First Patient Descriptive Writing

The patient apologized for his behavior yesterday towards this writer and says, " You didn't deserve that at all.....I just had to get to work, Charlene, but I barely made it on time." This writer accepted his apology and addressed the reason for the HOLD. The patient is aware that he needs to produce a copy of his work schedule to this writer by next week. This writer then continue with the conversation with the patient from yesterday conversation about seeking a high level care due to the recent positive BAC. In addition, this writer discussed with the patient about his BAC history as the patient provided an explanation for each. The patient pointed comment in the patient manual that he read last night about the clinic's policy and procedure, which states if a BAC greater than 0.00 two times in 30 days, the patient will be referred to a group at the Center and if it happens 3 times in 30 days, it is recommended that the patient entered an inpatient alcohol detox program.

According to the article, “Noncaring and Caring in the Clinical Setting: Patients’ Descriptions”, “Presence is something which reveals itself immediately and unmistakably in a look, a smile, an intonation, or a handshake” (Riemen). The concept of nursing presence may sound similar to the nurse simply caring for the patient. However, nursing presence is much more complex; then simply administering the patient’s insulin before every meal. A nurse being present with the patient is actively advocating for the patient. They’re working with the patient to ensure they’re receiving the best care. If the patient needs pain medication, but doesn’t have any ordered, the nurse is calling the doctor and advocating for this patient’s pain. Comforting,

I wake up, just like every morning, barely glancing around the familiar room, neatly organized. The room filled with a bed, a dresser, and some odds and ends. I trudge towards the white door in the corner, entering the bathroom. I look into the mirror, my skin glistening purple, vibrant blue eyes and red hair. My hair has never been cut, when down it sits on the floor.

First, I would ask Mr. Jones if he is a new patient to the office. Second, I would ask him who his insurance carrier is and let him know if we are in his network. If he is I would schedule his appointment and ask him to make sure he brings his insurance card and driver's license in with him so I can make a copy and have it on file. I would advise Mr. Jones to come in at least 15 minutes early for his appointment because when his appointment arrives, he must fill out patient paperwork. I would advise him that I will also give him a copy of the HIPAA Privacy Act. I would tell him from there I will call him back to a room and a nurse would come in and get his vitals and then the doctor would come in to examine him and provide a diagnosis

1.         What is the potential impact of the copy/paste functionality on the integrity of the data and information contained in an EHR?

I agree with your post on two patient identifiers is very important to eliminate frequent errors that occurs in health care organizations. In addition to the goals of using two patient identification method as you mentioned. The goal for using this method is to avoid common diagnostic test performed on wrong patient errors, given medication to the wrong patient, and lab test performed to the wrong patient All these errors are harmful and serious because it could lead to patient harm or

The first stage of a patient's appointment should include the patients living information. For example, what is their address or place of residing as well as information about their insurance. Before every appointment you must verify the patient’s insurance such as their eligibility and benefits and if any information has been changed since the last time they visited. A change in insurance information can affect the benefit and authorization information so that is why it is always good to double check the if information of the patients. The correct coding of claims is important as it informs the insurance payer exactly what the patient got treated for. If you miscode the patient than they will get bill for the wrong thing which can make the

It was surprisingly hectic that day. I had woke up that morning to find my heels in tatters from my dog, Diego. To make matters worst, I was an hour late to my hair appointment. I jumped out of bed and became a hurricane that swept through my room, rummaging through my closet and dresser to throw something on. In record-breaking time of twenty minutes, my mother and I were out of the house and on our way to the beauty salon. There, was a moment of bliss as I took a nap while she styled my hair. When I opened my eyes, I had a head full of bouncy curls that moved effortlessly as I swayed my head back and forth while looking in the mirror. Suddenly, I noticed the clock on the opposing wall and sighed. I had four hours left and still so much to do. After leaving the beauty salon, it seemed like someone hit the fast forward button. My mother rushed to the mall after dropping me off at the nail shop to purchase a new pair of heels. I thought this would save me some time and give me a chance to rest; however, as soon as I got home, I had to get ready. A quick bite to eat, a messy makeup session, and small bite to eat, all that was left was to put on my dress. The final result, an unrecognizable look that I was satisfied

