Telephone Interaction And Kinetary Reaction

The author read Mrs. X’s medical notes prior to their initial consultation to afford herself the knowledge she required should she need to prescribe for her when fully qualified. It was evident from reading her medical notes that there were a few considerations to take note of before commencing any treatment, such as her medical history, drug history and allergies. Her past medical history consisted of Type 2 diabetes mellitus, which was diet controlled, hypertension, hypercholesterolaemia, neuropathy, rheumatoid arthritis and raynauds syndrome.

“Bonnie Bowser, eighty-two years old, fell and severely injured her elbow. She was examined at the Emergency Department of the Miraculous Regional Health System and diagnosed with a fractured olecranon process, and referred to an orthopedic surgeon. The surgeon who examined Mrs. Bowser scheduled her for corrective surgery the next day. He noted in his examination that she had a past medical history of hypertension, diabetes mellitus, two myocardial infarctions with quadruple bypass surgery, and a cerebrovascular accident affecting her left side. She was taking several medications including Lasix (a diuretic), Vasotec (for treatment of hypertension and symptomatic congestive heart failure), Kylotrix (potassium supplement),

PA-PSRS used for several incident to report medication error, adverse drug reaction, equipment, error or complication of procedure, treatment or test, transfusion and test integrity (12). Nowadays, the Pennsylvania Patient Safety Authority is using computerized prescriber order entry systems and pharmacy information system, which is called health information technology (HIT) (13). Between January 1 and June 26, 2016, healthcare facilities submitted 889 reports through HIT. For examples, the reported that was submitted as skipping doses, over dosage or wrong doses. The authority encourages the staff to write a serious event, gives chances for the new staff for training if they unfamiliar with the technology, observes the technology such as if the system downtime and the number of medication orders. Therefore, the aim of this authority is to analyze the collected information to clarify and advice changing in healthcare practice to minimize the intensity of future serious events and incidents.

After all the medications were given Mr. B’s vitals were as follows: Blood Pressure (BP) of

D- the patient arrived on time for his appointment. Reports stable on his dose. Deny the need for a dose increase when offered by the writer as he denies any sort cravings/withdrawals. The patient reported he hasn't used since his last UDS result and is confident that his UDS result for the month of June will be a negative. Furthermore, the patient is seeking assistance with ImmaCare, Inc. for supportive housing. The patient handed this writer a form that needs to be completed and signed by a qualified professional for disability verification, referring to the supportive housing.

Telephone contact made to the patient. Two patient verifier completed. The patient states that on last Friday, Jan 8. she recieved a small pox vaccination to her left on arm. The patient state a couple day later she starts having pain in her left armpit and to the top of her left breast with very mild swelling. The patient rates her pain level 7/10 and is constant. She denies, lump or mass with palpated. She also denies, reddness, fever, chill, change in deodrant or body wash. The patient states that she has an appt sheduled with he provider on next Tuesday, Jan 19 but like to be seen sooner. Offered the patient an appt with Major Blount for today at 1420 or 1440 but the patient refused due to a meeting. Encourage the patient to keep

Adrian is a 32yo, G3 P2002, who is presently 22 weeks 6 days. She was initially seen for a history of Crohn’s disease with significant diarrhea. She has been unable to get into a GI doctor. We were able to make her a GI appointment and upon doing so, we learned that she had 2 other appointments scheduled by your office that she had reportedly “no showed” to; however, once we obtained the appointment for her we could not contact her to give her the appointment date and time and I feel that perhaps this happened from your office as well. At her visit because of her significant Crohn’s flare I started her on prednisone. She was also having extreme anxiety related to the constant diarrhea. I gave her some hydroxyzine. At today’s office visit

D-The patient arrived on time for his appointment. Reported stable on his dose and denies the need for a dose increase or decrease. According to the patient, he called Wheeler Clinic and did not get a return phone call after he left a message on their general mailbox. So, this writer took the liberty to call Wheeler Clinic alongside with the patient. According to the representative, there could have been a high volume of calls last week; however, the clinic does not schedule appointments for the I.O.P., it's a walk in from Monday thru Thursday from 10-5:30pm and Fridays from 9:3;30pm. The patient is planning to do the walk-in to Wheeler Clinic and will update this writer tomorrow during another counseling session of his enrollment at the IOP.

