Inpatient Encoder 7 Diagnosis Code: _____Malignant neoplasm of lower third

Get help with college essays at Smashing EssaysQuestion Inpatient Encoder 7 Diagnosis Code: _____Malignant neoplasm of lower third of esophagus Principal ICD-10-CM Code: _____Malignant neoplasm of lower third of esophagus → POA Yes Secondary ICD-10-CM Code(s): _____Secondary malignant neoplasm of mediastinum → POA YesSecondary malignant neoplasm of retroperitoneum and peritoneum → POA YesSecondary malignant neoplasm of other digestive organs → POA YesDisplacement of other gastrointestinal prosthetic devices, implants and grafts, initial encounter → POA Yes Principal ICD-10-PCS Procedure Code: _____Resection of Gallbladder, Open Approach Secondary ICD-10-PCS Procedure Code(s): _____Excision of Peritoneum, Open Approach, DiagnosticExtirpation, Stomach, Open Approach Diagnostic Related Group (DRG): _____

You are the nurse caring for a patient who has

Question You are the nurse caring for a patient who has an extensive history of peripheral vascular disease, resulting in frequent surgeries for the purpose of revascularizing her lower extremities with the intent of avoiding amputations, if possible. This is your patient’s third surgery this year; she has been brought to your step-down unit for postoperative recovery. While implementing the surgeon’s orders, you note several conditions that require the surgeon’s immediate attention. Upon calling the surgeon, he indicates that he will address these issues tomorrow. 1. Apply the nursing process to make ethical decisions in this situation.2. Indicate ethically relevant considerations contained within the case study.3. Outline the ethical problems within the case study. 4. As a nurse advocate, how would you represent the patient? 

please help me with these questions questions I only know

Question please help me with these questions questions I only know the answer to one alt=”hormone analysis.jpg” /> ATTACHMENT PREVIEW Download attachment hormone analysis.jpg Diagnostic procedure : Hormone analysis Give description of procedure: Nursing interventions(pre post) Indications: Considerations: Interpret the findings: Educations to client: Potential problem: Nursing interventions:

Research legislation that has occurred within the last 5 years

Question Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. What additional steps need to be taken to continue advocacy for this issue Can any body can answer this question

Differentiate groups vs. teams. style=”color:rgb(44,44,44);background-color:transparent;”>2. Describe levels of systems and

Question Differentiate groups vs. teams. style=”color:rgb(44,44,44);background-color:transparent;”>2. Describe levels of systems and how they relate to health care teams.

• Review the Resources and reflect on the definition and goal

Question

• Review the Resources and reflect on the definition and goal of EBP.
• What professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).
• Explore the website to determine where and to what extent EBP is evident.

1) A nurse is working with a community health care

Question 1) A nurse is working with a community health care team to devise strategies for preventing violence in the community. Which of the following interventions is an example of tertiary prevention? (A):Assessing for risk factors of intimate partner abuse during health examinations (B):Developing resources for victims of abuse (C):Urging community leaders to make nonviolence a priority (D):Presenting community education programs about stress management2) Several nurses are developing a parish nurse group to help address the primary and secondary health care needs of the congregation. Which of the following services should the nurses plan to provide to the congregation? (A):Facilitate Discharge from the facility to the home. (B):Perform wound care in the home of members. (C):Organize an influenza immunization clinic with the American Red Cross. (D):Provide end-of-life care for members who are terminal3)A nurse case manager Is providing discharge planning for a client. The nurse is functioning in which of the following roles when arranging for the delivery of medical equipment to the client’s home? (A):Consultant (B):Advocate (C):Coordinator (D):Systems allocator4)Intervention to manage violent behavior priority at a correctional facility?A) ensure the ability to access an exitB) avoid touching the clientC) speak in a calm voiceD) use nonjudgmental language

Write a brief analysis (no longer than 2 pages) of

Question Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim.Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

Why are cortisone-like steroids effective in treating diseases?

Question Why are cortisone-like steroids effective in treating diseases?  

