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  • [Solved] M8

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    – ## IND101-301_Action_Plan_Template.docx – 20250625_014231.jpg – 20250625_014320.jpg **## IND101-301_Action_Plan_Template.docx** **_[Directions: Delete the examples in brackets and fill in your own work. Fill in all four rows for both action plans. Answer all reflection questions below the…

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    – ## IND101-301_Action_Plan_Template.docx

    – 20250625_014231.jpg
    – 20250625_014320.jpg

    **## IND101-301_Action_Plan_Template.docx**

    **_[Directions: Delete the examples in brackets and fill in your own work. Fill in all four rows for both action plans. Answer all reflection questions below the action plans.]_**

    [Student Name]

    **Cornerstone Module 8 Action Plan Template**

    1.
    **My Academic Action Plan**

    | | | | | |
    | — | — | — | — | — |
    | **My Long-Term Academic Goal:**[Example: Complete my bachelor’s degree in cybersecurity at Excelsior University by 20XX with a GPA of 3.0 or higher] |
    | **Short-Term Goals for Achieving Long-Term Goal** | **Actions Required** | **Barriers or Constraints** | **Resources: Who or What Can Help Me** | **Target Date for Action** |
    | 1. [Example: Plan out all of my remaining course requirements] | [Example: Set up a phone call with my academic advisor to plan out my schedule and ask questions] | [Example: I have limited time in my workday for phone calls, so I will need to schedule time to talk during a lunch break or call during extended advising hours.] | [Example: My academic advisor John Doe] | [Example: Within 1 month] |
    | 2. | | | | |
    | 3. | | | | |
    | 4. | | | | |

    2.
    **My Career/Professional Action Plan**

    | | | | | |
    | — | — | — | — | — |
    | **My Long-Term Career/Professional Goal:**[Example: Work in a cybersecurity-related position at a company in the Chicago area] |
    | **Short-Term Goals for Achieving Long-Term Goal** | **Actions Required** | **Barriers or Constraints** | **Resources: Who or What Can Help Me** | **Target Date for Action** |
    | 1. [Example: Learn more about specific cybersecurity-<br>related careers] | [Example: Explore online resources about cybersecurity positions that require a bachelor’s degree and align with my skills and interests] | [Example: There are many positions and subfields in cybersecurity; I will need to narrow my focus based on my skills, interests, and degree level.] | [Example: I will use the Career Readiness Center resource XYZ to help with this.] | [Example: Within 1 month] |
    | 2. | | | | |
    | 3. | | | | |
    | 4. | | | | |

    3.
    **Reflection:**[Each response below should be several sentences]

    **Do the short and long-term goals I’ve laid out here match my interests, abilities, and values?**

    **What questions or concerns do I still have about my goals? How can I work with others to resolve my concerns?**

    **When I think about achieving these long-term goals, how do I feel?**

    **How has my thinking about my academic and career/professional goals and plans changed during this Cornerstone course?**

    **20250625_014231.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250625-014231-jpg)

    **20250625_014320.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250625-014320-jpg)

    **20250625_014320.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250625-014320-jpg)

    **## IND101-301_Action_Plan_Template.docx**

    **_[Directions: Delete the examples in brackets and fill in your own work. Fill in all four rows for both action plans. Answer all reflection questions below the action plans.]_**

    [Student Name]

    **Cornerstone Module 8 Action Plan Template**

    1.
    **My Academic Action Plan**

    | | | | | |
    | — | — | — | — | — |
    | **My Long-Term Academic Goal:**[Example: Complete my bachelor’s degree in cybersecurity at Excelsior University by 20XX with a GPA of 3.0 or higher] |
    | **Short-Term Goals for Achieving Long-Term Goal** | **Actions Required** | **Barriers or Constraints** | **Resources: Who or What Can Help Me** | **Target Date for Action** |
    | 1. [Example: Plan out all of my remaining course requirements] | [Example: Set up a phone call with my academic advisor to plan out my schedule and ask questions] | [Example: I have limited time in my workday for phone calls, so I will need to schedule time to talk during a lunch break or call during extended advising hours.] | [Example: My academic advisor John Doe] | [Example: Within 1 month] |
    | 2. | | | | |
    | 3. | | | | |
    | 4. | | | | |

    2.
    **My Career/Professional Action Plan**

    | | | | | |
    | — | — | — | — | — |
    | **My Long-Term Career/Professional Goal:**[Example: Work in a cybersecurity-related position at a company in the Chicago area] |
    | **Short-Term Goals for Achieving Long-Term Goal** | **Actions Required** | **Barriers or Constraints** | **Resources: Who or What Can Help Me** | **Target Date for Action** |
    | 1. [Example: Learn more about specific cybersecurity-<br>related careers] | [Example: Explore online resources about cybersecurity positions that require a bachelor’s degree and align with my skills and interests] | [Example: There are many positions and subfields in cybersecurity; I will need to narrow my focus based on my skills, interests, and degree level.] | [Example: I will use the Career Readiness Center resource XYZ to help with this.] | [Example: Within 1 month] |
    | 2. | | | | |
    | 3. | | | | |
    | 4. | | | | |

    3.
    **Reflection:**[Each response below should be several sentences]

    **Do the short and long-term goals I’ve laid out here match my interests, abilities, and values?**

    **What questions or concerns do I still have about my goals? How can I work with others to resolve my concerns?**

    **When I think about achieving these long-term goals, how do I feel?**

    **How has my thinking about my academic and career/professional goals and plans changed during this Cornerstone course?**

    **20250625_014231.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250625-014231-jpg)

    **20250625_014320.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250625-014320-jpg)

    **## IND101-301_Action_Plan_Template.docx**

    **_[Directions: Delete the examples in brackets and fill in your own work. Fill in all four rows for both action plans. Answer all reflection questions below the action plans.]_**

    [Student Name]

    **Cornerstone Module 8 Action Plan Template**

    1.
    **My Academic Action Plan**

    | | | | | |
    | — | — | — | — | — |
    | **My Long-Term Academic Goal:**[Example: Complete my bachelor’s degree in cybersecurity at Excelsior University by 20XX with a GPA of 3.0 or higher] |
    | **Short-Term Goals for Achieving Long-Term Goal** | **Actions Required** | **Barriers or Constraints** | **Resources: Who or What Can Help Me** | **Target Date for Action** |
    | 1. [Example: Plan out all of my remaining course requirements] | [Example: Set up a phone call with my academic advisor to plan out my schedule and ask questions] | [Example: I have limited time in my workday for phone calls, so I will need to schedule time to talk during a lunch break or call during extended advising hours.] | [Example: My academic advisor John Doe] | [Example: Within 1 month] |
    | 2. | | | | |
    | 3. | | | | |
    | 4. | | | | |

    2.
    **My Career/Professional Action Plan**

    | | | | | |
    | — | — | — | — | — |
    | **My Long-Term Career/Professional Goal:**[Example: Work in a cybersecurity-related position at a company in the Chicago area] |
    | **Short-Term Goals for Achieving Long-Term Goal** | **Actions Required** | **Barriers or Constraints** | **Resources: Who or What Can Help Me** | **Target Date for Action** |
    | 1. [Example: Learn more about specific cybersecurity-<br>related careers] | [Example: Explore online resources about cybersecurity positions that require a bachelor’s degree and align with my skills and interests] | [Example: There are many positions and subfields in cybersecurity; I will need to narrow my focus based on my skills, interests, and degree level.] | [Example: I will use the Career Readiness Center resource XYZ to help with this.] | [Example: Within 1 month] |
    | 2. | | | | |
    | 3. | | | | |
    | 4. | | | | |

    3.
    **Reflection:**[Each response below should be several sentences]

    **Do the short and long-term goals I’ve laid out here match my interests, abilities, and values?**

    **What questions or concerns do I still have about my goals? How can I work with others to resolve my concerns?**

    **When I think about achieving these long-term goals, how do I feel?**

    **How has my thinking about my academic and career/professional goals and plans changed during this Cornerstone course?**

    **20250625_014231.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250625-014231-jpg)

    **20250625_014320.jpg**

    This file is too large to display. [View in new window](https://www.sweetstudy.com/files/20250625-014320-jpg)

    – 1
    – 2
    – 3

  • [Solved] D1 INITIAL POST PSYCHOLOGY OF AGING

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    In-depth study guidance and analytical solution covering D1 INITIAL POST PSYCHOLOGY OF AGING.

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  • [Solved] WK 5 RESP

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    – ## WK5DIS.docx **## WK5DIS.docx** Data Science Applications and Processes ![A person standing in a hallway with a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-5-resp-20924513) How might data compiled and analyzed in your healthcare organization or nursin…

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    – ## WK5DIS.docx

    **## WK5DIS.docx**

    Data Science Applications and Processes

    ![A person standing in a hallway with a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-5-resp-20924513)

    How might data compiled and analyzed in your healthcare organization or nursing practice help support efforts aimed at patient quality and safety? Why might it be important to consider the how’s and why’s of data collection, application, and implementation? How might these practices shape your nursing practice or even the future of nursing?

    For this Discussion, you will explore various topics related to data and consider the process and application of each. Reflect on the use of these applications, but also consider the implications of how these applications might shape the future of nursing and healthcare practice.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/175732/modules/items/6883357)

    earning Resources

    [Required Readings](https://waldenu.instructure.com/courses/175732/pages/week-5-learning-resources?module_item_id=6883357)

    · Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    · Chapter 4, “Planning: Project Management—Phase 2” (pp. 85–130)

    · American Nurses Association. (2015).
    [_Nursing informaticsLinks to an external site._](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1021761&site=eds-live&scope=site&authtype=shib&custid=s6527200) _: Scope and standards of practice_  (2nd ed.).

    · “Standard 3: Outcomes Identification” (p. 71)

    · “Standard 4: Planning” (p. 72)1

    · Brennan, P. F., & Bakken, S. (2015).
    [Nursing needs big data and big data needs nursingLinks to an external site.](https://search.proquest.com/scholarly-journals/nursing-needs-big-data/docview/1754567620/se-2?accountid=14872).
    _Journal of Nursing Scholarship, 47_ (5), 477–484. doi:10.1111/jnu.12159 National Institutes of Health, Office of Data Science Strategy. (2021).
    _Data science_ .

    · Carter-Templeton, H., Nicoll, L. H., Wrigley, J., & Wyatt, T. H. (2021).
    [Big data in nursing: A bibliometric analysisLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=edselc&AN=edselc.2-52.0-85165359701&site=eds-live&scope=site&custid=s6527200).
    _Online Journal of Issues in Nursing_,
    _26_(3). https://doi.org/10.3912/OJIN.Vol26No03Man02

    · Elsaleh, T., Enshaeifar, S., Rezvani, R., Acton, S. T., Janeiko, V., & Bermudez-Edo, M. (2020).
    [IoT-stream: A lightweight ontology for internet of things data streams and its use with data analytics and event detection servicesLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=edsdoj&AN=edsdoj.41223e5652334f4790d24c0a1f639098&site=eds-live&scope=site&authtype=shib&custid=s6527200).
    _Sensors, 20_ (4), 953. doi:10.3390/s20040953

    · Zhu, R., Han, S., Su, Y., Zhang, C., Yu, Q., & Duan, Z. (2019).
    [The application of big data and the development of nursing science: A discussion paperLinks to an external site.](https://www.sciencedirect.com/science/article/pii/S2352013218305507).
    _International Journal of Nursing Sciences, 6_ (2), 229–234. doi:10.1016/j.ijnss.2019.03.001

    [Required Media](https://waldenu.instructure.com/courses/175732/pages/week-5-learning-resources?module_item_id=6883357)

    · IDG TECHTalk. (2020, March 27).
    [_What is predictive analyticsLinks to an external site._](https://www.youtube.com/watch?v=cVibCHRSxB0) _? Transforming data into future insights_[Video]. YouTube. https://www.youtube.com/watch?v=cVibCHRSxB0

    · Simplilearn. (2019, December 10).
    [_Big data in 5 minutes_ Links to an external site.](https://www.youtube.com/watch?v=bAyrObl7TYE) | What is big data?| introduction to big data | big data explained | simplilearn [Video]. YouTube. https://www.youtube.com/watch?v=bAyrObl7TYE

    [Optional Resources](https://waldenu.instructure.com/courses/175732/pages/week-5-learning-resources?module_item_id=6883357)

    · Parikh, R. B., Gdowski, A., Patt, D. A., Hertler, A., Mermel, C., & Bekelman, J. E. (2019). Using big data and predictive analytics to determine patient risk in oncology.
    [_American Society of Clinical Oncology Educational BookLinks to an external site._](https://doi.org/10.1200/EDBK_238891) _, 39_ , e53–e58. doi:10.1200/EDBK_238891

    · Spachos, D., Siafis, S., Bamidis, P., Kouvelas, D., & Papazisis, G. (2020).
    [Combining big data search analytics and the FDA adverse event reporting system database to detect a potential safety signal of mirtazapine abuseLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1177%2F1460458219901232).
    _Health Informatics Journal, 26_ (3), 2265–2279. doi:10.1177/1460458219901232

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883348)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883360)

    To Prepare

    · Review the Learning Resources for this week related to the topics: Big Data, Data Science, Data Mining, Data Analytics, and Machine Learning.

    · Consider the process and application of each topic.

    · Reflect on how each topic relates to nursing practice.

    By Day 3 of Week 5

    **Post** a summary on how predictive analytics might be used to support healthcare.
    **Note:** These topics may overlap as you will find in the readings (e.g., some processes require both Data Mining and Analytics).

    In your post include the following:

    · Describe a practical application for predictive analytics in your nursing practice. What challenges and opportunities do you envision for the future of predictive analytics in healthcare?

    By Day 6 of Week 5

    **Read** a selection of your colleagues’ responses and
    **respond** to
    **at least two** of your colleagues on
    **two different days**. Expand upon your colleague’s posting or offer an alternative perspective.

    RESPOND TO THIS DISCUSSION POST

    Markesia

    Week 5 Main Response

    Predictive analytics and artificial intelligence have emerged as valuable tools to improve nursing science and patient outcomes. Big data systems can collectively gather data through machine learning and predictive analysis that tailors personalized care and better informs clinical decisions (Zhu et al., 2019). Nursing informatics applies technology to support disseminating evidence-based practices through education, support systems, and predictive analysis (American Nurses Association, 2015).  The American Nurses Association Standards of Professional Performance Standard 10 suggest using data to analyze outcomes, while monitoring the effectiveness of each action (American Nurses Association, 2015). This discussion will review the practical application of predictive analysis in the outpatient hemodialysis center.

    Data science and analytics require a collaborative approach from many disciplines, using theory, research, and a methodical approach to information discovery (Brennan & Bakken, 2015). Fresenius Medical Care’s outpatient dialysis centers developed a machine learning program incorporating cloud computing to send signals to the dialysis machine based on trends proactively. (Olasvrud, 2023). The process of ultrafiltration, or fluid removal, can result in severe intradialytic hypotension requiring emergency treatment. Prolonged hypotension is associated with decreased quality of life, excessive clotting of vascular access, and lower clinical effectiveness of treatments (Olasvrud, 2023).  As a Quality nurse in facilities, Quality Assessment and improvement programs demonstrate reduced hospitalizations and treatment complications, and improved outcomes throughout clinics nationwide through early interventions.

    The importance of big data and predictive analytics cannot be overstated in our healthcare system. Despite the improvement in outcomes, data privacy remains a concern. Outpatient dialysis clinics must use VPN and firewalls to maintain the integrity of information. As part of government standards, firewall and VPN protection are now required for many services. The Center for Medicare and Medicaid Services now provides the CMS online manual system, which provides direction for billing services (U.S. Centers for Medicare and Medicaid Services, 2024). Data analytics and mining could further inform nursing practice, decreasing mortality and improving overall outcomes.

