4. A 68-year-old male presents to the office complaining of pronounced weakness on the right side of his body and slurred speech for the past 24 hours. Based on the examination, the physician orders an MRI to investigate a possible transient ischemic attack (TIA). The range of codes that would be used for this patient would be Codes 390-459 because the treating physician ordered and MRI to rule out a transient ischemic attack. These codes are for Diseases of the Circulatory System 5.
The condition is associated with job stress, certain bodily movements, and bending forward for prolonged periods of time. Chronic low back pain may call for the use of cognitive-behavioral therapy as well as physical therapy and medication. The available data on low back pain is thorough in its discussion of prevalence rates, major causes, and treatment options. Nonetheless, further research can help to clarify the best methods for self-management and coping among individuals suffering with chronic low back pain. 1,372 words References Katzman, M. A., Pawluk, E. J., Tsirgielis, D., D’Ambrosio, C., Anand, L., & Furtado, M. (2014).
Interdisciplinary Case Management Amy E Plott RN Western Governors University Healthcare Issues and Their Importance Mr. Trosack has several healthcare issues that must be reviewed and addressed prior to discharge from the hospital. The case manager, and chosen interdisciplinary team, should evaluate and prioritize the issues found when providing a discharge plan of care. Mr. Trosack’s most pressing health issue is his recent hip fracture and subsequent total hip replacement (THR). Mr. Trosack is accustomed to being self-sufficient and will now have difficulty with mobility. This will affect his activities of daily living (ADL’s) therefore making it more difficult for him to care for himself without some type of assistance.
Module 02 – Breach of Confidentiality A 42-year-old male dentist was referred to the radiology department of a hospital for a CT-guided needle biopsy of a 1.5 cm lung nodule. The nodule was thought to be benign but clarification was needed. The patient met with the radiologist and the nurse to explain the procedure and possible risks of bleeding, infection and pneumothorax that may require a chest tube. Before signing the consent form, the dentist asked to speak to the radiologist privately. The patient reveled that he was HIV-positive and was worried that his dental practice might suffer “dire financial consequences” if knowledge of his HIV were to become known.
Chronic Illness Psychosocial Implications Using the Behavioral Nursing Assessment Tool as a guide, this paper begins with a personal interview with a patient who had a right Below the Knee Amputation (BKA) related to Peripheral Vascular Disease (PVD). Mr. Gerke is a 72-year-old retired investment banker who was admitted at Manor Care Hospital on October 4, 2008 for post-op BKA rehabilitation. This assessment tool assists in developing psychosocial assessment criteria for individuals and families adapting to physical illness. Assessment Health Perception-Health Management Mr. Gerke has a history of hypertension, Diabetes and Peripheral Vascular Disease (PVD). He previously had undergone a right 5th toe amputation at Hemet Valley Hospital.
On November 2, 2012 he underwent surgery to debride the ulcers and removed the necrotic tissue. After his surgery he came up to the surgical ward, and the writer of this essay cared for him for twelve days. Other than his paraplegia and pressure ulcers, P.L. is a healthy young man. Client and Family Coping with Illness The client is not coping with his illness effectively.
Case Scenario: Carl Fowler, a 46-year-old man, presents to a health clinic for a check-up. He was last seen in the clinic three years prior when he had acute bronchitis. A year ago, he was told that his blood pressure was "a little high" when he donated blood. His past medical history consists of a fractured clavicle sustained when he was playing a pickup game of football at age 24. The fracture healed without complications.
Objectives: Given the individual and economic burden of chronic work disability in low back pain patients, there is a need for effective preventive interventions. The aim of the present study was to investigate whether problem-solving therapy had a supplemental value when added to behavioral graded activity, regarding days of sick leave and work status. Design: Randomized controlled trial. Patients and Setting: Employees who were recently on sick leave as a result of nonspecific low back pain were referred to the rehabilitation center by general practitioner, occupational physician, or rehabilitation physician. Forty-five employees had been randomly assigned to the experimental treatment condition that included behavioral graded activity
Imagine a healthy man, sixty years old, recently retired, with many years left to spend with his wife, four children, ten grandchildren, and two great-grandchildren. Then one day he begins experiencing difficulty swallowing and slurred speech. After being told by his daughter that these could be symptoms of a stroke, he turns to his doctor for answers. As his swallowing and speech worsen, each diagnostic test is inconclusive. Finally, after several months of increasing frustration and decreasing health, he is diagnosed with amyotrophic lateral sclerosis, or ALS.
The physiological effects of acupuncture warrant its application for the treatment of pain; Critical discussion. Pain defined in 1996 by international association for the study for pain (IASP) as an unpleasant sensory and emotional experience that is associated with actual or potential tissue damage(Steeds C 2009). It is a complex sensation requiring integration of nociceptive and other sensory information at the cortical level (Lemke 2004) ; see Figure 1.. Effective treatment of pain has been one of the great challenges in medicine and acupuncture itself has been practiced worldwide for pain treatment, since it has been developed in china around 2000 BC, however it has been looked at with considerable scepticism by western medicine(Culliton 1972;NIH 1998) The attitude of the West started to change in 1971 as a member of the US press corps was given acupuncture during his recovery from an emergency appendectomy during President Nixon’s visit to China. He described his experience in the New York Times (Reston 1971) Subsequently teams of US doctors made fact-finding tours of China to assess acupuncture, particularly its use for surgical analgesia(Dimond 1971).