Community/Public Health Nursing 6th Edition by Mary Nies ,Melanie McEwen

Exercise 13

You are the gatekeeper, meeting with others in your community health organization to determine what services to provide to clients. You have $400,000 to divide among the needs. Who of the following clients will receive the required treatment Who will not
1. A child with broken leg needs physical therapy (estimated cost: $10,000).
2. A 55-year-old man requires knee replacement surgery and physical therapy (estimated cost: $40,000).
3. A 76-year-old woman requires hip replacement (estimated cost: $40,000).
4. A 32-year-old woman with leukemia requires a bone marrow transplant (estimated cost: $350,000).
5. The community clinic needs new equipment for laboratory tests (estimated cost: $60,000).
6. There is need for a new nurse who can act as a case manager for patients with complex diseases (estimated cost: $75,000 per year).
Questions to Consider
1. How does the American Nurses Association Code of Ethics apply to this case
2. What factors should be considered in the decision
3. How much does the cost of treatment affect the decision
4. How much does the age of the patient affect the decision
5. Is social justice a factor in the decision