You are a family nurse practitioner working in an outpatient primary care office of a large hospital system. The practice has been operating for over 15 years, and many of the administrative and clinical staff were hired when the practice opened. You have been in the practice for less than 3 months. In that short amount of time, you have witnessed several of the clinical staff engaging in heated arguments with each other, sometimes in patient areas. You overhear an argument occurring today between two staff. You pick up a patient’s chart and notice a very low blood pressure that the medical assistant failed to notify you about. When you confront the MA, she states that she was going to report the vital signs to you when she became engaged in the heated argument you overheard and forgot to notify you.

Unfortunately, this pattern of behavior is not unusual in this practice. Working with staff who cannot cooperate effectively can negatively influence your ability to spend time with patients, can impede the flow of patients through the office, and could impact patient safety.

Discussion Question:

What are the potential ethical and legal implications for each of the following practice members?:

What strategies would you implement to prevent further episodes of potentially dangerous patient outcomes?

What leadership qualities would you apply to effect a positive change in the practice?  Be thinking about the culture of the practice.

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How much will you charge to complete this by 9/17/2017 please read each question because the number of words change for each question!!!!!!!!!!! 

Question 1. Describe the ways in which Health Information Technology for Economic and Clinical Health (HITECH) has impacted regulations surrounding the privacy and security of health information.  Your response must be at least 200 words in length. 

Question 2. List and describe the valid authorization for release of information.   Your response must be at least 200 words in length 

Question 3. Locate the licensure regulations for your state. 

a.What are the provisions for the content of a health record? 

b.What are the rules regarding the timelines of completion of a record? Your response must be at least 500 words in length.

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PART1

Directions: Below are terms built from word parts. Analyze each term by listing and defining the word parts used to build it.

Medical Term

1. subiliac

2. carpal

3. humeral

4. clavicular

5. fibular

6. atherosclerosis

7. atrioventricular

8. cardiogram

9. cardiomegaly

10. cardiomyopathy

PART2

Word Parts Assignment (Part 2): Unscramble

Directions: Unscramble each medical term below. A definition for the term is given below each scrambled term.

1. aaihhmrrty 

Irregular heartbeat

2. lyrdipoucmanora 

Pertaining to heart and lungs

3. aeiimhsc

4 Loss of blood supply from occlusion

olbniliatifr

Abnormal quivering of heart

5. yresoneintph 

High blood pressure

6. lucvilarac

Pertaining to the collar bone

7. lisocoiss

Abnormal lateral curvature of the spine

8. paraiordhgy

Imaging procedure using x-rays

9. octuranrtec

Abnormal shortening of muscle fibers

10. srtosioh

Externally applied splint or brace

PART3

Abbreviations (Part 3):

Directions: Please define each of the following abbreviations in the space provided.

 1. AK

2. BDT

3. B

4. BMD

5. C1

6. PVD

7. SK

8. TEE

9. V Fib

10. V-tach

PART 4

Case Study Assignment (Part 4):

Directions: Below is a case study presentation of a patient with a condition covered in Chapter 7. Read the case study, and answer the questions below. Some questions will ask for information not included within this chapter. Use your textbook, a medical dictionary, or any other reference material you choose to answer these questions.

Mr. Thomas is a 62-year-old man who has been diagnosed with an acute myocardial infarction with the following symptoms and history. His chief complaint is a persistent, crushing chest pain that radiates to his left arm, jaw, neck, and shoulder blade. He describes the pain, which he has had for the past 12 hours, as a squeezing sensation around his heart. He also reports nausea and dyspnea. He has a low-grade temperature, and his blood pressure is within a normal range at 130/82. He states that he smokes two packs of cigarettes a day, is overweight by 50 pounds, and has a family history of hypertension and coronary heart disease. He leads a relatively sedentary life style.

1.What is the common name for Mr. Thomas’ condition? Look this condition up in a reference source and include a short description of it.

2.What is the medical term for this patient’s chief complaint?

3.List and define each of the patient’s additional symptoms in your own words. These terms appear in other chapters of your textbook.

4.Mr. Thomas does not have hypertension. According to your textbook, what is the blood pressure that is usually considered high?

5.Review the diagnostic heart tests described in Chapter 7. Which ones could be ordered to diagnose heart abnormalities or damage?

6What are Mr. Thomas’ risk factors for heart disease? What can he change?

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For the final  unit, you will  select ophthalmology or otorhinol aryngology as an area of focus and develop a case study. Using medical  terminology and eponyms and abbreviations that are associated with the area of specialty that you select, construct a scenario that includes the following elements:

a patient, 

the patient’ s age, 

significant information about the patient’ s condition,

description of significant symptoms, 

diagnosis of the disease and/or condition suffered by the patient, and treatment pl an, including procedures, that may need to be done.

Your case study should be at l east 200 words in length. You are required to use at least your textbook as source material  for your response. All  sources used, incl uding the textbook, must be referenced; paraphrased and quoted material  must have accompanying citations.

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Understanding Electronic Orders and Creating Problem Lists

In this unit, you were introduced to electronic orders, problem lists, lab results, and body mass index. For this assignment, you will get to demonstrate the skills you have learned by completing exercises using the Quippe software in the MyHealthProfessionsLab located in Blackboard.

First, use the instructions for “Exercise 6G: Discharging a Patient with Deep Vein Thrombosis” on page 245 of your textbook and “Exercise 7H: Patient with Upper Abdominal Chest Pain” on page 298 of your textbook to complete these exercises in the MyHealthProfessionsLab. Note: You do not have to complete step 4 in Exercise 6G or step 7 in Exercise 7H because you are not actually submitting the work in the lab.

After completing the exercises, compose a reflection paper about your experience that applies what you have learned in this unit. In your paper, be sure to include the following:

How was your overall experience using the software to document the patient encounter? Did you experience any issues while using the software?

Were you able to successfully complete the hospital discharge instructions? What do you feel was most beneficial about this exercise?

How do you feel that using problems lists can help you determine the education needed for a patient? What specific skills do you feel you have mastered? What skills do you need to improve?

Why are electronic orders and results important? How will you use them in your career?

Your reflection paper must be at least two pages in length. You are not required to use any outside resources, but if you choose to incorporate information from outside resources including your textbook, you must cite and reference them in APA format.

Information about accessing the grading rubric for this assignment is provided below.

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