Medical Case Scenario Case

• Pre-Registration - When the Patient either comes into the office or calls over the phone for the inital appoitment. If they are new Patients you will need all their insurance information prior to appoitment to confirm they infact take that insurance, co-pays, and active insurance. You then will need to know what the patient is being seen for.

On 7/27/2015, HOH and client attended to ILP meeting with their daughter Emily. Child was observed well dressed for the weather. Client explaining to cm that her floating hospital was cancel and she doesn’t know the reason.

As seen in this case study, TM was listed as a full code and no GOC conversation was had between the physicians and the patient until the day of his discharge to home. This led to an unnecessary swallowing study in which the patient needed to be uncomfortably scoped. Due to the lack of GOC conversation the patient also chose to go home with general nursing services instead of end-of-life (EOL) hospice support. In the inpatient medical oncology floors of a large teaching hospital like this one, most patients are covered by rotating interns and residents that are not comfortable having GOC conversations with patients and leave it up to the primary physician to come and discuss.

1. I do believe that large pharmaceutical companies as well as doctors prescribing opioid medication should be held partially responsible in cases when patients are over-prescribed drugs. Although they are in no way actually forcing those patients who are over-prescribed these drugs to misuse them and it is ultimately the fault of the individual misusing the medication, they are, however, allowing for the the misuse.In regards to pharmaceutical companies, I think that they should be held responsible for marketing and allowing such drugs available to virtually the mass public opposed to only those that need it in order to increase their profits. If they would not advertise the medication to medical professionals as something that they could

Although this may be true, Jack is not always responsible and he is not fair. Jack had

A bill can be a public problem, a special interest group need, or important idea that impacts the masses of people or a group of people. Bills can only be submitted by a member of congress (or of a state legislature). The written proposed bill goes in a box beside the clerk’s desk inside Congress chambers. This box is known as “hopper”. (Ridenour, N. 2016). The bill goes to the appropriate committee that has authority over that area. In the case of bill 6224, it is the House Committee on Energy and Commerce committee. If the bill is picked up by committee then the congress must go out and lobby for bill. Nurses can support the bill and even testify at bill hearings to the committee members in support of the bill. While in committee,

Al has been diagnosed with a mild to profound sensorineural hearing loss. As a result, he is seriously limited in functioning in the area of Communication.

Pt states that he was seen in the clinic yesterday and was treated for sore throat and postnasal drip. Pt states later that he went to the ER becase he started feeling fatigue, increased postal drip, nausea/ vomitting unable to eat and drink.Pt states the he was treated with Zofran and IV fluids. Pt states that he was informed to pick up his quarter slip her at the clinic. At this, time pt states he is feeling somewhat better but he feels fatigue and he has not attempted anything. Pt pt with 48 hours quarters. Brat diet instruction provided. Informed the pt take Zofran as directed. Pt instructed to return to the ER if has fever greater than 101, abdomen pain/cramping, unable to take liquids or bland diet. Pt agrees and verbalized understanding.

On my list I have a young, 54 year old male, with past smoking history. His main tumor is 3cm involves _________, bi-lateral involvement of _________at 4 and 6cm.

Patient is a 30 year old male who presented to the ED via LEO with HI. The Patient is under IVC paperwork due to complaint aggressive behaviors towards family. The patient reports that his brother and him got into an altercation over him dating the same girl he did 10 years ago. TACT contacted family about event that took place and was able to reach mother and brother. The patients mother reports that he tried to punch brother because he would not let him use his credit card to buy something while they were out at the store. She reports that the patient has never dated the brother's girlfriend and only seen her once before. The Brother reports saying in Georgia and is home for the holiday's. Brother reports that his current girlfriend lives

Damian is 18-year-old Hispanic male arrived at CRU 2 via ambo from UPC. Patient is NCOT, he was escorted to UPC voluntary by police. He is restless, agitated and uncooperative with the intake assessment. He started crying uncontrollably, stating, "I want a joint, I want marijuana." He denies DTO/DTS. Patient appears to be responding to internal stimuli and scanning the room. His vital signs are within normal limits. He is alert and oriented to time and place. Patient will benefit from meeting provider and access to an outpatient treatment.

All available documentation submitted for this claim has been reviewed from the perspective of Internal Medicine. The claimant is a female (DOB: 08/08/1959) who is claiming disability as of 01/24/2017 through RTW. She works as a Cashier and Stocker at Walmart. The job description for a Cashier and Stocker was not mentioned in the submitted report. Her job duties involve standing for a long period of time (according to the claimant).

In a case as sensitive as this one, it is important to prioritize which chronic illness is most dangerous at the time. While his blood pressure was extremely high, being 170/100, it is important to understand

This scenario is being played out in a teaching hospital setting. A patient, who is Mexican, is admitted for undergoing a series of medical tests as he is suffering from stomachache for many months and the doctors have been unable to determine the exact cause. . He is an old man and has recently come to America from Mexico. Now, it is time for Doctor’s rounds with a group of student’s and one nurse practitioner. So, the conversation starts,

The United States health care system costs continues to skyrocket as government intervention fails to regulate the prices of health products and services. The hospitals, drug companies, and other big industries inflate the prices associated with a service, or products used when caring for a patient. Each company marks up their products; for greater profits. Individuals struggle when left without health insurance and find themselves unable to afford these growing costs. As of this year, research data collected by the CDC shows the uninsured rate as 10.3 percent of Americans. The already unaffordable health care bills keep increasing far past the rates of other industrialized nations. Health care in the United States,