Week 13 resp theor | Nursing homework help

200 words

1 reference within 5 years

1. Jorge

Post-operative care is the medical care given to a patient after surgery. Nurses perform a variety of tasks during the post-operative care process. The main objectives of post-operative care are to promote wound healing, avoid post-operative complications like infections, and possibly help patients regain their health (Jung & Chung, 2020). Post-operative care gives patients who have had medical surgery pain relief, as stated in its definition. As part of the post-operative aftercare procedures, it is made sure that patients are comfortable wherever they may be. The process includes planning, intervention, and outcome evaluation. Patients require treatment after surgery, including during the operation and while recovering in the Post Anesthesia Care Unit (Mani, Mani, Sachdeva, Sodhi, Vora & Gholap, 2021). The PACU receives a patient immediately after surgery. The nurse should update the patient’s condition in the room. The patient’s level of consciousness and the health of their airways must be determined at this point. These duties entail watching for any nausea or vomiting symptoms, keeping an eye on the patient’s body temperature, and ensuring the tube drains appropriately. The kind of procedure, how long it takes, the patient’s level of consciousness, and the degree of regional anesthesia all affect how long a patient can stay in the PACU.

Patients require sufficient information regarding post-operative care and how it will be taken. If they experience pain, painkillers may also be used to treat them. Nurses will need to continue monitoring the patient’s condition throughout this phase to guarantee that the dressing is appropriate, drainage is being monitored, and no infections are present. The nurse in charge of patient monitoring must follow the surgeon’s instructions after the hospitalized patient is transferred from the PACU. The incision, drainage tubes, respiratory status, pain status, and other significant signs of post-operative outcomes should be evaluated every one to two hours for at least the first eight hours (Thackeray & Miller, 2019). The state of the respiratory system is evaluated in addition to fluid intake and output, a review of lung sounds, and a chest excursion.

Immediate pain management is crucial to avoid post-operative complications. A common side effect of surgery before and after the procedure is acute psychological anxiety. Anxiety plays a significant role in human development from conception to death and serves as a vital source of energy for both biological and emotional growth (McCarthy, Zhang, Soliz & Lovinaria, 2020). This ensures that the patient leaves the hospital in good condition following surgery because they are only allowed to leave the PACU when they meet predetermined criteria for discharge, as determined by a scale. This ensures the patient’s safety throughout the entire procedure.

References

Jung, J., & Chung, Y. (2020). Effects of combining both mobilization and hold-relax technique on the function of post-surgical patients with shoulder adhesive capsulitis. Physical Therapy Rehabilitation Science, 9(2), 90-97.

Mani, A., Mani, S., Sachdeva, S., Sodhi, J. K., Vora, H. R., & Gholap, S. (2021). Post-surgical care in surgical periodontics. IP International Journal of Periodontology and Implantology, 6(2), 74-78.

McCarthy, K., Zhang, W., Soliz, J., & Lovinaria, D. (2020). Pancreatic surgery in cancer patients: post-surgical care. Oncologic critical care, 1809-1823.

Thackeray, A., & Miller, C. (2019). The Management of Post-Surgical Orthopedic Conditions in the Older Adult. Guccione’s Geriatric Physical Therapy E-Book, 453.

2. Gladis

The Theory of Comfort was initiated during the 1990s. It is a nursing theory for clinical practice, academic research, and clinical instruction. From her perspective, providing patient comfort involves providing a sense of alleviation, ease, and transcendence. There are comforts available on multiple levels, including the physical, psychological, spiritual, and environmental. The model implies that experiencing a sense of comfort is a consequence that is both desirable and immediate after receiving nursing care. This theory was the culmination of her work on the subject. Because of this, the idea was eventually developed. According to Kolcaba, comfort is the result of practicing holistic nursing. In this approach, nursing is responsible for determining a patient’s comfort needs, developing and executing nursing care plans, and assessing the patient’s level of satisfaction with those plans. Assessing a patient’s comfort needs, formulating a plan to address those needs, and then reevaluating the patient’s degree of comfort are all part of nursing. The evaluation could be objective or subjective, such as monitoring the patient’s wound healing or inquiring whether they are experiencing discomfort. Kolcaba’s theory of comfort. Nursing Theory. (2019)