What factors may result in health disparities?Select all that apply.1Gender

Question What factors may result in health disparities?Select all that apply.1Gender of the client2Comorbidities in the client3Health care provider attitude4Height and weight of the client5Socioeconomic status of the client

This question is for my certificate 3 in individual support

Question This question is for my certificate 3 in individual support (aged)List six (6) documents/charts you could use when assisting clients with personal care, and explain where you would file them.

Compare and contrast the steps taken to conduct a study

Question Compare and contrast the steps taken to conduct a study from a quantitative and qualitative perspective.

1.Analyze the international council of nurse (ICN) position statement2.describe why

Question 1.Analyze the international council of nurse (ICN) position statement2.describe why the position statement is important to nursing practice3.what are the ethical and legal implications of the issue using ANA code of ethics4.summarize it’s importance to you

Pharmacology1) Kindly explain the explain the ethical and legal implications

Question Pharmacology1)     Kindly explain the explain the ethical and legal implications on a provider, pharmacist, patient and patient’s family when a provider mistakenly prescribes an adult dose for a 5 years old child.2)     What strategies can be used to disclose and non -disclose the error? Is there a law guiding it? If yes, where can we find the law?3)     What strategy can the prescriber use to guide his decision making. What are the strategies to minimize medication error?

Respond to your classmates ‘s posts by suggesting additional individuals

Question Respond to your classmates ‘s posts by suggesting additional individuals or teams with whom you wish to collaborate or by offering additional networking strategies.

1.) Mohr v, Williams stands for the law that… a.)

Question 1.)  Mohr v, Williams stands for the law that… a.) Actions outside permission is battery b.) Lawsuits must be tried by a jury. c.) Negligence requires both parties to be aware of the actions of the other. d.) Negligence must be foreseeable 2.) Which one of the following may enforce a voidable contract? a.) Doctor b.) Doctor c.) Minor d.) CEO 3.)  John mistakenly locks Ted in a closet over a weekend. Ted has a stroke from the fright and dies. Ted’s family has a claim against John for… a.) False Imprisonment b.) Battery c.) Assault d.) None of the above  4.)  Tom and Ray, both adults, agree that Tom will buy Ray’s car for $2,000. That same night, Tom dies. Ray can legally enforce this contract. True False 5.)  Tom and Ray, both adults, agree verbally that Tom will buy Ray’s car for $2,000. That night, Tom is convicted of a felony. Ray can legally enforce this contract . True False6.) An insurance policy may be an example of an executory contract. True False 7.) A statement from an employee handbook can be considered a term in the employment contract of the corporation’s employee. True False 8.) HervCo promises its salaried employees a bonus at the end of the year if management thinks it is warranted. This promise is … a.) enforceable b.) unenforceable because it is not supported by consideration. c.) unenforceable because the dollar amount is missing. d.) unenforceable because the employees are paid salaries 9.) Kate Bradley has three daughters, BillyJo, BobbyJo and Betty Jo. Kate has promised each one a new car if they refrain from smoking until their 30th birthday.   BillyJo, who is 23 years old, immediately tells her mother that she agrees to the deal. The contract is valid. True False 10.) Tom and Ray, both adults, agree verbally that Tom will buy Ray’s car for $2,000. Ray can legally enforce this contract. True False 11.)John, age 35, buys a car from Marty, age 16. John can legally enforce the contract but Marty cannot. True False 12.)  Tom and Ray, both adults, agree verbally that Tom will buy Ray’s car for $2,000. Both Tom and Ray know that Tom stole the car. Ray can legally enforce this contract. True False  13.) John makes a fist and swings it next to Mary’s head pretending to strike her. Mary faints. Mary has a claim for assault and battery against John.  True False

Briefly explain why the court in Palsgraf held the way

Question Briefly explain why the court in Palsgraf held the way it did.

Open complex dislocation to the left fourth digit involving volar

Question  Open complex dislocation to the left fourth digit involving volar plate collateral ligaments with near total avulsion of the fingertips with involvement of the digital nervesStruggling finding the secondary code for this. I have found the first code, which is S63.285A. For a second code I thought maybe it was S64.495A, but I am running into a problem. Maybe I am missing some important detail that changes the whole code.

