...Determining Diagnosis Code Categories • A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack. The physician ordered an MRI to investigate the possibility of a transient ischemic attack. This means that the physician is unsure of the diagnosis. Codes 780-799, used for symptoms, signs and ill-defined conditions, should be used. According to the text, these codes are used for conditions in which a definitive diagnosis cannot be made. If TIA is the diagnosis, I believe it would receive a code between 390-459 (Valerius et al.,2008). • A 44-year-old male presents to the office complaining of intermittent chest pain. The physician orders an EKG to rule out a possible cardiac event. This case, I believe, would also receive a code from 780-799, because of the fact that it states the physician is trying to rule out the "possibility" of a cardiac event. Without further information, that would be my best guess. Now, if the patient were diagnosed with a cardiac event, depending on what it was exactly, it would be coded with a code between 390-459. If the chest pain is not related to a cardiac event, and happens to be related to something in the respiratory system, then it would receive a code from 460-519. Without more information, it is...
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... 2013 DR. Michelle Clemons Health Campaign Part l of this paper examined obesity as a public health issues that faces the state of Atlanta. Further, the paper dwelt on the importance of addressing this public health issues because it has an impact on the lives of the people at the community, state, and national levels. Providers believe that environmental and community factors contribute to unhealthy habits, less physical activity, which poses a major risk for chronic health conditions. The following are chronic health conditions: diabetes, high blood pressure, cardiovascular disease, stroke, high cholesterol, asthma, dyspnea and depression. These health consequences can lead to premature death and chronic health conditions, which reduces the quality of life. In the Atlanta area, obesity has increased over the past 10 years in which affects an individual life. Health care organizations have established health objectives to reduce the prevalence of obesity among individuals in America. Description of the target population Obesity occurs when there is an abnormal amount of fat (adipose tissue) accumulated around the body, caused when people eat in excess of their energy requirements (Lawrence, 2005). According to National Heart and Lung Institute (2010) “the terms overweight and obesity refer to a person’s overall body weight and whether it’s too high” (What are overweight and obesity, para. 1). An individual is overweight when he or she is above a weight because of...
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...September 20, 2013 sally kohls Health Campaign on Obesity Health Campaign Part 1 Summary In Part 1 of this paper, the issues of obesity and some of the initiatives implemented nationally ad locally was examined in the state of Texas. Due to the in depth concern of the growing effects on obesity, the initiatives of this paper focused on the impact of obesity for children on all levels of communities. Furthermore, the paper also pointed out the importance of addressing the importance of fight on obesity. This paper identified the statistics of this disease from data gathered from Healthy People 2020 showing that the obesity rate has increased by 57% amongst adults ages 20 and over from 22.8% to 35.7% between 1988-1994 and 2009-2010. Also during the same time frame, children and adolescents obesity rate climbed the charts for ages 2 to 19 by 69% from 10.0% to 16.9%. Health Campaign Part 1 also explored the prevalence to how in the state of Texas the range from 20.5% in Colorado to 34.7% in Louisiana in 2012. This identified that no states had a prevalence of obesity less than 20% (CDC, 2012). In the continuing efforts of addressing the pubic health issues, community organizations, the state and federal governments have implemented a serious role in taking steps to help with the concerning disease of obesity. Local communities and agencies have collectively come together to help with the fight on adult and childhood obesity. The community outreach has involved parents, teachers...
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...|SCHOOL OF PUBLIC HEALTH & COMMUNITY MEDICINE | | |UNSW BLACKBOARD ASSIGNMENT COVER SHEET | | |FAMILY NAME: |HENDRAWIJAYA |GIVEN NAME: |FELYA | |STUDENT NO: |3360382 |EMAIL: |Felya.hendrawijaya@hotmail.com | |PHONE (H): | |PHONE (W): | | |MOBILE: |0425067879 |FAX: | | |COURSE NO: |GENM0510 |COURSE NAME: | MANAGING MEDIA | |LECTURER: |DAVID THOMAS |DUE DATE: |21 December 2012 | |ASSIGNMENT: |FINAL ASSIGNMENT |QUESTION NO: | | For group assignments, please submit one cover sheet for the group, and list members of your group here: |Name |Student ID Number ...
