Transcript PA 330 – Medical Records – Unit 2

PA 330 – Medical Records – Unit 2
Therapeutic Treatment
Modalities
This Week's Seminar Agenda
Administrative Housekeeping
Review of Unit 1: The Body Structure and Function
Comprehensive Review of Unit 2: Therapeutic
Treatment Modalities
Preview of Unit 3: Confidentiality of Medical
Records
Administrative Housekeeping
You'll notice that I completed the grading for Unit 1 around the time the
unit ended. One of the ways my job performance is measured is by how
quickly I complete the grading.
Another job performance standard of mine is how well each of you judges
my work.
Please remember that the grades don't “really count” until a day or two
after the end of Unit 10. Also keep in mind that one of my goals is to give
each of you the highest grade I can justify, not the lowest.
I have made many mistakes in the grade book of just about every class I've
taught, during the course of each class – but I have never made a grading
error that wasn’t easy to fix.
Don't be shy about communicating with me if you catch me in an error!
Summary of Unit #2
In this unit, we will continue to learn more medical vocabulary. Chapter 5
addresses basic pharmacology, different types of injuries, and related
therapeutic treatments.
The pharmacological topics we discuss will include prescriptions with
abbreviations, drug administration, drug profiles and drug schedules, and
an explanation of the actions, indications, and side effects of several drugs.
We will also cover the drug approval process by the FDA and various
methods to reduce medication error.
This week's graded events: Quiz, Discussion, Seminar
Review of Unit 1
This Unit provided an introduction to basic medical terminology that a legal
professional will need in order to read and interpret medical records. The
two chapters that made up this Unit focus on the systems and the body
parts of those systems.
Chapter 3 presented an introduction to body orientation used in the medical
field, including body planes and anatomical positions and directions.
Chapter 4 was an overview of medical diagnostic testing, such as blood and
body fluid tests; radiological procedures; physical examination and testing;
and motor and sensory function tests including reflexes and mental status.
The unit also provided an overview of the components of a medical record.
Unit 1's graded events included: Quiz, Discussion, Seminar
Review of Unit 1's Discussions
#1: The Medical Record's Role in a Medical Malpractice Case
Read "Medical Record Documentation - Is Yours a Help or a Hindrance in a
Lawsuit?" With your classmates, discuss how the medical record plays a pivotal
role in a medical malpractice case.
Please post your responses on the Discussion Board.
#2: What Do You Think about Electronic Medical Records?
Based upon your research, discuss your opinion on electronic medical records. Are
you pro or con? Why? Be sure to reference the Internet sites you visited.
Please post your response on the Discussion Board.
Unit 2: Treatment Modalities (Part 1)
Medications
Understanding Prescriptions
Appropriate Drug Administration
Common Prescription Abbreviations
Routes of Medication Administration
Medication Side Effects
Medications: Drug Classes, Actions, Indications, and Side
Effects (Note that this section takes up 60 of this chapter's
84 pages.)
Unit 2: Treatment Modalities (Part 2)
The Federal Drug Administration
Regulatory Activities: Communication
Enforcement Activities
Partnerships With Private Sector
Drug Oversight
Researching Drug Information
Drug Information Internet Resources
Unit 2: Treatment Modalities (Part 3)
Chiropractic Care
History and Development of Chiropractic
Chiropractic Theory
Chiropractic Regulation and Education
Physical Therapy Treatment Modalities
Therapeutic Exercise
TENS – Transcutaneous Electronic Nerve Stimulation
Cryotherapy – Application of Cold
Thermotherapy – Application of Heat
Massage
Traction
Use in Record Summaries
Additional Treatment Modalities – Complimentary / Alternate Medicine
Unit 2: Treatment Modalities (Part 4)
The Drug Approval Process
This lesson discusses drugs and other treatment modalities. In order to better understand
the drug approval and use process, please go to the following sites:
Research: Food and Drug Administration (FDA)
Access the FDA website. Under FDA Activities, click on About the FDA, and then on "What
the FDA Regulates" and "What the FDA Doesn't Regulate" (under FDA's Mission) for a
discussion of the scope of the FDA's reach.
Research - Off-Label Use of FDA-Approved Drugs: Off-Labeling
Review FDA Role in Question and Pill Pushers. These articles discuss off-label use of an FDAapproved drug. Next, go to Medavoy Botox. In this article, Robert Goldberg defends the use
of Off-Label drugs through the Medavoy Botox example.
The Resolution of the Medavoy Case - To learn how the case was resolved, check out the
Medavoy Resolution.
Unit 2: Treatment Modalities (Part 5)
Medication Identification
Introduction
Medication identification systems were developed in an attempt to reduce prescription
distribution errors. In this assignment, you will learn more about prescription errors and
identification systems.
Research – links are active on our course pages.
Click on Hospital Bar Coding to learn about bar-coding within the hospital setting.
To learn more about bar-coding for drugs within a hospital setting, click on Hospital Drug Bar
Coding.
Finally, please conduct some independent research to determine if these identification
systems are successful in reducing the number of this type of medical error.
Unit 2: Treatment Modalities (Part 6)
Injury Caused by Medication
Introduction
In the previous assignment, you read about the bar-coding method used in an effort to
reduce medication administration errors. Of course, patients are injured by medications
even when these medications are administered correctly.
Now find a case in which the issue involves an injury caused by a medication.
Research: In LexisNexis, find and review a case concerning an injury that was caused by the
administration of a medication, according to the following parameters:
1. Case cannot be older than 1993.
2. You may use any court in any jurisdiction, i.e., federal or state court.
3. Read the case; give the citation (e.g., Palsgraf v. Long Island Railroad, 248 N.Y. 339 -- be
sure to provide the party names and cite number); and
4. write a brief overview.
This Week's Discussions
#1: Off-Label Drug Use
Is Mr. Goldberg's analysis of the off-label use of a drug issue correct? Or, are there
other issues of off-label drug use that might dissuade a physician from prescribing
a drug for off-label use?
Please post your responses on the Discussion Board.
#2: Case Overviews – See Previous Slide, Part 6 of Treatment Modalities
After you have located, reviewed, and written your overview on a case involving
injury caused by medication, post your overview here.
Note: Do not copy the overview LexisNexis or Westlaw provides or duplicate a case
already posted. No credit will be given for duplicate cases.
Preview of Unit 2 Quiz
30 Minutes
Ten Questions: 4 multiple choice, 6 true/false
The exam is surprisingly comprehensive, touching
on most sections of the material for Unit 2.
30 points are at stake.
This Week's To-Do List
Seminar – or Alternate Assignment
Discussion Board
Quiz
Preview of Unit #3
In this unit, you will explore how the legal concept of confidentiality applies
to medical records, as well as relevant exceptions that may exist. The unit
also discusses the physician-patient privilege and exceptions to that
privilege. The topics of peer review and quality assurance will also be
discussed.
This week, we delve into the controversial topics of physician-patient
privilege and the confidentiality of patient medical records. The doctorpatient privilege is a long recognized doctrine. However, some states have
not statutorily recognized this evidentiary privilege. There are certain
exceptions to this rule: disclosures made outside the doctor-client
relationship; public interest; disclosure of HIV-related information;
physician’s duty to warn; workplace safety; workers’ compensation; and
third-party payers.
This week's graded events: Investigation Plan Paper, Discussion, Seminar
Good Evening!
We'll all be together again in six days
and 23 hours!
Next Up – Unit 3: Confidentiality of
Medical Records