Ppt on appendicitis and nursing care

BOWEL ELIMINATION. Function- excrete/eliminate waste products of digestion. Maintaining normal bowel elimination is essential to health and efficient.

or obstruction at the ulcer site. APPENDICITIS Appendicitis is the inflammation of the vermiform appendix. The appendix fills with food and empties regularly. Because its lumen is quite small, it empties irregularly and is prone to obstruction. The /of the bowel. (4) Vital signs and I&O should be monitored closely. (5) Observe stools for color and consistency. (6) If surgery becomes necessary, observe routine preoperative and postoperative nursing care procedures. Liver Cirrhosis A chronic, progressive /


Clinical Aspect of Maternal and Child Nursing NUR 363 Lecture 10.

I/O, monitor electrolytes Post-op: Start feedings in 4-6 hrs. Progressive feeding schedule 14 APPENDICITIS Inflammation and infection of vermiform appendix, usually related to an obstruction Cause may be bacteria, virus, trauma S// Pre-operative Nursing Care Monitor Labs (CBC, PT, PTT) Age-appropriate Preparation/Teaching Surgical Consent Post-operative Nursing Care Frequent site assessment Monitor for S/S of Complications Pain Management Diet Patient Teaching 20 Croup/Epiglottitis Infection and swelling of/


Mosby items and derived items © 2006, 2003, 1999, 1995, 1991 by Mosby, Inc. Slide 1 Chapter 45 Care of the Patient with a Gastrointestinal Disorder Chapter.

lower quadrant of the abdomen (McBurney’s point) Vomiting Low-grade fever Elevated WBC Mosby items and derived items © 2006, 2003, 1999, 1995, 1991 by Mosby, Inc. Slide 45 Disorders of the Intestines Appendicitis (continued)  Diagnostic tests WBC Roentgenogram Ultrasound Laparoscopy  Medical management/nursing interventions Appendectomy Mosby items and derived items © 2006, 2003, 1999, 1995, 1991 by Mosby, Inc. Slide 46 Disorders of the/


Gastrointestinal Disorders in Children Dr. Nataliya Haliyash Nursing Care of Children.

Nursing Care of Children Upon completion of this lecture, the students will be able to: n Describe the anatomy and physiology of the gastrointestinal (GI) system of the infant and child and how it differs from the adult GI system. n Describe the etiology, pathophysiology, clinical manifestations, diagnosis, and/), inc abd distention, tachycardia, shallow tachypnea –IV antibiotics, fluids, electrolytes –Appendicitis is difficult in children because the clinical manifestations are atypical. This increases the /


Gastrointestinal Disorders in Children Dr. Nataliya Haliyash Nursing Care of Children.

Nursing Care of Children Upon completion of this lecture, the students will be able to: n Describe the anatomy and physiology of the gastrointestinal (GI) system of the infant and child and how it differs from the adult GI system. n Describe the etiology, pathophysiology, clinical manifestations, diagnosis, and/), inc abd distention, tachycardia, shallow tachypnea –IV antibiotics, fluids, electrolytes –Appendicitis is difficult in children because the clinical manifestations are atypical. This increases the /


Med/Surg II, Part 3 of 4 Digestion Disorders

Postoperative Care Airway Maintenance Flap and reconstructive tissue care Hemorrhage Wound breakdown Pain management Nutrition Speech rehabilitation Postoperative Care Immediate priorities: Patent airway, oxygenation, hemorrhage, pain management Ongoing nursing care: Airway maintenance and ventilation After/ of stool will increase as pouch stretches. Appendicitis Epigastric or peri-umbilical cramping Nausea followed by vomiting Pain becomes more steady and severe, migrates to right lower quadrant (McBurney/


CPT Coding: Beyond the Basics

and the “why” need to be linked and/and Dr. Vessel Dr. Podiatry and/and where else? 99211 … be careful/and Nursing Facility: Codes /and/care/and Detailed exam and Straightforward medical decision making 99222 requires Comprehensive history and Comprehensive exam and/and/Care/care of everything today and/and /and/and guidance only “and/and injections require 2 codes: the administration and/and/and/and /repair and same /care/and/and/ and /and/and/and family history of malignant neoplasms: V10 and/ and /and Staff/and/and/and/ and /and/


MPS cases. The danger of the casual aside Mr J, a 28-year-old teacher, called his local OOH service one evening complaining of vomiting and diarrhoea,

OOH service once again, requesting a home visit. A different doctor assessed him and, based on his findings and the history, made a diagnosis of perforated appendicitis and peritonitis, admitting him to hospital as an emergency. Mr J subsequently lodged a /a new problem. It is important to listen carefully to patients’ concerns, especially symptoms mentioned as a “by the way” comment. Learning points As care is often team-based, involving GPs, nurses, nurse practitioners, it is essential to have a protocol/


Caring for children with gastrointestinal dysfunction —Chap 17 壹、評估評估 貳、小兒常見腸胃道疾病小兒常見腸胃道疾病.

