Category Archives: Medical Sciences (Anatomy, Physiology, Pharmacology etc.)

Assignment help-Chapter 15: Medical Billing and Reimbursement


Assignment help-Chapter 15: Medical Billing and Reimbursement 

Assignment #5

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Chapter 15: Medical Billing and Reimbursement

VOCABULARY REVIEW

Fill in the blank with the correct vocabulary terms from this chapter.

Section 1:

1.      The process of obtaining the dollar amount approved for a medical procedure or service before the procedure or service is scheduled.

___________________________________

2.      Obtained from health insurance companies and gives the provider approval to render the medical service.

___________________________________

3.      The electronic transfer of data (e.g., electronic claims) between two or more entities.

___________________________________

4.      A process done prior to claims submission to examine claims for accuracy and completeness.

___________________________________

5.      A contract between a provider and an insurance company in which the health plan pays a monthly fee per patient while the provider accepts the patient’s copay as payment in full for office visits.

___________________________________

6.      The process of obtaining the dollar amount approved for a medical procedure or service before it is scheduled.

___________________________________

7.      Form used by most health insurance payers for claims submitted by providers and suppliers.

___________________________________

8.      Process by which an insurance carrier allows a provider to submit insurance claims directly to the carrier electronically.

___________________________________

9.      A healthcare provider who has signed a contract with a health insurance plan to accept lower reimbursements for services in return for patient referrals.

___________________________________

a.       Precertification

b.      CMS-1500

c.       Direct Billing

d.      Release of information

e.       Participating provider

f.       Electronic data interchange

g.      Capitation agreements

h.      Audit

 


Section 2:

10.  An intermediary that accepts the electronic claim from the provider, reformats the claim to the specifications outlined by the insurance plans, and submits claim.

___________________________________

11.  An identifier assigned by the Centers for Medicare and Medicaid Services (CMS) that classifies the healthcare provider by license and medical specialties.

___________________________________

12.  On the EOB where the payer indicates the conditions under which the claim was paid or denied.

___________________________________

13.  Found on the patient’s health insurance ID card and is needed to identify the specific health plan to which the claim should be submitted.

___________________________________

14.  When provider may be inclined to code to a higher specificity level than the service provided actually involved.

___________________________________

15.  Claims with incorrect, missing, or insufficient data.

___________________________________

16.  A form that is sent by the insurance company to the provider who submitted the insurance claim which an accompanying check or a document indicating that funds were electronically transferred.

___________________________________

17.  Insurance carrier’s decision if the tests and treatments indicated by the CPT and HCPCS codes meet the accepted standard of practice to treat the patient’s diagnosis indicated by the ICD code.

___________________________________

18.  A patient financial responsibility that the subscriber for the policy is contracted per year to pay toward his or her healthcare before the insurance policy reimburses the provider.

___________________________________

19.  When a lower specificity level, or more generalized code is assigned.

___________________________________

20.  A policy provision in which the policyholder and the insurance company share the cost of covered medical services in a specified ratio.

___________________________________

21.  A patient financial responsibility that is due at the time of the office visit.

___________________________________

22.  Determining whether fraudulent medical billing practices were done with purpose or by accident.

___________________________________

a.       Transmitter ID

b.      Claims clearinghouse

c.       Downcoding

d.      Explanation of benefits (EOB)

e.       National Provider Identifiers (NPIs)

f.       Remark codes

g.      Medical necessity

h.      Dirty claims

i.        Copayment

j.        Coinsurance

k.      Intentional

l.        Upcoding

m.    Deductible

Assignment help-Chapter 15: Medical Billing and Reimbursement 

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Homework help-


Homework help-Kinn’s The Administrative Medical Assistant, 13th Edition

Unit 7

Kinn’s The Administrative Medical Assistant, 13th Edition

Chapter 14: Patient Accounts, Collections, and Practice Management

VOCABULARY REVIEW

Fill in the blank with the correct vocabulary terms from this chapter.

  1. An alphanumeric number issued by the insurance company giving approval of a procedure or service is a(n) _________________.
  2. The amount payable by insurance companies for a monetary loss to an individual insured by the company, under each coverage, is known as
  3. In the United States, Health Care practitioners readers services_________________ receiving payment.
  4. Active duty military personnel, family members of active duty personnel, military retirees and their eligible family members under the age of 65, in the survivors of all uniformed services are covered by_________________.
  5. The health benefits program run by the Department of Veterans Affairs (VA) that helps eligible beneficiaries pay the cost of specific healthcare Services and supplies is the (give acronym) _________________.
  6. _________________ provides periodic payments to replace income when an insured person is unable to work as a result of illness, injury, or disease.
  7. The _________________  __________ is the day on which insurance coverage begins seven benefits are payable.
  8. _________________ is the process of confirming health insurance coverage for the patient for the medical service and the day of service.
  9. The term for limitations on an insurance contract for which benefits are not payable is _________________.
  10. A reimbursement model in which the health plan pays the provider’s fee for every health insurance claim is called_________________.
  11. Medicaid and Medicare are examples of _________________ plans.
  12. A privately sponsored health plan purchased by an employer for their employees is considered a _________________ policy.
  13. _________________ is a third party system that reimburses a provider when services are rendered for an insured patient.
  14. A(n) _________________ is a healthcare plan that controls the cost of healthcare delivery by requiring all patients to seek care with a primary care provider to assess if more specialized care is needed.
  15. _________________ pay for all or a share of the cost of covered services, regardless of which physician, hospital, or other licensed healthcare provider is used. Policy holders of these plans and their dependents choose when and where to get health care services.
  16. A __________________ is health insurance coverage for those who were not covered by their employer group plan.
  17. An umbrella term for all healthcare plans that focus on reducing the cost of delivering quality care to patient members in return for schedule payments and coordinated care through a defined network of primary care physicians and hospitals is ______________________.
  18. A(n) ___________________________ is a healthcare provider who enters into a contract with a specific insurance company or program and agrees to accept the contracted fee schedule.
  19. ______________________ is a process required by some insurance carriers in which the provider obtains authorization to perform certain procedures or services or to refer a patient to a specialist.
  20. The payment of a specific sum of money to an insurance company for a list of health insurance benefits is called a(n) _______________________________.
  21. The primary care provider who can approve or deny when a patient seeks additional care is referred to as a(n) ____________________________.
  22. An insurance term used when a primary care provider wants to send a patient to a specialist is ____________________________.
  23. The fee schedule designed to provide national uniform payment of Medicare benefits after adjustment to reflect the differences in practice costs across geographic areas is called the____________________________.
  24. A(n) ____________________________ is funded by an organization with an employee base large enough to enable it to fund its own insurance program.
  25. The intermediary and administrator who coordinates patients and providers and processes claims for self-funded plans is called a(n) ______________________.
  26. A government-sponsored program under which authorized dependents of military personnel receive Medical Care was originally called CHAMPUS but now is called____________________________.
  27. A(n) ____________________________ is a review of individual cases of a committee to make sure services are medically necessary and to study how providers use medical care resources.
  28. ____________________________ is an insurance plan for individuals who are injured on the job either by accident or an acquired illness.
  29. Health insurance plans pay for health services deemed____________________________.
  30. The ____________________________ was passed in 2010 to assist more Americans in obtaining health insurance.
  31. Low and middle-income Americans can purchase health insurance at a(n) ____________________________ to apply for health insurance and not worry about being denied for a pre-existing condition.
  32. There are resources for patients who have questions on health insurance coverage through the patient protection and Affordable Care Act, such as ____________________________.
  33. Benefits cover the____________________________, or the amount that should be paid to the healthcare provider for services rendered.
  34. patients have a higher financial responsibility when they access care that is____________________________.
  35. ____________________________ are used by many healthcare facility offices to quickly verify eligibility and benefits.
  36. When a provider agrees to become a PAR, they also agreed to the health insurance plan’s ____________________________ for rendered medical services.
  37. The ____________________________ is the maximum that third-party payers will pay for a procedure or service.
  38. Healthcare providers need to apply to become a____________________________ through a process called credentialing.
  39. The resource-based relative value scale includes the following three parts:

A.________________________________________________________________________

B.________________________________________________________________________

C.________________________________________________________________________

 

  1. ____________________________ All type of healthcare organization that contracts with various health care providers and medical facilities at a reduced payment schedule for their insurance numbers.
  2. A(n) ____________________________ Usually takes 3 to 10 working days for review and approval. This type of referral is used when the physician believes that the patient must see a specialist to continue treatment.
  3.  Prescription drugs are covered by Medicare____________________________.

SKILLS AND CONCEPTS

Match the following terms and definitions.

 

 

____ Medicaid

 

____ Medicare

 

____ Medigap

 

 

 

 

 

  1. A federally sponsored health insurance program for those over 65 years or disabled individuals under 65 years
  2. A term sometimes apply to private insurance products that supplement Medicare insurance benefits
  3. A federal and state-sponsored health insurance program for the medically indigent

 

 

 

 

 

 

 


 

Read the following paragraph and then fill in the blanks.

