...Association By: Banner, Kathy Hardin,phillip Voulume 62/ Issue 7 07/2008 . The best strategy to improve patient intake efficiency, that I didn’t see covered in the weekly reading Medical Insurance is moving more to an electronically base intake, and be sure your team have back up in place, and understand what the process entails, so that the work flow can go smoothly. As we know, when it comes to a Medical office, things can sometimes go wrong, at some point. To improve this process can also mean, keeping a checklist close by, for every patient, that way it helps you to make an accurate the patient intake is the basic process of gathering and retrieving information on new or returning patients. As we all know this process can be different within other facilities, but yet still similar, and can consume a lot of the registration representative’s time. During that process the registrar has the patient look over all demographic information to make sure everything is accurate, if not this would be the time to update any new information. Along with all the medical information, I feel if the process changes up a little by having patients discuss their updates versus put them on paper then, the staff having to transmit the information from paper to electronically would save a great deal of time, However the smaller the practice, the more time consuming this process can be, because there may not be registration staff on the premises, which would leave the clerical and nursing...
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...Models and Frameworks: A care plan for Mrs Ashton. The following essay will outline and describe the assessment, care plans and evaluation for an adult patient using Orem’s model of nursing. The patient’s name has been changed in order to protect her right to confidentiality which is a requirement of the NMC code of conduct (NMC 2008). Mrs Ashton is 71 years old and she was admitted to hospital following an episode of severe shortness of breath. She suffers from Asthma and has a history of recurrent chest infections and bouts of bronchitis, which she takes antibiotics for in the winter. She takes Salbutamol 100mgs three times a day. However, over the last week she has been feeling very tired and reports an inability to sleep because of the tightness in her chest, coughing up sputum and wheezing. She has lost her appetite and is unable to carry out her usual activities because she experiences difficulty breathing. Mrs Ashton lives alone in a first floor flat. Her husband died five years ago, her only son lives a few miles away and he visits once a week with his children. Mrs Ashton’s difficulty breathing was noticeable during the initial assessment as she had to take long pauses while communicating, her respiration rate was rapid and wheezing was audible. The care plan for Mrs Ashton will be informed by Orem’s Self Care Model. This model takes an individual and holistic approach to health care; it is underpinned by three inter connected concepts namely: the theory...
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...Understanding The Patient Intake Process Joseph Jackson University of Phoenix Claims Preparation I: Clean Bills of Health HCR/220 Version 4 Donna De Grio Winnegar January 12, 2014 Abstract Having the ability to understand and recognize the patient intake process is really imperative when working with concerns of patients entering the health-care systems. During the new patient process a practice has to be prepared to collect as much patient information about the patient’s medical history and other pertinent information has to be obtained at the time of the visit. If a new patient is in a practice the clerical staff will need to focus on the preregistration process and will need to verify scheduling information. The practice is also responsible for prior medical history, patient information (including demographics’) insurance information, assignment of benefits, and acknowledgement of receipt of notice of privacy practices must all be obtained when a patient enters the health system. When a patient is established he or she must update his or her records at every appointment. A new patient is classified as someone who has not received any services from the provider over the last three years. An established patient is one that has been seen by the provider at the practice within the past three years (McGraw-Hill 2014). If the process is unorganized the patient flow process will create displeased patients, potentially poor patient care, and possibly aggravated...
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...COPD All respiratory diseases characterized by chronic obstruction to airflow fall under the broad classification of COPD, also known as chronic airflow limitations (CAL). COPD is a condition of chronic dyspnea with expiratory airflow limitation that does not significantly fluctuate. Within that broad category, the primary cause of the obstruction may vary; examples include airway inflammation, mucous plugging, narrowed airway lumina, or airway destruction. The term COPD includes chronic bronchitis and emphysema. Although asthma also involves airway inflammation and periodic narrowing of the airway lumina (hyperreactivity), the condition is the result of individual response to a wide variety of stimuli/triggers and is therefore episodic in nature with fluctuations/exacerbations of symptoms. Asthma: Also known as chronic reactive airway disease, asthma is characterized by reversible inflammation and constriction of bronchial smooth muscle, hypersecretion of mucus, and edema. Precipitating factors include allergens, emotional upheaval, cold weather, exercise, chemicals, medications, and viral infections. Chronic bronchitis: Widespread inflammation of airways with narrowing or blocking of airways, increased production of mucoid sputum, and marked cyanosis. Emphysema: Most severe form of COPD, characterized by recurrent inflammation that damages and eventually destroys alveolar walls to create large blebs or bullae (air spaces) and collapsed bronchioles on expiration (air-trapping)...