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...healthcare by collecting and interpreting data observed during her service in the Crimean war (Audain, 2014).. Similarly the public health nurse (PHN) attempts to help and influence the community they serve. The windshield survey is a tool for the PHN in obtaining data within the community. Basic physical characteristics about the environment including the inhabitants are gained. This subjective tool is performed while driving or walking, and is used by the nurse to assess the needs of the community. Community Community is a broad subjective term. One capacious definition of the term is, a defined region one lives, works, interacts with others and the environment; inclusive is a semblance of structure and beliefs based within that society where the members define and identify themselves as being part of that group (Standhope & Lancaster, 2012). Using this definition one sees that any group can be a community, and boundaries can merge one into many different types of communities with in the same location. Using this, one sees that the American community is broken down into further sub sets such as states, counties, cities, towns, school districts, and the list can continue ad infinitum. For the purpose of this paper the term community is defined within its relation to the school district of South Huntington, NY. Using the windshield survey the public health nurse assesses the health of the community. This is performed by immersing themselves physically into the area of interest...
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...Introduction The dramatic growth in obesity and overweight among Americans has become a health topic, which receives widespread of attention in the media. Providers believe that environmental and community factors contribute to unhealthy habits, which pose a major risk for chronic health conditions. The following are chronic health conditions: diabetes, high blood pressure, cardiovascular disease, stroke, high cholesterol, asthma, and depression. These health consequences can lead to premature death and chronic health conditions, which reduces the quality of life. In the Atlanta area, obesity has increased over the past 10 years in which affects an individual life. Health care organizations have established health objectives to reduce the prevalence of obesity among individuals in America. What is overweight and obesity? According to National Heart and Lung Institute (2010) “the terms overweight and obesity refer to a person’s overall body weight and whether it’s too high” (What are overweight and obesity, para. 1). A person is overweight when he or she is above a weight because of muscle, bone, and fat. Obese occurs when individuals have extra body fat on them. Hospitals, community clinics, and public health care agencies utilize the body mass index (BMI) to measure overweight and obesity for adults, children, and teens. BMI is the ratio of a person’s weight to the square of his or her height (MediLexicon International Ltd, 2011). This is an assessment tool to chart...
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...Epidemiology Study: Teen Obesity N J Nur 408 January 9, 2012 Felita Patterson, MPH, RN Epidemiology Study: Teen Obesity Teenage obesity is on the rise this country. In the last couple of decades, the world has changed in a startling and dramatic way. Computers, computer games, the Internet, and extended free time have pushed the numbers of teenage obesity to an alarming figure (Teen obesity, 2011). While there’s no one cause of obesity; the factors that can make someone obese are a variety of genetic, biological, behavioral, and cultural factors (AACAP, 2011). As the official website of the American Academy of Child and Adolescent Psychiatry explains, childhood obesity is often related to bad eating habits, overeating or binging, no exercise, family history, medical issues, stress or extreme life changes, family issues, low self-esteem, or depression (2011). Although a few extra pounds are not dangerous for most people; obesity is a serious health issue as it puts a definite strain on the human body. It can cause issues like an increased risk of heart disease, high blood pressure, diabetes, breathing problems, trouble sleeping (AACAP, 2011). In fact, “Teenagers who have a weight problems now—that continues to increase or stay the same in terms of their weight—will likely have a much higher risk of premature death” (Gay, 2006)(p. 26). This clearly shows the tremendous and serious threat that obesity poses for teenagers. Demographical Data Every individual has an ideal...
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...Project Title: Analyze the reasons for the increasing obesity epidemic in the developed world Introduction ‘Obesity is defined as abnormal or excessive fat accumulation that may impair health’ (World Health Organization, 2013). To accurately define obesity, one’s body mass index (BMI) is greater than or equal to 30 means he or she is obese (ibid). Obesity is increasingly spread all over the world and becomes a global health issue. According to WHO (2013), the population of the obese is twice larger than that three decades ago and more than 500 million adults are obese currently. Obesity can give a rise to the likelihood of getting other serious illness such as diabetes, cancer and CVD. Therefore, over 2.8 million lives are claimed by obesity directly or indirectly per year (ibid). Both developed and developing countries are experiencing this increasing obesity epidemic, but there are distinctions in the factors in these two kinds of areas. In comparison, the reasons in developed regions are more common problems and are more familiar to people living in urban areas. Investigation into the causes for the increasing obesity epidemic in developed countries gives the public a deeper understanding of obesity causes and helps governments make policies to tackle obesity crisis. Causes of this increasing trend are grouped into three categories in this essay, which are unhealthy food, excessive food consumption and lack of physical exercise. Unhealthy food Unhealthy food, food...