)、 saline 、 aqueous contrast material Surgery Supportive care – 液體補充 – 鼻胃管減壓 – 抗生素 Nursing management Post OP Monitoring for early signs of infection Pain management Maintain NG tube patency Assess vital signs 、 Abdominal distention 、 Listen for bowel sounds every 4 hours After normal bowel function Clear liquid feeding  half- strength milk and other foods Maintain fluid and electrolyte balance Inflammatory disorders Appendicitis P609 Etiology and pathophysiology Result from an obstruction in the/


1. Organization of emergency and acute care Prepared by: C.m.s., assistant professor of outpatient therapy and emergency medical emergency KSMU A. R. Alpyssova.

; diagnosis and emergency care in hypothyroid coma, and thyrotoxicosis; urgent status at hematocytoblastdoses and hemorrhagic diathesis. urgent status at hematocytoblastdoses and hemorrhagic diathesis. I n the field of emergency conditions in acute diseases and injuries of abdominal and thoracic, physician joint ventures must know: I n the field of emergency conditions in acute diseases and injuries of abdominal and thoracic, physician joint ventures must know: diagnosis and tactics in acute appendicitis/


Chapter 5 Care of the Patient with a Gastrointestinal Disorder Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

Medical management/nursing interventions Remove affected area of tooth and replace with dental material Periodontal – remove plaque Encourage brush teeth min. 2x/ day Frequent oral care for NPO patients Slide 8 Mosby items and derived items/ and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. Disorders of the Intestines Appendicitis (continued)  Diagnostic tests WBC Roentgenogram Ultrasound Laparoscopy  Medical management/nursing interventions Appendectomy Slide 51 Mosby items and /


Nursing care of the individual with Digestive System Disorders 1.

at the ulcer site. 8 APPENDICITIS Appendicitis is the inflammation of the vermiform appendix. The appendix fills with food and empties regularly. Because its lumen is quite small, it empties irregularly and is prone to obstruction. The obstruction/ of the bowel. (4) Vital signs and I&O should be monitored closely. (5) Observe stools for color and consistency. (6) If surgery becomes necessary, observe routine preoperative and postoperative nursing care procedures. 22 Liver Cirrhosis A chronic, progressive/


Abdominal and Pelvic Pain 1 01/31/13. VETERANS HEALTH ADMINISTRATION Objectives By the end of this lecture, participants will be able to: Identify common.

Nurse’s critical thinking process: Lisa is probably not pregnant. A clinic appointment is appropriate. 5 VETERANS HEALTH ADMINISTRATION Signs and Symptoms Purulent vaginal discharge suggests STI Cramping and vaginal bleeding commonly seen with ectopic pregnancy or threatened abortion Dyspareunia and dysmenorrhea suggest endometriosis Anorexia, nausea, vomiting often seen with appendicitis/of women Up to 40% of women with CPP in primary care have more than one diagnosis The four most commonly diagnosed causes/


Interventions for Preoperative Clients Care. Perioperative Care Three Phases Three Phases Preoperative Preoperative Intraoperative Intraoperative Postoperative.

(eg, some cancers, acute gallbladder infection and appendicitis, Kidney stones). and appendicitis, Kidney stones). 5. Emergency surgery: describes/and alternatives A signed form, witnessed by a nurse is evidence that consent has been obtained A signed form, witnessed by a nurse is evidence that consent has been obtained If the client is mentally confused, unconscious, or mentally incompetent, the client’s spouse, nearest blood relative, or someone with durable power of attorney for the client’s health care/


Abdominal and Pelvic Pain. Learning Objectives Discuss common causes of acute pelvic painDiscuss common causes of chronic pelvic pain Identify triage.

