Abstract
This chapter will explore the behind-the-scenes activities of Case Management and Social Work professionals who interface daily with the Limb Service medical and nursing teams. The roles and activities of Case Manager Discharge Planners and Social Workers are described, followed by case-based studies which highlight the complexities of safe throughput and discharge planning for medically ill limb patients. Hospital and Health System Corporate initiatives which contribute to the limb service directly or which are common to all in-patient services are reviewed, with a view to establishing best-practice methodology for safe, effective, and ethical throughput enhancement. Lessons learned from the COVID-19 experience will be carried forward into the post-COVID era.
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Notes
- 1.
See S.K. Powell and H.H. Tahan, Case Management: A Practical Guide for Education and Practice, 4th ed., 2019, Wolters Kluwer, Chapter 1.
- 2.
See https://www.nurse.com/ce/beyond-the-basics-in-case-management accessed 2/5/2021 and https://lms.nurse.com/login.aspx, CE direct, Beyond the Basics in Case Management, Chapter 1.
- 3.
- 4.
https://www.decorm.com, accessed 2/3/2021. DECO Recovery Management assists hospitals by providing a full suite of eligibility management services and by guiding patients through the complex process of applying for federal, state, or local programs.
- 5.
A Place for Mom is a nationally based senior living referral agency that can assist patients and families in finding assisted living, memory care, residential care homes, and non-skilled home care. https://www.aplaceformom.com.
- 6.
Powell and Tahan, 286.
- 7.
For an exhaustive presentation of Principlism in Medical Ethics, please see Tom Beauchamp & and James Childress, Principles of Biomedical Ethics, 8th ed., 2019, Oxford University Press.
- 8.
Allen Roberts, Response to Sulmasy & Snyder, “Ethics and the legalization of physician-assisted suicide: an American College of Physicians position paper.” Annals of Internal Medicine 2018; 168(11):834.
- 9.
- 10.
T. Deperio and A. Roberts (unpublished data).
- 11.
See, for example, https://sunnybrook.ca/content/?page=discharge-planning-repatriation.
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Thalia Attinger, R.N., Heather Daniels, M.S.W., Teodora Deperio, R.N., Roberts, A.H. (2023). Case Management of the Complex Limb Salvage Admission. In: Attinger, C.E., Steinberg, J.S. (eds) Functional Limb Salvage. Springer, Cham. https://doi.org/10.1007/978-3-031-27725-2_3
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DOI: https://doi.org/10.1007/978-3-031-27725-2_3
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