Sodium Restrictions A client has been told to restrict her sodium intake in order to reduce fluid retention.
Which sources have ‘hidden salts”? Select all that apply. l} [:1 Dell meat D Soy sauce [1 Pizza [:1 Seasoned salt
‘1 Canned soup

You are assigned to care for Mr. Andrasziuk, 85, who has Alzheimer’s disease. He often wanders from room to room and tries to open outside doors. He frequently displays increased agitation, confusion, and restlessness, especially in the evening. Most of the time, Mr. Andrasziuk is unable to feed himself and he is often incontinent.

He keeps repeating, “Help me, help me”, all day long.

▪ How do you feel about caring for a person with these behaviours? * Frightened? * Angry? * Impatient? ▪ How do you deal with your feelings so that you can give care to the person? * Identify your feelings. * Describe how you deal with or manage those feelings.

▪ At what stage of Alzheimer’s disease is Mr. Andrasziuk? * What signs and symptoms support your answer? ▪ Why would it be ineffective to remind Mr. Andrasziuk of the date and time during your shift?

* Relate your answer to your knowledge of Alzheimer’s disease. ▪ Why is reminding a client of the date and time a good technique with some confused people and not with others? * Relate your answer to your knowledge of Alzheimer’s disease.

▪ Why does Mr. Andrasziuk’s behaviour become more agitated, confused, and restless toward evening?

* What is this called? ▪ What methods could you use to make sure Mr. Andrasziuk receives the care needed to maintain good personal hygiene? * How could you get him to cooperate or participate in his care?

▪ What parts of Mr. Andrasziuk’s behaviour would be most difficult for you to tolerate?

* Explain why.

▪ What would you do if you found yourself becoming irritated and angry with Mr. Andrasziuk’s behaviour? * Describe several options.

Identify activities that promote the image of nursing and Outline factors that adversely affect the image of nursing.

Case Study Maria: Maria is 52 years old, has a healthy body mass index, and does not have any health problems. She prides herself on her knowledge of holistic treatments and goes to the doctor only when her attempts to treat herself fail.

She occasionally takes one aspirin a day because she has heard that it can prevent heart attacks. She tries to eat a healthy diet and uses supplements to give her added protection against chronic diseases, especially heart disease, which runs in her family.

Currently, she takes turmeric, garlic, and fish oil supplements to keep her blood thin. She routinely drinks omega-3-fortified orange juice.

She attributes the bruises on her legs to being clumsy. She is thinking about adding vitamin E to her regimen because she heard it may also lower the risk of heart disease by thinning the blood. She is thinking about discontinuing her use of garlic pills and fish oil supplements and eating more garlic and fish in her diet instead. 1. What are the dangers of her present regimen?

2. What may be responsible for the bruising she is experiencing? 3.What would you tell Maria about the use of supplements in general? About the types and combination of supplements she is currently using? 4.What specific changes would you suggest she make?

(Provide at least 3 changes with supporting rationale for each) 5.What would you tell her about using juice fortified with omega-37

6.Is it safer for Maria to eat more garlic and fish instead of taking them as supplements? Is it as effective as taking them as supplements?

7. Could she overdose on garlic and fish oil from food? Why or Why not? B.What questions would you ask about her diet to see if there are any improvements in her eating habits, she could make to reduce the risk of heart disease? (Include at least 3 with supporting rationale for each).

Resources: (Formatted in APA. Use in-text citations for all information taken from each reference.)

Complying With Laws and Regulations in the Ethical Management of Health Information. Distinguish between quality, quality improvement, risk management, and patient safety.

• Summarize the federal regulations and government initiatives in support of quality and patient safety.
• Differentiate between the voluntary quality and patient safety reporting programs.
• Identify the major statutes, rules, and regulations that relate to compliance and fraud and abuse issues.
• Explain corporate compliance programs.

Course Outcomes assessed in this assignment:

HI135-5: Analyze state and federal regulations which govern the release of health information.

BSHIM: I.3 Evaluate policies and strategies to achieve data integrity.

BSHIM: I.4 Recommend compliance of health record content across the health system.

AAS-HIT: II.3 Identify compliance requirements throughout the health information life cycle.

AAS-HIT: V.2 Demonstrate compliance with external forces.

Instructions:

As a compliance officer, you are required to manage and monitor security, integrity, and quality of medical information. You will demonstrate competence in information governance by completing both of the scenarios in this assignment.

