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explain how the problem-oriented medical record (POMR) is used in the medical office and what approach of documentation is emphasized when dealing with any medical case.

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Final answer:

The POMR system structures patient data by specific problems for improved healthcare delivery. Balancing treatment costs, quality of life, and privacy involves complex policy questions. The hierarchical dynamics between doctors and nurses affect their receptiveness to solutions like checklists.

Step-by-step explanation:

The Problem-Oriented Medical Record (POMR) is used in medical offices as a way to structure the documentation of patient information. The POMR approach emphasizes organizing information based on the patient's specific problems. Each problem is identified and listed at the beginning of the record, and then all subsequent documentation such as clinical findings, diagnostic test results, treatment plans, and patient progress are aligned with these problems. This approach is meant to improve clarity and efficiency in medical care by focusing on the problems and their resolutions, facilitating better communication among healthcare providers and more coordinated patient care.

To address the balance among treatment costs, patient quality of life, and privacy, one must consider questions such as: What are the best practices for allocating resources for treatment and diagnosis? How can high-quality patient care be maintained while safeguarding their privacy? And how do various policies impact patient experiences and outcomes?

The relationship between doctors and nurses is hierarchical, with doctors typically holding more authority in a medical setting. However, this dynamic may influence how each group reacts to the implementation of new tools like checklists, with doctors perhaps more resistant due to perceived infringement on their autonomy, and nurses possibly more welcoming as a support to their caregiving responsibilities. The problem of medical errors is both simple, as it involves the application of known treatments, and complex, due to the high stakes and variability of medical situations. The proposed checklist solution is similarly simple in concept yet complex in its implementation and acceptance within the medical community.

User Nyanev
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Answer:

Since its introduction to the medical world in 1968, POMR has been an important resource for supporting patients with chronic illnesses and other complicated medical problems. However, POMR was also the world’s first electronic health record (EHR). The patient will start by telling the doctor or nurse of their symptoms and other issues.

Step-by-step explanation:

User Ludovic Kuty
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