    References

    American Nurses Association. (2015).
    _Nursing Informatics Scope and Standards of Practice_ (2nd ed.).
    [https://doi.org/Nursing Informatics Scope and Standards of PracticeLinks to an external site.](https://doi.org/Nursing%20Informatics%20Scope%20and%20Standards%20of%20Practice)

    Brennan, P. F., & Bakken, S. (2015). Nursing needs big data, and big data needs nursing.
    _Journal of Nursing Scholarship_,
    _47_(5), 477–484.
    [https://doi.org/10.1111/jnu.12159Links to an external site.](https://doi.org/10.1111/jnu.12159)

    Olasvrud, T. (2023, October 18).
    _Predictive analytics helps Fresenius Medical Care anticipate dialysis complications_. CIO.
    [https://www.cio.com/article/656024/predictive-analytics-helps-fresenius-anticipate-dialysis-complications.htmlLinks to an external site.](https://www.cio.com/article/656024/predictive-analytics-helps-fresenius-anticipate-dialysis-complications.html)

    U.S. Centers for Medicare and Medicaid Services. (2024, September 10).
    _Manuals_. CMS.gov.
    [https://www.cms.gov/medicare/regulations-guidance/manualsLinks to an external site.](https://www.cms.gov/medicare/regulations-guidance/manuals)

    Zhu, R., Han, S., Su, Y., Zhang, C., Yu, Q., & Duan, Z. (2019). The application of big data and the development of nursing science: A discussion paper.
    _International Journal of Nursing Sciences_,
    _6_(2), 229–234.
    [https://doi.org/10.1016/j.ijnss.2019.03.001Links to an external site.](https://doi.org/10.1016/j.ijnss.2019.03.001)

    ## image1.jpeg

    **## WK5DIS.docx**

    Data Science Applications and Processes

    ![A person standing in a hallway with a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/wk-5-resp-20924513)

    How might data compiled and analyzed in your healthcare organization or nursing practice help support efforts aimed at patient quality and safety? Why might it be important to consider the how’s and why’s of data collection, application, and implementation? How might these practices shape your nursing practice or even the future of nursing?

    For this Discussion, you will explore various topics related to data and consider the process and application of each. Reflect on the use of these applications, but also consider the implications of how these applications might shape the future of nursing and healthcare practice.

    Resources

    Be sure to review the Learning Resources before completing this activity.
    Click the weekly resources link to access the resources.

    [**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/175732/modules/items/6883357)

    earning Resources

    [Required Readings](https://waldenu.instructure.com/courses/175732/pages/week-5-learning-resources?module_item_id=6883357)

    · Sipes, C. (2025).
    _Project management for the advanced practice nurse_ (3rd ed.). Springer Publishing.

    · Chapter 4, “Planning: Project Management—Phase 2” (pp. 85–130)

    · American Nurses Association. (2015).
    [_Nursing informaticsLinks to an external site._](https://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=1021761&site=eds-live&scope=site&authtype=shib&custid=s6527200) _: Scope and standards of practice_  (2nd ed.).

    · “Standard 3: Outcomes Identification” (p. 71)

    · “Standard 4: Planning” (p. 72)1

    · Brennan, P. F., & Bakken, S. (2015).
    [Nursing needs big data and big data needs nursingLinks to an external site.](https://search.proquest.com/scholarly-journals/nursing-needs-big-data/docview/1754567620/se-2?accountid=14872).
    _Journal of Nursing Scholarship, 47_ (5), 477–484. doi:10.1111/jnu.12159 National Institutes of Health, Office of Data Science Strategy. (2021).
    _Data science_ .

    · Carter-Templeton, H., Nicoll, L. H., Wrigley, J., & Wyatt, T. H. (2021).
    [Big data in nursing: A bibliometric analysisLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&AuthType=shib&db=edselc&AN=edselc.2-52.0-85165359701&site=eds-live&scope=site&custid=s6527200).
    _Online Journal of Issues in Nursing_,
    _26_(3). https://doi.org/10.3912/OJIN.Vol26No03Man02

    · Elsaleh, T., Enshaeifar, S., Rezvani, R., Acton, S. T., Janeiko, V., & Bermudez-Edo, M. (2020).
    [IoT-stream: A lightweight ontology for internet of things data streams and its use with data analytics and event detection servicesLinks to an external site.](https://search.ebscohost.com/login.aspx?direct=true&db=edsdoj&AN=edsdoj.41223e5652334f4790d24c0a1f639098&site=eds-live&scope=site&authtype=shib&custid=s6527200).
    _Sensors, 20_ (4), 953. doi:10.3390/s20040953

    · Zhu, R., Han, S., Su, Y., Zhang, C., Yu, Q., & Duan, Z. (2019).
    [The application of big data and the development of nursing science: A discussion paperLinks to an external site.](https://www.sciencedirect.com/science/article/pii/S2352013218305507).
    _International Journal of Nursing Sciences, 6_ (2), 229–234. doi:10.1016/j.ijnss.2019.03.001

    [Required Media](https://waldenu.instructure.com/courses/175732/pages/week-5-learning-resources?module_item_id=6883357)

    · IDG TECHTalk. (2020, March 27).
    [_What is predictive analyticsLinks to an external site._](https://www.youtube.com/watch?v=cVibCHRSxB0) _? Transforming data into future insights_[Video]. YouTube. https://www.youtube.com/watch?v=cVibCHRSxB0

    · Simplilearn. (2019, December 10).
    [_Big data in 5 minutes_ Links to an external site.](https://www.youtube.com/watch?v=bAyrObl7TYE) | What is big data?| introduction to big data | big data explained | simplilearn [Video]. YouTube. https://www.youtube.com/watch?v=bAyrObl7TYE

    [Optional Resources](https://waldenu.instructure.com/courses/175732/pages/week-5-learning-resources?module_item_id=6883357)

    · Parikh, R. B., Gdowski, A., Patt, D. A., Hertler, A., Mermel, C., & Bekelman, J. E. (2019). Using big data and predictive analytics to determine patient risk in oncology.
    [_American Society of Clinical Oncology Educational BookLinks to an external site._](https://doi.org/10.1200/EDBK_238891) _, 39_ , e53–e58. doi:10.1200/EDBK_238891

    · Spachos, D., Siafis, S., Bamidis, P., Kouvelas, D., & Papazisis, G. (2020).
    [Combining big data search analytics and the FDA adverse event reporting system database to detect a potential safety signal of mirtazapine abuseLinks to an external site.](https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1177%2F1460458219901232).
    _Health Informatics Journal, 26_ (3), 2265–2279. doi:10.1177/1460458219901232

    [Previous](https://waldenu.instructure.com/courses/175732/modules/items/6883348)

    [Next](https://waldenu.instructure.com/courses/175732/modules/items/6883360)

    To Prepare

    · Review the Learning Resources for this week related to the topics: Big Data, Data Science, Data Mining, Data Analytics, and Machine Learning.

    · Consider the process and application of each topic.

    · Reflect on how each topic relates to nursing practice.

    By Day 3 of Week 5

    **Post** a summary on how predictive analytics might be used to support healthcare.
    **Note:** These topics may overlap as you will find in the readings (e.g., some processes require both Data Mining and Analytics).

    In your post include the following:

    · Describe a practical application for predictive analytics in your nursing practice. What challenges and opportunities do you envision for the future of predictive analytics in healthcare?

    By Day 6 of Week 5

    **Read** a selection of your colleagues’ responses and
    **respond** to
    **at least two** of your colleagues on
    **two different days**. Expand upon your colleague’s posting or offer an alternative perspective.

    RESPOND TO THIS DISCUSSION POST

    Markesia

    Week 5 Main Response

    Predictive analytics and artificial intelligence have emerged as valuable tools to improve nursing science and patient outcomes. Big data systems can collectively gather data through machine learning and predictive analysis that tailors personalized care and better informs clinical decisions (Zhu et al., 2019). Nursing informatics applies technology to support disseminating evidence-based practices through education, support systems, and predictive analysis (American Nurses Association, 2015).  The American Nurses Association Standards of Professional Performance Standard 10 suggest using data to analyze outcomes, while monitoring the effectiveness of each action (American Nurses Association, 2015). This discussion will review the practical application of predictive analysis in the outpatient hemodialysis center.

    Data science and analytics require a collaborative approach from many disciplines, using theory, research, and a methodical approach to information discovery (Brennan & Bakken, 2015). Fresenius Medical Care’s outpatient dialysis centers developed a machine learning program incorporating cloud computing to send signals to the dialysis machine based on trends proactively. (Olasvrud, 2023). The process of ultrafiltration, or fluid removal, can result in severe intradialytic hypotension requiring emergency treatment. Prolonged hypotension is associated with decreased quality of life, excessive clotting of vascular access, and lower clinical effectiveness of treatments (Olasvrud, 2023).  As a Quality nurse in facilities, Quality Assessment and improvement programs demonstrate reduced hospitalizations and treatment complications, and improved outcomes throughout clinics nationwide through early interventions.

    The importance of big data and predictive analytics cannot be overstated in our healthcare system. Despite the improvement in outcomes, data privacy remains a concern. Outpatient dialysis clinics must use VPN and firewalls to maintain the integrity of information. As part of government standards, firewall and VPN protection are now required for many services. The Center for Medicare and Medicaid Services now provides the CMS online manual system, which provides direction for billing services (U.S. Centers for Medicare and Medicaid Services, 2024). Data analytics and mining could further inform nursing practice, decreasing mortality and improving overall outcomes.

    References

    American Nurses Association. (2015).
    _Nursing Informatics Scope and Standards of Practice_ (2nd ed.).
    [https://doi.org/Nursing Informatics Scope and Standards of PracticeLinks to an external site.](https://doi.org/Nursing%20Informatics%20Scope%20and%20Standards%20of%20Practice)

    Brennan, P. F., & Bakken, S. (2015). Nursing needs big data, and big data needs nursing.
    _Journal of Nursing Scholarship_,
    _47_(5), 477–484.
    [https://doi.org/10.1111/jnu.12159Links to an external site.](https://doi.org/10.1111/jnu.12159)

    Olasvrud, T. (2023, October 18).
    _Predictive analytics helps Fresenius Medical Care anticipate dialysis complications_. CIO.
    [https://www.cio.com/article/656024/predictive-analytics-helps-fresenius-anticipate-dialysis-complications.htmlLinks to an external site.](https://www.cio.com/article/656024/predictive-analytics-helps-fresenius-anticipate-dialysis-complications.html)

    U.S. Centers for Medicare and Medicaid Services. (2024, September 10).
    _Manuals_. CMS.gov.
    [https://www.cms.gov/medicare/regulations-guidance/manualsLinks to an external site.](https://www.cms.gov/medicare/regulations-guidance/manuals)

    Zhu, R., Han, S., Su, Y., Zhang, C., Yu, Q., & Duan, Z. (2019). The application of big data and the development of nursing science: A discussion paper.
    _International Journal of Nursing Sciences_,
    _6_(2), 229–234.
    [https://doi.org/10.1016/j.ijnss.2019.03.001Links to an external site.](https://doi.org/10.1016/j.ijnss.2019.03.001)

    ## image1.jpeg

  • [Solved] WK3 DISCUSSION HP-212

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    COMPLETE IN DETAIL 250 WORDS – ## WK3DISCUSSIONHP-212.odt – ## WK3DISCUSSIONINFOHP-212.odt **## WK3DISCUSSIONHP-212.odt** ## Thumbnails/thumbnail.png ##### "Unspecified” Codes The use of “unspecified” codes has been a common topic of discussion in the industry. There is a sense that unspecified code…

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    Assignment Prompt & Instructions

    COMPLETE IN DETAIL 250 WORDS

    – ## WK3DISCUSSIONHP-212.odt

    – ## WK3DISCUSSIONINFOHP-212.odt

    **## WK3DISCUSSIONHP-212.odt**

    ## Thumbnails/thumbnail.png

    ##### "Unspecified” Codes

    The use of “unspecified” codes has been a common topic of discussion in the industry. There is a sense that unspecified codes will
    [corrupt](https://www.merriam-webster.com/dictionary/corrupt) the reliability of the data we compiled based on these codes. There seems to be a consensus that the use of these codes is bad and should be avoided. Read the following article specifically addressing the issue of unspecified ICD-10 codes.
    [Article](https://thedo.osteopathic.org/2016/09/are-unspecified-icd-10-codes-setting-your-practice-up-for-a-titanic-scenario/). Another disadvantage of unspecified codes is that they fail to document a patient’s complexity." “Physicians, who use lots of unspecified codes might start hearing, “Why can’t you see 25 or 28 patients a day? Why not put in a mid-level clinician to do this work?” Dr. Mazzola noted. Unspecified codes do often represent a missed opportunity, Mendenez agreed: “Many physicians’ documentation supports a more specific code; they’re just not using it.

    ###### Implement the concept of unspecified codes when used in code selection.

    Include all the following aspects in the discussion:

    – After reading the attached article, do you agree with the author? Why or Why Not?

    – Support your agreement or disagreement by providing an article that shares an example of an unspecified ICD-10-CM code.

    – What are the more specific code(s) that should be used instead of the unspecified code in the article you attached?

    – Discuss with your peers why this would be a more related coding choice.

    250 words

    **## WK3DISCUSSIONINFOHP-212.odt**

    ## Pictures/100000000000012C000000FA51B86765.jpg

    ## Pictures/100000000000012C000000FAD1D7D2B1.jpg

    ###### MED 2016

    ## Are unspecified ICD-10 codes setting your practice up for a Titanic scenario?

    ### On Oct. 1, 2016, CMS will start denying claims that use unspecified ICD-10 codes. Here’s how to avoid the iceberg of revenue disruption.

    Monday

    [Laura Selby](https://thedo.osteopathic.org/author/lselby/)

    [Contact Laura](mailto:thedo@osteopathic.org?subject=Re:%20Are%20unspecified%20ICD-10%20codes%20setting%20your%20practice%20up%20for%20a%20Titanic%20scenario?)

    – Email

    LinkedIn

    Twitter

    Facebook

    ###### Topics

    [ICD-10](https://thedo.osteopathic.org/tag/icd-10/) [OMED 2016](https://thedo.osteopathic.org/tag/omed-2016/)

    When the ICD-10 code set went into effect last Oct. 1, the Centers for Medicare and Medicaid Services (CMS) gave doctors a grace period of sorts: CMS wouldn’t deny claims for lack of specificity until Oct. 1, 2016. Given ICD-10’s total of 68,000 diagnostic codes, that was welcome news at the time, but Matthew Menendez says it may have lulled physicians into a false sense of security.

    “Delaying the denial of unspecified codes has enabled poor workflows to be successful,” said Menendez, the vice president of practice management company White Plume Technologies. “This is the part of the iceberg that’s below the water—it seems like it’s not a problem, but it’s out there waiting for us.”

    Menendez and family medicine physician Joseph Mazzola, DO, shared tips on what physicians can do to minimize claim denials as part of the American College of Osteopathic Family Physicians’ OMED 2016 program on Monday. Physicians who continue using unspecified codes after Oct. 1, 2016, risk denied claims and disruptions to their practice revenue cycles.

    The issue is especially relevant to physicians whose payment depends on the revenue they generate, Dr. Mazzola pointed out. “As denials come in, if you’re up for contract renewal, I may have to say, ‘Doctor, you’re doing fine with visit numbers, but your revenue is down,'” said Dr. Mazzola, who oversees more than 100 physicians in his role as chief medical officer for Blue Ridge HealthCare in Morganton, North Carolina.

    Another disadvantage of unspecified codes is that they fail to document patients’ complexity. “Physicians who use lots of unspecified codes might start hearing, ‘Why can’t you see 25 or 28 patients a day? Why not put in a midlevel clinician to do this work?'” Dr. Mazzola noted. Unspecified codes do often represent a missed opportunity, Menendez agreed: “Many physicians’ documentation supports a more specific code; they’re just not using it.”