A care strategy is developed for patients after a nurse determines their comfort requirements through an assessment. As a patient’s comfort demands evolve, the nurse’s interventions will shift accordingly. This makes it easier for nurses to provide care and comfort for their patients. A sufferer’s emotional and mental health can improve with comfort. Kolcaba’s Comfort Theory. (2018). Medication can be used to alleviate pain. The patient’s comfort is directly correlated to both their physical setting and their mental condition. When a patients’ anxiety is addressed, they report feeling better. The patient has a sense of transcendence and comfort as they overcome obstacles in their care and recovery.

Even though this theory has been researched as a holistic outcome, the term “comfort” has not yet been defined within nursing. The research here takes an interactional point of view to develop a theory of nursing comfort. A model of the human body connects (a) actions that enhance comfort and (b) the outcomes of nursing care. The significance of comfort theory in nursing practice is the final topic covered in this article. Kolcaba, K. (1994)

References

Kolcaba’s theory of comfort. Nursing Theory. (2019, August 21). Retrieved November 23, 2022, from https://nursing-theory.org/theories-and-models/kolcaba-theory-of-comfort.php

Katharine Kolcaba – Nursing Theory. (n.d.). Nursing Theory. Retrieved November 23, 2022, from https://nursing-theory.org/nursing-theorists/Katharine-Kolcaba.php

Kolcaba’s Comfort Theory. (2018, September 9). Kolcaba’s Comfort Theory | Nursology. Retrieved November 23, 2022, from https://nursology.net/nurse-theories/kolcabas-comfort-theory/

Kolcaba, K. (1994). A theory of comfort for nursing. Journal of Advanced Nursing, 19, 1178 1184.

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July 1, 2023

WAlden University, LLC

Student Name

College of Nursing-PMHNP, Walden University

NRNP 6675: PMHNP Care Across the Lifespan II

Faculty Name

Assignment Due Date

Pathways Mental Health

Psychiatric Patient Evaluation

Instructions

Use the following case template to complete Week 2 Assignment 1. On page 5, assign DSM-5 and ICD-10 codes to the services documented. You will add your narrative answers to the assignment questions to the bottom of this template and submit altogether as one document.

Identifying Information

Identification was verified by stating of their name and date of birth.

Time spent for evaluation: 0900am-0957am

Chief Complaint

“My other provider retired. I don’t think I’m doing so well.”

HPI

25 yo Russian female evaluated for psychiatric evaluation referred from her retiring practitioner for PTSD, ADHD, Stimulant Use Disorder, in remission. She is currently prescribed fluoxetine 20mg po daily for PTSD, atomoxetine 80mg po daily for ADHD.

Today, client denied symptoms of depression, denied anergia, anhedonia, amotivation, no anxiety, denied frequent worry, reports feeling restlessness, no reported panic symptoms, no reported obsessive/compulsive behaviors. Client denies active SI/HI ideations, plans or intent. There is no evidence of psychosis or delusional thinking. Client denied past episodes of hypomania, hyperactivity, erratic/excessive spending, involvement in dangerous activities, self-inflated ego, grandiosity, or promiscuity. Client reports increased irritability and easily frustrated, loses things easily, makes mistakes, hard time focusing and concentrating, affecting her job. Has low frustration tolerance, sleeping 5–6 hrs/24hrs reports nightmares of previous rape, isolates, fearful to go outside, has missed several days of work, appetite decreased. She has somatic concerns with GI upset and headaches. Client denied any current binging/purging behaviors, denied withholding food from self or engaging in anorexic behaviors. No self-mutilation behaviors.

