Enteral feeding tube has its benefit to save many lives and Medicare should cover the necessary medical treatments. However, Medicare Part A coverage of the 100 days post-acute skilled services of an enteral feeding tube for a person with severe dementia should be proscribed. A Medicare beneficiary who had the 3 days qualifying acute hospital stay with a surgically inserted enteral feeding tube
In this research, the researcher will focus mainly on the WHO Surgical Checklist which was launched in 2008 as the EBP for ODP profession. The checklist is to be adapted and used for every patient who is to undergo a surgical procedure. The checklist has three steps to safer surgery which are, Sign In, which is done before induction of anaesthesia, Time Out is done before surgical incision then Sigh Out before any theatre staff leaves the theatre. There is evidence in literature that showed the advantages of WHO Surgical Checklist such as, that it increases reliability during perioperative care of the patient, it encourages team-work with the focus to quality and safety, all equipment is discussed thereby efficient planning of the procedure and all potential problems such as incomplete consent forms, allergies, health status of the patient are identified (DeViries et al., 2008 and Christian et al., 2000).
Introduction: Epilepsy is a common chronic neurological disease that the use of self-management strategies is essential to increase patient safety and quality of life. The aim of this study Identify the features and capabilities of epilepsy self-management application from Perspectives of Patient and physicians. Methods: In this cross-sectional study, the perspective of 100 patients with epilepsy who were members of the Iranian Epilepsy Society and 15 physicians who were member or colleagues of the Iranian Epilepsy Society were studied by using the questionnaire about training needs, essential data elements and features of the application. The data were analyzed by the use of descriptive statistics (mean and standard deviation) and Kruskal-Wallis
Balu, T. Devi, et al , describes the image mining system that automates the diagnosis of acute appendicitis with significant time reduction. The experimentation methods, results of the testing using real data are detailed in this paper. The data set of 44 patients’ sonographic images collected from a reputed hospital in India has been used as input. The conclusion is that region based segmentation algorithm followed by Euclidean distance method yields accurate diagnosis of appendicitis. The developed sonographic image mining system to detected acute appendicitis yielded a sensitivity of 86% and specificity of
An intercostal drain was inserted for hemothorax and exploratory laparotomy with splenectomy was performed as an emergency. The patient was transferred to intensive care unit in view of haemodynamic instability and blood loss. Mechanical ventilation was initiated with synchronised intermittent mode of mandatory ventilation (SIMV).Sedation and analgesia were provided with infusion of morphine (3 mg/hr) and midazolam (2mg/hr) as per the institutional protocol. Subsequently SAM block was administered in view of fractured ribs on left side using a using high-frequency (5–10 MHz) ultrasound probe and 20 ml of 0.5 % Ropivacaine was deposited between the neurofascial plane between Latissimus dorsi (LDm) and serratus anterior muscle (SAM) after negative aspiration at the level of fifth rib using a 25 G spinal needle. Subsequent to block, the hemodynamics of the patient improved and the need for sedation and analgesia reduced and was later on stopped as patient was completely pain free.
Franzini L et al 2011 Providing specialized rehabilitative care to ICU patients during their recovery period. Presenting an attentive care to the dying and their families and alleviate the patients’ suffering during their final hours. All these includes the availability of services at the proper time, with well-trained operators using a well-designed ICU including portable X-rays ,laboratory, ultrasound, ECG, ABG analyzer, Echocardiography, bronchoscope at emergency situations, night time pharmacy and clinical pharmacists.
Abstract Pneumonia Introduction: I will not be looking too deep into this severe case of Community Acquired Pneumonia. My objectives in this case study will basically be to determine whether hospital admission for intravenous antibiotics are necessary. This will be done by using clinical scores and other in-hospital diagnostic criteria to determine prognosis and severity. The relevance to this case study with be treatment regime and a ventilator strategy you may not have heard of. Case study: 67 year old female of colored ethnicity from wellington, transferred from Paarl hospital intubated, ventilated will host of problems including Chronic Obstructive Pulmonary Disease grade ii , Community Acquired Pneumonia (CAP) , Gastro Intestinal Tract bleed which occurred just before transferring from Paarl, also history of smoking, one packet year, and ethanol (ETOH) abuser.
Outpatient services “eliminates inefficient, ineffective or unnecessary processes in a hospital setting” (Grubem et al., 2013). Not only does this benefit the hospitals with expensive procedures but it also helps the patient with costs. This will also benefit the hospitals so they could have more room for patients who really need to stay in the hospital for more serious diseases or use the hospital beds for “community based emergency” situations (Torrens & Williams, 2008). Other forms or alternative medical care is also available to patients such as chiropractors, acupuncture, or other holistic medicine that can help in a person’s well-being. There are more and more people turning to alternative medicine especially to those who do not have health insurance or ones that cannot afford “conventional” therapy because it is too expensive (Shi & Singh,
The STEADI (stopping elderly accidents, deaths, and injuries) program contains basic information about falls which covers standardized gait and balance assessment tools. In the hospital, the use the Morse Fall Scale is a fast and simple method of assessing a patient’s chances of a falling. However, the Morse scale may not be entirely predictive as there may be a need for further assessing the risk of falls among older adults. Although not employed currently on our unit, the Hendrich II Fall Risk Model maybe a tool that can narrow and finely pinpoint underlying risks, especially in those who are older adults.
Governance scores range from -2.5 (weak) to 2.5 (strong). Higher score values on these variables mean that the corresponding country is showing a better performance in governance. All four variables are expected to positively affect health spending efficiency. A higher voice and accountability score indicates that politicians are bound to provide better services since they know that their actions are being monitored by their constituents. Higher scores for rule of law and political stability and absence of violence or terrorism would mean that there are less risks involved in terms of the country's political and economic stability.
Nurses’ primary goals are to promote patient safety and give the best quality of care to the patients. They also play a vital role in preventing and reducing medical errors in their work place. Nurses must be fully aware of the new recommendations and guidelines to follow in the healthcare setting. The Joint Commission established the National Patient Safety Goals (NPSGs) in 2002 (The Joint Commission, 2015). The goal of this program is to assist the health care providers with issues and concerns regarding patient safety and to help solve them.
Marsha McMillen Unit 5 Math Discussion After researching the metric system uses in the medical field, I found quite a few uses just used in the billing and coding field. It is used for cost, production to reduce supply and labor costs, clinical performance, such as quality of patient care, also called “patient outcome” data. Other uses are, Patient Safety, nearly 100,000 Americans die each year, because of medical mistakes, that happened during their stay at the hospital, these accidents can lead to longer recoveries and permanent disabilities. We use metrics in-patient surveys after treatment/release, to measure patient satisfaction of their care.
Azemobho Imaku Western Governors University Healthcare Compliance December 15th 2015 An inpatient coder is a professional, skilled at performing coding and abstracting of inpatient accounts using ICD-9-CM (International Classification of Diseases Ninth Revision, Clinical Modification) and CPT (Current Procedural Terminology) coding systems. An inpatient coder is also expected to be knowledgeable in medical terminology, disease processes and pharmacology. Some of the key responsibilities of the position include assigning codes for diagnoses, treatments and procedures, reviewing provider documentation to determine principal diagnosis, ensuring accurate coding, identifying non-payment conditions and ensuring medical record coding meets regulatory