Assignment Task:
Background Information:
As an IH RN Care Manager in these scenarios, you have unlimited resources to help your patients. The sky's the limit! Here are sample resources available:
- Specialists available for consultation: Clinical Pharmacist, Dietician, Licensed Clinical Social Worker, Clinical Psychologist, MD/DO/NP/PA for complex clinical questions
- Other services available to these patients via IH:
- Expert Medical Opinion (an online expert "second" opinion to assist the member and their local care team in evaluating if they are on the right treatment path and/or answer specific questions the member has about their condition, diagnosis, treatment plan)
- Find a local high quality, in network physician, in network urgent cares/ERs, in network testing facilities/labs, in network behavioral health counselors/psychologists
- Other benefits provided by their employer (weight loss, diabetes/hypertension medication and treatment support, behavioral health support, employee assistance program (EAP) etc)
Clinical Questions:
1. SP is a 63 year old female with past medical history significant for knee osteoarthritis.
You have been working with her over the past few months as she prepares to undergo knee replacement surgery. You call to check in and she mentions she was recently in the ER.
a. What are your next best steps in conversation with this member?
b. She mentions that somebody in the ER told her she had high blood sugar. What are your next best steps for this member? Need Assignment Help?
2. AH is a 58 year old male with past medical history significant for:
- Coronary artery disease (CAD) with percutaneous intervention (PCI) on 9/10/2020 with one drug eluting stent
- Reduced ejection fraction heart failure (HFrEF)
- Overactive bladder
- Type 2 diabetes
- Depression
- Hyperlipidemia
2.
a. What are some questions you would like to ask this member during your first conversation with him?
b. Are there any IH services that could be helpful for him and why would these be helpful?