Reference no: EM133636349

Problem

Isabella is a 4-year-old girl who showed signs of a viral illness that did not seem to get better for 2 days. Her mother, Sonia Ramirez, took her to a local walk-in clinic, where she was reassured that Isabella had a bad cold but would recover within a few days. The next day, however, Isabella was barely responsive and had numerous dark purple spots. Her mother rushed her to a local emergency department. Isabella was intubated and airlifted via helicopter to a major medical center, where she was diagnosed with meningococcemia, a life-threatening infection.

Isabella subsequently had bilateral amputations of her legs for gangrene secondary to poor perfusion. After a long hospitalization, she was transferred to a rehabilitation facility, where she was fitted with prosthetic legs. Sonia quit her job to stay with Isabella throughout her illness and recovery. When Sonia quit her job, her insurance benefits ended, and she could not afford to pay for continuing insurance coverage.

Question A. Describe Isabella's illness trajectory in terms of primary, secondary, tertiary, and subacute settings. What role did each of these play in Isabella's care?

Question B. Isabella's health care bills were enormous. What is the role of private insurance in paying these bills?

Question C. What is the role of public assistance in paying medical bills?

Question D. Do you think Sonia should have continued working through Isabella's illness to continue insurance coverage? Why or why not?

Question E. Consider the four types of nursing care delivery systems (team, primary, case management, and patient-centered care) from the viewpoint of the patient. If you were a patient, which system would you prefer? Why?