Goal: Display tactful behavior when communicating with providers when communicating with medical providers regarding third party requirements. Show sensitivity when communicating with patients regarding third party requirements. Scenario: Patients preauthorization was denied because a second opinion is required. You must explain to the provider new policies from the insurance company requires a second opinion before they will approve the procedure. You will explain to the patient the new policy of their insurance carrier requiring a second opinion for corroboration of medical necessity before the procedure will be approved.

Mr. edwards is 20-year-old male patient who is admitted for treatment of recurring pyelonephritis (kidney infection) and surgical treatment of a urinary stricture, which has decreased the urinary stream. mr. edwards has paraplegia; he is paralyzed from the waist down secondary to an automobile accident when he was 16. he came by ambulance to the hospital, leaving his wheelchair and wheelchair pressure- relieving cushion at home. according to the nursing history, the patient is a nonsmoker and he does not drink alcohol or take any illegal drugs. a. what nursing considerations should be made for mr. edwards related to his disability? b. what health promotion and prevention education does mr. edwards need?