To report the services provided by the attending physician for a nursing facility patient with an acute illness, you should use Evaluation and Management (E/M) code.
The specific E/M code used will depend on the level of service provided, which is based on the extent of the history, physical exam, and medical decision-making. Based on the given information, the moderate complexity of medical decision-making suggests a level 3 E/M code.
The level 3 E/M codes for nursing facility patients are:
99307: Initial nursing facility care, per day, for the evaluation and management of a patient, which requires 2 of 3 key components: a detailed interval history, a detailed examination, and medical decision-making of moderate complexity.99317: Nursing facility discharge day management, per day, for the evaluation and management of a patient, which requires 2 of 3 key components: a problem-focused interval history, a problem-focused examination, and medical decision-making of moderate complexity.The physician should select the appropriate code based on the level of service provided and document the encounter appropriately to support the code selected.
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Based on the information provided, the physician should use the CPT code 99233 to report these services. This code represents a subsequent nursing facility care visit with a detailed history, detailed examination, and medical decision making (MDM) of moderate complexity.
Medical decision-making (MDM) is based on the quantity of diagnoses, the likelihood of morbidity, and the amount of information a doctor must take into account when treating a patient. So, all of the aforementioned would be the right response.
The doctor must examine the number of diagnoses made, the volume or complexity of the data, and the likelihood of mortality.
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If there are 3437.38 total paid hours what would the hours per patient day be?
To calculate the hours per patient day, you need to divide the total paid hours by the number of patient days.
The formula is:
Hours per patient day = Total paid hours / Number of patient days
Without the number of patient days, we cannot calculate the hours per patient day.
So, the answer to this question would be incomplete without the number of patient days.
If you can provide the number of patient days, we can use the formula above to calculate the hours per patient day.
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Screening for type 2 DM is recommended for children with a BMI in the ___-___ percentile with 2 or more of what risk factors? (FNALAPSCMG)
Early detection and intervention for type 2 DM in children can help prevent or delay complications, such as heart disease, stroke, kidney failure, and vision loss. Implementing lifestyle changes can help manage or prevent the development of type 2 DM in high-risk children.
Screening for type 2 DM is recommended for children with a BMI in the 85th-95th percentile with 2 or more of the following risk factors:
Family history of type 2 DM, Native American, Hispanic, African American, Asian American, Pacific Islander, signs of insulin resistance or conditions associated with insulin resistance (acanthosis nigricans, hypertension, dyslipidemia, polycystic ovary syndrome), low birth weight, maternal history of diabetes or gestational diabetes during the child's gestation, and sedentary lifestyle.
The American Diabetes Association recommends that all children who are overweight or obese undergo screening for type 2 DM, regardless of other risk factors. Screening should begin at age 10 or at the onset of puberty, whichever comes first, and should be repeated every 3 years if initial results are normal.
Children with abnormal results should receive further evaluation and management. Early detection of type 2 DM can help prevent or delay complications and improve outcomes. It is important to emphasize healthy lifestyle habits, including regular physical activity and a balanced diet, to reduce the risk of developing type 2 DM in children.
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To reduce the risk of aspiration of blood or other fluids in a seizure victim:
a. Place an object between the person’s teeth
b. Position the victim on their side as soon as it is safe to do so.
c. Place a thick object, such as a rolled blanket, under the person’s head
d. Move the person into a sitting position.
Option b is Correct. Position the victim on their side as soon as it is safe to do so.
To reduce the risk of aspiration of blood or other fluids in a seizure victim, it is important to position them on their side as soon as possible after the seizure. This can help to prevent the person from inhaling fluids that may be present in their mouth or throat.
Placing an object between the person's teeth or thick object under their head may also help to prevent aspiration, but it is not as effective as positioning the person on their side. Moving the person into a sitting position should be avoided, as this can increase the risk of aspiration.
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Welcome to week 4!
This week we are learning about motivation! In the health care field, motivation is pivotal to organizational success. Effective leaders know what motivates their subordinates achieve success.
