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As indicated in this week’s Learning Resources, concept analysis is an essential step in research and has significant implications for theory development.

Concepts may be abstract (e.g., caring) or relatively concrete (e.g., touch)—yet, in either case, the meaning of a concept depends on context. It is therefore critical to clearly define a concept that serves as a component of research or theory so that a shared language and common understanding can be developed.

For this Discussion, you will select a concept related to a practice problem of interest to you. You will then have an opportunity to explore how concept analysis applies to research involving this practice problem. Next week, you will consider how concept analysis relates to theory development.

To prepare:

Brainstorm a list of concepts you use or see in practice that pertain to a practice problem of interest to you. Then select one concept to focus on for this Discussion.
Using the concept analysis strategies presented in the Learning Resources, analyze your selected concept and clarify its meaning.
With your selected concept in mind, formulate a research topic to address the related practice problem.

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Your final project for this course will be a patient record analysis. You will apply the knowledge of anatomy, physiology, and pharmacology that you have developed during this course in a thorough review of existing patient information. Specifically, you will review a patient’s history and a discharge chart from a recent physician visit, explaining the reasons behind diagnosis

or (diagnoses) based on documented symptoms. You will also cite any inconsistencies or concerns and discuss potential and current treatments, all in preparation for your future coding practices. It may seem unnecessary to learn so much about pathophysiology and pharmacology for a career in health information management, but such knowledge is essential in ensuring the accuracy of patient records, coding, and billing.

The project is divided into two milestones, which will be submitted at various points throughout the course to scaffold learning and ensure quality final submissions. These milestones will be submitted in Modules Three and Five. The final product will be submitted in Module Seven.

In this assignment, you will demonstrate your mastery of the following course outcomes:

·Analyze the pathophysiology of commonly diagnosed health conditions for anticipating the pharmacological needs of patients

·Differentiate between common health conditions that present similar symptoms using evidence – based resources for ensuring accurate patient health records

·Analyze standard pharmacological groupings and their specific drugs for their uses in treating patient symptoms and diseases

·Integrate foundational concepts of anatomy, physiology, and medical terminology into the analysis of symptoms, diagnosis, and treatment options for informing accurate coding practices

Prompt

Your patient analysis should answer the following prompt Using the provided Final Project Patient File (attached), critically analyze the patient’s medical and family history and dissect the discharge chart from the patient’s recent visit. There are several inaccuracies and inconsistencies in this patient file; the pages of the file that contain issues are marked in the upper right – hand corner with red bookmarks. You must identify a total of three true issues with the patient file, explain what makes each identified issue a true issue, and discuss how you would approach addressing each issue in a real professional setting. Specifically, the following critical elements must be addressed:

I. Patient History Analysis

a) Summarize the patient history, explaining key patient demographics and family history that could be risk factors for common diseases.

b) Identify the past diagnosis (or diagnoses, if more than one exists in the file) and explain how the diagnosis was made. Specifically, what tests were done?

c) Discuss the symptoms the patient showed according to the file. Why and how did these symptoms lead the doctors to order certain tests?

d) What alternate diagnosis (or diagnoses) could these symptoms have indicated? Explain using evidence – based resources to support your conclusions.

e) Using supportive details from peer – reviewed resources, explain the pathophysiology of the diagnosis. In other words, how does the diagnosed disease develop and progress in the body?

f) Identify the past prescribed medications the patient is taking and explain the purposes of their larger

pharmacological groupings.

g) Explain what symptoms the specific medications are meant to treat, using resources to support your claims about the impact of the medication on the symptoms.

h) Illustrate how these medications impact the body and its functions. Use examples to support your explanations.

II. Recent Visit Analysis

a) Explain why the patient has returned to the doctor’s office. What symptoms and signs is the patient experiencing?

b) Analyze the new symptoms and signs to determine whether the past diagnosis is still a reasonable conclusion or could have been a

misdiagnosis. Use specific information from both the recent visit and the patient history to inform your analysis.

c) Based on the new signs, symptoms, and potential diagnosis (if the doctor has made a new diagnosis), discuss what new or potential

treatments would be appropriate. Why?

III. Identification of Record Inaccuracies

a) The patient file contains several inaccuracies and inconsistencies. Using your knowledge of medical terminology, anatomy, and physiology, articulate three issues you’ve identified.

b) Explain in detail what makes the identified issues a problem in terms of patient health and recordkeeping. Be sure to use appropriate medical terminology, references to anatomy, and concepts of normal physiology, where appropriate.

c) Discuss the impact of the issues on the patient, the coding system, and the billing system if they had not been caught, using the appropriate terminology.

d) Illustrate how you would work to address each issue, with specific detail regarding who you would pull into the discussion and who would be responsible for the particular details of each issue in a real medical setting.

In this Module, you will complete your record inaccuracies identification and submit your completed patient record analysis. It should be a complete, polished artifact containing all of the critical elements of the final product. It should reflect the incorporation of feedback gained throughout the course.

The length of your patient record analysis will depend on the issues you find in the file, but it will likely be 8–10 pages with an

additional page for references. All citations should be made according to the latest version of APA guidelines.

FINAL PROJECT CHECKLIST

Your final project should discuss the following critical elements. Make sure you review your final project before you submit it, and make sure it discusses all the critical elements and answers the questions.

