Nursing Case Management

As a Hospital Nurse Case Manager, what would you do if, in your professional judgment, if a patient should be discharged to a Nursing Home; but the patient and family were adamant about being discharge, because of their cultural values and beliefs?
What would you say to a family member who is first generation Ukrainian when they ask about their mother’s prognosis and diagnosis?
What is the role of an Ethics Committee in health care organizations? What steps would you take if you had an ethical dilemma in case managing a patient?
What are the components of ethical decision making in Case Management? How are they applied in the clinical setting with culturally diverse patients?

1. You are the CM in a managed long-term care program and have an orthodox Jewish patient who has end stage cardiac disease. Please describe how you would explain hospice care to the patient and their family.

2. You are the CM in a hospital and have an elderly, Asian patient requiring custodial care. Please describe how you would explain to the patient and their family this type of care provided in a LTC facility.