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Macular Hole Case Study

… Macular Hole Case Study

Case study of Macular Hole

Macular hole

This paper reviews the presentation, causes, and different treatment options for a patient with a macular hole. The background of the case study is that of a young woman who develops two macular holes in rapid succession, the case initially presenting itself in the form of blurred vision. The conclusion of surgery, although not entirely successful underlines the need for prompt treatment of the condition.

A macular hole may be defined as a small break in the macula, a part of the eye located near the retina (Macular hole, 2014, NIH). The first symptoms of a macular hole from the patient's perspective are blurred vision and difficulty in seeing fine detail during activities such…. [read more]


Medical Records Case Study

… Section III (The Vendor Selection Process) -- This section covers the process employed by Dryden Family Medicine to direct the transition to EMR. The authors begin with the steering committee established in 2002, which was "composed of one physician, the office manager, the nursing supervisor, and the front-desk supervisor" (O'Neill and Kleback, 2010). The issue of vendor fallibility is explored, as the choice of an unprepared or unskilled billing systems provider could easily undermine the practice's 50 years of record keeping. Finally, the reader is guided through the EMR vendor selection process, from the industry trade journals to consultations with fellow family practices that have previously implemented EMR systems.

Section IV (Stages of EMR Implementation) -- This section includes a detailed timeline of the EMR…. [read more]


Psychotherapeutic Case Formulation Salomon Case Study

… ii. Metacognitive Strategy

Salomon should receive evidence-based intervention (Center for Mental Health in Schools at UCLA, 2010, p. 2). That would include solo therapy sessions with Rational-Emotive Behavior Therapy with the ABCDE method, in which the therapist teaches the client that external events are not causing his emotional/psychological disturbances; rather, " 'A' actual external events automatically/habitually elicit 'B' beliefs and irrational thoughts (perceptions and interpretations of the external events) that entail 'C' consequent emotions that may be irrational (maladaptive, inappropriate, unrealistic), and that must be 'D' disputed, attacked, challenged so that 'E' effective rational thoughts (perceptions and interpretations of the external events) may take their place (Rosner, 2011, p. 83). As part of his treatment, Salomon should also: "Keep a daily log of problematic emotional…. [read more]


Lost Medical Records Are Process Term Paper

… Consequently, providers struggle to maintain the security, privacy and integrity of medical records, not only because those practices are mandated by Federal statutes but also because high quality patient care demands it. The summer practice provider uses a hybrid system that overlaps paper, electronic and microfiche systems in an effort to cover and double-cover records integrity. Unfortunately, the paper and electronic systems have failed in the past and the entire system appears to be a patchwork quilt that places even greater administrative duties on health care staff who are already overburdened. The saving grace of the summer practice provider's system is that the final stopgap against records loss, the microfiche system, has reportedly never failed.

The proposed medical records plan would use an entirely electronic…. [read more]


Implementation of Electronic Medical Records in Healthcare Case Study

… ¶ … Electronic Medical Records in Healthcare

In the implementation of an electronic medical records system, a team must be designed and delegated with the task of guiding the implementation of the project. The team should comprise of representatives of each department in the organization in order to reduce their resistance to the change and also to create a two-way communication channel with other members of the organization. The team will also be charged with the responsibility of developing a strategic plan for the implementation which should be in line with the goals and objectives of the organization as well as its stated mission, vision and values. A phased approach was chosen for implementation in the organization in the case study and is also deemed…. [read more]


Client Description. Case Study

… In order to get more in-depth information regarding the client's progress the client's parents can also be interviewed regarding their perception of their son's progress.

Post-intervention the client can be contacted at four weeks, eight weeks, six months, and one year and given a standard clinical interview along with the Beck Anxiety Inventory in order to determine how well he has been able to manage his issues.

G. Definition of Practice of Effectiveness.

Since this is a qualitative study the measurement of how effective the interventions work will rely heavily on the self-report of the individual. However, interviews with the parents can provide more objective information. With respect to the client's drinking, the definition of effectiveness can rely on the clients self-report regarding the number…. [read more]


Ulcerative Colitis Initial Presentation Case Study

… The ulcerative colitis surgery indications vary in different patients (Hanauer & Marteau, 2001).