I. Patient History Analysis

a) Did you summarize the patient history, explaining key patient demographics and family history that could be risk factors for common diseases?

b) Have you identified the past diagnosis (or diagnoses, if more than one exists in the file) and explained how the diagnosis was made? Specifically, what tests were done?

c) Did you discuss the symptoms the patient showed according to the file? Did you discuss why an d how these symptoms led the doctors to order certain tests?

d) Did you include what alternate diagnosis (or diagnoses) these symptoms could have indicated? Did you use evidence – based resources to support your conclusions?

e) Using supportive details from peer – reviewed resources, did you explain the pathophysiology of the diagnosis? In other words, how does the diagnosed disease develop and progress in the body?

f) Have you identified the past prescribed medications the patient is taking and explained the purposes of their larger pharmacological groupings?

g) Did you explain what symptoms the specific medications are meant to treat, using resources to support your claims about the impact of the medication on the symptoms?

h) Did you illustrate how these medications impact the body and its functions? Did you include examples to support your explanations?

II. Recent Visit Analysis

a) Did you explain why the patient has returned to the doctor’s office? Did you discuss what symptoms and signs the patient is

experiencing?

b) Did you analyze the new symptoms and signs to determine whether the past diagnosis is still a reasonable conclusion or could have been a misdiagnosis? Did you use specific information from both the recent visit and the patient history to inform your analysis?

c) Based on the new signs, symptoms, and potential diagnosis (if the doctor has made a new diagnosis), did you discuss what new or potential treatments would be appropriate? Why?

III. Identification of Record Inaccuracies

a) The patient file contains several inaccuracies and inconsistencies. Using your knowledge of medical terminology, anatomy, and physiology, did you articulate three issues you have identified?

b) Did you explain in detail what makes the identified issues a problem in terms of patient health and record keeping? Did you use appropriate medical terminology, references to anatomy, and concepts of normal physiology, where appropriate?

c) Did you discuss the impact of the issues on the patient, the coding system, and the billing system if they had not been caught, using the appropriate terminology?

d) Did you illustrate how you would work to address each issue, with specific detail regarding who you would pull into the

discussion and who would be responsible for the particular details of each issue in a real medical setting?

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center.

Objective Data

Height: 68 inches; Weight 134.5 kg
BP: 172/96, HR 88, RR 26
Fasting Blood Glucose: 146/mg/dL
Total Cholesterol: 250mg/dL
Triglycerides: 312 mg/dL
HDL: 30 mg/dL
Critical Thinking Questions

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?

Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:

Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
Ranitidine (Zantac) 300 mg PO at bedtime.
Sucralfate/Carafate 1 g or 10ml suspension (500mg / 5mL) 1 hour before meals and at bedtime.
The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

Assess each of Mr. C.’s functional health patterns using the information given. (Hint: Functional health patterns include health-perception – health management, nutritional – metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception – self-concept, role-relationship, sexuality – reproductive, coping – stress tolerance.)
What actual or potential problems can you identify? Describe at least five problems and provide the rationale for each

In the course project assignments of the past four weeks, you have written on various topics dealing with trends and issues in the behavioral healthcare system. Those weekly project assignments can be used as references for writing your final research paper.

In addition, read and incorporate the following articles from the EBSCO host database into your paper:

Deakin, A. (2004, November). Finding your organization’s hidden treasure. Behavioral Health Management, 24(6), 27-29.
Droppa, D., & Luczak, R. (2004, January). Collaboration, technology,
and outcomes—A recipe to improve service delivery.
Behavioral Health Management, 24(1), 41-44.
To complete the research paper, you will need to include an introduction and conclusion section as well as a title page and reference section. The title of the research paper will be the Current Issues in the Behavioral Healthcare System.

Your final paper is due for submission. The paper should adhere to the following guidelines:

The length of the paper should be eight to ten double-spaced pages (not including the title and reference pages).
The main sections should have a:
Title page
Introduction
Body of the paper (with subheadings)
Conclusion
Reference page(s)
The paper must use the APA format for citing sources and references.
Your final paper introduction (one page) should include the following points:

An overview of the research paper
The purpose or objective of the research paper
The body of the paper (five to six pages) should address each of the following topics using information learned in the course, in combination with outside references:

Based on your previous assignments and review of the literature, what are some of the major issues faced by today’s behavioral healthcare system? How have the current and future trends that are evolving in the industry addressed some of those issues?
Do you think there is a difference between the changing trends taking place in the private sector and that of public behavioral healthcare inpatient facilities? Based on your understanding about behavioral health services and the populations being served by them, do you agree that both private and public organizations are able to provide the necessary clinical services? Provide a rationale in support of your response.
In behavioral healthcare, outcomes are the established norm for measuring the success or lack of services. What are some of the major challenges in collecting the data needed to support and report behavioral health outcomes? Provide a rationale for your response.
Quality of care and services is an important part of an outcome-based strategy. The objective behind maintaining and improving quality is to provide competent and efficient services to consumers. In your opinion, do the current regulatory and accreditation standards for the behavioral health industry help to meet that objective? How?
Your conclusion (one to two pages) should include the following points:

What conclusions can you draw from your research that would demonstrate the role played by behavioral health in the healthcare industry?
What changes would you like to bring to today’s behavioral healthcare system in order to resolve the current issues identified?
Based on your literature review, if you were asked to conduct a formal research project on any of the topics discussed in the research paper, what would your choice be and why?
Name your document: SU_HSC3015_W5_A2_LastName_FirstInitial.doc.