Clinical documentation improvement (CDI) “...is improving the quality of documentation to help ensure an accurate and complete reflection of the patient’s care‚ comorbid conditions‚ and treatment- which impacts severity of illness (SOI) and risk of mortality (ROM)” (Custodio et al.‚ 2013‚ p. 56 ). This is an important topic for health care facilities and physicians to ensure it is done well so that the quality of care‚ reimbursement and financial aspects are correct. “There are several other factors
Premium Health care Patient Health care provider
Clients experiencing depression who are receiving services with private practice clinicians should be adequately assessed and well educated regarding their condition. The clinician should seek information pertaining to the source of the depression‚ and a variety of treatment options should be made available for the client. I strongly agree with Dr. Goodman‚ clients should be told the truth about the causes of depression and not commonly used metaphors‚ such as the serotonin theory (Lacasse & Leo
Premium Psychology Psychiatry Mental disorder
One month has passed since Mrs. Long made an informed decision to have cataract surgery. After surgery she reported improved vision and ability to participate in activities of daily living. Today the community health nurse visits‚ and Mrs. Long reports shortness of breath with activity. After the nurse consults with Mrs. Lon’s health care provider‚ Mrs. Long is admitted to the emergency department with diagnosis of heart failure exacerbation. 1. Three days after being admitted to the hospital‚ Ms
Premium Health care Health care provider Visual perception
on medication as the primary intervention for most illnesses‚ patients receiving medication interventions may gain high benefits‚ at the cost of increased exposer to potential harm. This discussion post will focus on reviewing; concepts of safe medication administration‚ The Joint Commission National Patient Safety Goals related to safe medication administration and finally describe how the interdisciplinary teams can participate in safe medication administration. Common Factors Medication error
Premium Hospital accreditation Patient safety Hospital
EDN 100 Clinical Observation Reflection Introduction During the course of my fall semester at Elgin Community College‚ I had the opportunity to observe an elementary school‚ middle school‚ and high school classroom. For my classroom observations‚ I went to Westfield Community School and Jacobs High School. Each classroom visit was to be five hours‚ making the required observation time fifteen hours. My themes for my paper will be classroom management and time on task. Theme 1: Classroom Management
Premium Education Knowledge Scientific method
Administer medication to individuals‚ and monitor the effects 1 Understand legislation‚ policy and procedures relevant to administration of medication 1.1. Identify current legislation‚ guidelines policies and protocols relevant to the administration of medication Legislation relating to medicines The Medicines Act (1968) It governs the control of medicines for human use and for veterinary use. It requires‚ that the local pharmasist or dispensing doctor is responsible for supplying medication. The
Premium Prescription drug Medicine Pharmacology
Introduction to Clinical Dermatology We’ll start with the basic structure of the skin‚ and as we probably know‚ the skin consists of two layers: dermis and epidermis. The epidermis has only one type of structures which are cells -no blood vessels‚ no lymphatics-‚ and the majority of those cells (about 85% of those cells) are called “keratinocytes”. The rest are called melanocytes‚ merkel cells‚ and langerhans cells. The cells in the epidermis are arranged into 4 layers: * Basal layer: it
Free Epidermis Skin
On the 1st of October‚ we had started our clinical teaching in Pusat Perubatan Universiti Kebangsaan Malaysia (PPUKM). I felt excited because I like to hand on the patient and I can gain experience through clinical teaching. On the first day of clinical teaching‚ I was under En Taib’s supervision. He orientated us around the Occupational Therapy department and briefly introduced the staff and rooms in the department. Due to the presence of the patients‚ En Taib decided to bring us to ward round
Premium Stroke
The Controversy On Treatment For Insomnia: Therapy or Medication? PSY101: Introduction to Psychology Instructor: Tolanda Marin January 20‚ 2014 I can ’t sleep; I lay their awake for hours at time‚ my workday just drag on without being able to accomplish my work in a timely manor. My boss doesn ’t know and the lack of sleep is going to get me a poor review. I want to go out tonight but I’m just too tired‚ I need to sleep. This is the effect of insomnia‚ statements like these cause people
Premium Cognitive behavioral therapy Insomnia Sleep
or her clinical judgement when interpreting patient data and implementing nursing interventions. In the clinical setting‚ clinical judgement is defined as "an interpretation or conclusion about a patient’s needs‚ concerns‚ or health problems‚ and/or the decision to take action (or not)‚ use or modify standard approaches‚ or improvise new ones as deemed appropriate by the patient’s response” (Giddens‚ 2017). When narrowing down this comprehensive definition‚ it remains evident that clinical judgement
Premium Critical thinking Nursing Health care