while squatting during the down phase. what arthrokinematic motion of the ankle would you suspect would be limited Dorsiflexion is the movement made by the ankle during a squat. When performing a squat, an ankle may appear to be dorsiflexing, but if the ankle is limited, the foot pronates instead.
Why is ankle dorsiflexion restricted?
The patient in the image for your case complains of ankle pain while squatting during the down phase. What ankle articular kinematic motion do you think would be restricted?
Numerous illnesses might restrict ankle dorsiflexion. Dorsiflexion might be hampered by tight calves and flat feet since they reduce your range of motion. Dorsiflexion can also be impeded by an ankle that is damaged in some way. This can be the result of an injury or an ankle that is overly tight.
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Neck Masses and Vascular Anomalies: Where do venous malformations commonly occur in the head and neck?
Venous malformations (VMs) in the head and neck region commonly occur in the cervicofacial area, which includes the face, neck, and scalp.
Within this area, VMs can be found in various locations such as the cheeks, lips, and tongue, as well as the orbit, nasal cavity, parotid gland, submandibular region, pharynx, and skull base. These malformations can cause painless, compressible masses, cosmetic deformity, functional impairment, and potentially life-threatening complications.
Venous malformations (VMs) are vascular anomalies that result from the abnormal development of veins and can occur in various parts of the body, including the head and neck. In the head and neck, VMs commonly occur in the oral cavity, lips, and tongue, but they can also occur in other areas such as the pharynx, larynx, and skin.
VMs in the head and neck region can present as painless, soft, compressible masses that may enlarge over time. They can cause cosmetic deformity, functional impairment, and in some cases, life-threatening complications such as bleeding and airway obstruction.
In terms of location, VMs in the head and neck can involve any level of the vascular system, including the superficial and deep venous systems, as well as the capillary and lymphatic systems. However, the most common site for VMs in the head and neck is the cervicofacial region, which includes the face, neck, and scalp.
Within the cervicofacial region, VMs commonly occur in the cheeks, lips, and tongue, as well as the orbit, nasal cavity, and parotid gland. They can also occur in the submandibular region, the pharynx, and the skull base.
Overall, the location of VMs in the head and neck region can vary, but they are most commonly found in the cervicofacial region, including the cheeks, lips, and tongue.
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A 2-month-old boy presents with a low fever and cough. Which of the following is suggestive of Chlamydia pneumonia in this infant?
A. Bullous myringitis
B. Diarrhea
C. Rusty-colored sputum
D. Staccato cough
Staccato cough
Answer: The correct answer is D
Explanation:
19.20. lee yh, chen ax, varadaraj v, et al. comparison of access to eye care appointments between patients with medicaid and those with private health care insurance. jama ophthalmol. 2018;136(6):622-629. doi:10.1001/jamaophthalmol.2018.0813
The article titled "Comparison of Access to Eye Care Appointments Between Patients with Medicaid and Those with Private Health Care Insurance" by Lee et al. (2018) examines the differences in access to eye care appointments for patients with Medicaid compared to those with private health care insurance.
The study investigates the potential disparities in accessing timely eye care services between these two groups of patients. The authors conducted a comparison analysis to assess the appointment availability and wait times for eye care services among patients with Medicaid and private insurance. The findings of the study suggest that patients with Medicaid face greater challenges in accessing eye care appointments compared to those with private insurance.
Medicaid patients experienced longer wait times and encountered more difficulties in securing timely appointments for eye care services. This research sheds light on the disparities in access to eye care services and highlights the potential barriers faced by patients with Medicaid. The study emphasizes the importance of addressing these disparities to ensure equitable access to eye care for all individuals, regardless of their insurance status.
Further research and interventions may be necessary to improve the accessibility and availability of eye care services for Medicaid patients and reduce the disparities observed in this study. Please note that the DOI provided (10.1001/jamaophthalmol.2018.0813) can be used to access the full article for more in-depth information on the study methodology, results, and discussion.
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1. Compare the practice of medicine in the ancient river civilizations, including ancient Africa. 5 marks
The ancient river civilizations practiced medicine based on spiritual beliefs, natural remedies, and surgery for emergencies. Ancient Africa used herbal medicine and circumcision as a rite of passage.