 

The medical assistant tasks related to health insurance processing are initiated when the patient and counters the provider by appointment, as a walk-in, or in the emergency department or hospital. To complete insurance billing and coding properly, the medical assistant must perform the following tasks:

  1. Obtain information from the patient and/or the guarantor, including ______________________and _________________________ data.
  2. Verify the patient’s _______________________ for insurance payment with the insurance carrier or carriers, as well as insurance ________________________, exclusions, and whether _____________________ is required to refer patients to specialists or to perform certain services or procedures, such as surgery or diagnostic tests.
  3. Obtain ____________________  _____________________ for referral of the patient to a specialist or for special services or procedures that require advance permission.

 

Match the types of insurance benefits with their description.

_____ Hospitalization A.    A benefits program that offers a variety of options (fee-for-service or managed care plans) that reimburse a portion of a patient’s dental expenses and may exclude certain treatments
_____ Surgical B. Provides reimbursement for all or a percentage of the cost of refraction, lenses and frames
_____ Basic medical C. Helps defray medical costs not covered by Medicare
_____ Major medical D. Provides payment of a specified amount upon the insured’s death
_____ Disability E. Covers a continuum of broad-range maintenance and health services to chronically ill, disabled, or mentally disabled individuals
_____ Dental care F. Pays all or part of a surgeon’s or assistant surgeon’s fees
_____ Vision care G. A form of insurance that insures the beneficiary’s earned income against the risk that a disability will make working uncomfortable or impossible and provides weekly or monthly cash benefits
_____ Medicare supplement H. Pays all or part of a physician’s fee for nonsurgical services, including hospital, home, and office visits
_____ Liability insurance I. Provides protection against especially large medical bills resulting from catastrophic or prolonged illnesses up to a maximum limit, usually after coinsurance and a deductible have been met
_____ Life insurance J. Pays the cost of all or part of the insured person’s hospital room and board and specific hospital services per DRG guidelines
_____ Long-term care insurance K. Often includes benefits for medical expenses related to traumatic injuries and lost wages payable to individuals who are injured in the insured person’s home or in an automobile accident

 

 

Assignment help-The Medical Assistant, 13th Edition


Assignment help-The Medical Assistant, 13th Edition

Unit #8

The Medical Assistant, 13th Edition

Chapter 17: Banking Services and Procedures

VOCABULARY REVIEW  One point each (1)

Fill in the blank with the correct vocabulary terms from the list.

1.    A check that is not honored by the bank issuing the check because there were not sufficient funds in the entity’s bank account or the account has been closed _________________________________

2.    The misuse of a healthcare facility’s funds for personal gain _________________________________

3.    A payment the bank makes in exchange for using money _________________________________

4.    Money in a bank account that is not assigned to pay for any office expenses _________________________________

5.    A bank draft or an order to pay a certain sum of money on demand to a specified person or entity _________________________________

6.    Global technology that includes embedded microchips that store and protect cardholder data _________________________________

7.    A document used to withdraw money from one bank account and deposit it into another _________________________________

8.    The bank on which the check is drawn or written _________________________________

9.    A bank account against which checks can be written and funds can be transferred to the payable party _________________________________

10. The person who signs his or her name on the back of a check for the purpose of transferring all rights in the check to another party _________________________________

11. A capital sum of money due as a debt or used as a fund for which interest is either charged or paid _________________________________

12. The person presenting the check for payment _________________________________

13. Nine-digit code printed on the bottom left side of checks that identifies the bank upon which the check was drawn _________________________________

 

a.    Check

b.    Checking Account

c.    Discretionary income

d.    Drawee

e.    Endorser

f.     Embezzlement

g.    EMV chip technology

h.    Holder

i.      Interest

j.      Negotiable instruments

k.    Nonsufficient funds check

l.      Principal

m.   Routing transit number

SKILLS AND CONCEPTS

Part I: Short Answers

  1. (4 points) Describe the following types of banking fees.
    1. Account maintenance fee:_______________________________________________
    2. Overdraft fee:__________________________________________________________
    3. Nonsufficient funds fee:_________________________________________________
    4. Transaction fee:________________________________________________________
  2. (1 point) In the ambulatory care setting, what is the checking account used for?

_________________________________________________________________________

_________________________________________________________________________

  1. (1 point) In the ambulatory care setting, what is a savings account used for?

_________________________________________________________________________

_________________________________________________________________________

  1. (2 points) You are a medical assistant in a small practice and have been told that you now have the responsibility for paying the bills by writing out and signing the checks. What is the first action you need to take before writing out the first check?

_________________________________________________________________________

_________________________________________________________________________

  1. (5 points) Name six activities that can be done with basic online banking services.
    1. ____________________________________________________________________
    2. ____________________________________________________________________
    3. ____________________________________________________________________
    4. ____________________________________________________________________
    5. ____________________________________________________________________
    6. ____________________________________________________________________
  2. (4 points) List the four requirements for a check to be negotiable.
    1. ____________________________________________________________________
    2. ____________________________________________________________________
    3. ____________________________________________________________________
    4. ____________________________________________________________________
  3. (5 points) Name five documents that can be used to withdraw money from one bank account and deposit it into another.
    1. ____________________________________________________________________
    2. ____________________________________________________________________
    3. ____________________________________________________________________
    4. ____________________________________________________________________
    5. ____________________________________________________________________
  4. (5 points) Describe five precautions for accepting checks in the healthcare facility.
    1. ____________________________________________________________________
    2. ______________________________________________________________________
    3. ____________________________________________________________________
    4. ____________________________________________________________________
    5. ____________________________________________________________________
  5. (1 point) Describe the adjustments that are made to the patient’s account when an NSF check is received by the healthcare facility.

_________________________________________________________________________

_________________________________________________________________________

  1. (4 points) Describe four precautions to take if a patient is paying with cash.
    1. ____________________________________________________________________
    2. ____________________________________________________________________
    3. ____________________________________________________________________
    4. ____________________________________________________________________
  2. (1 point) Describe precautions to take when a patient pays with a debit card or a credit card.

_________________________________________________________________________

_________________________________________________________________________

  1. (5 points) Describe the banking procedures as related to the ambulatory care setting and include the medical assistant’s role with each procedure:
    1. Making bank deposits:_________________________________________________
    2. Preparing a bank deposit:_______________________________________________
    3. Endorsing checks:_____________________________________________________
    4. Writing checks:________________________________________________________
    5. Bank statement reconciliation:_____________________________________________
  2. (1 point) Why is it important to make bank deposits of cash and checks daily?

_________________________________________________________________________

_________________________________________________________________________

  1. (3 points) Describe three ways to do a mobile deposit of a check.
    1. ______________________________________________________________________
    2. ____________________________________________________________________
    3. ____________________________________________________________________
  2. (3 points) Describe each type of endorsement.
    1. Blank endorsement:____________________________________________________
    2. Restrictive endorsement:_________________________________________________
    3. Special endorsement:____________________________________________________
  3. (1 point) With regard to checks, define stop-payment.

_________________________________________________________________________

_________________________________________________________________________

  1. (3 points) List three reasons a stop-payment would be done.
    1. ____________________________________________________________________
    2. ____________________________________________________________________
    3. ____________________________________________________________________
  2. (1 point) Define direct deposit.

_________________________________________________________________________

_________________________________________________________________________

  1. (1 point) If a mistake is made when preparing a check, what should be done?

_________________________________________________________________________

_________________________________________________________________________

  1. (1 point) What is a fidelity bond?

_________________________________________________________________________

_________________________________________________________________________

 

Need help-SNH 510 – Case Studies in Natural Medicine


Need help-SNH 510 – Case Studies in Natural Medicine

SNH 510 – Case Studies (preset data)

NOTE: Please read ALL instructions for this assignment before you begin

Description: Case studies are designed to demonstrate the cumulative knowledge of a natural health practitioner in a practical manner.

