Entries by Daphne Hanson

Having  a gambling problem with The Pokies

Jo presented to the service. She appeared very distressed. She said she was very worried and anxious, feeling depressed and did not know where to turn. She disclosed having  a gambling problem with the Pokies. She said she started gambling 9 years ago. She stated she had developed the gambling problem, when she started to […]

Long-standing Insulin-treated type 2 diabetes

Leonard Mays is a 43-year-old Caucasian, homeless man with long-standing insulin-treated type 2 diabetes.  He has now been diagnosed with right lower extremity cellulitis. He has taken a prescribed oral antibiotic for the past week but has not noticed much improvement.  For the last 2 days, he has complained of intermittent fevers and chills, nausea […]

Query creation using health records

Your organization is in the process of implementing a clinical documentation improvement  program. The newly appointed clinical documentation improvement Director has made it clear that she is not interested in having input from the health information management department on the program’s development. However, in your role as health information management Director, someone has made you […]

Flow in outpatient department

Ms. Jenny Katigbak is an 83-year-old retired nurse with a long history of hypertension. During her final checkup, the physician gave a prescription where Ms. Jenny must take one 25mg therabloc tablet per day. Give the format of the bizbox under the department where Ms. Jenny can claim her prescription (Place your answer on a […]

Elimination of phenytoin

Explain how functional groups of chlorpromazine used to treat psychosis and describe the kinetic of elimination of phenytoin at high dose. Describe the interaction of phenytoin and valproate that can cause idiosyncratic effect and describe the rationale use of methadone in treating methadone addiction including the mechanism of action.

Ear infection impact on hearing

Willow Basil brings in her 6-year-old daughter, Jade. For the past 3 days, Jade has been running a fever and has had persistent pain and hearing loss in her left ear. Mrs. Basil practices alternative medicine and uses prescription medications as little as possible. She says that she has been trying herbal therapy and aromatherapy […]