COMPUTERIZED MEDICAL RECORD AND BILLING SYSTEM PURPOSE The information contained in the medical record allows nurses and doctors to determine the patient’s medical history and provide informed care. The medical record serves as the central repository for planning patient care and documenting communication among patient and health care provider and professionals contributing to the patient’s care. An increasing purpose of the medical record is to ensure documentation of compliance with institutional
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NURSING CARE PLANS Impaired Physical Mobility Assessment | Nursing Diagnosis | Scientific explanation | Objectives | Nursing Interventions | Rationale | Expected Outcome | S > θO > Patient manifest:- weak and pale appearance - difficulty in standing and sitting - slowed movement - limited range of motion | Impaired Physical Mobilityr/t neuromuscular impairment aeb slowed movement | Limitation in independent‚ purposeful physical movement of the body or of one more extremities.Due
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Richard J. Daley College Nursing 101 Data Collection for Care Plan Section I – Demographic Data: Patient Initials: K. J. Sex: Female MSWD: Married Age: 44 No. of children: 1 Occupation: Disabled Section II- Admission Data 1. Date admitted: 10/19/2007 2. Admitting diagnosis: Hematomesis‚ melanotic stools‚ cirrhosis‚ hepatorenal syndrome. 3. Allegries: Codiene 4. Signs and symptoms on admission: jaundice appearance‚ lethargic‚ oriented x 1‚ vomiting bright red blood‚ has had
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Quality Nursing Practices UNIT 3 ETHICAL AND LEGAL ISSUES IN NURSING Sturucture 3.0 3.1 3.2 Objectives Introduction Definitions of Terms 3.2.1 3.2.2 3.2.3 3.2.4 Law Related Terms Nursing Related Terms Intentional Torts Consumer Protection Act (CPA) 3.3 Ethics and Ethical Issues Related to Nursing 3.3.1 3.3.2 3.3.3 3.3.4 3.3.5 3.3.6 Definition of Ethics and Bioethics Ethical Theories and Approaches Ethical Principles Ethical Dilemma in Nursing Significance of Studying Ethics in Nursing
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research concerned with establishing costs of nursing care‚ examining the relationships between nursing services and quality patient care‚ and viewing problems of nursing service delivery within the broader context of policy analysis and delivery of health services Generating‚ planning‚ organizing‚ and administering medical and nursing care and services for patients. Care of patients by a multidisciplinary team usually organised under the leadership of a physician; each member of the team has
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This essentials discusses both the importance of patient safety and quality improvement in regards to advanced practicing nursing. Patient safety is defined by the Institute of Medicine as “the prevention of harm to patients” ("Patient safety and quality‚" 2008‚ p. 2) In the health care world patient safety and the quality of patient care is extremely important. The master’s level education for nursing program will teach the advanced practicing nurse the tools needed to deal with an unsafe situation
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Assessment | Nursing Diagnosis | Goals & Expected outcomes | Nursing Interventions | Rationales | Methods of Evaluation | Name of client: Mrs. Tam Age: 65 Sex: Female Student ID:1155016494 Assessment date: 29/11/12 Medical Diagnosis: 1. Lower limbs edema 2. Low albumin level 3. hypokalemia and hypocalcaemia 4. Anemia Nursing Diagnosis: Imbalanced nutrition: less than body requirements related to vomiting after eating as evidenced by food intake less than the recommended daily
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Cardiac Care Nursing Occupations in the healthcare field will always be around‚ especially nursing occupations. Registered nurses provide patients care‚ educate patients and the public about different health conditions‚ and provide advice and support to patients and their family members. Some work in hospitals‚ physicians’ offices‚ healthcare services‚ and nursing homes. However‚ others work in correctional facilities‚ schools‚ or serve in the military. The average nurse makes about $66‚000 per year
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ASSOCIATE DEGREE NURSING NURSING PROCESS FORM: PART I – ASSESSMENT Student: Date of Care: 3/4/13 Client’s Initial: WB Room # 1011 Occupation: Teacher Age: 59 Sex: F Race: Black Religion: Christian Admission Date: 3/1/13 Primary Language: English Role in family: Widowed from husband Stage in Life Cycle: Generativity vs. Stagnation Surgery date(s) this admission: N/A Chief complaint: Brain Dysfunction/Traumatic‚ closed injury Admission Diagnosis:
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IMPORTANCE OF INFORMATICS FOR THE SECUITY OF TECHNICAL SYSTEMS Even though it is fun and practical‚ Information Technology gives us new challenges in security‚ because the security threats also adapt their shape. In the past‚ securing vital objects means keeping their physical attributes intact‚ but this is not the case now. Currently‚ we should also be concerned about the security of its digital format or access‚ and Informatics certainly plays a vital role in this area. Nowadays informatics has totally
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