The practice of medicine in the ancient river civilizations was a combination of spiritual beliefs, natural remedies, and surgical procedures. In Mesopotamia, the oldest recorded medical documents, the Diagnostic Handbook, were created in 2600 BCE. In Ancient Egypt, medical practice was highly advanced, as evidenced by mummification techniques. Doctors were known as swnw and were highly respected, able to perform various surgeries, from amputations to brain surgeries.
Ancient African medicine was primarily based on herbal remedies. One of the most famous remedies, aspirin, was discovered by ancient Africans and used for pain relief. Circumcision was a rite of passage and also performed for medical reasons such as preventing the spread of sexually transmitted diseases. In conclusion, ancient civilizations in Africa and Mesopotamia had their unique medical practices, but their common goal was to prevent and treat ailments through their respective methods.
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A therapist, whose approach to psychotherapy is based on Sigmund Freud's theory, explains that a patients problematic behavior is based upon
A. A classically conditioned response
B. Observational learning without consequences
C. Being stuck in the developmental task of trust vs. mistrust
D. Unconscious motives, fears, and anxieties
Answer: The answer would be unconscious motives, fears, and anxieties because this is based on Freud's Theories
Explanation: Mom studied this in nurses training and then became an R.N.
Hope this helps! Dee Dee Riley
A therapist, whose approach to psychotherapy is based on the theory of Sigmund Freud, explains that a patient's problematic behavior is based on being stuck in the task of developing trust versus mistrust.
How does Freud explain anger?Freud associates aggressive impulses with self-preservation drives, which would have the function of maintaining and affirming individual existence. In the same way, he postulates a genesis of its own for hate, when he states that “the apparent transformation of love into hate is just an illusion”
With this information, we can conclude that a therapist, whose approach to psychotherapy is based on the theory of Sigmund Freud, explains that a patient's problematic behavior is based on being stuck in the task of developing trust versus mistrust.
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Mable, a 65-year-old female, is seen by her family physician for an office visit. Her physician decides to admit Mable to the observation unit at the local hospital to monitor her continued complaint of generalized lower abdominal pain. The physician performs a detailed history and examination with a straightforward medical decision making complexity.
The physician performs a detailed history and examination with a straightforward medical decision about lower abdominal pain and the code is therefore 99218,99217, R10.84 which is denoted as option B.
What is Medical coding?This is referred to as the process in which a medical diagnosis or treatment is translated into numeric and alpha numeric characters and it is done to eliminate ambiguity in the healthcare system and ensure that several factors are considered in this scenario.
The code 99217 depicts observation care discharge service in which the client is discharged at a different date and the R10.84 depicts the code for abdominal pain which is experienced by the client.
This is therefore the reason why option B was chosen as the most appropriate choice.
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The full question is:
Mable, a 65-year-old female, is seen by her family physician for an office visit. Her physician decides to admit Mable to the observation unit at the local hospital to monitor her continued complaint of generalized lower abdominal pain. The physician performs a detailed history and examination with a straightforward medical decision making complexity.
Code this encounter. A) 99234, R10.0, Z04.89 B) 99218,99217, R10.84, Z04.89 C)99221, R10.30, Z04.89 D) 99218, R10.30
What is The Drug Classification For The Medication Buspar / Xanax
Answer:
Antianxiety Agents, Anxiolytics, Nonbenzodiazepines
Explanation:
Anatomy is to physiology as:
a Swiss Army knife's parts are to all the things you can do with it.
brush strokes are to a whole painting.
an engine's design is to how much horsepower it has.
a square is to a circle.
Answer: a Swiss Army knife's parts are to all the things you can do with it.
Explanation: took the test
The correct analogy is: brush strokes are to a whole painting. Option B
What is anatomy?Physiology is the study of how those structures operate together to preserve life, while anatomy is the study of the composition and arrangement of living things.
Similar to how the components of anatomy contribute to the overall functioning of a living thing, and physiology explains how those components interact, brush strokes in the supplied comparison are discrete components that contribute to the overall development of a painting.
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a 2-year-old patient is brought to the ed unable to breathe due to a toy he swallowed, which had lodged in his throat. to establish an immediate airway, the ed physician performs an emergency transtracheal tracheostomy. what icd-10-cm code(s) is/are reported?
