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If youre a hospital case manager with a catastrophically ill or injured patient, part of your job as advocate for the patient should be to find out who may be at risk financially for the patients care in addition to his or her health insurance coverage, says Joann C. Milne, RN, BSN, CRRN, PHN.
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When physicians write discharge orders for patients, they leave the arrangements for the case managers to make.
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The days are long past when there were few limits to what a hospital case manager could recommend for a patients discharge plan.
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Its no longer enough for case managers to know where patients are going after discharge. Now they have to know each patients benefits as soon after admission as possible and be aware of what the benefits will and wont cover.
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When a teen-ager came to Childrens Hospital Medical Center in Cincinnati with a sunburn-like rash, a life-threatening cause was identified by an emergency department (ED) nurse.
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Warfarin Effectively Prevents Venous Thromboembolism; Vitamin D Reduces Osteoporotic Fractures; Adefovir Effective for Hepatitis B Treatment; Ibuprofen/Aspirin Study Revisited; ACE Inhibitors Favored in Cardiovascular Care; Digoxin Dosing and Heart Failure
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For the past 20 years, hospices have operated under the Hospice Medicare Benefit model people get sick and exhaust their curative options, and a hospice is there waiting to take care of them. The future of hospice is shaping up to be quite different from a static point on a line that patients travel while moving from one provider type to the next.
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A culturally insensitive remark to the grandchild of a patient not only resulted in the home care nurse being thrown out of the home, but also resulted in a major change in the way the home care and hospice program of Catholic Health Service (CHS) of Long Island addressed cultural differences between patients and employees.
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This is the final installment of a series on understanding the family dynamic and addressing its challenges.