Complications, Complication Rates, And 90 Day Readmission Rates For Patients With Operative Isolated Sacral Fractures

The U.S. Department of Defense has required Brooke Army Medical Center to seek reimbursement for medical procedures conducted on third party insured civilian patients. The need for a professional billing service to effectively acquire third party reimbursement for healthcare services within Brooke Army Medical Center is essential to the financial success of the organization. The hospital is operating in a demanding environment due to a highly regulated healthcare industry and an uneven playing field compared with other local community hospitals. Nearly one-third of the nation’s hospitals demonstrated operating losses in 2014 with Brooke Army Medical Center being no exception. Additionally, uninsured patients are costing U.S. hospitals $900

Katz, J. N., Wright, E. A., Polaris, J. J., Harris, M. B., & Losina, E. (2014, May 22). Prevalence and risk factors for periprosthetic fracture in older recipients of total hip replacement: a cohort study. BMC Musculoskeletal Disorders, 15(1), 1-9. http://dx.doi.org/10.1186/1471-2474-15-168Lewis, S. L., Dirksen, S. R., Heitkemper, M. M., Bucher, L., & Camera, I. M. (2011). Medical-surgical nursing: Assessment and management of clinical problems (8th ed.). St. Louis, MO: else

Injuries occurring during birth are denoted to as birth trauma or obstetrical injuries and they are associated with different etiological causes. The important causes of birth trauma are macrosomia, breech presentation, shoulder dystocia, and forceps-assisted deliveries [3]. Traumatizing maneuvers during the deliveries will result in these fractures in the assisted deliveries [4]. The trauma may occur due to use of forces, excessive traction or pulling, unintended pressure on soft organs such as eyes. Trauma to the limb usually occurs when the limb is pulled in cases of obstructed labor or shoulder dystocia (Head out, shoulder stuck). An Indian study on birth trauma revealed that the fractured clavicle was commonest bone fractured

The talonevicular joint linear incision was made in line with the posterior tibial course, sharp dissection carried down through skin with blunt dissection of subcutaneous tissues.

This assignment will present a reflective analysis of the examination, diagnosis, treatment and referral plan based on a simulated patient presenting with a minor injury. Potential diagnoses related to the mechanism of injury will discussed aligning the patient presentation with the literature to produce the most likely diagnosis. When this is established, a suggested treatment plan will be created in line with current guidance.

Problem: Patient falls have long been a common and serious problem in hospitals across the nation, causing

Patient incurred a T7 thoracic injury and has no lower extremity functional ability. At present the patient has a stage two sacral decubitus, urinary tract infection, and muscle spasms in his lower extremities. The sacral ulcer was caused from the lack of frequent position changes while in bed and improper seating in the wheelchair. The wound requires daily dressing changes and more frequent if soiled from urinary and fecal contamination. The urinary tract occurred from the patient intermittently cauterizing himself with a straight catheter every four hours. The patient has also been experiencing spontaneous uncontrolled spasticity in the lower extremities.

The Centers for Medicare and Medicaid Services (CMS) has identified eight adverse conditions, and inpatient injurious falls continues to be the most common adverse condition (as cited in Tzeng, Hu & Yin, 2016). The inpatient falls in the “US hospitals range from 3.3 to 11.5 falls per 1,000 patient days” (as cited in Bouldin et al, 2013, p.13). Roughly 25% of patients are injured when they fall (Bouldin et al, 2013). Since 2005, the USA’s National Patient Safety Goal listed fall prevention as a goal (Bennett, Ockerby, Stinson, Willcocks, & Chalmers, 2014). Since 2008, hospitals no longer receive payments from CMS for health care cost connected to inpatient falls (Bouldin et al, 2013). CMS views inpatient injurious falls as injuries that should never occur (Bouldin et al., 2013). There is no doubt that quality improvement must continue to address inpatient injurious falls. Preventing falls and implementing interventions to lower the rates of falls is a major concern for hospitals and must be included in any quality improvement measure.

If an open wound occurs at the site of the fracture that is an open fracture. Sometimes the fractured bone sticks out of the wound. This creates a big risk of infection in the bone.

Spine injuries hurt a lot for example your spine can pop outback this up. 2-100,000 get spine injuries.

Staff injuries that include lower back discomfort and MSD’s are considered of the most common amongst healthcare professionals (Liebert, 2007). Recent articles reflect that a staggering seventy percent of staff injuries are related to direct manual patient handling and transfers (Liebert, 2007). Staff injuries negatively affect productivity levels secondary to lost time (Liebert, 2007). This often creates a viscous cycle leaving less staff to care for more patients. This in turn increases the risks for experiencing an injury onto the overburdened and overwhelmed staff. The use of the Procedural Stretcher with

The classic mechanism of uPCL sprain or rupture is a fall onto the uknee with impact to the anterior utibia. ( 64 )

The wounds that were located in the left sacrum and left hip had been present for more than 41 days and had serous exudate. The wound in the right hip had been present for more than 35 days and also had serous exudate. The provider cauterized the wound in the left sacrum after administering a local anesthetic and applied a special dressing to all 3 wounds. The plan was to follow-up “within 7 days.”

A critical literature review exploring the effectiveness of using skin staples as opposed to sutures or skin adhesive as closing materials after orthopaedic surgery.

According to Chiles and Cooper (1996) spinal injury should always be suspected in patients with severe systemic trauma, patients