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...the patient care process that permits the organization to receive payment for the services rendered, and it is important to be aware that this is heavily reliant upon data (Dunn, 2009). In order to fully appreciate the participation of HIM in the revenue cycle process, it is imperative to first gain an understanding of who the key players are, and to summarize the flow of activities that comprises the revenue cycle of a healthcare facility. The key players in hospital revenue cycle management are Administration, Finance, Patient access, Health information management (HIM), Patient accounting, and Clinical services, which includes physicians, diagnostic services, and therapeutic services. Administration sees to strategic goals and operational efficiency and effectiveness. Finance deals with cash flow and contract management. Patient access is responsible for data integrity, demographic and financial data, insurance verification, and pre-certification. Clinical services is responsible for documentation of services, as well as documentation and recording of charges. Health information management takes charge of coding, abstracting, and data validation. Finally, Patient accounting oversees compilation of charges, billing, and collections (Davis, 2011, p. 3). The flow of activities that makes up the revenue cycle is basically the same for most health facilities. They are ordered as follows: patient intake, clinical services, charge capture, billing, and collections. Patient intake...
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...Balance: A Health Promotion Paper • • . INTRODUCTION Fluid overload is a major clinical issue in patients with end stage renal failure. Oftentimes, unresolved and unaddressed fluid overload leads to congestive heart failure. Congestive heart failure is a progressive and systemic disease process that involves the interaction between the heart and kidneys. (Krishnan, 2007). Over time, worsening heart failure coupled with progressive kidney failure leads to diuretic resistance, consistent fluid volume overload and refractory heart failure. (Francis, 2006). Fluid balance is a goal for ESRD patients and should be one of the priorities for health promotion and prevention education. Fluid Overload and the Peritoneal Dialysis Client It is important to note that the client in this paper was diagnosed in 2007 for ESRD and hemodialysis treatment was initiated for this client right away. Initially, patient was getting three times a week dialysis treatments in-center. However, in the last three years, the client’s dialysis treatments were raised to four times per week to avoid fluid overload. Per client’s report, within the last year he would have 1-2 episodes of shortness of breath every three months ending in hospitalizations for congestive heart failure (CHF). In one of the client’s hospitalizations early this year, he was introduced to another treatment modality for ESRD patients. Client pursued peritoneal dialysis based on his nephrologist’s recommendation of said modality. ...
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...Promotion of Wound Healing in Diabetic Adult Patients Dietary Protein Increase and the Promotion of Wound Healing in Diabetic Adult Patients Introduction There are approximately 23 million people diagnosed with diabetes in the U.S. (American Diabetes Association, 2012) and this population continues to grow. There are multiple complications associated with diabetes. One major and expensive complication is diabetic wounds. The cost of care in the U.S. alone for this population is approximately $245 Billion annually. (American Diabetes Association, 2012) Proper wound care is an essential step in the wound healing process, however,wound care alone is not sufficient. Nutritional status is extremely important in wound healing. Diabetic patients need to be educated and assessed for protein-energy malnutrition (PEM) as the body’s nutritional needs significantly increase during the wound healing process (Demling, 2009). Supplementation (especially protein) and the importance of it for wound healing need to be discussed with the patient. Without all the necessary interventions applied the process of wound healing can be lengthy and may lead to infection, excessive hospitalization and potential amputations. Understanding the body’s nutritional needs and how the body uses protein in the repair process is imperative. The recommendation for the amount of protein supplementation is between 0.8grams/kilogram to 1.2 grams/kilogram and is based on patient nutritional status and severity of the...
