HCMG 2100 Case Study 1 ANSWERED
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Clayton State University *
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Dec 6, 2023
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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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