you couldn’t have stopped her from doing so if she insisted. But there were a number of red flags that indicated she wouldn’t be able to get the care she needed at home like her daughter’s pregnancy and her son’s alcoholism. Now Mrs. Snyder will have to be moved yet again to hospice care and as a case manager it’s important to limit the number of times a patient is moved. Transitions are stressful and expensive especially for patients who are terminally ill.

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