Strategies for Effective Case Management in Chronic Care

Very Hard Management Of Care Case Management

A nurse is coordinating care for a client with multiple chronic conditions transitioning from acute care to home health. The nurse must ensure a collaborative approach involving various stakeholders to optimize resource utilization and achieve the best outcomes for the client. Which of the following strategies should the nurse consider implementing to effectively manage the care within this case management scenario?

Select all that apply:

Establish a multidisciplinary team including physicians, nurses, social workers, and dietitians.

Conduct a comprehensive discharge planning session with the client and family members.

Utilize a standardized assessment tool to evaluate the client's needs and resources.

Develop an individualized care plan that addresses the client's specific chronic conditions.

Implement regular follow-up appointments to monitor the client’s progress and adjust the care plan as needed.

Facilitate client education on medication management and lifestyle modifications.

Hint

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