Patient safety is a factor that should the nurse prioritise when admitting a patient diagnosed with bpd to the in-patient psychiatric unit.
This study examines whether in group situations, cases with frame personality complaint( BPD) entered less humane verbal responses from nurses thannon-BPD cases. nursers' passions toward specific judgments were also examined. Twenty patient groups were observed involving 17 nanny leaders and 164 cases. Responses by the nanny leaders were rated using Heineken's evidence/ Disconfirmation Standing Instrument. The staff response portion of Colson's Hospital Treatment Rating Scale was used to determine nurses' passions toward specific judgments . The study provides some original substantiation that in factual practice situations nurses respond to BPD cases in a lower humane manner than to cases with other judgments .
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which of the following is an anesthetic that would be commonly stockpiled and used during a disaster
Explanation:
A cellular phone network uses towers to
transmit calls. If the equation of the circular area
transmits by the tower is represented by (x-5)2 +
ly-1)2 = 22. Can you identify if you are inside or
outside of the circular area, if your coordinate
location is (6,0)? How about if your location is
(8,2)?
Which Of The Following Syringes Should Be Used To Measure 0.72 ML?
A:5 ml syringe
B:tuberculin syringe
C:3 ml syringe
D:insulin syringe
A tuberculin syringe should be used to measure 0.72 ML. The correct option is B.
What is tuberculin syringe?Tuberculin syringes are devices that include a needle to measure and deliver a specific amount of liquid. They are used to oversee medicines, vaccines, or other substances subcutaneously or intradermally.
A tuberculin syringe should be used to measure 0.72 ML.
Thus, the correct option is B.
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Cautions or contraindications for both loop diuretics and thiazide diuretics are similar, and include all of the following EXCEPT _____.
Cautions or contraindications for both loop diuretics and thiazide diuretics are similar, and include all of the following except hypertension.
The loop diuretics are extremely protein bound and so enter the tube primarily by secretion within the proximal tube, instead of by capillary vessel filtration. The foremost usually used loop diuretics are diuretic, bumetanide, and torsemide, that are antibacterial derivatives.
Thiazide diuretics are counseled joined of the primary drug treatments for the high blood pressure. If diuretics are not enough to lower your blood pressure, your doctor may add different blood pressure medications to your treatment arrange.
Hypertension is a heavy medical condition that considerably will increase the risks of heart, brain, excretory organ and alternative diseases.
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What type of social determinants impact contemporary ethical decision making in Science and Medicine?
Your response should be in-depth and have references/in-text citations (as appropriate) and approximately 1.5 - 2 pages in length or a minimum of 750 words
The type of social determinants impact contemporary ethical decision making in Science and Medicine is ethnicity, socio-economic status, and education.
The relationship between social determinants and ethical decision-making in science and medicine is crucial. Factors such as race and ethnicity can impact how patients receive medical care, how they are treated, and how they perceive their medical care. Socioeconomic status is also a significant determinant of ethical decision-making in science and medicine. Patients from low-income communities may not have access to quality healthcare services, which can impact their medical outcomes. Additionally, individuals with higher education levels are more likely to understand medical treatments, which can lead to better medical outcomes.
The cultural beliefs of patients also have a significant impact on ethical decision-making in science and medicine. A patient’s culture and religion may influence their medical choices, leading to conflicts between patients, healthcare providers, and ethical standards.In conclusion, social determinants play a significant role in ethical decision-making in science and medicine. Healthcare providers must consider these factors when making decisions to provide equitable and just medical care. Therefore, social determinants should be an essential aspect of ethical considerations in medical care.
Reference:Mertz, M., & Allhoff, F. (2020). Social Determinants of Health, Prioritizing Resources, and Fair Allocation. The American Journal of Bioethics, 20(3), 5-15.
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What equipment is generally used to make lyophilized medications suitable for administering to the patient? a) Test tubes or sterile ampules O b) Petri dishes and sterile droppers c) Sterile syringes or graduated cylinders d) Measuring cups and clean, warm water
¿Qué opinas sobre la reforma de la salud en Colombia?
Answer:
?/
Explanation:
1. As a medical professional, with whom are you allowed to share a
patient's medical records according to the Health Insurance
Portability and Accountability Act?
Sarah takes 550 mg of an antibiotic. Every hour, her body breaks down 25% of the remaining drug. How much will be left after 12 hours?.
