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Case Management BasicsPublic Health Nursing Population Centered Health Care in the Community

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What are some examples of conditions that are served by case management?
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AIDS Amputations Cerebrovascular accidents Chronic diseases/disabilities Coma High risk neonates multiple fractures Severe burns Severe head trauma Spinal cord injury Substance abuse Terminal illness Transplantation Ventilator dependency Work related injuries
What are the three essential skills to the role performance of case manager?
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Advocacy, conflict management and collaboration
What do case managers state that they are, "first and foremost?"
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Client advocates
__________ is an activity in which a third party attempts to provide assistance to those who may be experiencing conflict in obtaining what they desire.
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Mediating
What is the highest priority of a nurse advocate?
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The client's rights
What are the many roles a nurse can assume when acting as an advocate?
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Intercessor (intervening on behalf of a client) Mediator Promoter of client autonomy and self-determination
A _________ may be a client, family, peer, group or community. The goal of advocacy is to promote self-determination of it.
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Constituency
What are the components of the classic process of advocacy?
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Informing, Supporting and Affirming
What are the three subprocesses of information exchange?
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Amplifying, Clarifying and Verifying
___________ is the part of information exchange that occurs between the nurse and the client to assess the needs and demands that will eventually frame a client's decision.
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Amplifying
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What can aid in the amplifying stage of the information exchange process?
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Setting aside time necessary to listen Supporting/communicating self-determination Using encouraging non-verbal behaviors like eye contact, sitting at the same level, arriving and concluding on time Using verbal strategies like open-ended questions, statements, probes, reflection of feelings and paraphrasing
What should a nurse do if a client refuses to engage in the amplifying process of information exchange?
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Attempt to understand the client's desire to not exchange information and express the consequences of inaction, invite them to exchange information at a later time, when they are ready and check back with them periodically. DOCUMENT the nursing actions.
What factors may influence a client's desire to not engage in the amplifying phase of information exchange?
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Low self-esteem, fear of information or inability to comprehend the content communicated
_________ is the part of the information exchange process where the client and the nurse strive to understand meanings in a common way.
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Clarifying
_________ is the part of information exchange where the nurse advocates to establish accuracy and reality in the informing process.
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Verifying
What are the 6 ways a nurse can provide for information exchange with a client?
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1-Assess present understanding 2-provide correct information 3-Communicate within the client's literacy level 4-Use a variety of media and resources to increase comprehension 5-Discuss other factors that affect decisions such as legal, financial or ethical issues 6-Discuss possible consequences of decisions
___________ is the second step of advocacy and involves upholding the client's right to make a choice and act on it.
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Supporting
What is a dissenter?
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An individual who is aware of a client's decision and disapproves of it and does not support the client.
What is an obstructor?
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A person who knows a client's decision and causes difficulty when the client attempts to implement it.
What are important interventions for supporting a client when serving in the role of advocate?
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Assuring clients they have a right to make decisions and assuring them that they don't have to change a decision because of another's objections.
The third process of the Advocacy role is ________ which involves the belief that the client's decisions are in keeping with the client's values and goals.
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Affirming
  
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