...Patient A.N is a 19 years-old female who came in with EMS after admitting to harm herself after argument with her boyfriend. Patient is student at UMASS Dartmouth. She has not medical HX of Depression and is not taking any medication. The patient has a egg size swollen bump on her upper right forehead. When assessed the patient psychosocial assessment, patient did not make any eyes contact. When asked her if she wants to harm herself and other, she denied by nodding her head. She denied hearing or seeing anything unusual. Client had a flat affect, calm, sad, and cooperative. Client did not eat her breakfast and just slept. Throughout the day, the patient parents came and visited. They stayed the whole day with the patient. When assessing...
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...A Case Study: Integration of Survivorship Care Plans and Treatment Summaries into Oncological Care Joyce Ross, RN, BSN, OCN University of Cincinnati Due: Monday, July 9, 2012 Professor: Jennifer McCord Course Number: 29NURS858 Section 701 Clinical Nurse Specialist/Nurse Educator Practicum III Author Guidelines for the Journal of Oncology Navigation and Survivorship The guidelines that must be adhered to in order to facilitate the editorial and production process for the Journal of Oncology Navigation and Survivorship include: * Manuscripts must be original and not published previously * Format requirements must be followed entirely * Authors are required to sign a Copyright Transfer Form * Authors must receive written permission to reuse or adapt any tables or figures that have been previously published The required manuscript format must be followed entirely and include: * Title page with the proper title, names and affiliations of all authors * Abstract with no more that 250 words that describes the main objectives and why the article is important * Conclusion with comments that offer rationale for the article and what it adds to the literature * Double spaced manuscript and numbered pages that are consecutive * Tables and figures must be cited in text * The length should be 2500-3000 words, plus tables and figures * Images must be saved as individual files * Provide all authors and highest academic degree and affiliations ...
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...Rasmussen Medical Center Policy: Health Record Documentation Requirements Approval Date: xx/xx/xxxx Policy Group: Medical Staff Bylaws ------------------------------------------------- All medical staff and health care providers shall: History & Physical 1. A complete history and physical examination shall, in all cases be done no more than 7 days before or 24 hours after the admission of a patient. Physical examinations may be used from the previous hospitalization if the examination was within 30 days. A physical examination may be accepted from a physician’s office if the examination was within 30 days and meets the standards as defined by hospital policy and procedure. If the patient was transferred from another hospital, the physical examination may be accepted if the examination was done within 30 days, provided they are updated within 24 hours of admission or registration by the attending physician. In the above three cases, the attending physician must validate the examination in the medical record (on the physical exam) by noting that there are no significant findings or changes and signs and dates the report. Guidelines for contents of a complete History & Physical include: a. The Emergency Room documentation form may not be used as a History and Physical. b. A complete history and physical examination shall be recorded before the time stated for operation or the operation shall be canceled unless the attending surgeon indicates it is an emergency...
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...document here. The abstract is typically a short summary of the contents of the document. Type the abstract of the document here. The abstract is typically a short summary of the contents of the document.] | Contents Executive Summary 3 Introduction 3 Analysis and methods section 3 Do charges incurred by a patient depend on the type of insurance the patient has? If so how? 5 Do charges incurred by patients depend on which doctor treats them? If so how? 5 Bibliography 7 Appendix 8 Executive Summary Hospital are required to bill for individual items or services provided to a patient. Patients admitted to hospitals are charged for their room, supplies, drugs, labs, x-rays, operating room time and other care. It is important to know that hospitals submit a bill to the insurance company for all the services provided to the patient and the payor determines the amount owed to the hospital based upon the insurance company’s contract with the hospital for specific services [ (Henry Ford Health) ]. Introduction The purpose of this case study is to understand the relationship between hospital charges for certain physicians and insurance carriers. Cost finding and cost analysis are the techniques of allocating data that we were provided as part of the case study. The information that we are going to use to analyze cost between Commercial Care and Manage Care insurance includes: * DAYS the number of days the patient spent in the hospital. * CHRGS is the...
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...The nursing staff has expressed burnout because of an increase of terminal cancer patients. In one extreme case, Nurse Nancy, feeling empathy for a rapid decline in one of the patient’s health (a 30-year-old single mother), wants to give an extra dose of narcotic that could potentially end the patient’s life – and what Nurse Nancy perceives as her suffering. Needless to say, concepts including end-of-life rights, death with dignity and right to life apply to this particular case. In examining this particular case, we’ll find that the nurse is trying to act with the purest of motives. However, what she is doing could skirt ethical decision-making, while being blatantly against the law. Additionally, it could provide a negative view of the cancer center. Though many people might support the idea of dying with dignity, others might take a dim view of a nurse who, in her zeal to prevent a patient’s suffering, would deprive children of their mother. Patient Bill of Rights The Patient Bill of Rights, sponsored by Senators John McCain, John Edwards and Ted Kennedy (S.1052), guarantees patients the right to access to health care specialists when necessary and requires continuity of care protections to patients so they don’t have to change health care providers in the middle of their treatment (Summary, 2001). The bill, unfortunately, failed, but many of its requirements make sense. For the patients of this particular cancer center, it means their treatment wouldn’t be interrupted...
