Category: Writing

1.            Discuss a case in which you felt your patient
advocate role was compromised by your gatekeeper role. How did you deal with
that? What actions did you find to work?
2.            Discuss a case in which you felt medical
necessity was misused. Explain the ethical decision-making process you pursued
to handle the issue.

1.            Discuss differences between a patient who is
terminally ill and one who is imminently dying. Would the case plans differ?
What are the ethical implications for the care of each patient?
2.            Discuss a case in which your gatekeeper role
was influenced by your patient advocate role.

1.            In your opinion, is there an ethical
difference between withholding and withdrawing life-sustaining treatment?
Describe cases from your own practice that are examples of these issues.
2.            Is withholding or withdrawing nutritional
support from a person ethically justifiable? When, if ever? What criteria could
be used? What about hydration?

1. What do ethics mean to you? What constitutes an ethical dilemma? What constitutes ethical case management practice?
2. Would Nancy Cruzan’s case be resolved differently today than in the 1980s? Why?
3. Recall and discuss an ethical dilemma that occurred with one of your cases.

You arrived at work one morning and found during report that
one of the patients you were case managing had been intubated despite the fact
that it was clear in the patient’s living will or advance directives that the
patient did not desire such intervention. What would you do? How would you go
about disclosing the situation to the patient’s healthcare proxy? What are the
legal implications of such an act?

You were preparing a patient’s discharge and suddenly you
got a call from the payor-based case manager denying the transfer of the
patient to a subacute care facility. How would you handle the situation?

Describe a risk management case you are aware of, whether
from published literature or from your own experience. What are the
circumstances that made the case a risk management one? Evaluate if the
situation meets negligence criteria. Why? Malpractice criteria. Why?

1.            Describe how the role of the case manager in
transitional and discharge planning impacts quality, safety, outcomes, and core
measures.
2.            Describe how the role of the case manager in
utilization review and management impacts quality, safety, outcomes, and core
measures