What additional subjective data will you be assessing for? Are there any national guidelines you want to consult for the postoperative rehabilitation care of this patient with an ORIF related to osteopenia of the left femur? What will you want to order as part of this follow-up visit? Are there any new differential diagnoses you need to consider? What is your plan of care? Are there any additional community resources to consider? Will you be looking to add any referrals for this patient?

3-2-1 Code It
6th Edition
ISBN:9781337660549
Author:GREEN
Publisher:GREEN
Chapter12: Cpt Surgery Ii
Section: Chapter Questions
Problem 5MC
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How will you use the information to prepare for todays visit?
Todays Visit: Chief Complaint "I am still recovering from my fall last month What additional subjective data are you seeking?
What additional subjective data will you be assessing for?
Are there any national guidelines you want to consult for the postoperative rehabilitation care of this patient with an ORIF related to osteopenia of the left femur?
What will you want to order as part of this follow-up visit?
Are there any new differential diagnoses you need to consider?
What is your plan of care?
Are there any additional community resources to consider?
Will you be looking to add any referrals for this patient?

Expert Solution
Step 1

This case study has several sub parts to it. We will cover one by one.

Subjective data is the data collected from the patient. It is defined as what the patient tells. When a patient complaints of falls and says, he hasn't recovered from it, then it is a red flag to collect more details.

There are tests to be ordered, guidelines to be followed.

Patient also needs other referrals for a holistic care.

 

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