    ### How to get started

    Although physicians should work to reduce unspecified codes, Menendez noted, the goal is not to eliminate them altogether. “You’re not aiming to get your unspecified codes down to zero—there are times using them is absolutely appropriate, such as when you’re waiting for lab results or it’s not clear what’s causing a patient’s fever,” he explained.

    To reduce use of unspecified codes, Dr. Mazzola and Menendez recommend these steps:

    – Analyze claims from the last six months to find out what percentage use unspecified codes.

    – Pinpoint the top 10 or 15 unspecified codes that appear most frequently in your claims.

    – Find more specific alternatives for your top unspecified codes. For example, there are six ICD-10 codes for hyperlipidemia that could be used in place of code E78.5—Hyperlipidemia, unspecified.

    Although the process might sound daunting, physicians can make a significant impact by focusing first on their most frequently used unspecified codes. “Your practice’s risk come October 1 really depends on how much specificity you’re coding with today and how much you’re willing to improve,” Menendez said. “It can be challenging to find a balance between using more specific codes without crushing physician productivity, but getting the right code the first time you submit a claim will really improve revenue efficiency.”

    [![](https://www.sweetstudy.com/questions/wk3-discussion-hp-212)](https://servedbyadbutler.com/redirect.spark?MID=165731&plid=3069835&setID=431039&channelID=0&CID=0&banID=523315830&PID=0&textadID=0&tc=1&rnd=9369742&scheduleID=3022629&adSize=300×250&mt=1750947634041093&sw=1440&sh=900&spr=2&referrer=https%3A%2F%2Fthedo.osteopathic.org%2F2016%2F09%2Fare-unspecified-icd-10-codes-setting-your-practice-up-for-a-titanic-scenario%2F&hc=2d6380ff8eb3f77e73abafd47184fa06f495c6b0&location=)

    [![](https://www.sweetstudy.com/questions/wk3-discussion-hp-212)](https://servedbyadbutler.com/redirect.spark?MID=165731&plid=3070070&setID=431040&channelID=0&CID=0&banID=523317602&PID=0&textadID=0&tc=1&rnd=9369742&scheduleID=3022864&adSize=300×250&mt=1750947634039027&sw=1440&sh=900&spr=2&referrer=https%3A%2F%2Fthedo.osteopathic.org%2F2016%2F09%2Fare-unspecified-icd-10-codes-setting-your-practice-up-for-a-titanic-scenario%2F&hc=b3980a130611acc1e82c54bdfc93007a499fda77&location=)

    #### Popular

    – – ###### [A life in medicine](https://thedo.osteopathic.org/2025/06/in-memoriam-june-2025/)

    #### [In Memoriam: June 2025](https://thedo.osteopathic.org/2025/06/in-memoriam-june-2025/)

    – ###### [Match 2026](https://thedo.osteopathic.org/2025/06/the-nrmp-2026-match-and-eras-timeline-for-residency-applicants/)

    #### [The NRMP 2026 Match and ERAS timeline for residency applicants](https://thedo.osteopathic.org/2025/06/the-nrmp-2026-match-and-eras-timeline-for-residency-applicants/)

    – ###### [Leadership](https://thedo.osteopathic.org/2025/06/as-cmo-for-the-us-department-of-energy-this-do-is-strengthening-worker-health/)

    #### [As CMO for the US Department of Energy, this DO is strengthening worker health](https://thedo.osteopathic.org/2025/06/as-cmo-for-the-us-department-of-energy-this-do-is-strengthening-worker-health/)

    – ###### [History](https://thedo.osteopathic.org/2025/06/learn-more-about-the-involvement-of-a-t-still-md-do-in-the-abolitionist-movement-in-kansas/)

    #### [Learn more about the involvement of A.T. Still, MD, DO, in the abolitionist movement in Kansas](https://thedo.osteopathic.org/2025/06/learn-more-about-the-involvement-of-a-t-still-md-do-in-the-abolitionist-movement-in-kansas/)

    – ###### [GME pearls](https://thedo.osteopathic.org/columns/top-10-dos-and-donts-in-residency/)

    #### [Top 10 Do’s and Don’ts in residency](https://thedo.osteopathic.org/columns/top-10-dos-and-donts-in-residency/)

    ## Thumbnails/thumbnail.png

    **## WK3DISCUSSIONINFOHP-212.odt**

    ## Pictures/100000000000012C000000FA51B86765.jpg

    ## Pictures/100000000000012C000000FAD1D7D2B1.jpg

    ###### MED 2016

    ## Are unspecified ICD-10 codes setting your practice up for a Titanic scenario?

    ### On Oct. 1, 2016, CMS will start denying claims that use unspecified ICD-10 codes. Here’s how to avoid the iceberg of revenue disruption.

    Monday

    [Laura Selby](https://thedo.osteopathic.org/author/lselby/)

    [Contact Laura](mailto:thedo@osteopathic.org?subject=Re:%20Are%20unspecified%20ICD-10%20codes%20setting%20your%20practice%20up%20for%20a%20Titanic%20scenario?)

    – Email

    LinkedIn

    Twitter

    Facebook

    ###### Topics

    [ICD-10](https://thedo.osteopathic.org/tag/icd-10/) [OMED 2016](https://thedo.osteopathic.org/tag/omed-2016/)

    When the ICD-10 code set went into effect last Oct. 1, the Centers for Medicare and Medicaid Services (CMS) gave doctors a grace period of sorts: CMS wouldn’t deny claims for lack of specificity until Oct. 1, 2016. Given ICD-10’s total of 68,000 diagnostic codes, that was welcome news at the time, but Matthew Menendez says it may have lulled physicians into a false sense of security.

    “Delaying the denial of unspecified codes has enabled poor workflows to be successful,” said Menendez, the vice president of practice management company White Plume Technologies. “This is the part of the iceberg that’s below the water—it seems like it’s not a problem, but it’s out there waiting for us.”

    Menendez and family medicine physician Joseph Mazzola, DO, shared tips on what physicians can do to minimize claim denials as part of the American College of Osteopathic Family Physicians’ OMED 2016 program on Monday. Physicians who continue using unspecified codes after Oct. 1, 2016, risk denied claims and disruptions to their practice revenue cycles.

    The issue is especially relevant to physicians whose payment depends on the revenue they generate, Dr. Mazzola pointed out. “As denials come in, if you’re up for contract renewal, I may have to say, ‘Doctor, you’re doing fine with visit numbers, but your revenue is down,'” said Dr. Mazzola, who oversees more than 100 physicians in his role as chief medical officer for Blue Ridge HealthCare in Morganton, North Carolina.

    Another disadvantage of unspecified codes is that they fail to document patients’ complexity. “Physicians who use lots of unspecified codes might start hearing, ‘Why can’t you see 25 or 28 patients a day? Why not put in a midlevel clinician to do this work?'” Dr. Mazzola noted. Unspecified codes do often represent a missed opportunity, Menendez agreed: “Many physicians’ documentation supports a more specific code; they’re just not using it.”

    ### How to get started

    Although physicians should work to reduce unspecified codes, Menendez noted, the goal is not to eliminate them altogether. “You’re not aiming to get your unspecified codes down to zero—there are times using them is absolutely appropriate, such as when you’re waiting for lab results or it’s not clear what’s causing a patient’s fever,” he explained.

    To reduce use of unspecified codes, Dr. Mazzola and Menendez recommend these steps:

    – Analyze claims from the last six months to find out what percentage use unspecified codes.

    – Pinpoint the top 10 or 15 unspecified codes that appear most frequently in your claims.

    – Find more specific alternatives for your top unspecified codes. For example, there are six ICD-10 codes for hyperlipidemia that could be used in place of code E78.5—Hyperlipidemia, unspecified.

    Although the process might sound daunting, physicians can make a significant impact by focusing first on their most frequently used unspecified codes. “Your practice’s risk come October 1 really depends on how much specificity you’re coding with today and how much you’re willing to improve,” Menendez said. “It can be challenging to find a balance between using more specific codes without crushing physician productivity, but getting the right code the first time you submit a claim will really improve revenue efficiency.”

    [![](https://www.sweetstudy.com/questions/wk3-discussion-hp-212)](https://servedbyadbutler.com/redirect.spark?MID=165731&plid=3069835&setID=431039&channelID=0&CID=0&banID=523315830&PID=0&textadID=0&tc=1&rnd=9369742&scheduleID=3022629&adSize=300×250&mt=1750947634041093&sw=1440&sh=900&spr=2&referrer=https%3A%2F%2Fthedo.osteopathic.org%2F2016%2F09%2Fare-unspecified-icd-10-codes-setting-your-practice-up-for-a-titanic-scenario%2F&hc=2d6380ff8eb3f77e73abafd47184fa06f495c6b0&location=)

    [![](https://www.sweetstudy.com/questions/wk3-discussion-hp-212)](https://servedbyadbutler.com/redirect.spark?MID=165731&plid=3070070&setID=431040&channelID=0&CID=0&banID=523317602&PID=0&textadID=0&tc=1&rnd=9369742&scheduleID=3022864&adSize=300×250&mt=1750947634039027&sw=1440&sh=900&spr=2&referrer=https%3A%2F%2Fthedo.osteopathic.org%2F2016%2F09%2Fare-unspecified-icd-10-codes-setting-your-practice-up-for-a-titanic-scenario%2F&hc=b3980a130611acc1e82c54bdfc93007a499fda77&location=)

    #### Popular

    – – ###### [A life in medicine](https://thedo.osteopathic.org/2025/06/in-memoriam-june-2025/)

    #### [In Memoriam: June 2025](https://thedo.osteopathic.org/2025/06/in-memoriam-june-2025/)

    – ###### [Match 2026](https://thedo.osteopathic.org/2025/06/the-nrmp-2026-match-and-eras-timeline-for-residency-applicants/)

    #### [The NRMP 2026 Match and ERAS timeline for residency applicants](https://thedo.osteopathic.org/2025/06/the-nrmp-2026-match-and-eras-timeline-for-residency-applicants/)

    – ###### [Leadership](https://thedo.osteopathic.org/2025/06/as-cmo-for-the-us-department-of-energy-this-do-is-strengthening-worker-health/)

    #### [As CMO for the US Department of Energy, this DO is strengthening worker health](https://thedo.osteopathic.org/2025/06/as-cmo-for-the-us-department-of-energy-this-do-is-strengthening-worker-health/)

    – ###### [History](https://thedo.osteopathic.org/2025/06/learn-more-about-the-involvement-of-a-t-still-md-do-in-the-abolitionist-movement-in-kansas/)

    #### [Learn more about the involvement of A.T. Still, MD, DO, in the abolitionist movement in Kansas](https://thedo.osteopathic.org/2025/06/learn-more-about-the-involvement-of-a-t-still-md-do-in-the-abolitionist-movement-in-kansas/)

    – ###### [GME pearls](https://thedo.osteopathic.org/columns/top-10-dos-and-donts-in-residency/)

    #### [Top 10 Do’s and Don’ts in residency](https://thedo.osteopathic.org/columns/top-10-dos-and-donts-in-residency/)

    ## Thumbnails/thumbnail.png

    **## WK3DISCUSSIONHP-212.odt**

    ## Thumbnails/thumbnail.png

    ##### "Unspecified” Codes

    The use of “unspecified” codes has been a common topic of discussion in the industry. There is a sense that unspecified codes will
    [corrupt](https://www.merriam-webster.com/dictionary/corrupt) the reliability of the data we compiled based on these codes. There seems to be a consensus that the use of these codes is bad and should be avoided. Read the following article specifically addressing the issue of unspecified ICD-10 codes.
    [Article](https://thedo.osteopathic.org/2016/09/are-unspecified-icd-10-codes-setting-your-practice-up-for-a-titanic-scenario/). Another disadvantage of unspecified codes is that they fail to document a patient’s complexity." “Physicians, who use lots of unspecified codes might start hearing, “Why can’t you see 25 or 28 patients a day? Why not put in a mid-level clinician to do this work?” Dr. Mazzola noted. Unspecified codes do often represent a missed opportunity, Mendenez agreed: “Many physicians’ documentation supports a more specific code; they’re just not using it.

    ###### Implement the concept of unspecified codes when used in code selection.

    Include all the following aspects in the discussion:

    – After reading the attached article, do you agree with the author? Why or Why Not?

    – Support your agreement or disagreement by providing an article that shares an example of an unspecified ICD-10-CM code.

    – What are the more specific code(s) that should be used instead of the unspecified code in the article you attached?

    – Discuss with your peers why this would be a more related coding choice.

    250 words

    **## WK3DISCUSSIONINFOHP-212.odt**

    ## Pictures/100000000000012C000000FA51B86765.jpg

    ## Pictures/100000000000012C000000FAD1D7D2B1.jpg

    ###### MED 2016

    ## Are unspecified ICD-10 codes setting your practice up for a Titanic scenario?

    ### On Oct. 1, 2016, CMS will start denying claims that use unspecified ICD-10 codes. Here’s how to avoid the iceberg of revenue disruption.

    Monday

    [Laura Selby](https://thedo.osteopathic.org/author/lselby/)

    [Contact Laura](mailto:thedo@osteopathic.org?subject=Re:%20Are%20unspecified%20ICD-10%20codes%20setting%20your%20practice%20up%20for%20a%20Titanic%20scenario?)

    – Email

    LinkedIn

    Twitter

    Facebook

    ###### Topics

    [ICD-10](https://thedo.osteopathic.org/tag/icd-10/) [OMED 2016](https://thedo.osteopathic.org/tag/omed-2016/)

    When the ICD-10 code set went into effect last Oct. 1, the Centers for Medicare and Medicaid Services (CMS) gave doctors a grace period of sorts: CMS wouldn’t deny claims for lack of specificity until Oct. 1, 2016. Given ICD-10’s total of 68,000 diagnostic codes, that was welcome news at the time, but Matthew Menendez says it may have lulled physicians into a false sense of security.

    “Delaying the denial of unspecified codes has enabled poor workflows to be successful,” said Menendez, the vice president of practice management company White Plume Technologies. “This is the part of the iceberg that’s below the water—it seems like it’s not a problem, but it’s out there waiting for us.”

    Menendez and family medicine physician Joseph Mazzola, DO, shared tips on what physicians can do to minimize claim denials as part of the American College of Osteopathic Family Physicians’ OMED 2016 program on Monday. Physicians who continue using unspecified codes after Oct. 1, 2016, risk denied claims and disruptions to their practice revenue cycles.

    The issue is especially relevant to physicians whose payment depends on the revenue they generate, Dr. Mazzola pointed out. “As denials come in, if you’re up for contract renewal, I may have to say, ‘Doctor, you’re doing fine with visit numbers, but your revenue is down,'” said Dr. Mazzola, who oversees more than 100 physicians in his role as chief medical officer for Blue Ridge HealthCare in Morganton, North Carolina.

    Another disadvantage of unspecified codes is that they fail to document patients’ complexity. “Physicians who use lots of unspecified codes might start hearing, ‘Why can’t you see 25 or 28 patients a day? Why not put in a midlevel clinician to do this work?'” Dr. Mazzola noted. Unspecified codes do often represent a missed opportunity, Menendez agreed: “Many physicians’ documentation supports a more specific code; they’re just not using it.”

    ### How to get started

    Although physicians should work to reduce unspecified codes, Menendez noted, the goal is not to eliminate them altogether. “You’re not aiming to get your unspecified codes down to zero—there are times using them is absolutely appropriate, such as when you’re waiting for lab results or it’s not clear what’s causing a patient’s fever,” he explained.

    To reduce use of unspecified codes, Dr. Mazzola and Menendez recommend these steps:

    – Analyze claims from the last six months to find out what percentage use unspecified codes.

    – Pinpoint the top 10 or 15 unspecified codes that appear most frequently in your claims.

    – Find more specific alternatives for your top unspecified codes. For example, there are six ICD-10 codes for hyperlipidemia that could be used in place of code E78.5—Hyperlipidemia, unspecified.