Scenario 1: A patient has requested an amendment to their medical record. They also want their medical record released to a physician in a different healthcare system. You recognize there is no policy in place to help facilitate requests such as this. For this portion of the assignment, you should:

1. Review and interpret the HIPAA guidelines regarding patient amendments as well as release of information (ROI) regulations applicable to your home state. A resource to assist in reviewing HIPAA guidelines can be found at: HIPAA Rights and Privacy Rights Clearinghouse. Release of information applicable to each state can be found at the following site: https://www.findlaw.com/state.html
2. Develop an institutional policy for ensuring data security, integrity, and quality of health information. Your policy should include the following:
   1. Timelines for responding to a requested patient amendment or release of information (ROI) request.
   2. Procedural compliance with HIPAA relating to the patient amendment and ROI processes.
3. Your policy should be created as a 1- to 2-page Microsoft Word document.

Scenario 2: You have been tasked with recommending strategies to maintain compliance of health record content across the health system. To accomplish this, you must do the following:

1. Visit the following links pertaining to documentation guidelines relating to patient care, reimbursement, quality improvement, and research. Use the information from these links to complete the assignment.Behavioral Health Documentation Requirements
   Documentation Requirements for Acute Care
   National Committee for Quality Assurance Documentation Requirements
   Home Health Documentation Requirements
   Reimbursement
   CDI and Research
2. Evaluate the importance of compliance with documentation guidelines across the health system as they relate to patient care, reimbursement, quality improvement, and research.
3. Based on your interpretation and evaluation of the documentation guidelines provided, create a 1- to 2-page report for your facility’s administration. Your report should identify one facility setting, such as a hospital, home health agency, or behavioral health institution. Recommend and justify one initiative in each of the following areas: patient care, reimbursement, quality improvement, and research, that is important in meeting the compliance standards across the health system.

References

American Professional Agency. (2019). Documentation in behavioral health. https://www.apa.org/members/your-membership/benefits/insurance-documentation.pdf

Combs, T. (2021). The importance of high-quality clinical documentation across the healthcare continuum. Journal of AHIMA. https://journal.ahima.org/the-importance-of-high-quality-clinical-documentation-across-the-healthcare-continuum

FindLaw. (n.d.). State laws. https://www.findlaw.com/state.html

Individuals’ Right Under HIPAA to Access Their Health Information, 45 CFR § 164.524 (2020).

Privacy Rights Clearinghouse. (2014). The HIPAA privacy rule: Patients’ rights. https://privacyrights.org/consumer-guides/hipaa-privacy-rule-patients-rights

Medicare Learning Network (MLN). (2021). Complying with medical record documentation requirements. https://www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNProducts/Downloads/CERTMedRecDoc-FactSheet-ICN909160.pdf

National Committee for Quality Assurance (NCQA). (2018). Guidelines for medical record documentation. https://www.ncqa.org/wp-content/uploads/2018/07/20180110_Guidelines_Medical_Record_Documentation.pdf

Novitas Solutions. (2021). Physician and allowed practitioner certification and recertification of home health. https://www.novitas-solutions.com/webcenter/portal/MedicareJH/pagebyid?contentId=00081587

Samaritan Health Plans. (2021). Medical record documentation standards. https://providers.samhealthplans.org/-/media/SHP/Documents/Providers/Medical-Record-Documentation-Standards-Guidelines.pdf?la=en&hash=A3C77D83C9B392E1B569F30C50121C5DE72064CD

Tips for Success:

Evaluate the purpose of clinical documentation and how it is utilized in achieving quality patient care, ethical reimbursement, and research.

Written Assignment Requirements:

• For your written assignment, you will utilize your analysis of the research to write a policy and report as outlined in the scenarios above.
• Your assignment containing your responses to both scenarios, using the headings Scenario 1 and Scenario 2, should be a minimum of 2-4 pages in length, submitted as a single Microsoft Word document, double-spaced in 12-pt Times New Roman font.
• Include a title page and reference page. Be sure to use APA in-text citations in addition to the reference page to attribute each source.
• Include four or more credible resources.
• Your writing should follow APA format and follow the conventions of Standard English (correct grammar, punctuation, etc.).
•  writing should be well ordered, logical, and unified, as well as original and insightful.
• Your work should display superior content, organization, style, and mechanics