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just guessing, could it be admission and disch (A&D)so pt can get hospice care afterwards?

Posted By: ltt on 2007-11-06
In Reply to: This is end of life care and sounds like - Sounds like

Subject: just guessing, could it be admission and disch (A&D)so pt can get hospice care afterwards?




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pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine
Subject: pt. is in hospice care on a palliative course of fentanyl, s/l locksinel, &IV morphine


disposition of care versus deposition of care
Subject: disposition of care versus deposition of care

Talking about a patient's discharge planning.  I have always typed this disposition of care but my new co-workers type deposition.  which is correct?  thanks for help in advance.
Think it's Sween cream. We used to use it on our Hospice pts. nm
Subject: Think it's Sween cream. We used to use it on our Hospice pts. nm

x
Is the word hospice capped or not
Subject: Is the word hospice capped or not

in a sentence. I can't seem to get a correct answer regarding this. TIA
Compounding pharmacy may make these up. In Hospice, we DID use Valium tablets per rectum for very
Subject: Compounding pharmacy may make these up. In Hospice, we DID use Valium tablets per rectum for very

s
BVP was 8/8...on obstetrics admission...sm
Subject: BVP was 8/8...on obstetrics admission...sm

Is BVP correct, I can't find this abbreviation anywhere???  Thanks!
ER admission note help please
Subject: ER admission note help please

The patient had diminished sphincter tone.  The patient did receive cow littix prior to the exam.


This patient had been in a car accident, she was intubated, combative, and had 2 broken legs.  Any ideas?


 


s/l MOD was called for admission. sm
Subject: s/l MOD was called for admission. sm

the patient was hemodynamically stable, s/l MOD was called for admission secondary to GI bleed.  the patient was transferred to the s/l MOD service ???
maybe admission H&P (history and physical). NM
Subject: maybe admission H&P (history and physical). NM

x
its in a list of meds on admission, no dosage
Subject: its in a list of meds on admission, no dosage

pt has diabetes, asthma, migraines, gastroparesis


refer to the admission agency?? for details
Subject: refer to the admission agency?? for details


Do admission orders need to be expanded? eg. C&S, CBC, STAT
Subject: Do admission orders need to be expanded? eg. C&S, CBC, STAT

Thanks for your help.
Outpatient hold admission versus inpatient
Subject: Outpatient hold admission versus inpatient

Please read this with a little grain of salt, since I don't have enough info to be sure in this case, but this has happened to me before. Most hospitals and most insurance companies have a "24 hour hold bed" policy of some sort. The patient is considered an outpatient, (and charged the lesser "hold bed" charge) even though admitted to the hospital, for the first 24 hours, or 23 hours and 59 minutes. Maybe this doc is saying that the EKG was done at that time in the admission - hour #23, minute #____. Again, use caution, and if this is the case, the doctor sure SHOULD have said "at 23 hours X minutes after" admission or clarified it somehow. But this is just food for thought, since I have had docs dictate using the number of hours since the patient was admitted, though I'm happy to say they the docs always made it known that that's the way they were counting down the hold bed time.

tisbar injection? located in a list of meds on admission
Subject: tisbar injection? located in a list of meds on admission


HOSPITAL COURSE: Fish?? admission history and physical for details
Subject: HOSPITAL COURSE: Fish?? admission history and physical for details


Hi, Amy, PORT score is for pneumonia severity on admission, predicted outcome.....nm
Subject: Hi, Amy, PORT score is for pneumonia severity on admission, predicted outcome.....nm

nm
Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,
Subject: Pt on hospice...Peripheral edema, woody, heavy edema, "rabatik" appearance of bilateral legs,


not sure, guessing only but there is a
Subject: not sure, guessing only but there is a


just guessing
Subject: just guessing

erythema and edematous??
guessing here, but from your S/L it sm
Subject: guessing here, but from your S/L it sm

sounds a lot like mycelial, or fungus.  Found this def.


 


mycelium, pl. mycelia


mU-sTclT-m, -^



The mass of hyphae making up a colony of fungi.


Origin



[G. mykTs, fungus, + hTlos, nail, wart, excrescence on animal or plant]


aerial mycelium


nonseptate mycelium


septate mycelium


I'm guessing that's LTA.....nm
Subject: I'm guessing that's LTA.....nm

nm
guessing a little bit here
Subject: guessing a little bit here

eczematous exfoliated right palm and interstitial folds (or possibly intertriginous folds)
guessing too,
Subject: guessing too,

but with the struts and distraction, i wonder if it is half-pin cluster....
guessing...... to see if?
Subject: guessing...... to see if?


