Practice Quiz

Managed Care Nursing

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A 72-year-old male lives alone. He has a diagnosis of dementia and uncontrolled diabetes. His daughter lives in the neighborhood and has found him unresponsive twice in the last 30 days. On both occasions, she has called 911 for assistance. Upon checking his vitals and blood sugar, EMS found his blood sugar level was 50 mg/dl. Glucagon was administered with positive results. No hospitalization was required for either episode.

Which of the following measures would be an appropriate immediate action to control health care and costs?
  1. Immediate education on diabetic emergencies to include obtaining a Glucagon prescription and training on usage
  2. Home health assessment and full-time private duty staff
  3. Admit patient to long-term care facility
  4. Inform daughter that she must move in with father or move him to her home.
Explanation
Answer: A- In order to control health care and costs with this patient with diabetes and dementia, immediate education on diabetes emergencies to include obtaining a glucagon prescription and training on usage would be an appropriate immediate action.

The next steps may include discussion and/or assessment of patient’s ability to self-care. This usually involves additional coordination and time.
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