A client who is recovering from coronary bypass surgery is placed on a critical pathway for extended care. Which client statement indicates appropriate understanding of the plan of care?
A) "I cannot alter the critical pathway plan."
B) "The chosen critical pathway can be altered to meet my needs."
C) "My insurance plan can deny payment if I do not meet goals."
D) "I must be able to meet goals that are set for me."
Answer: B
Care maps, or critical pathways, are flexible enough to be adjusted and tailored to the client's needs and wishes. The client is included in the discussion of meeting goals. It is possible to have variances in a critical pathway that, if documented properly, should be paid for by insurance. The case manager monitors and works with the client to alter the pathway as needed during the recovery process.
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