Follow-up visits

The doctor will ensure that the patient follows-up visits approximately every 6 months while the patient's condition is stable. It is essential for the patient to see the doctor frequently when having problems. Many patients are familiar with their problems that they have the capability of handling minor outbreaks on their own, but in some cases, it is necessary to consult the doctor even when the case is minor (Bayless & Hanauer, 2010).

Prevention

There is no possible way to prevent ulcerative colitis since its cause is unknown. However, some patients have the capability of reducing the frequency of its symptoms. They do this through avoiding various foods such as…. [read more]


Legal Aspects of Medical Errors Case Study

… Therefore, in this particular aspect of the case, the physician is not legally liable however, due to the failure of the physician to gain consent of the infant's parents for treatment, he is legally liable along with the pharmacists, the nurse, and the hospital as a whole.

II. Did the provider fail in any way to adhere to ethical standards? How might this have impacted the patient outcome?

The provider failed to gain the consent of the parents for treatment of the minor child. Had this consent been sought the entire situation and the death of the child would have been avoided.

III. If noted in the scenario, how did the provider interact with the patient or family after the error came to light?

This…. [read more]


Chest Pain the Presenting Patient Case Study

… Chest Pain Case Study

The presenting patient in the present case scenario is Mr. Hay, an 82-year-old male with an existing diagnosis of Cardiac Obstructive Pulmonary Disease (COPD). This existing diagnosis will prove relevant in a care plan for Mr. Hay, who has been admitted following a loss of consciousness. Having been discovered by a neighbor after some sustained period of unconsciousness, Mr. Hay would be admitted with an array of treatment issues. The three most pressing would prove to be the patient's Activity Intolerance, his Ineffective Airway Clearance and his Pain management. The discussion here below considers these treatment challenges.

Patient Problem 1: Activity intolerance

In any case where an elderly patient is admitted to the hospital, sedentary conditions can lead to an exacerbation…. [read more]


Pharmacist.In This Case, Case Study

… ¶ … pharmacist."In this case, the pharmacist is faced with a moral and ethical dilemma of informing one Mr. Ramirez's (a congestive heart failure patient) doctor, the risks that he might be exposing himself to by his tendency/trend of increasing dosage of his medication while also consuming several packages of salted nuts. Such an increase of medication and ingestion of salt predisposes him patient to a cardiac arrest. The pharmacist could also attempt to explain to Mr. Ramirez the dangers he predisposes himself to.

A review of the case indicates that Mr. Ramirez is an octogenarian who suffers from congestive heart failure. He is however taking a lethal combination of prescription pills (on an increasing scale) and salted peanuts under the watchful eye of a…. [read more]


Medical Records System Definition Thesis

… ¶ … Medical Records System

Definition of Medical Record

History of Medical Records Past and Present

Related Utilization of Medical Record

The Advantages and Disadvantages of Electronic Medical Record

Electronic Medical Records, or EMR, has really turned into some kind of hot topic in recent years as the use of the Internet has started to expand into more areas of our life that really need to lessen health-care prices has gone up. It is what contains vital things like the notes that the doctor has written, results from lab tests, medicines, telephone messages and other vital and personal information regarding the patient's medical history. Sometimes in the past, these records had been kept in a paper folder which was then put away at your doctor's…. [read more]


Medical Treatments: Issues and Options Term Paper

… Studies might need to compare not only broadly different treatment options -- such as surgery vs. drug therapy -- but also different approaches to the same basic treatment -- such as different levels of follow-up care after surgery. Studies that included an analysis of cost-effectiveness would probably have a larger impact than ones that compared only clinical effectiveness, because they would highlight cases where more expensive treatments or approaches provided added benefits that were modest compared with their added costs (at least for some types of patients). (GAO, 2007)

It is reported by the Governmental Accounting Office that in order to affect medical treatment and reduce spending on health care, the findings of comparative effectiveness analyses would "have to be persuasive" and additionally "would have…. [read more]


