Jane Dare Essay

The benefits using the abbreviations within a medical document is that Physicians spend a lot of their time with documentation. Abbreviations allow physicians to perform more work in less time. In other words, abbreviations will make your work flow a lot more efficient. However, the limitations out weigh the benefits. It can lead to confusion of what the writer is talking about or unsure of the abbreviation. The abbreviation could mean more than one thing and have to know what the abbreviation stands for. The medical abbreviation list constantly changes, so this adds to the poor communication in the medical field. Some of the abbreviations are permitted and some are not permitted, so you will need to know this information before using them. The abbreviations supports the diagnosis for Jane Dare’s encounter it is a very efficient way of maintaining a patient’s privacy. Everybody does not need to know a patient’s medical history or what is going on with a patient or resident and allows their privacy to be protected. Limitations of Medical Abbreviations. There are often more than one meaning for an abbreviation, which in turn can cause confusion if the person tending to the patient is unaware of their medical history. An example being the letters EP. This abbreviation could mean either a ectopic pregnancy or evoked potential. If the person reading the chart is not careful, a mistake could be made. If a doctor were to write and incorrect dosage, it could lead to several different complications or health problems, and even death. A person reading a dosage incorrectly may also have the same result. Abbreviations that support Jane Dare’s treatments and diagnosis would be dosages for her medications. Also, the HEENT for the head, eyes, ears, nose, and throats exam which showed the doctors difficulty in examining her. Knowing that Jane Dare had an EKG and a CBC prior to being released into a skilled nursing facility helps the staff learn about her past history. It appears she was having trouble with ADL’s, it helped the therapists by informing them of the things they need to help Jane Dare work on. Also, knowing that Jane Dare was still experiencing SOB, she could be an indication that she will need oxygen when she is ready to be released home.