Health History
This health history involves the health needs and characteristics of a 23-year-old Caucasian male. Reason for Care

The reason this patient is seeking care is multi-fold. He bears all the signs of an intravenous drug user and has an infection in his arm, clearly from injecting substances into his body with unclean needles or in unsanitary manners. The patient demonstrates an extreme shortness of breath, dry mouth, constricted pupils and seems disoriented, in conjunction with moments where he appears drowsy. When he walks, he has an extremely slouched appearance, as if his arms and legs are very heavy. His nose is frequently running and when asked about his weight loss, he provides unclear, unspecific answers. All the patient can attest to is the fact that he's lost 20 pounds in the last five months.

The reasons that patient is seeking care are articulated by him as follows: he wants a prescription…...

Health History Examination
FUNDAMENTAL IN ADULT CARE

Individual Client Health History Examination of an Older Adult

Client/Patient Initials LNP Sex: F. Age

Occupation: free-lance researcher- journalist

Health History/Review of Systems

Neurological System -- the patient seldom suffers headaches or dizziness. She has no difficulty speaking or swallowing. She only takes vitamin and mineral supplements on a daily basis. She sits long hours before a computer because of her work, however. And thus experiences numbness in the legs and feet.

Head and Neck -- except for stiff neck due to computer work, she does not suffer from any significant causes in this area.

the patient is highly myopic and occasionally experiences visual migraine. She wears contact lenses but no medications.

Ears -- Nothing abnormal or disturbing about her hearing

Nose, Mouth and Throat -- no disturbing nose, mouth or throat discharges except for 3 defective teeth that need root canal therapy.

Skin, hair and nails -- no color changes, dryness, bruising, hair…...

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BIBLIOGRAPHY

Besdine, R.W. (2009). Evaluation of the elderly patient. The Merck Manual: Merck,

Sharpe & Dohme. Retrieved on July 18,2012 from  http://www.merckmanuals.com/professional/geriatrics/approach_to_the_geriatric_patient/evaluation_of_the_elderly_patient.html 

Christ, S. (2012). Physicals and health assessments. eHow: Demand Media, Inc.

Retrieved on July 19, 2012 from http://www.ehow.com/about_6164408_physicals-health-assessment.html

Health History
Health Condition:

On Set: Patient, Diana Cates, age 47, has been suffering from Thyroidectomy. The patient cannot tolerate synthoid as it aggrevates and the central tremors even at lowest dose. Currently he has enlarged right thyroid.

How long: thyroid, Pt., thyroidectomy since 1993

Causes and Effects of Health Condition:

Provocative/pallative:

Precipitating factors:

Quality of Health Condition:

It's located in the thyroid and it does not spread.

Long-Term Care:

The thyroid problem affects her walking due to her weight and the pain. On a scale from 1 to 10, the condition is a 7 since it does seem to be worst when the patient walk which mostly during the day.

Early Stages of Health:

Timing: The patient's trouble began 1993 and it does not seem to be better or worse. As time goes by, the thyroid condition may be better with proper care.

Treatment:

Understanding: The patient has the condition of thyroidectomy and it can

Can get better over time.

The effects of a…...

nursing . I requesting NUSING KNOWLEDGE ON COMPEHENSIVE HEALTH HISTOY TAKING TECHNIQUES on PATIENTS TO PLEASE DO THIS WOK. PLEASE INCLUDE CITED SOUCES IN THIS ESSAY. PEPAE THIS ESSAY ACCODING TO APA GUIDELINES.
Comprehensive Health History Taking Techniques on Patients

Patient's health history stands out as paramount towards patient's treatment despite all the advances resulting to technological sophistication in medicine practices (Lloyd & Craig, 2007). In the recent past, medical advances have altered measures of diagnosing, determining and treating diseases. However, listening to patients and taking their medical history is arguably an important aspect towards assessment of ailments and patient treatment (Lloyd & Craig, 2007). In communicating with the patients, Nurses or Clinicians ought to uphold compassion, empathy and listening skills. These aspects will prevail to allow achievement of a comprehensive patient assessment and appropriate treatment. This paper presents a discussion on effective interview techniques, measures of conducting the interviews, measures…...

