Case management problems and home care.

The author summarizes a review of the case management problems encountered at the Visiting Nurse Service of New York, the largest certified provider of home care services to people with AIDS in the world. Case management problems can be divided into four general categories: client/significant others, housing/community, support services, and nurses' needs. Concrete solutions to these problems are discussed. As the number of people with AIDS increases, more home care agencies and discharge planners will need to consider these issues when planning care in the community.