Essay on Bc3030 Wk 2 Coding Test

L.M. is a 75-year-old female who suffers from severe dementia and lives in a SNF. She was diagnosed with lung cancer in 2005 and as a result had a right upper and middle lobectomy. She also has a history of severe emphysema. L.M. has had several pneumonic infections and has an allergy to Pneumovax. She has a recurrent aspiration risk and received a tracheostomy and a PEG tube in January 2012.

Physical Examination: General: The patient is an alert, oriented male appearing his stated age. He appears to be in moderate distress. Vital signs: blood pressure 132/78 and pulse 68 and regular. Temperature is 38.56 oC (101.4 oF). HEENT:Normocephalic, atraumatic. Pupils were equal, round, and reactive to light. Ears are clear. Throat is normal. Neck: The neck is supple with no carotid bruits. Lungs: The lungs are clear to auscultation and percussion. Heart: Regular rate and rhythm. Abdomen:Bowel sounds are normal. There is rebound tenderness with maximal discomfort on palpation in the right lower quadrant. Extremities: No clubbing, cyanosis, or edema.

I love coding in my free time and I do truly believe that I flourish when I find myself coding. The limits of what you can do with coding are next to non-existent, and the idea of a platform with infinite possibilities engrosses me and leads to me to work as efficiently as possible towards the end goal of creating a product in which I see infinite possibilities. On top of that, another possible contributing reason for why I think coding may allow me to flourish is that with the infinite possibilities (as I stated before) comes curiosity, a curiosity that has no conclusion. The feeling of curiosity I feel as I code has a cause and effect relationship with me in that it turns me onto new methods of coding or new languages of coding which then

This patient present to the hospital with dyspnea on exertion, dizziness, and pulmonary hypertension. She is a former smoker; she quit the habit in 1980. She underwent a chest CT which showed 4 nodules. There was an 8 mm nodule in the right lower lobe, a 4 mm nodule in the left lower lobe, a 4 mm one in the right middle lobe, and a 4 mm in the left upper lobe. The patient had also already had a right middle lobe wedge resection where a 3.2 centimeter atypical carcinoid was found. A wedge resection is when a triangular shaped slice of tissue is removed. Usually a tumor is taken, and a small amount of normal tissue around it.

Lungs: Diminished breath sounds in all lung fields. Resonant to percussion. No wheezes, rales, or rhonchi. Symmetric chest expansion. Breathing nonlabored.

Time out was performed and all information was accurate and confirmed. Skin marker is used to mark incision line. A #10 knife blade on a #3 handle is used to make a vertical suprapubic incision is made through the skin and linea alba extending from below the umbilicus to the symphysis. The rectus muscles are retracted with Richardson retractors to develop the prevesical space. Blunt dissection by the surgeon’s finger is used to reflect the peritoneum superiorly away from the dome of the

This is a 50 years old male with no significant past medical history presented initially with shortness of breath and hypoxia and was transferred to the ICU. He was treated for bilateral pneumonia that required prolonged mechanical ventilation via a tracheostomy. He has necrotizing pneumonia and he has been in the hospital for 6 weeks due to the development of multi-organ failure. He was weaned from mechanical ventilation to the point he was tolerating a CPAP/PS mode. Later on, it was noticed that he

A sterile needle guide is attached to a movable post at the stage assembly. The biopsy instrument is then attached to the stage assembly. Everything will get locked into place and the computer will verify the coordinates to the biopsy instrument. After the patient is injected with local anesthesia, a four millimeter incision will be made into the breast tissue. After the incision, the needle will need to be pulled back until it corresponds to the correct depth that the computer gave. Next, it is time for the needle to be inserted into the breast

Pt approached staff 2200 stating, she was having a hard time breathing. Pt also stated her tongue was swollen from an allergic reaction. Mild tongue swelling noted. After assessing the patient, she had bilateral audible wheezes and o2 stat at 96%. No s/s of respiratory distress noted. Pt received a nebulizer treatment at 2205 and was fine after tx, stating "my breathing improved." Prn Bendaryl was also given after a swallow evaluation. No further medical complaints. Slept well through the

The patient was a 76-year old man status-post right left amputation and spleenectomy secondary to a work accident that required multiple surgeries and tracheostomy for 2.5 months. In the years following the patient suffered dyspnea on exertion and was admitted to the hospital in 2010 for stridor and long segment tracheal stenosis confirmed via bronchoscopy. The bronchoscopy revealed stenosis originating at the cricoid cartilage and affecting

The patient was born with a long-segment congenital tracheal stenosis and pulmonary sling, which occurs when the pulmonary artery develops posterior to the trachea. Based on the nature of the patient’s condition immediate autologous patch tracheoplasty was performed at six-days old. In the post-operative period the patient was unable to be extubated as severe bilateral bronchomalacia developed thus requiring stainless steel stent

“The indications for tracheal replacement are lesions a region in an organ or tissue which has suffered damage through injury or disease that can’t be resected and reconstructed safely with end to end anastomosis or long-segment congenital stenosis, which cannot be effectively managed with slide or patch tracheoplasty”, (Haykal et al., 2014). Acquired lesions include malignancy, traumatic injury, and subglottic or tracheal stenosis. The general limits for safe resection are about one half of the tracheal length in adults and one third in small children. Very lengthy lesions that cannot be safely removed and reconstructed primarily are managed palliatively with long-term T-tubes or stents. The clinical course of these patients is usually complicated with multiple infections and frequent hospital admissions. Therefore, a safe and dependable tracheal replacement remains an important unmet

I analysed that experience in clinical practice required more knowledge to evaluate the incidents with the patients. Moreover assess, plan, intervention and evaluate of the patients aided in delivering the care to the patients. The procedure encompassed the knowledge and attitude in performing the skill on the tracheostomy patients. The most important part I really had to have the knowledge about the tracheostomy patients. The assessment on the patients breathing could indicate the respiratory problems occur. Audible bilaterally is the breath sounds signify that the air is flowing freely through the tracheostomy tube(Astle, 2003, p35). The indication of sound explain by McConnell (2002, p17) are the coarse breath sounds, noisy breathing, and

General Appearance: The patient is 36-year-old Caucasian woman who is in no apparent distress. Patient is alert and oriented to person, place, time and situation, cooperative, well-nourished, well-groomed, and dressed appropriately for the weather. Hygiene is excellent

Tracheostomys may be required for long term control of excessive bronchial secretions, particularly in those with reduced consciousness or to maintain an