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Ebony is a 35 year old African American female with history of Type 1 diabetes.  Fifty percent of her left foot has been amputated due to complications from diabetes and she has been on dialysis for 3 years.  She is currently hospitalized for a continuous fever she has had for a week and uncontrolled glucose levels.  The doctors also noted an ulcer on her right foot.  The doctors are prescribing extended antibiotics for one month.  She is currently on family medical leave from her job of 14 years as an office manager.  She is insured through private insurance from her employer.  The patient currently lives alone in a local apartment complex and gets support (i.e. emotional, transportation, etc.) from her siblings who also live in the city.  The medical team is concerned about her ability to thrive living independently.  The team is recommending that she consider long term care options.

1. Which LTC provider would best address Ebony’s needs at this point in her life?  How will this LTC’s services address LTC’s needs?

2. What are the challenges that must be considered in placing Ebony in your selected LTC?  How can she and her family deal with those challenges?