The nurse is working with a 20-year-old who is medically fragile. It is the policy of the clinic to only see patients from birth to 21 years of age
The nurse is responsible for assisting the individual and family to transition to adult health care. The nurse recognizes that the individual may face difficulties related to: Standard Text: Select all that apply. 1. No longer qualifying for the state's child health insurance program and becoming uninsured.
2. Wanting to start fresh with the new healthcare provider and refusing to allow transfer of their records to the new agency.
3. Adult clinics being unwilling to accept this chronically ill individual into their practice.
4. The parents choosing an adult clinic that is not the one the individual would like to attend.
5. Being unwilling to transition to the adult clinic due to the relationships they have with the pediatric clinic.
1,3,5
Rationale 1: Most states end their state insurance at the age of 21. Adults who are medically fragile are often unable to find an insurance carrier that will cover their health care needs.
Rationale 2: The individual and family will recognize that in order to get continuity of care, the new clinic will need information about past and current treatment.
Rationale 3: Many clinics are not accepting new patients or may accept new patients but are unwilling to accept a patient who is medically fragile.
Rationale 4: The parents and individual will usually decide together which adult clinic to attend.
Rationale 5: Patients and family members who have been attending a clinic for so many years are often reluctant to transition to another clinic.
Global Rationale:
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