For this course requirement, students will interpret predetermined data from fictitious clients and make professional recommendations accordingly. Detailed analyses of these case studies by the student should demonstrate a full ability to apply natural health concepts and modalities to address client needs and concerns. Provided content: • 3 case studies from Trinity with information already filled out • A list of questions to be completed for each case study • A blank certification sheet Instructions: Students should be able to interpret and respond to the information presented in the case study documents. Recommendations should be fully explained and easily supported by the student. 1. Review provided case studies (For each case provided, assume the person came to you with only this information and would not provide any more answers or allow testing) 2. Determine logical and supportable lifestyle changes, supplements or body work 3. For each case study, provide answers to all of the listed student questions 4. Complete the attached certification sheet Once all documentation has been completed: Scan and email the documents to casestudies@trinityschool.org OR Mail the final documents to Trinity School of Natural Health Attn: Case Studies 220 Parker St. Warsaw, IN 46580 Note: Submit all final documentations together. Incomplete submissions will not be reviewed *If you have any questions on anything provided in the packet please call: (574) 267-6111 Student Questions Instructions: Type your answers on a separate page to the following questions. Provide as much detail as possible. A set of answers should be submitted for each case study in this assignment. Please retype the question prior to adding your answer. Questions: 1. What is the client’s name? (This will allow Trinity to link your answers with the correct intake form.) 2. What core issues might be involved in this case and why? 3. How would you explain the cause of each of the symptoms to the client? 4. What is the most serious concern from your perspective? 5. With regard to the symptoms and information gathered, did anything seem contradictory or not make sense in your opinion? 6. What further questions would you like to ask the client? 7. Based on the information provided, what are your recommendations? 8. Prioritize your recommendations – from most important to least. 9. What results would you expect the client to notice in the first week? 10.What results would you expect the client to notice in the second week? 11. What results would you expect the client to notice by the end of 30 days? 12.Does the dosage or recommendations change over 30 days? Provide details. 13.How long should they follow these recommendations? 14.When should another consultation be scheduled, if any? 15.When should follow up happen from you or them? 16.Should the client seek out licensed medical assistance? 220 Parker Street, Warsaw, IN 46580 • 1-800-428-0408 • http://www.trinityschool.org Trinity School of Natural Health 220 Parker St., Warsaw, IN 46580 1-800-428-0408 http://www.trinityschool.org Certification Sheet for SNH 510 Case Studies (Preset Data) Certification I certify that the research and coursework supplied to this requirement were the results of my own study and not those of others. I understand that if I am collaborating with another person, we will submit our own coursework, and the content for this requirement is my original work. I also understand that if found to be identical to the coursework of another student (in part or in whole), I could be asked to resubmit all new coursework. Print Name: ___________________________________________________________________ Address — include Street Address (or PO Box), City, State and Zip: _____________________________________________________________________________ _____________________________________________________________________________ Phone Number: _______________________________________________________________ Email Address: ________________________________________________________________ Signature: ____________________________________________________________________ Please fill out this form completely and attach it with your other coursework before you turn it in for grading. We must have this form to accept your submission for grading. Individual Health Information Sheet Name___________________________________________________ Day Phone _________________________________ Address _________________________________________________ Night Phone _______________________________ City ____________________________________________________ Cell Phone _________________________________ State/Zip ________________________________________________ Email _____________________________________ Relief from what top 3 symptoms (see back page) __________________________________________________________ Life Goals___________________________________________________________________________________________ How much sweaty activity weekly? ___________________________ What type of activity? ________________________ How many ounces of water do you drink daily? _________________ What type? RO Tap Spring Distilled    Which meals daily eaten? Breakfast Lunch Supper How many eliminations per day? _______________ How many digestive enzymes daily? __________________________ How many breathing exercises daily? ___________ How much of the following do you consume? (example, 1D = once daily, 3M = 3 times monthly) Soda pop _________ Coffee ________ Smoking ___________ Alcoholic Bev __________ Fast food _________ Milk___________ White Flour _________ Sugar usage ___________ Raw fruit__________ Meat __________ Raw Veggies ________ Whole Grains __________ What types of food do you crave? Salty Chocolate    Sweets Breads    Other ____________________________ What are your favorite foods? __________________________________________________________________________ How much daily energy (1 = lowest energy level; 10 = highest energy level) do you have? __________________________ What surgeries have you had and when? Circle NONE if applicable. ____________________________________________ ___________________________________________________________________________________________________ How many hours of TV do you watch? Daily___________________ Weekly____________________________________ How many hours of spiritual enrichment each week? (Bible, prayer, church, etc.)__________________________________ How many hours a week do you spend with family/friends? __________________________________________________ How many hours of sleep do you get each night? _______________ How many hours do you need? ________________ What kind of prescription medication do you take?  Circle NONE if applicable. ___________________________________ ___________________________________________________________________________________________________ Would you like to receive our natural health newsletter?     YES    NO Who referred you for your appointment today? ____________________________________________________________ I understand that I am here to learn about nutrition and better health practices and that I will be offered information about food supplements and herbs as a guide to general good health and this is a personal ministry and spiritual counseling. I fully understand that those who counsel me are not medical doctors and I am not here for medical diagnostic purposes or treatment procedures.  I am not on this visit or any subsequent visit an agent for federal, state, or local agencies or on a mission of entrapment or investigation.   The services performed here are at all times restricted to consultation on nutritional matters intended for the maintenance of the best possible state of natural health and do not involve the diagnosing, treatment, or prescribing of remedies for disease. Signature________________________________________________ Date ______________________________________ Daniel James 555-555-5555 7813 Hugart Road 555-555-5555 Orlando 555-555-5555 FL, 25446 Daniel.James@emailme.com Stress, fatigue and ear ringing Faith, servant leader, family, health and joy 1 weekly Running 24 oz 1 daily 0 none 1 monthly 0 0 0 2 weekly 1 daily ? ? 4 weekly 2 daily 1 weekly ? Chicken, fish, fruit and ice cream 5 1.5 hours 12 hours 5 hours 40 hours 7.5 8 Zyrtec Dan James 05/06/2014 Symptoms and Areas of Concern (check all that apply) Acne Circulation Hiatal Hernia Pneumonia ADD/ADHD Cold – Common Hives Polyps Adrenal Glands Cold – Temperature Hormones Pregnancy Allergies Colic Hyperactive Prostate Alzheimer’s Disease Colon Hypertension Psoriasis Anemia Constipation Hyperthyroidism Rash Anger Cough Hypoglycemia Reproductive Anxiety Cravings Impotence Respiratory Appetite Dandruff Incontinence Rheumatism Arteriosclerosis Depression Indigestion Ring worm Arthritis Diabetes Insomnia Seizures Asthma Diarrhea Joint Pain Shingles Back Pain Digestion Kidney Issues Sinus Bad Breath Dizzy Spells Kidney Stones Skin Issues Bed Wetting Ear Infection Laryngitis Snoring Bell’s Palsy Ear Ringing Leprosy Sore Throat Bites Edema Leukemia Stomach Bladder Emphysema Liver Stress Blood Pressure – High Epilepsy Lung Issues Stroke Blood Pressure – Low Eyesight Lupus Sty Boils Fatigue Lymph Glands Teething Bones Fever Menopause Tennis Elbow Breathing Flu Menstrual Cramps Tonsillitis Bronchitis Gallstones Migraines Tumors Bruises Gangrene Mononucleosis Ulcers Burns Gas Mucous Urinary Infections Cancer Gout Nails Varicose Veins Candida Gums Nausea Vertigo Canker Sores Hair Issues Nervousness Weight – Overweight Carpal Tunnel Headache Nose Bleeds Weight – Underweight Cataracts Heart Issues Parasites Yeast Infections Chest Congestion Heartburn Parkinson’s Disease OTHER: Chest Pain Hemorrhoids Perspiration Cholesterol Herpes PMS Dan James Bach Flower Self-Help Questionnaire Check all that apply. If you have to think about it, skip it. Don’t limit your choices. Agrimony ___I hide my feelings behind a facade of cheerfulness ___I dislike arguments and often give in to avoid conflict ___I turn to food, work, alcohol, drugs, etc. when down Aspen ___I feel anxious without knowing why ___I have a secret fear that something bad will happen ___I wake up feeling anxious Beech ___I get annoyed by the habits of others ___I focus on others’ mistakes ___I am critical and intolerant Centaury ___I often neglect my own needs to please ___I find it difficult to say “no” ___I tend to be easily influenced Cerato ___I constantly second-guess myself ___I seek advice, mistrusting my own intuition ___I often change my mind out of confusion Cherry Plum ___I’m afraid I might lose control of myself ___I have sudden fits of rage ___I feel like I’m going crazy Chestnut Bud ___I make the same mistakes over and over ___I don’t learn from my experience ___I keep repeating the same patterns Chicory ___I need to be needed and want my loved ones close ___I feel unloved and unappreciated by my family ___I easily feel slighted and hurt Clematis ___I often feel spacey and absent minded ___I find myself unable to concentrate for long ___I get drowsy and sleep more than necessary Crab Apple ___I am overly concerned with cleanliness ___I feel unclean or physically unattractive ___I tend to obsess over little things Elm ___I feel overwhelmed by my responsibilities ___I don’t cope well under pressure ___I have temporarily lost my self-confidence Gentian ___I become discouraged with small setbacks ___I am easily disheartened when faced with difficulties ___I am often skeptical and pessimistic Gorse ___I feel hopeless, and can’t see a way out ___I lack faith that things could get better in my life ___I feel sullen and depressed Dan James Mustard ___I get depressed without any reason ___I feel my moods swinging back and forth ___I get gloomy feelings that come and go Oak ___I tend to overwork and keep on in spite of exhaustion ___I have a strong sense of duty and never give up ___I neglect my own needs in order to complete a task Olive ___I feel completely exhausted, physically and/or mentally ___I am totally drained of all energy with no reserves left ___I’ve just been through a long period of illness or stress Pine ___I feel unworthy and inferior ___I often feel guilty ___I blame myself for everything that goes wrong Red Chestnut ___I’m overly concerned and worried about my loved ones ___I’m distressed and disturbed by other people’s problems ___I worry that harm may come to those I love Rock Rose ___I sometimes feel terror and panic ___I become helpless and frozen when afraid ___I suffer from nightmares Rock Water ___I set high standards for myself ___I am strict with my health, work &/or spiritual discipline ___I am very self-disciplined, always striving for perfection Heather ___I am obsessed with my own troubles ___I dislike being alone and I like to talk ___I usually bring conversations back to myself Holly ___I am