PREOPERATIVE DIAGNOSIS: Left lower extremity claudication, peripheral vascular disease.POSTOPERATIVE DIAGNOSIS:

Question PREOPERATIVE DIAGNOSIS: Left lower extremity claudication, peripheral vascular disease.POSTOPERATIVE DIAGNOSIS: Left lower extremity claudication, peripheral vascular disease.OPERATION PERFORMED:Aortogram with left lower extremity angiogram.Ultrasound-guided access to right common femoral artery.Left superficial femoral artery angioplasty.Right common femoral artery Angio-Seal.ANESTHESIA: Local with sedation.INDICATIONS: This a 65-year-old gentleman with left lower extremity peripheral vascular disease, ABIs of 0.7, and short distance claudication. He was taken to the Operating Room for angiographic evaluation and treatment. No prior catheter-based imaging was available for review.DESCRIPTION OF PROCEDURE: Informed consent was obtained from the patient. He was taken to the Operating Room and placed supine on the operating room table. An appropriate time-out was taken to ensure the patient’s identity, operative site, and planned procedure. The administration of antibiotics was not necessary as this was a clean procedure, without the planned implantation of any foreign object. Everyone in the room agreed with time-out, and we proceeded. His bilateral groins were prepped and draped, and the right groin was anesthetized with 1% lidocaine. After multiple attempts to access the right common femoral artery were unsuccessful, an ultrasound was used. This showed a clear common femoral artery that was easily accessed under ultrasonographic guidance.This was done with a 21-gauge micropuncture needle, and this was exchanged using Seldinger technique for a micropuncture sheath, through which a 0.035 Amplatz wire was inserted, and the micropuncture sheath was exchanged for a 5-French sheath. A Sos Omni Flush catheter was placed over the wire into the sheath, and the aortogram, pelvic arteriogram was obtained. The Glidewire was advanced over down into the left common femoral artery, and a Sos catheter was advanced over this. The left lower extremity arteriogram was obtained. The patient was systemically heparinized with 5000 units of IV heparin. After adequate time for the heparin to circulate, the Glidewire was reintroduced and navigated down to the SFA, and the Sos catheter was advanced over this. An Amplatz wire was inserted. The Sos and short 5-French sheath were removed, and a long 6-French Terumo Pinnacle destination sheath was inserted. The CXI catheter was placed over the Amplatz wire, and the Amplatz was exchanged for a Glidewire. Using the Glide and CXI, we were able to navigate past the SFA stenosis into the distal SFA, and the Glide was exchanged for a Rosen. The lesion was angioplastied with a 5 x 40 balloon. The completion angiogram showed excellent technical result without any recoil or extravasation. The wire, catheter and sheath were removed, and groin was closed with an Angio-Seal. There were no complications. I was present and scrubbed for the entire procedure.INTERPRETATION OF IMAGES: The ultrasound shows that the common femoral artery was patent and pulsatile. The aortogram shows the patient has 2 left and 1 right patent renal arteries, patent infrarenal aorta, patent common iliac arteries bilaterally. He had a very diminutive left hypogastric but patent right hypogastric artery, patent external iliac arteries bilaterally, and patent common femoral arteries bilaterally. Then on the left, there is patent profunda, SFA. In the mid SFA there is a high-grade stenosis, and then the patient has a patent popliteal artery and 2-vessel runoff to the foot with the anterior tibial artery being occluded. After angioplasty of the lesion, there is no residual stenosis, no extravasation, and no flow-limiting dissection.

