client care plans

38442In 250 words, discuss the treatment goals and objectives you would propose to help with each client’s distress level, including details about motivation.
In an additional 250 words, discuss how you would create a plan to keep these clients safe.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center

Vignette 1.
The patient, Lucinda, is a 37-year-old overweight Mexican-American female referred for integrated case management by insurance reviewers speciically looking for patients who use many health services. She came to their atention because a request was being made for approval to remove a gangrenous toe. Lucinda has had numerous procedures, hospitaliza-tions, and emergency room visits in the past 2 years. During the past 12 months, she has illed 32 prescriptions for eight diferent medications from six independent physicians, one of whom is a diabetic specialist, one a psychiatrist (for diazepam), and one a surgeon (for a pain medication). Three prescribers are primary care physicians. Lucinda has four other physicians who have submited medical charges for her care in the past year. Her last ad-mission was 2 weeks earlier for 2 days and she has been to the emergency room three times in the last month. During her hospitalization, At that time, she had blood sugar levels of 400, a gangrenous toe, and a fever of 104 degrees Fahrenheit. Her last HbA1c was 9.2