It's crucial to provide the appropriate discharge instructions to a client who recently underwent a tracheostomy to ensure their safety and proper care at home.
The most important instruction for the nurse to include in the discharge plan is to educate the client and their caregiver on tracheostomy care, specifically in cleaning, suctioning, and preventing infection.
Proper tracheostomy care is essential to maintain a patent airway and minimize the risk of complications.
The nurse should teach the client and caregiver how to clean the stoma area daily using sterile saline solution and cotton swabs, ensuring that they understand the importance of keeping the area clean to avoid infections.
Additionally, the nurse should instruct the client and caregiver on the correct technique for suctioning the tracheostomy tube.
Suctioning helps remove secretions that could obstruct the airway, thus preventing respiratory distress. They should be taught to perform suctioning gently and not too frequently to minimize irritation to the tracheal lining.
Preventing infection is another critical aspect of tracheostomy care. The nurse should emphasize the importance of hand hygiene before handling the tracheostomy tube or stoma, as well as the use of sterile gloves and equipment when cleaning and suctioning.
In summary, the most important instruction for the nurse to include in the discharge plan is teaching the client and their caregiver about proper tracheostomy care, focusing on cleaning, suctioning, and infection prevention to ensure the client's safety and well-being at home.
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Providing thorough and clear instructions can help ensure the client's safety and promote successful management of their tracheostomy at home.
As a nurse, it is important to provide detailed and clear instructions to a client who recently underwent a tracheostomy before they are discharged to home. The most important instruction to include in the discharge plan is how to properly care for the tracheostomy site. This includes cleaning and changing the tracheostomy tube, monitoring for signs of infection, and knowing how to suction the airway if necessary. The client and their caregiver should also be instructed on how to recognize and respond to any complications that may arise, such as bleeding, difficulty breathing, or dislodgement of the tube. It is also important to emphasize the need for follow-up appointments with the healthcare provider to ensure proper healing and adjustment to the tracheostomy.
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Weekly Clinical Guided Reflection/Analysis
All questions must be answered. Do not rewrite the questions but just number your answers. Must be completed in proper APA format. You may answer each question with just 1-5 sentences.
(Safety) How did you incorporate a standard precaution and infection control guideline? (Choose one you have not chosen ) Which National Patient Safety Goals did you use in your practice? (Choose one you have not chosen before.)
(Concept Care Map) What is the highest priority problem for your patient? What is the rationale for this choice?
(Concept Care Map) What is the pathophysiology for the highest priority patient problem for each of your patients as it applies to the patient’s situation?
(Concept Care Map) Evaluate the patient goals for each of your patients (from your concept care map).
(Clinical Judgment) What did you learn about the concepts of the week from your patient(s) and experiences at clinical?
(Clinical Judgment) Think of one clinical decision you made which enhanced your patient’s care by addressing their cultural, developmental, and social characteristics.
(Clinical Judgment) Share an "ah-ha" moment of insight you experienced or witnessed today in clinical.
(Clinical Judgment) Share one thing you plan to do differently next week in clinical?
(Patient Education) How did you assess the readiness of your patient and family member to learn? Identify any learning barriers; possible resolution to barriers. What content did you identify that you should teach your patient and/or family? What teaching strategies did you use?What teaching aides did you use?
(Patient Education) How did you verify their learning? Did they learn the content? If not, why not?
(Communication) Describe a therapeutic conversation you had with a patient or family member. Name the therapeutic communication technique you used? How did the person respond to your therapeutic communication technique? Upon reflection, what would you have said differently? Describe one communication barrier you observed. How did it interfere with the communication?
(Professionalism) Which standard of practice from the Board of Nursing Rule did you implement? (Choose one you have not chosen ) How did you implement it?
(Leadership & Management) List interventions from your Concept-Care Map that you could only legally delegate to unlicensed personnel (UAP). How did you advocate for your assigned patient(s)?
(Quality Improvement or Evidence-Based Practice) Identify and explain a quality improvement project at your hospital – or – identify an evidence-based practice used in the care of your patients.
(Concept Care Map) List all the interventions on your concept care map with cited scientific rationales. Only list 2-3 interventions!
