An older client with ischemic heart disease has experienced an episode of dizziness and shortness of breath. The nurse reviews the plan of care and notices documentation of decreased cardiac output, dyspnea, and syncopal episodes. The nurse plans to take which important action? - correct answer...
The diagnosis of diastolic heart failure (DHF) can be made when a patient has both symptoms and signs on physical exam of congestive heart failure (CHF), and normal left ventricular volume and ejection fraction. Documentation of abnormal diastolic function is confirmatory but not mandatory. Diastoli...
Questionnaires are reviewed at first visit with nurse practitioner (NP1) and CV pertinent physical exam is performed. Between NP1 visit and NP2 visit, an integrative team meets to develop a personalized TLC plan. At NP2, results of tests and TLC plan are reviewed with the patient. The half...
Subsequently, the International Standard on documentation of remaining Autonomic Function after SCI was established in 2012, which is to be used as an adjunct to the ISNCSCI exam. The autonomic nervous system is responsible, solely, or in part, for regulation of many physiological processes and ...
Performance Measure B-3d—Individualized Assessment of Physical Activity Habits For each eligible patient enrolled in the cardiac rehabilitation/secondary prevention (CR) program, there is documentation that the following criteria have been met: 1. An assessment of current physical activity habits. 2. ...
Database management and related processes, including anonymization, security, back-ups, documentation, and data checks and corrections, are documented in detail. The descriptive analyses of baseline data presented in this paper are based in means and standard deviations for continuous variables and ...
6.3 Documentation of training 6.3.1 Level 1 training – Logbook The log-book should be composed of: • a set of copies of signed reports enclosed in a folder or binder • all reports submitted will carry the signature of the trainee & supervisor ...
Sohn S, Wang Y, Wi CI, Krusemark EA, Ryu E, Ali MH, Juhn YJ, Liu H (2017) Clinical documentation variations and NLP system portability: a case study in asthma birth cohorts across institutions. J Am Med Inform Assoc 25(3):353–359 Van Such M et al (2017) Extent of diagnostic ...
For example, the data documentation format from the section "examination" is shown in Table 1. Here, 2017–2018 data documentation has been picked from the NHANES database. Table 1. Data documentation of blood pressure, an example from NHANES [73]. Variable Name SEQN Description Respondent ...
Since physical exam in this condition may be misleading, echocardiography serves as the cornerstone for diagnosis. The case below illustrates aorto-left atrial fistula formation following redo aortic valve surgery with slowly progressive symptoms of heart failure. A brief review of the existing ...