Medicare Severity-Diagnosis Groups Diagnosis related groups (DRGs) have been around since the early 1980s‚ evolving over the years as a patient classification system. However‚ since October 1st‚ 2007‚ Medicare relies on the Medicare Severity-Diagnosis Group (MS-DRG) system to facilitate payments of services rendered for Medicare inpatients. The Beginning of MS-DRGs In the late 1960s‚ Yale University’s School of Management worked with Public Health to begin design and development of the DRG system
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Why Nurses do not Base more Practices on Scientific Research Evidence Walden University Dr Catherine Prato NURS: 4000-3/ NURS-4001-3 Res/scholarship Evid-based Prac December 4‚ 2013 There are many personal and organizational obstacles which impede the professional nurse from using scientific evidence-based standards into practice. According to Schmidt and Brown ((2012) “studies have shown that nurses do not use EBP due to individual and organizational factors” (P.8). These include the lack
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DSM Diagnosis: Include behaviors & symptoms consistent with diagnosis. Axis 1: 304.40 Amphetamine; Axis II: none; Axis III: none; Axis IV: primary‚ social‚ and housing Background information: John Smith is a thirty year old Caucasian male who recently became homeless. Previously living arrangements‚ he were living with roommates. He was admitted to the facility after being evaluated by a clinician for suicidal ideation. His last psychiatric treatment was at SBBH in 2010. He has an ongoing struggle
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wrong response. She indicated that after the session was completed‚ she would go back and look over all the responses and make note of any progress or even goals that may need to be added or revisited. What plans were communicated to the client or family for the next session? The clinician asked the parent/ guardian too keep on working on the target sounds at home‚ as if seemed to be helping the client generalize across different situations. The clinician also made a comment on all the progress
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according to “the National Institute on Alcohol Abuse and Alcoholism’s National Longitudinal Alcohol Epidemiology Survey concluded that dependence and mental illness go hand in hand” (NIH‚ pg. 1). Dual Diagnosis A person who is being “treated in a psychiatric hospital may be given a dual diagnosis” (Stevens & Smith‚ pg. 158). This
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INTRODUCTION Critical incidents are snapshots of something that happens to a patient‚ their family or nurse. It may be something positive‚ or it could be a situation where someone has suffered in some way (Rich & Parker 2001). Reflection and analysis of critical incidents is widely regarded as a valuable learning tool for nurses. The practice requires us to explore our actions and feelings and examine evidence-based literature‚ thus bridging the gap between theory and practice (Bailey 1995). It
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Bacterial vaginosis‚ or simply BV‚ is a prevailing vaginal infection in women. BV is an illness that outcomes in vaginal discharge and are a consequence of overgrowth of usual bacteria in the vagina. There are numerous kinds of bacteria that live naturally in the vaginal region. The vaginal discharge results when numbers of various species of bacteria grow large such that their numbers exceed the natural balance (Bacterial Vaginosis Researchomatic). The reasons for the specific vaginal bacterial
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There is often a long‚ drawn out diagnosis period when it comes to irritable bowel syndrome (IBS). Because a lot of the symptoms (ex‚ abdominal pain‚ nausea‚ changes in bathroom habits) are non-specific‚ meaning they could be the result of any number of things‚ doctors kind of need to rule out a lot before making a diagnosis. This can be very frustrating for patients and their loved ones because without an official diagnosis of IBS‚ most doctors are reluctant to treat a patient. Obviously‚ without
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& Guliano 2012). This essay contains a rationale‚ a case scenario of a patient who shows respiratory deterioration and the appropriate nursing actions to be undertaken in such a case. Nurse’s role Nursing assessments and interventions which reduce unpleasant patient outcomes are vital. There are various reasons for worse patient outcomes like improper diagnosis‚ lack of administering the right medication and poor control of complications. For a nurse to be able to undertake such assessments and
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Nursing and Technology In his textbook‚ Medical Sociology‚ 12th edition‚ Dr. William Cockerham (2007)‚ a medical sociologist at the University of Alabama‚ Birmingham‚ describes nurses as being ultimately responsible for the nature and quality of all nursing care patients receive during their stay in a medical setting. According to Cockerham (2007)‚ they also are responsible for following the instructions of physicians in order to ensure the best plan of action is implemented to better serve the
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