For case management to be most effective, who should be ...

[corkyiscool3328]

For case management to be most effective, who should be recognized as the most appropriate case manager?
 
  a. Nurse
  b. Panel of experts
  c. Multidisciplinary team
  d. Insurance company

Question 2

An adolescent with long-term, complex health care needs will soon be discharged from the hospital. The nurse case manager has been assigned to the teen and family. The adolescent's care involves physical therapy, occupational therapy, and speech therapy i
 
  in addition to medical and nursing care. Who should be the decision maker in the adolescent's care?
  a. Adolescent
  b. Nurse case manager
  c. Adolescent and family
  d. Multidisciplinary health care team

[jackie]

Answer to Question 1

ANS: A
Nursing case managers are ideally suited to provide the care coordination necessary. Care coordination is most effective if a single person works with the family to accomplish the many tasks and responsibilities that are necessary. The family retains the role as primary decision maker. Most likely the insurance company will have a case manager focusing on the financial aspects of care. This does not include coordination of care to assist the family.

Answer to Question 2

ANS: C
The extent to which children are involved in their own care and decision making depends on many factors, including the child's developmental age, level of interest, physical ability, and parental support. If the adolescent is developmentally age appropriate, then decision making should be the responsibility of child and family. Family needs to be involved because they will be caring for the adolescent in the home. Health care providers have necessary input into the care of the child, but ultimate decision making rests with the adolescent and family.