In the medical documentation, what does the patient express understanding about?
a. The bruise is hotter than the surrounding skin
b. Her adult daughter's concern about her health
c. The signs and symptoms of a clot and dangers of a deep vein thrombosis
d. The toe pinch test
Question 2
Which of the following selections from the above documentation best reflects the medical decision making?
a. Her adult daughter noticed a large bruise forming on the anterior surface of her lower left leg and encouraged patient to seek medical attention because of her anti-platelet therapy
b. No medical decision making has been documented for this service
c. Patient tripped on an ottoman in her house . . . no reported dizziness or shortness of breath after the fall . . . however, large bruise formed on the anterior surface of her lower left leg. This morning, Edna noticed that her lower left leg was swollen and the bruise was darker and warmer than the surrounding skin
d. Anti-platelet therapy warrants a PT/INR test is important to identify clotting concerns; patient has been educated about the signs and symptoms of a clot and the dangers of deep vein thrombosis
Tattoos and Body Piercings: This patient developed cellulitis from tattoo ink
Patient wearing an abularm
Comparison of Paper Medical Records and Electronic Health Records
A surgeon holds a pacemaker next to an X-ray of a pacemaker implanted in a patient’s chest.
Cyanosis as shown here at the patient’s fingertips results from a lack of oxygen in the tissues
Grief Responses and Patient Verbalization