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Chapter 1 review health information management
Chapter 1 review health information management
Chapter 1 review health information management
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Roles and Responsibility on Substance Abuse Hospital
My class was giving an assignment to investigate the roles and responsibilities of different healthcare providers in different healthcare settings for documentation requirements.
Documentation requirement in health care facilities is the key to helping patients improve.
With documentation from the doctors, specialists, nurses, and other health physicians, health facilities can manage the patient’s conduct as precisely as possible. Every facility has desires they stick to, yet require legitimate documentation of well-kept records to be used to treat and to analyze the patient. There are various types of health care setting for examples: Acute Care Hospitals, Mental Health Clinics, Substance Abuse Hospital and Rehabilitation Facilities.
In an Acute Care hospital, the patient is
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Meaning the patient will meet with a mental health specialist and be assessed and evaluated, in addition they can received prescribed or adjusted in medication for they diagnose. In a Substance Abuse Hospital, the facility may have administrations for inpatient and outpatient care. The patient is typically treated for substance abuse these substance are most often associated with this term include: alcohol, cannabis, barbiturates, benzodiazepines, cocaine, methaqualone, opioids and some substituted amphetamines. A Rehabilitation Facility is primarily, for the most part inpatient. Patients are equipped with innovative care and rehabilitative services. These facilities can deal with the patient's medical issue as precisely as it could have allowed them to do from the specialists to the medical attendants, and other deem skillful experts; However, I decided to focus my paper on Substance Abuse Hospital, their documentation and if documentation is necessary for this hospital to receive payment or
Historically, physicians and nurses documented patients’ health information using paper and pencil. This documentation created numerous errors in patients’ medical records. Patient information became lost or destroyed, medication errors occur daily because of illegible handwriting, and patients had to wait long periods to have access to their medical records. Since then technology has changed the way nurses and health care providers care for their patients. Documentation of patient care has moved to an electronic heath care system in which facilities around the world implement electronic health care systems. Electronic health records (EHR) is defined as a longitudinal electronic record of
The nursing profession is guided by the principal of nonmaleficence, or “Do no harm”. Nurses are responsible for maintaining and optimizing a patient’s quality of life. When nurses fail to care for themselves, they also put their patients at risk. The patient has a reasonable expectation to receive safe and competent care. The influence of drugs and alcohol greatly deteriorate the judgment and skills of any good nurse. Increased patient workload, long hours, personal stress, and sleep deprivation put many nurses in a position to self-medicate. It is my position that high-risk specialty employees undergo drug testing in order to be held accountable and help keep their patients and themselves safe from harm.
It serves as a source for planning patient care and the services provided to that patient. Medical records begin from when the patient was born. It contains diseases, illnesses and whatever the patient tells their physician about his or her past and present status. It also contains lab test results, medication that was ever prescribed. It also contains allergies, referrals ordered to other health care providers and plans for further care.
In patient programs can also be very effective, especially for those with more severe problems. They are highly structured programs in which patients remain at a residence, typically for 6 to 12 months. Treatment Centers differ from other treatment approaches principally in their use of the community—treatment staff and those in recovery—as a key agent of change to influence patient attitudes, perceptions, and behaviors associated with drug use. Patients in TCs may include those with relatively long histories of drug addiction, involvement in serious criminal activities, and seriously impaired social functioning. The focus of the TC is on the resocialization of the patient to a drug-free, free living lifestyle and delivers healthy coping mechanisms for individuals that have not been able to function in society without the use of a mood altering substance.
Substance abuse treatments are offered in a variety of ways. Some treatments can be done on an outpatient basis, while others may require a stay in a hospital or other facility. The two types of treatments are similar in nature. The main difference is that outpatient treatment is offered to those addicts that have circumstances or situations that will not allow them to get treatment in an inpatient rehabilitation program. Outpatient programs provide patients with more freedom of movement which allows them to maintain a regular commitment to family, work, and educational responsibilities. (Gifford, 2015). This service is also used for those that have already been a part of an inpatient rehabilitation program, yet still require some further support so they do not relapse. Both treatment types first seek to help the individual with their physical addiction and get them rehabilitated, and then focuses on the underlying causes of their addiction and help them deal with it to help prevent and avoid any relapse. Choosing which type of treatment is needed and which would best benefit the individual would need to be decided between the addict and their doctor or counselor. It is not a decision to be made lightly especially for those that need the extra care that an inpatient facility would
Substance abuse in the medical field is a growing issue, and nurses are no exception to the stigma. The American Nurses Association (ANA) reports an estimated six to eight percent of nurses has a substance abuse issue that has directly impaired their practice (Alunni-Kinkle, 2015). This means that as many as one in every ten nurses is practicing with an unidentified or untreated substance abuse issue (Alunni-Kinkle, 2015). This paper will briefly discuss the many factors that contribute to substance abuse among nurses, as well as reporting and consequences associated with
Substance abuse among nurses is one of the problems faced by the nursing profession today. Registered nurses abuse substances at a rate higher than the general public (Eipstein, Burns, & Conlon, 2010). While, according to the American Nurses Association (as cited in Crowley & Morgan, 2014) nurses and the general public misuse drugs and alcohol at almost the same rate. “Substance abuse among nurses threatens not only the quality of care to patients but also the professional standards of nursing” (Eipstein et al., 2010, p. 513). Substance abuse differs from one specialty to another. Areas that have high acuity patients and easy access to drugs creates an opportunity for nurses to abuse substances especially prescription medications. There are
There are many programs in the community that can provide those services. Some of those services include; employee assistance programs (EAPs), support groups, such as 12-step programs (Alcoholics Anonymous [AA] and Narcotics Anonymous [NA]) and peer support groups, inpatient treatment programs, outpatient treatment programs, individual counseling (Crowley, 2013). These programs are used to help bring the nurses back from their use of destructive substances to once again integrate back into society in a healthy way and also regain their ability to practice nursing.