From the calculations and the information taht we can glean from the question, the mass of the antibiotic left after 12 hours is 8.59 mg.
What is decay?The term decay has to do with the breakdown of a chemical substance. Since the decay depends only on the initial amount of the drug the process folows the first order kinetics.
Hence;
N = amount left at time t
No= amount initual present
t = time taken
t1/2 = half life of the drug
N/No = (1/2)^t/t1/2
N/550 = (1/2)^12/2
N = 550[(1/2)^12/2]
N = 8.59 mg
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regarding dysfunctional uterine bleeding, the nurse should be aware of what
Regarding dysfunctional uterine bleeding, the nurse should be aware of that it is most commonly caused by anovulation.
Abnormal uterine bleeding (AUB), also known as (AVB) or atypical vaginal bleeding, is vaginal bleeding from the uterus that is unusually frequent, lasts for an unusually long period of time, is heavier than normal, or is irregular. When there was no underlying reason, the phrase dysfunctional uterine hemorrhage was employed. Vaginal bleeding is not permitted during pregnancy. Iron deficiency anemia can arise, and the quality of life might suffer as a result.
Ovulation issues, fibroids, the uterine lining developing into the uterine wall, uterine polyps, underlying bleeding problems, birth control side effects, or cancer may be the underlying reasons. In some cases, more than one cause category may apply.
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In a dislocation, what other structures are likely to be injured?
A. Muscles
B. Skin and subcutaneous tissue
C. Ligaments
D. Tendons
In a dislocation, it is common for the supporting ligaments around a joint to be injured. So, option C) is correct.
Ligaments are strong bands of fibrous tissue that connect bones to other bones, providing stability and limiting excessive movement at the joint. When a joint is dislocated, the ligaments that normally hold the bones in place are stretched or torn, resulting in joint instability.
While muscles surrounding the joint may also be affected during a dislocation, they are not directly involved in the dislocation itself. The primary injury in a dislocation is the disruption of the joint alignment and the damage to the ligaments.
Skin and subcutaneous tissue may be affected if there is associated trauma or if the dislocation causes a break in the skin, resulting in an open dislocation. However, skin and subcutaneous tissue injury is not a typical consequence of a simple dislocation.
Tendons are tough, fibrous tissues that connect muscles to bones. In a dislocation, the tendons themselves are usually not directly injured, as their primary role is to transmit muscle forces to move the joint. However, there is a risk of indirect tendon injury if the dislocation causes severe joint trauma or associated fractures.
Therefore, the most common structure to be injured in a dislocation is the ligaments.
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randomized trial to determine the effect of nebivolol on mortality and cardiovascular hospital admission in elderly patients with heart failure (seniors).
A randomized trial was conducted to determine the effect of nebivolol on mortality and cardiovascular hospital admission in elderly patients with heart failure.
In a randomized trial, researchers investigated the impact of nebivolol, a beta-blocker medication, on mortality and cardiovascular hospital admissions in elderly patients with heart failure. The study randomly assigned participants into two groups: one receiving nebivolol and the other receiving a placebo. Over a specified period, the researchers monitored the occurrence of mortality and cardiovascular hospital admissions in both groups.
Nebivolol is a beta-blocker that has shown promising effects in improving outcomes in heart failure patients. It works by blocking certain receptors in the heart, leading to reduced heart rate and blood pressure, and improved heart function. The trial aimed to determine whether the use of nebivolol could reduce mortality and cardiovascular hospital admissions in elderly patients with heart failure.
The results of this trial will provide valuable insights into the potential benefits of nebivolol in this specific population. If the study demonstrates a significant reduction in mortality and cardiovascular hospital admissions among elderly heart failure patients taking nebivolol, it would suggest that this medication can be an effective treatment option for improving outcomes in this high-risk group.
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Which nervous system includes the spinal cord? A. Somatic B. Central C. Sympathetic D. Autonomic
Answer:
B
Explanation:
The spinal cord is part of the central nervous system.
Problem No. 1.6 | 10 pts. A medical researcher wants to determine whether exercising can lower blood pressure. At a health fair, he measures the blood pressure of 75 individuals, and interviews them about their exercise habits. He divides the individuals into two categories: those whose typical level of exercise is low, and those whose level of exercise is high. 1. Is this a controlled experiment or an observational study? Explain. 2. The subjects in the low exercise group had considerably higher blood pressure, on the average, than subjects in the high exercise group. The researcher concludes that exercise decreases blood pressure. Is this conclusion well-justified? Explain. Show all your explanations. Displaying only the final answer is not enough to get credit.