Pelvic Pain Gynecologic Conditions (PID, dysmenorrhea) Gynecologic and Pregnant (ectopic pregnancy, miscarriage) Non-Gynecologic Conditions (appendicitis, UTI, diverticulitis, kidney stones, trauma) Nursing role during a physical exam for acute pelvic pain/ HistoryPhysical ExamLaparoscopy VETERANS HEALTH ADMINISTRATION Patient Education for Endometriosis Can often be managed in primary care setting with medications alone NSAIDs Monophasic oral contraceptive, vaginal ring, or contraceptive patch continuously /


Medical Surgical Care of the Patient with a Gastrointestinal Disorder Edited by M. Myers Mosby items and derived items © 2011, 2006, 2003, 1999, 1995,

of the abdomen (McBurney’s point)  Vomiting  Low-grade fever  Elevated WBC Slide 74Mosby items and derived items © 2011, 2006, 2003, 1999, 1995, 1991 by Mosby, Inc., an affiliate of Elsevier Inc.  Appendicitis (continued) ◦ Diagnostic tests  WBC  Roentgenogram  Ultrasound  Laparoscopy ◦ Medical management/nursing interventions  Appendectomy Slide 75Mosby items and derived items © 2011, 2006, 2003, 1999, 1995, 1991 by Mosby, Inc., an affiliate of Elsevier/


Chapter 5 Care of the Patient with a Gastrointestinal Disorder Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc.

the abdomen (McBurney’s point) Vomiting Low-grade fever Elevated WBC Slide 44 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. Disorders of the Intestines Appendicitis (continued)  Diagnostic tests WBC Roentgenogram Ultrasound Laparoscopy  Medical management/nursing interventions Appendectomy Slide 45 Mosby items and derived items © 2011, 2007 by Mosby, Inc., an affiliate of Elsevier Inc. Disorders of/


Modifiers and Place of Service Codes Presented by:

(many insurances, such as Medicare, electronically add this to certain CPT codes and they ask that you do not append this modifier) -58Staged procedure (example: applying a skin substitute weekly for coverage/Ambulatory Surgical Center 25 = Birthing Center 26 = Military Treatment Facility 31 = Skilled Nursing Facility 32 = Nursing Facility 33 = Custodial Care 34 = Hospice 54 = Intermediate Care Facility/Mentally Retarded 55 = Residential Substance Abuse Treatment Facility 56 = Psychiatric Residential /


Legal and Ethical Aspects of Pediatric Emergency Medicine Carmen M. Lebrón MD FAAP Emergency Department San Jorge Children’s Hospital San Juan, Puerto.

31 Most Prevalent Conditions in Pediatric Malpractice Claims Caused by Error in Diagnosis (1985–2006)  1. Meningitis  2. Appendicitis  3. Specified  nonteratogenic  anomalies  4. Pneumonia  5. Brain-damaged  infant McAbee, GN. Donn, / care 39 Risk Management Techniques-the chart  Careful and extensive documentation is critical with patients likely to sustain long-term sequelae  Read the nurses notes Specifically address discrepancies in your note  Verbal instructions should be simple, clear, and /


Chapter 45 Care of the Patient with a Gastrointestinal Disorder Mosby items and derived items © 2011, 2006, 2003, 1999, 1995, 1991 by Mosby, Inc., an affiliate.

items © 2011, 2006, 2003, 1999, 1995, 1991 by Mosby, Inc., an affiliate of Elsevier Inc. Disorders of the Intestines Appendicitis (continued)  Diagnostic tests WBC Roentgenogram Ultrasound Laparoscopy  Medical management/nursing interventions Appendectomy Slide 45Mosby items and derived items © 2011, 2006, 2003, 1999, 1995, 1991 by Mosby, Inc., an affiliate of Elsevier Inc. Disorders of the Intestines Diverticular disease  Etiology/pathophysiology Diverticulosis  Pouch-like/


Specialty and Generalist Collaboration: Multidisciplinary Teams Raj Srivastava, MD, FRCP(C), MPH Assistant Vice President for Research, Intermountain Healthcare.

home antibiotic therapy after hospitalization for complicated pneumonia, perforated appendicitis, or osteomyelitis Specific Aim #2: To compare patient and caregiver reported quality of life and adherence to therapy for oral antibiotics vs. IV antibiotics delivered/ Collaboration of Physician/Nursing Champions Across Hospitals No Evidence Existing Evidence Step 1Step 2 Step 3 Goal: Delivery of High Value Care Goal: Delivery of High Value Care Goal: Delivery of High Value Care Reduce Variation Condition /


Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Chapter 11 Care of the Pediatric Patient.

bacteria –Causes swelling of the glottis Asthma –Affects the bronchi and bonchioles –May be triggered by allergies, smoke or weather Cystic fibrosis –Genetic disorder –Mucous is extremely thick Copyright © 2010 Wolters Kluwer Health | Lippincott Williams & Wilkins Care of a Child With Respiratory Disorders Observations that should immediately be reported to the nurse: The child is having difficulty breathing The child’s lips appear/


GI Disorders Understanding Medical Surgical Nursing 5 th ed., Ch 32-33 Pharmacology Clear & Simple, Ch 19 Reading Assignment: Introduction to Maternity.

Stomach Can Hold –Malabsorption Decreases Calorie/Nutrient Absorption –Combination Restrictive and Malabsorption Surgical Management (cont’d) Restrictive –Laparoscopic Adjustable Gastric Banding/nursing interventions/methods used in caring for a client with CA of the colon & rectum. 5. Discuss diseases of the gallbladder, pancreas, & liver. 6. List the surgical options for obesity. 7. Describe the Δ’s that can be instituted for a GI disorder in the field of nutrition with diets & supplements Appendicitis/


April 2012Communication Issues The Joint Commission, ACR and Plaintiff ’ s Attorneys: New Rules, Standards and Legal Precedents Mandating Critical Test.

unexpected findings: “Incidentalomas?” CT ABD: ER Patient: “R/O Appendicitis” Saturday 10:30 P.M. Study “negative” for appendicitis. LLL nodule noted. Patient discharged home (2:30 AM) Lung /care...” April 2012Communication Issues Legal Precedent * the future ? Stanley v. McCarver 92 P3d 849 (Ariz 2004) Pre-employment CXR Radiologist: “possible lung cancer” Report sent to Employer (nursing home) Patient not informed. (Dx’d CANCER -10 months later) Patient expires Radiologist and nursing home sued Nursing/


Acute Appendicitis: What I didn’t know before Jennifer Newberger, MD General Surgery R3 May 19, 2011.

25 children with complicated appendicitis, 13 in the laparoscopic group and 12 in the open appendectomy group, were analyzed Children, their parents, and research nurses were blinded to which procedure had been performed and remained blinded until the /surgeons used a formal clinical practice guideline to direct care. Responses varied substantially in the duration of postoperative antibiotic therapy, the use of intravenous or oral agents or both, and the duration of hospitalization. There is little apparent/


Understanding Medical Surgical Nursing, 4th Edition Chapter 34 Nursing Care of Patients with Lower Gastrointestinal Disorders.

for Impaired Skin Integrity Understanding Medical Surgical Nursing, 4th Edition Appendicitis Inflammation of the Appendix Fever, Nausea/Vomiting, Anorexia, Pain Right Lower Quadrant Increased White Blood Cells NPO, Surgery Postoperative Care Understanding Medical Surgical Nursing, 4th Edition McBurney’s Point McBurney’s Point Understanding Medical Surgical Nursing, 4th Edition Peritonitis Inflammation/Infection of Peritoneal Cavity Signs and Symptoms ◦ Abdominal Pain ◦ Abdominal Rigidity ◦ Nausea/Vomiting/


Textbook For Nursing Assistants

function The appendix has a way of making its presence known Inflammation or infection of the appendix causes appendicitis, a painful condition that is life-threatening if not treated Treatment is surgical removal of the appendix Copyright ©/ once and then discarded, while others are emptied, cleaned, and used again Copyright © 2005.  Lippincott Williams & Wilkins. Instructors Manual to Accompany Lippincotts Textbook for Nursing Assistants. Caring for a Person with an Ostomy Principles of ostomy care Are /


Clinical Decision-Making – Experiences at Manas AB, Kyrgyzstan

- Provide 24/7 medical care and preventive medicine to optimize warrior performance Moving People, Cargo and Fuel People… …and more people and cargo… …and cargo… …and cargo… …and more cargo... …and more cargo (low-level)... …and more cargo (at night)… …and fuel for the fight. “EMEDS Plus/Minus” 29 person EMDG EMEDS (Expeditionary Medical Support) Basic/Tailored EMDG Organizational Chart Commander 1st Sergeant Administrator Life Skills Chief Nurse Surgeon Dental SGP Life/


