Electrophysiological studies were conducted on a NIHON KOHDEN
Electrophysiological studies were conducted on a NIHON KOHDEN
Lumbar Spine Tenderness with palpation over Left lumbar region; CN II- CN XII grossly intact; Normal reflexes, + 5 strength to lower and upper extremities, +3 pulses…
The patient is currently here for initial assessment of suspected OSA. Split night protocol was explained upon arrival. The patient was very sleepy upon arrival. Lights off at 2114. Right quiet 91% 2120 Light snores 2145…
Mr. Jetke had completed an Independent Medical Evaluation (IME) and a clarification addendum was received by the claims adjuster, Rachel Ryke. Mrs. Ryke has now recommended case management to proceed with closure, as the IME physician does not feel that surgery is related to his work related injury, but rather it is degenerative in nature/aging process of the shoulder. No further treatment is needed pertaining to his work incident. .…
Protection of Human Subjects. After receiving approval from Baptist Hospital and University of Florida IRB committees data collection began. Data was gathered by Tanya Warner, DNP student and employee of Baptist Hospital. Data was kept in Tanya Warner’s office on campus at Baptist Hospital. Computer data and patient’s medical records were password protected.…
This writer informed the patient that this writer was in fact in receipt of her missed phone detailing about running late to her sessions. The patient reports she cannot stay for a full session because she has to be at work by 9:30am. This writer immediately addressed with the patient about the need for the early dosing card as the patient has been dosing after 7am and the early dosing card will have to eliminated if the patient is not utlizing it. The patient agreed to return the early dosing card and/or change her status based on her work schedule. Furthermore, the patient requested to increase her dose again due to relapsing two days ago, heroin-2 bags by IV.…
On 10/31/2016, the claimant complained of neck and upper back discomfort. She also presented with a low back pain. According to the provider, to restore a normal function and increased the range of motion, continued exercise was suggested. On 11/14/2016, the claimant presented with a low back pain and neck soreness.…
Thoracic outlet syndrome (TOS) remains a challenging, controversial, and often misunderstood and misdiagnosed upper extremity disorder. Although TOS symptoms can be initiated by compromise of both neural and vascular structures, over 90% of all TOS cases are of neurogenic origin. Optimum recognition, diagnosis, and management of neurogenic thoracic outlet syndrome (NTOS) must begin with an understanding of the underlying cause of the neural compression or tension. Neurogenic thoracic outlet syndrome (NTOS) is a compromise of the brachial plexus, caused by anterior scalene musculature, congenital fibrosis, congenital abnormalities, such as the occurrence of a cervical rib, or a clavicular deformity.…
Health Law’s Eight New Changes HC1: In September of 2010, under the implementation of the Affordable Care Act, the government made eight new changes to its health laws (Carey, 2010). These changes have affected Americans in different ways, depending on the insurance coverage that each individual has (Carey, 2010). The ACA included changes such as raising the age requirement for children on their parent’s insurance plan to twenty-six, prohibiting insurers from denying children coverage due to a pre-existing medical condition,, and prohibiting insurers from canceling an individual’s coverage due to sickness (Carey, 2010). Insurers also cannot charge co-pays for preventative services such as cancer screenings and the individuals get the right to choose their primary physicians and specialists, not the insurer (Carey, 2010).…
The studies of CTE have a huge limitation because they have a lack of operational criteria to confirm either a clinical or pathological diagnosis of CTE (Gardner). This horrible disease…
The study conducted by Cleeland, Gonin, Hatfield, et al., included 1,308 patients with previously diagnosed recurrent or metastatic cancer who had undergone surgery more than 30 days from the onset of the study. The patients came from a total of 54 facilities: 12 university cancer centers (267 patients); 12 community-based hospitals and practices (382 patients); and 30 community clinical oncology programs (659 patients). Group 1 – Patients Patients completed the Brief Pain Inventory at the time of a regular appointment. Patients were asked to rate several types of pain on a scale of 0 to 10. (0 being the “no pain” and 10 being “pain as bad as you can imagine.”)…
on 2-12-14. Information was obtained largely from the patient, patient's wife and supplemented with assessment findings from the patient’s chart. The student nurse found the patient to be within the normal range for his age in the body systems of skin, hair, and nails, head, eyes, ears, sinuses, and nose, breast, genital. The patient also was found to be in the normal range for his age in his sleeping and rest patterns (Jarvis,…
One of the most popular subjects on the big screen and television that takes our attention very often, is a form of memory loss known as amnesia. People refer to amnesia usually as a mental illness that makes you forget everything about the past. But that is not right, and it is not wrong either. Yes, amnesia has to do with memory loss, but that does not mean that if a person is diagnosed with amnesia he/she will not remember anything at all from the past. Forgetting everything is only the primary aspect of amnesia.…
A 27-year-old electrician is describing symptoms that do not meet the full criteria for any of the disorders in the anxiety disorders diagnostic class of the Diagnostic Statistical Manual of Mental Disorders (5th ed. ; DSM-5; American Psychiatric Association [APA], 2013); therefore, a diagnosis of other specified anxiety disorder is appropriate. However, it should be noted that the symptoms described are highly characteristic of generalized anxiety disorder (GAD) and meet 5 out of the 6 criteria for GAD. More information or further development is needed to determine if the client has GAD. For one, the client claims that he has many worries—e.g., worries that involve the health of his parents and his social approval level at work.…
Nurse’s role is to care for the patients, support and recovery them from disease or any medical condition they came with and improving their quality of lives and get them back to community to function as normal. But not always things go smoothly as planed. Nurses work with other multi-disciplinary team to achieve the goal. Nurses encounter loads of ups and downs therefore Nurses have an immense responsibility to recognizing and rescuing the deteriorating patients. It’s a challenging work, which comes with plenty of clinical experiences and great deal of knowledge.…
Obstructive Sleep Apnea is a condition where respiration stops for an extended period of time during sleep. This is generally caused by excessive relaxation of the soft tissues of the oropharynx and muscles of facial expression and mastication obstructing the airway. It has been theorized that the potentially life threatening Obstructive Sleep Apnea Syndrome (OSAS), directly and indirectly influences Periodontal disease. Literature Review Signs and symptoms of OSAS consist of snoring, abrupt awakening from sleep, apneic periods witnessed by a sleep partner, dry mouth, sore throat, and excessive daytime sleepiness.…