Physical examination

Treatment options; Secondary: The holistic approach takes into homeopathy, manual medicine, physical therapy, herbal medicine, biomolecular medicine, scupuncture and drugs with surgery route while the traditional form uses the help of exercise, stress management, diet and physical therapies. 6. Strengths: the holistic approach is affordable, effective in preventing and curing acute and chronic ailments and provides optimal health. The…

1. What specifically would you assess for on physical exam? How would you document the lesions? It is important when doing an assessment to gather as much information as possible in order to attain the appropriate diagnosis and treatment for the patient (Watkins, 2014). Knowing when the lesions first appeared and whether they have altered themselves as well as if there are any associated symptoms can allow the healthcare practitioner to have confidence in their diagnosis. Asking the patient if…

Moodey saw John last week for his annual physical. Dr. Moodey sent John for some lab work as he was concerned that John may have developed diabetes mellitus. John asked the Medical Assistant, Sally, to contact him on his cell phone to discuss the results of the lab tests. When the results came in, Sally called John’s home phone and left a message for him to contact the office. Which of the Patients’ Bill of Rights afforded under Title II of HIPAA did Sally violate? | 15 points | Directions to…

The importance of pre-screening As we all know in Clinical Research providing qualified subjects, clean/good data and the safety of our subjects is of the utmost important. Therefore it is vitally important to complete a thorough pre-screening of each potential subject. In order to do this the following should be done; Request the Medical Records of the potential subject and make sure they are RECEIVED and reviewed PRIOR to Visit 1. Why is this so important? Having the Medical Records in…

and on time, dressed casually, with appropriate hygiene. He appears his stated age. Daniel displays poor posture, slouching periodically throughout session. Daniel is of average height and weight for his age group and does not display any unusual physical characteristics. He makes culturally congruent eye contact, looking directly into the clinician’s eyes when speaking, and his motor activity is relaxed and unimpaired. In regards to his gait and mobility, he walks with a slight limp on his left…

atient is a 34 year old woman complaining of joint pain, 7 on a pain scale of 1-10, as well as feelings of anxiety. She states her joint pain began a little over a month ago at first in her knees. Then she began to notice the pain increasing, and soon spreading to her wrists and fingers. She believed her job as an accountant and the constant typing required for the job exacerbated her joint pain in her fingers and wrists. She describes the pain as a “burning” sensation. Ms. Edwards also began…

Electronic Medical Record in a Healthcare Industry Electronic Medical Record is a type of information system that collects the date of each patient and stores their medical record, medication, and allergies on a protected server. Electronics medical records can also store x-rays, billing information, individual’s personal information, vital signs, radiology images, laboratory tests, and much more. Everything that medical personnel would ever need a patient history and/or doctor visits would all…

staying in the bed I would suggest that she go for a walk and see how she feels after she does that. There may be a physical condition present that is draining her energy, so I wouldn’t want to automatically assume that it is depression. If she is open to suggestions prior to this session, I would mention to her that it may be a good idea for her to go to her primary physician for a physical exam, if she hasn’t had one within the last…

The medical health record is an integral part of the healthcare system and has evolved greatly over the years. This form of communication is necessary for keeping information about a patient’s health at the fingertips of healthcare professionals. The medical record includes everything from billing and administrative information to complete diagnoses and medications. ("What information does an electronic health record (EHR) contain? | FAQs | Providers & Professionals | HealthIT.gov," 2013).…

1. Skin problems as described by the assessment partner (ask them to describe all rashes, lesions, dry areas, any oiliness, drainage, bruising, swelling, or pigmentation issues) Patient denies having any skin problems. No visible lesions found on assessment. 2. Reported changes in lesion appearance Patient has no lesions present. 3. Reported changes in sensation (pain, pressure, itch, tingling) No skin lesions noted. Patient denies having any pain, pressure, itch or tingling of skin. 4.…