To meet discussion expectations, please complete Steps 1-3 promptly.
Discussion Expectations
Follow the 3-Step Plan and Student Checklist to meet the Discussion Grading Rubric expectations.
Due Wednesday at 11:59 pm EST.
Step 1: Read the Discussion Background:
Ralph has been working in the billing department of the medical plaza for several years. He recently applied to a manager position in his department. Ralph believed he was the most qualified applicant and was surprised when they awarded the position to his co-worker, Gina. Ralph feels that Gina is less qualified than him and incapable of being a good manager. Angry about not earning the promotion, Ralph decides to not cooperate with Gina and make work difficult for her. He wants to show the others that he should have received the promotion over her.
Gina is very happy with her new position and the organizational changes. However, she can tell that Ralph is not very happy with her promotion.
Step 2: Create a new thread and answer all three parts of the initial prompt below:
From Gina’s perspective, what can she do to help Ralph with the change in management?
Imagine you are Ralph’s co-worker. What advice would you give him?
Explain the importance of having a diversity work environment.
It is a incomplete question. The complete question is as follow:
Step 1: Read the Discussion Background:
Ralph has been working in the billing department of the medical plaza for several years. He recently applied to a manager position in his department. Ralph believed he was the most qualified applicant and was surprised when they awarded the position to his co-worker, Gina. Ralph feels that Gina is less qualified than him and incapable of being a good manager. Angry about not earning the promotion, Ralph decides to not cooperate with Gina and make work difficult for her. He wants to show the others that he should have received the promotion over her.
Gina is very happy with her new position and the organizational changes. However, she can tell that Ralph is not very happy with her promotion.
Step 2: Create a new thread and answer all three parts of the initial prompt below:
From Gina’s perspective, what can she do to help Ralph with the change in management?
Imagine you are Ralph’s co-worker. What advice would you give him?
Explain the importance of having a diversity work environment.
Answer:
From Gina’s perspective, she could help to Ralph to understand the need to work together. It is a challenge and represents an opportunity to improve the performance of Ralph.
My advice he needs not to be so self-centered and closed minded for advancing in his work (and life).
A diverse work environment is better to create customized products for customers, which are identified with the ethical values of the company. The companies are better adapted to rapid changes in the needs of customers. Moreover, companies with greater diversity are less likely to suffer judgments because they have higher empathy skills related to social equity, democracy, human rights and antiracism.
A gland that secrets a hormone that regulates the body's use of calcium
Answer:
Parathyroid gland secrets a hormone called parathyroid hormone or parathormone (PTH) which regulates calcium usage in our body.
Hope it helps!
Answer:
parathyroid gland
Explanation:
The parathyroid gland secretes parathyroid hormone (PTH) which is responsible for monitoring blood calcium levels by mobilizing calcium reserves in the bone, increasing intestinal absorption and increasing renal excretion. Another hormone involved in regulated Ca blood levels is calcitonin, secreted by the thyroid gland. It lowers Ca blood levels by increasing its deposition in the bone.
he practical nurse (pn) is changing the bag for a client who is reporting leakage of diarrheal stool under the disposable ostomy bag. what action should the pn implement to prevent leakage
There are specific guidelines that the practical nurse (pn) must follow when changing the bag for a client who reports diarrheal stool leakage under the disposable ostomy bag.
Following any leak, the nurse would take the following steps:
A. Insert a 4x4 wick into the stoma.
B. Cover the stoma's edge with a layer of zinc oxide cream.
C. Give a PRN antidiarrheal medication.
D. Trim the bag opening to fit the stoma's dimensions.
Accidental bowel leakage typically doesn't cause serious health issues. But it can significantly impede day-to-day activities. Bowel incontinence sufferers may shy away from social situations out of embarrassment. Bowel incontinence sufferers can benefit from a variety of efficient treatments.
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the nurse is caring for a 6-year-old child who has pyelonephritis. the use of what group of antibiotics would be contraindicated due to the client’s age?
