Case management team assists patient and family in obtaining benefits
Case Management Monthly, December 1, 2010
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Case Management Monthly.
Mary, 86, is brought to the ED by Carmen, her daughter. She is confused and agitated with altered mental status. Subsequently, Mary goes into respiratory arrest. The attending physician diagnoses her with a cerebral vascular accident, atrial fibrillation with a rapid ventricular rate, and respiratory failure. The care team treats her with a ventilator and moves her to the ICU where she remains for many days.
While in the ICU, Mary remains on the ventilator and receives a tracheotomy. The care team diagnoses her with hypoxia and additionally finds an intraluminal tracheal mass and a compressive mediastinal mass in her chest that requires surgery.
The surgeon considers Mary as high risk for surgery, and the team decides to continue with empirical treatment.
This is an excerpt from a member only article. To read the article in its entirety, please login or subscribe to Case Management Monthly.
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