NR603: Advanced Clinical Diagnosis and Practice across the Lifespan
Week 4 reflection discussion by Dr. Wallace
a. Which diagnostic tests did you select for this client? Using the estimated national average cost for each diagnostic test from a website such as MD saveLinks to an external site., c...
NR603: Advanced Clinical Diagnosis and Practice across the Lifespan
Week 4 reflection discussion by Dr. Wallace
a. Which diagnostic tests did you select for this client? Using the estimated national
average cost for each diagnostic test from a website such as MD saveLinks to an
external site., calculate the total cost for diagnostic testing for this client if she
was uninsured and did not meet age requirements for Medicare. How might this
information change your decision to order diagnostic tests for the client? Would
lack of insurance change your management plan? Why or why not?
In this given scenario, the diagnostic tests that I chose were CBC, BNP, Chest X-
ray, ECG, TEE, and D-dimer. According to the national average, the total estimated cost
of these procedures would be $2,537 (MDsave, n.d.). If the patient was uninsured and did
not meet Medicare age requirements, she would be responsible for paying that amount
for the diagnostic tests. Based on this information, my decision regarding the ordered
diagnostic tests would change. Had this patient been uninsured or not met the Medicare
requirements, only the most pertinent diagnostic tests needed for a diagnosis would have
been ordered. When determining which diagnostic tests to order, it is also important to
consider the patient's symptoms being experienced by the patient as well as any risk
factors the patient may present with. Additionally, if the test is the only way to diagnose
the patient such as this patient in this scenario, then the only test that would need to be
ordered is a TEE, which is diagnostic for AS. The lack of insurance would also change
the management plan. I would need to take into consideration the safety and health of the
patient as well as what the patient's budget is. Assistance programs and discounts can be
offered to the patient for medications and office visits with specialists. Financial
assistance increases the detection and management of treatment-sensitive conditions,
which in turn leads to high-value care (Adams et al., 2022). For this reason, financial
assistance in healthcare is essential to promote the best quality of care.
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