suspicious of others ___I feel discontented and unhappy ___I am full of jealousy, mistrust, or hate Honeysuckle ___I’m often homesick for the “way it was” ___I think more about the past than the present ___I often think about what might have been Hornbeam ___I often feel too tired to face the day ahead ___I feel mentally exhausted ___I tend to put things off Impatiens ___I find it hard to wait for things ___I am impatient and irritable ___I prefer to work alone Larch ___I lack self-confidence ___I feel inferior and often become discouraged ___I never expect anything but failure Mimulus ___I am afraid of things such as spiders, illness, etc. ___I am shy, overly sensitive, and modest ___I get nervous and embarrassed Dan James White Chestnut ___I am constantly thinking unwanted thoughts ___I repeatedly relive unhappy events or arguments ___I’m unable to sleep at times because I can’t stop thinking Wild Oat ___I can’t find my path in life ___I am drifting in life and lack direction ___I am ambitious but don’t know what to do Wild Rose ___I am apathetic and resigned to whatever happens ___I have the attitude, “It doesn’t matter anyhow” ___I feel no joy in life Willow ___I feel resentful and bitter ___I have difficulty forgiving and forgetting ___I think life is unfair and have a “Poor me attitude” Scleranthus ___I find it difficult to make decisions ___I often change my opinions ___I have intense mood swings Star of Bethlehem ___I feel devastated due to a recent shock ___I am withdrawn due to traumatic events in my life ___I have never recovered from loss or fright Sweet Chestnut ___I feel extreme mental or emotional heartache ___I have reached the limits of my endurance ___I am in complete despair, all hope gone Vervain ___I get high-strung and very intense ___I try to convince others of my way of thinking ___I am sensitive to injustice, almost fanatical Vine ___I tend to take charge of projects, situations, etc. ___I consider myself a natural leader ___I am strong-willed, ambitious and often bossy Walnut ___I’m experiencing change in life–a move, new job, etc. ___I get drained by people or situations ___I want to be free to follow my own ambitions Water Violet ___I give the impression that I’m aloof ___I prefer to be alone when overwhelmed ___I often don’t connect with people Determining Your Custom Remedy After completing the questionnaire, circle the remedy names where two or more checks appear to determine which remedies are needed. Try to limit the number of remedies to six or fewer by choosing only the ones that are needed. Dan James pH Levels Sugars ________________ Urine pH ______________ Saliva pH ______________ Salts__________________ Cell Debris_____________ Nit Nit ________________ Amm Nit ______________ Total Ureas ____________ Notes Eye Photo Tongue Photo Nail Photo 6 5.4 7.2 40c 4m+ 9 11 20 Dan James Individual Health Information Sheet Name___________________________________________________ Day Phone _________________________________ Address _________________________________________________ Night Phone _______________________________ City ____________________________________________________ Cell Phone _________________________________ State/Zip ________________________________________________ Email _____________________________________ Relief from what top 3 symptoms (see back page) __________________________________________________________ Life Goals___________________________________________________________________________________________ How much sweaty activity weekly? ___________________________ What type of activity? ________________________ How many ounces of water do you drink daily? _________________ What type? RO Tap Spring Distilled    Which meals daily eaten? Breakfast Lunch Supper How many eliminations per day? _______________ How many digestive enzymes daily? __________________________ How many breathing exercises daily? ___________ How much of the following do you consume? (example, 1D = once daily, 3M = 3 times monthly) Soda pop _________ Coffee ________ Smoking ___________ Alcoholic Bev __________ Fast food _________ Milk___________ White Flour _________ Sugar usage ___________ Raw fruit__________ Meat __________ Raw Veggies ________ Whole Grains __________ What types of food do you crave? Salty Chocolate    Sweets Breads    Other ____________________________ What are your favorite foods? __________________________________________________________________________ How much daily energy (1 = lowest energy level; 10 = highest energy level) do you have? __________________________ What surgeries have you had and when? Circle NONE if applicable. ____________________________________________ ___________________________________________________________________________________________________ How many hours of TV do you watch? Daily___________________ Weekly____________________________________ How many hours of spiritual enrichment each week? (Bible, prayer, church, etc.)__________________________________ How many hours a week do you spend with family/friends? __________________________________________________ How many hours of sleep do you get each night? _______________ How many hours do you need? ________________ What kind of prescription medication do you take?  Circle NONE if applicable. ___________________________________ ___________________________________________________________________________________________________ Would you like to receive our natural health newsletter?     YES    NO Who referred you for your appointment today? ____________________________________________________________ I understand that I am here to learn about nutrition and better health practices and that I will be offered information about food supplements and herbs as a guide to general good health and this is a personal ministry and spiritual counseling. I fully understand that those who counsel me are not medical doctors and I am not here for medical diagnostic purposes or treatment procedures.  I am not on this visit or any subsequent visit an agent for federal, state, or local agencies or on a mission of entrapment or investigation.   The services performed here are at all times restricted to consultation on nutritional matters intended for the maintenance of the best possible state of natural health and do not involve the diagnosing, treatment, or prescribing of remedies for disease. Signature________________________________________________ Date ______________________________________ Kayla Brown 555-555-5555 1526 South Hampton Street 555-555-5555 Plymouth 555-555-5555 IN, 46019 Kayla.Brown@emailme.com Stress, neck and back pain Live a life honoring to God and to serve others 2 times a week Zumba, Walking 80 1 time 4 – 1 monthly 0 0 0 1 weekly 0 3 weekly 1 daily 3 weekly 4 weekly 2 weekly 2 monthly Pizza, tacos and salads 8 2 hours 14 hours 2 hours 1 hour 6-7 8 Kayla Brown 08/23/2013 Symptoms and Areas of Concern (check all that apply) Acne Circulation Hiatal Hernia Pneumonia ADD/ADHD Cold – Common Hives Polyps Adrenal Glands Cold – Temperature Hormones Pregnancy Allergies Colic Hyperactive Prostate Alzheimer’s Disease Colon Hypertension Psoriasis Anemia Constipation Hyperthyroidism Rash Anger Cough Hypoglycemia Reproductive Anxiety Cravings Impotence Respiratory Appetite Dandruff Incontinence Rheumatism Arteriosclerosis Depression Indigestion Ring worm Arthritis Diabetes Insomnia Seizures Asthma Diarrhea Joint Pain Shingles Back Pain Digestion Kidney Issues Sinus Bad Breath Dizzy Spells Kidney Stones Skin Issues Bed Wetting Ear Infection Laryngitis Snoring Bell’s Palsy Ear Ringing Leprosy Sore Throat Bites Edema Leukemia Stomach Bladder Emphysema Liver Stress Blood Pressure – High Epilepsy Lung Issues Stroke Blood Pressure – Low Eyesight Lupus Sty Boils Fatigue Lymph Glands Teething Bones Fever Menopause Tennis Elbow Breathing Flu Menstrual Cramps Tonsillitis Bronchitis Gallstones Migraines Tumors Bruises Gangrene Mononucleosis Ulcers Burns Gas Mucous Urinary Infections Cancer Gout Nails Varicose Veins Candida Gums Nausea Vertigo Canker Sores Hair Issues Nervousness Weight – Overweight Carpal Tunnel Headache Nose Bleeds Weight – Underweight Cataracts Heart Issues Parasites Yeast Infections Chest Congestion Heartburn Parkinson’s Disease OTHER: Chest Pain Hemorrhoids Perspiration Cholesterol Herpes PMS Kayla Brown Bach Flower Self-Help Questionnaire Check all that apply. If you have to think about it, skip it. Don’t limit your choices. Agrimony ___I hide my feelings behind a facade of cheerfulness ___I dislike arguments and often give in to avoid conflict ___I turn to food, work, alcohol, drugs, etc. when down Aspen ___I feel anxious without knowing why ___I have a secret fear that something bad will happen ___I wake up feeling anxious Beech ___I get annoyed by the habits of others ___I focus on others’ mistakes ___I am critical and intolerant Centaury ___I often neglect my own needs to please ___I find it difficult to say “no” ___I tend to be easily influenced Cerato ___I constantly second-guess myself ___I seek advice, mistrusting my own intuition ___I often change my mind out of confusion Cherry Plum ___I’m afraid I might lose control of myself ___I have sudden fits of rage ___I feel like I’m going crazy Chestnut Bud ___I make the same mistakes over and over ___I don’t learn from my experience ___I keep repeating the same patterns Chicory ___I need to be needed and want my loved ones close ___I feel unloved and unappreciated by my family ___I easily feel slighted and hurt Clematis ___I often feel spacey and absent minded ___I find myself unable to concentrate for long ___I get drowsy and sleep more than necessary Crab Apple ___I am overly concerned with cleanliness ___I feel unclean or physically unattractive ___I tend to obsess over little things Elm ___I feel overwhelmed by my responsibilities ___I don’t cope well under pressure ___I have temporarily lost my self-confidence Gentian ___I become discouraged with small setbacks ___I am easily disheartened when faced with difficulties ___I am often skeptical and pessimistic Gorse ___I feel hopeless, and can’t see a way out ___I lack faith that things could get better in my life ___I feel sullen and depressed Kayla Brown Mustard ___I get depressed without any reason ___I feel my moods swinging back and forth ___I get gloomy feelings that come and go Oak ___I tend to overwork and keep on in spite of exhaustion ___I have a strong sense of duty and never give up ___I neglect my own needs in order to complete a task Olive ___I feel completely exhausted, physically and/or mentally ___I am totally drained of all energy with no reserves left ___I’ve just been through a long period of illness or stress Pine ___I feel unworthy and inferior ___I often feel guilty ___I blame myself for everything that goes wrong Red Chestnut ___I’m overly concerned and worried about my loved ones ___I’m distressed and disturbed by other people’s problems ___I worry that harm may come to those I love Rock Rose ___I sometimes feel terror and panic ___I become helpless and frozen when afraid ___I suffer from nightmares Rock Water ___I set high standards for myself ___I am strict with my health, work &/or spiritual discipline ___I am very self-disciplined, always striving for perfection Heather ___I am obsessed with my own troubles ___I dislike being alone and I like to talk ___I usually bring conversations back to myself Holly ___I am suspicious of others ___I feel discontented and unhappy ___I am full of jealousy, mistrust, or hate Honeysuckle ___I’m often homesick for the “way it was” ___I think more about the past than the present ___I often think about what might have been Hornbeam ___I often feel too tired to face the day ahead ___I feel mentally exhausted ___I tend to put things off Impatiens ___I find it hard to wait for things ___I am impatient and irritable ___I prefer to work alone Larch ___I lack self-confidence ___I feel inferior and often become discouraged ___I never expect anything but failure Mimulus ___I am afraid of things such as spiders, illness, etc. ___I am shy, overly sensitive, and modest ___I get nervous and embarrassed Kayla Brown White Chestnut ___I am constantly thinking unwanted thoughts ___I repeatedly relive unhappy events or arguments ___I’m unable to sleep at times because I can’t stop thinking Wild Oat ___I can’t find my path in life ___I am drifting in life and lack direction ___I am ambitious but don’t know what to do Wild Rose ___I am apathetic and resigned to whatever happens ___I have the attitude, “It doesn’t matter anyhow” ___I feel no joy in life Willow ___I feel resentful and bitter ___I have difficulty forgiving and forgetting ___I think life is unfair and have a “Poor me attitude” Scleranthus ___I find it difficult to make decisions ___I often change my opinions ___I have intense mood swings Star of Bethlehem ___I