Geraldine Arriola-Olague

• Coordinated patient care plans, ensuring alignment with healthcare provider recommendations and patient needs.
• Conducted comprehensive assessments to identify medical, social, and environmental challenges affecting patients.
• Developed and implemented strategies for managing complex cases, enhancing continuity of care across services.
• Facilitated communication between multidisciplinary teams to optimize patient outcomes and service delivery.
• Advocated for patients' rights and access to necessary healthcare services, improving overall satisfaction rates.

BH

Case manager reviewed benefits of support from family, friends, providers and community for coping with mental illness. Case manager reviewed signs and symptoms of worsening perinatal or postpartum depression or other mental health symptoms.

Diabetes

Case manager educated member on diabetes in pregnancy. Educated her on the possible issues with the baby once born, infants born to diabetics at times have difficulty with their blood sugar and may need extra care/monitoring. Discussed other complications of diabetes, including large for gestational age, increased risk of preterm delivery, increased risk of miscarriage and still born. Reviewed kick count instructions.

Educated member on disease process/risks/complications of diabetes in pregnancy. Educated member that sugar enters the blood after eating foods that are made of carbohydrates. The job of insulin made by the body takes sugar from blood to the tissues and organs that need it, but during the pregnancy the body doesn’t use insulin correctly; sugar remains in the blood and cannot enter tissue/organs that need sugar, exercise, medicine or insulin injections help the body process sugar so it doesn’t remain the blood stream where it can cause harm to the body or baby.

Member has Hyperemesis.

Case Manager educated member on importance of following physician’s orders for antiemetics. Discussed importance of hydration and to continue to sip water during the day, even if vomiting. Water absorbs across the stomach wall, so this will help to maintain hydration. Advised member to go to ED or call provider if she is throwing up blood or vomiting more than 10 times a day. Also, if member is not urinating or having dark urine, she should seek medical care. Discussed importance of avoiding triggers of nausea, including smells and foods that cause nausea.

Multiples

Case manager discussed and educated member on preparation of delivery of multiples. Member plans to have a c-section/vaginal birth. Discussed risks of possibility of delivering baby A vaginal and possibly needing a c-section for baby B. Advised member that this is one of the risks with delivery of multiples when planning a vaginal birth.

Case manager educated member on possible complications of pregnancy related to multiples. Increased risk for preterm labor, preterm delivery as well as increased risk of GDM and preeclampsia. Increased risk Of c-section.

Placenta Previa

Case manager discussed with member the diagnosis of placenta previa and the importance of following provider instructions. Reviewed possible complications of placenta previa and risk of bleeding. Informed member that a large bleed could be life threating to herself and or the fetus. Advised member if provider wants to admit her it is important to comply. Discussed possibility of needing blood transfusion Discussed possibility of emergency c-section if unable to stop bleeding and this could result in premature delivery and infant in NICU. Advised member to seek emergency care if she begins bleeding.