DISCHARGE SUMMARY____________________________________ Patient Name: Brenda C. Seggerman Patient ID: 903321 Date of Admission: 03/27/---Date of Discharge: 03/30/---Admitting Diagnosis: Ectopic pregnancy. Surgical Procedures 1. Exploratory laparotomy. 2. Partial salpingectomy. 3. Evacuation of hemoperitoneum. 4. Lysis of adhesions. Complications: Blood loss requiring transfusion x2. HISTORY: This 35-year-old white female‚ gravida 3‚ para 1-0-2-1‚ had her last menstrual period in early January. Prior
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Dana-Farber has placed patient safety as a core of their mission and vision. As well as implementing technology and new programs‚ they are involving clinicians‚ pharmacists‚ patients and family members in their processes of eliminating medication dosing errors. The Patient/Family Relations Program and the Patient and Family Advisory Councils (PFAC) have assisted in the inclusion of patients and family members. Dana-Farber identifies patients as members of the healthcare team. Patients are asked to speak
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3/16/2005. Patient is a 55-year-old female flight attendant who strained her back and left leg during a recurrent training. Per OMNI‚ she was initially diagnose d with lumbar sprain‚ lumbago and low back pain. Treatment includes electrical stimulation unit and PT. Per the PT note dated 10/11/16‚ the patient reported continued symptoms‚ but she is working on managing her pain. She was assessed to have improved core stability. Based on the progress report dated 10/27/16 by Dr. Waldman‚ the patient presents
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Patient Privacy Destiny Hill HCS 335 October 2‚ 2011 Patient Privacy The law protecting patients’ rights and privacy known as Health Insurance Probability and Accountability (HIPPA) was enacted and signed into law by President Bill Clinton in 1996. HIPPA is created to help protect patients’ medical records and personal health records nationwide in addition to keeping all medical information confidential. Documents are filed and stored‚ but with technology evolving documents
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Growth and Development Age___10Y__ Sex_M__ Date of Admission __02/09/2014____ (Admit) Height _52”__ Weight-25KG___ BP-106/69___ P-69__ R-20__ T-97.6_ O2 Sat - 99__RA__ O2 @L_____Diet__Clear liquid‚ advance diet as tolerated_____ Admit Diagnosis ________Right lower quadrant pain Current Diagnosis ____Appendicitis__________________________________ Chief Complaint/Reason for Hospitalization____Appendicitis/Appendectomy_ Clinical Setting____Pediatric Unit________________________
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ER ADMMISION‚ HISTORY AND PHYSICAL EXAMINATION Admitting/ Attending Physician: Alex McClure M.D. Patient name: Benjamin Engel Hart Patient ID: 112592 DOB: 10/5 Age: 46 Sex: Male Date of admission: 11/14/---- Emergency room physician: Alex McClure M.D. Admitting diagnosis: Acute appendicitis. History of present illness: This 46 year old gentlemen with past medical history significant only for the generative disease of bi-lateral hips‚ secondary arthritis presents
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communication is a vital aspect of a doctor patient relationship because it helps to improve the patient’s health outcomes‚ their adherence to treatment and therefore the delivery of health care.1 However‚ delivering effective health care to elderly Aboriginal and Torres patients can be especially challenging‚ because messages exchanged between the doctor and the patient can be interpreted differently due to cultural heterogeneity.3 Aboriginal and Torres Strait Islanders also have more holistic approach
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Understanding the Patient Intake Process Tabitha Neufind HCR 22 September 28‚210 Felecia Pettit-Wallace Understanding the Patient Intake Process The intake process of patients is different from practice to practice‚ but the main purpose of the process is retrieve new and established patients information during check in at a providers office‚ a hospital‚ or clinic. By having an efficient intake process a efficient patient flow can be maintained. Healthcare just like any other type
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A1. Tracer Evaluation: The patient is a 67year old female that was re-admitted for a surgical infection following an abdominal hysterectomy. She was admitted to the facility seven days ago followed by a surgical procedure which was completed five days prior to this report. Patient is scheduled to be discharged with home health and IV antibiotics. This patient was selected for audit. Review of the chart shows that the patient’s H&P was completed on day 3 of the admission. Joint Commission hospital
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acquiescing‚ or yielding. The patient is passively abide by the advice and yield to the health care professional. It has a dictatorial connotation. The patient abides by the goals of the health professional. In contrast‚ the terms adherence and collaboration are used to describe implied that patients have more autonomy and independent in following their treatment planning. Adherence is based on patient-centered model; through research‚ it has shown to promote patient satisfaction and health outcomes
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