feel devastated due to a recent shock ___I am withdrawn due to traumatic events in my life ___I have never recovered from loss or fright Sweet Chestnut ___I feel extreme mental or emotional heartache ___I have reached the limits of my endurance ___I am in complete despair, all hope gone Vervain ___I get high-strung and very intense ___I try to convince others of my way of thinking ___I am sensitive to injustice, almost fanatical Vine ___I tend to take charge of projects, situations, etc. ___I consider myself a natural leader ___I am strong-willed, ambitious and often bossy Walnut ___I’m experiencing change in life–a move, new job, etc. ___I get drained by people or situations ___I want to be free to follow my own ambitions Water Violet ___I give the impression that I’m aloof ___I prefer to be alone when overwhelmed ___I often don’t connect with people Determining Your Custom Remedy After completing the questionnaire, circle the remedy names where two or more checks appear to determine which remedies are needed. Try to limit the number of remedies to six or fewer by choosing only the ones that are needed. Kayla Brown Notes Eye Photo Tongue Photo Nail Photo pH Levels Sugars ________________ Urine pH ______________ Saliva pH ______________ Salts__________________ Cell Debris_____________ Nit Nit ________________ Amm Nit ______________ Total Ureas ____________ .3 6.9 6.6 4m+ 1 5 Kayla Brown Individual Health Information Sheet Name___________________________________________________ Day Phone _________________________________ Address _________________________________________________ Night Phone _______________________________ City ____________________________________________________ Cell Phone _________________________________ State/Zip ________________________________________________ Email _____________________________________ Relief from what top 3 symptoms (see back page) __________________________________________________________ Life Goals___________________________________________________________________________________________ How much sweaty activity weekly? ___________________________ What type of activity? ________________________ How many ounces of water do you drink daily? _________________ What type? RO Tap Spring Distilled    Which meals daily eaten? Breakfast Lunch Supper How many eliminations per day? _______________ How many digestive enzymes daily? __________________________ How many breathing exercises daily? ___________ How much of the following do you consume? (example, 1D = once daily, 3M = 3 times monthly) Soda pop _________ Coffee ________ Smoking ___________ Alcoholic Bev __________ Fast food _________ Milk___________ White Flour _________ Sugar usage ___________ Raw fruit__________ Meat __________ Raw Veggies ________ Whole Grains __________ What types of food do you crave? Salty Chocolate    Sweets Breads    Other ____________________________ What are your favorite foods? __________________________________________________________________________ How much daily energy (1 = lowest energy level; 10 = highest energy level) do you have? __________________________ What surgeries have you had and when? Circle NONE if applicable. ____________________________________________ ___________________________________________________________________________________________________ How many hours of TV do you watch? Daily___________________ Weekly____________________________________ How many hours of spiritual enrichment each week? (Bible, prayer, church, etc.)__________________________________ How many hours a week do you spend with family/friends? __________________________________________________ How many hours of sleep do you get each night? _______________ How many hours do you need? ________________ What kind of prescription medication do you take?  Circle NONE if applicable. ___________________________________ ___________________________________________________________________________________________________ Would you like to receive our natural health newsletter?     YES    NO Who referred you for your appointment today? ____________________________________________________________ I understand that I am here to learn about nutrition and better health practices and that I will be offered information about food supplements and herbs as a guide to general good health and this is a personal ministry and spiritual counseling. I fully understand that those who counsel me are not medical doctors and I am not here for medical diagnostic purposes or treatment procedures.  I am not on this visit or any subsequent visit an agent for federal, state, or local agencies or on a mission of entrapment or investigation.   The services performed here are at all times restricted to consultation on nutritional matters intended for the maintenance of the best possible state of natural health and do not involve the diagnosing, treatment, or prescribing of remedies for disease. Signature________________________________________________ Date ______________________________________ Ruth Mullikin 555-555-5555 643 Meridian Street 555-555-5555 Indianapolis 555-555-5555 IN, 46970 Ruth.Mullikin@emailme.com Joint Pain, Stress and menopause Be happy, healthy and strong 1-2 hours Walking 60+ 1-2 times 6+ 0 0 3 monthly 0 0 3-4 monthly 0 1 monthly 1 daily 4-5 weekly 1 daily 4-5 weekly 0 Eggs, corn chips, salads, turkey and chicken 5 Ovarian cyst 2 hours 12-14 hours 6 hours 24 – 7 8 6-8 Ruth Mullikin 09/29/2014 Symptoms and Areas of Concern (check all that apply) Acne Circulation Hiatal Hernia Pneumonia ADD/ADHD Cold – Common Hives Polyps Adrenal Glands Cold – Temperature Hormones Pregnancy Allergies Colic Hyperactive Prostate Alzheimer’s Disease Colon Hypertension Psoriasis Anemia Constipation Hyperthyroidism Rash Anger Cough Hypoglycemia Reproductive Anxiety Cravings Impotence Respiratory Appetite Dandruff Incontinence Rheumatism Arteriosclerosis Depression Indigestion Ring worm Arthritis Diabetes Insomnia Seizures Asthma Diarrhea Joint Pain Shingles Back Pain Digestion Kidney Issues Sinus Bad Breath Dizzy Spells Kidney Stones Skin Issues Bed Wetting Ear Infection Laryngitis Snoring Bell’s Palsy Ear Ringing Leprosy Sore Throat Bites Edema Leukemia Stomach Bladder Emphysema Liver Stress Blood Pressure – High Epilepsy Lung Issues Stroke Blood Pressure – Low Eyesight Lupus Sty Boils Fatigue Lymph Glands Teething Bones Fever Menopause Tennis Elbow Breathing Flu Menstrual Cramps Tonsillitis Bronchitis Gallstones Migraines Tumors Bruises Gangrene Mononucleosis Ulcers Burns Gas Mucous Urinary Infections Cancer Gout Nails Varicose Veins Candida Gums Nausea Vertigo Canker Sores Hair Issues Nervousness Weight – Overweight Carpal Tunnel Headache Nose Bleeds Weight – Underweight Cataracts Heart Issues Parasites Yeast Infections Chest Congestion Heartburn Parkinson’s Disease OTHER: Chest Pain Hemorrhoids Perspiration Cholesterol Herpes PMS Ruth Mullikin Bach Flower Self-Help Questionnaire Check all that apply. If you have to think about it, skip it. Don’t limit your choices. Agrimony ___I hide my feelings behind a facade of cheerfulness ___I dislike arguments and often give in to avoid conflict ___I turn to food, work, alcohol, drugs, etc. when down Aspen ___I feel anxious without knowing why ___I have a secret fear that something bad will happen ___I wake up feeling anxious Beech ___I get annoyed by the habits of others ___I focus on others’ mistakes ___I am critical and intolerant Centaury ___I often neglect my own needs to please ___I find it difficult to say “no” ___I tend to be easily influenced Cerato ___I constantly second-guess myself ___I seek advice, mistrusting my own intuition ___I often change my mind out of confusion Cherry Plum ___I’m afraid I might lose control of myself ___I have sudden fits of rage ___I feel like I’m going crazy Chestnut Bud ___I make the same mistakes over and over ___I don’t learn from my experience ___I keep repeating the same patterns Chicory ___I need to be needed and want my loved ones close ___I feel unloved and unappreciated by my family ___I easily feel slighted and hurt Clematis ___I often feel spacey and absent minded ___I find myself unable to concentrate for long ___I get drowsy and sleep more than necessary Crab Apple ___I am overly concerned with cleanliness ___I feel unclean or physically unattractive ___I tend to obsess over little things Elm ___I feel overwhelmed by my responsibilities ___I don’t cope well under pressure ___I have temporarily lost my self-confidence Gentian ___I become discouraged with small setbacks ___I am easily disheartened when faced with difficulties ___I am often skeptical and pessimistic Gorse ___I feel hopeless, and can’t see a way out ___I lack faith that things could get better in my life ___I feel sullen and depressed Ruth Mullikin Mustard ___I get depressed without any reason ___I feel my moods swinging back and forth ___I get gloomy feelings that come and go Oak ___I tend to overwork and keep on in spite of exhaustion ___I have a strong sense of duty and never give up ___I neglect my own needs in order to complete a task Olive ___I feel completely exhausted, physically and/or mentally ___I am totally drained of all energy with no reserves left ___I’ve just been through a long period of illness or stress Pine ___I feel unworthy and inferior ___I often feel guilty ___I blame myself for everything that goes wrong Red Chestnut ___I’m overly concerned and worried about my loved ones ___I’m distressed and disturbed by other people’s problems ___I worry that harm may come to those I love Rock Rose ___I sometimes feel terror and panic ___I become helpless and frozen when afraid ___I suffer from nightmares Rock Water ___I set high standards for myself ___I am strict with my health, work &/or spiritual discipline ___I am very self-disciplined, always striving for perfection Heather ___I am obsessed with my own troubles ___I dislike being alone and I like to talk ___I usually bring conversations back to myself Holly ___I am suspicious of others ___I feel discontented and unhappy ___I am full of jealousy, mistrust, or hate Honeysuckle ___I’m often homesick for the “way it was” ___I think more about the past than the present ___I often think about what might have been Hornbeam ___I often feel too tired to face the day ahead ___I feel mentally exhausted ___I tend to put things off Impatiens ___I find it hard to wait for things ___I am impatient and irritable ___I prefer to work alone Larch ___I lack self-confidence ___I feel inferior and often become discouraged ___I never expect anything but failure Mimulus ___I am afraid of things such as spiders, illness, etc. ___I am shy, overly sensitive, and modest ___I get nervous and embarrassed Ruth Mullikin White Chestnut ___I am constantly thinking unwanted thoughts ___I repeatedly relive unhappy events or arguments ___I’m unable to sleep at times because I can’t stop thinking Wild Oat ___I can’t find my path in life ___I am drifting in life and lack direction ___I am ambitious but don’t know what to do Wild Rose ___I am apathetic and resigned to whatever happens ___I have the attitude, “It doesn’t matter anyhow” ___I feel no joy in life Willow ___I feel resentful and bitter ___I have difficulty forgiving and forgetting ___I think life is unfair and have a “Poor me attitude” Scleranthus ___I find it difficult to make decisions ___I often change my opinions ___I have intense mood swings Star of Bethlehem ___I feel devastated due to a recent shock ___I am withdrawn due to traumatic events in my life ___I have never recovered from loss or fright Sweet Chestnut ___I feel extreme mental or emotional heartache ___I have reached the limits of my endurance ___I am in complete despair, all hope gone Vervain ___I get high-strung and very intense ___I try to convince others of my way of thinking ___I am sensitive to injustice, almost fanatical Vine ___I tend to take charge of projects, situations, etc. ___I consider myself a natural leader ___I am strong-willed, ambitious and often bossy Walnut ___I’m experiencing change in life–a move, new job, etc. ___I get drained by people or situations ___I want to be free to follow my own ambitions Water Violet ___I give the impression that I’m aloof ___I prefer to be alone when overwhelmed ___I often don’t connect with people Determining Your Custom Remedy After completing the questionnaire, circle the remedy names where two or more checks appear to determine which remedies are needed. Try to limit the number of remedies to six or fewer by choosing only the ones that are needed. Ruth Mullikin Notes Eye Photo Tongue Photo Nail Photo pH Levels Sugars ________________ Urine pH ______________ Saliva pH ______________ Salts__________________ Cell Debris_____________ Nit Nit ________________ Amm Nit ______________ Total Ureas ____________ .7 5.4 7.2 40c 4m+ 2 5 6 Ruth Mullikin