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References

Levinson, W., Lesser, C.S., & Epstein, R.M. (2010). Developing physician communication skills for patient-centered care. Health Aff (Millwood), 29(7), 1310-1318.

Lloyd, H., & Craig, S. (2007). A guide to taking a patient's history. Nursing Standard, 22(13), 42-48.

Stewart, M. (2003). Questions about patient-centered care: answers from quantitative research. In Stewart M, et al. (eds): Patient Centered Medicine: Transforming the Clinical Method. Abington, UK:: Radcliffe Medical Press, 2003.

Female Health History Interview
Biographical Data

Born: July 15, 1961 in Denver, Colorado

Age

Gender: Female

Marital Status: Widow

Occupation: Writer

Race/Ethnic Origin: Caucasian (European)

Employer: Self-Employed

Source and Reliability: Phyllis is honest and her information is reliable

Reason for Seeking Care: She has several health issues that concern her

Present Health or History of Present Illness: She is overweight and has high blood pressure

Past Health

In general Phyllis has been healthy but she has had high cholesterol, skin cancer, a peptic ulcer, and genital herpes

Childhood Illnesses: Phyllis had measles and scarlet fever

Accidents or Injuries: she was in a serious car accident at 33; she suffered major contusions to her face, broken ribs and lacerations to her legs

Serious or Chronic Illnesses: she had scarlet fever as a child but has no after effects

Hospitalization: she was hospitalized after the car accident for three weeks

Operations: she had an abortion in her 30s

Obstetric History: she was pregnant twice; once she had a miscarriage; another time…...

Building a health history with a new patient requires more than active listening and the development of trust and rapport. The intake interview and initial health assessment should be thorough, taking into account the area(s) in which the patient has lived, their workplace environment or work history, their family background and family health history, socioeconomic variables, and any other relevant environmental factors that may impact personal health. Of course, demographic variables like age, ethnicity, and gender will all be taken into account when building a health history with a new patient. Communication techniques and interviewing style, risk assessment instruments, and the specific questions to be asked would also vary considerably depending on the patient. Consider the following example of a pre-school aged white female living in a rural community: A pre-school aged white female needs to be interviewed with a parent or legal guardian present for practical, legal, and ethical purposes…...

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References

Goetzel, R.Z., Staley, P., Ogden, L, et al. (2011). A framework for patient-centered health risk assessments. CDC.

“Health Risk Assessments,” (n.d.). Stratis Health. https://www.stratishealth.org/documents/HITToolkitcoordination/4-Health-Risk-Assessments.pdf

https://www.cdc.gov/policy/hst/HRA/FrameworkForHRA.pdf

Healthcare Administration
isk Involved in Poor Chart Documentation: An Overview in Total Quality Management

Poor chart documentation in the behavioral health field is a concern for risk management and a critical area for total quality improvement. Poor chart documentation can lead to an audit by accrediting bodies and in severe circumstances lead to discharge. There are many legal ramifications associated with poor chart documentation. This paper will highlight the importance of poor chart documentation, the consequences of poor documentation, and suggest possible tools for resolving documentation errors. The best tool for eliminating chart documentation risk is developing a risk management system appropriate to the health care setting.

Poor chart documentation costs behavioral health providers thousands of dollars in malpractice costs every year. Errors related to chart documentation can be severe; a patient can suffer an untimely death for example. In fact, statistical evidence suggests that each year thousands of patients die or are…...

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References:

Aron, DC. & Headrick, L.A. (2002). Educating physicians prepared to improve care and safety is no accident: It requires a systematic approach. Quality and Safety in Health Care, 11, 168-173.

Burke, M., Boal, J., & Mitchell, R. (2004). Communicating for better care. American Journal of Nursing. 104(12), 40-47.

American Society of Healthcare Risk Management, American Hospital Association. (2004). The

growing role of the patient safety officer: Implications for risk manager. Chicago: American Hospital Association.

Stated to be barriers in the current environment and responsible for the reporting that is inadequate in relation to medical errors are:
Lack of a common understanding about errors among health care professionals

Physicians generally think of errors as individual that resulted from patient morbidity or mortality.

Physicians report errors in medical records that have in turn been ignored by researchers.

