RN Nursing · Case Management and Care Coordination · Practice question
Which patient would be most likely to benefit from a disease management approach within the context of case management?
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A client who has chronic obstructive pulmonary disease (COPD)
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A client who has been diagnosed with a postpartum hemorrhage (PPH)
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A client being treated for a transfusion reaction after receiving packed red blood cells
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A client who is being treated for a ruptured tympanic membrane
Answer & explanation
Correct: A client who has chronic obstructive pulmonary disease (COPD)
Disease management is a systematic, population-based approach designed to improve the health of individuals who have chronic, ongoing conditions that require long-term self-management and coordinated care. COPD is a chronic, progressive respiratory disease that fits precisely into this model because it requires continuous monitoring, patient education, medication adherence, and coordination across multiple providers over time. Disease management programs target specific chronic conditions to reduce complications and hospitalizations, making COPD the ideal candidate. Postpartum hemorrhage is an acute, episodic emergency that resolves with immediate intervention and does not require long-term disease management strategies. A transfusion reaction is similarly an acute event that is managed in the moment and does not persist as a chronic condition requiring ongoing population-level management. A ruptured tympanic membrane is typically an acute injury that heals with treatment and does not represent the kind of chronic, high-cost, recurring condition that disease management is designed to address. The defining feature that separates disease management from general case management is its focus on high-cost, high-prevalence chronic diseases in a defined population, making COPD the only option that aligns with that definition.
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