Clinical Documentation System Excelsior College October 6‚ 2013 Clinical Documentation System Clinical information system (CIS) collects patient data in real time‚ stores healthcare data and information using secure access to the healthcare team. (McGonigle & Garver Mastrian‚ 2012‚ p. 554). The CIS that is used at Texas Health Dallas is CareConnect. CareConnect is used by all of the Texas Health Resources (THR) encompassing 25 hospitals‚ affiliated physician
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NEED some quotation marks here…. Clinical Definition According to the Diagnostic and Statistical Manual of Mental Disorders (DSM IV)‚ A client must meet the following criteria to be classified as having PTSD: Criterion A: Has been exposed to an event involving threatened death or injury‚ during which the individual responded with panic‚ horror‚ and feelings of helplessness. Criterion B: Re-experiences the event in the form of dreams‚ flashbacks‚ memories‚ or unrest at being in situations that remind
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something‚ or would she just suddenly get angry? Also‚ are there children at the school that may be picking on her‚ or could a teacher be acting inappropriately with Clara? How have her sleep patterns changed? • In addition to the clinical interview‚ what other clinical assessment tools should you consider? Why? We need to figure out how her behavior has changed besides just the tantrums. We need to consider the behavior of the parents. Are they having any stress I their life with each other
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Clinical Assessment Your Name Psy/270 March 15‚ 2011 Instructor’s Name Clinical Assessment I would being by asking Mr. and Mrs. Lawson basic questions concerning the family’s history regarding any similar symptoms that other family members may have displayed. I would also ask if there were any changes in the family setting‚ such as relocating or if other family members have recently relocated. I would also ask Mr. and Mrs. Lawson specific details about the symptoms regarding Clara’s eating
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was undertaken in order to fulfill these duties and obligations‚ whilst developing existing knowledge and skills as a mentor in practice. The aim of this assignment is to explore and critically analyse experiences of mentoring learners in the clinical setting. It will cover the learning outcomes as described in Table 1. |Table 1. Learning Outcomes | |
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Depression is a very serious disease that is often overlooked in a clinical setting. The patient population associated with depression ranges from children to the elderly. However‚ this specific report will address the clinical prevention techniques for nonpregnant adults over the age of 18. According to the U.S. Preventive Services Task Force in their Task Force Final Recommendation 2016 edition‚ “ depression is one of the leading causes of disability in adults. It affects men and women of all
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Clinical Diagnosis for Client Based upon the provided information‚ I have determined that the most fitting clinical diagnosis for Ms. K is Major Depressive Disorder. The medical recommendation is suggested based off her current symptoms‚ changes in behavior‚ appearance‚ and described feelings and mood. She presents a majority of the specified symptoms listed for Major Depressive Disorder‚ and has had the occurrence of behaviors for longer than a two-week period (American Psychiatric Association
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Tokoh – tokoh Klinis 1952‚ Shaffer & Lazarus : Psikologi klinis diawali oleh tokoh tokoh filsuf yunani. Abad 19‚ Phillipe Pinel (France)‚ William Tuke (Eng)‚ Elli Tod & Dorothea Dix (As) : Akar psikologis Klinis Modern merupakan gerakan reformasi yang muncul tentang perawatan terhadap penderita gangguan mental di RS dengan lebih beradab dan manusiawi. Garfield dan Kurtz (1976) memeriksa lebih dari 800 kuesioneryang dikumpulkan pada tahun 1973 Nocross dan Prochaska (1982) mempelajari kembali 500
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Clinical Notes 111 Montia McIntosh NovaSoutheastern University Health Assessment NSG 5502 Dr. Marie Bova Monday‚ April 1‚ 2013 Clinical Notes 111 Patient Initials: J.L.; Age: 64; Ethnicity: African-American; Gender: Male Subjective: Chief Compliant: 64 year old black male came in the office complaining of chest pain for 2 days. Patient verbalized that chest pain gets worst with activities and sometimes awakens him at night‚ especially whenever he sleeps on his right shoulder.
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discuss the contribution of reflective practice for clinical nursing. Reflection has been defined as a way for individuals to “capture their experience‚ think about it‚ mull it over and evaluate” (Boud et al 1985: 19) Argyris and Schon (1974) suggest that practitioners often practice at less than effective levels because they follow routine. Johns (1995) implies that action can be taken through reflection to increase effectiveness in practice as reflection provides opportunities for self development as
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