Stark Laws Case Study

… Group Practice refers to an organization, like K. Street, that is an umbrella corporation offering a number of different services under one roof -- not designed specifically as referrals, but more as a basic structure with which to organize and allow patient's the convenience of receiving treatment and ancillary services under one roof. Why, for instance, would it make sense to have a patient make five stops when they are already at the physician's office? Instead, allow for x-rays, blood/laboratory tests, perhaps a referral to a surgical specialist, and maybe even occupational or other therapy as well as pharmacological services. The very letter of Stark is to ask for transparency in recommended procedures, billing, and coding services to allow for a state of non-inclusionary practice.…. [read more]


Medical Futility in Nursing Care Essay

… They name four major principles of common morality as autonomy, nonmalficence, beneficence, and justice. These principles derive from accumulated moral insight. Respect for autonomy refers to the impact of an action on an individual autonomy and the consent of all relevant parties. Beneficence determines who benefits from the action and in what way. Non-maleficence assures that no one gets harmed by the action or minimizes it. If it has to be done, the risks are communicated openly and truthfully. It also insured that possible harm can be averted. And justice identifies the vulnerable groups likely to be affected by the action. It also determines if the action will be equitable. These four principles need to be balanced before the optimal decision is reached. The needs…. [read more]


Comprehensive Original Ethical Situation Case Study

… Business Ethics Case

The Examination of a Business Ethics Dilemma: A Case History of a Medical Supply Company

Introduction of Dilemma:

The functionality and long-term viability of an organization may be as much contingent upon the strength of its ethical resolve as on the quality of its physical output. This is a reality which I became distinctly aware of during my two-year tenure as the head manager for Allied Medical Products. A company which specialized in the production and sale of products specifically geared toward wound-care, Allied Medical was only three years old at the time that I joined its staff. It was fraught with operational problems that I soon learned stemmed primarily from the ineffectiveness of my boss. Mr. Caldwell, as we will fictionally…. [read more]


Tylenol Cyanide Case Study

… Tylenol Case Analysis: Johnson and Johnson

In the contemporary world, taking responsibility and immediate action in the face of a huge crisis is a requirement for any U.S. corporation if they are to survive and maintain their market position and reputation. These types of organizations are expected to be socially responsible to their employees and the public not only if they are directly involved in a crisis involving their products or services, but also if there is an indirect association. In 1982 Johnson and Johnson was faced with this challenge. They were indirectly involved in a catastrophe which killed seven people because their leading pain killer Tylenol was tampered with and unassuming consumers became the victim of such an atrocity. The way in which Johnson…. [read more]


Conflict in Drc () Case Study

… Ironically the UNHCHR (2007) noted that the perpetrators of these crimes did not face any humiliation or stigma in the DRC.

The gender-based violence is so widespread that it is not possible to accurately account for it but just estimated. For instance in the province of South Kivu, Rodriguesz (2007) estimates that on a daily count 40 women are raped. The rape and sexual violence in DRC is grossly underreported due to insecurity, inaccessibility to several areas where victims are unable to travel to report to authorities, let alone fear of reprisals from offenders if they dared reported. Indeed, sexual violence by 2006 was taken to be the most prevalent form of crime in DRC.

Power of the UN in combating sexual violence

The UN…. [read more]


Paid Organizational Consultant Hired to Help the Hospital Administration Solve Its Delivery Challenges Assessment

… Medical Practice Case Study

Summary of Consultant's Findings and Recommendations

The tragic case of Matty was the combined result of several major problems in the way that the Children's Hospital of Boston managed its medical intensive care unit (MSICU) that were further exacerbated by errors in judgment and prioritization of emergency and non-emergency medical issues. The comprehensive review of the information suggests that there is a need for the standardization of care and of authority for care in the MSICU. Moreover, it appears that the power dynamics inherent in the respective levels of authority (especially as between nurses and doctors) contributed to the tragedy by virtue of preventing nurses from speaking up in time to address what they believed were inappropriate aspects of treatment.

The…. [read more]


Thorn Legal Memo Under Current Case Study

… Thorn. Mr. Thorn's efforts will most likely result in the court finding this requirement met.

Factor B

The second consideration of the court is, "The capacity and disposition of the parties involved to give the child love, affection, and guidance and to continue the education and raising of the child in his or her religion or creed, if any." Mr. Thorn's son is almost one-year-old and there is not information mentioning particular religious affiliations of the couple, so this factor will not be used by the court.