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...complaint of quit a few patients in general. Most of the times it represents nonlethal syndromes such as one involving muscles and gastrointestinal tract but it can be indicative of serious medical emergencies as well including heart attack and lung diseases. A differential diagnosis can be easily developed on the basis of history and examination of the patient. Questions that are help full in diagnosis are as follows: • Onset of the pain? With the help of this question GP can determine two things firstly, was patient doing anything when the pain started. Events such as stress, coughing, eating, swallowing and physical exertion can provoke specific types of pain such as pain due to acute coronary syndrome, pneumothorax,...
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...Applied Conceptual Influences Jennie Golden-Wear Aspen University Concepts and Theories in Nursing June 04, 2012 Applied Conceptual Influences Nursing theorist have over time provided incredible structure by conceptual influence in developing theory utilized in nursing education and practice. This paper will explore a variety of nursing theories including that of Florence Nightingale, Virginia Henderson, and Lydia Hall. Developing care plans and referencing case studies, the theories of Hiligard Peplau, Joyce Travelbee, and Ida Jean Orlando will also be observed. This exploration is meant to enlighten the reader of theories structuring nursing as a practice. Case study #1 The following case study is based on community healthcare visitation to a home for a post-partum follow-up involving a young woman, Isabel. Isabel was a mother of two children, Jerry her two-year old son and Pearl her three-week old daughter. The scene of Isabel’s unclean, ill maintained, single room and so-called home now, was a challenging observation for the visiting nurse. Despite the horrendous site of an overflowing box of dirty cat litter, the dirty diapers, dried food, and spoiled bottles of formula; the nurse was drawn to the values of Florence nightingale. This approach allowed a great deal of compassion for the depressed, frustrated, and exhausted young mother. Fostering receptivity would be a priority in creating a plan of care. First, the nurse knew she must gain Isabel’s confidence...
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...Assignment: Understanding the Patient Intake Process Name Axia College of University of Phoenix HCR 220 Date Tekne, a Greek word which means an art or craft is where the word technology is derived from. Technology is the study or science of crafting, which are logia. The way in which healthcare is delivered is changing due to clinical information technologies. In an effort to support advancement and innovation of technologies in healthcare, research organizations are creating networks of delivery systems and health plans. The focus of this clinical information technology is centered on a prevention-based, consumer driven model of healthcare. The innovation of new technologies is dependent on many factors: Clinical accountability, consumer demand, research programs, medical advancements, population health targets and the capacity and resources as an industry for technology development. Innovation stimulates the industry to produce large quantities of medical devices and therefore promote them to the healthcare providers. The “clinical pull” of technology, is sometimes impervious with the “technology push" because physicians often resist the change of new technology due to its significance or its impact on day-to-day workflow (Protti, D). With the accessibility of computers, physicians are now able to look up information on his or her patients. Some physicians do not have the capability to write electronic prescriptions or digital health records...
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...teaching plan be sure to define the characteristics of the clinical site and patient population. The teaching plan should be customized to this population. This is a sample teaching plan that you can use and customize to your needs. You may want to design a pre-test and post-test to give your patients would are attending the teaching program. Based on statistics from the Centers for Disease Control website, 17.0 million people in the United States, approximately 6.2% of the population, have diabetes. Of this 17 million people, 11.1 million are diagnosed and 5.9 million are undiagnosed. In the different age groups, about 151,000 people less than 20 years of age have diabetes, approximately 0.19% of people in this age group. In the 20 and older age group 16.9 million and 8.6% of people have diabetes. The 65 and older age group has 7.0 million and 20.1% of all people with diabetes (www.cdc.gov/diabetes). The Identified Learning Need Patients with Diabetes have very comprehensive learning needs. The learning needs are focused on managing their glucose levels and preventing complications of diabetes. Learning needs for managing diabetes are complex and include: monitoring blood glucose levels, menu/food planning, exercise, medications, skin care, management of co-existing disease processes, knowledge of medications, knowledge of the disease process and how to manage hypo/hyperglycemic episodes. Many patients are diagnosed with diabetes every year and many are unaware that it requires...
