A patient undergoing chemotherapy tells the nurse that his wife lost her job and now they do not have any health insurance. The patient has no way of paying for the treatments and tells the nurse that he is going home to die
Which of the following can the nurse do to help with this patient's crisis? 1. Ask the patient if the wife has been offered a continuation of health care benefits from her previous employer that would cover the costs of chemotherapy.
2. Find out if the chemotherapy can be billed at a later time, once the wife has other employment.
3. Contact the health care provider and document that the patient is unable to pay for ongoing treatment.
4. Suggest that the patient visit an emergency room for care because they cannot deny him treatment.
Ask the patient if the wife has been offered a continuation of health care benefits from her previous employer that would cover the costs of chemotherapy.
Rationale: The problem of lack of health insurance has initiated a crisis for the patient. Since the problem is already identified, the nurse and patient can move quickly into developing an initial plan of care that, in this case, would be for the patient to find out if his wife has been offered continuation of health care benefits from the previous employer. Postbilling for the chemotherapy is not an option. The nurse should not contact the health care provider and document that the patient is unable to pay for ongoing treatment. It would be inappropriate for the nurse to suggest that the patient go to an emergency room for care.
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