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...Evidence-Based Practice March 17, 2015 Overview of Quantitative vs. Qualitative Articles Using two research studies selected from the list of articles provided. I choose A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014) and Impact of a Smoking Cessation Educational Program on Nurses' Interventions (2014). The purpose of this paper is to do an overview of both a quantitative and qualitative article. Review each selected article on learning about study design, by identifying information from each component of the study. Then evaluate the strengths and weaknesses of each study. Overview of Quantitative Article Research Question According to the article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), the research question is, does patient hand hygiene included in the bundle strategy help decrease Clostridium difficile infections? According to information found in Chapter 3 (Adams, 2012), using the abstract of problem-solving, nursing process and research process, the information found in this study was impertinent to the outcome. Determining that hand washing does help decrease c-diff infections. Study Design The article, A Bundle Strategy Including Patient Hand Hygiene to Decrease Clostridium difficile Infections (2014), is a quantitative study, and non-experimental design gathers the information. Non-experimental design as defined in Chapter 6 (Adams,...
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...(Complete for all that are listed in Abdelhak under the “health data users and uses” section. - Patient: uses their medical data to understand their health care and to become more active partners in maintain or improving their health. - Health care practitioners: uses it as a primary means of communications among themselves. - Health Care providers and Administrators: uses the data to evaluate care, monitor the use of resources, and receive payment for services rendered. Administrators analyze financial and patient case mix information for business planning and marketing activities - Third party payers: the data become the basis for determining the appropriate payment to be made. - Utilization and case managers: uses it to coordinate care so that the patient is cared for in the most clinically cost-effective manner. - Quality of care committees: use the information as a basis for analysis, study, and evaluation of the quality of care given to the patient. - Accrediting, licensing, and certifying agencies: use the record to provide public assurance that quality health care is being provided. - Governmental agencies and public health: to determine the appropriate use of the governmental financial resources for health care facilities and educational and correctional institutions - Health information exchanges: provides patient centered care that improves quality, safety, efficiency, timeliness and accessibility - Employer:...
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...health record. Before HIPAA was put in place, a patient’s rights would be different depending on the state he or she resided in. HIPAA has standardized the way PHI is handled and is the same regardless of the state of residence. If a facility uses PHI in a manner not in line with the HIPAA regulations, the facility can receive many different sanctions depending on the extent of the misuse of information. HIPAA was created in 1996, but before then only about half of the United States had regulations that allowed a patient to get copies or even see his or her own medical records. Many states have initiated legislation that gives additional security to protect a patient’s medical record; all states must follow the rules of HIPAA even with the additional security measures. Protected health information (PHI) is any information that provides the ability for others outside the organization to identify the patient. Examples of PHI are names, dates of birth, social security numbers, telephone numbers, e-mail addresses, and insurance identification numbers, to name a few. The Department of...
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...Management Accounting: Information for Decision-Making and Strategy Execution - 6.Edition - 2012 Anthony A. Atkinson, Robert S. Kaplan Pearson I have both Solution Manulas And Test Banks Of this Book Contact ahad2030@yahoo.com Chapter 1 How Management Accounting Information Supports Decision Making QUESTIONS 1-1 Management accounting is a discipline that designs planning and performance measurement systems, using financial and nonfinancial information, to help an organization develop and implement its strategy. The information must be relevant and helpful, and customized to serve multiple purposes, such as making decisions, allocating resources, and monitoring, evaluating, and rewarding performance. Information for the “plan” and “do” steps of the PDCA cycle includes prospective data on costs, profits, efficiency, and quality associated with alternative ways to produce or provide goods or services. Information for the “check” and “act” steps includes assessments of how well the organization is achieving its objectives. Common information requirements include measures of cost, quality, profitability, and timeliness. 1-2 A company’s operators, managers, and executives need information for their operational control and improvement activities, as well as on the performance of their individual processes, products, services, and customers. This information is important to direct managers’ attention to areas where improvement is needed, to provide feedback...
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...surgical TEP closure. Methods: A systematic review was conducted (1978–2008). A summary risk estimate was calculated using a random-effects meta-analysis model. Results: Twenty-seven peer-reviewed manuscripts were included. The rate of enlarged puncture and/or leakage around the prosthesis was reported in 23 articles (range, 1% to 29%; summary risk estimate, 7.2%; 95% confidence interval [CI], 4.8% to 9.6%). Temporary removal of the prosthesis and TEP- site injections were the most commonly reported conservative treatments. Prosthetic diameter (p =.076) and timing of TEP (p = .297) were analyzed as risk factors; however, radiotherapy variables were inconsistently reported. Conclusions: The overall risk of enlarged puncture seems relatively low, but it remains a rehabilitative challenge. Future research should clearly establish risk factors for enlarged puncture and optimal conservative management. Keywords: tracheoesophageal puncture, total laryngectomy, enlarged tracheoesophageal puncture, complications, leakage Enlarged Tracheoesophageal Puncture after Total Laryngectomy: A Systematic Review and Meta-Analysis Introduction: The gold standard for voice restoration after total laryngectomy is tracheoesophageal puncture (TEP). The TEP is a small surgically created fistula in the tracheoeosphageal (TE) wall that may be created at the time of the total laryngectomy (primary TEP) or later after the patient has healed from surgery (secondary TEP). A...
