Assign 7 icd-10-cm codes with poa indicators and MS-DRG as well as… Assign 7 icd-10-cm codes with poa indicators and MS-DRG as well as tw

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Assign 7 icd-10-cm codes with poa indicators and MS-DRG as well as… Assign 7 icd-10-cm codes with poa indicators and MS-DRG as well as two icd-10-pcs codes Image transcription textThis 75-year-old female admitted because of chronic diarrhea and dehydration. History of herpes zoster, rightupper extremity, leading to monoparesis, right upper extrem- ity, with postherpetic neuralgia on the right sideof the chest. She has been treated with heavy doses of Neurontin with no significant relief. On ad… Show more… Show more Science Health Science HITT 2435 Share QuestionEmailCopy link

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What is the history of telehealth, the Assessment and implementation of telehealth, what is the Framework and 
Question Answered step-by-step I. Data CollectionHistory of Present Problem: Mr. Jones is a 75 year old male who comes to the Urgent Care complaining of frequency and urgency. "It seems like I am up 4-5 times in any given night and am now tired. The problem is that when I go it is only a very little urine and in a few hours I have to get up again. Once or twice I did not make it to the bathroom and I was at Walmart. This is getting too embarrassing for me. I don't want to go anywhere." Personal/Social History: Medical Issues: Takes thyroid medication for his hypothyroidism (diagnosed over 25 years ago)                       Had varicocele above his left testicle which was treated surgically 15 years ago.                        He reports being hospitalized for acute pyelonephritis three times in the last two years (3-4 days each time and treated with antibiotics) Medications: Levothyroxine 100 mcg po daily                        Ibuprofen 800 mg po twice a day for pain PRN Allergies: Penicillin and Sulfa drugs cause a severe rash Social: He has been married for 45 years. He was a contractor and worked on heavy equipment for 50             years.             He denies any religious affiliation. He smoked 2 packs a day for 40 years but quit when he retired 8 years ago.            Normally has 2 cups of coffee in the morning. While listening to the ball games on TV he drinks 3 - 4 cans of beer.            His only exercise is taking out trash nightly and mowing the lawn when needed.                            Family History: Father died age at 69 from a motor vehicle accident.                             Mother had diabetes mellitus type 2 for 15 years and died age at 84 due to renal failure                            Two sisters both healthy, ages 70 and 68                            Wife is 73 and has hypertension which is controlled on medications.                            No children Pertinent Review of Systems:Mr. Jones denies fever or chills. He states urine has no odor and is colorless most of the time. He has to strain to urinate usually so he can feel like his bladder is empty. He also has some dribbling for the past year or so. He reports some vague pain in his back which he says is arthritis. No other remarks of significance.  What data from the histories is important & RELEVANT; therefore it has clinical significance to the nurse?RELEVANT Data from Present Problem:Clinical Significance:       RELEVANT Data from Social History:Clinical Significance:      II. Patient Care Begin:Patient is well dressed and in no acute distress. Alert and oriented x4 Height 6 feet, weight 255 Current VS:    Pain Scale-FLACC, FACES, NUMERIC. Identify pain scale used and provide ratingT: 98.68/10 pain scale. The pain is in his back and left side of back. Denis pain in pelvic area. P: 80R:18BP:135/80O2 sat:97% What VS data is RELEVANT that must be recognized as clinically significant?RELEVANT VS Data:Clinical Significance:         Current Assessment:GENERAL APPEARANCE:Clean shaven, no lesions on his face, obese with a protruding abdomen RESP:Clear to auscultations with unlabored breathingCARDIAC:Regular rate and rhythm no murmur  pulses +2 bilaterallyNEURO/ MS:No tremors, Tender over the left flankAll reflexes +2 bilaterallyGI:Abdomen soft, bowel sounds heard in all 4 quadrants, some diffuse tenderness over bladder areaGU:Urine cloudy, no blood or leukocytes on urine dip, anal exam reveals an enlarged prostate, smooth and rubberySKIN:Skin clear, scrotal area shows some increase swelling of the left testicle    What assessment data is RELEVANT that must be recognized as clinically significant?RELEVANT Assessment Data:Clinical Significance:        III. Clinical Reasoning Begins...1. What is the primary problem that your patient is most likely presenting with?                2. What is the underlying cause/pathophysiology of this concern?      3. What imaging and lab tests are needed to thoroughly assess the primary problem?     4. What nursing priority(s) will guide your plan of care? (if more than one-list in order of PRIORITY)      5. What educational priorities will be needed to develop a teaching plan for this patient and /or family?       It's due tonight, please answer as soon as positive Health Science Science Nursing HEALTH ASS 304 Share QuestionEmailCopy link Comments (0)
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Question Answered step-by-step Supporting document Patient Details : Mrs. Miriam Gold, 85 years'... Supporting document   Patient Details            : Mrs. Miriam Gold, 85 years' oldPresenting Problems  : Fluids overload (dialysis will be ceased due to palliative approach),                                       Pneumonia & metastatic cervical cancerPast history                 : COPD, GORD, CABGsCognitive                     : drowsy and vagueSocial                          : lives home with husband. Patient and family want no further treatmentDiet                             : mild thick fluids (as tolerated)Continence                 : incontinent, pad in situMobility                        : RIBMedications                : patient is receiving medication via a syringe driver: Fentanyl 200 mcg + Midazolam 10 mg (24/24PRN medication: Fentanyl 25-50 mcg (S/C), Midazolam 2.5-5 mg (S/C) Mrs. Gold was admitted to the ward for palliative treatment. Husband and children are not coping at home and she was in a lot of pain due to her malignant wound on her L) groin. The malignant wound on her groin is purulent and it has developed a sinus. The odour coming out from the wound is offensive. The patient requires pain relief before dressing changes and for any pad changes/hygiene care. It was reported that her groin and peri-anal area is red due to bowel incontinence & discharge from her cervical cancer.Mrs Gold is complaining of burning pain in her groin and perianal region.Mrs Gold's history notes state that she has developed a rectovaginal fistula as a result of the disease progress and radiotherapy. Mrs Gold also has a long standing venous ulcer that is not healing.  QUESTION   For the scenario  you are required to address all the points below using wound, medical terminology:1. Holistic assessment of the patient that includes: - medical history and examination of the patient and the wounds- type of wounds with definition and the causes of wounds â€"example injury, fungal infection, micro-organism, viral   infection, disease.           - any investigation required for the wound- wound management principles- 4 potential common problems/complications of complex and challenging wounds.PLEASE ADD REFERENCING Health Science Science Nursing NURSING 006 Share QuestionEmailCopy link Comments (0)
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