NU433 Case Management Across the Continuum of Care

NU433: Unit 6 Assignment

Assignment Details

Legal and Ethical Case Study

Read the following case study scenario:


You are a Case Manager RN working in the Organ Transplantation department of a large university hospital in a metropolitan area. The job of the Case Manager RN is to manage the care of patients who are awaiting transplant. After transplantation, the Case Manager RN then assumes the role of assisting the patient in maintaining optimal health to ensure long term success and health with the newly transplanted organ. During both the pre-and post-transplant time the Case Manager RN will be assisting the patient in setting up appointments, managing medications, monitoring laboratory values, and often a variety of other duties will arise as well. The Case Manager RN is an integral part of the transplant team and has a vital role to ensure success.

In this situation, you are the Case Manager RN for a 35 y.o. male with Renal Failure caused by uncontrolled Type I Diabetes (T1D). Current medical history includes: renal failure, anxiety, depression, hyperglycemia, neuropathy, and renal dialysis three times a week. Social history includes: divorced, father of three children, unemployed, no current source of income, insurance has lapsed and has no coverage, living with his parents who are healthy and 60 and 65 y.o., children live primarily with their mother, and patient does not have his own form of transportation. The patient’s family has indicated they would like him to have a kidney transplant and they are willing to assist patient with managing his care after the transplantation. However, the patient has indicated he is “not sure” he wants a transplant and thinks it might be a “waste of a kidney” to use on him, because he “has no money” and “isn’t sure” he will be able to control his diabetes and follow postop instructions. As the RN, it is your job to assess this situation and give a recommendation to the nephrologist and the transplant surgeon since you are an expert in Case Management, and it will be your responsibility to assist this patient post-transplant in maintaining optimal health.

Consider the legal and ethical considerations regarding this recommendation. Also, make sure to consider your role as a patient advocate. 

For this Assignment contain the following:

  • Describe and Evaluate Legal Considerations/Implications
  • Compare/Contract/Critique the three models of Ethical Decision Making (ANA Code of Ethics pg. xxii – xxviii)
    • Jonsen’s “Four Boxes”
    • Ethical Principlism
    • An Ethic of Care
  • Describe and Evaluate Patient Advocacy appropriate to this Case Study/Scenario
  • Offer your recommendation for this patient: transplant or no transplant
  • Final Essay should be 5–6 pages in length (excluding title page/reference pages)
  • A minimum of 3–5 Scholarly References

Before finalizing your work, you should:

  • be sure to read the Assignment description carefully (as displayed above)
  • consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary;
  • utilize spelling and grammar check to minimize errors; and
  • review APA formatting and citation information found in the Writing Center, online, or elsewhere in the course.

Your writing Assignment should:

  • follow the conventions of Standard English (correct grammar, punctuation, etc.);
  • be well orderedlogical, and unified, as well as original and insightful;
  • display superior content, organization, style, and mechanics; and
  • use APA 6th edition format for organization, style, and crediting sources including:
    • properly formatted header
    • 12-point, double-spaced, Times New Roman font
    • use of in-text citations
    • title page and reference page
    • use of headings (if applicable)

Submit the Assignment to the unit Dropbox before midnight on the last day of the unit.

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