QUESTIONS. (see pictures for the case scenario and the CHART)1. Create CHART (C-omplaint, H-istory, A-ssessment, R-x - Drugs, T-reatment) documentation for the patient.2. What is the discharge goal for the patient? Create discharge plan for the patient using METHOD. (M-edications, E-nvironment, T-reatment, H-ealth teaching, O-ut patient referral, D-iet) see photo for reference Thank you! :) Discharge Goal:Return to Home (self-care)Return to Home but needs AssistanceTransfer to other Level of Institutional CareReferral to Support Community Services'Home Against Medical AdviceDischarge PlanDate:MTime:ETHD A boy aged 12 years presented to the tuberculosis clinic (TB) with a several year history of achronically productive cough with associated shortness of breath and wheeze. He also reported oflethargy, night sweats and weight loss. He had been screened for TB, with a negative Mantoux test,5 years previously. Initially, the patient had been managed by his GP who had referred him on tosecondary care with suspected asthma. At this point, he was started on a budesonide with formoterolpreventer inhaler (Symbicort) and terbutaline sulfate turbohaler (Bricanyl) to variable effect. Owingto his ongoing symptoms, a chest X-ray was performed which revealed bilateral hilarlymphadenopathy, resulting in a referral to the TB clinic.On initial examination at the TB clinic, his chest was clear on auscultation and he had several smallsubmandibular lymph nodes. His height and weight were on the 9th centile for his age. Repeat TBinvestigations, including Mantoux, T-spot and sputum AFB, were negative. His sputum culture grewStaphylococcus aureus and he was treated for a lower respiratory tract infection with 2 weeks ofcoamoxiclav (amoxicillin with clavulanic acid).On admission, he was still symptomatic with a chronically productive cough and poor appetite.Further questioning revealed abdominal pain and steatorrhoea. Examination at this point revealedfinger clubbing prompting further investigations into an underlying chronic respiratory condition.

For each patient with TB , a specific treatment and monitoring had to be provided with planned…

Create CHART (C-omplaint, H-istory, A-ssessment, R-x - Drugs, T-reatment) documentation for the patient. 2. What is the discharge goal for the patient? Create discharge plan for the patient using METHOD. (M-edications, E-nvironment, T-reatment, H-ealth teaching, O-ut patient referral, D-iet) see photo for reference Thank you! :)

Create CHART (C-omplaint, H-istory, A-ssessment, R-x - Drugs, T-reatment) documentation for the patient. 2. What is the discharge goal for the patient? Create discharge plan for the patient using METHOD. (M-edications, E-nvironment, T-reatment, H-ealth teaching, O-ut patient referral, D-iet) see photo for reference Thank you! :)