The above prompt is about safety, Concept care Map and clinical judgements. See the responses below.
What is the explanation for above prompts?
(Safety) One standard precaution and infection control guideline that can be incorporated is hand hygiene. This can be done by washing hands with soap and water or using alcohol-based hand rub before and after patient contact or any activity that involves contact with potentially infectious material. One National Patient Safety Goal that can be used is "Identify patients correctly" to prevent errors in patient identification and ensure patient safety.
(Concept Care Map) The highest priority problem for the patient may depend on their specific situation and condition. However, in general, a life-threatening problem such as respiratory distress would be a high priority. The rationale for this choice is that respiratory distress can quickly progress to respiratory failure, which can be fatal if not managed promptly.
(Concept Care Map) The pathophysiology for respiratory distress may involve various factors such as airway obstruction, inflammation, and decreased lung compliance. In the patient's specific situation, the cause and underlying mechanisms of their respiratory distress should be assessed and addressed accordingly.
(Concept Care Map) The patient goals on the concept care map should be specific, measurable, achievable, relevant, and time-bound (SMART). For example, a goal for a patient with respiratory distress may be to improve oxygen saturation to 95% or higher within the next hour by administering supplemental oxygen and monitoring respiratory status.
(Clinical Judgment) Clinical judgment involves the use of critical thinking, problem-solving, and decision-making skills to provide safe and effective patient care. One clinical decision that can enhance patient care is to address their cultural, developmental, and social characteristics by providing culturally sensitive care and considering their individual needs and preferences.
(Clinical Judgment) An "ah-ha" moment of insight can occur when a nurse realizes a new perspective or understanding about a patient's condition or situation, or when they discover a more effective way to provide care. For example, realizing that a patient's noncompliance with medication is due to financial constraints rather than lack of understanding.
(Clinical Judgment) One thing that can be done differently next week is to prioritize and delegate tasks effectively to ensure optimal use of time and resources, while maintaining patient safety and quality of care.
(Patient Education) Assessing the readiness of patients and family members to learn can involve asking them about their knowledge, beliefs, and preferences regarding their health and treatment. Learning barriers can include language barriers, low health literacy, and cultural beliefs. Possible resolutions can involve using interpreters, simplifying information, and providing culturally sensitive education.
(Patient Education) Verifying learning can involve asking the patient to repeat or demonstrate what they have learned, or using other forms of assessment such as written tests or return demonstration. If the patient did not learn the content, the reason should be identified and addressed, such as providing additional education or using different teaching strategies.
(Communication) Therapeutic communication techniques can involve active listening, empathy, validation, and clarification. The response of the person can vary, but therapeutic communication can help build rapport, trust, and a positive relationship between the nurse and patient/family.
(Professionalism) A standard of practice from the Board of Nursing Rule that can be implemented is "Maintain patient confidentiality and privacy." This can be done by ensuring that patient information is kept confidential and only shared with authorized individuals on a need-to-know basis.
(Leadership & Management) Interventions from the concept care map that can be legally delegated to UAP may include activities such as basic hygiene, ambulation, and feeding. To advocate for assigned patients, nurses can provide clear instructions, ongoing supervision, and communication to ensure that UAP perform delegated tasks safely and effectively.
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Which of the following is an acceptable example of additional documentation?
A. Proof of Volunteer work at a local civic center
B. An award won at the local chili cook -off
C. A list of hobby's like canoeing or golf
D. A photo of yourself
Answer:
A
Explanation:
That shows you care about your community.
____ penicillin kills bacteria was discovered in 1928 by Alexander Fleming.
a.what
b.that
c.who
d.which
e.when
During an assessment 30 minutes following delivery, the nurse notes the fundus is firm, the perineal pad is saturated, and bleeding occurs in a trickle. What should the nurse suspect on the basis of these assessment findings
Ask the client when she last changed her perineal pad.
What does it mean when the fundus is firm?