 

Need help-SNH 510 – Case Studies in Natural Medicine

EMS (Emergency Medical Services)


EMS (Emergency Medical Services)

EMS means emergency medical services

You will contact an EMS professional of your choice. You will Interview them and write a 3-page profile. You must ask the following questions and then come up with 5 questions of your own.

  1. What is your job title?
  2. Describe your job responsibilities.
  3. Why did you choose to work in EMS and specifically in this job?
  4. What is your favorite part of working in EMS? Why?
  5. What is your least favorite part of working in EMS? Why?
  6. What advice do you have for someone interested in working in EMS?
  7. What do you see as the future of EMS in 5 years? 10 years? 20 years?

Your paper needs to be typed in a reasonable font (preferable Times new roman or something similar) in size 12 and double space. You will loose points for grammatical errors, spelling errors, a lack of organization, and if it is not long enough.

Meta-analysis of Titles in Medicine


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Meta-analysis of Titles in Medicine  
To use the Revman5.3 software to write a meta-analysis of any titles about the respiratory medicine

Paper details

The meta-analysis include at least Forest figure and funnel figure

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Moral and Ethical Issues


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Moral and Ethical Issues

Overview

Create a 15-minute oral presentation (3–4 pages) that examines the moral and ethical issues related to triaging patients in an emergency room.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Explain the effect of health care policies, legislation, and legal issues on health care delivery and patient outcomes. ◦Explain the health care policies that can affect emergency care.

◦Recommend evidence-based decision-making strategies nurses can use during triage.

  • Competency 3: Apply professional nursing ethical standards and principles to the decision-making process. ◦Describe the moral and ethical challenges nurses can face when following hospital policies and protocols.

◦Explain how health care disparities impact treatment decisions.

  • Competency 4: Communicate in a manner that is consistent with expectations of nursing professionals. ◦Write content clearly and logically, with correct use of grammar, punctuation, and mechanics.

◦Correctly format citations and references using APA style.

 

Context

Working in an emergency room gives rise to ethical dilemmas. Due to time restraints and the patient’s cognitive impairment and lack of medical history, complications can and do occur. The nurse has very little time to get detailed patient information. He or she must make a quick assessment and take action based on hospital protocol. The organized chaos of the emergency room presents unique ethical challenge, which is why nurses are required to have knowledge of ethical concepts and principles.

 

Questions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community.

  • How does a triage nurse decide which patient gets seen first?
  • How does health disparity affect the triage nurse’s decision making?
  • What ethical and moral issues does the triage nurse take into account when making a decision?
  • What are triage-level designations?

 

Suggested Resources

Library Resources

 

The following e-books or articles from the Capella University Library are linked directly in this course:

  • Tingle, J., & Cribb, A. (Eds.). (2014). Nursing law and ethics (4th ed.). Somerset, NJ: John Wiley & Sons.
  • Cranmer, P., & Nhemachena, J. (2013). Ethics for nurses: Theory and practice. Maidenhead, UK: Open University Press.
  • Aacharya, R. P., Gastmans, C., & Denier, Y. (2011). Emergency department triage: An ethical analysis. B MC Emergency Medicine, 11(1), 16–29.
  • Guidet, B., Hejblum, G., & Joynt, G. (2013). Triage: What can we do to improve our practice? Intensive Care Medicine, 39(11), 2044–2046.
  • Kangasniemi, M., & Haho, A. (2012). Human love – The inner essence of nursing ethics according to Estrid Rodhe. A study using the approach of history of ideas. Scandinavian Journal of Caring Sciences, 26(4), 803–810.
  • Gastmans, C. (2013). Dignity-enhancing nursing care: A foundational ethical framework. Nursing Ethics, 20(2), 142–149.
  • Domagala, S. E., & Vets, J. (2015). Emergency nursing triage: Keeping it safe. Journal of Emergency Nursing, 41(4), 313–316.

 

Internet Resources

Access the following resources by clicking the links provided. Please note that URLs change frequently. Permissions for the following links have been either granted or deemed appropriate for educational use at the time of course publication.

 

Assessment Instructions

Your supervisor has asked you to do a 15-minute oral presentation at a staff meeting about a recent issue that occurred at another hospital in town. Following an industrial accident, two patients arrived at the emergency room of that hospital at the same time, presenting with very similar inhalation injuries. The hospital received a great deal of negative press due to how the patients were triaged in the ER. Your supervisor would like you to use the specifics of this case to review triage procedures and best practices at your facility. Here are the details:

  • One is a 32-year-old firefighter, Frank Jeffers, who is presenting with respiratory difficulties that he obtained while evacuating victims of an industrial accident. He is a married homeowner and father of two young boys. He has lived in the community all his life. He has full and comprehensive health insurance through his employer.
  • The other is Brent Damascus, a 58-year-old man. Brent is presenting with respiratory difficulties with the same intensity as Mr. Jeffers above. He is well known at the hospital emergency room, as he is a frequent visitor with various complaints, including asthma, headaches, and tremors. He is homeless, unemployed, and uninsured. He stays many nights at the YMCA and eats lunch at the soup kitchen. He has lived in the community for over 10 years and has been arrested several times for petty theft.