Children under the age of eight is also linked to tetracycline use. Therefore, it should not be used on children who are younger than that.
What are the primary causes of pyelonephritis?Gram-negative bacteria, Escherichia coli being the most prevalent type, are the primary cause of acute pyelonephritis. Proteus, Klebsiella, and Enterobacter are some other gram-negative bacteria that can cause acute pyelonephritis. The fecal flora of most patients will contain the infectious bacterium.The term "pyelonephritis" also refers to a kidney infection. Quick medical attention is required for kidney infection. An infection may harm the kidneys permanently if it is not appropriately treated. Or the bacteria might go into the bloodstream and start an illness that is hazardous.To learn more about Pyelonephritis refer to:
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What are the differences between type 1 and type 2 diabetes? With childhood obesity becoming a growing problem in the United States. What would you recommend to a child who has type 2 diabetes because of childhood obesity? What would you recommend to a child who has type 1 diabetes?
Answer:
People with type 1 diabetes don't produce insulin. You can think of it as not having a key. People with type 2 diabetes don't respond to insulin as well as they should and later in the disease often don't make enough insulin. You can think of it as having a broken key.
what you recomend type 2 diabetes: Encourage your child to eat healthy foods, get plenty of physical activity and maintain a healthy weight. If diet and exercise aren't enough to control type 2 diabetes in children, oral medication or insulin treatment may be needed
type 1 diabetes: In general, kids with type 1 diabetes need to: take insulin as prescribed. eat a healthy, balanced diet with accurate carbohydrate counts. check blood sugar levels as prescribed.
Explanation:
The pituitary gland is sometimes called the "master" gland of the endocrine system because it controls the functions of many of the other endocrine glands. The pituitary gland is no larger than a pea, and is located at the base of the brain.
Answer:
true
Explanation:
if this is a true or false then its true
an option or judement formed before all the facts are know is termed
Answer:
an option or judgement formed before all the facts are know is termed bais.
The part of the serous membrane that lines the peritoneal cavity wall is called visceral peritoneum. True or false?.
The part of the serous membrane that lines the peritoneal cavity wall is called the visceral peritoneum, which is false because the layer is called the parietal peritoneum and it is the outermost layer.
What is the peritoneum?The peritoneum is of two types: the parietal peritoneum and the visceral peritoneum, which is present in the abdominal regions such as the parietal peritoneum, which is the outermost layer of the abdomen, and the visceral peritoneum, which is the inner membrane that comes into contact with the abdominal organs such as the stomach, liver, etc. The abdomen has a liver, kidney, stomach, intestines, etc., and all of them have different functions.
Hence, the part of the serous membrane that lines the peritoneal cavity wall is called the visceral peritoneum, which is false because the layer is called the parietal peritoneum and it is the outermost layer.
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all of the following are risk factors for HCV transmission EXCEPT
Which of the following statements best defines a construct: Question 3 options: a) Operationalized components of a particular theory b) Systematic view of events that specifies relations among variables c) A model of health behavior change that integrates multiple theories d) Theories that apply to a specific problem, audience, and context
Operationalized components of a particular theory statements best defines a construct. Thus, the correct option is A.
What is Operationalization?Operationalization is defined as the process by which researchers conducting quantitative research spell out accurately how a concept will be measured.
For example, if an unobservable theoretical construct such as socioeconomic status is refer to as the level of family income, it can be operationalized using an indicator which asks respondents the question such as what is your annual family income?
Because social science notions are rife with subjectivity and imprecision, We usually use numerous indicators to measure most of those constructs (with the exception of a few demographic constructs like age, gender, education, and income). This method allows us to analyze the accuracy of these indicators by looking at how near they are to one another (reliability).