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...health. Recently, the issues related to obesity around the world are increasing as well as in our country. Obesity in Malaysia is growing in an alarming rate and it has associated with multiple problems. Ismail (2002) claimed that 20.7% of Malaysia’s adults are overweight with a BMI between 25.0 and 29.9. According to Asia Pacific Family Medicine, obesity is a condition in which the natural energy reserve, stored in the fatty tissue of humans and other mammals, is increased to a point where it is associated with certain health conditions or increased mortality (2009). Not only adults, childhood obesity also become one of the serious problems. It grown considerably in the past two decades and most of the children are more likely become overweight adults. Obesity will lead to suffering from the disease, for example heart attack and diabetes. According to Price, Danielle and Nicholas (2000), there are around 300,000 people die each year because infect the disease that causes by obesity (as cited by Sidik and Rampal, 2009). Generally, I strongly agree that obesity is a kind of disease among Malaysian because obesity can cause physical, mental and social problem. First and foremost, obesity can cause negative effects to our bodily systems, which will further affect our physical health. People who excesses weight will more care about their body health, compare to normal weight individuals, because they have higher risk to suffer from disease. Most of the obese people are more likely...
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...Confronting America’s Childhood Obesity Epidemic How the Health Care Reform Law Will Help Prevent and Reduce Obesity Ellen-Marie Whelan, Lesley Russell, and Sonia Sekhar May 2010 w w w.americanprogress.org Confronting America’s Childhood Obesity Epidemic How the Health Care Reform Law Will Help Prevent and Reduce Obesity Ellen-Marie Whelan, Lesley Russell, and Sonia Sekhar May 2010 Contents 1 Fast Facts on Childhood Obesity 3 Introduction and summary 6 Provisions included in the Patient Protection and Affordable Care Act that address childhood obesity 6 Childhood Obesity Demonstration Project 7 Nutrition labeling 7 Community Transformation Grants 9 Broader measures in the Patient Protection and Affordable Care Act to tackle childhood obesity 9 Prevention and public health 15 Primary care and coordination 18 Community-based Care 20 Maternal and child health 22 Research: Doing what works in obesity prevention 23 Data provisions that will help with tracking and providing improved outcomes to measure obesity prevention 25 What else is needed? 27 Beyond health care 29 Conclusion 30 Appendix: The White House Childhood Obesity Initiative 32 Endnotes 34 About the authors Fast Facts on Childhood Obesity Our nation’s children today are on track to have a lower life expectancy than their parents The obesity epidemic poses serious health problems for children including cardiovascular disease, mental health problems, bone...
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...has brought in many new resources such as access to physical therapy, specialists, same day surgery, and an emergency room. This is a major resource considering it decreases travel time to an emergency room by 30 minutes. The Chilton County department of public health offers Bio monitoring for chronic disease management (for people whose sole source of insurance is Medicaid) such as diabetes, hypertension, and congestive heart failure (Alabama public health [ADPH], 2017, para. 6). The department of health is a major source in the community that provides medical services, inspections of food services, provides WIC, free immunizations, family planning, STD testing, tobacco cessation hotline, responds in emergency situations, and protects from abuse and neglect (ADPH, 2017). There are walking parks provided in each town of Chilton County, some examples are Goosepond Park, Thorsby Park, and Jemison Park. There is a food bank located in Jemison, Alabama. Chilton County (Alabama Department of Human Resources) offers resources such as the food assistance program, family and child services, foster care, and adult protection services (Alabama department of human resources [ADHR], 2018). The United States Department of Health and Human Services (USDHHS) funds several resource centers on a national level. The USDHHS offers hotlines for runaways and for...
