Assistant: Markus Leroy Johnson PAC (Surgical assistant was used for soft tissue protection and retraction and also for maintaining reduction during temporary and permanent fixation use of surgical assistant was medically necessary, and to prove the safety and efficacy of the procedure.)…
Dr. J.K. McClain and other members of the cardiology department consulted on the patient. They felt that his hypoxia and breathlessness were not secondary to his cardiac status. He had supraventricular cardiac arrhythmias, including atrial fibrillation and atrial flutter. The cardiology staff utilized intravenous medications that controlled the cardiac rate, adequately resolving these cardiac issues. I managed the patient’s ventilator and the intensive care status along with my respiratory therapy team. Unfortunately the patient developed multiple infections, hospital acquired, including klebsiella…
#5 Which items in the statement were easiest to project and why? Which were the most difficult and why? What effect could mis-estimates have had on projections? Which items would cause the most damage if mis-estimated?…
This report is for the Board of Directors of Coral Bay Hospital, to evaluate a project to build an Ambulatory Surgical Center(ASC)…
Indications: Patient requires bronchoscopy because of recent onset hemoptysis and a remote history of tuberculosis.…
HISTORY OF PRESENT ILLINESS: Mr. Barua is a 42 year old gentleman from Bangladesh who presents with chest tightness, shortness of breath, and tachycardia. Dr. J.K McClean of cardiology is evaluating his heart condition. The patient has had the recent onset of hemoptysis. He was treated for tuberculosis in Bangladesh 15 years ago. This has prompted the concern of weather his treatment of tuberculosis was adequate or if weather there is another cause of his hemoptysis. The duration of his tuberculosis treatment was apparently adequate, according to his wife. But no records are available. In addition, the patient had thrombosis of the axially artery treated last year at Hillcrest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. None the less, because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of tuberculosis has been raised. Ancillary history was been given by the wife, Nupaul, with the patient translating for her from the Indie language.…
FAMILY HISTORY: The patient was adopted and does not know her family history. She lives with her husband; she has one son living and well who is in the military.…
DETAILS OF PRESENT ILLNESS: This is a 44 year old Hispanic male who I was kindly asked to admit by Dr. Max Hirsch. The patient is status post arthrodesis of the left ankle and has newly diagnosed diabetes and hypertension.…
The cost of nonadherence is estimated to cost the US healthcare system $100 to $300 billion a year (Phrma, 2015). This figure includes the cost of hospitalization, premature death and nursing home admission. Adding an additional $2,000 to the annual per patient cost, 40% of the nursing homes admission has been associated with non-adherence (Phrma, 2015). The consequences of nonadherence are significant, they include transplant failure, acute rejection, decrease quality of life, which all leads to an increase in health care cost and potential longer term hospitalization (Tanriover, Stone, Mohan, et al, 2013). Nonadherence cause approximately 13%-35% of the transplant loss. Kidney recipients who do not adhere to their treatment regimen die at…
This paper is going to focus on the importance of getting a better way for Medicare to handle the needs of transplant patients. The current situation isn’t a good one. The patients are the ones that suffer while the medical insurance companies and centers keep making more and more money. This is showing to me how much of the healthcare has turned to be about that. The transplant centers are needed but there is so much red tape that they have to go through to be approved by Medicare it makes it hard for them to open. What seems like should be an easy fix sure isn’t when you look into it.…
The purpose of this article is to outline the many different solutions that can be implemented at Cramton Memorial Hospital. From the main findings, all research has shown that different solutions are present in helping to lower the nursing retention rates as well as saving money for the health care organization. From these findings, it is shown that the transformational management style and the specialized orientation program is the best and most effective solutions that can be implemented and work to help the organization lower the nursing retention rates as well as save money from their nursing budget. With the use of one of the viable solutions it will increase job satisfaction as well as empower nurses to want to contribute…
The National Kidney Foundation states that every fourteen minutes a new person is added to the kidney transplant list. In addition to the horrifying number of patients that are added every day, the National Kidney Foundation also state that on average 13 people die everyday while waiting to be selected from a list containing more than a ninety thousand other patients in the United States. In order to maintain control on this epidemic the United Network for Organ Sharing or UNOS has created and manages this waiting list. Each patient is prioritized on the list by various factors such as age, life expectancy, blood type, etc. On average a patient can wait three to five years on the list, however through research I have discovered that this wait…
HISTORY OF PRESENT ILLNESS: Mr. Barua is a 42-year-old gentleman from Bangladesh who presents with chest tightness, shortness of breath, and tachycardia. Dr. J.K. McClain of cardiology is evaluating his heart condition. The patient has had the recent onset of hypomtesis. He was treated for tuberculosis in Bangladesh 15 years ago. This has prompted the concern of whether his treatment for tuberculosis was adequate, or whether there is another cause for his hymoptesis. The duration of his tuberculosis treatment was apparently adequate, according to his wife. But, no records are available. In addition, the patient had a thrombosis of the axillary artery treated last year at Hillcrest. He had an embolectomy and has been on Coumadin since. INR is significantly elevated at 16. None the less, because of the cavitary lesions that are seen in the right and left upper lobes, the possibility of tuberculosis has been raised. Ancillary history was given by the patient’s wife Nupor, with the patient translating for her from the Hindi language.…
“Today [November 2006], there is 67,600 people waiting for a posthumous kidney. Last year, only 16,470 people received kidneys; roughly half of the donors were deceased, and half were living. Meanwhile, 4,100 died waiting. By 2010, the wait will be at least ten years, exceeding the average length of time that adults on dialysis survive.”(Satel)…