NURSI NG SCHOOL
Backing away from the bedside
Managed care was introduced into
the marketplace in 1992, and in 1995
it became integral to how UNC
Healthcare does business. "Part of the
focus of managed care has been to
move as many patients to outpatient as
possible," said Dianne Stimson, senior
vice president of the managed care
office at UNC Healthcare. The impact
on nurses has been two-fold, she said:
Managed care's existence created a
large number of nine-to-flve jobs for
nurses, in case management and
review; but it also left hospital nurses
to accomplish more in less time.
"That makes it far more stressful
for nurses than it used to be," Stimson
said. "It's true that hospitals have whole
departments now that manage cases,
but that began with Medicare. They
just grew larger with managed care.
21st-century bedside manner includes the ability to operate and monitor sophisticated lifelines.
"For me, breast cancer was a lot like being
pregnant. My treatments from start to finish
lasted about 9 months. I experienced nausea,
changes in my body, a wave of questions, and
many emotions. I am learning to accept that
cancer will be part of my family, but I am
thrilled to say that it has moved out.
. D and twins
d Ma~ Seam-aves witb their chIldren rew, Pete an . . 6'
Sarah and A Igad.
School of Medicine
The University of North Carolina
at Chapel Hill
Campus Box 7295
Chapel H ill, NC 27599-7295
The 'family' of physicians and staff at
Lineberger work together to provide patients
(and their support systems) the most
aggressive and effective approach they can to
beat cancer. The team at Lineberger gained
my trust and that of my family. We knew that
the road we were traveling was long, but it
was one that we all journeyed together. I am
grateful for the support and care that I
received from both of my families."
You too can join the Lineberger family by
making a gift to the Lineberger Comprehensive
Marc" / Apr i I 20 aa