The nursing care that focuses on patient care along with the family needs, in the scope of a multidisciplinar… - AIIMS Bhopal NO - 2018 (Shift-1st)

AIIMS Bhopal NO - 2018 (Shift-1st)

Nursing Foundation

Medium

Appeared in: AIIMS Bhopal NO - 2018 (Shift-1st)

Explanation

Case management is a collaborative process that coordinates and links health care services for patients and their families across all levels of care.
It explicitly involves a multidisciplinary team to assess, plan, implement, coordinate, monitor, and evaluate services.
The model is patient- and family-centered, aiming to meet comprehensive health needs while ensuring quality and cost-effective outcomes.
A key function is to advocate for the patient and family, ensuring their needs and preferences are central to the care plan.

Option B: Patient navigation care primarily focuses on helping patients, especially from vulnerable populations, overcome barriers to accessing healthcare (e.g., financial, logistical, or communication barriers). It is less comprehensive than case management.
Option C: Primary care is the first point of contact for a patient's health needs and provides long-term, comprehensive care. While it involves coordination, it is a broader level of care, not a specific model focused on managing complex needs across a continuum with a dedicated case manager.
Option D: Team-based care is a general approach where multiple health professionals work together. It is a crucial component of case management but is not the name of the specific model described. Case management is a formal system that uses team-based care to achieve its goals.

Clinical Relevance

Nursing practice connection: Use the key finding related to Models of Nursing Care Delivery to guide bedside assessment, documentation, and the next nursing action.
Case management is vital for patients with chronic or complex conditions (e.g., diabetes, heart failure) who require services from multiple specialists and settings.
Nurses in case manager roles significantly impact healthcare efficiency by preventing unnecessary hospital readmissions, reducing length of stay, and optimizing the use of resources.
What if? If a patient's needs were limited to overcoming a single barrier, like lack of transport to a clinic, a patient navigator would be more appropriate than a full case management approach. Case management is reserved for more complex, long-term coordination needs.

How to Approach the Question

First, break down the question stem to identify the core elements of the care model being described: 1) focus on the patient, 2) inclusion of family needs, and 3) involvement of a multidisciplinary team.
Next, evaluate each option against these three core elements.
Recognize that 'Patient navigation' is more focused on overcoming barriers, not comprehensive care planning.
Understand that 'Primary care' is a level of the health system, not a specific coordination model.
Differentiate between 'Team-based care' (a general method) and 'Case management' (a specific, formalized system).
Conclude that 'Case management' is the only option that fully encompasses all the key elements described in the question: a formal process of coordinating care for a patient and family with a multidisciplinary team.

Concept Tested & Keywords

Concept Tested: Models of Nursing Care Delivery
Stem keywords: nursing care, patient care, family needs, multidisciplinary health care team
Lead-in keywords: is called
Negative lead-in flag: false

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