Factor C

The third factor states, "The capacity and disposition of the parties involved to provide the child with food, clothing medical care or any remedial care recognized and permitted under the laws of this state in reference…. [read more]


Market Orientation of Medical Diagnostic Term Paper

… Services at the HHS, MDU's are not planning to be eliminated, but to be more efficient through improved discharge planning, more efficient ways to canalize patient, increase training and skills and more effective clinical and technological test taking of patients. The MDU used as a sample for this research project has an acceptance of approximately 3588 patients a year in the Echocardiography laboratory, 37856 patient for Electrocardiography, 1633 for Holter Monitoring, 2839 for Stress Test, and a 16,102 per year for diversity of cardiac and related non-cardiac diagnostic technologic tests. Having a total of 62018 tests at this particular Unit.

The four units at the corporation have approximately 167,489 invasive and non- invasive cardiovascular tests (including a small number of neurology test) done a year.…. [read more]


Dahmer Forensic Analysis Jeffrey Lionel Research Paper

… The more DNA samples used in the analysis, the "greater the odds for a unique pattern and against a coincidental match" (DNA Forensics, 2009).

Another forensic analysis used in determining the identity of Dahmer's victims was fingerprint analysis. Like DNA, every fingerprint is unique. In order to identify a fingerprint, an investigator must "look at the shape of the ridges and compare the points where the ridges start, end, join and split. The positions of short ridges, dots and any enclosed areas are also noted" (Fingerprinting, n.d.).

Another method of analyzing forensic evidence collected from Dahmer's apartment was forensic odontology. Forensic odontologist Dr. L. Thomas Johnson helped to identify three victims based upon their dental records (Czech, 2008). Forensic odontology can be used to identify…. [read more]


Aviation Industry Flu Pandemic Outbreak Risk Thesis

… In case of the SARS outbreak in China the public transportation wasn't shut down but the amount of passengers decreased a lot as, people stopped using the public transportation to avoid getting infected. Similarly, trends of decrease in the number of employees was noted in the air transportation such as, the flights in Pacific Asia decreased by 45% as compared to the year before and there was a decrease of 69% in the flights between U.S. And Hong Kong (Brigantic et al., 2009).



However, it can easily be estimated from these above given scenarios that if an influenza pandemic did occur and stay for 12 to 36 months what would be the amount of damage that it would cause in the world…. [read more]


Management Project in the Health Case Study

… Also monitored by BioSense are over-the-counter drug sales and lab test results for environmental samples collected through the BioWatch effort. BioSense aims to "monitor 11 syndrome categories including fever, respiratory, gastrointestinal illness, hemorrhagic illness, localized cuteanous lesion, symphadenitis, neurologic, rash, severe illness and death, specific infection and botulism-like/botulism." (Chen, Zen, Ping, and Ping, 2010, p.10)

(2) ESSENCE

ESSENCE is reported to have been used in monitoring the health status of military healthcare beneficiaries worldwide, relying on outpatient ICD-9 diagnostic codes for outbreak detection." (Chen, Zen, Ping and Ping, 2010, p. 10) The Rapid Syndrome Validation Project (RSVP) is reported as an "Internet-based population health surveillance tool designed to facilitate rapid communications between epidemiologist and healthcare providers." (Chen, Zen, Ping, and Ping, 2010, p.10) Patients with…. [read more]


Ethical and Legal Perspectives in Health Care Case Study

… Ethical and Legal Perspectives in Health Care

For one to become an effective manager, it is crucial to understand the basic ethical and legal principles influencing the work setting. This includes the legal relationship between the consumer and the health insurance company. Ethical behaviors are viewed as right actions in a society. It may not be what the law requires because the health insurance industry is flawed with challenging situations, which involve ethical dilemmas (Sandel, 2007). This study focuses on the ethical and legal responsibilities of the health insurance company regarding the consumer.

