The nurse is reviewing upcoming discharges. Which patient would a case manager be assigned to?
a. A 55-year-old woman post hysterectomy, who has adequate support from family
b. A 42-year-old man post appendectomy, who is able to change his own dressing
c. A 60-year-old man post sepsis, in need of nursing home placement
d. A 38-year-old woman, post shoulder re-pair, who needs to follow up with the or-thopedic surgeon
C
Case managers become involved when patients have complicated health care needs are receiving care that is expensive or are receiving care from multiple providers. The patient that is post sepsis is likely to be seeing a team of doctors and will need that care transferred over to the nursing home setting. The case manager can bridge that care so that the transition is smooth for the pa-tient. The other patients need minimal support and therefore would not qualify for case manage-ment.
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