In an observational study, the researcher does not intervene or manipulate any variables but rather observes and measures existing characteristics or behaviors
The conclusion that exercise decreases blood pressure is not well-justified.
In an observational study, the researcher does not intervene or manipulate any variables but rather observes and measures existing characteristics or behaviors. In this case, the researcher is measuring blood pressure and interviewing individuals about their exercise habits without assigning or manipulating their exercise levels. The researcher is simply categorizing the individuals based on their self-reported exercise habits.
While it is mentioned that the low exercise group had higher blood pressure on average than the high exercise group, this observation alone does not establish a causal relationship between exercise and blood pressure. There could be other factors, such as diet, genetics, or underlying health conditions, that contribute to the observed differences in blood pressure.
To establish a cause-and-effect relationship between exercise and blood pressure, a controlled experiment would be necessary. In a controlled experiment, the researcher would assign participants to different exercise interventions (e.g., low exercise, high exercise) and compare their blood pressure levels over time. By controlling for other variables and randomizing the assignment, it would be possible to attribute any observed changes in blood pressure specifically to the exercise intervention.
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Mr. Gavin has a disorder that affects the release of adh. Which function of the urinary system is affected?.
Mr. Gavin has a disorder that prevents the ADH from being released. So his urinary system is more likely to produce a large volume of urine, as the excess water cannot be reabsorbed by the body and will be excreted out.
What is the role of the ADH?ADH is called "antidiuretic hormone" and is released from the posterior pituitary. It acts on the collecting ducts and distal convoluted tubules of the nephron, and as a result, the aquaporins present in those cells come to the cell surface and the excess water from the urine is reabsorbed into the body. Because his ADH is ineffective, excess urine will be excreted.
Hence, the water reabsorption system would be affected.
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an elderly client reports a feeling of dyspnea with normal activities of daily living. what is an appropriate action by the nurse?
An appropriate action by the nurse for an elderly client reporting dyspnea with normal activities of daily living would be to assess the client's respiratory status and oxygen saturation levels.
The nurse should also inquire about any history of respiratory conditions, such as asthma or chronic obstructive pulmonary disease (COPD), and ask about any medications the client is currently taking. The nurse should also encourage the client to sit in an upright position to help with breathing and provide supplemental oxygen if needed.
It is important for the nurse to closely monitor the client's respiratory status and report any changes to the healthcare provider. Additionally, the nurse should educate the client on ways to prevent dyspnea, such as avoiding allergens, practicing breathing exercises, and avoiding activities that may exacerbate the condition.
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Cual ha sido el impacto de la ciencia y las tecnologias para curar el cancer de mama y otras emfermedades del sistema endocrino
Answer:
el desarrollo de terapias hormonales ha permitido enlentecer y/o detener el crecimiento de tumores, incluyendo tumores en tejidos mamarios
Explanation:
La terapia hormonal, también conocida como terapia endócrina, es un tratamiento utilizado enlentecer y/o detener el crecimiento de células y tejidos defectuosos. La terapia hormonal se divide en dos (2) clases de acuerdo a su modo de acción en el cuerpo: 1-terapias con el objetivo de bloquear la capacidad del cuerpo para producir hormonas y 2-terapias que bloquean la función normal de las hormonas en el cuerpo. La terapia hormonal permite controlar el desarrollo de células cancerosas que se dividen formando tumores y aquellas que se desprenden del tumor para viajar a través del cuerpo formando nuevos tumores, es decir, produciendo metástasis. En cáncer de mama, la terapia hormonal posee múltiples beneficios: 1-reduce el riesgo de formación de tumores en otro tejidos mamarios, 2-previene la reaparición de células tumorales, 3-detiene el crecimiento de células tumorales y 4-reduce el tamaño de tumores previamente a la realización de una cirugía, haciendo más fácil la tarea de extirparlo. Por otra parte, diferentes metodologías desarrolladas con el objetivo de matar células tumorales mamarias también incluyen la quimioterapia, la cual usa drogas para reducir el número de células cancerosas, y la radioterapia, que consiste en el uso de altas dosis de radiación para destruir las células tumorales.
