Answer: Physician use three kinds of record format:
admission to discharge. 24. Describe the format of the source oriented record 25. Discuss two secondary...
There are two types of health records: the source oriented medical record (SOMR) and the Problem-oriented medical record (POMR). Identify methods of organizing the SOMR compared to the POMR. How do they differ and how are they alike? Which do you think would be easier to navigate?
Discuss the ways that an Admission, Discharge, Transfer (ADT) system could improve quality of care (improving the patient experience; improving the health of populations; and reducing the cost of care). From the perspective of a healthcare IT administrator, how could this technology improve the way that an organization leverages HIT?
HILLSIDE HOSPITAL 359 Mountain Pass Road Langston, FL 33993 DISCHARGE DOCUMENT SUMMARY PATIENT DATE OF ADMISSION DATE OF DISCHARGE LOWENSON, MARC 08/01/18 08/22/18 FINAL DIAGNOSES Major depressive disorder, recurrent, current episode severe 2. 3. HIV 4. Tuberculosis of the lung, primary 5. Hepatitis C, DISCHARGE MEDICATIONS: 1. Zoloft 100 mg, po, qam 2. Seroquel 50 mg po qhs 3. Truvade 1 tab qam 4. Regataz 300 mg po qam 5. Norvir 100 mg po qam with breakfast 6. Dapsone 100...
3. Identify and describe two types of secondary research and one useful source for each type. Why is audience segmentation central to a social marketing approach in health promotion?
DISCHARGE SUMMARY Admission Diagnosis: Multiple compression fractures of T12, L1, L2, and L4 Discharge Diagnosis: Same as above, non-acute fractures History of Present Illness: This is a 70-year-old African-American female with a long history of multiple fractures dating back to 1992. She has a history of significant osteoporosis diagnosed in 1998. The patient also has a history of osteoarthritis and had a right total hip replacement in 2000. Two days prior to admission, the patient missed the final step coming...
CASE STUDIES IN HEALTH INFORMATION MANAGEMENT CASE 1-2 Problem-Oriented Medical Record Format Read the patient visit report shown in Figure 1-1 and answer the following questions. 1. What is the patient's chief complaint? 2. What information in the scenario is "subjective"? 3. What information in the scenario is "objective ? 4. Does Dr. Jenkins have a definitive assessment of Ms. Gerry's problem? If so, what is it? 5. What is the plan for this patient? We were unable to transcribe...
Describe primary or secondary consequences of violence and discuss how a public health approach can facilitate the future prevention of such incidents (1-2 short paragraphs). Please include reference in APA format Module 2.2) How can nurses in any practice setting utilize a public health approach to violence prevention to reduce the burden of violence on a population of interest? What are barriers or what would you like to know more about to be able to do this? (1-2 short paragraphs)...
Describe the form of data unit for the 5-layer TCP/IP model. Given the following IP source and destination addresses in Hexadecimal format: 3. P source address: 81 7E 7B 01 IP destination address: 81 7E 7B 24, converi then to standard doited decimal format. Describe the form of data unit for the 5-layer TCP/IP model. Given the following IP source and destination addresses in Hexadecimal format: 3. P source address: 81 7E 7B 01 IP destination address: 81 7E 7B...
Discuss the underlying pathophysiology of the following patient. Describe the alterations in health and treatment modalities. Please respond thoughtfully and respectfully. All the details are given below in the scenario. Also you just need to tell what a nurse needs to do when a patient of his or hers is in this condition what treatement you would give 1. Mrs. Smith presents at the ER with c/o headache and dizziness. She is alert and oriented upon admission. This patient is...
Describe and discuss two disorders of the GI system or accessory organs (liver, gallbladder, pancreas) that can affect nutritional status. Discuss the nursing implications while caring for a patient with these disorders.