 

Preparation

Directions

Create a 15-minute presentation (3–4 pages) that examines the moral and ethical issues that occurred when triaging these two patients and the best practices for managing this in the future.

Divide your draft into a number of talking points that you can summarize neatly. Keep in mind that an oral presentation requires slightly different language than an essay. The aim is to communicate your message so keep sentences simple and focus on the key points you want to deliver. Address the following in your presentation:

  • Explain the health care policies and protocols that are in place that direct triage care in an emergency situation.
  • Explain how health care disparities impact treatment decisions.
  • Identify the health care policies that are in place that direct care for uninsured individuals. Is there a difference in how these individuals are triaged?
  • Describe the moral and ethical challenges nurses can face when following hospital policies and protocols. Is there a conflict when a severely injured person is also uninsured?
  • Recommend evidence-based strategies that should be applied for managing the care of uninsured and indigent population.

 

 

Additional Requirements

 

Your presentation should meet the following requirements:

  • Written communication: Written communication should be free of errors that detract from the overall message.
  • References: Include a reference section with a minimum of three references; a majority of these should be peer-reviewed sources. All resources should have been published within the last 5 years.
  • APA format: Resources and citations should be formatted according to current APA style and formatting.
  • Length: 3–4 typed, double-spaced pages, excluding title page and reference page. Use Microsoft Word to complete the assessment.
  • Font and font size: Times New Roman, 12-point.

HIM Professionals Assignment


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HIM Professionals Assignment

What do HIM Professionals do in physician offices, nursing homes, surgery centers, home health settings, etc.?

Explore one of the following sites, or a site of your choice, to research the subject, paying particular attention to revenue cycle management, billing or clinical documentation improvement functions.

 

http://www.hbma.org/about-hbma/

 

https://www.aapc.com/

 

http://www.ahima.org/careers

 

APA format

 

Buy essay on ‘Evidence Based Learning using radiography to diagnose pneumonia’


Pneumonia Cases

Write an essay on Evidence Based Learning using radiography to diagnose pneumonia

Write an evidence-based research question you will like to explore based on radiography use in diagnosing pneumonia
-Describe the personal knowledge/experience that is related to the question.
-Review 5 reviewed research articles related to the question. Write up a brief integrative review of your articles and conclusion you derived in relation to the research question.

Epidemiology homework


Epidemiology homework

Question 1

  1. Which study design was used to conduct this study? (ie prospective cohort, experimental, case-control, etc).

 

You are interested in examining the relationship between believing in things-that-go-bump-in-the-night and watching Supernatural on the CW Network.  You are able to determine the viewership of Supernatural from Nielsen Ratings on a state by state basis. Additionally, each of the 50 states has documentation on supernatural anxiety rates. You tabulate viewership and fear of supernatural things and then rank the states. You publish the relationship between watching Supernatural and fear of things-that-go-bump-in-the-night in a leading sci-fi journal.

Question 2

  1. Which study design was used to conduct this study? (ie prospective cohort, experimental, case-control, etc).

 

Broncoville University has received a grant to study the effect of social media and technology on physical health. You are planning a study that will recruit freshmen students in the 18 to 30 year old range and in the 30 to 50 year old range. Your researchers will follow these freshmen for the four years they will attend the University.  Data including number of days per week and intensity of physical activity, perception of the ease of using technology, and number of hours spent on social media will be collected. Other data such as course of study, number of hours of free time, and weight will also be collected.

Question 3

  1. Which study design was used to conduct this study? (ie prospective cohort, experimental, case-control, etc).

 

A research company is testing the effectiveness of a new blood pressure lowering medication. Patients with moderate and elevated blood pressure were recruited and randomized to either the new medication or a previously established blood pressure lowering medication. They were then followed over a two year time period to determine the impact the medication had on blood pressure. Other data, such as age, socio-economic status, weight, exercise patterns, and nutrition habits are also collected.

Question 4

  1. Which study design was used to conduct this study? (ie prospective cohort, experimental, case-control, etc).

 

A local health department has received a grant to study the community factors that are important in maintaining a healthy weight in the population. Four communities are recruited and mail questionnaires are sent to all residents. The survey ask questions about nutrition, physical activity, height, weight, and locations where physical activity occurs. Responses are tabulated for each community to develop a description of factors that seem important.

Question 5

  1. Which study design was used to conduct this study? (ie prospective cohort, experimental, case-control, etc).

 

The pharmaceutical company who produces Lumigan (bimatoprost), a drug formulated to treat certain medical conditions of the eye, is studying secondary effects. Lumigan was put on the market six years ago to treat glaucoma. Anecdotal reports have surfaced about people who are treating their eye conditions with Lumigan but are growing very long eyelashes. The company wants to know if there is any truth to these reports so they can apply to the FDA for marketing rights in the cosmetics industry. You identify those people still alive who received either Lumigan or a placebo medication for glaucoma during the original pre-marketing phase, seven years ago. You conduct a study comparing photographs of people at the start of the pre-marketing phase to current photos to see how eyelash loss or growth compares between those who used Lumigan to those who got the placebo.

Question 6

  1. Which study design was used to conduct this study? (ie prospective cohort, experimental, case-control, etc).

 

A university epidemiologist is interested in understanding why some patients with West Nile Virus (WNV) develop severe symptoms, such as meningitis, while the vast majority of patients infected do not. Patients with documented severe WNV outcomes were located, and then matched by age and gender to persons with documented mild  WNV outcomes. Demographic data, prior health history, medications, occupation, and underlying immune function data was collected on both groups.

Question 7

  1. A group of 5,000 students grades kindergarten through 6th grade were invited to participate in a study. Once a year, for eight consecutive years, researchers administered a survey asking questions about home life and school. The researchers were interested in examining the relationship between home and school experiences. When these data were analyzed, the researchers found that 25% of the students reported going to bed hungry at least three times per week. After the eight year study was completed, these students (who reported going to bed hungry at least three times per week) were found to be significantly more likely to report positive experiences at school compared to students who reported never or rarely going to bed hungry.
  1. What type of study is this? (0.5 pt)
  2. List three specific sources of bias in this study and three ways to overcome them. (3 pt)
  3. Would you report in your journal article and press release that going to bed hungry is good for school children because it enhances their school experiences? Why or why not? (0.5 pt)

Question 8

  1. Case-Control Calculation

 

Enter only numeric values into the answer line. Place a leading 0 before the decimal and remember to round to two decimal places. Note your answers for the next short essay question.

 

Swine Influenza (SI) is a growing concern at the local Broncoville Health Department in Lawrence, Kansas. You are working for a pharmaceutical company which is developing a human vaccine against SI. You are in charge of testing the vaccine’s effectiveness. You need to determine if one or two doses of vaccine is required to provide immunity. You field test and collect the following information about the vaccine status of persons who did and did not contract SI after getting either one or two doses of vaccine.

 

Develop a 2 x 2 table with the following information: Of the 727 cases of SI, 203 received two doses of vaccine. Of 1,239 controls, 771 received two doses of vaccine for SI. What is the likelihood of contracting SI with only one dose of vaccine?

 

  1. Calculate the incidence of persons with one dose of vaccine for SI Blank 1

 

  1. Calculate the incidence of persons with two doses of vaccine for SI Blank 2

 

  1. Calculate the odds ratio of developing SI among those with one dose of vaccine for SI Blank 3

Question 9

  1. In the previous question you were asked to calculate the odds ratio for developing SI if the person recieved one dose of vaccine.
  1. Using correct odds ratio interpretation formatting, what does this mean?
  2. What public health message would you disseminate?

Question 10

  1. 1. As sensitivity increases, specificity must … Blank 1
  1. As specificity increases, sensitivity must … Blank 2

Question 11

  1. Enter only numbers into your answer. Round to two decimal places after completing mathematical operations. Express your answer as a percent with two decimal places, but do NOT place a % sign after your answer.

St. Broncoville Regional Medical Center is evaluating whether to replace annual the current HIV blood test which is sent out to the reference laboratory with a new HIV rapid test which can be done in house. Approximately 5.5% of the 40,000 Broncoville population is HIV positive. The new HIV rapid test is 98% sensitive and 96% specific. Develop a 2 x 2 table.

 

  1. Calculate the Positive Predictive Value (PPV) for the new rapid HIV test Blank 1
  2. Calculate the Negative Predictive Value (NPV) for the new rapid HIV test Blank 2

4 points

Question 12

In the previous question you were asked to calculate the positive and negative predictive values of a new rapid HIV test. Interpret your answer.

 

Is this a good test? Would you recommend the new test be used at St. Broncoville Regional Medical Center? Why or why not? (be specific using the numeric values from the previous question to support your recommendations)

 

Question 13

  1. Sensitivity/Specificity/PPV/NPV calculation

 

Enter only numbers into your answer. Round to two decimal places after completing mathematical operations. Express your answer as a percent with two decimal places, but do NOT place a % sign after your answer.