What Vitamin prevent neural tube defects during pregnancy?
Folic acid, which is a form of vitamin B9, is known to prevent neural tube defects during pregnancy.
Birth disorders known as neural tube defects have an impact on how the brain and spinal cord develop. By supporting DNA synthesis and cell division, folic acid vitamin B9 aids in the normal development of the neural tube, which forms during the first few weeks of pregnancy. The consumption of folic acid-rich foods, such as leafy green vegetables, beans, fortified cereals, and citrus fruits, as well as folic acid supplements are advised for women who are pregnant or attempting to get pregnant. To help lower the chance of neural tube abnormalities in their unborn children, women should take enough folic acid before and during pregnancy.
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How much active ingredient would you weigh to make 100ml of a 50% solution?
identify any two factors that could promote unacceptable behaviour among spectators
Answer:
. Social Identity Theory
Hooliganism
Explanation:
178. A nurse is reinforcing teaching to a parent about the use of nystatin for an infant who has oral candidiasis. Which
of the following statements by the parent indicates an understanding of the administration of nystatin?
At the close of a presurgical examination, it is your responsibility to bring the client written instructions related to hospital admission and pre-surgery preparations. As you present the information to Mia Trong, you sense that she may still have some questions. She seems hesitant to leave. What will you say? What will you do? What steps do you take to make certain Mia's questions have all been addressed?
Mia Trong feels hesitant before leaving the hospital because this behavior of the patient is commonly seen in the healthcare system before or after any major operation on any serious illness or disease.
What is the responsibility of the healthcare provider in this case?Healthcare providers have the responsibility to confirm the patient and illustrate everything in detail related to the patient's disease and treatment.
It is also seen that sometimes patients do not ask some questions or queries associated with gender differences, feel stress, or any other reason, it is the duty of the healthcare provider to depict all of the patient's doubts based on their experiences.
The steps that should be taken to make certain Mia's questions have all been addressed include asking the patient some questions and letting him answer them all by own. This would assist the healthcare providers in further clearing the doubts that are running in the mind of the patient.
Therefore, it is well described above.
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Answer:
Explanation:
At the close of a presurgical examination, it is your responsibility to bring the client written instructions related to hospital admission and pre-surgery preparations. As you present the information to Mia Trong, you sense that she may still have some questions. She seems hesitant to leave. What will you say? What will you do? What steps do you take to make certain Mia's questions have all been addressed?
3.
Which structures in the
eye does the drug act on to mydriasis?
Answer:
The excitation of the radial fibres of the iris which increases the pupillary aperture is referred to as a mydriasis.
The structures in the eye that the drug acts on to cause mydriasis are the radial muscles of the iris and the dilator pupillae muscle. Mydriasis refers to the dilation of the pupil and is the opposite of miosis, which is the constriction of the pupil.
Drugs that cause mydriasis are known as mydriatics. The most common mydriatic drugs include atropine, phenylephrine, and tropicamide. These drugs are used in ophthalmology to perform eye examinations or to treat certain eye conditions.The drug atropine acts by blocking the action of the parasympathetic nervous system on the iris.
The parasympathetic nervous system normally causes the circular muscle of the iris to contract, resulting in miosis. By blocking this action, atropine allows the radial muscles to contract, causing the pupil to dilate.Phenylephrine works by stimulating the dilator pupillae muscle, which causes the pupil to dilate. Tropicamide works by blocking the action of the parasympathetic nervous system on the iris, similar to atropine.
However, tropicamide has a shorter duration of action than atropine and is therefore often used for diagnostic purposes. Mydriasis can also be caused by other factors such as injury, inflammation, or certain medical conditions. However, the use of mydriatic drugs is the most common method for inducing mydriasis in ophthalmology.
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For five different organ systems in the human body, identify a specialized cell type found in that system.
Neurons, muscle cells, red blood cells, sperm cells, and leukocytes are the five different kinds of specialized cells found in the body.
What are specialized cells?
Microscale cells make up the human body. Together, these elements of life act harmoniously to create the human body. While numerous cells make up basic biological components like tissues, some perform more difficult and specialized activities.
These specialized cells have been carefully created to carry out the tasks for which they were created. The distinct ways that each of these cell types is created and functions make it possible for the cell to perform the specific bodily function for which it was designed.