Older Adults in the Emergency Department: A

are ultimately discharged from ER without admission Emergency Department Patient Population GEM (Geriatric Emergency Management) Nurse Assessment & Referral Capacity Building Assessment Referral Liaison Quality Improvement Internal Stakeholders External Stakeholders Community at / elders 25%   Mesenteric ischemia in elder persons 63%   Symptoms of Acute MI 25%   Elders and emergency care 2%   Appendicitis in elder persons 63%   Elder abuse 100%   Acute functional decline 100%   Perforated peptic ulcer in/


Akram Mohammad AbuSalah BNS, MSN, Ph. D. Islamic University of Gaza Strip Nursing Health Assessment 1.

e.g. appendicitis 239 Palpation of liver: Right upper quadrant under the rib cage Place your left hand under client’s posterior thorax at the 11 th and 12 th ribs and by your right hand palpate in and up to /blurring, and pain. Facial pain, weakness, twitching, speech problems e.g. aphasia. Swallowing problems and drooling. Neck weakness or spasm 251 Mental and emotional Mental and emotional status is observed as the nursing history is collected, and by simply interacting with client, e.g. “Nursing care plan/


TOMASITO M. DEMEGILLO JR, RN. MAN. EMERGENCY NURSING  Is a specialty area of the nursing profession like no other.  Provide quality patient care for.

compromise. IV. Roles of Emergency Nurse A. Care Provider Emergency nurses care for patients and families in hospital emergency departments, ambulances, helicopters, urgent care centers, cruise ships, sports arenas, industry, government, and anywhere someone may have a medical emergency/  Provides cleansing action and induces complete emptying of the left colon usually in 2 to 5 minutes. Contraindications: Should not be used when the following medical problems exist: o Appendicitis (or symptoms of), o/


Medication Data from Nationally Representative Provider- and Population-Based Surveys Lisa L. Dwyer, MPH Saeid Raofi, MS Pharmacy Karen A. Lees, MPH Ryne.

 208 SSRI antidepressants Using NAMCS/NHAMCS public use files for analyzing drug data 32 Ambulatory Care Data Structure Provider provider info practice info geographic info Visit patient & visit info treatment & /Nursing Home Survey  Medication data collected prescription and nonprescription medications prescription and nonprescription medications generics generics supplements supplements  vitamin/mineral, herbal, nutritional 52 2004 National Nursing Home Survey  Drug characteristics appended/


Kimberly Henry, RNC, FNP-S SUNY Institute of Technology Nursing 652.

1 pt 1-4 discharge 5-6 observation/admission >7 surgery The standard of care for treating appendicitis is appendectomy Preop: NPO, IV fluids, IV antibiotics Cefoxitin (1-2gms) Cefazolin (2g if 120kg) PCN and Cephalosporin allergy Clindamycin 900mg plus Gentamycin 5mg/kg  Less likely to present with classic appendicitis signs  Due to the enlarging uterus, McBurney’s Point may be located more toward/


Nursing Care of the Child with Gastrointestinal Disorders Ann Hearn RNC, MSN Spring 2009.

viscera outside the abdominal cavity through a defect in the abdominal wall to the side of the umbilicus. Not covered. Treatment and Nursing Care Pre-operatively – focus is on protection of the contents / sac. Cover with warm, sterile, saline-soaked dressings over /reduction Laparoscopic Surgery Laparoscopic Surgery Nursing Care: NPO- NG tube, IV NPO- NG tube, IV Assess – V/S, pain Assess – V/S, pain Monitor stools Monitor stools Re-introduce food Re-introduce food Appendicitis Inflammation of the lumen of/


M.N.Priyadarshanie BSc. In Nursing.  Specific to the nursing profession  A framework for critical thinking  It’s purpose is to: “Diagnose and treat.

in the morning. She complained of loss of appetite since last wk and complained right site abdominal pain. His BP was 140/90mmHg and HR was 102bt /mint, RR- 22brt/mnt. Wt- 40kg. After complete assessment and USS result taking, Dr. diagnosed as Appendicities is the problem with the patient. Arrange 3 complete nursing care plans.  45 years woman admitted to a hospital c/o severe/


