ملتقى طلاب وطالبات جامعة الملك فيصل,جامعة الدمام - السجلات الطبية فزززززززعتكم تكفون

السلام عليكم
ممكن مساعده حل هالاسئله :000:

“It’s Friday afternoon and you are running a little behind schedule as you usher in your last patient of the day. Daniel Brouder is a seventy two year old white male with a twenty-five year history of glaucoma. This is his first visit to your office, as his health insurance is no longer accepted at his prior provider’s office. Speaking with him regarding his history of glaucoma treatment; compliance on his current medications seems credible, but his memory of previous medications or surgical history is very sketchy eliciting responses like “I was on one drop that gave me a serious rash around my eyes...” and “we just changed my drops six months ago because one of the one’s I was using was not working anymore”. While you are deep in thought attempting to determine the best course, Mr. Brouder relates that he and his wife are leaving for a three month round the world cruise next week.”

First discussion question
1. Glaucoma is a common sight threatening asymptomatic condition in older Americans. These patients may require care from multiple providers due to changes in insurance coverage, changing residences (southern residence in winter, northern residence in summer), and other systemic conditions which may impact glaucoma risk and treatment and vice versa. What are the advantages and disadvantages electronic health records bring to this case?

“The download of Mr. Brouder’s medical record has just finished. Luckily since both you and Mr. Brouder’s previous caregivers use standards-compliant software, the data that arrives is properly displayed in your electronic medical record. A quick perusal reveals that Mr. Brouder OCT results have not changed in the preceding four years. Reviewing the EHR’s clinical practice guideline that pertains to glaucoma you feel confident that based upon his stability Mr. Brouder can safely go off on his vacation with only a medication refill. When you enter in the medication refill into the CPOE module of the EMR an alert pops up (CDSS) indicating that Mr. Brouder’s cardiologist just put him on a beta blocker last week that is the same medication class as the beta blocker eye drops you plan to renew. Upon querying the patient he notes that the last couple of days he been feeling out of breathe frequently. Reviewing his vital signs shows a slow pulse rate. Conferring with Mr. Brouder’s cardiologist you decide to keep Mr. Brouder on the beta blocker eye drops. You will send him back to his cardiologist for a new systemic medication prior to his trip. In order to better manage Mr. Brouder’s glaucoma your staff instructs him on the use of a home intra-ocular pressure recorder. This disease management tool encourages the patient to engage in self-care improving medication compliance by closing the feedback loop for the patient. The device can post its results to the patient’s personal health record when it is plugged into a computer. The PHR software allows information sharing at the patient’s discretion enabling data to flow to your office’s EMR so you can monitor his pressures while he cruises the world, enhancing patient safety. Satisfied that Mr. Brouder is well taken care of, you send him off to his cardiologist.”

Second discussion question:
2. What kind of health issues in this case was addressed using health informatics solution such as health care management system? Give other example of health care solution that can be used in solving such health care issue?