professional that she has been suffering from a headache with pressure above her eyebrows and a low grade fever for the past four days. This is known as _______________. A. subjective information B. objective information C. an assessment D. a diagnosis 2. In a hospital setting‚ the care provider takes the patient ’s history‚ details the reason the patient is being admitted and performs a physical exam. The report of this information is known as the: A. initial progress note B. discharge
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indicates code sequencing for physician office and clinic encounters. V codes also may be used as the principal and secondary diagnosis in the inpatient setting compared to those that may be used as the first listed or secondary diagnosis in the outpatient setting. The most important difference in the official guidelines of V codes is that the definition of principal diagnosis applies only to inpatients in acute‚ short-term‚ general hospitals. This means that the v coding guidelines for inconclusive
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A Nursing Diagnosis for Cystic Fibrosis Nursing diagnoses describe problems that can be addressed by nursing measures. Because nurses can ’t diagnose a disease or prescribe medication‚ a nursing diagnosis doesn ’t describe a disease or prescribe medications or treatments beyond a nurse ’s scope of practice. In the case of a disease like cystic fibrosis‚ nursing diagnoses center on treating problems caused by the disease. Description According to the North American Nursing Diagnosis Association
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E.R.S.O.N.- NEED and NURSING DIAGNOSIS GUI DE Rm & Bed #: ANALYSIS: ASSESSMENT DATA and NURSING DIAGNOSES (NANDA International) LABELS Use recommended manual/pocket-guide. Compare your PERSON Need assessment data to the Nursing Diagnoses Labels. Encircle the Nursing Diagnoses Labels which may apply to your patient. NEED HEALTH/ILLNESS DATA FAMILY/SIGNIFICANT OTHER/CAREGIVER ENVIRONMENT/ COMMUNITY NURSING DIAGNOSIS LABEL(S) PROTECTION/
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1. Explain the use of each of the six phases of the nursing process. The nursing process consists of six dynamic and interrelated phases: assessment‚ diagnosis‚ outcome identification‚ planning‚ implementation and evaluation 2. List the elements of each of the six phases of the nursing process Asses- gather information about the clients condition‚ Diagnose-identify the client’s problems‚ plan and identify outcomes- set goals of care and desired outcomes and identify appropriate nursing actions
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• Sequence the ICD-9-CM principal diagnosis in the first diagnosis position. • Assign all reportable secondary diagnosis codes including V codes and E codes (both cause of injury and place of occurrence). • Sequence the ICD-9-CM principal procedure code in the first procedure position. • Assign all reportable secondary ICD-9-CM procedure codes. ICD-10-CM and ICD-10-PCS Coding Instructions: • Sequence the ICD-10-CM principal diagnosis code in the first diagnosis position. • Assign all reportable secondary
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is a vast possibility for parents to know before hand any conditions that the child might have. However having this “weapon” in their hands does it mean that the parents should use it? First of all‚ an overview of what prenatal diagnosis is is needed. Prenatal diagnosis is a way of checking how the fetus is doing and if it has any problems. These methods test for diseases or other conditions such as gender. The main reason of its usage is because of birth defects and genetic diseases that might
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Sciacca‚ K. 1997. Removing barriers: dual diagnosis and motivational interviewing. Professional Counselor 12(1): 41-6. Reprinted with permission from Health Communications‚ publisher of Counselor (formerly Professional Counselor)‚ www.counselormagazine.com. All rights reserved. "Removing Barriers: Dual Diagnosis Treatment and Motivational Interviewing" In the past‚ traditional treatment methods for drug addiction and alcoholism have been characteristically intense and confrontational. They are
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bilingually (Malay+English) if needed Trigger 1 1.Read out trigger 2.Keywords: -No need to write out on board‚ just underline or highlight in own paper (unless requested by doctor) -Discuss each keyword 3.Differential diagnosis -List out the differential diagnosis as u can (Some pre-reading will help) -State the positive history‚ state the negative history -Diff diag can be added or deleted as more triggers are revealed 4.Further history -Based on the diff diag‚ discuss the further
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other problems. “Upcoding is the use of a procedure code that provides higher payment” (Valerius‚ Bayes‚ Newby‚ Seggern‚ 2012‚ p. 243). Upcoding is very easy to accomplish‚ and difficult to detect. All a physician has to do is embellish a patient’s diagnosis to justify
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