This gentleman is an established patient who is being followed

Question This gentleman is an established patient who is being followed for post herpetic neuralgia of the left upper extremity and chest area. The patient states that he is still depressed over the loss of his wife approximately five months ago. The patient had a cervical epidural steroid injection performed approximately a month ago, which the patient states he believes gave some pain relief for a couple of weeks; however, the pain has returned.The patient was taking Neurontin, approximately three times a day; however, it did cause his equilibrium to be effected and the patient’s daughter states that he did fall one time. Therefore, he was instructed to temporarily discontinue taking the Neurontin. The patient states that he has received the most benefit using the Lidoderm patches over the affected area.The patient states that he has not had any difficulty sleeping at night and that the pain seems to be worse during the day. He was prescribed Zoloft 50 mg p.o. q.d. by his primary care provider; however, he has not been taking this.PHYSICAL EXAMINATION shows well-healed lesions over the left shoulder, chest, and trapezius region. There is no noted rash. There is some slight tenderness to mild palpation, and the patient has full range of motion about the neck and the left shoulder region.ASSESSMENT: Post herpetic neuralgia.PLAN: We will repeat the cervical epidural steroid injection today, as it seemed to provide him with some benefit last time. We will also decrease his Neurontin to 300 mg only to be taken at nighttime and at bedtime. We advised the patient to continue using the Lidoderm patches for 12 hours a day and use it on a p.r.n. basis to the affected area. We have also strongly encouraged the patient to use his Zoloft 50 mg p.o. q.a.m. and to use it on a daily basis as this may help improve his depression. In our discussion with the patient, he states that the naproxen helps him a great deal, however, he cannot take it since it bothers his stomach; therefore, we will switch him over to Mobic 7.5 mg q.d. and see if the patient tolerates this.PROCEDURE: The patient was taken back to the Recovery Room and consent was obtained. He was placed in the sitting position. A sterile preparation and drape was performed over the neck region. A skin wheal, using 1% lidocaine, was performed over the C7, T1 region. An 18-gauge two-way needle was advanced to a loss of resistance on first attempt. Aspiration was negative for blood or CSF. Triamcinolone hexacetonide 80 mg and 3 cc of preservative-free normal saline were injected without pain or paresthesia.The patient tolerated the procedure well and his vital signs remained stable throughout the procedure and in the Recovery Room phase.FOLLOW UP: We will have the patient follow up in approximately four to six weeks for consideration of repeat cervical epidural steroid or adjustment of medications.

Date of Admission: ___ [DATE]. Date of Discharge: ___ [DATE].

