NR603: Advanced Clinical Diagnosis and Practice across the Lifespan Week 4 reflection discussion by Dr. Wallace

NR603: Advanced Clinical Diagnosis and Practice across the Lifespan Week 4 reflection discussion by Dr. Wallace a. Which diagnostic tests did you select for this client? Using the estimated national average cost for each diagnostic test from a website such as MD saveLinks to an external site., calculate the total cost for diagnostic testing for this client if she was uninsured and did not meet age requirements for Medicare. How might this information change your decision to order diagnostic tests for the client? Would lack of insurance change your management plan? Why or why not? In this given scenario, the diagnostic tests that I chose were CBC, BNP, Chest X- ray, ECG, TEE, and D-dimer. According to the national average, the total estimated cost of these procedures would be $2,537 (MDsave, n.d.). If the patient was uninsured and did not meet Medicare age requirements, she would be responsible for paying that amount for the diagnostic tests. Based on this information, my decision regarding the ordered diagnostic tests would change. Had this patient been uninsured or not met the Medicare requirements, only the most pertinent diagnostic tests needed for a diagnosis would have been ordered. When determining which diagnostic tests to order, it is also important to consider the patient's symptoms being experienced by the patient as well as any risk factors the patient may present with. Additionally, if the test is the only way to diagnose the patient such as this patient in this scenario, then the only test that would need to be ordered is a TEE, which is diagnostic for AS. The lack of insurance would also change the management plan. I would need to take into consideration the safety and health of the patient as well as what the patient's budget is. Assistance programs and discounts can be offered to the patient for medications and office visits with specialists. Financial assistance increases the detection and management of treatment-sensitive conditions, which in turn leads to high-value care (Adams et al., 2022). For this reason, financial assistance in healthcare is essential to promote the best quality of care. a. The client in this encounter would likely benefit from community and healthcare support services. Which services might you recommend? What is available in your community? What is the process of referral in your area? There are a variety of resources available in my community that the patient will find beneficial. These include community health clinics that offer visits at a low cost or even free-of- charge basis, which are known as free clinics. There are social services available that will help address issues such as transportation, housing, and evening financial assistance. Mental health services are also available in the Detroit community. This offers mental health services, counseling, and support groups. The services I would recommend for this patient would be social services and case management, as this