Case Management Case Study

Case Management

A nurse’s case-management activities often uncover general community deficiencies in quality and quantity of health services. When a lack of care or services is observed at individual and family intervention levels, the nurse can, through case management, intervene at the community level to make changes.

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George S. is an advanced-practice nurse who is working as a case manager for the pediatric asthmatic population. He is studying the use of service patterns among children with asthma. Nurse George would like to see whether the services offered for asthmatic children are being used and, if not, the reasons why they are underused.

Nurse George learns that many families without insurance are not using the free inhalers and spacers that the local Lion’s Lodge provides to children without insurance. In fact, the families do not know that this service exists. Nurse George makes it a priority to educate these families about this service so they can save money and still receive necessary medication for their children. Through school nurses, Nurse George identifies asthmatic students currently residing in the area who are eligible for free inhalers and spacers. He sends flyers to their homes to advertise the services provided by the Lion’s Lodge. Nurse George also visits physicians in the area who specialize in asthma. He educates the physicians and their staff about who is eligible for the free inhalers and spacers and provides details on how to access this service for current and new clients. One year later, Nurse George collects new utilization data and compares them to his original findings. He notes that there has been a 50 percent increase in families who receive inhalers and spacers from the Lion’s Lodge.


Which case-management strategy was used in this case study? Describe the strategy and how it was implemented.
Identify how Nurse George provided each of the core components of case management: assessment, planning, service coordination, referral, and monitoring.
Nurse George views the 50 percent increase in service as a measure of the success of his educational program. However, this increase in demand burdened the Lion’s Lodge because of a lack of available funding. Which conflict-management method should George use to collaborate with the Lion’s Lodge to solve this problem?

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