Which of the following clients would most benefit from the case manager model of nursing care?
1. A client diagnosed with end-stage renal failure
2. A client who has a chronic wound on the left foot
3. A client newly diagnosed with type 2 diabetes mellitus
4. A postoperative client who had a cholecystectomy (gallbladder removal)
ANS: 1
A case manager follows up with the client after discharge home. Case managers do not always provide direct care, but instead they work with and supervise the care delivered by other staff members. Case managers actively coordinate client discharge planning by identifying health care needs, determining the availability of services and resources, and assisting the client in choosing cost-efficient health care options. The client dealing with end-stage renal failure would most benefit from this model of care because the client's case is the most complex and will require ex-tension discharge support.
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