Within the human brain, neurons are specialized cells that convey messages. These cells are available in a variety of sizes and forms. While these cells do have certain characteristics in common with other cells, they also possess unique traits that allow them to carry out the required communication duties.
Movement is made possible by muscle cells. The banded fibers that make up these cylindrical cells enable contraction.
Red blood cells transport oxygen throughout the body, supplying it to organs that need this vital gas. These cells lack a number of components that are typically seen in cells, including as mitochondria and a nucleus.
In order to reproduce as humans, specialized sperm cells are required. The nucleus makes up the majority of these cells.
Leukocyte cells function to prevent infections in the human body. When an infection occurs, these cells locate and eliminate germs within the body.
Therefore, Neurons, muscle cells, red blood cells, sperm cells, and leukocytes are the five different kinds of specialized cells found in the body.
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Which of the following arguments commits the fallacy of begging the question?
a. The restaurant must be succeeding financially, since it has a lot of customers.
b. France is only partially European, since French Guiana is in South America
c. Darth Vader was not childless, since he was Luke Skywalker's father.
d. Roman togas were very functional clothing, since they had a pocket on the left side.
e. There is no possibility that I will ever find a spouse, because my situation is hopeless
Begging the question fallacy is a type of argumentative fallacy in which the conclusion to be proven is already taken as an assumption in the premise. In other words, a circular argument is created where the conclusion that needs to be proven is already presupposed in the argument. The correct option is (a).
The statement that commits this fallacy assumes that the conclusion is true and makes use of the same premise to support its conclusion. Among the given options, the argument that commits the fallacy of begging the question is: The restaurant must be succeeding financially, since it has a lot of customers.
This argument commits the fallacy of begging the question because it assumes that the restaurant is succeeding financially without any evidence to support the claim. Answer: The argument that commits the fallacy of begging the question is "The restaurant must be succeeding financially, since it has a lot of customers."
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why is my hair falling out'
Answer:
Most likely from Cemo or something but please don't ask these kind of questions on a homework site lol. Not trying to be mean, okay? I am just letting you know for next time:)
Doctor determined that Caie had an inflammation of the blood veel. What term did Caey' doctor ue to decribe hi condition
Vasculitis is the inflammation of the blood vessels.
what are disorders of salivary gland?
Answer:
VirusesCancerous and noncancerous tumors Sjögren's syndrome -Sialolithiasis and sialadenitisAnswer:
there are many disorders of the salivary gland
Explanation:
These include:
Cancerous tumors Sjögren’s syndromeParotidSubmandibularSublingual glandsSialolithiasis SialadenitisCase Write-Up #1: Tahoe Healthcare Systems
As you read in the case, Tahoe Healthcare Systems is very concerned with the readmission level of patients who have been discharged from their hospitals. Not only does hospital readmission indicate potential quality issues with the care being provided, but it may also impact their financial performance due to penalties assessed on Medicare reimbursements to hospitals with high readmission rates.
In response to these concerns, THS has developed the CareTracker program to provide greater education to patients prior to discharge and follow-up with patients after discharge. Results of a pilot test of the CareTracker program suggest that it reduced readmission rates by 40%, but it comes at a significant cost of $1,200 per patient.
The spreadsheet "Tahoe Healthcare Data.xlsx" contains three tabs: Training Data, Validation Data, and Test Data. The Training Data contains information (as described in Table 1 of the case) on 2,382 patients including whether they were readmitted within 30 days of discharge – this data can be used to develop various models that may help you decide which patients should be enrolled in the CareTracker.program. The Validation Data includes similar information for an additional 1,000 patients – this data should be used to estimate the impact of any models you develop from the Training Data. The Test Data contains information on an additional 1,000 patients, but does not disclose whether they were readmitted within 30 days – you should apply your final decision model to these patients and indicate (in the column labeled "CareTracker?") whether you are choosing to enroll that patient in CareTracker (1) or not enrol that patient (0). Save the spreadsheet with your indicated decisions, and submit this spreadsheet in addition to the memo described below.
Please form a team of 3 or 4 students to prepare a write-up for this case assignment. Your write-up should be in the form of a memo addressed to the CEO of THS that describes your recommendations regarding implementation of CareTracker. In this memo, please be sure to address (with economic/financial justification) the following:
In the absence of any modelling capabilities, are you better off (base this on the 1,000 patients in the Validation Data) rolling out CareTracker to all patients or no patients?
