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NSG 440 Exam 3 topics 8-10 | Questions And Answers Latest {} A+ Graded | 100% Verified
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NSG 440 Exam 3 topics 8-10 | Questions And Answers Latest {} A+ Graded | 100% Verified
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NSG 440 Exam 3 topics 8-10 | Questions And Answers Latest {2024- 2025} A+Graded | 100% Verified
case management role - management and implementation of coordination of care for INDIVIDUAL
clients
what are primary drivers of prioritization in case management care - complexity
HIGH COST CHRONIC DISEASE
due to ___ and ___ case management is provided based on prioritization... - staffing; time constraints
case management assessment includes - case finding and eligibility determination
role of BROKER/facilitator - ensuring that required services meet insurance coverage and limits
Medicaid - Federal program that provides medical benefits for low-income persons.
Medicare - A federal program of health insurance for persons 65 years of age and older
medicare also covers - certain chronic conditions and disabilities
a care plan consists of - -individual
-multidisciplinary pt
life care planning is used for - CATASTROPHIC INJURY or malpractice
critical pathway and disease management protocols - management plans that display goals for patients
and provide the sequence and timing of actions necessary to achieve these goals with optimal efficiency
poor coordination of care may cause - fragmentation and duplication
, advocacy - promotion of pt rights and self determination
advocacy is related to - nursing process implementation
example of advocacy - case manager involving pt in their plan of care to elicit their input
Risk Mitigation Strategies - -document interdisciplinary communication
-confirm credentials and capabilities
-referrals
-inform pt of their rights
Referrals - vetting credentials and capabilities (making sure the person will be able to perform a
procedure. will insurance cover it?)
care coordination example - a pt at the community health center experienced unnecessary repeated
tests ordered by 3 different providers
documentation is - clear and concise interdisciplinary communication
documentation shows - -pt involvement
-rationale for decisions
-education (informing pts of their rights)
an occupational health nurse is responsible for - -health promotion and restoration
-prevention of illness and injury
-protection from ENVIRONMENTAL HAZARDS
examples of occupational health nurse role - -the nurse reviews pt's health record because he had been
in an accident
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