Denis Johnson’s “Emergency” and Raymond Carver’s “Cathedral” present a paradoxical exploration on substance abuse and its impact on life. The protagonists in both stories rely on substances to cope with, and escape, their dismal lives. Despite this similarity presented in the texts, there lies an important contrast between the manifestations of their realities, and the intent and outcome of substance abuse on the characters’ lives. On the one hand, in “Emergency”, the protagonist Georgie brings forth the idea that substance abuse functions to powerfully alter an overtly dismal life in order to augment personal meaning and purpose. But, on the other hand, in “Cathedral”, the protagonist reveals the idea that in unveiling the obscurities of an
...in-patient rehabilitation centers across the United States gives those looking for treatment from substance abuse many options. All of these options can be beneficial to a person in recovery and range in price from free to thousands of dollars per day. Regardless of what type of treatment a person may seek out, the individual must have a desire to change his or her behavior and a willingness to follow through with what he or she has learned.
Bam, that's all I could hear as the large platform I was washing windows on plunged into the side of the building. My hand reached out and I hugged the top of the base as it turned vertical. This is a possible scenario as well as other dangers that lurk with having the profession of window washing. Their are also many positives to window washing. "How to Get My Job: High-Rise Window Cleaner"by Thorin Klosowski is an interview of a window washer, where the washer discusses things like everyday life, dangers, and benefits."High-rise Window Washers", describes examples of the dangers that can take place with this job, as well as safety. After looking at both sections and analyzing the positives and negatives in each article, I've concluded that "How to Get My Job: High-Rise Window Cleaner" by Thorin Klosowski makes window washing seem more appealing than "High-rise Window Washers" and here's why.
For inmate who struggle with drug abuse, the outside world may provide challenges to getting the right medical attention. Programs should be such that they provide links for the affected to continue receiving medical attention even after serving their terms. This help in reducing their re-addiction. Additionally, a program can recommend the best place to get advisory services or the best place to get services. This process has entails of case management and is perfect example of a good drug related problem follow up.
Perhaps most substance abuse starts in the teen years when young people are susceptible to pressure from their peers. One of the main concerns when dealing with substance abuse is the long term problems with substance such as addiction, dependency and tolerance. The physical state of an individual, who is addicted to a substance, will deteriorate over a long period of time. This is due to the chemicals that are being put into an individual body. One of the most important aspects of the effect of substance abuse on society includes ill health, disease, sickness, and in many cases death. The impact of substance abuse not only affects individuals who abuse substances but it affects our economy. Our government resources are negatively impacted by individual who abuse substances. According to (Lagliaro 2004) the implication of drug users extend far beyond the user, often damaging their relationships with their family, community, and health workers, volunteer and wider
Drug addiction is a very big problem in today’s society. Many people have had their lives ruined due to drug addiction. The people that use the drugs don’t even realize that they have an addiction. They continue to use the drug not even realizing that their whole world is crashing down around them. Drug addicts normally lose their family and friends due to drug addiction.
The problem of alcohol use is very relevant nowadays. Today alcohol consumption characterized by vast numbers in the world. All of society is suffering from this, but primarily jeopardized the younger generation: children, teenagers, young people, and the health of future mothers. Because alcohol is particularly active effect on the body that are not formed, gradually destroying it. The harm of alcohol abuse is evident. It is proved that when alcohol is ingested inside the body, it is carried by blood to all organs and has harmful effect on them until destruction. Systematic use of alcohol develops a dangerous disease such as alcoholism. Alcoholism is dangerous to human health, but it is curable as other diseases. The big problem is that most of the alcohol products which are made in private places contain many toxic substances, defective products often leads to poisoning and even death. All this has negative impact on society and its cultural values.