Answer: T17.290A
Explanation:
As per the given case, the appropriate ICD-10-CM code for the scenario described would be J98.01
In the given case, a 2-year-old child arrives to the emergency department unable to breathe because he ingested a toy that became stuck in his throat. The emergency department doctor conducts an emergency transtracheal tracheostomy to provide an airway right away. J98.01 would be the proper ICD-10-CM code for the situation as indicated.
Any unintended puncture or laceration that happens during a surgical or medical procedure is reported using this number. In one instance, a toy in the patient's throat was preventing him from breathing, therefore an emergency transtracheal tracheostomy was done to open up his airway right away. The puncture or laceration happened during an operation in a respiratory system organ or structure, according to the code J98.01.
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why is it important to know which species of bacteria are susceptible to which antibiotics?
Knowing which species of bacteria are susceptible to which antibiotics is essential for selecting appropriate treatment, preventing antibiotic resistance, optimizing antibiotic use, and ensuring effective infection control and public health measures.
Knowing which species of bacteria are susceptible to which antibiotics is important for several reasons:
Effective treatment: Identifying the susceptibility of bacteria to specific antibiotics helps healthcare professionals prescribe the most appropriate and effective treatment for bacterial infections.
Prevention of antibiotic resistance: Understanding the susceptibility patterns of bacteria helps in preventing the development and spread of antibiotic resistance. If an antibiotic is used against a bacterial strain that is resistant to it, it can contribute to the selection and proliferation of resistant bacteria.
Optimal antibiotic use: Knowing the susceptibility of bacteria to different antibiotics aids in optimizing antibiotic use. It helps avoid the unnecessary use of broad-spectrum antibiotics when narrower-spectrum alternatives can effectively treat the infection.
Infection control and public health: Understanding the susceptibility patterns of bacteria at a local, regional, and global level is crucial for infection control and public health initiatives. It allows for the monitoring of emerging antibiotic resistance patterns and the development of appropriate strategies to combat the spread of resistant bacteria.
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Cindy is able to perform more complicated and invasive procedures in her job. She is the direct aid to a famous heart surgeon. Which of the following roles is most likely her job? EKG technician Medical assistant Invasive cardiovascular technologist O none of the above
Answer: Medical Assistant
Explanation:
A Cardiologist is someone who specializes in the study or treatment of heart diseases and heart abnormalities. It says she is "direct aid to a famous heart surgeon." There for it would either be Medical assistant or none of the above.
Electronic claims are submitted using what 4 types of transmission media
Answer:
1. dial-up
2. internet
3. magnetic tape
4. electronic media
Explanation:
hope this helps:)
Dial up, internet, magnetic tape, electronic media are the four types of transmission media.
What is Transmission media?It is a communication medium that carries information through a channel from the sender to the receiver, which is transmitted via electromagnetic signals.
The information can be transmitted in the form of bits through Local Area Network, which is a physical path of communication.
In another type of phase transmission called Open System Interconnection phase, the transmission support and considered as a Layer 1 component.
The characteristics and quality of electrical signals of transmission can be are determined by the characteristics of medium and signal and it is passed through the copper wire, fiber optics, water, and vacuum.
The transmission media can be either wired media and wireless media, these have different properties such as bandwidth, delay, installation and maintenance.
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a seven-year-old boy is in the clinic with his parents for evaluation of fatigue. he easily gets tired in the middle of class and has been sent home twice for the past week due to decreased energy. he has been doing well in school although he had a history of repeating second grade. he denies fever, abdominal pain, bone pain, or weight loss. on physical exam you find, height at the 5th percentile, weight at the 50th percentile, hypopigmented spots on the chest, and pallor. laboratory exam reveals macrocytic anemia, thrombocytopenia, and leukopenia. which of the following is the most likely diagnosis?
The correct option is B, The clinical presentation and laboratory findings described are most consistent with Fanconi anemia (FA).
Anemia is a condition characterized by a lower-than-normal number of red blood cells or a decrease in the amount of hemoglobin, the protein that carries oxygen in the blood. This can lead to a reduced ability of the body to transport oxygen to tissues and organs, which can result in a range of symptoms such as fatigue, weakness, shortness of breath, and pale skin.
There are several types of anemia, including iron-deficiency anemia, which is the most common type and often caused by inadequate iron intake or absorption; vitamin-deficiency anemia, which is caused by a lack of certain vitamins like B12 and folate; and hemolytic anemia, which occurs when red blood cells are destroyed more rapidly than they are produced. Anemia can be diagnosed through a blood test and treated depending on the underlying cause. Treatment may include dietary changes, iron or vitamin supplements, medications, or, in severe cases, blood transfusions.