The muscles are constricted and bleeding is less likely to happen when the fundus is firm.The top part of the uterus, known as the fundus, is midline and palpable midway between the symphysis pubis and the umbilicus immediately following birth. The fundus is hard and at the level of the umbilicus by about an hour after delivery.If it isn't firm, it will often get firmer after the massage has been given and the blood and/or clots have been removed. When your bladder is full, the uterus may occasionally be positioned off to the side. This could also make the uterus less effective at contracting, which might result in excessive bleeding or possibly haemorrhage.To learn more about fundus is firm visit:
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after a cardiac catheterization, the nurse monitors the child's fluid balance closely based on the understanding that:
Since the contrast material employed has a diuretic effect, the nurse keeps a close eye on the child's fluid balance.
What is the role of a nurse?A nurse's main responsibility is to take care of patients by attending to their physical requirements, avoiding illness, and treating medical disorders. Nurses must watch and monitor the patient while documenting any pertinent data to support treatment decision-making.
Is nurse easy to study?The schedules are convoluted, the exams are difficult, and the assignments keep stacking up. As a student, all of these things may make life challenging for you. From the moment you start the application process until you graduate, the area of nursing is extremely competitive.
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6. How
many total
muscular
exits are
there from
the female
Pelvis?
A prescription is presented to you as follows: Diabinese 250mg qid for an 85 year old person weighing 120 pounds. Would you fill the prescrition written?
what methods would you use for determining a demand for cotton balls?
Answer:
Answer: Demand for cotton balls is usually determined based on the population size and the number of medical centers. The demand will vary depending on how much cotton is required per patient (which depends on their condition).
Explanation:
The population size would be calculated by multiplying current population rates by estimated future rates. These calculations can be difficult, since they require available data about birthrates, death rates, and migration patterns to determine current population growth.
The number of medical centers represents primary care points for patients that need more than just over-the-counter treatment. Population statistics are also used in calculating this figure because it incorporates total number of people sought medical attention each year, which relates to demand for medacins.
Individuals with diabetes have a difficult time metabolizing foods that are high in: _________
Individuals with diabetes have a difficult time metabolizing foods that are high in simple carbohydrates.
This is because your body does not produce enough insulin to break down carbohydrates into glucose and absorb it into the bloodstream. Without enough insulin, glucose cannot be used as an energy source, but instead enters the bloodstream and causes high blood sugar levels.
Tips for Diabetics to Control Simple Carbohydrate IntakeDiabetics can control their intake of simple carbohydrates by choosing high-fiber foods, such as fruits, vegetables and whole grains, instead of refined foods. These foods contain complex carbohydrates, which are healthier for diabetics because they provide slow-release energy.
This means that high-fiber foods release glucose gradually into the bloodstream, which helps keep blood glucose levels stable. Fiber-rich foods also provide other important nutrients, such as vitamins, minerals and antioxidants.
In addition, diabetics should avoid processed foods high in sugar. These foods include candy, cakes, cookies and soft drinks. These foods contain many simple carbohydrates and are rich in empty calories, which means they do not provide vitamins and minerals.
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Posttest
2. Which of the following is not one of the three steps to identify behaviors?
A
examine the behavior
В.
o explore potential solutions
С.
try different responses
D
notify a psychiatrist
Submit
Submit
Answer:
D I think
Explanation:
A 77-year-old female was brought to the clinic by her daughter who stated that her mother had become slightly confused over the past several days. She had been stumbling at home and had fallen twice but was able to walk with some difficulty. She had no other obvious problems and had been eating and drinking. The daughter became concerned when she forgot her daughter's name, so she thought she better bring her to the clinic. HPI: Type II diabetes mellitus (DM) with peripheral neuropathy x 30 years. Emphysema. Situational depression after death of spouse 6-months ago SHFH: - non contributary except for 40 pack/year history tobacco use. Meds: Metformin 1000 mg po BID, ASA 81 mg po qam, escitalopram (Lexapro) 5 mg po q am started 2 months ago Labs-CBC WNL; Chem 7- Glucose-102 mg/dl, BUN 16 mg/dl, Creatinine 1.1 mg/dl, Na+116 mmol/L, K+4.2 mmol/L, CO237 m mol/L, Cl-97 mmol/L. The APRN refers the patient to the ED and called endocrinology for a consult for diagnosis and management of syndrome of inappropriate antidiuretic hormone (SIADH). Question: 1. Define SIADH and identify any patient characteristics that may have contributed to the development of SIADH
We can see that SIADH stands for Syndrome of Inappropriate Antidiuretic Hormone. It is a condition characterized by excessive release or action of antidiuretic hormone (ADH), also known as vasopressin.