    Although the process might sound daunting, physicians can make a significant impact by focusing first on their most frequently used unspecified codes. “Your practice’s risk come October 1 really depends on how much specificity you’re coding with today and how much you’re willing to improve,” Menendez said. “It can be challenging to find a balance between using more specific codes without crushing physician productivity, but getting the right code the first time you submit a claim will really improve revenue efficiency.”

    [![](https://www.sweetstudy.com/questions/wk3-discussion-hp-212)](https://servedbyadbutler.com/redirect.spark?MID=165731&plid=3069835&setID=431039&channelID=0&CID=0&banID=523315830&PID=0&textadID=0&tc=1&rnd=9369742&scheduleID=3022629&adSize=300×250&mt=1750947634041093&sw=1440&sh=900&spr=2&referrer=https%3A%2F%2Fthedo.osteopathic.org%2F2016%2F09%2Fare-unspecified-icd-10-codes-setting-your-practice-up-for-a-titanic-scenario%2F&hc=2d6380ff8eb3f77e73abafd47184fa06f495c6b0&location=)

    [![](https://www.sweetstudy.com/questions/wk3-discussion-hp-212)](https://servedbyadbutler.com/redirect.spark?MID=165731&plid=3070070&setID=431040&channelID=0&CID=0&banID=523317602&PID=0&textadID=0&tc=1&rnd=9369742&scheduleID=3022864&adSize=300×250&mt=1750947634039027&sw=1440&sh=900&spr=2&referrer=https%3A%2F%2Fthedo.osteopathic.org%2F2016%2F09%2Fare-unspecified-icd-10-codes-setting-your-practice-up-for-a-titanic-scenario%2F&hc=b3980a130611acc1e82c54bdfc93007a499fda77&location=)

    #### Popular

    – – ###### [A life in medicine](https://thedo.osteopathic.org/2025/06/in-memoriam-june-2025/)

    #### [In Memoriam: June 2025](https://thedo.osteopathic.org/2025/06/in-memoriam-june-2025/)

    – ###### [Match 2026](https://thedo.osteopathic.org/2025/06/the-nrmp-2026-match-and-eras-timeline-for-residency-applicants/)

    #### [The NRMP 2026 Match and ERAS timeline for residency applicants](https://thedo.osteopathic.org/2025/06/the-nrmp-2026-match-and-eras-timeline-for-residency-applicants/)

    – ###### [Leadership](https://thedo.osteopathic.org/2025/06/as-cmo-for-the-us-department-of-energy-this-do-is-strengthening-worker-health/)

    #### [As CMO for the US Department of Energy, this DO is strengthening worker health](https://thedo.osteopathic.org/2025/06/as-cmo-for-the-us-department-of-energy-this-do-is-strengthening-worker-health/)

    – ###### [History](https://thedo.osteopathic.org/2025/06/learn-more-about-the-involvement-of-a-t-still-md-do-in-the-abolitionist-movement-in-kansas/)

    #### [Learn more about the involvement of A.T. Still, MD, DO, in the abolitionist movement in Kansas](https://thedo.osteopathic.org/2025/06/learn-more-about-the-involvement-of-a-t-still-md-do-in-the-abolitionist-movement-in-kansas/)

    – ###### [GME pearls](https://thedo.osteopathic.org/columns/top-10-dos-and-donts-in-residency/)

    #### [Top 10 Do’s and Don’ts in residency](https://thedo.osteopathic.org/columns/top-10-dos-and-donts-in-residency/)

    ## Thumbnails/thumbnail.png

    **## WK3DISCUSSIONHP-212.odt**

    ## Thumbnails/thumbnail.png

    ##### "Unspecified” Codes

    The use of “unspecified” codes has been a common topic of discussion in the industry. There is a sense that unspecified codes will
    [corrupt](https://www.merriam-webster.com/dictionary/corrupt) the reliability of the data we compiled based on these codes. There seems to be a consensus that the use of these codes is bad and should be avoided. Read the following article specifically addressing the issue of unspecified ICD-10 codes.
    [Article](https://thedo.osteopathic.org/2016/09/are-unspecified-icd-10-codes-setting-your-practice-up-for-a-titanic-scenario/). Another disadvantage of unspecified codes is that they fail to document a patient’s complexity." “Physicians, who use lots of unspecified codes might start hearing, “Why can’t you see 25 or 28 patients a day? Why not put in a mid-level clinician to do this work?” Dr. Mazzola noted. Unspecified codes do often represent a missed opportunity, Mendenez agreed: “Many physicians’ documentation supports a more specific code; they’re just not using it.

    ###### Implement the concept of unspecified codes when used in code selection.

    Include all the following aspects in the discussion:

    – After reading the attached article, do you agree with the author? Why or Why Not?

    – Support your agreement or disagreement by providing an article that shares an example of an unspecified ICD-10-CM code.

    – What are the more specific code(s) that should be used instead of the unspecified code in the article you attached?

    – Discuss with your peers why this would be a more related coding choice.

    250 words

    **## WK3DISCUSSIONINFOHP-212.odt**

    ## Pictures/100000000000012C000000FA51B86765.jpg

    ## Pictures/100000000000012C000000FAD1D7D2B1.jpg

    ###### MED 2016

    ## Are unspecified ICD-10 codes setting your practice up for a Titanic scenario?

    ### On Oct. 1, 2016, CMS will start denying claims that use unspecified ICD-10 codes. Here’s how to avoid the iceberg of revenue disruption.

    Monday

    [Laura Selby](https://thedo.osteopathic.org/author/lselby/)

    [Contact Laura](mailto:thedo@osteopathic.org?subject=Re:%20Are%20unspecified%20ICD-10%20codes%20setting%20your%20practice%20up%20for%20a%20Titanic%20scenario?)

    – Email

    LinkedIn

    Twitter

    Facebook

    ###### Topics

    [ICD-10](https://thedo.osteopathic.org/tag/icd-10/) [OMED 2016](https://thedo.osteopathic.org/tag/omed-2016/)

    When the ICD-10 code set went into effect last Oct. 1, the Centers for Medicare and Medicaid Services (CMS) gave doctors a grace period of sorts: CMS wouldn’t deny claims for lack of specificity until Oct. 1, 2016. Given ICD-10’s total of 68,000 diagnostic codes, that was welcome news at the time, but Matthew Menendez says it may have lulled physicians into a false sense of security.

    “Delaying the denial of unspecified codes has enabled poor workflows to be successful,” said Menendez, the vice president of practice management company White Plume Technologies. “This is the part of the iceberg that’s below the water—it seems like it’s not a problem, but it’s out there waiting for us.”

    Menendez and family medicine physician Joseph Mazzola, DO, shared tips on what physicians can do to minimize claim denials as part of the American College of Osteopathic Family Physicians’ OMED 2016 program on Monday. Physicians who continue using unspecified codes after Oct. 1, 2016, risk denied claims and disruptions to their practice revenue cycles.

    The issue is especially relevant to physicians whose payment depends on the revenue they generate, Dr. Mazzola pointed out. “As denials come in, if you’re up for contract renewal, I may have to say, ‘Doctor, you’re doing fine with visit numbers, but your revenue is down,'” said Dr. Mazzola, who oversees more than 100 physicians in his role as chief medical officer for Blue Ridge HealthCare in Morganton, North Carolina.

    Another disadvantage of unspecified codes is that they fail to document patients’ complexity. “Physicians who use lots of unspecified codes might start hearing, ‘Why can’t you see 25 or 28 patients a day? Why not put in a midlevel clinician to do this work?'” Dr. Mazzola noted. Unspecified codes do often represent a missed opportunity, Menendez agreed: “Many physicians’ documentation supports a more specific code; they’re just not using it.”

    ### How to get started

    Although physicians should work to reduce unspecified codes, Menendez noted, the goal is not to eliminate them altogether. “You’re not aiming to get your unspecified codes down to zero—there are times using them is absolutely appropriate, such as when you’re waiting for lab results or it’s not clear what’s causing a patient’s fever,” he explained.

    To reduce use of unspecified codes, Dr. Mazzola and Menendez recommend these steps:

    – Analyze claims from the last six months to find out what percentage use unspecified codes.

    – Pinpoint the top 10 or 15 unspecified codes that appear most frequently in your claims.

    – Find more specific alternatives for your top unspecified codes. For example, there are six ICD-10 codes for hyperlipidemia that could be used in place of code E78.5—Hyperlipidemia, unspecified.

    Although the process might sound daunting, physicians can make a significant impact by focusing first on their most frequently used unspecified codes. “Your practice’s risk come October 1 really depends on how much specificity you’re coding with today and how much you’re willing to improve,” Menendez said. “It can be challenging to find a balance between using more specific codes without crushing physician productivity, but getting the right code the first time you submit a claim will really improve revenue efficiency.”

    [![](https://www.sweetstudy.com/questions/wk3-discussion-hp-212)](https://servedbyadbutler.com/redirect.spark?MID=165731&plid=3069835&setID=431039&channelID=0&CID=0&banID=523315830&PID=0&textadID=0&tc=1&rnd=9369742&scheduleID=3022629&adSize=300×250&mt=1750947634041093&sw=1440&sh=900&spr=2&referrer=https%3A%2F%2Fthedo.osteopathic.org%2F2016%2F09%2Fare-unspecified-icd-10-codes-setting-your-practice-up-for-a-titanic-scenario%2F&hc=2d6380ff8eb3f77e73abafd47184fa06f495c6b0&location=)

    [![](https://www.sweetstudy.com/questions/wk3-discussion-hp-212)](https://servedbyadbutler.com/redirect.spark?MID=165731&plid=3070070&setID=431040&channelID=0&CID=0&banID=523317602&PID=0&textadID=0&tc=1&rnd=9369742&scheduleID=3022864&adSize=300×250&mt=1750947634039027&sw=1440&sh=900&spr=2&referrer=https%3A%2F%2Fthedo.osteopathic.org%2F2016%2F09%2Fare-unspecified-icd-10-codes-setting-your-practice-up-for-a-titanic-scenario%2F&hc=b3980a130611acc1e82c54bdfc93007a499fda77&location=)

    #### Popular

    – – ###### [A life in medicine](https://thedo.osteopathic.org/2025/06/in-memoriam-june-2025/)

    #### [In Memoriam: June 2025](https://thedo.osteopathic.org/2025/06/in-memoriam-june-2025/)

    – ###### [Match 2026](https://thedo.osteopathic.org/2025/06/the-nrmp-2026-match-and-eras-timeline-for-residency-applicants/)

    #### [The NRMP 2026 Match and ERAS timeline for residency applicants](https://thedo.osteopathic.org/2025/06/the-nrmp-2026-match-and-eras-timeline-for-residency-applicants/)

    – ###### [Leadership](https://thedo.osteopathic.org/2025/06/as-cmo-for-the-us-department-of-energy-this-do-is-strengthening-worker-health/)

    #### [As CMO for the US Department of Energy, this DO is strengthening worker health](https://thedo.osteopathic.org/2025/06/as-cmo-for-the-us-department-of-energy-this-do-is-strengthening-worker-health/)

    – ###### [History](https://thedo.osteopathic.org/2025/06/learn-more-about-the-involvement-of-a-t-still-md-do-in-the-abolitionist-movement-in-kansas/)

    #### [Learn more about the involvement of A.T. Still, MD, DO, in the abolitionist movement in Kansas](https://thedo.osteopathic.org/2025/06/learn-more-about-the-involvement-of-a-t-still-md-do-in-the-abolitionist-movement-in-kansas/)

    – ###### [GME pearls](https://thedo.osteopathic.org/columns/top-10-dos-and-donts-in-residency/)

    #### [Top 10 Do’s and Don’ts in residency](https://thedo.osteopathic.org/columns/top-10-dos-and-donts-in-residency/)

    ## Thumbnails/thumbnail.png

    – 1
    – 2

  • [Solved] WK3 QUESTIONS HP-212

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    COMPLETE ALL QUESTIONS – ## WK3QUESTIONSHP-212.odt **## WK3QUESTIONSHP-212.odt** ## Thumbnails/thumbnail.png 1) To initially locate an ICD-10-CM external causes code, go to the Responses – Index to External Cause of Injuries. – Index to Diseases and Injuries. – Index to Procedures. – Table of Drugs …

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    Assignment Prompt & Instructions

    COMPLETE ALL QUESTIONS

    – ## WK3QUESTIONSHP-212.odt

    **## WK3QUESTIONSHP-212.odt**

    ## Thumbnails/thumbnail.png

    1) To initially locate an ICD-10-CM external causes code, go to the

    Responses

    – Index to External Cause of Injuries.

    – Index to Diseases and Injuries.

    – Index to Procedures.

    – Table of Drugs and Chemicals.

    2) Persons with unavailability and inaccessibility of health care facilities" is an example of a(n)

    Responses

    – separate index in the ICD-10-CM coding manual.

    – section in the HCPCS level II coding system.

    – chapter of Z codes in ICD-10-CM.

    – ICD-10-CM grouping of external causes codes.

    3) Which set of codes is used to report how an injury or condition happened, the intent, the place of occurrence, the activity of the patient at the time of the event, and the person's status?

    Responses

    – ICD-10-CM signs and symptoms codes

    – ICD-10-CM Z codes

    – ICD-10-CM external causes codes

    – A separate index in ICD-10-CM

    4) The ICD-10-CM Tabular List of Diseases and Injuries is referenced

    Responses

    – if the phrase "omit code" is included in the index.

    – for verification of external causes codes only.

    – when a procedure code is listed as unspecified.

    – to verify codes selected and to review instructions.

    5) The patient is treated for diabetes mellitus controlled by medication, and during the same encounter, he tells the physician that he has been experiencing severe indigestion. The physician discussed possible reasons for indigestion with the patient, who admitted to having eaten a lot of spicy foods in the past month. The patient is unwilling to take over-the-counter or prescription medications for the indigestion, and the physician suggested alternative solutions. The physician also instructed the patient to return in two weeks for follow-up of the indigestion. To completely code this case, assign ICD-10-CM code(s) for

    Responses

    – diabetes mellitus, indigestion.

    – diabetes mellitus.

    – indigestion.

    – diabetes mellitus, chest pain.

    6) Which type of note is usually found below the infectious disease code in the ICD-10-CM tabular list, indicating the need to report the organism code as a secondary code?

    Responses

    – Cross reference

    – Code also

    – Use additional code

    – Excludes1

    7) The "code, if applicable, any causal condition first" note in the ICD-10-CM tabular lists indicates that this code may be assigned as a first-listed or principal diagnosis when the causal condition is unknown or not applicable. When the causal condition is known, the code for that condition should be reported as the __________ diagnosis.

    Responses

    – qualified

    – manifestation

    – comorbidity

    – principal

    8) For the diagnosis rheumatic pneumonia, report ICD-10-CM code(s)

    Responses

    – J17, I00.

    – I00, J17.

    – J17.

    – I00.

    9) When the same condition is described as both acute (or subacute) and chronic and separate subentries exist in the ICD-10-CM index at the same indentation level,

    Responses

    – assign codes for both and list the chronic condition first.

    – code both and sequence the acute (or subacute) code first.

    – report a code for the acute (or subacute) condition only.

    – generate a physician query to ask which condition is coded.

    10) For acute cholecystitis and cholelithiasis, assign ICD-10-CM code

    Responses

    – K80.62.

    – K80.00.

    – K80.10.

    – K80.12.

    11) For a diagnosis of headaches due to intracranial injury without loss of consciousness that occurred several years ago, which is considered the sequela (residual condition)?

    Responses

    – Headaches

    – Intracranial injury

    – Loss of consciousness

    – None of these

    12) ICD-10-CM codes that indicate laterality specify whether the condition occurs

    Responses

    – as a residual or current condition.

    – on the left, right, or bilaterally.

    – in the hospital or as an outpatient.

    – acutely or chronically.