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Complete Question:
A seven-year-old boy is in the clinic with his parents for evaluation of fatigue. He easily gets tired in the middle of class and has been sent home twice for the past week due to decreased energy. He has been doing well in school although he had a history of repeating second grade. He denies fever, abdominal pain, bone pain, or weight loss. On physical exam you find, height at the 5th percentile, weight at the 50th percentile, hypopigmented spots on the chest, and pallor. Laboratory exam reveals macrocytic anemia, thrombocytopenia, and leukopenia. Which of the following is the most likely diagnosis?
A). Diamond-Blackfan syndrome
B). Fanconi anemia
C). Immune thrombocytopenia
D). Schwachman-Diamond syndrome
When assessing a patient who spilled hot oil on the right leg and foot, the nurse notes that the skin is dry, pale, hard skin. The patient states that the burn is not painful. What term would the nurse use to document the burn depth?a. First-degree skin destructionb. Full-thickness skin destructionc. Deep partial-thickness skin destructiond. Superficial partial-thickness skin destruction
Answer: full-thickness skin destruction
Explanation:
which approach would the nurse use for a client with narcissistic personality disorder who insists on leaving the group to get an autogrsph
By using the below approach, the nurse can manage the situation professionally and effectively, while maintaining a therapeutic environment for the client and the group.
For a client with narcissistic personality disorder (NPD) who insists on leaving the group to get an autograph, a nurse should use the following approach:
1. Acknowledge the client's feelings: Start by validating the client's desire for the autograph, as people with NPD have a strong need for admiration and attention.
2. Set boundaries: Explain the rules and expectations of the group therapy setting, emphasizing the importance of staying with the group and participating in the sessions.
3. Offer an alternative: Suggest that the client can seek the autograph at a more appropriate time, outside of the group therapy session. This helps to maintain the structure of the therapy while still acknowledging the client's desires.
4. Encourage self-reflection: Help the client explore their motivation behind wanting the autograph and how it may relate to their narcissistic personality disorder. This can provide insight into their thoughts and behaviors, and potentially lead to personal growth.
5. Reinforce the benefits of group therapy: Remind the client of the value of participating in group therapy and how it can help them address their narcissistic personality disorder.
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A gland that secrets a hormone that regulates the body's use of calcium
Answer:
Parathyroid gland secrets a hormone called parathyroid hormone or parathormone (PTH) which regulates calcium usage in our body.
Hope it helps!
Answer:
parathyroid gland
Explanation:
The parathyroid gland secretes parathyroid hormone (PTH) which is responsible for monitoring blood calcium levels by mobilizing calcium reserves in the bone, increasing intestinal absorption and increasing renal excretion. Another hormone involved in regulated Ca blood levels is calcitonin, secreted by the thyroid gland. It lowers Ca blood levels by increasing its deposition in the bone.
Dr. Mullis conducting testing on a fourth grade student who is having difficulty with math. He is most likely a?
Answer:
Dr. Mullis is most likely a psychologist testing for dyscalculia or another math learning disability rather than simply needing extra support in math. A psychologist can also give input as to the possibility of other learning differences, such as ADHD or dyslexia.
You respond to call for trouble breathing. When you arrive, you find a 75 year old man struggling to breathe. You notice he has gurgling sounds when breathing, and he is coughing up pink fluid . The patient has swollen ankles, and he tells you he had a heart attack 6 months ago. What should you do?
Answer: he might have Congestive Heart Failure
Explanation:
A chronic condition in which the heart doesn't pump blood as well as it should.
Heart failure can occur if the heart cannot pump (systolic) or fill (diastolic) adequately.
Symptoms include shortness of breath, fatigue, swollen legs, and rapid heartbeat.
Treatments can include eating less salt, limiting fluid intake, and taking prescription medications. In some cases a defibrillator or pacemaker may be implanted.
Scientific analysis of hair cannot reveal ______.
1) the race of an individual from which it came
2) how it was removed
3) the presence of contaminates in the hair
4) the age of the person
Scientific analysis of hair cannot reveal (1) the race of an individual from which it came.