What is SIADH?In SIADH, there is an abnormal increase in ADH secretion or an enhanced sensitivity of the kidneys to ADH, leading to excessive water retention in the body. This causes a dilutional effect, resulting in hypon
In the case of the 77-year-old female, several patient characteristics may have contributed to the development of SIADH:
EmphysemaSituational Depression: The patient experienced situational depression following the death of her spouse.Medications: The patient is taking escitalopram (Lexapro), an antidepressant medication.Learn more about SIADH on https://brainly.com/question/30778940
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What are the requirements when checking in C3-5 products
Handwritten marks such as circles, checkmarks, slashes, and so on are required.
What are C3-5 and pse?The C3-5 and Pse are certificates that give the products a grade. Using CFRX, all Cill-Vs should be checked into the electronic delivery check-in screen.
Each page of the invoice contains a signature. Each page of the invoice must include the date received.
The date when the Ciii-v and Pse products were obtained must be documented on each page of the invoice.
As a result, the prerequisites are handwritten marks such as circles, checkmarks, slashes, and so on.
Thus, these are the basic requirements when checking in C3-5 products.
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true or false? national institute for occupations safety and health (niosh) and the veterans health administration are partners working with 26 nursing schools to further safe patient handling and mobility (sphm) curricula.
True, 26 nursing schools partnered with the National Institute for Occupational Safety and Health (NIOSH) as well as the Veteran Health Administration to advance safe patient management and mobility (spam) curricula.
The Occupational Health and Safety Act of 1970 created NIOSH as a research organization with the goal of learning about health and safety and enabling employers and employees to maintain safe and healthy working conditions.
NIOSH is one of the departments that make up the U.S. Department of Health and Services centers of disease control and prevention. "Protect human resources while also guaranteeing safe and healthy workplaces for all women & men in the United States," is its stated mission.
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Data for the cohort study were obtained from the population of all physicians listed in the British Medical Register who resided in England and Wales as of October 1951. Questionnaires were mailed in October 1951, to 59,600 physicians.
The questionnaire asked the physicians to classify themselves into one of three categories:
1) current smoker, 2) ex-smoker, or 3)nonsmoker.
Smokers and ex-smokers were asked the amount they smoked, their method of smoking, the age they started to smoke, and, if they had stopped smoking, how long it had been since they last smoked. Nonsmokers were defined as persons who had never consistently smoked as much as one cigarette a day for as long as one year.
Usable responses to the questionnaire were received from 40,637 (68%) physicians, of whom 34,445 were males and 6,192 were female. This study was limited to the analysis of male physician respondents, 35 years of age or older.
The following table shows numbers of lung cancer deaths by daily number of cigarettes smoked at the time of the 1951 questionnaire (for male physicians who were nonsmokers and current smokers only). Person-years of observation ("person-years at risk") are given for each smoking category. The number of cigarettes smoked was available for 136 of the persons who died from lung cancer.
Answer:
Explanation:
I apologize, but it seems that the table you mentioned is missing from the information provided. Without the specific numbers and values in the table, I cannot provide a detailed analysis or answer any questions related to the numbers of lung cancer deaths by daily number of cigarettes smoked.
If you have any other questions or need assistance with a different topic, please let me know, and I'll be happy to help.
What are the "posterior poles of the eyes"?
The posterior pole, which in ophthalmology refers to the retinal tissue between the macula and the optic disc, is the term used to describe the rear of the eye.
What is posterior pole?Roth spots are symptoms of systemic sickness, and the patient's vital signs as well as general hemodynamic stability should be evaluated. Roth spots occur on fundoscopic examination as circular flame-shaped hemorrhages with a white/pale core (varying in size), most usually in the posterior pole.
White-centered hemorrhages known as 'Roth spots' are caused by retinal capillary rupture and entire blood ejection. This is followed by platelet adherence to the injured endothelium, which initiates a coagulation cascade and the creation of a platelet-fibrin thrombus in the center of the bleeding.
