Question

Case Study;

Mary Williams, a 67, made an appointment to see Dr. Jackson, an orthopedic surgeon, regarding arthritis in her left knee. It seems that the pain is increasing, and she is not ready to face a knee replacement at this time because she continues to work full-time as a high school art teacher. After making the appointment, the office receptionist instructed Ms. Williams to go to the official website to complete the patient history form prior to coming to the scheduled appointment. Mrs. Williams completed the form as instructed. On the day of the appointment, Mrs. Williams arrived about 20 minutes early to sign in, pay her copayment, and provide any other additional information. The medical assistant accomplished Mrs. Williams to the back office to obtain her weight, blood pressure, and temperature; she also asked her about her current medications and the reason for her visit. Upon completion, Mrs. William was directed to an examination room. After Dr. Jackson went over her medical history, recent radiology reports, and examined her knees, she determined that Mrs. Williams would be eligible for the replacement. Because Mrs. Williams stated that she was not interested in a knee replacement, Dr. Jackson suggested that she could receive an experimental gel injection into her knee to cushion her joints and give her about 12 months of pain relief. Dr. Jackson gave Mrs. Williams some pharmaceutical literature about the experimental gel injection. She also gave Mrs. Williams the informed consent document to read and sign if she was interested in trying the experimental gel injection. Dr. Jackson said that Mrs. Williams should read the information and schedule another appointment with the office nurse to discuss any concerns that she might have regarding the experimental gel injection prior to making the decision.

1. As a health navigation professional, what questions would you advise Ms. Williams to ask prior to making the decision to receive or not receive the experimental gel injection?

2. List at least three questions that Mrs. Williams should ask the office nurse during the appointment.

3. How would you advise Mrs. Williams to make the final decision?

Answer 1

ANSWER: AS A HEALTH NAVIGATION PROFESSIONAL I WOULD LIKE TO ADVICE MS. WILLIAMS TO ASK FOLLOWING QUESTIONS:

• what is the exactly experimental gel?
• what is its action of mechanism?
• what are the goals of this clinical try?
• who all are eligible for this experimental gel injection?
• what is protocol of this clinical trial and experimental gel injection?
• what are the risk of using experimental gel injection?
• when to notify or visit to a physician if adverse effects appear?
• will me safety, privacy, beliefs and values will be protected?
• what will be the regimen of this experimental gel injection? will it match my expectations?
• what all are the precautions I should take with this experimental gel injection?
• what will be the cost of this injection and it differs from others?
• what is there in informed consent?
• has this experimental gel injection is tested on someone before? If yes what was the result?
• is there any change in diet, exercise or daily schedule that I should take?
• If i will have further questions and queries to whom i should contact?
• when will i have to come for a follow up?