A physician supervises the care of a 79-year-old woman who is receiving several different therapies at home. The patient is recovering from a fall from a kitchen stool, resulting in a broken ulna and sprained wrist


The physician coordinates the involvement and participation of a private physical therapist and the patient's adult daughter, the patient's power of attorney, and the private home aide who provides assistance with the patient's ADLs. According to the patient's daughter, the patient will not leave her home but received adequate care from the home aide, with positive results from the physical therapy. Over the course of 1 calendar month, the physician spends 35 minutes in supervision of documented physical therapy records, laboratory results, and telephone conference with the patient's adult daughter and home aide. Which of the following best reflects the service(s) provided?

 

a. Non–face-to-face physician services
b. Care plan oversight services
c. Case management services
d. Domiciliary, rest home (e.g., assisted living facility), or home care plan oversight services


d) Domiciliary, rest home (e.g., assisted living facility), or home care plan oversight services (because the patient lives in her own private home, and the physician is individually supervising the care provided to the patient, and the patient is not under care of a home health agency, but receiving care from private therapists, the domiciliary, rest home (e.g., assisted living facility) or home care plan oversight services is the most appropriate service.)

Health Professions

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Indicate whether the statement is true or false

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With a patient that suffers from ________ shock, it is reasonable to treat with aggressive volume replacement to restore vital signs close to normal

A) mechanical B) nonhemorrhagic hypovolemic C) internal hemorrhagic D) cardiogenic

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Which of the following is NOT a common psychosocial challenge of late adulthood?

A) Issues of self-worth B) Financial burdens C) Concern about death and dying D) Self-destructive behaviors

Health Professions

A female patient has acute onset of right-sided abdominal pain, describes it as sharp, and rates it as 9/10. The primary survey reveals no life threats, but her skin is cool and diaphoretic. She states that she has been going to the bathroom more and is worried because her father has diabetes. Her last period was nine weeks ago, and she has a history of irregular periods. Her heart rate is 122 beats/min, respirations are 20 breaths/min, blood pressure is 138/68 mmHg, and SaO2 is 97%. In this scenario, which bit of information is of most concern to the EMT?

A) Family history of diabetes B) Increased urination C) Last period nine weeks ago D) Periods irregular in nature

Health Professions