You are working in an ICU where a 16-year-old girl is in critical condition after an auto accident. Her mother comes in and begins to sing, sprinkle tobacco around the bed, hang eagle feathers and crystals around the room, and move her hands back and forth above the girl’s body. The girl’s nurse tells the mother that visiting time is over and that she should take all these dirty things out of the room. The mother insists on staying by the bedside and says that if she had placed rosary beads or Bibles in the room she would not have been questioned.

• What cultural and spiritual issues are evident in this situation?
• Apply cultural competence to this case
• Discuss complementary therapies evident in this situation
• How would you incorporate spiritual care?
• How would you approach this situation?
• What principles would guide you?

USE A NURSING SCHOLAR ARTICLE>>>>>>NO PLAGIARISM>>>>>>APA FORMAT

Assignment:

This week students will be addressing the following essay questions. Insure all aspects of the questions are addressed. Submission needs to be in APA format. Use a Level 1 heading to separate your sections (Page 62 of the APA Publication Manual).

1. Discuss the various ways that ICD-10-CM coding is used throughout the United States. Why is accuracy in coding so important?
2. Explain the difference between ICD-10-CM and ICD-10-PCS. When are they used?
3. What impact does the ICM-10-CM manual have on healthcare and medicine in today’s world?
4. What are the ten steps for accurate ICD-10-CM coding? State and explain each step in paragraph form
5. In your own words, what is the difference between V, W, X, or Y code and a Z code?
6. Explain when the following would be used and give an example of: Hyphen usage, checkmark, placeholders, and punctuation

For the following, provide the ICD-10-CM codes (some might require more than 1 code). There is a free website listed at the end of the Chapter on page 127 that will help you with coding. Here is another website that might help: http://www.icd10data.com/

1. Weight loss
2. Hypothyroidism
3. gastroesophageal reflux disease
4. acute bronchitis with COPD
5. urinary infection due to E. coli
6. concussion, loss of consciousness 40 min
7. cancer of bladder
8. Physical, child for school
9. DTP vaccination
10. Heel injury (wound) due to broken glass

• This assignment must be in APA format: Times Roman 12 font, double spaced, and include title and reference page. 
• Complete answers will essays will require at least 1000 words, approximately 4 pages (250 words = about 1 page). Title and reference pages do not count toward the total word or page count. 
• Alignment of ICD codes should be completed after the essay questions and before the reference page.
• Title page and reference page do not count towards word count.
• Ensure sources are referenced and cited in the paper

For  each Barrier to Patient Centered Care, identify facilitators that could  be introduced to balance/offset the barrier. Provide rationale for your  response based on (text books, articles,  practice guidelines, etc) as appropriate:

Barriers:

1. Competing care obligations (patient–load) interfere with prioritizing discussions of discharge planning with patient/planning.
2. Discharge communication ranged from simple one-sided instruction to shared decision making.
3. Patients did not feel prepared for discharge and post-discharge care was not individualized.
4. Discharge process/decisions affected by pressure for available beds.

Choose 1 of the following questions to answer by day 3 (Wednesday) and include 2 references (in APA format). Your post should be at least 250 words. Please remember to answer to 2 of your classmates’ discussions (on 2 separate days) by Saturday.  The reply to your classmates should be at least 100 words each.  The references are not included in the word count!

DQ 1

Differentiate among sterilization, disinfection, and sanitization

Comment1

I currently work at a transitional care unit; we do the admissions for the whole clinic, cover the perception unit, and recoup all cardiovascular cath, pacemaker, and removal patients. Obviously we have a wide assortment of patients and keenness levels. Passing isn’t an ordinary event, yet it happens reasonably consistently. I have tended to patients on comfort mind just, currently kicking the bucket, and those that pass surprisingly because of heart failure. The plain first patient I had passed was a patient with terminal lung tumor. This experience genuinely opened my eyes to the agony and enduring numerous tumor patients perseveres. He was in horrible agony, where over a 4 hour time span he got 18mg of Dilaudid, and this scarcely made him agreeable. It was in this time I considered demise to be a help, so both him and his relatives.

I am ready to see passing from an exceptionally medicinal and logical point. In that passing does not trouble me to such an extent. I consider it to be a wild factor we as a whole should confront multi day. Including medicinal services aliments that prompt passing likewise makes a difference. At the point when my granddad passed away I was miserable for his misfortune, yet additionally mitigated that he every other week excursions to the ED for either CHF or DKA were finished. I knew he was prepared to go on as well. 

With this viewpoint I have been called craze about the subject. My mother does not see how I am ready to see death in such an easygoing way. I don’t feel I see it in an easygoing way, however a scientific and restorative way. I don’t know what occurs after death, but rather I discover comfort in knowing something more lies past it.

Comment2

I work in a telemetry floor. As well as post-cath lab procedures, we admit patient with diverse diseases. Most of them have been discharge home safely but many of the patients have died during our care. My first death was a woman around her 40s with a beautiful family. Unfortunately, eight months before she was diagnosed with stomach cancer. Her body only resisted one chemotherapy. I had this patient every night since she got admitted and I knew how much she wanted to live. Four weeks passed, and she got even worse. Everyone on the floor knew this patient. I can still remember her name and how many times she told me she wanted to live her life as normal person again. The night of her death was a sad night, but she was ready to go on. There were tears and even more when I was receiving a hug from the husband and the thankfulness for his wife care during her hospitalization. That was an unforgettable experience.

After that night I keep think how people still fight over material things; how is more important money that feelings. How many persons do not have respect for life? Life is short and sometimes unfair, but still is life, and still is beautiful. It is important to spend time with those who we love, and remind them every day how much you love those moments together.