Discuss ways that the documentation of diagnosis, differential diagnoses, and comorbidities affect reimbursement. What are possible implications of inaccurate documentation for the patient, the health care staff, and reimbursement? 

Minimum of 250 words with at least one reference in 7th edition apa style

Initial post case study #1COLLAPSE

This week’s discussion question is going to be about a 16yo caucasian female who comes into the office with her grandmother for an annual exam. The grandmother reports that BK has been “acting strange, and staying in her room all the time and refusing to do all the things she used to enjoy like singing in the youth choir”. The grandmother also shares that BK’s mother is a drug addict and is currently incarcerated so she is worried BK is using drugs and wants her tested for drugs. BK is not on any medications. She is obese and does not make eye contact when I enter the room. 

The first thing as a provider is to introduce myself when I walk in the room. I’d start by telling them my name and I’d ask how everyone is doing today. By doing this, I hope to start building the patient’s trust with me so she feels comfortable enough to start opening up to me. “Patients have to trust their health care professionals to work in their best interest and outcome [6]. In this regard, trust in the health care professional has been suggested to be the foundation for effective treatments [7, 8] and fundamental for patient-centered care [9].” (Birkhäuer, 2017, para 6) 

I would address the grandmother’s concern about the patient being withdrawn from her usual activities by asking if anything has happened recently like the loss of a loved one or a traumatic event to cause the current actions of the patient. Once the grandmother answers my question, I’d ask the grandmother if she could step back out into the waiting room, I’d also ask the patient if that would be ok as well. I would then proceed to ask the patient about her daily routine at home and school and if something has happened to make her withdrawn. I’d also inquire about her sexual status and if she’s sexually active. Depending on her response, it could warrant for a pregnancy test.  I’d also do a depression screening on her. According to American Journal of Preventive Medicine “Adolescents’ perceptions of low parental caring, difficulty talking to their parents about problems, and valuing their friends’ opinions for serious decisions were significantly associated with compromised behavioral and emotional health.” I hope that by talking to BK one on one helps her feel comfortable and not so pressured to answer the way her grandmother wants her to. 

Last but not least, according to the International Journal of Current Research “Most adolescents who use drugs do not progress to become drug abusers, addicts in adulthood, drug use in adolescence are a very risky proposition. Typically, school and relationships, notably family relationships, are among the life areas that are most influenced by drug use and abuse. ramifications. The numerous adverse consequences associated with teenage drinking and substance use disorders include fatal and nonfatal injuries from alcohol accidents, practices.” (Sathyamurthi,2020, para 1)  I would ask BK about her thoughts on her mother and how that makes her feel. I’d also ask her if she ever tried any drugs or thought about it. Given the patient’s physical appearance and behavior, I don’t believe that she is on drugs and don’t feel the need to drug test her. I would speak with the grandmother in my office by herself about this topic and my opinion on it. I’d also let the grandmother know that I believe her granddaughter is suffering from depression. I would then bring the grandmother back into the room and go over my diagnosis with both parties and what the current treatment is to help BK going forward. By doing this, I hope to continue building my trusting relationship with both the patient and the grandmother. 

6 Questions

1. Have you recently experienced any traumatic event
    
2. How is your home life and school life
    
3. Are you depressed
    
4. How does your mothers situation make you feel
    
5. Are you or have you ever used drugs or alcohol
    
6. Are you sexually active
    

Reference

Ackard, D. M., Neumark-Sztainer, D., Story, M., & Perry, C. (2016). Parent–child connectedness and behavioral and emotional health among adolescents. American Journal of Preventive Medicine, 30(1), 59-66. doi:10.1016/j.amepre.2005.09.013

Birkhäuer, J., Gaab, J., Kossowsky, J., Hasler, S., Krummenacher, P., Werner, C., & Gerger, H. (2017). Trust in the health care professional and health outcome: A meta-analysis. PloS one, 12(2), e0170988. https://doi.org/10.1371/journal.pone.0170988

Sathyamurthi, K., Agalya, S., & Anjana, M. (2020). ADOLESCENTS SUBSTANCE USAGE IN The neighborhood community of chennai. International Journal of Current Research, 12(6), 11988-11990. doi:https://doi.org/10.24941/ijcr.39005.06.2020

 1. Formulate the Discussion section of your selected topic.  In this section, you need to analyze and interpret the Results. THen, go back to your initially stated Hypothesis(es) to compare and contrast with the final Results. 

2. Post it.

Hook: The relationship between vaccination and autism spectrum disorder. 

Background Information: Autism and vaccines are now two very big problems in society because there are many articles and research about the relationship Autism has with vaccines. There are many parents who decide not to give their children vaccines and do not protect it because they think that they are going to create more problems if they give him vaccines and not only with autism but with other diseases such as his central system.

Problem Statement:  These are some of the searches that they are doing with much more frequency because there are many parents who no longer want to vaccinate their children and what they do is an extension through religion or they refuse. They are for almost all vaccines but there is one in particular that they say and it has not yet been scientifically proven that it is the one that develops autism, which is MMR.

Research Question:  Why do parents refuse to vaccinate without a scientific demonstration?

Hypothesis:  It may not be true that vaccines cause autism disorder, but out of 1000 children who get vaccinated, it may be one child who gets autism because vaccines are created with antibodies to take care of ourselves and children with more than 200 diseases.

Thesis Statement:  The reason for this research is that parents are well informed and protect their children and do not think that all vaccines can make their children sick.

Attach the links

https://8821satjk-mp01-y-https-www-proquest-com.proxy.lirn.net/engineeringjournals/docview/1968986913/abstract

https://8821satjt-mp01-y-https-www-proquest-com.proxy.lirn.net/asianews/docview/1800002927/citation

https://8821satju-mp01-y-https-www-proquest-com.proxy.lirn.net/esdb/docview/1968986913/abstract

https://8821satjy-mp01-y-https-www-proquest-com.proxy.lirn.net/abiglobal/docview/2396980386/abstract

https://8821satk3-mp01-y-https-www-proquest-com.proxy.lirn.net/agriculturejournals/docview/1968986913/abstract

The references less than  years and modified the thesis statement!! Thank you:)

Write a 1,000-1,250 word paper in which you analyze a scenario using the Emergency Medical Treatment and Active Labor Act (EMTALA).

You are the administrator on call for Hospital A and are responsible for accepting and rejecting patients. You receive a call at 2:00 a.m. from Health Hospital B regarding a patient with a severed ear.

The ED physician is calling to arrange an EMTALA-qualified transfer from his hospital to yours, but the ENT physician on call at your hospital is refusing to accept the transfer, stating that the patient does not need a higher level of care.

You call your ENT on call, and he admits he has just had three glasses of wine and will not be available for about 6 hours. You electronically send him the record that Health Hospital B would send with the patient. The ENT physician advises that the ear looks salvageable and could easily be sutured in any ED. The ED physician at Health Hospital B is very nervous about the possibility of an EMTALA violation.

1. If you decide to reject the patient, is this a violation of EMTALA? Explain.
2. What decision will you make as the administrator? Explain.
3. Based on this scenario, what could be implemented to prevent this type of situation from occurring in the future?
4. Under what scenario would the Hospital A physician be concerned about an EMTALA situation?

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.