assumes each handoff will work is a plan for the best case only.
Why This Order
Home health comes first because he still needs skilled therapy and his home needs checking with him in it. Outpatient therapy follows when he can leave home safely. Primary care anchors the medical follow-up; neurology checks secondary prevention. Community services support his wife, whose capacity is the plan's thinnest point. Stroke rehabilitation guidance supports continued therapy after discharge and attention to caregiver training (Winstein et al., 2016).
Measures
Functional: walking distance and transfer independence at 30 and 90 days, from therapy notes. Clinical: blood pressure at goal and no readmission at 30 and 90 days. Experience: his own rating of his speech progress, and his wife's caregiver strain on the short Zarit interview at 90 days (Bédard et al., 2001).
Closure
Case management ends at 90 days if goals are met and no readmission has occurred. The primary care practice's ambulatory case manager then holds the case, with a written handoff (Case Management Society of America, 2022). The handoff names the open items at closure, such as the driving evaluation result, so nothing is assumed complete.
References
Bédard, M., Molloy, D. W., Squire, L., Dubois, S., Lever, J. A., & O'Donnell, M. (2001). The Zarit Burden Interview: A new short version and screening version. The Gerontologist, 41(5), 652-657. https://doi.org/10.1093/geront/41.5.652
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 9 example is structured
The grid carries the plan, and the prose around it explains decisions rather than repeating cells. An opening summary restates the client, the goals agreed with him and his wife, and what changed since the draft: authorization approved after one peer-to-peer review, a first-floor bedroom set up by his son, and his wife cleared to assist with transfers after caregiver training. Each setting then receives a short paragraph on why it follows the last and what the handoff must contain. Contingencies are specific: if home health cannot start within 48 hours of discharge, the rehabilitation unit holds the discharge a day; if outpatient speech therapy transport fails, a telehealth option is named. Measures follow, functional, clinical and experience, each with a source and time point. The closure plan states when case management ends and who holds the case after.
Get an NU433 Unit 9 example written to your instructions
An existing Unit 8 draft is worth including with the Unit 9 instructions and rubric, since the model then carries forward the same client and structure; without one, the case alone is enough. Every setting is mapped with owners, payers, handoffs and fallbacks, and the finished plan is returned within 24-48h. Free for a first-time request. 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 9 questions, answered
How many settings should a continuum of care plan cover?
Every setting the client is likely to pass through, from the current one to the point where case management closes. For a stroke survivor that often means acute care, rehabilitation, home health, outpatient therapy, primary and specialty care, and community services. Stopping at the hospital door leaves out most of what this assignment tests.
What is a contingency in a care plan?
A stated fallback for the point where a setting is most likely to fail, with the person who triggers it. Transport, authorization, caregiver capacity and a delayed agency start are the usual weak points. The sample writes one contingency per setting, such as a telehealth option if rides to speech therapy fall through.
Which outcome measures fit a continuum plan?
A mix of functional, clinical and experience measures, each with a time point. Section GG self-care and mobility items are used across rehabilitation and home health, readmission within 30 days is a common clinical measure, and a caregiver strain scale captures the household. Choose measures the settings in your plan actually collect, so the data would exist.