Scientific analysis of hair is a forensic science that enables researchers to identify an individual by studying the composition of their hair. Hair is a biological material that grows from follicles and contains genetic information unique to each individual. The various elements and layers of the hair contain important scientific information that can be used to identify individuals, investigate crimes, or monitor environmental pollution.
The only aspect of an individual that cannot be revealed through scientific analysis of hair is the race of the individual from which it came. However, the presence of contaminants in the hair as well as the age of the person can be determined through scientific analysis. Therefore, the correct option is: (1) the race of the individual from which it came.
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Drugs & Alcohol
4.1 Assignment
Refusal Skills Role Play
Name:
Date:
Directions: Find a partner to role play with parent, sibling, or classmate). Read each scenario below
aloud and discuss the best way to respond. Then role play the scenario with your partner. After each
scenario, describe your role play response to each situation.
1. You are having trouble sleeping at night because you have so much on
your mind. You mention it to a friend, and he suggests using some
prescription pills his mother uses. He offers them to you. (5 points)
2. Your teammates on the basketball team like to get high before games.
They encourage you to show your team unity by getting high with them.
They are convinced they play better when they are high, and they want you
to play your best game too. You don't want to disappoint your teammates.
15 points)
Which of the following is NOT a function of the adrenal gland?
What should Samra do to help her administer the medication to the patient?
In order to administer medication to a patient safely and effectively, Samra should verify the patient's identity, review the medication order, prepare medication, administer the medication, etc.
What should Samra do?In order to administer medication to a patient safely and effectively, Samra should follow these steps;
Verify the patient's identityReview the medication orderGather suppliesPrepare the medicationAdminister the medicationDocument the medication administrationFollow upThus, Samra should follow the given steps in order to help her administer the medication to the patient
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inhibition of the ubiquitin transfer cascade by a peptidomimetic foldamer mimicking the e2 n-terminal helix (2022-12-27)
The partnership between corals and their zooxanthellae is one of many examples of symbiosis, where different species live together and help each other.
What type of symbiotic relationship do corals and zooxanthellae have?These unique cells interact mutualistically with corals. The coral gives zooxanthellae a safe environment and the substances necessary for photosynthesis. The coral receives oxygen production and waste removal assistance from the zooxanthellae in return. In addition to giving corals vital nutrients, zooxanthellae are in charge of many stony corals' distinctive and lovely colors. When corals are physically stressed, the polyps may occasionally expel their zooxanthellae, leaving the colony looking stark white. "Coral bleaching" is a common term used to describe this. Coral bleaching can cause the coral to die if the polyps are left without zooxanthellae for an extended period of time.Reef-building corals behave like plants in response to their environment because of their close relationship with zooxanthellae and the unique capacity of these cells to photosynthesize.To learn more about nutrients refer to:
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discuss physician practice behaviors related to managed healthcare and the future of managed care under healthcare reform.
Under healthcare forum, Healthcare managers need to know how the Affordable Care Act (ACA) has impacted the healthcare system to effectively navigate the evolving healthcare landscape, comply with regulations, make informed decisions, and optimize resource allocation.
The Affordable Care Act (ACA), has brought significant changes to the healthcare system. Healthcare managers play a crucial role in overseeing healthcare organizations and ensuring their effective operation. Understanding how the ACA has impacted the healthcare system is essential for several reasons.
Firstly, managers need to navigate the evolving healthcare landscape shaped by the ACA's provisions, such as expanded insurance coverage, Medicaid expansion, and health insurance marketplaces. They must stay up to date with changes in reimbursement models, payment reforms, and quality reporting requirements to ensure compliance and optimize financial management.
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omplete each statement below and then place them in order in order to correctly describe the elements of examination as they would likely occur in the course of treatment.
The correct order for the elements of examination in the course of treatment is:
1. Statement
2. Examination
3. Treatment
1. A statement is taken from the patient regarding their symptoms and medical history.
2. A physical examination is performed by the healthcare provider to assess the patient's condition.
3. Based on the findings of the examination, a diagnosis is made and a treatment plan is developed.
Here's the answer including the terms "examination," "statement," and "treatment":
1. Statement: The patient provides a detailed account of their symptoms and medical history.
2. Examination: The healthcare professional conducts a thorough physical and/or mental assessment of the patient.
3. Treatment: Based on the findings from the statement and examination, the healthcare professional devises an appropriate treatment plan for the patient.
