HCMG 2100 Case Study 1 ANSWERED

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School

Clayton State University *

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Course

2100

Subject

Medicine

Date

Dec 6, 2023

Type

docx

Pages

2

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HCMG 2100 Medical Terminology Case Study #1 “Mr. Harvey” Part 1: You are a medical assistant at a family medicine clinic. Mr. Harvey, a 66-year-old male, comes in today for his first visit. You are responsible for entering his medical history into the electronic health record. He reports he has just moved from Kentucky to the area so he could be closer to family. Mr. Harvey tells you he is ambidextrous. The prefix for this word is __ ambi- __________. You know that ambidextrous means __ able to use both hands equally __________________. He has recently been on an antibiotic for cellulitis and a wound on his right lower leg. Breakdown the word antibiotic and cellulitis. The prefix for antibiotic is __ anti- _________ and means _ against something _________. The suffix in cellulitis is __ -itis _________ and means _ inflammation ___________. In the electronic health record, you need to document that the wound is on the lower leg. Which of the following is the best medical term to indicate the wound is on a lower extremity and not an upper extremity: a) superior b) caudal c) distal or d) inferior? _ inferior ___________ Dr. Smith comes into the exam room and greets Mr. Harvey and asks you to stay to assist. Dr. Smith asks a few more questions and then begins the physical assessment. When Dr. Smith asks you to give him a stethoscope , Mr. Harvey hears the word “scope” and responds with “No! You aren’t looking there!” You explain to him that the stethoscope is used to _ listen to heart, lungs and organ sounds ___, which reassures him. Dr. Smith says, “I am now going to auscultate your heart.” This worries Mr. Harvey, and he looks to you for help. You tell him not to worry because auscultate means _ listening to sounds produced by the body using a stethoscope _. Dr. Smith looks at the right lower leg wound and says the prognosis is favorable . Mr. Harvey looks puzzled and so you explain that him that means _ the likely outcome of an illness is slim ___. Dr. Smith tells Mr. Harvey that he needs some diagnostic tests, including a fasting phlebotomy procedure, an electrocardiogram, and a chest radiogram . Dr. Smith then requests Mr. Harvey to return for an office visit in a week to review test results. Dr. Smith leaves the examination room. Mr. Harvey looks to you and asks, “what did he mean by all that?” You then explain that fasting means _ not eating and drinking anything, except water, for a period of time ____, phlebotomy means __ blood draw _____, an electrocardiogram is __ record of electrical activity of the heart ______ and is done to check _ abnormal heart rhythms and coronary heart disease (heart attack and angina) _____, a chest radiogram is more commonly called a chest x-ray _______. Mr. Harvey is very happy that you helped him understand what Dr. Smith meant when he used medical terms. Part 2: Read the Introduction section of the article titled Medical Word Use in Clinical Encounters.
Write 1-2 paragraphs on what you learned from the article or what stood out to you as important. Type your paragraph(s) on this document. Submit the completed document to the designated Assignment Box. Medical terminology is usually complex, and within the healthcare context, familiar terms can take on distinctive and uniquely clinical definitions. It is not unexpected, then that patients discover it challenging to comprehend the terms that doctors use or misunderstand their meaning. The Institute of Medicine (2004) emphasized that health literacy is more than reading, and contains speech and speech understanding skills. As a professional, the doctor predicts and is anticipated to display expertise. Content research was utilized to analyze and test a sequence of theories about medical word use in clinical encounters: One hypothesis was that doctors will present and use more medical terms than patients. Another hypothesis stated that the prevalence of medical terms patients present will be used to describe their history. The medical terms most likely to be explained or used in an resolution were drugs at 46%, symptoms at 20%, and other classified words at 19%. Patients rarely replied in a way that would predict whether or not they had accurately figured out the medical terms introduced by doctors. One of the examples showed how it was usually unattainable to tell from the transcript if any unexplained phrases presented an challenge for the patient's understanding: A doctor stated that if you’ve been on Plaquenil for a while, you’re not allergic to it. Some words may appear to be medical words, but they were not incorporated in the checklist because they are ‘high‐frequency’ phrases with an SFI value greater than 42.7 times per million. A doctor also stated that asthma, bronchitis, pneumonia? In response a patient replies with, "No. Do you ever have any trouble swallowing?" The patient responds with, "Mm, no. In almost as many cases at 45% they continued the discussion. In 28% of these encounters, patients went on to use a word duplicate or a synonym. Although doctors and patients presented and used similar numbers of medical phrases, their patterns of use varied significantly and proposed the prospect for miscommunication. Consequently, they were far more likely than patients to introduce medical terms in different parts of the clinical encounter, behind the history was taken. Causes of narcotics are very important, but other kinds of medical words, if left unexplained, might leave patients perplexed concerning their illness and how the narcotic is supposed to oblige them, which in the case of rheumatological disorders has been established to contribute to non‐ adherence to the therapy regimen. It was challenging trying to tell if patients learned the medical vocabulary being used. Unexplained medical words throughout the encounter may contribute to such results. This is astonishing, considering the technical nature of this clinic. Also, the significance of using print materials to assist patients in enhancing their vocabulary needs additional research.
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