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Which of the following may be considered an exception to the requirement for informed consent? A. The patient is a non-English speaker B. The person is both blind and hearing impaired C. Performing CPR on an unconscious patient D. An invasive procedure not requiring hospitalization
Answer: C. Performing CPR on an unconscious patient
Explanation:
Diverticula are small, bulging pouches commonly found in the esophagus and large intestine. If we were to pass an endoscope in either of these areas of the GI tract, we would see what appears to be holes. Under closer examination, we can see that these holes lead into pouches. If organic material gets trapped within the diverticula it can cause irritation and even an infection. Although it is extremely rare to see the formation of diverticulum in the esophagus, they can be found within the colon in _____ of all Americans over 50 years of age
Answer: in 30-40% of all Americans over the Age of 50
Explanation:
if your Paitent died but then got back alive but not on your care what do you do
Answer:
You would do nothing because they're not your patient anymore.
Explanation:
For veterinarian ! i want good written research on bovine pasteuorolosis
Bovine Pasteurellosis, also known as bovine respiratory disease (BRD), is a significant respiratory illness affecting cattle worldwide. It is primarily caused by bacteria belonging to the Pasteurella genus, with Pasteurella multocida being the most common causative agent.
BRD is a complex and multifactorial disease involving various contributing factors such as viral infections, environmental stressors, and management practices. Research on bovine Pasteurellosis has focused on understanding the pathogenesis of the disease, developing effective prevention and control strategies, and improving diagnostic techniques.
Studies have investigated the virulence factors of Pasteurella multocida and its interaction with the host immune system. This knowledge has facilitated the development of vaccines and antimicrobial treatments for bovine Pasteurellosis.
Additionally, research has emphasized the importance of early detection and prompt intervention to reduce the impact of the disease on animal welfare and economic losses. Diagnostic methods, including bacterial culture, polymerase chain reaction (PCR), and serological assays, have been employed to identify the presence of Pasteurella multocida and assess its antimicrobial susceptibility.
Overall, ongoing research efforts are crucial in expanding our understanding of bovine Pasteurellosis, leading to the development of more effective preventive measures, improved treatments, and enhanced management practices to minimize the impact of this disease on cattle health and productivity.
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True or false. A 12 yearold boy and a 25-year-old girl probably have the same recommended daily intakes of each food group
Wilbert turned 65 on January 13th, and enrolled into Medicare Part
A and Part D effective 01/01/2014; because Wilbert was still
working, he deferred his enrollment into Part B. Wilbert's Part B
started on 06/01/2014. In the space provided please list the ICEP
that Wilbert would be eligible for to enroll in an MAPD plan.
Answer:
ugpgxgxxyiyxyxyyyiyyxyxyf
Explanation:
t7dyidyidyixyxiycyicoycyicuocuocuoc
BM40006E Molecular Biology Module: Assessment A3
4
Question 7
The image below summarizes the process of RNA spicing
A: which number in the image above corresponds to the lariat structure?
RNA splicing is a crucial process in the nucleus where introns are removed, exons are joined, and a mature mRNA transcript is formed. Splicing is mediated by the spliceosome and coupled to transcription, ensuring proper gene expression and protein isoform generation.
RNA splicing is a process that takes place within the nucleus of a cell. During this process, specific sequences within an RNA molecule, known as introns, are removed, while other sequences, known as exons, are spliced together to form the mature mRNA transcript. The lariat structure corresponds to number 3. The internal branch point corresponds to number 4. The intron/exon boundary corresponds to number 2. The 5’ end of the RNA corresponds to number 1. The 3’ end of the RNA corresponds to the number 7. The protein/RNA complexes that are responsible for mediating the splicing reaction are called the spliceosome. Splicing is coupled to transcription, which helps to ensure that the introns are removed in the correct order.RNA splicing is a highly regulated process that is essential for gene expression in eukaryotes. The process involves the removal of non-coding regions known as introns from the pre-mRNA molecule, which is then spliced together to form the mature mRNA transcript. The splicing reaction is mediated by the spliceosome, which is a large protein/RNA complex that recognizes specific RNA sequences and catalyzes the splicing reaction. The splicing process is coupled to transcription, which ensures that introns are removed in the correct order. This process is essential for the regulation of gene expression and the generation of diverse protein isoforms.For more questions on RNA
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The correct question would be as
The image below summarizes the process of RNA splicing A: which number in the image above corresponds to the lariat structure? B: which number in the image above corresponds to the internal branch point? C: which number in the image above corresponds to the intron/exon boundary? D: which number in the image above corresponds to the 5’ end of the RNA? E: which number in the image above corresponds to the 3’ end of the RNA? F: which protein/RNA complexes are responsible for mediating the splicing reaction? G: which process is splicing coupled to in order to ensure the introns are removed in the correct order?
