NSG 440 Exam 3 with 100% correct answers

case management role management and implementation of coordination of care for INDIVIDUAL clients what are primary drivers of prioritization in case management care complexity HIGH COST CHRONIC DISEASE Previous Play Next Rewind 10 seconds Move forward 10 seconds Unmute 0:00 / 0:15 Full screen Brainpower Read More due to ___ and ___ case management is provided based on prioritization... staffing; time constraints case management assessment includes case finding and eligibility determination role of BROKER/facilitator ensuring that required services meet insurance coverage and limits Medicaid Federal program that provides medical benefits for low-income persons. Medicare A federal program of health insurance for persons 65 years of age and older medicare also covers certain chronic conditions and disabilities a care plan consists of -individual -multidisciplinary pt life care planning is used for CATASTROPHIC INJURY or malpractice critical pathway and disease management protocols management plans that display goals for patients and provide the sequence and timing of actions necessary to achieve these goals with optimal efficiency poor coordination of care may cause fragmentation and duplication advocacy promotion of pt rights and self determination advocacy is related to nursing process implementation example of advocacy case manager involving pt in their plan of care to elicit their input Risk Mitigation Strategies -document interdisciplinary communication -confirm credentials and capabilities -referrals -inform pt of their rights Referrals vetting credentials and capabilities (making sure the person will be able to perform a procedure. will insurance cover it?) care coordination example a pt at the community health center experienced unnecessary repeated tests ordered by 3 different providers documentation is clear and concise interdisciplinary communication documentation shows -pt involvement -rationale for decisions -education (informing pts of their rights) an occupational health nurse is responsible for -health promotion and restoration -prevention of illness and injury -protection from ENVIRONMENTAL HAZARDS examples of occupational health nurse role -the nurse reviews pt's health record because he had been in an accident - the nurse makes weekly rounds at a pt's house to mitigate environmental hazards factors to consider with prioritization -history of injury -age -chronic illness -new employees primary role of a parish nurse to understand the spiritual dimension of care through multiple ways such as support groups parish nursing is affiliated with CHURCH OR RELIGIOUS ORGANIZATION role of hospice nurse -nursing care -coordination of care -education and support to individuals and their family/community roles of school nurse -mandatory reporting -triage students with injuries or illness -prompt notification to admin and parents of potential health concerns -community outreach examples of school nursing roles -nurse notified CPS when he suspects that a student has been physically abused -nurse triaged a student because she had a fever and a cough - nurse notified administration and parents at CSHS of a potential exposure to COVID - nurse participated in school's science expo as part of his community outreach characteristics of community nursing -autonomy -challenges -complexity -inc responsibility Benefits of Telehealth - monitoring - early detection - change in condition - system alerts example of telehealth being used pt with hx of keto acidosis is provided telehealth services to mitigate reoccurrence and monitor change in condition pts have rights such as -self determination -medical information -participation in plan of care self determination example refusal of tx medical information example records and dx example of pt rights pt no longer wants to receive chemo tx for his cancer