Interestingly errors in medication occur in almost 1 of every 5 doses provided to patients in hospitals. It was stated by Kaushal, et al., (2001) that "the rate of medication errors per 100 admission was 55 in pediatric inpatients. Using their figure, we estimated that the sensitivity of using a keyword search on explicit error reports to detect medication errors in inpatients is about 0.7%. They also reported the 37.4% of medication errors were caused by wrong dose or frequency, which is not far away from our result of 50.5%. (Hui, Colombia…...

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Bibliography

Discussion Paper on Adverse Event and Error Reporting In Healthcare: Institute for Safe Medication Practices Jan 24, 2000

Patient Safety/Medical Errors Online at the Premiere Inc. page located at:  http://www.premierinc.com/all/safety/resources/patient_safety/downloads/patient_safety_policy_position_2001.doc 

Medstat / Shortell, S. Assessing the Impact of Continuous Quality Improvement on Clinical Practice: What It Will Take to Accelerate Progress.

Health Policy Monitor (2001) A Publication of the Council of State Governments Vol. 6, No. 1 Winter/Spring 2001 PO18-0101

Even in the second half of the 17th century did doctors prescribe apparently absurd remedies such as viper's flesh, red coral, sweet almonds, and fresh flowers for diabetes sufferers (DiabetesHealth.com). Of course, these had little effect, and sufferers were generally condemned to death. The first breakthrough before the 1920s came in the form of Dr. John Rollo, who built on the work of Dr. Dobson of Liverpool to prescribe the first relatively successful treatment of the disease: a diet that was high in fat and meat and low in grains and breads. This improved the prognosis significantly, and for the first time in history could diabetes sufferers expect an extended life.
The year 1921 saw a miraculous discovery that would change the treatment of diabetes forever (Sattley). The surgeon Frederick Banting and his assistant Charles Best were instrumental in the discovery of insulin as an effective treatment for the disease.…...

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Works Cited

Canadian Diabetes Association. The History of Diabetes. 2009.  http://www.diabetes.ca/about-diabetes/what/history/ 

Diabetes Health. History of Diabetes: From Raw Quinces & Gruel to Insulin.  http://www.diabeteshealth.com/read/1992/11/01/25/history-of-diabetes-from-raw-quinces-and-gruel-to-insulin/ 

Health.Savvy. A Timeline of the History of Diabetes. Feb 8, 2008.  http://health.savvy-cafe.com/a-timeline-of-the-history-of-diabetes-2008-02-08/ 

Sattley, Melissa. The History of Diabetes. Dec. 17, 2008. Diabetes Health.  http://www.diabeteshealth.com/read/2008/12/17/715/the-history-of-diabetes/

Patient portals, electronic medical records, and personal monitoring devices are three of the most revolutionary technologies in the healthcare sector. Each of these technologies presents patients with the potential to empower themselves, taking control of their own healthcare outcomes, and taking part in their overall healthcare goals. These technologies also streamline healthcare administration and minimize medication and billing errors. However, each of these technologies is also constrained by a range of issues related to accessibility, with potent socioeconomic class disparities evident. Security and standardization of healthcare technologies are also proving problematic. Patient portals, electronic medical records, and personal monitoring devices are all technologies that have the potential to radically improve the quality of healthcare and patient outcomes, as well as improve overall patient experiences. Because of their abundant benefits, these technologies need to be embraced and promoted through effective public health policies. Otherwise, disparities will continue to threaten to exacerbate…...

Health Information System
Promoting Action Design esearch to create value in healthcare through IT

ecently there has been varying proof showing that health IT reduces costs while improving the standard of care offered. The same factors that had caused delays in reaping benefits from IT investment made in other sectors (i.e. time consuming procedural change) are also very common within the healthcare sector. Due to the current transitive nature of the Healthcare sector, new IT investment is likely not going to provide maximum value unless this new investment is backed up with a total reform of healthcare delivery. The overall ability of healthcare IT value researchers to add value to practice will be severely limited as a result of the traditional ex-post approach to measuring IT and the fact that government spurs significant investment. It may be risky to generalize or compare results from traditional IT value research with those from healthcare…...

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References

Fichman, R., Kohli, R., & Krishnan, R. (2011). The role of information systems in healthcare: Current research and future trends. Information Systems Research, 22(3), 419-428.

Goh, J.M., Gao, G., & Agarwal, R. (n.d.). Evolving work routines: Adaptive routinization of information technology in healthcare. Information Systems Research, 22(3), 565-585.

