...mirror, and through it she see's her father, now ill. Adrian lets her go so that she may care for her father. He believes she has made her decision, so he ignores all her attempts to contact him. On the night of his two year deadline to find love, Linda gets in trouble. He rushes to rescue her, not even caring that everyone can see his beastly appearance. When he arrives, Linda's attacker shoots Adrian, causing Linda to confess her true feelings for him. As his life is slipping away, he asks for one final request; a kiss. The curse is removed as the clock strikes twelve, and Adrian and Linda are able to live out their lives, beautiful inside and out. In this book you see Kyle go from being a conceited jerk, to a perfect prince. In the beginning of the novel he rejects the "ugly" people and feels that the only way to make it far in life is to be "beautiful". He gets this idea from his father, who treats people very much the same. When Kyle becomes cursed his father locks him away, after all Kyle doesn't want anyone to...
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...journal #7 June 1st I was in Neuro ICU. This had to of been one of the most interesting floor I’ve ever been on just because the brain is very unpredictable. My nurse gave me a run down of the patients we were going to have. First thing we did was take vitals and reposition them. Since most of the docs. come by early we went through labs and pointed out which were of concern. One of the patients had all po meds but he was intubated so we ordered an NGtube. He also had no urine output because his kidneys where shot. The other patient was waiting for surgery to be scheduled he was pretty alert at times but at other times he was confused my nurse spent a good part of the morning trying to figure out who was next of kin. Since I didn’t have much going on with my patients I was called over to help change a patient that was detoxing from alcohol. It was really interesting because this patient was so out of it and thrashing around even with restraints she was very combative. Every so often I was called over to watch the patient while the nurse went to see her other patient. I also got to see a PICC line getting pulled. I thought the day went very well. The nurses all seemed very receptive to students and wanted to teach us wither or not they were our nurse or not. I liked that I was able to see new things.I also liked how they all helped each other out it seemed like a great place to...
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...ENTERING PATIENT INFORMATION A. How patient information is Organized in Medisoft 1. Patient information is accessed through the patient list dialog box B. Entering New Patient Information 1. New Patient 2. Name/address Tab C. Chart Number 1. No special characters 2. No two chart numbers can be the same 3. He first five characters of patient last name 4. Two characters are usually first two letters of patients first name 5. The last character is always a zero displayed in this book with the symbol”O”. D. Other Information tab 1. Type a. Is used for billing purposes to designate whether an individual is a patient or guarantor. 2. Assigned Provider a. Codes assigned to the doctors in the practice. 3. Patient ID #2 a. Is used by some medical practice as a second identification system in addition to chart numbers. 4. Patient Billing Code a. The patient billing code is an optional field used to categorize patients according to the billing codes that the practice has set up in Medisoft. 5. Patient Indicator a. The patient indicator is an optional field that practices can use to classify types of patients, such as workers’ compensation patients, cash patients, and diabetic patients. 6. Flag a. This field can be used to organize patients into groups and assign...
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...Empowerment Robyn Frid Ohio University Empowerment ‘The nurse’s main responsibility is to view healthcare as a basic human need and right of each person, that include a patient’s right to be heard, to be treated with dignity and respect, to be given a safe environment, and overall well-being” ( Burkhardt &Nathaniel, 2014, p.496 ). By being role models of empowerment we can facilitate empowerment in patients and families (p.518). By giving up control and learning to collaborate with patients, families, and other members of the healthcare teem (HCT) we can learn mutual participation in healthcare (LaSala & Bjarnason, 2010, Creating workplace environments that support moral courage). Remember, the electronic medical record is making the patient and the family part of the HCT, and we want to treat them with the respect any team member deserves. This includes being able to listen attentively to whatever patients and families have to say, and reflect back to them your understanding, giving patients choices in small and large decisions, for example when they prefer to bathe, what foods do they prefer, and when to take medications. Stop the attitude that you know what is best for the patient. Make sure the HCT is aware of the patient’s wishes regarding healthcare and end of life decisions, and provide patients and families with any resources that would help in making these decisions. Also, we can facilitate patient and families with any help needed to use the EMR and how...
