of the principal diagnosis. Identify if the physician is waiting for additional diagnostics or consults. Take note of any gaps in the documentation. Can each diagnosis be coded completely based on the documentation? How firm is each diagnosis—are there diagnoses that are noted as rule out, probable, possible, cannot confirm, etc.? Make note of those diagnoses so that you can follow the progression of each diagnosis as the patient receives inpatient care. You don’t want a diagnosis to drop off…
presentation, and an understanding of the establishment and ranking of the most likely differential diagnoses is of immense importance. Like with any presenting complaint, the history and physical should serve as the guidepost for the differential diagnosis. Every disease presents with certain makers, some obvious, some frustratingly vague, but it is incredibly important to approach every case with the same technique and precision. As a provider it is important to begin with what is known.…
proper support for their personal needs and medical diagnosis. If an elderly patient is provided with a thorough education on their diagnosis it can lead to positive health outcomes. In like matter with the proper support of nurses provided at home for the patient, medical errors can also be prevented. The purpose of this paper is to discuss Sallie Mae Fishers home visit with four problems identified based on substantiate findings, and four nursing interventions with rational for interventions.…
Oxford (Hanson, 2016) shows that a fetal heartbeat can be heard as early as 16 days after conception. Non-invasive fetal DNA tests are performed as early as 9 weeks of pregnancy, but diagnosis has to be confirmed via amniocentesis, which is done between weeks 15 and 20. (Szabo, 2013) At this stage of pregnancy when diagnosis of Down syndrome can occur, the baby has a heartbeat and I consider it wrong to terminate the pregnancy. As parents bringing life into the world, I believe it is a…
several years, that our society is a melting pot, made up of different cultures and sub-cultures. Due to the large number of cultures in today’s society, it is impossible to know or understand every culture and sub-cultures beliefs, and practices. Nursing care, like our society, has become more culturally diverse, causing nurses to adapt their assessment skills to include cultural components and communication. This paper will describe the key components of conducting a comprehensive cultural…
Evaluation of a patient The nursing process is a systematic process that allows nurses to know the patient 's physical, emotional and mental health. In this evaluation process is a collection of data that will allow the healthcare professional to proceed to evaluate the patient in different scales that go hand in hand. This process is established under the data collected and established by the NANDA. According to NANDA, this organization was established in 1982 through the process of research…
Working on a Pediatric Intensive Care Unit in a large teaching hospital, there is a complex system of health care workers that make up the team assigned to a patient. Intern’s, resident’s, fellow’s, attending’s, new nurses, experienced nurses and other health care providers are all a part of a patient’s care team. The parents of these children tend to be available and present for the greater part of every day and they want to be part of the team caring for their child. Empowering parents goes a…
I will use the economics term “supply and demand” to justify my argument. Nancy Klein’s article “Abortions and Prenatal Testing” states that about 90% of pregnant women who are given a Down syndrome diagnosis have chosen to have an abortion. (pg305c1) Therefore, it could be said that with less “supply” of Down syndrome babies, there is less “demand” for institutional support and funds for medical research. Secondly, when it comes to special group homes…
currently one of the accepted causes of a painful foot condition known as Morton 's neuroma [MN] (Rout et al., 2009). For this week 's discussion, the author wishes to discuss the two diagnostic imaging commonly employed by clinicians in confirming the diagnosis for MN. The research article by Fazal, Khan, and Thomas (2012) shall serve as the springboard for the discussion on the use of ultrasonography (US) and magnetic resonance imaging (MRI) in MN. Fazal et al. (2012) characterized MN as a…
M.G. is a 10-year old African American female presenting to the clinic with her mother. She is clean and intact, well nourished and in no apparent distress. She has been getting allergy shots due to eczema, but the mother wishes to stop them due to lack of improvement in her condition. She had been prescribed with tea tree oils, which she used twice daily until it ran out three months ago. She has also been having daily baths with dove and herbal soaps and bath salts twice a week. She has also…