Understanding Health Insurance: A Guide to Billing and Reimbursement
14th Edition
ISBN:9781337679480
Author:GREEN
Publisher:GREEN
Chapter4: Revenue Cycle Management
Section: Chapter Questions
Problem 8R
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Question

7

Patient Scenario
man, but then suddenly he became aggressive and would
just as soon hit or punch you as take your hand.
Mrs. Abigail Winthur is repeatedly asking the staff in your
nursing home not to encourage her husband to eat.
Mr. Winthur, age 88, has advanced Alzheimer disease. He
seems to enjoy eating and has no difficulty swallowing, but
Implications for Nursing Advocacy
How would you respond if you are Mr. Winthur's nurse? Talk
with your classmates and experienced nurses about these
questions:
an aide has to sit by Mr. Winthur and lift the spoon to his
mouth and place his cup in his hand. If you merely put the
tray in front of him, he will most likely not eat.
Mrs. Winthur reports that her husband would never want
to live the way he is now and she is sure that he would
refuse to eat if capable of doing so. She also states that
society is going to have to decide what to do about all the
people we are currently "warehousing." She seems to love
her husband, but she is very open about the horror of hav-
ing been his caregiver for 3 years. He was always a gentle
• If you elect to advocate for Mr. and Mrs. Winthur, what
practical steps can you take to ensure better health out-
comes?
• What is it reasonable to expect of a student nurse, a grad-
uate nurse, and an experienced nurse in this situation?
• What advocacy skills are needed to effectively respond to
this challenge?
Transcribed Image Text:Patient Scenario man, but then suddenly he became aggressive and would just as soon hit or punch you as take your hand. Mrs. Abigail Winthur is repeatedly asking the staff in your nursing home not to encourage her husband to eat. Mr. Winthur, age 88, has advanced Alzheimer disease. He seems to enjoy eating and has no difficulty swallowing, but Implications for Nursing Advocacy How would you respond if you are Mr. Winthur's nurse? Talk with your classmates and experienced nurses about these questions: an aide has to sit by Mr. Winthur and lift the spoon to his mouth and place his cup in his hand. If you merely put the tray in front of him, he will most likely not eat. Mrs. Winthur reports that her husband would never want to live the way he is now and she is sure that he would refuse to eat if capable of doing so. She also states that society is going to have to decide what to do about all the people we are currently "warehousing." She seems to love her husband, but she is very open about the horror of hav- ing been his caregiver for 3 years. He was always a gentle • If you elect to advocate for Mr. and Mrs. Winthur, what practical steps can you take to ensure better health out- comes? • What is it reasonable to expect of a student nurse, a grad- uate nurse, and an experienced nurse in this situation? • What advocacy skills are needed to effectively respond to this challenge?
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