    13) When assigning codes for a syndrome, follow guidance in the

    Responses

    – third-party payer policy.

    – official coding guidelines.

    – patient record

    – ICD-10-CM index.

    14) How are etiology and manifestation codes reported in the ICD-10-CM?

    Responses

    – Etiology code is printed in slanted (or square) brackets in the index.

    – Manifestation code is sequenced first, followed by the etiology code.

    – Manifestation code defines the underlying condition or disease.

    – Etiology code is reported first, followed by the manifestation code.

    15) The "see also" instruction in ICD-10-CM

    Responses

    – does not have to be followed if the original main term provides the correct code.

    .

    – must always be followed for disease codes to be assigned properly.

    – is considered a mandatory guideline in the index.

    – appears in the tabular list and is an optional guideline.

    16) Which information must be included in the diagnostic statement to classify a condition in the ICD-10-CM tabular list?

    Responses

    – Synonyms enclosed in square brackets

    – Inclusion terms

    – Modifying term(s) located after the colon

    – Nonessential modifiers enclosed in parentheses

    17) A patient is diagnosed with amyloid heart (disease). Codes E85.4 [I43] are located in the ICD-10-CM Index to Disease and Injuries. Upon verification in the Tabular List of Diseases and Injuries, report code(s)

    Responses

    – I43 and E85.4, in that order.

    – E85.4 and I43, in that order.

    – E85.4 only.

    – I43 only.

    18) he description for code J00 in the ICD-10-CM Tabular List of Diseases and Injuries is "acute nasopharyngitis [common cold]." How is this code description interpreted?

    Responses

    – Acute nasopharyngitis due to common cold

    – Acute nasopharyngitis with common cold

    – Common cold due to acute nasopharyngitis

    – Acute nasopharyngitis and common cold are synonymous.

    19) The concept "trust the index" in the ICD-10-CM disease index means that when

    Responses

    – all terms that apply to a particular code will be listed in the tabular list code description; thus, if there is no inclusion term for that condition, the code cannot be assigned.

    – exclusion terms located in the disease index are not meant to be exhaustive, and additional terms found in the tabular list may also be associated with a code.

    – the term has been used to correctly locate a code in the disease index and the code listed in the index contains additional characters, it is not necessary to verify the code in the tabular list.

    – a term has been used to correctly locate a code in the disease index, but that term is not described in the tabular list code entry, trust that the index directed you to the correct code.

    20) Which instruction in the ICD-10-CM tabular list allows only one code to be reported if a secondary condition is not documented?

    Responses

    – Code first underlying condition

    – Code, if applicable, any causal condition first

    – Use additional code

    – In diseases classified elsewhere

    **## WK3QUESTIONSHP-212.odt**

    ## Thumbnails/thumbnail.png

    1) To initially locate an ICD-10-CM external causes code, go to the

    Responses

    – Index to External Cause of Injuries.

    – Index to Diseases and Injuries.

    – Index to Procedures.

    – Table of Drugs and Chemicals.

    2) Persons with unavailability and inaccessibility of health care facilities" is an example of a(n)

    Responses

    – separate index in the ICD-10-CM coding manual.

    – section in the HCPCS level II coding system.

    – chapter of Z codes in ICD-10-CM.

    – ICD-10-CM grouping of external causes codes.

    3) Which set of codes is used to report how an injury or condition happened, the intent, the place of occurrence, the activity of the patient at the time of the event, and the person's status?

    Responses

    – ICD-10-CM signs and symptoms codes

    – ICD-10-CM Z codes

    – ICD-10-CM external causes codes

    – A separate index in ICD-10-CM

    4) The ICD-10-CM Tabular List of Diseases and Injuries is referenced

    Responses

    – if the phrase "omit code" is included in the index.

    – for verification of external causes codes only.

    – when a procedure code is listed as unspecified.

    – to verify codes selected and to review instructions.

    5) The patient is treated for diabetes mellitus controlled by medication, and during the same encounter, he tells the physician that he has been experiencing severe indigestion. The physician discussed possible reasons for indigestion with the patient, who admitted to having eaten a lot of spicy foods in the past month. The patient is unwilling to take over-the-counter or prescription medications for the indigestion, and the physician suggested alternative solutions. The physician also instructed the patient to return in two weeks for follow-up of the indigestion. To completely code this case, assign ICD-10-CM code(s) for

    Responses

    – diabetes mellitus, indigestion.

    – diabetes mellitus.

    – indigestion.

    – diabetes mellitus, chest pain.

    6) Which type of note is usually found below the infectious disease code in the ICD-10-CM tabular list, indicating the need to report the organism code as a secondary code?

    Responses

    – Cross reference

    – Code also

    – Use additional code

    – Excludes1

    7) The "code, if applicable, any causal condition first" note in the ICD-10-CM tabular lists indicates that this code may be assigned as a first-listed or principal diagnosis when the causal condition is unknown or not applicable. When the causal condition is known, the code for that condition should be reported as the __________ diagnosis.

    Responses

    – qualified

    – manifestation

    – comorbidity

    – principal

    8) For the diagnosis rheumatic pneumonia, report ICD-10-CM code(s)

    Responses

    – J17, I00.

    – I00, J17.

    – J17.

    – I00.

    9) When the same condition is described as both acute (or subacute) and chronic and separate subentries exist in the ICD-10-CM index at the same indentation level,

    Responses

    – assign codes for both and list the chronic condition first.

    – code both and sequence the acute (or subacute) code first.

    – report a code for the acute (or subacute) condition only.

    – generate a physician query to ask which condition is coded.

    10) For acute cholecystitis and cholelithiasis, assign ICD-10-CM code

    Responses

    – K80.62.

    – K80.00.

    – K80.10.

    – K80.12.

    11) For a diagnosis of headaches due to intracranial injury without loss of consciousness that occurred several years ago, which is considered the sequela (residual condition)?

    Responses

    – Headaches

    – Intracranial injury

    – Loss of consciousness

    – None of these

    12) ICD-10-CM codes that indicate laterality specify whether the condition occurs

    Responses

    – as a residual or current condition.

    – on the left, right, or bilaterally.

    – in the hospital or as an outpatient.

    – acutely or chronically.

    13) When assigning codes for a syndrome, follow guidance in the

    Responses

    – third-party payer policy.

    – official coding guidelines.

    – patient record

    – ICD-10-CM index.

    14) How are etiology and manifestation codes reported in the ICD-10-CM?

    Responses

    – Etiology code is printed in slanted (or square) brackets in the index.

    – Manifestation code is sequenced first, followed by the etiology code.

    – Manifestation code defines the underlying condition or disease.

    – Etiology code is reported first, followed by the manifestation code.

    15) The "see also" instruction in ICD-10-CM

    Responses

    – does not have to be followed if the original main term provides the correct code.

    .

    – must always be followed for disease codes to be assigned properly.

    – is considered a mandatory guideline in the index.

    – appears in the tabular list and is an optional guideline.

    16) Which information must be included in the diagnostic statement to classify a condition in the ICD-10-CM tabular list?

    Responses

    – Synonyms enclosed in square brackets

    – Inclusion terms

    – Modifying term(s) located after the colon

    – Nonessential modifiers enclosed in parentheses

    17) A patient is diagnosed with amyloid heart (disease). Codes E85.4 [I43] are located in the ICD-10-CM Index to Disease and Injuries. Upon verification in the Tabular List of Diseases and Injuries, report code(s)

    Responses

    – I43 and E85.4, in that order.

    – E85.4 and I43, in that order.

    – E85.4 only.

    – I43 only.

    18) he description for code J00 in the ICD-10-CM Tabular List of Diseases and Injuries is "acute nasopharyngitis [common cold]." How is this code description interpreted?

    Responses

    – Acute nasopharyngitis due to common cold

    – Acute nasopharyngitis with common cold

    – Common cold due to acute nasopharyngitis

    – Acute nasopharyngitis and common cold are synonymous.

    19) The concept "trust the index" in the ICD-10-CM disease index means that when

    Responses

    – all terms that apply to a particular code will be listed in the tabular list code description; thus, if there is no inclusion term for that condition, the code cannot be assigned.

    – exclusion terms located in the disease index are not meant to be exhaustive, and additional terms found in the tabular list may also be associated with a code.

    – the term has been used to correctly locate a code in the disease index and the code listed in the index contains additional characters, it is not necessary to verify the code in the tabular list.

    – a term has been used to correctly locate a code in the disease index, but that term is not described in the tabular list code entry, trust that the index directed you to the correct code.

    20) Which instruction in the ICD-10-CM tabular list allows only one code to be reported if a secondary condition is not documented?

    Responses

    – Code first underlying condition

    – Code, if applicable, any causal condition first

    – Use additional code

    – In diseases classified elsewhere

  • [Solved] WK3 ASSIGNMENT HP-212

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    COMPLETE ALL QUESTIONS – ## WK3ASSIGNMENTHP-212.odt **## WK3ASSIGNMENTHP-212.odt** ## Thumbnails/thumbnail.png 1) The ICD-10-CM Official Guidelines for Coding and Reporting are approved by the FILL IN BLANK parties for ICD-10-CM to accompany and complement the official conventions and instructions p…

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    Assignment Prompt & Instructions

    COMPLETE ALL QUESTIONS

    – ## WK3ASSIGNMENTHP-212.odt

    **## WK3ASSIGNMENTHP-212.odt**

    ## Thumbnails/thumbnail.png

    1) The ICD-10-CM Official Guidelines for Coding and Reporting are approved by the FILL IN BLANK

    parties for ICD-10-CM to accompany and complement the official conventions and instructions provided within ICD-10-CM.

    2) Official coding guidelines use the term FILL IN BLANK

    when referring to face-to-face contact between patients and health care providers in all health care settings, including inpatient hospital admissions.

    3) Official coding guidelines use the term FILL IN BLANK

    when referring to a physician or any qualified health care practitioner who is legally accountable for establishing a patient's diagnosis.

    4) HIPAA regulations for electronic FILL IN BLANK

    require providers and third-party payers, including Medicare Administrative Contractors (MACs), to adhere to ICD-10-CM Official Guidelines for Coding and Reporting.

    5) Section I of the ICD-10-CM Official Guidelines for Coding and Reporting includes ICD-10-CM's coding FILL IN BLANK

    , general coding guidelines, and chapter-specific guidelines.

    6) Section II of the ICD-10-CM Official Guidelines for Coding and Reporting covers selection of the FILL IN BLANK

    diagnosis (and secondary diagnoses) for inpatient hospital admissions.

    7) Section III of the ICD-10-CM Official Guidelines for Coding and Reporting covers reporting of additional diagnoses for inpatient hospital settings, which are also called FILL IN BLANK

    diagnoses and include comorbidities and complications.

    8) Inpatient hospital admissions require the reporting of secondary diagnoses that include comorbidities and FILL IN BLANK

    9) Section IV of the ICD-10-CM Official Guidelines for Coding and Reporting covers diagnostic coding and reporting for FILL IN BLANK services

    10) Appendix I of the ICD-10-CM Official Guidelines for Coding and Reporting covers present on  FILL IN BLANK  reporting guidelines.

    11) Patient admitted for difficulty breathing and fever. Physician's discharge diagnosis is pneumonia.

    12) Patient admitted with malaise. Physician's discharge diagnosis is depression.

    FILL IN BLANK

    13) Patient admitted with severe headache. Physician's discharge diagnosis is intractable migraine. FILL IN BLANK

    14) Patient admitted with abdominal pain and fever. Physician's discharge diagnosis is acute appendicitis. FILL IN BLANK

    15) Patient admitted with pain and swelling, left ankle. Physician's discharge diagnosis is sprain, left ankle, initial encounter. FILL IN BLANK

    16) Acute cholecystitis with nausea, vomiting, and fever FILL IN BLANK

    17) Chronic tonsillitis and adenoiditis FILL IN BLANK

    18) Acute cystitis with hematuria due to Escherichia coli

    , FILL IN BLANKS 2 ANSWERS

    19) Multisystem inflammatory syndrome (MIS) as post-acute sequela of COVID-19 FILL IN BLANKS 2 ANSWERS

    20) Admission for adjustment of left partial artificial leg FILL IN BLANK

    **## WK3ASSIGNMENTHP-212.odt**

    ## Thumbnails/thumbnail.png

    1) The ICD-10-CM Official Guidelines for Coding and Reporting are approved by the FILL IN BLANK

    parties for ICD-10-CM to accompany and complement the official conventions and instructions provided within ICD-10-CM.

    2) Official coding guidelines use the term FILL IN BLANK

    when referring to face-to-face contact between patients and health care providers in all health care settings, including inpatient hospital admissions.

    3) Official coding guidelines use the term FILL IN BLANK

    when referring to a physician or any qualified health care practitioner who is legally accountable for establishing a patient's diagnosis.

    4) HIPAA regulations for electronic FILL IN BLANK

    require providers and third-party payers, including Medicare Administrative Contractors (MACs), to adhere to ICD-10-CM Official Guidelines for Coding and Reporting.

    5) Section I of the ICD-10-CM Official Guidelines for Coding and Reporting includes ICD-10-CM's coding FILL IN BLANK

    , general coding guidelines, and chapter-specific guidelines.

    6) Section II of the ICD-10-CM Official Guidelines for Coding and Reporting covers selection of the FILL IN BLANK

    diagnosis (and secondary diagnoses) for inpatient hospital admissions.

    7) Section III of the ICD-10-CM Official Guidelines for Coding and Reporting covers reporting of additional diagnoses for inpatient hospital settings, which are also called FILL IN BLANK

    diagnoses and include comorbidities and complications.

    8) Inpatient hospital admissions require the reporting of secondary diagnoses that include comorbidities and FILL IN BLANK

    9) Section IV of the ICD-10-CM Official Guidelines for Coding and Reporting covers diagnostic coding and reporting for FILL IN BLANK services

    10) Appendix I of the ICD-10-CM Official Guidelines for Coding and Reporting covers present on  FILL IN BLANK  reporting guidelines.

    11) Patient admitted for difficulty breathing and fever. Physician's discharge diagnosis is pneumonia.

    12) Patient admitted with malaise. Physician's discharge diagnosis is depression.

    FILL IN BLANK

    13) Patient admitted with severe headache. Physician's discharge diagnosis is intractable migraine. FILL IN BLANK

    14) Patient admitted with abdominal pain and fever. Physician's discharge diagnosis is acute appendicitis. FILL IN BLANK

    15) Patient admitted with pain and swelling, left ankle. Physician's discharge diagnosis is sprain, left ankle, initial encounter. FILL IN BLANK

    16) Acute cholecystitis with nausea, vomiting, and fever FILL IN BLANK

    17) Chronic tonsillitis and adenoiditis FILL IN BLANK

    18) Acute cystitis with hematuria due to Escherichia coli

    , FILL IN BLANKS 2 ANSWERS

    19) Multisystem inflammatory syndrome (MIS) as post-acute sequela of COVID-19 FILL IN BLANKS 2 ANSWERS

    20) Admission for adjustment of left partial artificial leg FILL IN BLANK

  • [Solved] WK3 DISCUSSION1 HP-213

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    Executive Solution Overview

    COMPLETE IN DETAIL 250 WORDS – ## WK3DISCUSSION1HP-213.odt **## WK3DISCUSSION1HP-213.odt** ## Thumbnails/thumbnail.png There are many types of anesthesia that may be administered to patients based on the service or procedure they receive during a particular encounter. It is important for you to unde…

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    COMPLETE IN DETAIL 250 WORDS

    – ## WK3DISCUSSION1HP-213.odt

    **## WK3DISCUSSION1HP-213.odt**

    ## Thumbnails/thumbnail.png

    There are many types of anesthesia that may be administered to patients based on the service or procedure they receive during a particular encounter. It is important for you to understand how these types of anesthesia differ and why a surgeon may not always use the same variety. This is also essential to understand when interpreting the patient’s medical record.