Hoffnagel, E., Woods, D., & Leveson, N. (2006). Resilience engineering: Concepts and precepts. Abingdon: GBR: Ashgate Publishing.

Jones, S., Heaton, P., Riudin, R., & Schneider, E. (2012). Unraveling the IT productivity paradox lessons for health care. The New England Journal of Medicine, 366(24), 2243-2245.

Health Promotion and Preventative Care Plan
The purpose of this paper is provide information about the process of conducting a health assessment and a care plan based on the findings of the several assessments that were conducted for the benefit of the patient. The paper will describe the health history consisting of a review of systems, and will provide information about the assessment and its relevance to the plan of care developed for the patient.

The patient (CM) is a 24-year-old single black female who was born in the Democratic epublic of Congo (DC) and arrived in the United States three years ago to pursue an education. CM lives at home with her siblings, nieces and nephews, and her parents who just moved to the U.S. five months ago from the DC. CM works in retail and has been working extra shifts in order to help with the expenses of her extended…...

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References

Gulanick, M. (2012). Knowledge deficit: Patient teaching, health education. Elsevier Publishing.

Jarvis, C. (2012). Physical examination and health assessment (6th ed.). St. Louis, MO: Elsevier.

History Of Health Care Mandate
The signing of the Affordable Care Act (ACA) by President Obama must be considered a landmark event in the history of the nation regardless of how one views the constitutionality of the legislation. Passage of the legislation marked the end of a long and acrimonious debate and brought the United States in line with the rest of the developed world in terms of providing universal health coverage to its citizens (Orszag, 2010). Unfortunately, the debate over the constitutionality of the ACA did not end with Obama's signing of the legislation as within days several different states filed suit against the law's requirement that most Americans purchase health; against the health care mandate.

The health care mandate was first offered as an option by the conservative think tank, the Heritage Foundation, as an option to the single-payer system that had been historically supported by Democrats and liberals (Ponnuru,…...

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References

Block, S. (2010, April 29). IRS Lacks Clout to Enforce Mandatory Health Insurance. USA Today, pp. www.usatoday.com/money/perfi/insurance/2010-04-29 healthirs28_CV_N.htm?loc=interstitialskip.

Jost, T.S. (2010). Health Insurance Exchanges and the Affordable Care Act: Eight Difficult Issues. Lexington, VA: Washington and Lee University School of Law.

Orszag, P.R. (2010, August 12). Health Care Reform and Cost Control. New England Journal of Medicine, pp. 601-603.

Ponnuru, R. (2012, March 27). The History of the Individual Mandate. Retrieved from National Review Online:  http://www.nationalreview.com/corner/294585/history-individual-mandate-ramesh-ponnuru

Health Care
In the wake on new and very contentious health care reform, many firms have undergone extensive transformations. These transformations have been predicated on both cost control and quality management. In particular quality management has had a profound impact on the underlying business operations of many health care firms. For one, firms are now finding methods in which to enhance the overall patient experience while also mitigating potential loses due to negligent means. The focus on quality management has also made firms more efficient in regards to the overall delivery of service. In particular, my firm has done extensive work with reducing elderly accidents within the facility. This quality management initiative has not only reduced costs associated with accidents, but it also has enhanced the trust and patient experience of all stakeholders within the firm (Kelly, 2011).

Identify the milestone you chose in the history of quality improvement in the first…...

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References:

1) Draper, Elaine, Joseph LaDou, and Dan J. Tennenhouse. 2011. "Occupational Health Nursing and the Quest for Professional Authority," New Solutions 21, 47 -- 81

2) Kohn, L.T., Corrigan, J.M., & Donaldson, M.S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press.

3) Kelly, D.L. (2011). Applying quality management in healthcare: A systems approach (3rd ed.). Chicago, IL: Health Administration Press

4) Lucia, Patricia R.; Otto, Tammy E.; Palmier, Patrick A. (2009). "Chapter 1

097
United States

0.109

0.093808

0.036112

0.068

Utah

0.1071

0.1401

0.035696

0.073

Vermont

0.1326

0.0988

0.040851

0.114

Virgin Islands

NA

NA

NA

Virginia

0.1048

0.0829

0.080009

0.092

Washington

0.1229

0.0669

0.027831

0.068

West Virginia

0.1293

0.0774

0.036499

0.055

Wisconsin

0.0954

0.0357

0.032367

0.097

Wyoming

0.1251

0.1453

0.053867

0.075

Notes

All spending includes state and federal expenditures. Growth figures reflect increases in benefit payments and disproportionate share hospital payments; growth figures do not include administrative costs, accounting adjustments, or costs for the U.S. Territories.