Diagnostic Screening Results

Screen of symptoms in the past 2 weeks:

    PHQ 9 = 0 with symptoms rated as no difficulty in functioning
    Interpretation of Total Score
    Total Score Depression Severity 1-4 Minimal depression 5-9 Mild depression     10-14 Moderate depression 15-19 Moderately severe depression 20-27 Severe     depression

    GAD 7 = 2 with symptoms rated as no difficulty in functioning
    Interpreting the Total Score:
    Total Score Interpretation ≥10 Possible diagnosis of GAD; confirm by     further evaluation 5 Mild Anxiety 10 Moderate anxiety 15 Severe     anxiety

MDQ screen negative

PCL-5 Screen 32

Past Psychiatric and Substance Use Treatment

· Entered mental health system when she was age 19 after raped by a stranger during a house burglary.

· Previous Psychiatric Hospitalizations: denied

· Previous Detox/Residential treatments: one for abuse of stimulants and cocaine in 2015

· Previous psychotropic medication trials: sertraline (became suicidal), trazodone (worsened nightmares), bupropion (became suicidal), Adderall (began abusing)

· Previous mental health diagnosis per client/medical record: GAD, Unspecified Trauma, PTSD, Stimulant use disorder, ADHD confirmed by school records

Substance Use History

Have you used/abused any of the following (include frequency/amt/last use):

Substance

Y/N

Frequency/Last Use

Tobacco products

ETOH

last drink 2 weeks ago, reports drinks 1-2 times monthly one drink socially

Cannabis

Cocaine

last use 2015

Prescription stimulants

last use 2015

Methamphetamine

Inhalants

Sedative/sleeping pills

Hallucinogens

Street Opioids

Prescription opioids

Other: specify (spice, K2, bath salts, etc.)

reports one-time ecstasy use in 2015

Any history of substance related:

· Blackouts: +

· Tremors: -

· DUI: -

· D/T's: -

· Seizures: -

Longest sobriety reported since 2015—stayed sober maintaining sponsor, sober friends, and meetings

Psychosocial History

Client was raised by adoptive parents since age 6; from Russian orphanage. She has unknown siblings. She is single; has no children.

Employed at local tanning bed salon

Education: High School Diploma

Denied current legal issues.

Suicide / HOmicide Risk Assessment

RISK FACTORS FOR SUICIDE:

· Suicidal Ideas or plans - no

· Suicide gestures in past - no

· Psychiatric diagnosis - yes

· Physical Illness (chronic, medical) - no

· Childhood trauma - yes

· Cognition not intact - no

· Support system - yes

· Unemployment - no

· Stressful life events - yes

· Physical abuse - yes

· Sexual abuse - yes

· Family history of suicide - unknown

· Family history of mental illness - unknown

· Hopelessness - no

· Gender - female

· Marital status - single

· White race

· Access to means

· Substance abuse - in remission

PROTECTIVE FACTORS FOR SUICIDE:

· Absence of psychosis - yes

· Access to adequate health care - yes

· Advice & help seeking - yes

· Resourcefulness/Survival skills - yes

· Children - no

· Sense of responsibility - yes

· Pregnancy - no; last menses one week ago, has Norplant

· Spirituality - yes

· Life satisfaction - “fair amount”

· Positive coping skills - yes

· Positive social support - yes

· Positive therapeutic relationship - yes

· Future oriented - yes

Suicide Inquiry: Denies active suicidal ideations, intentions, or plans. Denies recent self-harm behavior. Talks futuristically. Denied history of suicidal/homicidal ideation/gestures; denied history of self-mutilation behaviors

Global Suicide Risk Assessment: The client is found to be at low risk of suicide or violence, however, risk of lethality increased under context of drugs/alcohol.