Clinical Pathways and Variance Analysis

non-traumatic) Chest pain Pneumonia (in adults and children) Normal birth Acute appendicitis Acute diarrhea (in adults and children) Coronary artery bypass graft procedure Sepsis alert Parts of a Clinical Pathway Pathway title Inclusion and exclusion criteria Patient’s information Physician’s /a progress note (SOAP) is written by the MD outlining the patient’s new plan of care and new orders. A new nursing plan of care is also written. The pathway is then filed in the patient record. Keys to pathway success/


Gasrointestinal Disorders In Infants and Children

; stool studies Disorders in Children Appendicitis: Inflammation and obstruction of blind sac at end of cecum Results in ischemia; gangrene; perforation and peritonitis Causes: include: infections, dietary intake, constipation and parasites Common in school age children/of orange juice before soccer practice. TEST QUESTIONS 15. A home care nurse is teaching an adolescent with type 1 diabetes mellitus about insulin administration and rotation sites. Which statement if made by the adolescent, would indicate/


An Overview of the U.S. Health Care System Chart Book

2005 Note: Not seasonally adjusted. Health Care Employment includes those who work in ambulatory health care services, hospitals, and nursing and residential care facilities. Source: Kaiser Family Foundation, Trends and Indicators in the Changing Health Care Marketplace, 2006 Chartbook. Centers for / from total length of stay Average Length of Stay- In-Patient Acute Average Length of Stay- Appendicitis* *2003 Data.; **2002 data ***no data available Countries are listed alphabetically. Data Expressed in Days/


SecBG-1 CSE 333 Security Concepts and Capabilities Prof. Steven A. Demurjian, Sr. Computer Science & Engineering Department The University of Connecticut.

care professionals (e.g., Nurses vs. Physicians vs. Administrators, etc.) require select access to sensitive patient data  Physician’s Write Scripts  Nurses Enter Patient Data (Vitals + History)  All Access Shared Medical Record  Access is Limited Based on Role SecBG-43 CSE 333 public class PatientRecord { private: Data/Methods as Needed; public: write_medical_history(); write_prescription(); get_medical_history(); get_diagnosis(); set_payment_mode(); etc… For MDs and Nurses/ Write, Append, and Execute /


JP Pretorius Principal Specialist Surgeon Dept of Surgery and Division of Intensive Care University of Pretoria & Pretoria Academic Hospital PROPHYLACTIC.

> 24hrs Similarly Class 2 evidence that antibiotics are necessary for 24hrs or less for acute or gangrenous appendicitis and cholecystitis without perforation or infected peritoneal fluid Andaker Acta Chir Scand !987 Schein Br J Surg 1994 Patient/Patient Characteristics AB treament Contact with healthcare system A BC 1.No contact 2.Contact with health care ( e.g. recent admission, nursing home, dialysis) without invasive procedures 3.Long hospitalisation/ invasive procedures 1.No treatment 2.Recent /


1 Chapter 11 Admission, Discharge, Transfer, and Referrals.

therapeutic regimen management Loneliness. Decrease privacy. 6 Types of Admissions TypeExplanationExample 1.In patientLength of stay generally more than 24 hours Acute appendicitis, acute pneumonia. a)Planned (non urgent) Is scheduled in advanceElective surgery b)Emergency admission Unplanned, stabilized in emergency department and transferred to nursing care unit Unrelieved abdominal or chest pain c)Direct admissionUnplanned, emergency department bypassed Acute condition as prolonged vomiting/


Children’s nursing in the UK An historical background.

have been achieved through the adoption of a scientific system of cleanliness’. Ashdown, A. M. (1927). A complete system of nursing. London, Waverley Book Company Ltd. Science and professionalism ‘… we went by the textbooks. If for example a person comes in with appendicitis and they had to go to theatre. We would do the observations, we took their history, they were premeded, we went/


CASE PRESENTATION ON PREECLAMPSIA. Company Logo CONTENTS Objectives 1 Introduction 2 Patient’s Profile 4 Nursing Health History 5 Statistics 3.

increase reabsorption in tubules increase sodium and water retention edema increase glumerular permeability proteinuria NURSING CARE PLAN AssessmentDiagnosisPlanningInterventionsRationale Evaluation Subjective:  “/and seizures GI; dry mouth, reflux, constipation GU; urinary retention RESPIRATORY : wheezing, dyspnea, chest tightness  WARNING: Determine and treat underlying cause of vomiting. Drug may mask signs and symptoms of serious conditions, such as brain tumor, intestinal obstruction, or appendicitis/


Medical Surgical Nursing I Unit III: Perioperative Care Pre, Intra and Post operative nursing care Dr. J.C. HELEN SHAJI, Ph.D(N) Asst.Prof of Medical Surgical.

