An elderly patient is covered under Medicare. She is scheduled for discharge and tells the nursing student that several therapists will come to her home to help her regain functional abilities
The patient then asks, "Why can't I just stay in the hospital and receive this type of care?" What is the nursing student's best response?
a. "You should be able to stay in the hospital. I will ask the nurse to call your doctor."
b. "Once you have reached your reimbursable length of stay and your condition is stable, it is more cost effective to provide you with home healthcare."
c. "Medicare is a type of managed care, which mean that you are only allowed to stay in the hospital for a certain number of days before being discharged, regardless of your condition."
d. "You should be glad to be in your own home. You will recover in no time."
B
Home healthcare services are provided to patients who still require skilled care but are discharged from the hospital because the reimbursable length-of-stay has expired. The patient is stable and can receive provider services at home. It would be incorrect and misleading to tell the patient she "should be able to stay in the hospital." It would be incorrect to tell the patient she is allowed only "a certain number of days before being discharged," because the patient's condition is a factor in determining whether the patient can be discharged from the hospital. Telling the patient that she should be glad to be going home is a form of closed communication and does not address her question.
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