You have most likely used a phone at some point in your life. Whether it was to make a plain phone call,or just to play candy crush on your phone you have probably used a cell phone at some point. Younger people tend to use cell phones more often than older adults, but what they don’t know is the impact cell phones can have on social interaction. Cell phones can impact your relationships with people, the way you communicate, and your plain everyday life.To begin with, the impact that cell phones have on social interaction is that it can affect your relationships with people. Younger people have higher expectations when it comes to texting friends, than older adults. In the article “Cell Phones are Changing Social Interaction” it states “everyone expects a respond relatively quickly. So when you get a text from your partner, stop what you’re doing and respond. Oh, and if you are slow to respond to young adults, they will get irritated with you more quickly than other adults.” younger people tend to be the ones who use texting in more situations and their everyday lives. This results in them getting into habit of always getting and wanting a quick response back, so when they text their friends they are going to have high expectations of how fast their friends reply should be. If they don’t get the quick response they wanted they will most likely get irritated. It doesn’t only impact friendship it also impact romantic relationships. Most people

Improved patient safety and quality of care through warning-and-alert systems in the EHR – the feature of e-prescribing tracks and records allergies and previously prescribed drugs. Moreover, it has an alert system that will notify if newly prescribed drug poses allergy threat to the patient. Thus it decreases an amount of medical errors.

Which one of the following, a phone call or texting, affects your reaction time greater?

DPLO received a prescription for patient Bob. The prescription is checked by an Order Entry Technician and a Pharmacist; no discrepancies were found. Bob is contacted for delivery. During the delivery call the Patient Access Coordinator reviews the prescription with the Bob for accuracy and schedules the delivery. Bob received his medication and starts therapy. A week later a DPLO nurse contacts Bob for an initial adherence call. During the call Bob reports chest pain. The nurse completes an ADE, faxed the physician, and schedules the next adherence call. Bob continued to receive the medication for 2 years from DPLO. During this time the Bob reported chest pain, blurred vision, numbness in arms and legs. After several reports of side effects,

We have investigated your concerns regarding this issue. Our office contacted the office Dr. Roberto Narvaiz and spoke with Roberto the Doctor. Roberto advised us that when you came into the office March 27, 2017, you immediately requested medication Alprazolam without an evaluation. Dr. Narvaiz tried to go over other options with you but you refused. Dr. Narvaiz stated that you stormed out stating that your Primary Care Physician would prescribe your medication. As your health plan we are unable to make your providers

Telephone contact made to the pt. Two pt verifier name/dob confirmed. Informed pt this is a f/u call d/t recent hospitalization for veritigo and meningioma. At this the pt states that she is feeling "somewhat better." She denies epiosode of dizziness or nausea. Provided the pt with the number to the MRI department to schedule appt. Assist the pt with scheduling f/u in the clinic. Instructed the pt to take meds as prescribed; go to the ER if she starts having frequent episodes of dizziness, SOB, CP, epgastric pain, left shoulder pain that radiates down the arm and facial drooping. Pt agrees and verbalized understanding to the POC.

Telephone contact made to the patient. Two patient verifier used to confirm name and DOB. Per PA Alford, the patient was advised that her UA can back positive for a UTI. Informed the patient that antibiotic was ordered and is ready for pickup in the pharmacy. The patient states that she is prone to yeast infection when taking antibiotic and wish to be prescribe Diflucan to proprolatic treat possible of yeast infection. Also the patient is requested a refill on her Zyrtec because she has been double her dose due to the allergies response to the mountain cedar. Per PA Alford, the patient was informed that she have ordered the Diflucan and to take this med after the completion of her antibiotic. Also, the patient was informed that double the