What should a case manager do first for a client with alcohol use disorder and cirrhosis?

In the context of managing a client with alcohol use disorder and cirrhosis, arranging for a home health nurse visit is a critical first step. This approach ensures that the client receives immediate medical attention and monitoring, which is essential given the severity of their condition. A home health nurse can evaluate the client's health status, provide care tailored to managing cirrhosis, and offer support for withdrawal symptoms related to alcohol use. This direct healthcare intervention is vital, as cirrhosis can lead to serious complications that require professional oversight.

Implementing home safety measures or providing information on self-help groups, while important, may not address the immediate health risks associated with cirrhosis. Securing financial assistance can also be relevant, but addressing the client's health needs must take precedence. Understanding the urgent nature of medical oversight in patients with cirrhosis underscores why facilitating a home health nurse visit is the appropriate initial action.