No required SAFETY PLAN related to low risk

Mental Status Examination

She is a 25 yo Russian female who looks her stated age. She is cooperative with examiner. She is neatly groomed and clean, dressed appropriately. There is mild psychomotor restlessness. Her speech is clear, coherent, normal in volume and tone, has strong cultural accent. Her thought process is ruminative. There is no evidence of looseness of association or flight of ideas. Her mood is anxious, mildly irritable, and her affect appropriate to her mood. She was smiling at times in an appropriate manner. She denies any auditory or visual hallucinations. There is no evidence of any delusional thinking. She denies any current suicidal or homicidal ideation. Cognitively, She is alert and oriented to all spheres. Her recent and remote memory is intact. Her concentration is fair. Her insight is good.

Clinical Impression

Client is a 25 yo Russian female who presents with history of treatment for PTSD, ADHD, Stimulant use Disorder, in remission.

Moods are anxious and irritable. She has ongoing reported symptoms of re-experiencing, avoidance, and hyperarousal of her past trauma experiences; ongoing subsyndromal symptoms related to her past ADHD diagnosis and exacerbated by her PTSD diagnosis. She denied vegetative symptoms of depression, no evident mania/hypomania, no psychosis, denied anxiety symptoms. Denied current cravings for drugs/alcohol, exhibits no withdrawal symptoms, has somatic concerns of GI upset and headaches.

At the time of disposition, the client adamantly denies SI/HI ideations, plans or intent and has the ability to determine right from wrong, and can anticipate the potential consequences of behaviors and actions. She is a low risk for self-harm based on her current clinical presentation and her risk and protective factors.

Diagnostic Impression

[Student to provide DSM-5 and ICD-10 coding]

Double click inside this text box to add/edit text. Delete placeholder text when you add your answers.

Treatment Plan

1) Medication:

· Increase fluoxetine 40mg po daily for PTSD #30 1 RF

· Continue with atomoxetine 80mg po daily for ADHD. #30 1 RF

Instructed to call and report any adverse reactions.

Future Plan: monitor for decrease re-experiencing, hyperarousal, and avoidance symptoms; monitor for improved concentration, less mistakes, less forgetful

2) Education: Risks and benefits of medications are discussed including non-treatment. Potential side effects of medications discussed. Verbal informed consent obtained.

Not to drive or operate dangerous machinery if feeling sedated.

Not to stop medication abruptly without discussing with providers.

Discussed risks of mixing medications with OTC drugs, herbal, alcohol/illegal drugs. Instructed to avoid this practice. Praised and Encouraged ongoing abstinence. Maintain support system, sponsors, and meetings.

Discussed how drugs/ETOH affects mental health, physical health, sleep architecture.

3) Patient was educated about therapy and services of the MHC including emergent care. Referral was sent via email to therapy team for PET treatment.

4) Patient has emergency numbers: Emergency Services 911, the national Crisis Line 800-273-TALK, the MHC Crisis Clinic. Patient was instructed to go to nearest ER or call 911 if they become actively suicidal and/or homicidal.

5) Time allowed for questions and answers provided. Provided supportive listening. Patient appeared to understand discussion and appears to have capacity for decision making via verbal conversation.

6) RTC in 30 days

7) Follow up with PCP for GI upset and headaches, reviewed PCP history and physical dated one week ago and include lab results

Patient is amenable with this plan and agrees to follow treatment regimen as discussed.

Narrative Answers

[In 1-2 pages, address the following:

· Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding.

· Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.

· Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.]

Add your answers here. Delete instructions and placeholder text when you add your answers.

References

[Add APA-formatted citations for any sources you referenced]

Delete instructions and placeholder text when you add your citations.

July 1, 2023

WAlden University, LLC

Student Name

College of Nursing-PMHNP, Walden University

NRNP 6675: PMHNP Care Across the Lifespan II

Faculty Name

Assignment Due Date

Pathways Mental Health

Psychiatric Patient Evaluation

Instructions

Identifying Information

Identification was verified by stating of their name and date of birth.

Time spent for evaluation: 0900am-0957am

Chief Complaint

“My other provider retired. I don’t think I’m doing so well.”

HPI

Diagnostic Screening Results

Screen of symptoms in the past 2 weeks:

MDQ screen negative

PCL-5 Screen 32

Past Psychiatric and Substance Use Treatment

· Entered mental health system when she was age 19 after raped by a stranger during a house burglary.