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what is the medical assistant's role during the eye irrigation?
During eye irrigation, the medical assistant plays a crucial role in assisting the healthcare provider and ensuring the procedure is performed safely and effectively. Their responsibilities may include:
1. Preparing the Equipment: The medical assistant gathers the necessary equipment for eye irrigation, which typically includes an eye irrigating solution, sterile irrigation set or bulb syringe, clean towels or gauze, and a clean basin or tray to catch the irrigation fluid. They ensure that all equipment is clean and readily accessible.
2. Assisting the Patient: The medical assistant helps the patient prepare for the procedure. They explain the process, ensuring the patient understands what to expect. The assistant also ensures the patient is comfortably positioned, with their head stabilized and proper eye exposure for irrigation.
3. Sterilizing and Preparing the Area: Before the procedure, the medical assistant ensures the area around the eye is clean and sterile. They may assist in cleaning the eyelids and surrounding area with an antiseptic solution, minimizing the risk of infection during the procedure.
4. Handing Instruments and Irrigation Solutions: During the irrigation, the medical assistant assists by handing the necessary instruments and irrigation solutions to the healthcare provider. They ensure that the irrigation solution is at the appropriate temperature and readily available for use.
5. Assisting with Patient Comfort: The medical assistant helps ensure patient comfort during the procedure. They may hold the patient's head or assist in keeping the eye open or properly positioned for effective irrigation. They provide reassurance and support to the patient throughout the process.
6. Monitoring the Procedure: While the healthcare provider performs the eye irrigation, the medical assistant closely observes the patient for any signs of discomfort, pain, or adverse reactions. They communicate any concerns or changes in the patient's condition to the provider promptly.
7. Post-Procedure Care and Documentation: After the irrigation is completed, the medical assistant may assist the patient in post-procedure care, such as providing instructions on the use of prescribed eye drops or applying an eye patch, if necessary. They may also document the procedure, including details about the irrigation process, any complications, and the patient's response, in the patient's medical records.
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In regard to clients and patients, practioners have a(n) relationship which requires them to act primarily in the best interests of those they serve.
Answer:
In regard to clients and patients, practioners have a(n) healthy relationship which requires them to act primarily in the best interests of those they serve.
Explanation:
Health practioners learn communication strategies that allow them to better connect with users of health systems, provide patients with clear information to give them the opportunity to make important and informed decisions throughout the disease process, facilitating to feel them more involved in it and in many cases minimizing the suffering that comes with having a pathology.
When a person goes to the health consultations, they need a solution to certain needs that have arisen related to their well-being. Faced with this situation and in the first place, it requires clear and truthful information from practioners, in this way, the patient can responsibly assume his/her situation and the care to which him/her must submit. In a healthy relationship between practioners and patients, it is important to evaluate the information the patient gives and the appropriate measures in each case, making them more individualized recommendations. The factors that determine the satisfaction of this healthy relationship by patients are: accessibility, responsiveness and understanding, patients manifest a series of needs that, in order to be satisfied, must be previously understood and valued. In this healthy relationship, patients especially value that practioners listen to them and establish affective and assertive communication with them in a language understandable by both parties. These factors are intangible variables, since they are the individual or group behaviors, aptitudes and attitudes that decisively contribute both to the conformation of the patient's perceptions and their satisfaction, and to the value that the health center acquires for them: behavior and motivation of the staff, beliefs, norms and ways of thinking of the organization.
Studies abbreviations used in text message to identify the author:
forensic linguist
forensic animator
forensic videographer
forensic artist
Answer:
forensic linguist
Explanation:
From the available options provided the only individual position that does this would be a forensic linguist. The responsibilities of this position include analyzing language on text or recorded documents. They do this in order to understand and uncover different details within the document that may help law enforcement solve a crime. This also involves studying abbreviations used in text messages to identify the author, what the abbreviation means, in what context it is being used, hidden meanings, etc. All of which can be highly valuable in a criminal case.
What does the central nervous system do?
sensory input, information processing, and motor output
Explanation:
The central nervous system includrs the brain, cerebellum and spinal cord. It controls most functions of the body and mind. It gathers information around the body and coordinates activity.
Explanation:
the central nervous system controls
most functions of the body and mind
Why is patient registration an important hospital function? Why do HIM professionals need to understand patient registration