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ERP Week 2
Patient Interview and History Chpt. 36 389-409
| Term | Definition |
|---|---|
| Information contained in a medical record becomes; | A legal document for the treatment of the patient |
| HIPPA - Health Insurance Portability and Privacy Act standards include; | 1.Medical Information Disclosure Practices 2.Release of Medical Information waiver 3.Notice of Privacy Practices |
| A written authorization is required from the client BEFORE; | Disclosure of Information is given |
| A NPP - Notice of Privacy Protection must be posted in; | Clear and prominent locations |
| HIPPA violations can result in: | 1.$250,000 fine 2.Incarceration for 10 years 3.Civil litigation by those whose information you disclosed |
| Effective communication methods include: | 1.Asking open-ended questions 2.Mirroring the patients responses 3.Focusing on the patient 4.Encouraging the patient to take the lead 5.Encouraging the patient to evaluate their situation |
| Example: Asking open ended question | Can you tell me what you have been feeling? |
| Example: Mirroring a patients responses | So the pain started about three days ago and has been getting worse each day? |
| Example: Focusing on the patient | Maintain eye contact and block out distractions |
| Example: Encouraging the patient to lead the conversation | Where would you like to begin? |
| Example: Encouraging the patient to evaluate their situation | What do you think is going on here? |
Created by:
adrouillard
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