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Mrs. C is a 72-year-old woman who had been coughing with an intermittent fever for six days when she came to her community emergency department
Mrs. C is a 72-year-old woman who had been coughing with an intermittent fever for six days when she came to her community emergency department (ED). Her past medical history was significant for active cigarette smoking, chronic obstructive pulmonary disease, hypertension, and coronary artery disease. Her medications at baseline included simvastatin, lisinopril, and an albuterol metered dose inhaler, and she managed daily self-care at her home. She had spent the past 2 days sitting on the couch. Mrs. C was anxious about going to the ED during the COVID-19 pandemic, but also worried she was too weak to get in and out of the shower alone. In the ED, her vital signs were HR= 101, BP= 146/85, RR= 20, T= 98.9F, O2 Sat= 93% on room air, 98% on 2 liters nasal cannula. Her chest X-ray was notable for a patchy infiltrate of her right lower lobe. A diagnostic nasopharyngeal molecular swab was sent for COVID-19 testing and results were pending. Hospital admission was advised. Mrs. C refused because she needed to take care of her dog at home. "I'm not staying in the hospital tonight," she told the ED nurse. Mrs. C had decision-making capacity and discussed the benefits and risks of leaving the ED with the provider. Task: As a hospital social worker, how would you handle this situation with Mrs. C? Since she is opting to leave the facility, what will be your next steps? Also, keep in mind that that patient has a right to self-determination if not ruled incompetent (NASW Code of Ethics). However, you can still take certain positions as a social worker
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