More guessing sm
Subject: More guessing sm

How about Heart sounds normal.  Extremities without cyanosis or edema. 
just guessing, sm.
Subject: just guessing, sm.

 Is it possibly "trabecular" instead of tristem pedicle?   Also wondered if bearing (no s) is the correct term, i.e. the weightbearing load is metal on metal.


they should care
Subject: they should care

well, who should care?  The MT him or herself.  This can be a crutch IMO.  And, no, my opinion doesn't amount to a pile o' beans in the grand scheme of things.  Maybe my post should have been more helpful, than critical, and should have asked posters if they know how to search.  I've gotten really good at it and can find just about anything really.  For instance, someone just recently posted ligament of Treitz question.  All I did was google, ligament of *.  Bingo! 


Anyway, to the person who said I should just use the back button, pfft. 


Just Guessing Here...
Subject: Just Guessing Here...

Shouldn't it be POWER versus pallor, and could it be "muscle power and tone are adequate?"     Just a guess...
Just guessing here, but
Subject: Just guessing here, but

#1 might be pyloroplasty with the possible need for "a Nissen" (fundoplication).


I googled gastric emptying study and found "T1/2" with the number of minutes following:  "T1/2 of 54 minutes"


guessing K-Dur NM
Subject: guessing K-Dur NM

x
just guessing SM
Subject: just guessing SM

congenital lateral insertion of the patellar tendon?
Guessing...
Subject: Guessing...

Oxandrin or Oxandrolone?
guessing but what about - s/m
Subject: guessing but what about - s/m

NovaSure device
If I were guessing, I would say she was
Subject: If I were guessing, I would say she was

intubated for oxygenation
s/l tur-she-air care
Subject: s/l tur-she-air care

Has anyone heard of s/l tur-she-air care?
just guessing
Subject: just guessing

right upper lobe and apex?
Second guessing yourself
Subject: Second guessing yourself

is second nature in this business.
;-)
Guessing at partial? nm
Subject: Guessing at partial? nm

x
guessing here, neurofibromatosis? SM
Subject: guessing here, neurofibromatosis? SM

Neurofibromatosis of the feet. A review and case report.
Neurofibromatosis of the feet. A review and case report. Bauder T, DiPrimio RR.
Publication Types:. Case Reports. MeSH Terms: ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=6769992&dopt=Citation - Similar pages


[Pigmented neurofibromatosis of the feet associated with multiple ...
[Pigmented neurofibromatosis of the feet associated with multiple abnormalities] [Article
in Russian] Zaitseva SIu, Mashkilleospm NA. Publication Types ...
www.ncbi.nlm.nih.gov/entrez/query.fcgi?cmd=Retrieve& db=PubMed&list_uids=6789571&dopt=Abstract - Similar pages
[ More results from www.ncbi.nlm.nih.gov ]


THE MERCK MANUAL, Sec. 14, Ch. 183, Disorders Of The Peripheral ...
Aching, cramping, coldness, burning, and numbness in the calves and feet may be
... NEUROFIBROMATOSIS. Autosomal dominant disorders designated type 1 ...
www.merck.com/pubs/mmanual/ section14/chapter183/183f.htm - 57k - Cached - Similar pages


so what is ALP? Do you care to share.....nm
Subject: so what is ALP? Do you care to share.....nm


cannula? (guessing), kj /nm
Subject: cannula? (guessing), kj /nm


im guessing Seprafilm. nm
Subject: im guessing Seprafilm. nm

x
just guessing..could it be 'bundle'?nm
Subject: just guessing..could it be 'bundle'?nm

s
innominate?......just guessing here....n/m
Subject: innominate?......just guessing here....n/m


have come out of her care being basically ------? sm
Subject: have come out of her care being basically ------? sm

saying there are three good things, meaning her physicians listed? Just a guess.
guessing here - Atarax?
Subject: guessing here - Atarax?


Wound care med help, pls
Subject: Wound care med help, pls

Sounds like ***Alavesta***** 2-in-1 antifungal cream to all periwound tissue.


TIA


disposition of care (sm)
Subject: disposition of care (sm)








Health Policy Fellowship: Background
Access contextual variables such as characteristics of health care providers or ... therapeutic and treatment services received, and disposition of care. ...
http://www.academyhealth.org/nchs/background.htm   - 23k  -  Cached  -  Similar pages

hypercholesterolemia? guessing here...
Subject: hypercholesterolemia? guessing here...


There is an eye care supplement
Subject: There is an eye care supplement

that comes in Vcaps- Nature's Benefit Eye Care Naturally.
s/l "TF" care
Subject: s/l "TF" care

He was transferred to the Vista Hospital on July 24, 2007 for continued s/l "TF" care.