Definitions

Federal Fiscal Year: Unless otherwise noted, years preceded by "FY" on statehealthfacts.org refer to the Federal Fiscal Year, which runs from October 1 through September 30.  for example, FY 2009 refers to the period from October 1, 2008 through September 30, 2009.

Sources

Urban Institute estimates based on data from CMS (Form 64) (as of 12/21/11).

From this entire chart, the entire increase in expenditure of Medicare was the most from the year 1990-2001. For United States, the entire increase was 10.9% in those years. Comparatively, the increase that occurred in the year 2007-2010 was only 6.8%. Even though the magnitude of growth was not the same, more or less Medicaid did have to increase its spending…...

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References

Clark, Cheryl et al. "State Medicaid Eligibility and Care Delayed Because of Cost." New England Journal of Medicine, 368 (2013): 1263-1265. Print.

Ellwood, Marilyn Rymer et al. An Exploratory Analysis of the Medicaid Expenditures of Substance Exposed Children Under 2 Years of Age in California. U.S. Department of Health and Human Services, 1993. Print.

Goodnough, Abby. "October 25th." The New York Times. 25th October. 2012. Web. 29th March 2013. [ http://www.nytimes.com/2012/10/26/us/spending-on-medicaid-has-slowed-survey-finds.html?_r=0 ].

Grannemann, Thomas W. And Mark V Pauly. Controlling Medicaid Costs: Federalism, Competition, and Choice. Washington DC: American Enterprise Institute, 1983. Print.

Healthcare reform is a hot topic because healthcare remains prohibitively expensive for so many people in Florida.  While the Affordable Care Act has expanded access to healthcare for many people, the reality is that healthcare remains prohibitively expensive for many people.  Between the cost of insurance premiums, deductibles, and out-of-pocket expenses, basic healthcare can cost people thousands and thousands of dollars a year, with much higher expenses if people experience healthcare challenges requiring care.

Florida benefitted substantially from some of the federal healthcare reform laws.  For example, Floridians cannot be denied healthcare coverage for a pre-existing....

My family's health history has definitely had an impact on my own personal health challenges. For example, if there is a history of high blood pressure or heart disease in my family, I may be more prone to developing these conditions myself. This knowledge can serve as a motivator for me to maintain a healthy lifestyle and regularly monitor my health to prevent or manage these conditions.

Additionally, if there is a history of certain genetic conditions or diseases in my family, I may need to be more vigilant about getting regular screenings and genetic testing to assess my risk and....

Chapter 1: A Legacy of Health

My family's health history has left an indelible mark on my own personal health journey. From the depths of chronic diseases to the resilience that emanates from our shared experiences, my lineage has shaped both the challenges I have faced and the path I have taken towards well-being.

Growing up, I witnessed firsthand the debilitating effects of heart disease on my paternal grandfather. Struggling with hypertension and high cholesterol, he endured multiple cardiac events that ultimately claimed his life at a relatively young age. The image of his weakened body and the suffering he endured left....

1. Introduction:
- Purpose of the evaluation
- Referral source
- Background information on the individual being evaluated
- Informed consent

2. Clinical Interview:
- History of presenting problem
- Developmental history
- Family history
- Mental health history
- Substance abuse history
- Cultural factors
- Legal history
- Risk assessment

3. Psychological Testing:
- Selection of appropriate assessment tools
- Administration and scoring of tests
- Interpretation of results
- Integration of testing data with interview findings

4. Collateral Information:
- Review of relevant records (medical, legal, educational)
- Interviews with collateral sources (family members, doctors, teachers, etc.)

5. Diagnosis and Formulation:
- Differential diagnosis
- DSM-5 diagnosis
- Psychosocial formulation
- Treatment recommendations

6. Report Writing:
- Organization of the report
- Use of clear and....