Question Date of Admission: ___ [DATE]. Date of Discharge: ___ [DATE]. Service Provided: Psychiatric discharge summary. Chief Complaint: Suicidal ideation with plan to cut wrist with razors. The patient was placed on 5150. History of Present Illness: The patient is a 45-year-old Hispanic female with a recent history of right internal capsular CVA diagnosed in ___ [DATE] at ___ [PLACE] with left-sided weakness. Please see prior TDS record for details of initial evaluation of her CVA. The patient’s niece called 911 the day prior to admission after the patient had razors and was threatening to cut her wrist. The patient’s family says that the patient has been increasingly depressed and crying to herself at times, also been making statements about not wanting to be alive. Family has taken away the razors and scissors and tried to keep the patient safe at home, but these efforts have not been successful completely as the patient was holding a razor blade to her wrist on the day of admission. The patient states that the majority of her depression stems from difficulty in being independent after her stroke and she continued to have left-sided hemiparesis, stating that she would rather be dead than have to rely on her family for all of her needs. Past Psychiatric History: The patient has a history of being treated with Celexa 10 mg daily, which had good efficacy. She denies prior psychiatric hospitalization. Denies any prior suicide attempts. Past Medical History: Hypertension, diabetes, right internal capsule ischemic infarct with residual left hemiplegia, and also history of hernia repair. Family History of Mental Illness: The patient denies. Substance Abuse History: The patient smokes cigarettes. Denies any alcohol or illicit drug use. Social History: Currently lives in ___ [PLACE] with her sister and her fiancee. She has never been married. She has no children. She came to the ___ [PLACE] from ___ [PLACE] during adulthood. She is not working currently. She previously cleaned houses for a living. Sexual History: The patient is not currently sexually active. Physical Examination on Admission: Please see admission H and P dated ___ [DATE]. Lab Data from Admission to Discharge: Urinalysis was within normal limits. Urine drug screen was negative. Urine pregnancy test was negative. Thyroid function studies were within normal limits. RPR was nonreactive. Cholesterol 171, triglycerides 153, HDL 46, LDL 101. LFTs were within normal limits. CBC was within normal limits. BMP was within normal limits. Hemoglobin A1c at 6.1. MRSA screen was negative. Mental Status Examination on Admission: The patient appears older than stated age, average height, average build. Good hygiene. Left-sided hemiplegia. Decreased alertness. Poor posture. Poor eye contact. Decreased attention span, sluggish motor level. No unusual movements except for left-sided weakness. Gait not assessed secondary to left-sided weakness. No compulsive behavior. Minimally cooperative with interview. Speech is hypoverbal, not spontaneous. Spoke with resident in English upon initial assessment, but then refused to speak in English with attending, stating she did not speak English. She nodded yes when asked about penicillin allergy and nodded yes when asked about if she was suicidal. She denies homicidal ideation. No grandiose or paranoid delusions. She appears to have no auditory or visual hallucinations. Her behavior does not indicate that she is responding to internal stimuli. She is dysphoric with restricted affect. Sensorium and cognition: The patient appears to understand English and know that she is in the hospital, but will not answer formal questions. She will need more formal cognitive assessment when she is awake. Average estimated intelligence. Insight and judgment are fair. Hospital Course and Treatment: The patient was admitted to ___ [PLACE] under the care of Dr. ___ [NAME], initially on 5150. The patient subsequently signed herself involuntarily. The patient states that the majority of her depression and suicidal ideation stemmed from her emergent lack of independent after having a stroke leading her extremely weak on the left side of her body. The patient states that she had been independent for the majority of her life and has been very difficult for her to adjust to her current symptoms of left-sided weakness and inability to care for herself on her own. The patient had also previously been placed on Celexa with good effect and for this reason, this patient was restarted on Celexa 10 mg daily. The patient stated that she previously had difficulty getting her medications and having regular followup with doctors because she did not have any insurance, and her ___ [INSURANCE] was pending. The social worker on the unit talked to her extensively about social support that the patient could have, and the patient was educated to be ___ [PLACE] and ___ [PLACE] 4 dollar per month drug programs. While on the unit, a physical therapy and PM and R consultation was requested. The patient was deemed to be a good rehab candidate. At the time of admission, the patient being transferred to the ___ [PLACE]. At this time, the patient was denying any suicidal ideation. She clearly had no psychotic symptoms, and she was not homicidal. Also on this admission, there was a family meeting with her sister and her fiancee. It was discussed with them the plan for the patient to be transferred to the ___ [PLACE] acute rehab unit. Upon discharge from the ___ [PLACE], the patient’s family states that she is welcome to return home, and they are willing to do whatever necessary to take care of the patient, but are hopeful that the rehabilitation will enable the patient to have increased independence. Mental Status Examination on Discharge: The patient appears older than stated age. She is average height, average build and good grooming and hygiene. Left-sided weakness. She is calm, cooperative with interview. Speech in either English or Spanish. She has a good attention span. Speech is normal rate, rhythm and tone with some slurring secondary to left-sided facial weakness. The patient states mood is “much better.” Affect is full and mood congruent. Thought processes are linear, organized and goal directed. Thought content: The patient denies SI, HI, PI, AVH. There is no delusional content identified. Normal digit span. Oriented x4. Recent and remote memory are intact. Normal ability to name common objects. Normal word comparison. Average estimated intelligence. Insight and judgment are good. Discharge Medications 1. Celexa 10 mg daily. 2. Aspirin 325 mg daily. 3. Zocor 20 mg at bedtime. 4. Lisinopril 5 mg daily. 5. Sliding scale insulin. 6. Ambien 10 mg at bedtime p.r.n. insomnia. Discharge Diagnosis(es) Axis I: Major depressive disorder. Axis II: Deferred. Axis III: Hypertension, dyslipidemia, diabetes mellitus, status post cerebrovascular accident with residual left-sided weakness. Axis IV: Moderate. Axis V: Global Assessment of Functioning equals 50. Discharge Instructions: The patient was discharged with ADA diet as tolerated. The patient has been discharged to the ___ [PLACE], acute rehabilitation unit. She was instructed to take her medications as prescribed. Furthermore, the patient was instructed to call 911 or proceed to the nearest ER should she experience any suicidal thoughts after she is discharged from the hospital, and she was also encouraged to tell staff members on the ___ [PLACE] if she should have any worsening depression or suicidal thoughts. The patient was instructed to abstain from heavy alcohol or illicit drug use. Lastly, the patient was discharged to ___ [PLACE] in stable condition from a psychiatric standpoint

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