More than half of the male population experience prostate issues at least once in their lifetimes. The…
Mary San Juan Hospital is in receipt of a denial letter dated December 26, 2016 for acute inpatient care provided on the above dates. The denial is based on the premise that it was medically unnecessary. However, the hospital has determined that this acute inpatient admission was warranted and supported by clinical documentation in the medical chart. The treating physician exercised their expert opinion in electing to admit this patient out of concern that his symptoms were attributed to an acute or escalating clinical condition.…
Defining the problem How We Know CAUTI is a Problem According to Kennedy et al. , (2013) CAUTI’s are identified as one of the most common healthcare related infections. As a result of the high incidence of CAUTI’s, in 2008, the Centers for Medicare and Medicaid Services, stopped reimbursing hospitals for the costs of care for patients who develop a CAUTI during hospital stays (Kennedy et al., 2013).…
I am writing to obtain permission to conduct an evidence-based quality improvement project using a pretest/posttest design in your facility with the purpose of evaluating the effectiveness of an educational intervention regarding the importance and use of the nurse driven protocol on nurses ' knowledge and CAUTI rates. This study will be done to fullfill requirements for completion of the Doctor of Nursing Practice degree at Regis University, Denver, CO. The following information is an overview of the project: Can Empowered Nurses Decrease CAUTI rates?…
Another assessment the nurse monitors for is the formation of thrombosis or clots. “Because patients undergoing prostatectomy have a high incidence of DVT and pulmonary embolism, the provider may prescribe prophylactic low-dose heparin therapy” (Pellico, 2013, p. 963). Heparin helps to decrease the formation of clots, which can have a dangerous outcome if not caught early. While a patient is on heparin therapy, the nurse should cautiously monitor the client for bleeding (Pellico, 2013). Anxiety related to health status is a nursing diagnosis that would be appropriate for a client who is about to receive treatment.…
Orval spent seven weeks in the hospital. He is admitted by a urologist named Dr. Dennis Stanczyk for surgery called Transurethral Resection of the Prostate. Referred to as TURP, this surgery is to remove parts of his enlarged prostate gland through the penis. It is after he is admitted to St. Elizabeth Hospital that other more serious complications are discovered. Orval has lost the function of one kidney and has only 10% functioning of his other kidney.…
This incorporate NHS Outcomes Framework (2015/16) domain 2 and 4, which stated every healthcare professional should improve the quality of life for people suffering from long-term illness and ensure they are satisfied with the care they receive. Similarly, RCN (2008) and NHS Scotland restates the significance of securing catheter when in suits will promote patient comfort and limit potential complications movement and ensuring less or no need for re-catheterisation. For example, limited circulation to the limb occurrence may lead to deep vein thrombosis while tension and traction to the urethra can cause trauma and necrosis particularly in men (Bierman and Carigan 2003). The SMART plan will outlined the proposed innovation as Specific-target…
It’s important to stay up to date on coding changes. To be a truly viable coder it’s absolutely necessary to stay informed about what’s taking place in the industry. Having a membership with AAPC and AHIMA has shown me the importance of staying current and these memberships are a great way to do it. Continuing education is necessary to keep your certification credential current, but the classes, webinars, and seminars will also help you stay informed of new developments that will affect you on the job. By keeping current you can be an asset to your organization and that can be good for you when it comes time for promotions and raises.…
an ostomy causes a change in the way urine or stool exits the body as a result of surgical procedure. Bodily waste is rerouted from its usual path because of malfunctioning parts of the urinary and digestive system. This can be temporary or permanent. There are a variety of medical conditions that may result in an ostomy surgery. These include inflammatory bowel disease such as ulcerative colitis, crohns disease, diverticulitis, and others.…
The patient has been diagnosed with a malfunctioning penile implant. He had an inflatable implant inserted three years prior to this surgery. It malfunctioned because either the balloon or reservoir was leaking fluid. The fluid leak can occur in any part of the prosthesis, this type of complication could occur following surgery. This can be due to improper implantation of the prosthesis or a defect in the product.…
Whipple Procedure Whipple procedure is a surgery to remove the head of the pancreas, the upper part of the small intestine (duodenum), and the organ that stores fluid (bile) made in the liver (gallbladder). Part of the stomach may also be removed during this procedure. The pancreas is a large gland located behind the stomach. It helps digest food and it produces hormones that regulate blood sugar.…
1. What factors predisposed Mr. W. to acute kidney injury? Some of the factors that caused Mr. W’s acute kidney injury are fever of 38.5° C, severe abdominal pain & nausea due to pancreatic inflammation with intra-abdominal ascites. One of the symptoms of ascites is infection which can cause kidney failure if not treated (ACG, 2013).…
In this assignment, I will use the Gibbs reflective cycle (1998) to reflect on the situation that taken place during my clinical placement to help me to improve and utilise my skills and knowledge from that experienced. • Describe what happened I was assigned in Surgical Ward at Westmead Hospital for two weeks. I was endorsed to one of the Registered Nurses to be my mentor. I was told by my mentor nurse to help her to shower one of her patients.…
With it being the size of a walnut, the prostate gland is found between the bladder and the penis, and is part of the male reproductive system. There are three main disease associated with the prostate, including prostatitis, benign prostatic hyperplasia, and prostate caner. “Prostate cancer is an aggressive growth of malignant cancerous cells in the prostate that can be fatal. ”(Cramer, 2015) In addition, prostate cancer is one of the most prevalent cancers in men and is one of the leading causes of cancer related deaths among men.…
The kidneys remove urea from the blood through, nephrons. Each nephron entails of glomerulus, and a renal tubule. The glomerulus is what filters the blood, the watery solution. Urea, together with water and other waste matters makes the urine then it passes through the nephrons and down the renal tubes of the kidneys. The ureters are narrow tubes that carry urine from the kidneys to the bladder.…