Understanding Health Insurance: A Guide to Billing and Reimbursement

14th Edition

ISBN:9781337679480

Author:GREEN

Publisher:GREEN

Chapter9: Cms Reimbursement Methodologies

Section: Chapter Questions

Problem 14R

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Similar questions

Describe in detail the preventive and control measures employed by the health office for these following diseases if there are any. 1. Acute upper respiratory infections of multiple and unspecified sitessites 2. Influenza A (H1N1) 3. Bird Flu (Avian Influenza) 4. Chickenpox 5. Cholera
45-year-old female with a history of pulmonary TB 5 years ago, comes to the Consultation for cough with hemoptoic expectoration, dyspnea and daytime fever of one month of evolution The physical examination found: SatO2: 92%, HR: 95 lat.xmts, TA: 110-70Mmhg On auscultation, abundant rhonchi and bilateral crackles are heard. a) Possible diagnoses c) What therapeutic measures would you use based on the possible diagnoses.
A 50-year-old woman presents with increasing dry cough and shortness of breath that has lasted for 3 weeks. She s 2 bird fancier, and her house Is filled with parrots. An X-ray film of the chest shows diffuse lung infiltrates. Sputum cultures are negative, and the patient does not respond to antibiotic therapy. A transbronchial aspirate reveals chronic interstitial pneumania. The patient responds well to tetracycline, Which of the following is the most likely etiologic agent responsible for this patient's symptoms? (A) Chlamydia (8) Fungus (Q) Gram-positive bacterium (D) Mycobacterium (B) Rickettsia
This is a 14-year-old female patient who, after playing volleyball at school, begins with respiratory distress. She is taken to a nearby emergency, mistreated and sent to her house because she improved immediately.Her background is: frequent sinusitis and flu, she is also allergic to Penicillin.Sat. 97% 02 FR 28rper min. FC: 99lat.pormin. a) Possible diagnosesb) The handling in the Emergency was correct, explain why.c) What would be the corresponding studies to arrive at the diagnoses that you indicated?d) What therapeutic measures would you implement?
The RN is responsible to complete the admission process anddocument any existing skin impairments. The RN knows fromthe report that was received from the hospital, that the client hasan existing stage 3 pressure ulcer wound on the sacrum area thatwas cultured and found to be positive for Methicillin ResistantStaphylococcus Aureus (MRSA).The RN also learned from the report that Jane can be a littleforgetful at times, wears glasses, and is a little hard of hearing.Jane walks occasionally with assistance and a walker, althoughshe does have some difficulty turning and repositioning in bed.Jane has been eating adequately at all meals, and wearsDepends just for the occasional dribbling of urine.
A 31-year-old female presents with fever, intermittent severe pain in the left upper quadrant of her abdomen, and painful lesions involving her fingers. History reveals that she had intermittent mild pain in the left upper quadrant of her abdomen over the last few months and reveals that she had acute rheumatic fever as a child. At the present time one of three blood cultures submitted to the hospital lab grows out a particular organism. What is the most likely causative agent?
a 56-year-old woman who is a recent immigrant from Vietnam , has a low-grade fever, weight loss of more than 1 5 lb in the last month , a persistent cough, and blood-tinged sputum . Sputum testing and chest radiography confirm a diagnosis of tuberculosis. Tuberculosis is a very difficult disease to treat and resolve because of the resistance of the infection to the body'simmune response. Chronic inflammation is usually the courseof the disease for many months or even years. Describe thehallmarks of chronic inflammation and how macrophages play arole in granuloma formation as seen with tuberculosis.
A 7-year-old boy comes to the clinic with a chronic cough. His mother reports he has a cough most of the day and sometimes 2 or 3 nights a month. This has happened off and on for 1 year but worse in the Spring. He also coughs when he plays sports. After numerous lab and diagnostic studies, he was diagnosed with asthma. His personal best with a peak flow meter is 200. Detailed Soap note needed with Icd code and reflection of the dx and why the treatments and the dx were made
Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting…
Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED). While waiting…
Mr. Whaley is a 65-year-old man with a history of COPD who presents to his primary care provider’s (PCP) office complaining of a productive cough off and on for 2 years and shortness of breath for the last 3 days. He reports that he has had several chest colds in the last few years, but this time it won’t go away. His wife says he has been feverish for a few days, but doesn’t have a specific temperature to report. He reports smoking a pack of cigarettes a day for 25 years plus the occasional cigar. Upon further assessment, Mr. Whaley has crackles throughout the lower lobes of his lungs, with occasional expiratory wheezes throughout the lung fields. His vital signs are as follows: BP 142/86 mmHg HR 102 bpm RR 32 bpm Temp 102.3F SpO2 86% on room air The nurse locates a portable oxygen tank and places the patient on 2 lpm oxygen via nasal cannula. Based on these findings, Mr. Whaley’s PCP decides to call an ambulance to send Mr. Whaley to the Emergency Department (ED).…
A 6-week-old male was brought into the office with a 2-day history of choking spells following a protracted (10 day) period of cold-like symptoms. The parents reported that now the infant would suddenly start coughing and could not seem to catch his breath. They became concerned today because the infant has also started vomiting shortly after these episodes. Copious mucous accompanies the coughing episodes. Upon examination his pulse and respiratory rates were elevated. His WBC was 15,500/ul with 70% lymphocytes. The nasopharyngeal swab did not grow any pathogens on routine lab culture. 16. The child is suffering from what disease? How do you know (hallmark)? Name two virulence factors for this pathogen leading to tissue damage. Why did the routine lab culture not show any results? (4