3/16/2005. Patient is a 55-year-old female flight attendant who strained her back and left leg during a recurrent training. Per OMNI‚ she was initially diagnose d with lumbar sprain‚ lumbago and low back pain. Treatment includes electrical stimulation unit and PT. Per the PT note dated 10/11/16‚ the patient reported continued symptoms‚ but she is working on managing her pain. She was assessed to have improved core stability. Based on the progress report dated 10/27/16 by Dr. Waldman‚ the patient presents
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Checkpoint: Patient Self-Determination Act The law is intended to encourage possible life-sustaining treatment in the event that they become seriously ill or injured and are not able to specify their desires at that time. According to this law; all hospitals‚ nursing homes‚ home health agencies‚ and hospice programs receiving federal Medicare and Medicaid are now required to create formal procedures that provide written information at admission to patients about decision making a treatment refusal
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Discuss your thoughts on how healthcare organizations and clinicians can go about engaging patients in the healthcare process. How does HIT play a role in this process? For anyone visiting a doctor it’s understood that time is limited with the typical visit between 13-16 minutes (Brodwin & Radovanovic‚ 2016). It’s just enough time to describe your health issue‚ have a short examination‚ receive a diagnosis or prescription‚ and be on your way. With a complex healthcare system‚ many
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“The Patient-Centered Medical Home (PCMH) is a model of care that puts patients at the forefront of care by building better relationships between people and their clinical care teams” (Bitton‚ 2010). This patient care model has received considerable attention as a potential way to improve quality care. Ongoing research on PCMH demonstrates that it has the capacity to change care by how it has improved quality‚ the patient experience and staff satisfaction‚ while reducing health care costs (Jackson
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What Patients Can Expect During the initial consultation for a breast augmentation with Dr. Naidu at her office in NYC‚ near Manhattan‚ patients will have the opportunity to ask questions related to the breast augmentation procedure itself‚ recovery and expected results. Each member of Dr. Naidu’s staff is warm‚ caring‚ professional and compassionate. Dr. Naidu and her staff will ask questions about the patient’s medical history. These questions will include current medications as well as previous
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The Patient with Heart Failuure 74-year-old woman is admitted to the hospital with heart failure. She had been growing progressively weaker and had ankle edema‚ dyspnea on exertion‚ and three-pillow orthopnea. On admission‚ she is severely dyspneic and can answer questions only with one-word phrases. She is diaphoretic‚ with a heart rate of 132 beats/min‚ and blood pressure 98/70 mm Hg. She is extremely anxious. 1. Because this patient cannot breathe or talk easily‚ prioritize the immediate nursing
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nurse working in a multicultural county with a large percentage of the population not speaking English‚ I encounter everyday reckless faces of patients and families that can communicate theirs needs in time of misfortune. I am fortunate enough to be bilingual and to experience the ultimate satisfaction of communicate with the Spanish-only speaking patients in their own language. I have been able to see reckless painful and distressed
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DOI: 6/10/1988. Patient is a 72-year-old male heavy equipment operator who injured his lower back when he slipped from a scraper and fell 10 feet to the ground. He is post 4 lumbar spine surgeries. Based on the medical report dated 12/14/15‚ the patient presents with severe lower back pain‚ which radiates to the left ankle and right calf. The patient describes the pain as an ache‚ deep‚ piercing‚ shooting and stabbing. The patient reports his pain without medications at 10/10 and with medications
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and depth Outcome: Have patient regain normal breathing pattern of 16 within 6 hours after surgery 11/20/15 Interventions Rationale Auscultate breathing listening for wheezing or crackles‚ silence in breathing Wheezing could mean bronchospasms. If there is crackles then she could have liquid in her lungs. Silence in breathing could indicate atelectasis. Watch respiratory rate and depth‚ skin color‚ listen for breath sounds every 15 mins. Able to encourage patient to take deep breathes when
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DOI: 3/1/2016. Patient is a 49-year-old male electrician who sustained a work-related injury to his back while he was bending over to pick an item up in the gang box. As per OMNI entry‚ he was initially diagnosed with left-sided low back pain with sciatica and constipation. MRI of the lumbar spine without contrast dated 06/22/2016 showed disc protrusion with annular fissure at L5-S1‚ which can be a source of pain. Per physical therapy notes dated 06/30/2016‚ the patient has attended a total of
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