Practice Quiz

Managed Care Nursing

Category - Patient Issues

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The MD has written an order for rehabilitation placement for the CMCN. The patient is a 72-year-old male admitted for dehydration 18 days ago with a primary diagnosis of stage IV adenocarcinoma.

The goal of rehabilitation is for strengthening toward self-management of ADLs and physical stability to begin immunotherapy.

Which of the following is the best action for the CMCN?
  1. Provide a county-by-county list to the family. Tell them to select one and let her know within 24 hours which facility they think is best for their family member.
  2. Consider the patient case complexity, determine family goals for location, and assist with possible options based on bed availability per patient needs.
  3. Encourage the family to visit the sites they may be interested in and report back which ones they are interested in order to check bed availability
  4. Call the centers you have colleague contacts with that usually have a bed and provide this scaled down list to the family.
Explanation
Answer: B- Consider the patient case complexity, determine family goals for location, and assist with possible options based on bed availability per patient needs.

The CMCN should remain an advocate for the patient and family. This includes being involved in the decision making with family goals. It also includes considering what he/she knows in addition to the patient and family needs. To have the patient decide on a placement for a loved one by looking at a list alone would be overwhelming. Driving around to find a location, that may not have a bed or be equipped to handle the patient case would be time consuming and possible deflating and frustrating for the family.
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