    Demonstrate the ability to distinguish the various types of anesthesia used.

    Include the following aspects in the discussion:

    – Choose one type of commonly used anesthesia and describe it in your own words

    – Select one CPT code from the Anesthesia section that would use the type of anesthesia you selected

    – Discuss why this would be the most appropriate anesthesia that should be used for the procedure selected. Do not choose the same code to discuss as peers.

    – Discuss why it is necessary for medical coders to have a solid understanding of the most common types of anesthesia used.

    250 WORDS

    **## WK3DISCUSSION1HP-213.odt**

    ## Thumbnails/thumbnail.png

    There are many types of anesthesia that may be administered to patients based on the service or procedure they receive during a particular encounter. It is important for you to understand how these types of anesthesia differ and why a surgeon may not always use the same variety. This is also essential to understand when interpreting the patient’s medical record.

    Demonstrate the ability to distinguish the various types of anesthesia used.

    Include the following aspects in the discussion:

    – Choose one type of commonly used anesthesia and describe it in your own words

    – Select one CPT code from the Anesthesia section that would use the type of anesthesia you selected

    – Discuss why this would be the most appropriate anesthesia that should be used for the procedure selected. Do not choose the same code to discuss as peers.

    – Discuss why it is necessary for medical coders to have a solid understanding of the most common types of anesthesia used.

    250 WORDS

  • [Solved] WK3 DISCUSSION2 HP-213

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    Executive Solution Overview

    COMPLETE IN DETAIL 250 WORDS – ## WK3DISCUSSION2HP-213.odt **## WK3DISCUSSION2HP-213.odt** ## Thumbnails/thumbnail.png ##### The Use of Physical Status Modifiers You have learned this week that there are special modifiers used exclusively for Anesthesia services called physical status modifiers. The…

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    Assignment Prompt & Instructions

    COMPLETE IN DETAIL 250 WORDS

    – ## WK3DISCUSSION2HP-213.odt

    **## WK3DISCUSSION2HP-213.odt**

    ## Thumbnails/thumbnail.png

    ##### The Use of Physical Status Modifiers

    You have learned this week that there are special modifiers used exclusively for Anesthesia services called physical status modifiers. These modifiers are important when reporting the patient’s health condition when anesthesia was administered.

    Provide a rationale for when and how physical status modifiers are used.

    ##### The Use of Physical Status Modifiers

    You have learned this week that there are special modifiers used exclusively for Anesthesia services called physical status modifiers. These modifiers are important when reporting the patient’s health condition when anesthesia was administered.

    Provide a rationale for when and how physical status modifiers are used.

    Include the following aspects in the discussion:

    – Describe in your own words what physical status modifiers are

    – Select and articulate one physical status modifier (do not use the same as peers)

    – Describe why a physical status modifier is needed

    – Discuss why it is necessary for medical coders working for Anesthesiologists to accurately interpret and use physical status modifiers when coding patient medical reports.

    250 WORDS

    **## WK3DISCUSSION2HP-213.odt**

    ## Thumbnails/thumbnail.png

    ##### The Use of Physical Status Modifiers

    You have learned this week that there are special modifiers used exclusively for Anesthesia services called physical status modifiers. These modifiers are important when reporting the patient’s health condition when anesthesia was administered.

    Provide a rationale for when and how physical status modifiers are used.

    ##### The Use of Physical Status Modifiers

    You have learned this week that there are special modifiers used exclusively for Anesthesia services called physical status modifiers. These modifiers are important when reporting the patient’s health condition when anesthesia was administered.

    Provide a rationale for when and how physical status modifiers are used.

    Include the following aspects in the discussion:

    – Describe in your own words what physical status modifiers are

    – Select and articulate one physical status modifier (do not use the same as peers)

    – Describe why a physical status modifier is needed

    – Discuss why it is necessary for medical coders working for Anesthesiologists to accurately interpret and use physical status modifiers when coding patient medical reports.

    250 WORDS

  • [Solved] WK3 QUESTIONS HP-213

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    Executive Solution Overview

    COMPLETE ALL QUESTIONS – ## WK3QUESTIONSHP-213.odt **## WK3QUESTIONSHP-213.odt** ## Thumbnails/thumbnail.png 1) Which term is loss of pain sensation without loss of consciousness? Responses – Analgesic – Anesthetic – Anesthesia – Analgesia 2) The administration of varying amounts of local, regional,…

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    COMPLETE ALL QUESTIONS

    – ## WK3QUESTIONSHP-213.odt

    **## WK3QUESTIONSHP-213.odt**

    ## Thumbnails/thumbnail.png

    1) Which term is loss of pain sensation without loss of consciousness?

    Responses

    – Analgesic

    – Anesthetic

    – Anesthesia

    – Analgesia

    2) The administration of varying amounts of local, regional, and certain mind-altering drugs during a procedure is called

    Responses

    – local anesthesia.

    – monitored anesthesia care.

    – conscious sedation.

    – general anesthesia.

    3)The postanesthesia evaluation that is documented by the anesthesiologist or qualified nonphysician anesthetist is

    Responses

    – also called postoperative pain management.

    – reported as a separate anesthesia service.

    – included in the anesthesia services code.

    – done prior to the administration of anesthesia.

    4) When calculating anesthesia fees, which term identifies the dollar amount assigned to a geographic location?

    Responses

    – Anesthesia time unit

    – Modifying unit

    – Base unit value

    – Anesthesia conversion factor

    5) Which type of modifier indicates the patient's condition at the time anesthesia was administered?

    Responses

    – Physical status modifier

    – CPT numerical modifier

    – HCPCS Level II modifier

    – Special report modifier

    6) Anesthesia services are reported based on time, which

    Responses

    – incorporates interval and recovery room times.

    – includes monitoring during administration of regional block anesthesia and during the procedure.

    – is reported in time units for which nonmonitored time is taken into consideration.

    – begins after the patient has received anesthesia and ends when the anesthesiologist or qualified nonphysician anesthetist is no longer in personal attendance.

    7) A diabetic patient who is otherwise healthy has a procedure performed under general anesthesia. The physical status modifier is -P2. The anesthesia services last 45 minutes, and the anesthesia code for this procedure has a base unit value of 5. The conversion factor for the geographic area is $19.20. Which is the correct formula for calculating the anesthesia fee?

    Responses

    – ($19.20 + 3 + 1) × 5 = $116.00

    – (5 + 3 + 0) × $19.20 = $153.60

    – ($19.20 + 5 + 1) × 3 = $75.60

    – (5 + 45 + 1) × $19.20 = $979.20

    8) Which anesthesia subsection contains the code(s) for surgery on the patella?

    Responses

    – Pelvis (except hip)

    – Lower leg

    – Knee and popliteal area

    – Upper leg

    9) Which anesthesia subsection contains a code for lumbar hernia repair?

    Responses

    – Upper abdomen

    – Spine and spinal cord

    – Lower abdomen

    – Intrathoracic

    10) Which anesthesia subsection contains the code(s) for myelography?

    Responses

    – Other procedures

    – Radiological procedures

    – Obstetric procedures

    – Spine and spinal cord

    11) An anesthesiologist provides anesthesia services for a right tympanotomy procedure performed on a healthy 6-month-old child. Select the proper code(s).

    Responses

    – 00126-AA-P1, 99100

    – 00126-AA-P2, 99100

    – 69421-AA-P1, 99100

    – 00126-AA-P3

    12) A CRNA provides anesthesia services, with medical direction by a physician, for the reconstructive repair of pectus excavatum on a healthy patient. Select the proper code.

    Responses

    – 00474-QX-P3

    – 00474-QX-P2

    – 00474-QX-P1

    – 21740-QX-P2

    13) A CRNA provides monitored anesthesia care, without medical direction by a physician, during insertion of permanent transvenous pacemaker for a patient with pulmonary valve disorder. Select the proper code.

    Responses

    – 00530-P3

    – 00530-QS-QZ-P3

    – 33206-P3

    – 00530-QS

    14) An anesthesiologist provides anesthesia services for a lumbar sympathectomy on an otherwise healthy patient. Select the proper code.

    Responses

    – 32664-AA-P1

    – 00635-AA-P1

    – 00630-AA-P1

    – 00632-AA-P1

    15) An anesthesiologist provides anesthesia services for a stomach restriction procedure on a patient with morbid obesity (severe systemic disease). Select the proper code.

    Responses

    – 00797-AA-P4

    – 00797-AA-P1

    – 00797-AA-P2

    – 00797-AA-P3

    16) An anesthesiologist provides anesthesia services for a left femoral artery embolectomy procedure performed on a patient with an embolus in the left femoral artery (mild systemic disease). Select the proper code.

    Responses

    – 01272-AA-P2

    – 01274-AA-P2

    – 34201-AA-P2

    – 01270-AA-P2

    17) A CRNA, with medical direction by a physician, provides anesthesia services to an otherwise healthy patient who undergoes an open elbow-to-shoulder tenotomy, left. Select the proper code.

    Responses

    – 01710-QX-P2

    – 01714-QX-P3

    – 23405-QX-P2

    – 01712-QX-P1

    18) An anesthesiologist provides anesthesia services for a diagnostic arteriography of the left common carotid artery on a patient with possible carotid occlusion (mild systemic disease). Select the proper code.

    Responses

    – 01926-AA-P2

    – 01916-AA-P2

    – 01924-AA-P2

    – 01930-AA-P2

    19) An anesthesiologist provides anesthesia services to a healthy patient who undergoes neuraxial labor anesthesia for planned vaginal delivery. Select the proper code.

    Responses

    – 01967-AA-P3-23

    – 01967-AA-P1

    – 01967-AA-23-P1

    – 01967-AA-P2

    20) An anesthesiologist provides anesthesia services to a patient with type 1 diabetes (severe systemic disease) mellitus who undergoes transurethral resection of a bladder tumor. Select the proper code.

    Responses

    – 52500-AA-P3

    – 00910-AA-P2

    – 00912-AA-P2

    – 00912-AA-P3

    **## WK3QUESTIONSHP-213.odt**

    ## Thumbnails/thumbnail.png

    1) Which term is loss of pain sensation without loss of consciousness?

    Responses

    – Analgesic

    – Anesthetic

    – Anesthesia

    – Analgesia

    2) The administration of varying amounts of local, regional, and certain mind-altering drugs during a procedure is called

    Responses

    – local anesthesia.

    – monitored anesthesia care.

    – conscious sedation.

    – general anesthesia.

    3)The postanesthesia evaluation that is documented by the anesthesiologist or qualified nonphysician anesthetist is

    Responses

    – also called postoperative pain management.

    – reported as a separate anesthesia service.

    – included in the anesthesia services code.

    – done prior to the administration of anesthesia.

    4) When calculating anesthesia fees, which term identifies the dollar amount assigned to a geographic location?

    Responses

    – Anesthesia time unit

    – Modifying unit

    – Base unit value

    – Anesthesia conversion factor

    5) Which type of modifier indicates the patient's condition at the time anesthesia was administered?

    Responses

    – Physical status modifier

    – CPT numerical modifier

    – HCPCS Level II modifier

    – Special report modifier

    6) Anesthesia services are reported based on time, which

    Responses

    – incorporates interval and recovery room times.

    – includes monitoring during administration of regional block anesthesia and during the procedure.

    – is reported in time units for which nonmonitored time is taken into consideration.

    – begins after the patient has received anesthesia and ends when the anesthesiologist or qualified nonphysician anesthetist is no longer in personal attendance.

    7) A diabetic patient who is otherwise healthy has a procedure performed under general anesthesia. The physical status modifier is -P2. The anesthesia services last 45 minutes, and the anesthesia code for this procedure has a base unit value of 5. The conversion factor for the geographic area is $19.20. Which is the correct formula for calculating the anesthesia fee?

    Responses

    – ($19.20 + 3 + 1) × 5 = $116.00

    – (5 + 3 + 0) × $19.20 = $153.60

    – ($19.20 + 5 + 1) × 3 = $75.60

    – (5 + 45 + 1) × $19.20 = $979.20

    8) Which anesthesia subsection contains the code(s) for surgery on the patella?

    Responses

    – Pelvis (except hip)

    – Lower leg

    – Knee and popliteal area

    – Upper leg

    9) Which anesthesia subsection contains a code for lumbar hernia repair?

    Responses

    – Upper abdomen

    – Spine and spinal cord

    – Lower abdomen

    – Intrathoracic

    10) Which anesthesia subsection contains the code(s) for myelography?

    Responses

    – Other procedures

    – Radiological procedures

    – Obstetric procedures

    – Spine and spinal cord

    11) An anesthesiologist provides anesthesia services for a right tympanotomy procedure performed on a healthy 6-month-old child. Select the proper code(s).

    Responses

    – 00126-AA-P1, 99100

    – 00126-AA-P2, 99100

    – 69421-AA-P1, 99100

    – 00126-AA-P3

    12) A CRNA provides anesthesia services, with medical direction by a physician, for the reconstructive repair of pectus excavatum on a healthy patient. Select the proper code.

    Responses

    – 00474-QX-P3

    – 00474-QX-P2

    – 00474-QX-P1

    – 21740-QX-P2

    13) A CRNA provides monitored anesthesia care, without medical direction by a physician, during insertion of permanent transvenous pacemaker for a patient with pulmonary valve disorder. Select the proper code.

    Responses

    – 00530-P3

    – 00530-QS-QZ-P3

    – 33206-P3

    – 00530-QS

    14) An anesthesiologist provides anesthesia services for a lumbar sympathectomy on an otherwise healthy patient. Select the proper code.

    Responses

    – 32664-AA-P1

    – 00635-AA-P1

    – 00630-AA-P1

    – 00632-AA-P1

    15) An anesthesiologist provides anesthesia services for a stomach restriction procedure on a patient with morbid obesity (severe systemic disease). Select the proper code.

    Responses

    – 00797-AA-P4

    – 00797-AA-P1

    – 00797-AA-P2

    – 00797-AA-P3

    16) An anesthesiologist provides anesthesia services for a left femoral artery embolectomy procedure performed on a patient with an embolus in the left femoral artery (mild systemic disease). Select the proper code.

    Responses

    – 01272-AA-P2

    – 01274-AA-P2

    – 34201-AA-P2

    – 01270-AA-P2

    17) A CRNA, with medical direction by a physician, provides anesthesia services to an otherwise healthy patient who undergoes an open elbow-to-shoulder tenotomy, left. Select the proper code.

    Responses

    – 01710-QX-P2

    – 01714-QX-P3

    – 23405-QX-P2

    – 01712-QX-P1

    18) An anesthesiologist provides anesthesia services for a diagnostic arteriography of the left common carotid artery on a patient with possible carotid occlusion (mild systemic disease). Select the proper code.

    Responses

    – 01926-AA-P2

    – 01916-AA-P2

    – 01924-AA-P2

    – 01930-AA-P2

    19) An anesthesiologist provides anesthesia services to a healthy patient who undergoes neuraxial labor anesthesia for planned vaginal delivery. Select the proper code.

    Responses

    – 01967-AA-P3-23

    – 01967-AA-P1

    – 01967-AA-23-P1

    – 01967-AA-P2

    20) An anesthesiologist provides anesthesia services to a patient with type 1 diabetes (severe systemic disease) mellitus who undergoes transurethral resection of a bladder tumor. Select the proper code.

    Responses

    – 52500-AA-P3

    – 00910-AA-P2

    – 00912-AA-P2

    – 00912-AA-P3

  • [Solved] Special Education Course

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Please look at the attached document for directions. This is due within 28 hours, and it must be original work. – ## Week4.docx – ## Topic4CaseStudy.docx **## Week4.docx** Week 4: Special Education Course Please read the directions carefully as this is a two-part assignment. For the first part you m…

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    Assignment Prompt & Instructions

    Please look at the attached document for directions. This is due within 28 hours, and it must be original work.

