The case manager works with a client who has type 2 diabetes and heart disease. In this role, which actions should the nurse take in managing the client's diseases? (Select all that apply.)
A) Provide weekly coaching sessions by telephone for blood glucose management.
B) Supervise cardiac stress tests in the exercise room of the local hospital.
C) Administer emergency insulin when the client arrives at the hospital in a diabetic coma.
D) Demonstrate use of a glucose meter to the client.
E) Review heart-healthy and diabetic-friendly food options with the client and his family.
Ans: A, D, E
Feedback:
Disease management often focuses on chronic illness such as heart disease, heart failure, diabetes, pulmonary disease, urinary incontinence, and asthma. In disease management programs, in addition to medications, there is strong emphasis on the use of telephone coaching, Internet resources, and intensive client and family teaching to advance self-care and adherence to wellness care. Recently, to help clients and families manage their health problems in an effective and efficient manner, there has been an effort to bundle disease states together in light of many comorbidity patterns. Supervising a cardiac stress test and administering emergency glucose are clinical interventions that go beyond basic disease management.
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