An insurance company can require insurance recipients to pay a different premium for the same coverage

Assuming that a recipient has a higher income, the law requires an adjustment to his/her monthly…. [read more]


Security at Workplaces Case Study

… The company should have a well designed procedure for destroying the unwanted records containing information that may pose new challenges if carelessly exposed. The firm should securely destroy or permanently de-identify information that is no longer needed for the allowed purposes for which it may be used or make known to public or unauthorized persons. Staff involved in data entry, should consider retention practices, and subject to other pertinent record-keeping requirements such as those of the manufacturing plants.

On the other hand, the security of hardcopy information and records remains of extreme importance, and should not be an aspect of information security that is frequently neglected. Traditional records management tools such as vital records program and retention scheduling can facilitate the security of hardcopy records.…. [read more]


NIMS Medical / Public Health Components and Disaster Responses Essay

… S. Department of Homeland Security, 2008, paraphrased);

(4) The Food Unit: this unit makes determinations of food and water needs, coordinates menus, orders needed food and makes provision of facilities to cook, serve and maintain food service. In addition, this unit is responsible for managing security and safety concerns related to food provision (U.S. Department of Homeland Security, 2008, paraphrased);

(5) The Communications Unit: this unit's primary responsibilities encompass the effective communications in terms of acquisition, planning, setup and maintenance as well as communications equipment accounting (U.S. Department of Homeland Security, 2008, paraphrased);

(6) The Medical Unit: this unit responsibilities include provision medical services that are both effective and efficient to incident personnel. (U.S. Department of Homeland Security, 2008, paraphrased)

IV. Inventory

The U.S. Department…. [read more]


Stroke <Course Name, Course Number Case Study

… The JCAHO also releases a hospital score cars that identifies areas for improvement such patient assessment excreta. The greater the need for improvement identified the lower would be the rating of the hospital (AHO, 2006).

A number of strategies have been employed by the hospital to meet these regulations. A complete database has been created that stores information of the patient's history starting from diagnosis to therapy treatments identified. In order to decrease the number of disclosure required for serious mistakes the hospital implemented safety procedures and preventive measures such as repetition of instructions by nurses to ensure they were not misheard. This reduces the chances of malpractices and also the insurance premiums.

The strategies employed for meeting these standards are not completely appropriate because…. [read more]


Categories and Phases of Loss Case Study

… This usually requires changes in the relative positions of family members: more proximity may be necessary between husband and wife, more distance between mother and son. Hierarchical relations and coalitions are frequently in need of a redefinition. New alternative rules for transacting must be explored…" (Antonovky and Sourani, 1988) Therapeutic change is acknowledged as a process of assisting the family "…in the process of helping the family to outgrow its stereotyped patterns~ of which the presenting problem is a part. This process transpires within a special context, the therapeutic system that offers a unique chance to challenge the rules of the family. The privileged position of the therapist allows him to request from the family members different behaviors and to invite different perceptiOn5~ thus altering…. [read more]


Seung-Hui Cho Case Study

… Seung-Hui Cho

The following case studies examines the motives and actions of not only Seung-Hui Cho, the shooter of the worst-known massacre in an educational institution in United States History, but also those of the various administrative and faculty of that institution, its surrounding law enforcement and campus security, as well as those of the general media at large. The shooter's mental history and its outward manifestations, as well as the documentation and preservation of such records, are carefully examined to gain a more profound understanding into the overt and covert natures of this crime.

Wasn't Meant To Be: A Case Study of the Virgina Tech Massacre.

In hindsight, there are several factors indicating a severe disturbance in Seung-Hui Cho, the killer in Virginia Tech's…. [read more]


Administrative Scenarios Administration Case Study

… Administrative Scenarios

Administration scenarios

The purpose of incarceration of individuals in correctional facilities is to punish and rehabilitate dangerous criminals. The Federal Bureau of Prisons is responsible for the enforcement of law, and in administration of federal prison systems. Prisoners' detention centers are state owned facilities in the United States of America except in some situation where prisoners go to privately owned facilities. Correctional facilities management follows State, local authority laws. Over eighty percent of those incarcerated stay in bureau owned prisons while the remaining number stay at community owned facilities, detention centers or juvenile facilities (Carlson & Garrett, 2006). Prisons administration departments have a layout of authority and the commissioner of prisons has the highest authority.

The bureau has the jurisdiction to carry out…. [read more]

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