    – ## Week4.docx

    – ## Topic4CaseStudy.docx

    **## Week4.docx**

    Week 4: Special Education Course

    Please read the directions carefully as this is a two-part assignment. For the first part you must create an interview the school district for reference is in Miami-Dade County. This is due within 28 hours.

    Part 1:

    The use of augmentative and alternative communication (AAC) allows students with moderate to severe disabilities to communicate with others regardless of their condition. Technology provides students with the tools necessary to meet their educational needs, as well as a way to connect with those around them. Understanding how AAC works best for each age group or disability can help an educator make the best decisions for students.
    Allocate at least 1.5 hour in the field to complete this assignment.

    In person, or via phone or internet-based communication such as FaceTime, Zoom, or Skype but not email, interview two individuals involved in the learning of students with moderate to severe disabilities. The interviewees can include special education teachers, special education directors, parents/families of special education students, or technology personnel at the district or state level that work with special education. Discuss the individual’s training and experience with students who use augmentative communication tools. Take notes, as these interviews will be submitted as part of the assignment deliverable.

    In your interviews, discuss the following:

    · The individual’s experience working with students with moderate to severe disabilities, including the prevalence of various types of disabilities they have encountered in their work.

    · At least one assistive technology (AT) and one augmentative communication (AC) tool that could be used to assist students with moderate to severe disabilities with their communication needs.

    · How, specifically, would this individual advocate for and support future use of both AT and AAC for students who require assistive technology and augmentative communication.

    After your interviews, write a 250-500 word reflection in which you discuss what you have learned from the interactions. Describe how you plan to advocate for the use of assistive technology and augmentative communication tools to support instruction and learning in your future professional practice.

    Submit your interview notes and reflection to the learning management system

    Part 2: (For this please look at the attached document entitled “Sally Case Study “ ) Background to information to use about myself is that I am a Secondary Teacher within Miami-Dade I am family oriented etc…

    Teachers of students with moderate to severe disabilities need to be able to identify the unique needs of their students and the best strategies for promoting their success in the classroom setting. These teachers should also strive for positive, open, and regular communication with their students’ families, which will allow them to collaborate in advocating for the students to achieve their fullest potential.

    For this assignment, using the “Sally Case Study,” write a 500-750 word letter to the student’s family in which you do the following:

    · Identify six unique needs of the student in the case study.

    · For each unique need, identify one strategy (instructional, positioning, communication, etc.) you or other teachers can use to support student success in the classroom setting.

    · To promote self-advocacy, identify three ways the student can use assistive technology to create a digital presentation about herself to contribute during their IEP process.

    · Identify three community resources, conferences, learning opportunities, or organizations the student’s family could use when advocating for and seeking assistance in meeting their child’s educational needs.

    · Conclude by explaining how you will follow-up with the parents/guardians about their child’s progress in the classroom throughout the year and about upcoming community events.

    Your letter should have an introduction to your family including personal information about yourself, professional information, and the reason for the letter. Conclude the letter with your contact information and times you can be reached.

    Support your letter with at least two scholarly resources.

    Prepare this assignment according to the guidelines found in the APA Style Guide

    **## Topic4CaseStudy.docx**

    _![](https://www.sweetstudy.com/questions/special-education-course-20924453)_

    **Sally Case Study**

    **General Background Information**

    Sally is a 13-year-old, eighth grade student. She has been present 55 days out of 68 days from the first day of school, August 9, 2020 through November 16, 2017. Sally is currently receiving special education services in a self-contained class serving students with multiple disabilities (MD). Her current primary eligibility category is multiple disability with severe sensory impairment (MDSSI) with additional eligibility categories of visual impairment (VI), severe intellectual disability (SID) and hearing impairment (HI). Sally is categorized as a deaf-blind student and has complex medical needs. Sally is hypoglycemic. Her blood was drawn three times at school before her feedings last year, but due to lack of insurance coverage of testing strips, nurses are currently checking her blood glucose levels twice a day at school. Her current feeding schedule is a bolus feed at 9:00 a.m., 12:00 p.m., and 3:00 p.m. Blood glucose levels are currently checked before 12:00 p.m. and 3:00 p.m. bolus feeds.

    Sally requires a significant level of assistance and modifications and/or adaptations for communication, motor and cognitive skills as well as daily living skills activities. Sally is generally a very happy student as demonstrated through laughing and smiling. She enjoys a standing embrace and will rock from one side to the other while being embraced; hence the nickname "Rocky." She does, however, show a pattern of distress when she is on her menstrual cycle as demonstrated through crying with tears, balling up into a fetal position when on the floor/mat, and refusing to be touched. Nurses, with parental consent, will administer Tylenol or Motrin during these episodes. Sally is also prone to extreme diaper rashes. When these rashes occur, her mother is contacted, and the trained staff apply the prescribed ointment to affected areas until rash subsides. Nurses have advised against using baby powder in diaper as it promotes the skin break down.

    Sally maintains the ability to crawl. Sally has a habit of taking her finger and poking her right eye. Often, she goes so deep as to cause herself pain as demonstrated with loud crying, tearing eyes, and rapidly waving her hands in the air. It is unknown why she persists on poking her finger in her eye.

    She has also been observed choking herself. She seems to do this to clear her throat when she has excessive amounts of drainage/mucus, which is somehow dislodged during the process and she is able to clear her throat as demonstrated with large, thick, ropelike mucus draining out of her nose and mouth. Her mother had also noticed her behavior and had her seen by her doctor. Upon receiving a new allergy medication, she has not demonstrated the choking behavior.

    Sally can sustain her school day and enjoys interaction with her non-disabled peers and other adults. Her general education teacher reports that Sally continues to do well in PE, and she is usually in a good mood during the class. She attempts to walk holding hands with an

    assistant. She expresses her desires through facial expressions and benefits from the social experience and physical activity provided during PE.

    Sally requires specialized instruction and access to a modified curriculum in order to be

    successful as well as an adapted curriculum, smaller class size, therapy-based activities, and related services.

    **Present Level of Performance Areas Based on Sally’s Individualized Education Program**

    Sally has a visual diagnosis of cortical visual impairment. When presented with objects in front of her or people, Sally does not visually fixate or focus her visual attention on them. She will turn her head in the direction of sounds. The light box is pleasing to Sally and she enjoys looking at the light. It is important to use movement and sound to gain Sally's visual attention during some learning activities. Sally shows more interest in materials that are placed on her light box.

    **Reading**

    Due to significant physical and cognitive delays, Sally does not participate in traditional reading.

    Sally receives all her reading instruction through the ULS (Unique Learning System) curriculum. Sally requires full physical assistance to participate in all reading activities.

    **Writing**

    Due to significant physical and cognitive delays, Sally does not participate in traditional writing activities. Sally participates in writing activities through the use of the ULS curriculum. Sally requires a full physical assistance to participate in all reading activities.

    **Math**

    Due to significant physical and cognitive delays, Sally does not participate in traditional math activities. Sally participates in all math activities through the use of the ULS curriculum. Sally requires full physical assistance to participate in all reading activities.

    **Social Emotional and Behavior:**

    Sally comes to school typically in a good mood. Sally enjoys interaction with adults as well as utilizing a vibrating toy, light box, etc. Sally can familiarize herself with her surroundings when she is on the floor exploring. Sally can participate in daily activities with the help of adult assistance.

    **Physical Development**

    Sally is seen by the physical therapist on a direct and consultative basis. Sally comes to school in a stroller style wheelchair propelled by an adult. Most of her campus mobility is in her stroller. Sally demonstrates the ability to roll, sit, crawl, and pull to stand independently, but is not always safe doing so due to visual impairment. She will cruise along furniture and familiar objects for short distances, but will go back into a crawling position when in unfamiliar areas. She can walk with her hands held for short distances with moderate assistance. Her medical status greatly affects how much she is able/willing to do during her classroom day.

    Occupational therapy (OT) will continue to provide consultative support to monitor her progress in the classroom setting and support the staff with adaptations as appropriate. Sally is encouraged to participate in all classroom tasks and continues to require adult assistance for fine motor tasks and messy tasks, due to her limited vision, attention span, and her tendency to put everything into her mouth as a means of sensory exploration.

    **Communication**

    Sally is a non­verbal, deaf/blind student. Sally communicates through crying and laughing.

    Sally expresses when she is done with an activity by pushing object away or dropping it on the floor. Sally expresses her pleasure with adult interaction and cuddling with giggles and smiles.

    Sally continues to demonstrate significant communication impairments secondary to her primary disability and cognitive impairments. She should continue to be exposed to tactile experiences throughout her school day to provide a concrete representation of language, and to provide a model of how to use the symbols to increase her expressive communication. Her communication needs are met within the classroom setting, which provides a variety of language rich activities and alternative communication modalities.

    © 2020. Grand Canyon University. All Rights Reserved.

    ## image1.jpeg

    **## Topic4CaseStudy.docx**

    _![](https://www.sweetstudy.com/questions/special-education-course-20924453)_

    **Sally Case Study**

    **General Background Information**

    Sally is a 13-year-old, eighth grade student. She has been present 55 days out of 68 days from the first day of school, August 9, 2020 through November 16, 2017. Sally is currently receiving special education services in a self-contained class serving students with multiple disabilities (MD). Her current primary eligibility category is multiple disability with severe sensory impairment (MDSSI) with additional eligibility categories of visual impairment (VI), severe intellectual disability (SID) and hearing impairment (HI). Sally is categorized as a deaf-blind student and has complex medical needs. Sally is hypoglycemic. Her blood was drawn three times at school before her feedings last year, but due to lack of insurance coverage of testing strips, nurses are currently checking her blood glucose levels twice a day at school. Her current feeding schedule is a bolus feed at 9:00 a.m., 12:00 p.m., and 3:00 p.m. Blood glucose levels are currently checked before 12:00 p.m. and 3:00 p.m. bolus feeds.

    Sally requires a significant level of assistance and modifications and/or adaptations for communication, motor and cognitive skills as well as daily living skills activities. Sally is generally a very happy student as demonstrated through laughing and smiling. She enjoys a standing embrace and will rock from one side to the other while being embraced; hence the nickname "Rocky." She does, however, show a pattern of distress when she is on her menstrual cycle as demonstrated through crying with tears, balling up into a fetal position when on the floor/mat, and refusing to be touched. Nurses, with parental consent, will administer Tylenol or Motrin during these episodes. Sally is also prone to extreme diaper rashes. When these rashes occur, her mother is contacted, and the trained staff apply the prescribed ointment to affected areas until rash subsides. Nurses have advised against using baby powder in diaper as it promotes the skin break down.

    Sally maintains the ability to crawl. Sally has a habit of taking her finger and poking her right eye. Often, she goes so deep as to cause herself pain as demonstrated with loud crying, tearing eyes, and rapidly waving her hands in the air. It is unknown why she persists on poking her finger in her eye.

    She has also been observed choking herself. She seems to do this to clear her throat when she has excessive amounts of drainage/mucus, which is somehow dislodged during the process and she is able to clear her throat as demonstrated with large, thick, ropelike mucus draining out of her nose and mouth. Her mother had also noticed her behavior and had her seen by her doctor. Upon receiving a new allergy medication, she has not demonstrated the choking behavior.

    Sally can sustain her school day and enjoys interaction with her non-disabled peers and other adults. Her general education teacher reports that Sally continues to do well in PE, and she is usually in a good mood during the class. She attempts to walk holding hands with an

    assistant. She expresses her desires through facial expressions and benefits from the social experience and physical activity provided during PE.

    Sally requires specialized instruction and access to a modified curriculum in order to be

    successful as well as an adapted curriculum, smaller class size, therapy-based activities, and related services.

    **Present Level of Performance Areas Based on Sally’s Individualized Education Program**

    Sally has a visual diagnosis of cortical visual impairment. When presented with objects in front of her or people, Sally does not visually fixate or focus her visual attention on them. She will turn her head in the direction of sounds. The light box is pleasing to Sally and she enjoys looking at the light. It is important to use movement and sound to gain Sally's visual attention during some learning activities. Sally shows more interest in materials that are placed on her light box.

    **Reading**

    Due to significant physical and cognitive delays, Sally does not participate in traditional reading.

    Sally receives all her reading instruction through the ULS (Unique Learning System) curriculum. Sally requires full physical assistance to participate in all reading activities.

    **Writing**

    Due to significant physical and cognitive delays, Sally does not participate in traditional writing activities. Sally participates in writing activities through the use of the ULS curriculum. Sally requires a full physical assistance to participate in all reading activities.

    **Math**

    Due to significant physical and cognitive delays, Sally does not participate in traditional math activities. Sally participates in all math activities through the use of the ULS curriculum. Sally requires full physical assistance to participate in all reading activities.

    **Social Emotional and Behavior:**

    Sally comes to school typically in a good mood. Sally enjoys interaction with adults as well as utilizing a vibrating toy, light box, etc. Sally can familiarize herself with her surroundings when she is on the floor exploring. Sally can participate in daily activities with the help of adult assistance.

    **Physical Development**

    Sally is seen by the physical therapist on a direct and consultative basis. Sally comes to school in a stroller style wheelchair propelled by an adult. Most of her campus mobility is in her stroller. Sally demonstrates the ability to roll, sit, crawl, and pull to stand independently, but is not always safe doing so due to visual impairment. She will cruise along furniture and familiar objects for short distances, but will go back into a crawling position when in unfamiliar areas. She can walk with her hands held for short distances with moderate assistance. Her medical status greatly affects how much she is able/willing to do during her classroom day.

    Occupational therapy (OT) will continue to provide consultative support to monitor her progress in the classroom setting and support the staff with adaptations as appropriate. Sally is encouraged to participate in all classroom tasks and continues to require adult assistance for fine motor tasks and messy tasks, due to her limited vision, attention span, and her tendency to put everything into her mouth as a means of sensory exploration.

    **Communication**

    Sally is a non­verbal, deaf/blind student. Sally communicates through crying and laughing.

    Sally expresses when she is done with an activity by pushing object away or dropping it on the floor. Sally expresses her pleasure with adult interaction and cuddling with giggles and smiles.

    Sally continues to demonstrate significant communication impairments secondary to her primary disability and cognitive impairments. She should continue to be exposed to tactile experiences throughout her school day to provide a concrete representation of language, and to provide a model of how to use the symbols to increase her expressive communication. Her communication needs are met within the classroom setting, which provides a variety of language rich activities and alternative communication modalities.

    © 2020. Grand Canyon University. All Rights Reserved.

    ## image1.jpeg

    **## Week4.docx**

    Week 4: Special Education Course

    Please read the directions carefully as this is a two-part assignment. For the first part you must create an interview the school district for reference is in Miami-Dade County. This is due within 28 hours.

    Part 1:

    The use of augmentative and alternative communication (AAC) allows students with moderate to severe disabilities to communicate with others regardless of their condition. Technology provides students with the tools necessary to meet their educational needs, as well as a way to connect with those around them. Understanding how AAC works best for each age group or disability can help an educator make the best decisions for students.
    Allocate at least 1.5 hour in the field to complete this assignment.

    In person, or via phone or internet-based communication such as FaceTime, Zoom, or Skype but not email, interview two individuals involved in the learning of students with moderate to severe disabilities. The interviewees can include special education teachers, special education directors, parents/families of special education students, or technology personnel at the district or state level that work with special education. Discuss the individual’s training and experience with students who use augmentative communication tools. Take notes, as these interviews will be submitted as part of the assignment deliverable.

    In your interviews, discuss the following:

    · The individual’s experience working with students with moderate to severe disabilities, including the prevalence of various types of disabilities they have encountered in their work.

    · At least one assistive technology (AT) and one augmentative communication (AC) tool that could be used to assist students with moderate to severe disabilities with their communication needs.

    · How, specifically, would this individual advocate for and support future use of both AT and AAC for students who require assistive technology and augmentative communication.

    After your interviews, write a 250-500 word reflection in which you discuss what you have learned from the interactions. Describe how you plan to advocate for the use of assistive technology and augmentative communication tools to support instruction and learning in your future professional practice.