My placement was undertaken in Lyon ward of Calvary Wakefield Hospital. Lyon ward is a medical ward which contents fourteen beds and most patients are over 65 year old. During my placements, I had many opportunities to get access to patients with different reasons for hospitalization. Among all patients, pneumonia is one of the most common disease as a reason for being admitted to hospital. Pneumonia is an acute disease and commonly seen not only in Australia, but also worldwide. In 2010, influenza and pneumonia were counted as 12th leading causes of death in Australia, which caused 2300 death in same year (Lemone et al, 2014, p.1251). According to World Health Organization, three to four million people died of pneumonia each year

You wrote a great post and I enjoyed reading it. I think that you were very through in your response and I agree with your take on the interview. I feel that the nurse was also very through in her interview of the patient. She explained everything that she was doing for the patient and when the patient asked a question she explained the answer so that he could understand. So she did a great job of educating the patient which I feel did a lot for her credibility as a healthcare provider. I also feel that the patient was satisfied with his care when he let the clinic and that he will be more compliant in his treatments this

Today begins the same as every day before it. An alarm going off at six o’clock in the morning. The sound of it’s violent whispers, daring me to unlock the heavy coffin that is my eyes. It taunts me, but I realize it is better than the horrific images of the previous night. As my body remembers the functions of yesterday I feel the anxiety entering my bloodstream. It starts with my toes, quickly flowing through me. I can see it now, so similar to the black ink dropping in the water. Slowly it will consume the water, creeping into the depths of it’s memories. Just as the anxiety will consume me. I realize it is time to cleanse my body of the dirt covering me.

The day began as did any other. There was no large check or fanfare when my phone began to emit the theme song the television show “The Office”. I had become accustomed to beginning my days with the familiar tune. Excavating the crust from my eyes, I looked to see my vintage wallpaper and the agreeably drab carpet. Just as any day would begin, I mustered the willpower to lift my body off of the bed and navigated through my personal sea of dirty clothes. When I finished the daily routine and had smell tested the crotch of some jeans, I headed downstairs to put the finishing touches on my morning.

I woke up at dawn as usual, the sun peeking through the window and reflecting at my vanity mirror creating a perfect circle on the wall next to me. I pulled my knees to my chest as i sat up and attempted to flatten my bobbed hair.

I lie in bed procrastinating and contemplating about anything and everything. Why do I live so far from school? I should’ve gone to sleep earlier! Ugh! I hate Mondays. My thoughts accelerate beyond as the loud uproarious sound of my alarm rings once again, indicating it is now 5:30 am.

Beep beep beep. My eyes fluttered open as I reached to turn off my alarm. The clock read 5:30 AM. Slowly I made my way to the bathroom to get ready. The floor felt cold under my feet as I tried to miss the certain spots I knew would wake up the household. As I stood in front of the mirror, my eyes still crusted with sleep, I told myself to be strong. Cold water dripped down my neck and shirt as I massaged the lather into my skin. I noticed the droplets that had formed at the ends of my eyelashes, trying with all their might to hold onto the slick strands. Waltzing to my closet I tried to push aside my swaying thoughts. I slid on my favorite skirt and twirled in front of the mirror. I loved how it flew, the way it moved up and down like a carousel ride. I admired the fabric with its tangle of flowers interweaving through the vines. The flowers seemed a little droopy today. I brushed my hair until it was as soft as a kitten’s coat. I began to apply my makeup, with more effort than usual. The soft brushes tickled my cheeks as they concealed my imperfections. The droplets on my eyelashes had vanished and I coated the strands in thick layers of my best mascara. I wanted to look perfect.