Which method of collecting a dietary history is the most time-consuming and requires a high degree of motivation to complete
Questions
Which of the following methods of collecting a dietary history is the most
time-consuming and requires a high degree of motivation to complete?
A) food record
B) food frequency questionnaire
C) direct observation
D) 24-hour food recall
Answer:
The correct answer is A) Food Record.
Explanation:
The diet history refers to the historical assessment of an individuals food or dietary intake. It may detail the foods eaten over a 24 hour period, a month or a year.
Dietary History are important as they help to ascertain
whether or not the subject is pre-disposed to malnutrition, determine if there are habits which may lead to obesity, anda dietary combination which will help prevent diseasesCheers!
How many mg of a medication are needed to make 1,500 mL of a 1:4000 w/v solution
Answer:
375 mg
Explanation:
conversions
According to the Dietary Reference Intakes, people should obtain _____ of their daily energy from carbohydrates.
According to the Dietary Reference Intakes, people should obtain 45% to 65% of their daily energy from carbohydrates.
Carbohydrates are the most important macronutrient in the human diet. Carbohydrates are a major source of energy for the body. Carbohydrates are also important because they provide dietary fiber, which aids in bowel function and satiety (feeling of fullness).
There are three types of carbohydrates: simple sugars, starches, and dietary fiber. Simple sugars are present in fruits, vegetables, and milk, whereas starches are present in grains, legumes, and starchy vegetables, and dietary fiber is present in fruits, vegetables, whole grains, legumes, and nuts. According to the Dietary Reference Intakes, 45% to 65% of a person's daily energy intake should come from carbohydrates. This equates to 225 to 325 grams of carbohydrates for a 2,000-calorie diet. The quantity of carbohydrates consumed daily may differ depending on a person's age, sex, body composition, physical activity, and other factors. So, a well-balanced diet with a variety of foods is always the best option.
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Romans developed surgical tools such as scalpels and retractors. Which of the following career fields evolved around the development of these devices?
A: Genetic medicine
B: Medical sales representative
C: Medical instrument engineering
D: Biochemistry
E: Pharmacy
The career that evolved for the development of these tools was medical instrument engineering (Option C). This field allows the development of different medical devices.
Medical instrument engineeringMedical instrument engineering refers to the techniques and strategies aimed at developing new tools in medicine.
Currently, this field (medical instrument engineering) is aimed at designing, developing and repairing electronic medical devices and medical tools.
The devices can be used for improving the overall health of patients in clinical settings, as well as for developing new medical strategies.
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I need someone to help me write about a 250 essay about schumermann's kypohosis disease on medical  terminology
How can you tell whether a fat contains primarily saturated or unsaturated fatty acids?
a. All plant oils are unsaturated because they are liquid at room temperature.
b. Solid fats that melt at a high temperature are unsaturated.
c. Oils that remain liquid at room temperature are primarily unsaturated.
d. Beef fat is considered unsaturated because cattle eat only plant foods.
e. all fat that is solid at low temperatures is unsaturated.
Heat the fat until it liquefies, then use a gas chromatograph to separate the fatty acids. This is the simplest method for accomplishing this (GC).