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...For this unit we have been looking at communication is all its vast ways. We have been studying the environmental factors and barriers that can occur in health and social care settings. For this task I have been asked to explain those factors that influence communication and interpersonal interactions in health and social care environments and to also look at the negative barriers to communication. Environmental Factors * Noise * Setting * Lighting * Seating * Space * Time Noise In a health and social care setting such as a Hospital, noise would be appropriate to drown out the sounds of private conversations. For example, if a receptionist was speaking to a patient about an issue regarding their health, they wouldn’t want their personal issues to be heard by other patients in the waiting area. Having background noise would be necessary for digression purposes. This in other words 'takes them out of the spotlight' and keeps the attention between their own conversations. This is a positive factor. A negative example would be the opposite, if a couple needed to get important information from the receptionist or any other professional in a sexual health clinic and cannot be heard by the background noise. This is if all the public waiting are speaking above a normal tone, in which case the couple couldn't hear correctly, they could miss vital bits of information or not get any at all. When being in public places, there should always be a moderate level...
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...The cookuo’s nest is a war between Mc and the big nurse, a war should have a winner and a loser, which is the topic we had talked about during the class last week. Although some of my classmates thought Mc won at last, I still had a point of view that the Big Nurse should be the winner. First of all, when the Big Nurse asks them to take medications, the patients will take them even they don’t want it. While Mc first take his medicine, he just find that patient try to avoid of taking those. And the second point, the Big Nurse try her hardest to create the fear among the patients, and in many ways decrease the influence of Mc. When Mc try to make all the patients vote for the baseball game, Big Nurse still use her power to let Mc fail but Mc can not find any excuse to refute her decision, the failure of the “uprising for the baseball game” let the patients thought that the Big Nurse had more power than Mc did. Some of the patients, just like Cheswake, influenced by Mc and talk against to Big Nurse because she keep his cigarette and make him crazy. What the big nurse do was just send him to the disturbed. After back from the disturbed, Cheswake suicide when he was having a shower. Another example, chief, the one who support Mc most, fight with the black boys for Mc, also be sent to the disturbed because of this. So it is not hard to found that the Big Nurse want every patient to know what they will have if they don’t follow the rule that the Big Nurse made and try to against her...
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...In this reflective essay, I will be describing how the midwifery emergency department had helped me develop clinical skills in therapeutic communication using Driscoll’s reflective cycle. Sally was assigned to a hospital for a thorough checked up as she has become a victim of stroke while being 28 weeks pregnant. Due to the stroke, Sally was only able to communicate through nodding her head and answering yes or no. Sue is a midwife and has been appointed to be Sally’s midwife for the time being. As a professional, Sue must go through a procedure to examine her patient and the infant’s health. When Sue first approached Sally, Sue provided information that was needed for patient and her husband. Sue introduced herself and then described the process that she would attempt to do on Sally. I sense this action Sue has taken was able to relieve patient and her husband as they were informed of what would happen in the next few minutes, therefore they would not be frightened. Sue then continue to proceed to the next phrase and started exploring more fully about her patient’s situation. Sue asked Sally some fundamental questions such as “Do you feel the baby moving?” as Sally was unable to speak. Gradually, Sue tried to extinguish the worrying and devastated atmosphere by using a gentle tone, such as “You’ve seen one of these before Sally, this is a doppler.” From my observation, when Sue was communicating with Sally and David, both verbal and non-verbal techniques were used, for...
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...The Right Time to Lose a Patient Although there is really never a right time to die or even witness death, it is important to acknowledge that death is a reality, and that all health care practitioners will be subjected to death at some point. For that reason, I raise the question; is there an appropriate time to lose a patient? From my perspective the answer is yes, and for good reason. Having recently finished twelve weeks of Internal Medicine, the first of my core third year rotations, I vividly remember the excitement I felt when walking into the hospital. I knew all the work I accomplished in the classroom was about to be put to good use. I had the opportunity to help interns, residents, and attendings to positively impact individuals’ lives. I would see patients with diseases that I had previously only encountered in textbooks, although I knew that these textbooks rarely highlight and explain the pain and suffering that accompany these pathologies. In fact, my studies to that point had left me with some naivete, which I must assume all medical students experience when first starting clinical work. We are excited to see cases we read about, although we often forget that many of these ailments take the lives of those afflicted. Throughout our education, we transform conditions into hypothetical situations, rarely developing an understanding of their severity. It is easy to regard a set of symptoms as fiction or case study, and it was only through experience that...
