How does a medical chart help diagnosis and treatment? How might incomplete information on a medical chart cause a mi...
- How does a medical chart help diagnosis and treatment?
- How might incomplete information on a medical chart cause a misdiagnosis of the problem or condition or delay treatment that could be life-saving? In Nick's case, his friends could provide information on what he had been doing prior to his visit to the Emergency Room. What if Nick's friends could not provide complete information? How would this affect his care?
Please cite references.
Homework Answers
Answer: The medical chart help diagnosis and treatment as it allows the healthcare professionals to know about the present condition of the patient along with the past medical history, treatment as well as the medication and allergies that the patient had. This enables the healthcare professionals to treat the patient more carefully. For example, the patient has allergy with the antibiotic of doxy group. So, the medical chart can help the healthcare professionals to give alternative medicine to the patient in the place of doxy group of medicine to prevent allergic reaction.
The incomplete information on medical chart can cause a misdiagnosis of the problem as when the healthcare professionals will not get proper information, proper care can't be deliver to the patient. The medical history of the patient is also important to know about the diseases the patient had in the past.
Proper information should be provided to the healthcare professionals as it is important to know about the condition of the patient. If proper information is not being provided then the healthcare professionals need to perform and take various actions regarding the treatment. This will delay the right care or treatment. So, if the medical history is available then the healthcare professionals can directly access patient and provide right treatment.
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How does a medical chart help diagnosis and treatment? How might incomplete information on a medical chart cause a mi...
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Study)
Pick 100 medical terms (NOT 100 words) that you learned in class
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This is an example of a case study:
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Medical Chart Name Nick Morris 12 Gender M Date Chief complaint Patient is carried into the ER by several friends. They say he passed out during a party and they don't know what's wrong with him. They are not sure how long he has been unconscious. They were asked if he had been drinking, and they say that he has been drinking all night. One friend says he seemed confused at one point. Medical history Replace this with your text....
The activity
You are the Health Information Director at the General Hospital,
which has been accredited by The Joint Commission (TJC). You have
been notified that surveyors are currently onsite and, as part of
their survey process, are utilizing the tracer methodology. They
will be evaluating the direct care of patients currently admitted
to the hospital and will also need access to the hospital’s
EHR.
One of the patients whose care and medical record the surveyors
will be examining is...
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Building a Medical Vocabulary: ( Case
Study)
Pick 100 medical terms (NOT 100 words) that you learned in class
and create a
case study
This is an example of a case study:
HCP224-ONL4 Case Study Assignment ID: 0123 Author Name: Email Address: Cell Phone: (098)765-4321 Affiliation: SJ Medical Hospital of B County Title: More to The Surface Than "Magic" in DM Introduction: Patient (Pt) is a 68-year-old, Asian male and came to the clinic of SJ Medical Hospital...
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