MED100 Week 1 Discussion Latest 2020 March

MED100 Week 1 Discussion Latest 2020 March
MED100 Week 1 Discussion Latest 2020 March
MED100 Week 1 Discussion Latest 2020 March

MED100 Medical Terminology, Law and EthicsWeek 1 Discussion

Medical Terminology Case Study

Learning Objectives Covered

LO 02.01 – Explain the importance and proper use of medical terminology within medical documentation

LO 02.02 – Explain the meaning of common abbreviations used in medical documentation

Career Relevancy

Having a thorough knowledge of medical record basics and the ability to interpret those findings is a skill necessary to the medical assistant (MA).  Whether your career is pharmacy, billing and coding, or MA, working closely with patient files is a certainty.  If you come across a word that you are less familiar with, you may be able to discern the word parts individually to gain understanding.  Miscommunications or misinterpretations are less likely with an understanding of medical terminology.

Background

MED100_wk1_D.jpgHaving extensive knowledge of commonly used abbreviations and terms helps to ensure patient safety and quality of care. How does this effect patient safety? Some abbreviations and terminology are so close in sound or spelling that they can easily be confused one for another. Being certain that you are using the correct spelling and understanding the terminology related to the patient’s care will protect the patient from being misdiagnosed or misunderstanding their diagnosis as well as obtaining the correct treatment plans.

Imagine being told that you have diabetes and need this new medication with no explanation as to what diabetes is exactly or how dangerous it could be if you miss your medication. How scary would it be to find out that the patient just knows it has something to do with sugars? This could lead to a fatality for this patient. What about the lifestyle changes that this patient may need to be aware of before leaving the doctor’s office? Hopefully, this helps you to see the importance of fully understanding medical terminology.

Some of the common abbreviations you will encounter within the Medical History of Jonathan Teal provided for the discussion below are:

HPI – History of Present Illness

PMH – Past Medical History

PSH – Past Surgical History

ED – Emergency Department

NKDA – No Known Drug Allergies

GERD – Gastroesophageal Regurgitation Disorder

HEENT – Head, Eyes, Ears, Nose, & Throat

BUN – Blood Urea Nitrogen

WBC – White Blood Cell Count

NPO – Nothing Per Oral (nothing by mouth)

Outside of this case study, you will want to be familiar with many more of the common medical abbreviations found in these videos. Watch Common Medical Abbreviations and Terms Part 1 (8:48 min) & Part 2 (5:29 min) to review common medical terminology that you will find across healthcare.

Common Medical Abbreviations and Terms (and some favorites) – Part 1 (8:49 min)

Common Medical Abbreviations and Terms -Part 2 (5:29 min)

These common terms are used often by many medical professionals in documenting patient records as a means of saving time while maintaining the integrity of the record. It is important to note that there is a list of “Do Not Use” abbreviations that can be found on the Course Media page for Week 1.

The Medical History of Jonathan Teal also contains terms such as:

tonsillectomy – surgical removal of the tonsils

adenoidectomy – surgical removal of the adenoids

normocephalic – the head and brain are all found to be normal

cyanosis- blue discoloration; usually of the skin

Being able to read, comprehend, and communicate medical records with patients and colleagues is an everyday task of the medical assistant. Patients are more comfortable with medical professionals who are confident in their explanations of diagnoses or follow up care. It is also an imperative skill to be able to interpret the medical terminology for your patient to better understand their diagnosis, prognosis, and treatment. It is our responsibility as medical professionals to ensure that our patient leaves with confidence in understanding all that has been discussed about their care.

The importance and proper use of medical terminology within medical documentation is the last portion to consider in this discussion background. Looking at a medical chart may be overwhelming as the nurse mentions in the video below. With experience you will find that it is easier than you may initially think. There is a reason for the way we chart. While every facility may have some uniqueness to why they chart a certain way, there are some commonalities across the board that you will see. Review “SOAP NOTES”  (6:34 min)  for an overview of how to read a patients chart and what to look for.

Resources and References

Healthcare Tales. (2017, January 17). Common Medical Abbreviations and Terms (and some favorites). Accessed at YouTube: https://youtu.be/aS4QWHhYyKQ

Healthcare Tales. (2017, December 6). Common Medical Abbreviations and Terms (Part 2). Accessed at YouTube: Common Medical Abbreviations and Terms (Part 2)

Nishikawa, J. (2015, October 17). SOAP NOTES. Accessed at YouTube:https://youtu.be/9TZqTtbBVXc

Prompt

For this discussion assignment, you will need to download and review the case study by clicking HEREPreview the document.

Create an initial discussion post to discuss the following questions:

Pick one of the sections provided in the admission history or physical examination, why do you think this section is important?

Using what you’ve learned about word parts, how does this impact or change your ability to understand medical documentation? Describe some of the medical terminology you have learned and can identify on the case study.

For your peer reply, consider other elements of the admission history that may be more important. If this section was missing from the documentation, what are some potential consequences?

For your citation, you might use articles that show examples of how medical documentations and terminology are used to provide comprehensive care to a patient.

Your initial and reply posts should work to develop a group understanding of this topic. Challenge each other. Build on each other. Always be respectful but discuss this and figure it out together.

Reply Requirements

You must submit:

1 main post of 150+ words with 1 in-text citation and reference (follow the Institution Writing Guidelines)

2 follow-up posts (replies) of 50+ words

Responses can be addressed to both your initial thread and other threads but must be:

Your own words (no copy and paste)

Unique (no repeating something you already said)

Substantial in nature, which means there has to be some meat to the reply notsomething like: “Good job, Rasha, your post is excellent.” A substantial post will do one of the following:

Extend the conversation deeper,

Challenge the post being responded to, or

Take the conversation in a career-relevant tangent

Remember that part of the discussion grade is submitting on time and using proper grammar, spelling, etc. You’re training to be a professional—write like it.