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...Out of all the many roles a nurse has “educator” is probably one of the most important ones. Every day we educate our patients on various things even when we don’t realize it. It can also be one of the most difficult and frustrating things nurses do as well. We have all probably had a patient at one time or another that could care less. When you speak to them, they are looking at the TV or are completely disengaged. What can we do when we have a non-compliant patient? Health Belief Model is a tool to help patients make changes in a way that is comfortable for them. It suggests that a person’s belief in a personal threat of an illness together with a person’s belief in the effectiveness of the recommended health behavior will predict the likelihood the person will adopt the behavior. The patient’s actions depend on their understanding of the pros and cons to their health behavior. Effective non-biased communication with patients can lead to willingness as well as compliance. There are six major components of the Health Belief Model: 1) Perceived susceptibility – Is the health problem real? 2) Perceived severity – Pt will not act on health issue unless they have an understanding of how serious health condition is. 3) Perceived benefits – Patient believes that a cure is possible. 4) Perceived costs – Refers to complexity and duration of treatment. Can they afford it? 5) Motivation – Desire to comply 6) Self-efficacy – Patient’s confidence in his/her ability...
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...I had the opportunity to stay on this patient’s care team despite the change in preceptors/hospitalists. Since I continued to stay on her care team, I became the source of information for the patient’s previous status, current condition, and future planned treatments for the oncoming hospitalists. However, due to a communication error, I relayed incorrect information to the hospitalist coming on service, leading to additional unnecessary hospital stay for the patient. Initially, the cardiologist had planned a right heart catheterization for the patient on Monday. He had a conversation with the admitting hospitalist about his plan. He told the hospitalist that after reading the patient’s echocardiography, he believed that the patient’s right ventricle was in bad shape and needed the catheterization. The hospitalist asked the cardiologist whether it would be better to defer the investigation to an institution with more resources since the patient would have to establish care with them anyway. The cardiologist responded by saying that he would be able to do the catheterization, but did not have time to do it until Monday. When the next hospitalist came on the service, he asked me if the patient was stable enough to be discharge. Relaying the cardiologist’s plan, I told the hospitalist that although she was stable, we were currently awaiting a right heart catheterization on Monday. During rounds the hospitalist mentioned the right heart catheterization to the patient; however, the...
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...1. One Specific Issue That Is Relevant and Specific to me as an Advanced Practice Nurse Assisting the patients and the families make major decisions related to the health offers the APN a challenge and is a major issue in practice (Ingersoll, McIntosh & Williams, 2000).. Managing the expectations and the emotion of the patients and their families usually take their toll on the APN and calls for a delicate balancing act to ensure that confidence between the practitioner and the members remains. Assuring that reassuring the patients and their families that the medical practitioners and their families area doing every within the contents of the treatment plan to ensure the recovery of the patient is critical. Coping with the expectations could have an impact on the practitioners and hence interfere with the performance of the duties. The issue could also lead to stress of the caregivers. Understanding that the APN are human with feelings and families sometimes is not the case leaving the families of the patients venting their frustrations on the caregivers whenever things go wrong 2. Specific Description of The Area and why it is selected Patients and their families are always looking upon APN to offer guidance on the direction of the health situation. It is important to mention that the health of a patient in a family is a concern for every, and the family members could do anything possible to ensure that the member recovers to assume their role in the family (Furlong & Smith...