What is the Expected Value of Perfect Information? (again base this on the 1,000 patients in the Validation Data)
How did you approach using the data to come up with a model to help determine which patients should be enrolled in CareTracker? What did you attempt and what did you learn during the modelling process?
Summarize the final plan you recommend to determine which patients to enroll in CareTracker, including an estimate (based on the 1,000 patients in the Test Data) of the percent of patients you would enroll in CareTracker.
In the absence of any modeling capabilities, you should analyze the Validation Data to determine if it is better to roll out CareTracker to all patients or no patients.
1. Compare the readmission rates of patients who were enrolled in CareTracker with those who were not enrolled. Calculate the average readmission rate for each group and choose the option that yields a lower readmission rate.
2. The Expected Value of Perfect Information (EVPI) is a measure of the value of having perfect information. To calculate EVPI, compare the expected value of a decision made with perfect information to the expected value of a decision made with imperfect information.
In this case, use the Validation Data to calculate the expected value of the decision to enroll all patients in CareTracker and compare it to the expected value of the decision to not enroll any patients. The difference between these values represents the EVPI.
3. To determine which patients should be enrolled in CareTracker, you can use the Training Data to develop a model. This can involve analyzing the variables provided in Table 1 of the case (such as age, gender, medical conditions) and identifying patterns or correlations with readmission rates.
You can use statistical techniques like logistic regression or decision tree analysis to build a predictive model. During the modeling process, you can attempt different approaches, such as including or excluding certain variables, to see which model performs best.
4. The final plan for determining which patients to enroll in CareTracker should be based on the model developed using the Training Data. Apply this model to the Test Data to estimate the readmission risk for each patient. Based on this risk, decide which patients to enroll in CareTracker.
Provide a recommendation for the percentage of patients to enroll in CareTracker, considering both the cost of the program and the potential reduction in readmission rates. Use the Test Data to evaluate the performance of the model and make any necessary adjustments.
In summary, the recommendations for implementing CareTracker should be based on analyzing the data, comparing readmission rates, calculating the EVPI, developing a model using the Training Data, and applying the model to the Test Data to determine which patients to enroll in CareTracker.
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When a medication is being administered , the time of service which can be billed to a third party includes a ) the time it takes to prepare the infusion and administer the infusion . b ) the time it takes to prepare the infusion , administer it , and consult with the patient about the infusion . c ) the time it takes to administer the infusion . d ) the time the patient is in the prescriber's office , the time it takes to prepare the infusion , and the time it takes to administer theinfusion .
When a medication is being administered, the time of service which can be billed to a third party includes the time the patient is in the prescriber's office, the time it takes to prepare the infusion, and the time it takes to administer the infusion. So, option D is correct.
What is Medication?Medication may be defined as the process of intake of drugs or medicines which are used to treat or prevent disease.
Therefore, the correct option for this question is D.
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In regard to clients and patients, practioners have a(n) relationship which requires them to act primarily in the best interests of those they serve.
Answer:
In regard to clients and patients, practioners have a(n) healthy relationship which requires them to act primarily in the best interests of those they serve.
Explanation:
Health practioners learn communication strategies that allow them to better connect with users of health systems, provide patients with clear information to give them the opportunity to make important and informed decisions throughout the disease process, facilitating to feel them more involved in it and in many cases minimizing the suffering that comes with having a pathology.
When a person goes to the health consultations, they need a solution to certain needs that have arisen related to their well-being. Faced with this situation and in the first place, it requires clear and truthful information from practioners, in this way, the patient can responsibly assume his/her situation and the care to which him/her must submit. In a healthy relationship between practioners and patients, it is important to evaluate the information the patient gives and the appropriate measures in each case, making them more individualized recommendations. The factors that determine the satisfaction of this healthy relationship by patients are: accessibility, responsiveness and understanding, patients manifest a series of needs that, in order to be satisfied, must be previously understood and valued. In this healthy relationship, patients especially value that practioners listen to them and establish affective and assertive communication with them in a language understandable by both parties. These factors are intangible variables, since they are the individual or group behaviors, aptitudes and attitudes that decisively contribute both to the conformation of the patient's perceptions and their satisfaction, and to the value that the health center acquires for them: behavior and motivation of the staff, beliefs, norms and ways of thinking of the organization.