Case Management

Case management team assists patient and family in obtaining benefits

Case Management Monthly, December 1, 2010

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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.  

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