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...Trust: A Concept Analysis The term trust encompasses a wide array of meaning. It can be regarded both as a logical and an emotional act. Trust can be defined as having utter belief in the reliability, ability or truth of any person or thing; it is a state where the acceptance of truth even without evidence or investigations becomes possible (Oxford University Press, 2013). However, according to Merriam-Webster (2013) trust is defined as a guaranteed reliance on the strength, character or the character of any entity. Trust is an utterly important concept, even when considering it from the perspective of the nurse management. As mentioned earlier, trust has an element of emotion and logic in it. It is considered logical where a person perceives the potential gains or losses of putting their reliance on someone, calculating the possible satisfaction derived out of putting their trust into them and only after carefully analyzing all these aspects, then deciding whether or not to trust someone. However, it can be referred as emotional when any entity exposes themselves to others, hoping that rather than taking advantage of their situation, the others would tend to understand their situation and support them open heatedly. There are various dimensions to trust, some of which could be defined under the terms of predictability, delayed reciprocity, value exchange and exposed vulnerabilities. Human beings have a knack of forecasting for their future and in doing so, it is imperative...
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...| CASE: KEEP PATIENTS WAITING? NOT IN MY OFFICE | BUSN 6110/ME – OPERATIONS & PROJECT MANAGEMENT | | | CASE KEEP PATIENTS WAITING? NOT IN MY OFFICE 1. What features of the appointment scheduling system were crucial in capturing “many grateful patients”? By seeing patients at their “exact” appointment times, the patients were very grateful. It is rare that the doctor did not see the patients during their allotted time. The key to ensuring appointments remained on schedule was to book appointment realistically. By allotting the proper amount of time for each visit (this was tied to the services require) this kept the schedule on track. Patients are also given a specific time, e.g., 10:30 or 2:40 vice the usual come in 10 minutes or 30 minutes. There was an adequate number of examining rooms and her 2-3 assistants depending on the workload were well instructed on the standing operating procedures. New patients were asked to arrive in the office early to get their initial paperwork completed. New patients were also told about the strict adherence to appointment times. 2. What procedures were followed to keep the appointment system flexible enough to accommodate the emergency cases, and yet be able to keep up with the other patients’ appointments? The doctor felt that most doctors used them having an emergency as an excuse not to stick to their appointment times and felt this would not work in her practice. If it was a true emergency...
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...Title: “ Role of ultrasound in the treatment of osteoarthritis” Name: NIRUPAM CHANDRA MONDAL Batch: 12th batch Roll: 442 Session: 2005 -2006 Undergraduate, B.Sc. in physiotherapy, Faculty of medicine, Dhaka University. Centre:NITOR(National Institute Of Traumatology and Orthopaedic Rehabilitation) 1.2 Justification Of The Study: From the views of mine, the justification of the selective study is performed for the following reasons, which are described deliberately one after another as per their inevitably. To find out which part of the body is mostly involved to osteoarthritis . Finding out the best possible treatment procedure for osteoarthritis. Ultrasound should be applied together with stretching and strengthening exercise. To find out the reasons of recurrence in the conventional measures of treatment. Treatment with steroid injection and surgical treatment are costly and have a wide variety of side effects. To find out the methods to treat the patient sufficiently at home with ultrasound, 2. Objective: 2.1 General Objective: - To determine or identify the role of ultrasound in the treatment of osteoarthritis. 2.2 Specific Objective: - To describe the sign and symptom of osteoarthritis patient. - To estimate the prevalence of osteoarthritis among the outdoor patient. - To find out the ergonomics related factors associated with osteoarthritis - To compare the patients clinical conditions before and after receiving ultrasound therapy. 3...
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...Medical Billing Process Nathia Herod HCR/220 2/26/2012 Melinda Sousa Medical Billing Process There comes the time in everyone’s life that just about almost everyone who is adults has gone through some part of the medical billing process. It is a process in what keeps most workers in the field their job and some patients their health. In the end, in order for everyone to be satisfied, everyone must play their role and work together. In order for the patient to understand what they are paying for; the biller must know who to bill and what they are paying for as well. There are ten steps of the medical billing process and the first step of this process would be to always pre-register the patients. When you break this step down a little further all it means is that you are setting appointments for the patient but first thing’s first, you must get their insurance in order to know what the patient is going to pay and what they are not going to pay. When the patient is done being preregistered; you are now available to state their financial responsibility for the visit. Most of the time when patients are preregistered, they kind of already have a prejudgment as to what they are going to pay because of their insurance which also establishes a financial responsibility. You must clarify clearly in the beginning as to why they are paying for this and not paying for something else. You must always try your best to get the patient to understand or else there will be a lot...
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