Chapter 3 – Medical Record | History of Present Illness | Patient is a 35 year old male complaining of nausea‚ pyrosis‚ indigestion‚ and melena stool. Patient stated that he has been experiencing abdominal pain that wakes him in the middle of night for over a month. He stated that he normally can drink a glass of milk or baking soda water to relive the pain‚ but this has no longer been effective. | Past Medical History | Patient is a smoker who drinks daily and suffering from obesity.
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Summary of “ELECTRONIC MEDICAL RECORDS PRIVACY‚ CONFIDENTIALITY‚ LIABILITY” Varditer Avetisyan The main purpose of this article is to present the current controversy of utilizing electronic records (EMR) in place of paper records in today’s medical environment. Specifically‚ the article mentions the pros of an EMR as being; making it easier to share medical information‚ making access to medical records more fluid‚ and reducing the overall cost of care delivery. It also mentions the cons
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Running head: ELECTRONIC HEALTH RECORDS The Advantages and Disadvantages of Electronic Health Records Michelle H Gay Cabarrus College of Health Sciences Abstract There are many advantages to electronic health records but there are as many disadvantages to implementation of this technology. This paper will discuss the advantages and disadvantages that take place during the implementation process of electronic health records. This material was gathered from published materials. The health
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paper: · Identify one specific mode of communication used by consumers and health care providers‚ such as e-mail‚ a web-based forum‚ or electronic medical records. · List and discuss the following: o One benefit to the patient o One aspect relating to the values and importance of maintaining patient confidentiality when using this mode of communication o One reason this mode is an effective means of communication between consumers and providers o How does this
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networking system‚ e-mail has become more popular in today’s world. E-mail has an enormous influence in communication‚ both professionally and socially. However‚ there are both positive and negative effects of using e-mail. E-mail brings a lot of benefits to society. First of all‚ the main advantage of e-mail is that it is the fastest and easiest way of communication. While the postal service takes longer to send a letter from one country to another‚ e-mail delivery system can send a mail within a minute
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Gone are the days when all medical documentation was done using a pen and paper. Thanks to advancements in technology‚ there are modernized ways to gather‚ store‚ and transmit information more efficiently. The paper charting method has been shifted to a rather digital version of documentation known as the Electronic Health Record (EHR). The EHR provides a real-time and secure way to manage patient medical records. “Included in this information are patient demographics‚ progress notes‚ problems‚ medications
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Chapter 3 – Medical Record History of Present Illness The patient is a 61 year old female. The patient is complaining that they feel weak‚ their urine is dark‚ nausea‚ pain in the abdomen. Past Medical History Mrs. Carter has suffered from seizures since she was 14 years old. She has been taking Dilantin to help keep her seizures under control and to a minimum. Clear history otherwise. Physical Examination Temperature was 99.8 Pulse was 83 Blood Pressure was 120/84 Abdomen area was swollen
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Electronic Medical Records Progress into the future Melissa D Pipes‚ RN Benefits to Nursing Staff ● Easier charting‚ more detailed choices resulting in more in depth physical assessment documentation. Immediate tallying of intake and output ratios‚ potentially averting a negative patient outcome. ● Benefits continued... ● ● Timely charting resulting in less overtime. The ability to chart at bedside‚ allowing more contact with the patient. Test results readily available from
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Electronic Health Record System Conversion! Health Info Fundamentals Practicum After decades of paper based medical records‚ a new type of record keeping has surfaced Electronic Health Record (EHR). EHR is an electronic or digital format concept of an individual’s past and present medical history. It is the principle storage place for data and information about the health care services provided to an individual patient. It is maintained by a provider over time and capable of
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Cell phone is the most popular technological product nowadays. It is used by almost people off all ages. It seems to be very useful. In fact‚ for every plus‚ there is minus. In my opinion‚ although cell phone shows us many advantages‚ it also brings us some disadvantages. For one thing‚ cell phone really makes our life easier because of the following reasons. First‚ it is very convenient. It helps us contact with people at anywhere over the world in a fastest way. People use it to connect with others
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