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Beginning with chemicals and proceeding through increasing levels of complexity in levels of
organization, the correct sequence is?
Unbeknownst to him, a nursing student has inhaled droplets containing common cold viruses and is soon to develop a cold himself. Place the following stages of infection in the sequence in which they will occur.
Full stage of illness, convalescent period, incubation period, & prodromal stage.
1. incubation period
2. prodromal stage
3. full stage of illness
4. convalescent period
The stages of infection in the order in which the flu virus will occur are :
Incubation periodprodromal stageThe full stage of the diseaseHealing periodWhat is flu?Flu or influenza is a viral infection that attacks the nose, throat, and lungs. People with flu can experience fever, headache, runny nose, stuffy nose, and cough.
A person can catch the flu if they accidentally inhale splashes of saliva in the air, which are released by sufferers when they sneeze or cough. In addition, touching your mouth or nose after holding an object that has been splashed with the patient's saliva can also be a means of transmitting the flu virus.
The stages of infection when the flu virus will occur are:
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what test is the process of having the patient perform a specific inspiratory and expiratory maneuvers?
The test that involves having the patient perform a specific inspiratory and expiratory maneuver is called a pulmonary function test (PFT).
In a PFT, the patient is asked to take a deep breath and then exhale as forcefully and completely as possible into a device called a spirometer. This measures the amount of air the patient is able to exhale, as well as how quickly they are able to do so. The test may also involve having the patient inhale a medication to see if it improves their lung function.
One specific type of PFT that involves inspiratory and expiratory maneuvers is the forced vital capacity (FVC) test. In this test, the patient is asked to take a deep breath and then exhale as forcefully and completely as possible, in order to measure the maximum amount of air they can exhale in one breath.
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Jack is a college athlete who requires 2,800 kcal a day to support his total energy needs. Even though Jack likes many different foods and makes it a point to try new things, he consumes only approximately 1,600 kcal a day. Which one of these characteristics of a healthy diet is Jack missing
The characteristic of a healthy diet that Jack is missing is "Adequacy." Adequacy refers to consuming enough nutrients and calories to meet the body's needs for optimal functioning.
Since Jack is only consuming approximately 1,600 kcal a day instead of his required 2,800 kcal, he is not meeting his energy needs. This can lead to deficiencies in essential nutrients and potentially impact his athletic performance and overall health. It is important for Jack to ensure that he is consuming enough calories to support his energy requirements and maintain a balanced and nutritious diet.
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bone or joint injuries common in mma? include a description of the
injury aswell as a treatment option
Bone and joint injuries are common in MMA, including fractures and dislocations, requiring immediate medical attention and specialized treatment.
What are some common bone and joint injuries in MMA and their treatments?Bone and joint injuries are prevalent in MMA due to the intense physical nature of the sport. Fractures, such as broken bones in the hands, feet, or facial bones, are common. Dislocations, where a joint is forced out of its normal position, can also occur, particularly in the shoulder, elbow, or knee joints.
Treatment options for these injuries involve prompt medical evaluation and care. Fractures may require immobilization with casts, splints, or braces, and in some cases, surgical intervention may be necessary for proper realignment and stabilization.
Dislocations often require immediate medical attention to reduce the joint back into its proper position, followed by rehabilitation exercises and sometimes surgery to repair damaged ligaments or tissues.
It is crucial for MMA athletes to receive comprehensive medical care from qualified professionals who specialize in sports medicine and orthopedic injuries. This ensures proper diagnosis, treatment, and rehabilitation, allowing athletes to recover and return to their sport safely.
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according to baron-cohen’s (e.g., baron-cohen, 2009) empathizing-systemizing theory, individuals with autism spectrum disorder are _______.
According to Baron-Cohen's empathizing-systemizing theory, individuals with Autism Spectrum Disorder (ASD) are systemizers.
Baron-Cohen's theory suggests that individuals can be characterized by their cognitive style, either being strong empathizers or systemizers, or a balance of both. Empathizing refers to the ability to understand and respond to other people's emotions, while systemizing refers to the ability to analyze and construct systems. People with ASD are hypothesized to have a stronger systemizing drive and a weaker empathizing drive, which can result in difficulties with social communication and interaction. This theory has been influential in the study of ASD and provides a framework for understanding some of the characteristic features of the disorder.