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...Op-Ed Who pays the bill and who makes the profit in treating chronic disease? .............................. Lack of financial incentives means prevention is often ignored John Roberts Bellingham, WA 98226 Correspondence to: Dr Roberts jcroberts@hinet.org “A courtyard common to all will be swept by none” goes a Chinese proverb. Sadly, this ancient saying remains true in the modern American medical system. At the start of the third millennium of Western culture and progress, the suffering of medical illness arguably may be higher than in the centuries past. Until the last 50 years, illness—often combined with poverty—was a greater shortener of lives. But death, compared with today, came more quickly. In practice, an internist sees the local viewpoint of national statistics: 90 million Americans alive with chronic disease who spend more than 60% of the country’s health care budget.1 Of the 20 or so patients that many physicians see each day, one, maybe two, might not have a chronic disease. Almost every one of these patients has needs far beyond what a doctor can provide. And much of the reason is inferred from two questions: “Who pays the bill?” and “Who makes the profit?” At a policy level, the “epidemic” of chronic illness is as much a philosophical debate as it is a medical problem. If people live longer, they get illnesses of aging—dementia, loss of vision and hearing, organ failure, and cancers. In addition, chronic illness today may not...
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...The Effects Of Obesity On Healthcare March 24, 2013 University of Phoenix In a world where obesity is becoming an epidemic, people should be informed about prevention, and on how to boost the quality of their life. Obesity is increasing at alarming rates and affects over two-thirds of the American population. While media and entertainment are obsessed with thinness, we should be more concerned with the larger problem of obesity. There are great risks involved in being obese. Obesity is taking it’s toll on many people. It is about time somebody stepped up and proved to these suffering humans that there is help available, and there are people who care and are willing to help with this problem. Obesity currently affects over two – thirds of the population. (www.acsh.org ) Americans are paying less attention to what they are eating, and paying more attention to the costs of foods. Obesity rates have been steadily increasing over the past twenty five years. This is partly due to the rising costs of eating healthy. ( www.acsh.org) “Families get fatter as they buy cheaper and less healthy foods in order to try to fill up”. (Emily Openchowski, May 21, 2012) Obesity has been known to shorten life spans by six to seven years depending upon it's severity. ( www.acsh.org/publications/obesity-and-its-health-effects)...
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...Annotated Bibliography American Cancer Society (2014) Diet and Physical Activity: What’s the cancer connection? Retrieved from: http://www.cancer.org/cancer/cancercauses/dietandphysicalactivity/diet-and-physical-activity The American Cancer Society has been a leading organization in cancer prevention and awareness for over a century. They contribute to the fight against cancer in a variety of ways to include advocating and creating laws to prevent and treat cancer, investing in cancer fighting research, and helping those who are diagnosed with cancer cope and treat their illness. The information in this article states that there is indeed a link between cancer and poor diet and physical inactivity. The article provides several interventions and mitigating strategies an individual can take to manage risk of cancer due to a lack of exercise and heathy diet. This article is key in validating the second point in the thesis statement as a cause of cancer. National Cancer Institute (NCI) (2014) Cancer in Children and Adolescence. Retrieved from: http://www.cancer.gov/cancertopics/factsheet/Sites-Types/childhood NCI is a part of the U.S. Department of Health and Human Services and is the main agency of the Federal Government tasked with the study, research, and training of cancer. This fact sheet confirms that occurrences of pediatric cancer are rising in the U.S. and provides a range of helpful statics to support the thesis. Section three of the fact sheet also discusses the...
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...PREVENTION OF OBESITY IN CHILDHOOD Introduction What is health The World Health Organisation (WHO 1986)defines health as a state of complete physical ,mental and social well being and not just the absence of disease and infirmity. Forster (2002) confirms that health is generally seen in terms of people being ill or well but indicates that this is a simplistic view, as being well or ill are not entirely separate notions but in fact overlap to some degree. Forster(2002) while concurring with the definition of health as provided by the WHO (1986) adds that this definition provides a positive view of health and suggest that health fluctuates over time along a continuum, good and poor health appearing at opposite poles of the continuum. Ewles and Simnett(2003) also suggest that health is determined by many factors such as Physical health, body function, Societal health living accomodation ,employment status , Spiritual health, religious beliefs and moral values or behaviours, Social health being able to sustain relationships and make friends, Emotional health the ability to cope with depression, stress and anxiety. Therefore an individuals health position along this continuum is variable but no distinct demarcation line between health and ill health exists. With regards to the definition given it is argued that health professionals interventions should focus on helping the clients ,individuals, families and communities to gain health related knowledge, attitudes and practice associated...
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