    Submit your interview notes and reflection to the learning management system

    Part 2: (For this please look at the attached document entitled “Sally Case Study “ ) Background to information to use about myself is that I am a Secondary Teacher within Miami-Dade I am family oriented etc…

    Teachers of students with moderate to severe disabilities need to be able to identify the unique needs of their students and the best strategies for promoting their success in the classroom setting. These teachers should also strive for positive, open, and regular communication with their students’ families, which will allow them to collaborate in advocating for the students to achieve their fullest potential.

    For this assignment, using the “Sally Case Study,” write a 500-750 word letter to the student’s family in which you do the following:

    · Identify six unique needs of the student in the case study.

    · For each unique need, identify one strategy (instructional, positioning, communication, etc.) you or other teachers can use to support student success in the classroom setting.

    · To promote self-advocacy, identify three ways the student can use assistive technology to create a digital presentation about herself to contribute during their IEP process.

    · Identify three community resources, conferences, learning opportunities, or organizations the student’s family could use when advocating for and seeking assistance in meeting their child’s educational needs.

    · Conclude by explaining how you will follow-up with the parents/guardians about their child’s progress in the classroom throughout the year and about upcoming community events.

    Your letter should have an introduction to your family including personal information about yourself, professional information, and the reason for the letter. Conclude the letter with your contact information and times you can be reached.

    Support your letter with at least two scholarly resources.

    Prepare this assignment according to the guidelines found in the APA Style Guide

    **## Topic4CaseStudy.docx**

    _![](https://www.sweetstudy.com/questions/special-education-course-20924453)_

    **Sally Case Study**

    **General Background Information**

    Sally is a 13-year-old, eighth grade student. She has been present 55 days out of 68 days from the first day of school, August 9, 2020 through November 16, 2017. Sally is currently receiving special education services in a self-contained class serving students with multiple disabilities (MD). Her current primary eligibility category is multiple disability with severe sensory impairment (MDSSI) with additional eligibility categories of visual impairment (VI), severe intellectual disability (SID) and hearing impairment (HI). Sally is categorized as a deaf-blind student and has complex medical needs. Sally is hypoglycemic. Her blood was drawn three times at school before her feedings last year, but due to lack of insurance coverage of testing strips, nurses are currently checking her blood glucose levels twice a day at school. Her current feeding schedule is a bolus feed at 9:00 a.m., 12:00 p.m., and 3:00 p.m. Blood glucose levels are currently checked before 12:00 p.m. and 3:00 p.m. bolus feeds.

    Sally requires a significant level of assistance and modifications and/or adaptations for communication, motor and cognitive skills as well as daily living skills activities. Sally is generally a very happy student as demonstrated through laughing and smiling. She enjoys a standing embrace and will rock from one side to the other while being embraced; hence the nickname "Rocky." She does, however, show a pattern of distress when she is on her menstrual cycle as demonstrated through crying with tears, balling up into a fetal position when on the floor/mat, and refusing to be touched. Nurses, with parental consent, will administer Tylenol or Motrin during these episodes. Sally is also prone to extreme diaper rashes. When these rashes occur, her mother is contacted, and the trained staff apply the prescribed ointment to affected areas until rash subsides. Nurses have advised against using baby powder in diaper as it promotes the skin break down.

    Sally maintains the ability to crawl. Sally has a habit of taking her finger and poking her right eye. Often, she goes so deep as to cause herself pain as demonstrated with loud crying, tearing eyes, and rapidly waving her hands in the air. It is unknown why she persists on poking her finger in her eye.

    She has also been observed choking herself. She seems to do this to clear her throat when she has excessive amounts of drainage/mucus, which is somehow dislodged during the process and she is able to clear her throat as demonstrated with large, thick, ropelike mucus draining out of her nose and mouth. Her mother had also noticed her behavior and had her seen by her doctor. Upon receiving a new allergy medication, she has not demonstrated the choking behavior.

    Sally can sustain her school day and enjoys interaction with her non-disabled peers and other adults. Her general education teacher reports that Sally continues to do well in PE, and she is usually in a good mood during the class. She attempts to walk holding hands with an

    assistant. She expresses her desires through facial expressions and benefits from the social experience and physical activity provided during PE.

    Sally requires specialized instruction and access to a modified curriculum in order to be

    successful as well as an adapted curriculum, smaller class size, therapy-based activities, and related services.

    **Present Level of Performance Areas Based on Sally’s Individualized Education Program**

    Sally has a visual diagnosis of cortical visual impairment. When presented with objects in front of her or people, Sally does not visually fixate or focus her visual attention on them. She will turn her head in the direction of sounds. The light box is pleasing to Sally and she enjoys looking at the light. It is important to use movement and sound to gain Sally's visual attention during some learning activities. Sally shows more interest in materials that are placed on her light box.

    **Reading**

    Due to significant physical and cognitive delays, Sally does not participate in traditional reading.

    Sally receives all her reading instruction through the ULS (Unique Learning System) curriculum. Sally requires full physical assistance to participate in all reading activities.

    **Writing**

    Due to significant physical and cognitive delays, Sally does not participate in traditional writing activities. Sally participates in writing activities through the use of the ULS curriculum. Sally requires a full physical assistance to participate in all reading activities.

    **Math**

    Due to significant physical and cognitive delays, Sally does not participate in traditional math activities. Sally participates in all math activities through the use of the ULS curriculum. Sally requires full physical assistance to participate in all reading activities.

    **Social Emotional and Behavior:**

    Sally comes to school typically in a good mood. Sally enjoys interaction with adults as well as utilizing a vibrating toy, light box, etc. Sally can familiarize herself with her surroundings when she is on the floor exploring. Sally can participate in daily activities with the help of adult assistance.

    **Physical Development**

    Sally is seen by the physical therapist on a direct and consultative basis. Sally comes to school in a stroller style wheelchair propelled by an adult. Most of her campus mobility is in her stroller. Sally demonstrates the ability to roll, sit, crawl, and pull to stand independently, but is not always safe doing so due to visual impairment. She will cruise along furniture and familiar objects for short distances, but will go back into a crawling position when in unfamiliar areas. She can walk with her hands held for short distances with moderate assistance. Her medical status greatly affects how much she is able/willing to do during her classroom day.

    Occupational therapy (OT) will continue to provide consultative support to monitor her progress in the classroom setting and support the staff with adaptations as appropriate. Sally is encouraged to participate in all classroom tasks and continues to require adult assistance for fine motor tasks and messy tasks, due to her limited vision, attention span, and her tendency to put everything into her mouth as a means of sensory exploration.

    **Communication**

    Sally is a non­verbal, deaf/blind student. Sally communicates through crying and laughing.

    Sally expresses when she is done with an activity by pushing object away or dropping it on the floor. Sally expresses her pleasure with adult interaction and cuddling with giggles and smiles.

    Sally continues to demonstrate significant communication impairments secondary to her primary disability and cognitive impairments. She should continue to be exposed to tactile experiences throughout her school day to provide a concrete representation of language, and to provide a model of how to use the symbols to increase her expressive communication. Her communication needs are met within the classroom setting, which provides a variety of language rich activities and alternative communication modalities.

    © 2020. Grand Canyon University. All Rights Reserved.

    ## image1.jpeg

    **## Week4.docx**

    Week 4: Special Education Course

    Please read the directions carefully as this is a two-part assignment. For the first part you must create an interview the school district for reference is in Miami-Dade County. This is due within 28 hours.

    Part 1:

    The use of augmentative and alternative communication (AAC) allows students with moderate to severe disabilities to communicate with others regardless of their condition. Technology provides students with the tools necessary to meet their educational needs, as well as a way to connect with those around them. Understanding how AAC works best for each age group or disability can help an educator make the best decisions for students.
    Allocate at least 1.5 hour in the field to complete this assignment.

    In person, or via phone or internet-based communication such as FaceTime, Zoom, or Skype but not email, interview two individuals involved in the learning of students with moderate to severe disabilities. The interviewees can include special education teachers, special education directors, parents/families of special education students, or technology personnel at the district or state level that work with special education. Discuss the individual’s training and experience with students who use augmentative communication tools. Take notes, as these interviews will be submitted as part of the assignment deliverable.

    In your interviews, discuss the following:

    · The individual’s experience working with students with moderate to severe disabilities, including the prevalence of various types of disabilities they have encountered in their work.

    · At least one assistive technology (AT) and one augmentative communication (AC) tool that could be used to assist students with moderate to severe disabilities with their communication needs.

    · How, specifically, would this individual advocate for and support future use of both AT and AAC for students who require assistive technology and augmentative communication.

    After your interviews, write a 250-500 word reflection in which you discuss what you have learned from the interactions. Describe how you plan to advocate for the use of assistive technology and augmentative communication tools to support instruction and learning in your future professional practice.

    Submit your interview notes and reflection to the learning management system

    Part 2: (For this please look at the attached document entitled “Sally Case Study “ ) Background to information to use about myself is that I am a Secondary Teacher within Miami-Dade I am family oriented etc…

    Teachers of students with moderate to severe disabilities need to be able to identify the unique needs of their students and the best strategies for promoting their success in the classroom setting. These teachers should also strive for positive, open, and regular communication with their students’ families, which will allow them to collaborate in advocating for the students to achieve their fullest potential.

    For this assignment, using the “Sally Case Study,” write a 500-750 word letter to the student’s family in which you do the following:

    · Identify six unique needs of the student in the case study.

    · For each unique need, identify one strategy (instructional, positioning, communication, etc.) you or other teachers can use to support student success in the classroom setting.

    · To promote self-advocacy, identify three ways the student can use assistive technology to create a digital presentation about herself to contribute during their IEP process.

    · Identify three community resources, conferences, learning opportunities, or organizations the student’s family could use when advocating for and seeking assistance in meeting their child’s educational needs.

    · Conclude by explaining how you will follow-up with the parents/guardians about their child’s progress in the classroom throughout the year and about upcoming community events.

    Your letter should have an introduction to your family including personal information about yourself, professional information, and the reason for the letter. Conclude the letter with your contact information and times you can be reached.

    Support your letter with at least two scholarly resources.

    Prepare this assignment according to the guidelines found in the APA Style Guide

    **## Topic4CaseStudy.docx**

    _![](https://www.sweetstudy.com/questions/special-education-course-20924453)_

    **Sally Case Study**

    **General Background Information**

    Sally is a 13-year-old, eighth grade student. She has been present 55 days out of 68 days from the first day of school, August 9, 2020 through November 16, 2017. Sally is currently receiving special education services in a self-contained class serving students with multiple disabilities (MD). Her current primary eligibility category is multiple disability with severe sensory impairment (MDSSI) with additional eligibility categories of visual impairment (VI), severe intellectual disability (SID) and hearing impairment (HI). Sally is categorized as a deaf-blind student and has complex medical needs. Sally is hypoglycemic. Her blood was drawn three times at school before her feedings last year, but due to lack of insurance coverage of testing strips, nurses are currently checking her blood glucose levels twice a day at school. Her current feeding schedule is a bolus feed at 9:00 a.m., 12:00 p.m., and 3:00 p.m. Blood glucose levels are currently checked before 12:00 p.m. and 3:00 p.m. bolus feeds.

    Sally requires a significant level of assistance and modifications and/or adaptations for communication, motor and cognitive skills as well as daily living skills activities. Sally is generally a very happy student as demonstrated through laughing and smiling. She enjoys a standing embrace and will rock from one side to the other while being embraced; hence the nickname "Rocky." She does, however, show a pattern of distress when she is on her menstrual cycle as demonstrated through crying with tears, balling up into a fetal position when on the floor/mat, and refusing to be touched. Nurses, with parental consent, will administer Tylenol or Motrin during these episodes. Sally is also prone to extreme diaper rashes. When these rashes occur, her mother is contacted, and the trained staff apply the prescribed ointment to affected areas until rash subsides. Nurses have advised against using baby powder in diaper as it promotes the skin break down.

    Sally maintains the ability to crawl. Sally has a habit of taking her finger and poking her right eye. Often, she goes so deep as to cause herself pain as demonstrated with loud crying, tearing eyes, and rapidly waving her hands in the air. It is unknown why she persists on poking her finger in her eye.

    She has also been observed choking herself. She seems to do this to clear her throat when she has excessive amounts of drainage/mucus, which is somehow dislodged during the process and she is able to clear her throat as demonstrated with large, thick, ropelike mucus draining out of her nose and mouth. Her mother had also noticed her behavior and had her seen by her doctor. Upon receiving a new allergy medication, she has not demonstrated the choking behavior.

    Sally can sustain her school day and enjoys interaction with her non-disabled peers and other adults. Her general education teacher reports that Sally continues to do well in PE, and she is usually in a good mood during the class. She attempts to walk holding hands with an

    assistant. She expresses her desires through facial expressions and benefits from the social experience and physical activity provided during PE.

    Sally requires specialized instruction and access to a modified curriculum in order to be

    successful as well as an adapted curriculum, smaller class size, therapy-based activities, and related services.

    **Present Level of Performance Areas Based on Sally’s Individualized Education Program**

    Sally has a visual diagnosis of cortical visual impairment. When presented with objects in front of her or people, Sally does not visually fixate or focus her visual attention on them. She will turn her head in the direction of sounds. The light box is pleasing to Sally and she enjoys looking at the light. It is important to use movement and sound to gain Sally's visual attention during some learning activities. Sally shows more interest in materials that are placed on her light box.

    **Reading**

    Due to significant physical and cognitive delays, Sally does not participate in traditional reading.

    Sally receives all her reading instruction through the ULS (Unique Learning System) curriculum. Sally requires full physical assistance to participate in all reading activities.

    **Writing**

    Due to significant physical and cognitive delays, Sally does not participate in traditional writing activities. Sally participates in writing activities through the use of the ULS curriculum. Sally requires a full physical assistance to participate in all reading activities.

    **Math**

    Due to significant physical and cognitive delays, Sally does not participate in traditional math activities. Sally participates in all math activities through the use of the ULS curriculum. Sally requires full physical assistance to participate in all reading activities.

    **Social Emotional and Behavior:**

    Sally comes to school typically in a good mood. Sally enjoys interaction with adults as well as utilizing a vibrating toy, light box, etc. Sally can familiarize herself with her surroundings when she is on the floor exploring. Sally can participate in daily activities with the help of adult assistance.

    **Physical Development**

    Sally is seen by the physical therapist on a direct and consultative basis. Sally comes to school in a stroller style wheelchair propelled by an adult. Most of her campus mobility is in her stroller. Sally demonstrates the ability to roll, sit, crawl, and pull to stand independently, but is not always safe doing so due to visual impairment. She will cruise along furniture and familiar objects for short distances, but will go back into a crawling position when in unfamiliar areas. She can walk with her hands held for short distances with moderate assistance. Her medical status greatly affects how much she is able/willing to do during her classroom day.

    Occupational therapy (OT) will continue to provide consultative support to monitor her progress in the classroom setting and support the staff with adaptations as appropriate. Sally is encouraged to participate in all classroom tasks and continues to require adult assistance for fine motor tasks and messy tasks, due to her limited vision, attention span, and her tendency to put everything into her mouth as a means of sensory exploration.

    **Communication**

    Sally is a non­verbal, deaf/blind student. Sally communicates through crying and laughing.

    Sally expresses when she is done with an activity by pushing object away or dropping it on the floor. Sally expresses her pleasure with adult interaction and cuddling with giggles and smiles.

    Sally continues to demonstrate significant communication impairments secondary to her primary disability and cognitive impairments. She should continue to be exposed to tactile experiences throughout her school day to provide a concrete representation of language, and to provide a model of how to use the symbols to increase her expressive communication. Her communication needs are met within the classroom setting, which provides a variety of language rich activities and alternative communication modalities.

    © 2020. Grand Canyon University. All Rights Reserved.

    ## image1.jpeg

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