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...Nursing Process and Clinical Decision Making Janet NUR/300 Kimberly Tomsai October 12, 2011 Nursing Process and Clinical Decision Making Not all nurses have the same knowledge and experience therefore nurses need to understand clinical judgment, decision making, and the nursing process to administer the best nursing care regardless of personal skill level. Nurses make clinical decisions based on knowledge and experience. A variety of theories and conceptual frameworks have developed to explain the science of nursing and clinical judgment, one of the most notable is that of Patricia Benner. Benner’s theory presents that nurses operate in five stages of clinical judgment from novice to expert (Bias, Hayes, Kozier, & Erb, 2011). The novice is the student nurse who has very little or no knowledge whose main concern is with rules and guidelines to complete tasks. Next is the advanced beginner or the graduate nurse who understands the concepts of nursing but sees difficult situations as more difficult tasks to complete and more rules to learn and often feels overwhelmed frequently consulting with more experienced nurses. For example a new patient arrives to the unit the nurse has not completed the tasks for the patients she already has becomes overwhelmed with how to prioritize and meet each patient’s needs. At the competent stage the nurse no longer functions entirely within a set of rules. Organizational and technical skills have improved the nurse is...
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...As an intern at Peak Physical Therapy, I shadow all of the PT’s, however, being a Psychological Sciences major with a concentration in neuroscience, I can’t help but interest myself in the patients that Courtney works with that are diagnosed with Multiple Sclerosis. For those of you who do not know about MS, it is a neurodegenerative disorder that destroys the myelin (fatty tissue) around the nerves, which then causes motor impairments, numbness in the limbs/extremities, Lhermitte’s symptom (an electric shock-like sensation down the spine and into the limbs) as well as other cognitive deficits. As this month’s theme is wellness, I decided to touch on how nutrition plays a role in MS patients as there is a serious lack of information and research...
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...Acid-Base Balance Kelly Heffron Grand Canyon University NUR-614 September 16, 2015 Acid-Base Balance The acid base balance is a homeostatic process that aides the body in maintaining a pH in the arterial blood between 7.35-7.45 (Patient, 2015). The body works together through multi-systems to ensure that acidity or alkalinity never take over within the blood. The purpose of the following paper is define the classification of the acid-base balance, define the factors from the case study, explain the pathophysiology, describe the compensatory mechanisms, pharmacological interventions, and the educational needs of patients with an imbalance. Classification In the following case study, the patient presents with metabolic alkalosis. Metabolic acidosis is a state within the blood when sodium bicarbonate (HCO3) increases. This condition can arise when the there is an acid loss within the body and HCO3 in the blood increases (Merk Manual, 2015). This process can cause the intracellular shifting of hydrogen ions, thus causing HCO3 retention. In the case study it is identified that the kidneys have a higher content of HCO3 because of the volume depletions. Normally, the kidneys filter out the HCO3 and excrete it into the urine (Merk Manual, 2015). In the case study, compensatory mechanisms have not activated, because the PaO2 is still within normal range of 35-45mm Hg, with a level of 40mm Hg. When excretion does not occur, the acid-base balance shifts from homeostasis...
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...The Caries Process Karen Nelson Saint Petersburg College June 24, 2012 The Caries Process The caries process or how a cavity develops in the oral cavity is a complex process and requires several contributing factors to occur. In order to understand the caries process fully we will discuss all of the factors involved. Such factors include: the agent (acidogenic bacteria), the host (the tooth, quality and quantity of saliva, and immune responses) and the environment (the patient’s diet, amount/frequency and kind of food or drink consumed and the intake of fermentable carbohydrates). We will then discuss demineralization and remineralization (the body’s natural repairing of the tooth) and their roles in the caries process. We will also take a look at how caries are diagnosed and detected, what a caries risk assessment is, its factors and how it can be utilized on individual patients for caries prevention. Finally, we will discuss how dental caries is treated at all levels of the caries process. Caries, also known as tooth decay or cavities, is a bacterial infection transmitted primarily through saliva, leading to the destruction of enamel, cementum and dentin. Although caries is an infectious disease of the teeth, it is more accurate to say caries is caused by a shift in oral micro-flora to caries-causing types in response to acidity resulting from metabolism of sugars. (Higham, 2010) Three major factors contribute to the caries process: food or beverages that are...
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