· Previous Psychiatric Hospitalizations: denied

· Previous Detox/Residential treatments: one for abuse of stimulants and cocaine in 2015

· Previous psychotropic medication trials: sertraline (became suicidal), trazodone (worsened nightmares), bupropion (became suicidal), Adderall (began abusing)

· Previous mental health diagnosis per client/medical record: GAD, Unspecified Trauma, PTSD, Stimulant use disorder, ADHD confirmed by school records

Substance Use History

Have you used/abused any of the following (include frequency/amt/last use):

Substance

Y/N

Frequency/Last Use

Tobacco products

ETOH

last drink 2 weeks ago, reports drinks 1-2 times monthly one drink socially

Cannabis

Cocaine

last use 2015

Prescription stimulants

last use 2015

Methamphetamine

Inhalants

Sedative/sleeping pills

Hallucinogens

Street Opioids

Prescription opioids

Other: specify (spice, K2, bath salts, etc.)

reports one-time ecstasy use in 2015

Any history of substance related:

· Blackouts: +

· Tremors: -

· DUI: -

· D/T's: -

· Seizures: -

Longest sobriety reported since 2015—stayed sober maintaining sponsor, sober friends, and meetings

Psychosocial History

Client was raised by adoptive parents since age 6; from Russian orphanage. She has unknown siblings. She is single; has no children.

Employed at local tanning bed salon

Education: High School Diploma

Denied current legal issues.

Suicide / HOmicide Risk Assessment

RISK FACTORS FOR SUICIDE:

· Suicidal Ideas or plans - no

· Suicide gestures in past - no

· Psychiatric diagnosis - yes

· Physical Illness (chronic, medical) - no

· Childhood trauma - yes

· Cognition not intact - no

· Support system - yes

· Unemployment - no

· Stressful life events - yes

· Physical abuse - yes

· Sexual abuse - yes

· Family history of suicide - unknown

· Family history of mental illness - unknown

· Hopelessness - no

· Gender - female

· Marital status - single

· White race

· Access to means

· Substance abuse - in remission

PROTECTIVE FACTORS FOR SUICIDE:

· Absence of psychosis - yes

· Access to adequate health care - yes

· Advice & help seeking - yes

· Resourcefulness/Survival skills - yes

· Children - no

· Sense of responsibility - yes

· Pregnancy - no; last menses one week ago, has Norplant

· Spirituality - yes

· Life satisfaction - “fair amount”

· Positive coping skills - yes

· Positive social support - yes

· Positive therapeutic relationship - yes

· Future oriented - yes

Global Suicide Risk Assessment: The client is found to be at low risk of suicide or violence, however, risk of lethality increased under context of drugs/alcohol.

No required SAFETY PLAN related to low risk

Mental Status Examination

Clinical Impression

Client is a 25 yo Russian female who presents with history of treatment for PTSD, ADHD, Stimulant use Disorder, in remission.

Diagnostic Impression

[Student to provide DSM-5 and ICD-10 coding]

Double click inside this text box to add/edit text. Delete placeholder text when you add your answers.

Treatment Plan

1) Medication:

· Increase fluoxetine 40mg po daily for PTSD #30 1 RF

· Continue with atomoxetine 80mg po daily for ADHD. #30 1 RF

Instructed to call and report any adverse reactions.

Future Plan: monitor for decrease re-experiencing, hyperarousal, and avoidance symptoms; monitor for improved concentration, less mistakes, less forgetful

2) Education: Risks and benefits of medications are discussed including non-treatment. Potential side effects of medications discussed. Verbal informed consent obtained.

Not to drive or operate dangerous machinery if feeling sedated.

Not to stop medication abruptly without discussing with providers.

Discussed how drugs/ETOH affects mental health, physical health, sleep architecture.

3) Patient was educated about therapy and services of the MHC including emergent care. Referral was sent via email to therapy team for PET treatment.

