For a 50-60 year old patient with a new cancer diagnosis planning for discharge, what should the NP do first?

In the process of planning for discharge for a patient within the 50-60 age range who has received a new cancer diagnosis, the first step should involve consulting case management. This is crucial as case managers play a key role in coordinating care transitions and ensuring that the appropriate support systems are in place for the patient's post-discharge needs.

Consulting case management enables the healthcare team to assess the patient’s needs holistically, address potential barriers to care, and identify available resources to assist the patient and their family. This can include arranging follow-up appointments, facilitating referrals to specialists, and ensuring that the patient has access to necessary medications and home care services.

While consulting the social worker and referring to oncology specialists are important components of comprehensive cancer care, they should occur after the initial groundwork laid by case management. Hospice care is not usually the first option for a new cancer diagnosis as it is typically considered for patients with a terminal prognosis and a focus on comfort care rather than curative treatment.