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...Is a hospital liable for patients who fail to be compliant with discharge instructions? II. No. A hospital cannot be held liable for patients who fail to be compliant with their discharge instructions. III. Facts 1. In order to prove negligence or medical malpractice, the plaintiff must prove the: A. The requisite standard of care. B. A deviation from the standard of care C. A causal connection between the deviation and the claimed injury. 2. The hospitals rules, regulations, and policies do not establish a standard of care. However, a hospital’s failure to follow its own rules, regulations, and policies is evidence of negligence. 3. Discharge instructions can be construed to be part of a hospital’s rules, regulations and policies. 4. Unclear, or ambiguous discharge instructions can place the hospital at risk for increased liability for negligence if a casual connection can be made to a patient’s injury. Therefore, to protect itself, hospitals should be proactive in establishing clear discharge protocols and individualized discharge instructions. IV. Review of the Law In the case of Earline Therry, et al v. State of Louisiana, through the Department of Health and Hospitals and University Medical Center of Lafayette, Louisiana, a summary judgment was granted for the defendants based upon the plaintiff’s inability to establish a causal connection between a breach of the standard of care and any resultant injuries. In this case, Mrs. Therry accused the...
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...Childs v. Weis case 2 After further review: After further review and comparison of the Case “Childs v. Weis,” I stand by my first evaluation with some additions. This time I added that Dr. Weis had never seen or affiliated with Childs directly. This added to his clearance of the malpractice charges and liability. I also mentioned another rule of law important to this case; regarding the responsibility of physicians to emergency room patients. Issue: In the case “Childs v. Weis” the Plaintiff, J. C. Childs, presents the question “Can a physician who does not undertake to treat a patient be liable for malpractice?” Also, does a physician have to treat all the patents in the emergency room? In court, the plaintiff sought recovery or compensation of damages for Daisy Childs’ (his wife’s) personal injuries and for the death of their child, Wendy Elaine...
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...The only classifier and nomenclature in use was local version of ICD9. Therefore the implementation team faced the challenge of bringing existing or creating new localized classifiers, nomenclatures and standardized clinical documents. This major project risk was addressed by the MOH by establishing a clinical documentation and standardization working group with appropriate decisive powers which agreed to benefit from existing industry standards and EU recommendations. In result, the unified content of the EHR solution consists of documents that are composed from codified data elements from nationally agreed code systems. The internal organisation of the main documents, such as discharge summary, outpatient visit summary, etc. follows the recommendation for patient summary documents outlined by the EU [9, 10] and IHE content profiles: MS, EDPN, TN, and IC. Following this principle, the core structured data elements, which require the use of vocabularies, nomenclatures and classifications, enable the semantic interoperability between health information systems. The final content and structure of the Electronic Health Record solution is still...
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...Case Summary The patient, a 23-year-old male (date of birth September 30, 1994), presented to the facility’s Emergency Department on February 27, 2018, with a history of schizophrenia, seizure disorder, polysubstance abuse (ETOH, marijuana, heroin and BZDs), opiate intoxication, depression and suicidality. The patient was admitted to the Medical Center on February 27, 2018. The following diagnoses were submitted: Admitting Diagnosis of altered mental status; Principal Diagnosis of seizure disorder; Secondary Diagnoses: enterocolitis due to Clostridium difficile; suicidal ideation; sedative hypnotic or anxiolytic dependence with withdrawal; opioid dependence with withdrawal; other psychoactive substance use unspecified with mood disorder;...
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...The Ethics for Nurses in Medically Assisted Suicide Physician-assisted suicide also known as PAS, is a controversial topic everywhere; some believe if a patient is terminally ill then it should be permissible while others believe it is against their beliefs and religion to commit any type of suicide. Physician-assisted suicide is when a patient requests the help of digesting a lethal drug to quicken their death (United States Physician Assisted Suicide Law Summary and Law Digest par. 1). The most common patients to request assisted suicide are patients with cancer and AIDs. Active euthanasia is sometimes also considered physician-assisted suicide because it results in death from someone purposely doing something to the patient causing them to die; such as being injected with poison. Passive euthanasia is the withholding of a medical treatment for a patient, which is legal, but many come to be disagreed upon. Withholding food and water, turning off machines, and failing to resuscitate are prime examples of passive euthanasia (United States Physician Assisted Suicide Law Summary and Law Digest par. 1). There are currently three states that permit physician-assisted suicide, Washington and Oregon. On October 27, 1997, the Death with Dignity Act was passed in Oregon. The Death with Dignity Act states that an Oregonian that is terminally-ill has the right to voluntarily, self-administrate lethal medications with a prescription from their physician. On March 5, 2009, Washington passed...
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