5) Time allowed for questions and answers provided. Provided supportive listening. Patient appeared to understand discussion and appears to have capacity for decision making via verbal conversation.

6) RTC in 30 days

7) Follow up with PCP for GI upset and headaches, reviewed PCP history and physical dated one week ago and include lab results

Patient is amenable with this plan and agrees to follow treatment regimen as discussed.

Narrative Answers

[In 1-2 pages, address the following:

· Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding.

· Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.

· Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.]

Add your answers here. Delete instructions and placeholder text when you add your answers.

References

[Add APA-formatted citations for any sources you referenced]

Delete instructions and placeholder text when you add your citations.

July 1, 2023

WAlden University, LLC

Student Name

College of Nursing-PMHNP, Walden University

NRNP 6675: PMHNP Care Across the Lifespan II

Faculty Name

Assignment Due Date

Pathways Mental Health

Psychiatric Patient Evaluation

Instructions

Identifying Information

Identification was verified by stating of their name and date of birth.

Time spent for evaluation: 0900am-0957am

Chief Complaint

“My other provider retired. I don’t think I’m doing so well.”

HPI

Diagnostic Screening Results

Screen of symptoms in the past 2 weeks:

MDQ screen negative

PCL-5 Screen 32

Past Psychiatric and Substance Use Treatment

· Entered mental health system when she was age 19 after raped by a stranger during a house burglary.

· Previous Psychiatric Hospitalizations: denied

· Previous Detox/Residential treatments: one for abuse of stimulants and cocaine in 2015

· Previous psychotropic medication trials: sertraline (became suicidal), trazodone (worsened nightmares), bupropion (became suicidal), Adderall (began abusing)

· Previous mental health diagnosis per client/medical record: GAD, Unspecified Trauma, PTSD, Stimulant use disorder, ADHD confirmed by school records

Substance Use History

Have you used/abused any of the following (include frequency/amt/last use):

Substance

Y/N

Frequency/Last Use

Tobacco products

ETOH

last drink 2 weeks ago, reports drinks 1-2 times monthly one drink socially

Cannabis

Cocaine

last use 2015

Prescription stimulants

last use 2015

Methamphetamine

Inhalants

Sedative/sleeping pills

Hallucinogens

Street Opioids

Prescription opioids

Other: specify (spice, K2, bath salts, etc.)

reports one-time ecstasy use in 2015

Any history of substance related:

· Blackouts: +

· Tremors: -

· DUI: -

· D/T's: -

· Seizures: -

Longest sobriety reported since 2015—stayed sober maintaining sponsor, sober friends, and meetings

Psychosocial History

Client was raised by adoptive parents since age 6; from Russian orphanage. She has unknown siblings. She is single; has no children.

Employed at local tanning bed salon

Education: High School Diploma

Denied current legal issues.

Suicide / HOmicide Risk Assessment

RISK FACTORS FOR SUICIDE:

· Suicidal Ideas or plans - no

· Suicide gestures in past - no

· Psychiatric diagnosis - yes

· Physical Illness (chronic, medical) - no

· Childhood trauma - yes

· Cognition not intact - no

· Support system - yes

· Unemployment - no

· Stressful life events - yes

· Physical abuse - yes

· Sexual abuse - yes

· Family history of suicide - unknown

· Family history of mental illness - unknown

· Hopelessness - no

· Gender - female

· Marital status - single

· White race

· Access to means

· Substance abuse - in remission

PROTECTIVE FACTORS FOR SUICIDE:

· Absence of psychosis - yes

· Access to adequate health care - yes

· Advice & help seeking - yes

· Resourcefulness/Survival skills - yes

· Children - no

· Sense of responsibility - yes

· Pregnancy - no; last menses one week ago, has Norplant

· Spirituality - yes

· Life satisfaction - “fair amount”

· Positive coping skills - yes

· Positive social support - yes

· Positive therapeutic relationship - yes

· Future oriented - yes

Global Suicide Risk Assessment: The client is found to be at low risk of suicide or violence, however, risk of lethality increased under context of drugs/alcohol.

