Question

A case manager is reviewing the medical records of several clients. For which of the following clients should the nurse request an inter professional care conference?

A. A client who has diabetes mellitus and has had repeated hospitalizations for diabetic keto acidosis
B. A client who has alcohol use disorder and has decided to start attending AA meetings
C. A client who was admitted for dehydration and is receiving a continuous IV infusion
D. A client who has a history of two prior miscarriages and has ruptured membranes at 38 weeks of gestation

Answer 1

A case manager should request an interprofessional care conference for the client with diabetes mellitus who has frequent hospitalizations for DKA, as this indicates a need for a collaborative approach to manage the condition more effectively.

Step-by-step explanation:

The case manager should request an interprofessional care conference for Client A, who has diabetes mellitus and has had repeated hospitalizations for diabetic ketoacidosis (DKA). This client's recurrent DKA indicates that their diabetes management may be suboptimal, requiring a collaborative approach to address the patient's medical needs, education, dietary considerations, and possibly social support systems. Interprofessional care teams often include various healthcare providers such as certified diabetes educators, registered dieticians, primary care physicians, endocrinologists, and nurses. These professionals work together to optimize diabetes management and prevent further complications.

Clients B, C, and D, while requiring medical attention, may not necessarily need an interprofessional care conference at this point based on the information provided. Client B is making a positive step by attending AA meetings for alcohol use disorder, Client C is receiving treatment for dehydration, and Client D, with a history of miscarriages, has an acute obstetrical condition that would be managed by the obstetric care team.