Current Medical History

Assignment – There are five common purposes for medical records. List each of these purposes and provide an example of each in healthcare. Having good medical records is very important, for the proper care of patients. “Medical records can be used to manage healthcare, track healthcare, provide clinical data, meet regulatory requirements, and document healthcare” (Allen, 2013, P. 57). Without the proper documentation there is no proof that it was ever done.

#1- Compare and contrast the clinical uses of a health record with the secondary purposes of a health record. The use of Health Records are used by both, clinicians and non-clinicians (secondary purposes). Reasons to why clinicians may use a patient records are for confidential data such as patient care (diagnosis and treatment), chronological documentation of clinical care, method of cross discipline education, research activities, public health monitoring and for quality improvement activities. In contrast, non-clinicians may use is for non-confidential informational data such as billing and reimbursement, verifying disabilities, and legal documentation of care.

During Week One, the researcher met with the two focus groups to establish a different rapport and provide an explanation of the research study. Although the researcher had previously established a rapport with the students in each group, it was imperative that the students not view the researcher as one of their Assistant Principals while the study was being conducted. Once the researcher gauged the initial feeling tone towards the research project that had been presented to the focus groups, permission forms were sent home with each participant. Lastly, the researcher conducted an informal observation in both classrooms.

The Medical Field of 1500-1800 AD The medical field from 1500 to 1800 AD was a time of significant progress and change. This period was marked by the Renaissance, the Scientific Revolution, and the Enlightenment, which all contributed to the development of medicine. Physicians and scientists during this era sought to understand the human body and its functions, leading to a newfound emphasis on anatomy and physiology. Advancements in medical technology, such as the invention of the microscope and the printing press, also enabled physicians and scientists to share their knowledge and discoveries more widely. Medical schools and universities began to emerge, providing formal education and training for aspiring medical professionals.

I. VA Healthcare Problems with the Media Concerning Wait Times a. The media reported many complaints that they heard about and discovered form veterans. Many of the veterans were not receiving proper treatment in time and some were even dying. This caused alarm to both military personal and the Federal Government.

Through these in depth interviews it’ll give a better grasp which will seek individual experiences and learn about their perspectives on the issues given to them. Interview

PERSONAL STATEMENT FOR INTERNAL MEDICINE CLINICAL ROTATION The physician should look upon the patient as a besieged city and try to rescue him with every means that art and science place at his command (Alexander of Tralles). My decision to enter internal medicine as the next part of my venue responds to several driving forces. Besides deciphering the wonders of the human body, I know how important is to deal with the prevention, diseases detection, and treatment of adult illnesses.

By serving as the right-hand person to multiple family doctors, I gain a unique insight into how they diagnose, monitor, and treat patients. I am grateful that these doctors, aware of my intent to become a physician, tell me their approach to treating different conditions. No day is exactly like any other, as we see patients from all walks of life who present with a variety of medical conditions. This breadth of patient care speaks to my curiosity in medicine, allowing me to learn about each patient and their condition. It has also been heartwarming to see firsthand the close connections patients share with their providers.

The patient simply tells the “listener” all his troubles and fears, beginning with the earliest difficulties he can remember.” (pg.

Case 3 was selected for this discussion. CC: "Annual physical exam" History of Present Illness (HPI): 23-year-old Native American male comes in to see you because he has been having anxiety and wants something to help him. He has been smoking "pot" and says he drinks to help him too. He tells you he is afraid that he will not get into Heaven if he continues in this lifestyle. Discussion: Native Americans have numerous of tribes across the United States.

This information is used to appropriately implement prevention and treatment for patients. The second outcome integrates analysis of information gathered by healthcare personnel to identify trends and inconsistencies within the healthcare population. Through this the origin of problems can be ascertained, and preventive measures can be instituted. Subsequently prevention will decrease incidences and ultimately the cost to

You wanted my side of the story, I’m just giving you background,” I explained. Let me tell you, I’ve been to lots of Docs over the years, and they are all so impatient. They ask you a question and they need you to answer just that and they want your answer right then. They don’t like extra info. Just what they ask you.

The good interaction between care providers and service users with the exchanging of information about conditions and diagnosis of clients is eased by using IT. For example, when accepting any resident who are being signed off by any of the hospitals, we receive all the history of the patient from the hospital in order to continue to take care about him adequately This happens by sending health record describing past and present condition, treatment which are being prescribed and advices. All this information is kept confidential and it forbidden for anyone to share any private information of clients to anyone. IT helps us follow carefully all appointments with GP, hospitals.

Subsequently, more emphasis is placed on the importance of expanding patients’ knowledge of the treatment that they are to receive and how to refine their self-care and management for the future. This can potentially improve the day-to-day lives of both the patient and medical staff. As the well-known Chinese proverb states: “Give a man a fish, and you feed him for a day. Teach a man to fish, and you feed him for a

Each patient represents a specific case who has different background, personality, preference and conditions. Thus, it is important for practitioner to learn from each patient and document it for future reference. Scene