— 照護管理 · MEDIUM · MCQ —
護理師應將哪位病人轉介給個案管理師進行出院準備服務？
Which client should the nurse refer to the case manager for discharge planning?
- AA client who needs a follow-up appointment in two weeks需要兩週後門診追蹤的病人
- BA client who is worried about the cost of his hospital stay擔心住院費用的病人
- CAn older adult who needs physical therapy and home health equipment✓ 正解需要物理治療和家庭健康照護設備的高齡成人
- DA client whose medication was changed by the physician藥物經醫師調整的病人
— Explanation · 中文詳解 —
個案管理師（Case Manager）的主要責任在於跨專業資源整合與出院計畫（Discharge Planning）。對於需要復健（Physical Therapy）與居家照護儀器（Home health equipment）的長者，涉及多項資源銜接與居家安全評估，這已超出單純病房護理師的衛教範疇，需要個案管理師進行整合，以確保出院後醫療連續性。
Complex discharge needs involving rehabilitation and home health equipment require the coordination skills of a case manager. This role ensures resource integration and continuity of care beyond the scope of routine bedside nursing or financial counseling.
✦ 台美臨床差異
在美國醫療體系中，個案管理師的角色非常關鍵，負責協調保險、出院後居家照護資源（如 Medicare/Medicaid 申請）。台灣醫院雖有個案管理師，但護理師的角色在資源協調上往往更為吃重。