Nursing Caring for perioperative clients Contents Outline 1.Objectives. 2.Introduction. 3.Phases of perioperative care. 4.Types of surgery. 5.Categories of surgery based on urgency. 6.Preoperative assessment. 7.Surgical risk factors. 8.Preoperative preparation. 9.Nursing diagnosis and intervention in preoperative phase. 10.Postoperative care. 11.Nursing diagnosis and/to 48 hours (eg, some cancers, acute gallbladder infection and appendicitis, Kidney stones). 5. Emergency surgery: describes procedures that /


I have no relevant financial relationships with the manufacturers of any commercial products and/or provider of commercial services discussed in this CME.

can be appended to a preventative medicine code -25 Modifier  Many private plans will require a modifier 25 appended to the preventative care code  Ask me about the -59 Modifier CPT Code 96111  Is for extended developmental testing and does /30 min. 99379-Nursing Facility patient<30 min. 99380-“ “>30 min. Nursing Facility Discharge Services: 99315-Discharge Day Management<30 min. 99316-““>30 min. And now…  99339-40, the opportunity for case management for those children NOT under the care of a home /


Antonio E. Puente University of North Carolina Wilmington

2006 Coding Tip (AMA CPT Assistant, November, 2006) “If the service is provided is less than one hour, append Modifier 52, Reduced Services. After one hour has been completed, time is rounded.” “It is not unusual that the assessments may include testing /4/15/2017 E & M Time When counseling and/or coordination of care dominates (more than 50%) the encounter (face-to-face time in the office or other outpatient setting or floor/unit time in the hospital or nursing facility), then time is the key or controlling /


Clinical Programme – Standards and Inspection. The Standards Section B B 1. General - programme size and organisation B 2. Clinical Unit Facilities B.

fluids etc  Provisions for prompt evaluation and treatment by a transplant consultant/senior physician available on a 24-hour basis.  Nurses experienced in the care of transplant patients.  A nurse/patient ratio satisfactory to cover the severity / infrequent audits Common problems with Clinical Programme SOPS SOPs –references not included –examples of forms and labels not appended to SOPs –SOPs not reviewed annually Inadequate document control deviations from SOPs not documented Common Problems/


John R. Stone, MD, PhD Center for Health Policy and Medicine – October 2009.

and Organization  Effectiveness  Cancer  Diabetes  End Stage Renal Disease (ESRD)  Heart Disease  HIV and AIDS  Maternal and Child Health  Mental Health and Substance Abuse  Nursing Home, Home Health, and Hospice Care  Patient Safety  Timeliness  Patient Centeredness  Access to Health Care/ to care in emergency room appendicitis patients? Med Care. 2008; 46(4):417-422 Breslin TM, Morris AM, Gu N, et al. Hospital factors and racial disparities in mortality after surgery for breast and colon /


INTRODUCTION TO CPT PART THREE Chapter 7 McGraw-Hill/IrwinCopyright © 2009 by The McGraw-Hill Companies, Inc. All rights reserved. CPT: Evaluation and.

patients that are not critically ill but continue to require intensive observation, frequent interventions and other intensive services. 7-48 NURSING FACILITY SERVICES 99304-99306 Initial nursing facility care Per day Three key components These codes are an exception to the roll-up /same date. All procedures include some E/M services To append the modifier 25, the E/M service must go beyond the procedural E/M services. 7-69 NEWBORN CARE Newborn resuscitation 99440 This codes represents the services of a /


Immunization Coding 2010 The Basics and Beyond Richard H. Tuck, MD, FAAP.

Critical ! THE KEY preventive mission for primary care physicians THE KEY preventive mission for primary care physicians –Evidence Based –Maintains the Public Health /and Immunization Administration” www.cispimmunize.org Billing for Vaccine Administration Reimbursement for administration should cover Reimbursement for administration should cover –Needle and syringe –Nurse/M Codes (99201-99215) »Payers may require modifier –25 be appended to E/M visit code –Vaccine Product Codes –Vaccine Administration Codes/


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