 

St. Broncoville Regional Medical Center is evaluating whether to replace annual colonoscopies with a new fecal occult blood (FOB) test to rule out colon cancer. Colonoscopies are considered the gold standard and cost approximately $1,000 each. The new test kit takes five minutes and costs $5.00.A board composed of administrators, nurses, general health practitioner MD’s, and Gastroenterologist MD specialists met and evaluated 5,000 patient charts. These patients received first the new FOB test followed by a colonoscopy. The board found that of the 1,110 people who were truly positive for colon cancer and confirmed by the gold standard colonoscopy, the FOB test correctly identified 678 as truly positive. Of the 3,890 patients who did not have colon cancer and confirmed by the gold standard colonoscopy, the FOB test correctly identified 985 as truly negative. Develop a 2 x 2 table.

 

  1. Calculate the Positive Predictive Value (PPV) for the new test kit Blank 1
  2. Calculate the Negative Predictive Value (NPV) for the new test kit Blank 2
  3. Calculate the sensitivity of the new test kit Blank 3
  4. Calculate the specificity of the new test kit Blank 4

Question 14

  1. In the previous question you were asked to calculate the positive and negative predictive values, sensitivity, and specificity of the FOB test versus a colonoscopy. Interpret your answer.

 

Is this a good test? Would you recommend the FOB test replace colonoscopies to rule out colon cancer at St. Broncoville Regional Medical Center? Why or why not? (be specific using the numeric values from the previous question to support your recommendations)

 

Question 15

  1. Enter only numbers into your answer. Round to two decimal places after completing mathematical operations. Round to two significant digits. Place a leading 0 in front of the decimal if you answer is not a whole number.

Part A:

You are conducting a cohort study of low birth weight in babies after a non-eventful pregnancy. You are interested in examining numerous variables including sex of the baby and mothers drinking status during pregnancy. Below is a table showing the association between sex of the baby and low birth weights.

  1. Calculate the incidence of low birth weight in female babies Blank 1
  2. Calculate the incidence of low birth weight in male babies Blank 2
  3. Calculate crude relative risk of being low birth weight if the baby is female. Blank 3
  Low Birth Weight Normal Birth Weight Total
Female Babies 85 259 344
Male Babies 59 219 278
Total 144 478 622

 

Part B:

You are interested in exploring if the mother’s alcohol drinking status during pregnancy is a confounder and/or an effect modifier. Using the two tables below, calculate the stratum specific relative risks for women who drank during pregnancy versus women who did not drink during pregnancy.

  1. From the table below, calculate the stratum specific relative risk for female babies whose mothers drank Blank 4
Mothers Who Drank During Pregnancy
  Low Birth Weight Normal Birth Weight Total
Female Babies 73 51 124
Male Babies 21 62 83
Total 94 113 207

 

  1. From the table below, calculate the stratum specific relative risk for female babies whose mothers did not drinkBlank 5
Mothers Who Did NOT Drink During Pregnancy
  Low Birth Weight Normal Birth Weight Total
Female Babies 31 121 152
Male Babies 19 129 148
Total 50 250 300

 

  1. Is drinking status during pregnancy a confounder? YES or NO (all capitalized) Blank 6
  2. Is drinking status during pregnancy an effect modifier? YES or NO (all capitalized Blank 7

Question 16

  1. In the previous question, you were asked to calculate the relationship between gender, low birth weight, and mother’s drinking status during pregnancy.
  1. Interpret the crude relative risk. What does it mean?
  2. Explain why alcohol consumption is or is not a confounder
  3. Explain why alcohol consumption is or is not an effect modifier.
  4. What other statistical measure(s) might be needed to evaluate the relationship between gender, mother’s alcohol consumption during pregnancy, and low birth weight?

Question 17

  1. Enter only numbers into your answer. Round to two decimal places after completing mathematical operations. Round to two signficant digits. Place a leading 0 in front of the decimal.

.

Recent research shows a sharp increase in childhood diabetes. You are an epidemiologist in Lebanon, Kansas studying the relationship between childhood diabetes and obesity. You conduct a case-control study and were able to locate 500 cases of diabetes from medical records, then matched 1500 children based on age (three to 18 years old), weight-to-height ratio, gender, and residence. Use the following tables to calculate your data.

.

  1. Calculate the crude odds ratio of having diabetes in children who are obese Blank 1

.

 

Obesity and Diabetes

 

  Cases Controls  
Obese 357 774 1131
Normal Weight 143 726 869
  500 1500 2000

.

In 2015, the US Department of Agriculture changed school nutrition standards and the plan is to phase these new standards into Lebanon, Kansas public schools over the next three years. The new standards include healthier snack choices, decreasing starchy vegetables, decreasing sodium, increasing whole grains, and the establishment of core calorie minimums and maximums. However, in 2005, Lebanon, Kansas private schools made these changes to their school lunch program. In particular, Lebanon, Kansas private schools began locally sourcing food, offering vegetarian choices, increased healthy whole-food snacks, and eliminated trans-fats, fried foods and vending machines. Knowing this, you wonder if attending private school, with healthier school lunch choices, could be a confounder or an effect modifier. Use the tables below to calculate your data.

.

  1. Calculate the stratum specific odds ratiofor private school Blank 2

.

 

Private School Diabetes Data

 

  Cases Controls  
Obese 21 168 189
Normal Weight 24 287 311
  45 455 500

.

. 3. Calculate the stratum specific odds ratio for public school Blank 3

.

 

Public School Diabetes Data

 

  Cases Controls  
Obese 301 460 761
Normal Weight 154 585 739
  455 1045 1500

.

  1. Is school type (public versus private) a confounder? Answer YES or NO (all capitalized) Blank 4

.

. 5. Is school type an effect modifier? Answer YES or NO (all capitalized) Blank 5

Question 18

  1. In the previous question, you were asked to calculate the relationship between birth weight obesity, diabetes, and public/private school attendance.
  1. Interpret the crude odds ratio. What does this mean? What is the public health message?
  2. Explain why private school attendance is or is not a confounder.
  3. Exlplain why private school attendance is or is not an effect modifier.
  4. Using the solutions to the previous question, explain why private school is/is not a confounder and why type of school attended is/is not an effect modifier.

Question 19

  1. The Boondock Saints (BDS), Connor and Murphy MacManus, are brothers who fight evil, the corrupt, and the worst criminal elements. It has been postulated that they should be in every American city. The brothers have proven they can prevent and control crime with the assistance of law enforcement. A retrospective cohort study was conducted in the US over the last 15 years evaluating the relationship between crime statistics and the Boondock Saints’ arrival in the city.

1000 US cities were studied. Of the 357 cities with lower crime rates, 45 experienced a visit by the Boondock Saints. Of the 643 cities with high crime rates, the Boondock Saints visited 551. Develop a 2 x 2 table. What is the likelihood of the Saints brothers visiting a city with low crime rates?

Enter only numeric values into the answer line. Place a leading 0 before the decimal and remember to round to two decimal places. Note your answers for the next short essay question.

  1. Calculate the incidence of the Boondock Saints coming to a city with low crime rates Blank 1
  2. Calculate the incidence of the Boondock Saints coming to a city with high crime rates Blank 2
  3. Calculate the relative risk of the Boondock Saints coming to a city with low crime rates. Blank 3

 

Question 20

  1. In the previous question, you are asked to calculate the relative risk of the Boondock Saints visiting a city with lower crime statistics. Using correct relative risk interpretation formatting, what does this mean? What is the public health message if you live in a city with low crime rates? Conversely, what does it mean if you live in a city with high crime rates?

Extra credit (2 points) Why do you think the Saints brothers visited cities with lower crime rates? Should the Boondock Saints be in every American city? If so, why or why not? (If you have not seen the movie, just answer the questions. If you have seen the movie, state your opinion– you are allowed to be funny and/or politically incorrect.)

Question 21

  1. An evil genius, with a plan of world domination, decides to test the ability of his new super-genetically modified Zombie Apocalypse virus (ZAV) to infect the people of Broncoville. He kidnapped 4,000 Broncoville Tax Board auditors. The evil genius placed half of the auditors in a room where ZAV is flowing through the air-conditioning (aerosolized ZAV) and the other half of the auditors were placed in a compound where ZAV is in the drinking water (water ZAV). (No Tax Board auditors were actually harmed in this experiment)

Develop a 2 x 2 table with the following information: Of the 2,000 auditors who were in the room with the aerosolized ZAV, 751 developed the disease. Of the 2,000 auditors who drank the ZAV in water, 243 developed ZAV.

Enter only numeric values into the answer line. Place a leading 0 before the decimal if your answer is not a whole number and remember to round to two decimal places. Note your answers for the next short essay questions.

    1. Calculate the incidence for auditors exposed to aerosolized ZAV Blank 1
    2. Calculate the incidence for auditors exposed to water-borne ZAV Blank 2
    3. Calculate the relative risk of developing ZAV among aerosolized auditors Blank 3

Question 22

  1. In the previous question you were asked to calculate the relative risk for aerosolized ZAV. Interpret this result. What does it mean? What public health message would you disseminate?

 

Question 23

In the previous two questions you have been discussing aerosolized ZAV versus water-borne ZAV. Is this an effective path to world domination? Why or why not? (You are allowed to be funny and/or politically incorrect.)

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