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immediately after a burn injury, electrolytes need to be evaluated for a major indicator of massive cell destruction, which is:
Immediately after a burn injury, electrolytes need to be evaluated for a major indicator of massive cell destruction, which is Hyperkalemia.
What must be done first things first following a burn?
Making sure the airway (breathing passages) stays open is the top priority in treating burn victims. The likelihood of an associated smoke inhalation injury is high, especially if the patient suffered burns within a room or other enclosed structure. Smoke inhalation can happen to patients who have been burned in the open as well.
A higher-than-normal potassium level in your blood is referred to medically as hyperkalemia. A molecule called potassium is essential for the health of your heart's muscle and nerve cells. The typical range for your blood potassium level is 3.6 to 5.2 millimoles per liter.
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15. Order: oxacillin sodium 0.25 g p.o.q.8h
Supply: oxacillin sodium oral suspension 125 mg per 2.5 mL
Give:____ t
Explanation:
To determine the number of teaspoons (t) needed for the prescription, we need to calculate the dosage conversion from grams to milligrams and then to teaspoons.
Given:
- Oxacillin sodium oral suspension: 125 mg per 2.5 mL
First, let's convert the dosage from grams to milligrams:
0.25 g = 250 mg
Now, let's find out how many milliliters (mL) are needed for the prescription:
250 mg = 2.5 mL
Since the prescription calls for 2.5 mL of the suspension, we can now determine the number of teaspoons needed.
1 teaspoon (t) is approximately equal to 5 mL.
Therefore, the calculation is as follows:
2.5 mL ÷ 5 mL/t = 0.5 t
So, the prescription requires 0.5 teaspoons (t) of oxacillin sodium oral suspension.
EHR systems are becoming extremely popular due to their benefits and advantages. These advantages include better quality of care, more accurate patient info, interoperability, increased efficiency, increased revenue, scalability, accessibility, customization, security, and support.
Based on the above advantages I noted; can you elaborate on one and why you think it is a good advantage for patient care?
EHR systems' accessibility to precise patient data significantly improves patient treatment. It improves decision making for healthcare professionals, lowers medical errors, and facilitates fast and effective therapeutic actions.
Advantages of EHR systems to patientsThe accessibility of more precise patient data is one benefit of electronic health record (EHR) systems that considerably enhances patient care.
All patient data is kept in one place and made available to authorized healthcare practitioners using EHR systems. This implies that when making treatment decisions for a patient, doctors, nurses, and experts involved in their care can quickly and simply obtain the most current and comprehensive information. They have real time access to test findings, imaging reports, prescription histories, and other important information.
EHR systems frequently come with clinical reminders and decision support tools that can assist healthcare professionals in adhering to evidence-based recommendations and best practices.
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How does a well impelled safety and health program affect employee retention
Answer:
It increases retention rates.
Charlie asks Danielle whether she has checked the instruments to ensure that the "instruments approximate." What does it mean for an instrument to approximate?
in your mouth, the food mixes with saliva and is mechanically broken into smaller pieces. We call this process
Answer:
We call this process: chemical digestion
Meth releases a certain brain chemical in very large amounts. What?
Answer:
Dopamine
Explanation:
Meth releases Dopamine, the ¨feel good¨ hormone as i learned in like..5th grade lol.
The amount of money that must be paid by the patient for medical services before the policy begins to pay is the:
PPO
tax
collateral
deductible
Answer: deductible
Explanation:
Answer: Calendar Year Deductible. The amount that the insured person must pay before insurance payment for covered service begins.
Explanation:
An infertile couple seeks the assistance of a clinic when they are unable to conceive a child. Through in vitro fertilization, (IVF), their dream is realized when they give birth to a baby girl. After some time passes, the baby's features appear to be Asian (the couple is white). Their worst nightmare begins when they learn that the husband is not the biological father of the child. The clinic is ordered to reveal the identity of all donors who could potentially be the father of the child. Whose rights are superior? the child, the mother, the unknown father? As a malpractice case, how do you begin to assess damages?