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Review the following scenario: a patient has used oral contraceptives for 15 years, starting her first pill pack at age 28. Now at age 43, she tells you, "I had three children by 28 when I started using the Pill. I got divorced three years ago, and now I'm remarried. Why can't I get pregnant? It must be the Pill." What is your counseling strategy?
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While strides have been made in stemming gonorrhea, clinicians are advised to keep the sexually transmitted disease (STD) on the radar screen. Preliminary new data from the Centers for Disease Control and Prevention (CDC) show sharp increases in reported gonorrhea cases since 2000 in seven states: Alaska, California, Hawaii, Nevada, Oregon, Utah, and Washington.
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At Edward Hospital in Naperville, IL, advanced practice nurses take the lead in meeting the hospital's goals of being in the top 10% of the core measures and other performance measures.
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A team approach to documentation enhancement has resulted in a reduction in accounts receivable days, more accurate billing, and dramatic decreases in the number of queries to physicians for clarification about documentation at the Catholic Health System of Buffalo, NY.
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Case management is a collaborative process at Edward Hospital in Naperville, IL, with advanced practice nurses leading a team that includes utilization managers, social workers, and staff nurses.
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When an elderly patient is hospitalized at Lee Memorial Hospital in Fort Myers, FL, the case managers on the unit may call in a geriatric care manager who already has been working with the patient and has additional information that will be useful in creating the discharge plan.
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Discharge planning starts at admission. It's one of the most basic tenets of the discipline, notes Jackie Birmingham, RN, MS, CMAC, but one that is increasingly brushed aside as hospitals focus on utilization review (UR) and bed management in an effort to enhance patient throughput.
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