What distinguishes a fat as being saturated or unsaturated? Heat the fat until it liquefies, then use a gas chromatograph to separate the fatty acids. This is the simplest method for accomplishing this (GC).At the carbon-carbon double bond, saturated fatty acids will have a distinctive double-bonded carbon atom, whereas unsaturated fatty acids won't.A saturated fat.It is solid when left at room temperature.It can be present in full-fat dairy products, such as yogurt and cheese, as well as high-fat meats like butter and lard.Unsaturated fatAt normal room temperature, this is usually liquid.You can find it in fish, nuts, and vegetable oils.The largest number of hydrogen atoms are found in saturated fats, but there are less hydrogen bonds than the maximum amount at each double bond in unsaturated fats.To learn more about fatty acids refer
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The best way to tell whether a fat contains primarily saturated or unsaturated fatty acids is to look at the physical properties of the fat. Solid fats that melt at a high temperature are unsaturated, while oils that remain liquid at room temperature are primarily unsaturated.
What is fatty acids?Fatty acids are organic compounds that are made up of a carboxylic acid group attached to a hydrocarbon chain. They are found naturally occurring in plant and animal fats, oils, and waxes, and are important components of biological membranes. Fatty acids are essential for the production of energy and for the proper functioning of all cells and organs. In humans, fatty acids are used to make hormones and regulate many bodily processes. They are also important for the absorption of fat-soluble vitamins and the synthesis of lipids.
Fats that are solid at low temperatures are saturated. For example, beef fat is considered saturated because it is solid at low temperatures.
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Case Study 3 – Consent
A 14-year-old youth suffering depression does not want to discuss his problems with his parents. He seeks help from a community health centre. On his first visit he is provided with counselling and asked to return for a second visit where the possibility of medication will be discussed. He is reassured that his parents do not have to be involved if he does not want them to be. Researchers from the centre are looking for people to take part in a study that will find out if a new investigational drug can help in the treatment of depression. They invite the fourteen-year-old to participate in the randomised controlled trial. The researchers say that parental consent is not needed for the 14-year-old to access treatment so they do not need to obtain parental consent for him to participate in the research.
Questions
Is the researcher’s view correct?
Does it depend on the nature of the reasarch?
What is involved in cancer staging? And why is staging important?
Answer:
Cancer staging provides helpful information for both patients and doctors: The stage suggests the most likely outcome. Knowing the stage gives an educated estimate of life expectancy and the chance of a cure. Treatment will be planned and recommended based on the stage of the cancer.
Answer: The clinical stage is an estimate of the extent of the cancer based on results of physical exams, imaging tests (x-rays, CT scans, and more, endoscopy exams, and any biopsies that are done before treatment starts. For some cancers, the results of other tests, such as blood tests, are also used in clinical staging.
Cancer staging provides helpful information for both patients and doctors: The stage suggests the most likely outcome. Knowing the stage gives an educated estimate of life expectancy and the chance of a cure. Treatment will be planned and recommended based on the stage of the cancer.
Explanation:
Which two additional courses are required AFTER being selected into the Clinical Nursing Program?
Without additional context or information about which specific nursing program is being referred to, it is impossible to provide an accurate answer to this question. Nursing programs can vary widely in their requirements and curriculum.
In general, however, many nursing programs have prerequisites that must be completed before being accepted into the clinical portion of the program. These prerequisites may include courses such as anatomy and physiology, microbiology, psychology, and statistics.
Once accepted into the clinical nursing program, students may be required to complete additional courses or clinical rotations in order to graduate and become licensed as registered nurses. These requirements can also vary depending on the specific program and the state or country in which the program is located.
It is recommended that anyone interested in pursuing a nursing career research specific nursing programs and their requirements to gain a better understanding of what courses and experiences are necessary to succeed in the field.
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How will you identify the given lens is Convex lens and Concave lens ?
Answer:
concave is curved in the middle and convex is thick on the side
Answer:
Convex lenses curve outward like the outside of a sphere, while concave (cave= collapse is how i think it) lenses are thicker on the sides and thinner in the middle and tend to curve inward
Explanation:
Hope this helps <33