No required SAFETY PLAN related to low risk

Mental Status Examination

Clinical Impression

Client is a 25 yo Russian female who presents with history of treatment for PTSD, ADHD, Stimulant use Disorder, in remission.

Diagnostic Impression

[Student to provide DSM-5 and ICD-10 coding]

Double click inside this text box to add/edit text. Delete placeholder text when you add your answers.

Treatment Plan

1) Medication:

· Increase fluoxetine 40mg po daily for PTSD #30 1 RF

· Continue with atomoxetine 80mg po daily for ADHD. #30 1 RF

Instructed to call and report any adverse reactions.

Future Plan: monitor for decrease re-experiencing, hyperarousal, and avoidance symptoms; monitor for improved concentration, less mistakes, less forgetful

2) Education: Risks and benefits of medications are discussed including non-treatment. Potential side effects of medications discussed. Verbal informed consent obtained.

Not to drive or operate dangerous machinery if feeling sedated.

Not to stop medication abruptly without discussing with providers.

Discussed how drugs/ETOH affects mental health, physical health, sleep architecture.

3) Patient was educated about therapy and services of the MHC including emergent care. Referral was sent via email to therapy team for PET treatment.

5) Time allowed for questions and answers provided. Provided supportive listening. Patient appeared to understand discussion and appears to have capacity for decision making via verbal conversation.

6) RTC in 30 days

7) Follow up with PCP for GI upset and headaches, reviewed PCP history and physical dated one week ago and include lab results

Patient is amenable with this plan and agrees to follow treatment regimen as discussed.

Narrative Answers

[In 1-2 pages, address the following:

· Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding.

· Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.

· Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.]

Add your answers here. Delete instructions and placeholder text when you add your answers.

References

[Add APA-formatted citations for any sources you referenced]

Delete instructions and placeholder text when you add your citations.

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Week 13 resp theor | Nursing homework help

Instructions

Identifying Information

Chief Complaint

HPI

Diagnostic Screening Results

Past Psychiatric and Substance Use Treatment

Substance Use History

Have you used/abused any of the following (include frequency/amt/last use):

Psychosocial History

Suicide / HOmicide Risk Assessment

Mental Status Examination

Clinical Impression

Diagnostic Impression

[Student to provide DSM-5 and ICD-10 coding]

Treatment Plan

Narrative Answers

[In 1-2 pages, address the following:

· Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding.

· Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.

· Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.]

[Add APA-formatted citations for any sources you referenced]

Instructions

Identifying Information

Chief Complaint

HPI

Diagnostic Screening Results

Past Psychiatric and Substance Use Treatment

Substance Use History

Have you used/abused any of the following (include frequency/amt/last use):

Psychosocial History

Suicide / HOmicide Risk Assessment

Mental Status Examination

Clinical Impression

Diagnostic Impression

[Student to provide DSM-5 and ICD-10 coding]

Treatment Plan

Narrative Answers

[In 1-2 pages, address the following:

· Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding.

· Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.

· Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.]

[Add APA-formatted citations for any sources you referenced]

Instructions

Identifying Information

Chief Complaint

HPI

Diagnostic Screening Results

Past Psychiatric and Substance Use Treatment

Substance Use History

Have you used/abused any of the following (include frequency/amt/last use):

Psychosocial History

Suicide / HOmicide Risk Assessment

Mental Status Examination

Clinical Impression

Diagnostic Impression

[Student to provide DSM-5 and ICD-10 coding]

Treatment Plan

Narrative Answers

[In 1-2 pages, address the following:

· Explain what pertinent information, generally, is required in documentation to support DSM-5 and ICD-10 coding.

· Explain what pertinent documentation is missing from the case scenario, and what other information would be helpful to narrow your coding and billing options.

· Finally, explain how to improve documentation to support coding and billing for maximum reimbursement.]

[Add APA-formatted citations for any sources you referenced]

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