Medicare and other payers may consider a procedure to be non covered service when performed in an ASC for several reasons such as:
Excessive therapy or diagnostic procedure Services that are reimbursable by other organizationsWhat are Ambulatory Surgical Centers for?Ambulatory Surgical Centers (ASC) are modern health care facilities whose purpose is for providing surgical care on the same day as an incident which covers diagnostic and preventive procedures. Hospital owned outpatient facilities are an example of ASC.
For a procedure to be a non covered service, it would mean that the therapy or diagnostic procedure is excessive or that other organizations will reimburse the services.
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the nurse is concerned that women over the age of 50 coming to the clinic may not be getting enough calcium in their diet. the nurse recognizes that the rda for calcium in women over 50 years is (enter the correct number only):
Answer:589-649 mg per day
Explanation:
a 54-year-old man comes to his doctor complaining of an inability to open his left eye. when he physically pries open his affected eye with his fingers (see photo), the gaze of his left eye is directed inferiorly and laterally, causing diplopia. his left pupil is also dilated in comparison to the right one. what nerve is most likely affected in this patient?
The gaze of his left eye is directed inferiorly and laterally, causing diplopia and his left pupil is also dilated in comparison to the right one so the nerve is most likely affected in this patient is left oculomotor nerve.
The oculomotor nerve is that the third cranial nerve (CN III). It permits movement of the attention muscles, constriction of the pupil, focusing the eyes and also the position of the higher protective fold. It works with alternative bone nerves to manage eye movements and support sensory functioning.
Diplopia is that the medical term for visual impairment or seeing double. Vision defect is outlined as seeing 2 pictures of one object once you are looking at it. vVsual impairment is sometimes a brief issue, however it can even be a proof of additional serious health conditions.
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a client at 39 weeks' gestation presents to the labor and birth unit reporting abdominal pain. what should the nurse do first?
When a client at 39 weeks' gestation presents to the labor and birth unit reporting abdominal pain, then the nurse should determine if the client is in true or false labor.
What should be the action taken when client of 39 weeks' gestation has abdominal pain?When a nurse first comes in contact with a pregnant client who is complaining of abdominal pain, it is important to first ascertain whether the woman is in true or false labor.
Information of the number of pregnancies or history of drug allergy is not an important criteria for admitting the client. The healthcare provider should be notified when the nurse knows the current status of client.
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a 30 year-old male has a history of weakness without pain on the left side of his face for the past 4 days. physical examination of the face reveals unilateral weakness to the left side, but not complete paralysis. the left eye does not close completely. the most appropriate initial treatment is to
His clinical course is quite acute. The facial weakness implies a central lesion, and as his weakness is on the same side as his arm and leg.
A lesion is any deterioration or abnormal change in an organism's tissue, typically brought on by illness or trauma. Lesion comes from the Latin word laesio, which means "injury." Research on humans who have had brain lesions frequently focuses on determining the function of the region of their brain where the lesion originated. : of, relating to, or conducted in or as if in a clinical; as.: involving or concerned with the direct observation and treatment of living patients.
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the school nurse is teaching a child with stinging-insect allergies how to avoid insects while on the class trip. which instruction will the nurse provide?
The nurse should give this client's parent the following information if their child has been exposed to stinging insects: Get your kid a medical alert ID bracelets so that it will be simple to spot if they have an allergy.
What is allergies?Whenever a people react to environmental elements that are typically safe for most people, allergies might result. Allergens are these chemicals, which are present in dust mites, animals, pollen, insects, ticks, mold, food, and some drugs. The hereditary propensity to develop allergy disorders is known as atopy. Atopic individuals may experience an immunological response that results in allergic inflammation when they are exposed to allergens.
What are the main types of allergies and which is the most popular allergy?(1) Pollen Allergy. Tree, grass, & weed pollen can cause allergies. (2) Mold Allergy. Mold is a frequent indoor allergen, but it can also be found outside. (3) Food Allergy (4) Dust-mite allergies (5) Pet Allergy (6) Meet the Physician Collaborator, and so forth.
Among the most typical food allergies is a reaction to peanuts. Almonds, cashews, walnuts, and other tree-grown nuts are not the same as peanuts. Peanuts are a member of the legume plant family, which is a separate plant genus. Beans, peas, lentils, and soybeans are more types of legumes.
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a 45-year-old client is admitted to the facility with excruciating paroxysmal facial pain. he reports that the episodes occur most often after feeling cold drafts and drinking cold beverages. based on these findings, the nurse determines that the client is most likely suffering from which neurologic disorder?
Based on these findings, the nurse determines that the client is most likely suffering from Trigeminal neuralgia.
A persistent illness known as trigeminal neuralgia, sometimes known as tic douloureux, results in recurring episodes of excruciating facial agony. The capacity to operate and enjoy everyday activities can both be greatly impacted by this pain. A multispecialty team with extensive training in this challenging and frequently disabling ailment is assembled for the Stanford Health Care Trigeminal Neuralgia Program.
In order to relieve your symptoms and enhance your quality of life, we collaborate with you to create a specialized treatment plan. The trigeminal nerve is a member of one of the 12 pairs of cranial nerves that link the brain to the head, neck, and torso.
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a patient has a pseudomonas aeruginosa infection that is sensitive to aminoglycosides, and the prescriber orders gentamicin. the patient tells the nurse that a friend received amikacin for a similar infection and wonders why amikacin was not ordered. what will the nurse tell the patient?
Answer: Amikacin is given when infectious agents are involved.
Explanation:
Amikacin injection is used to treat serious bacterial infections in many different parts of the body. This medicine is for short-term use only (7 to 10 days). Amikacin belongs to the class of medicines known as aminoglycoside antibiotics. It works by killing bacteria or preventing their growth.
a nurse is teaching a client about the importance of checking the skin for changes that might suggest skin cancer. after describing the typical lesions associated with melanoma, the nurse determines that the teaching was successful when the client identifies which characteristic? select all that apply.
Edges with irregularities larger than a quarter-inch diameter
The molecular structure has shifted are the characteristics that show melanoma.
Melanoma, the worst form of skin cancer, grows in the cells (melanocytes) that create melanin, the pigment that gives your skin its color. Melanoma can also develop in the eyes and, in rare cases, within the body, such as the nose or throat.
Although the specific etiology of all melanomas is unknown, exposure to ultraviolet (UV) radiation from sunshine or tanning lights and beds raises your chance of acquiring melanoma. Limiting your exposure to UV light may help lower your chance of developing melanoma.
Melanoma risk appears to be rising in those under the age of 40, particularly among women.
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a client is receiving a cephalosporin antibiotic iv and complains of pain and irritation at the infusion site. the nurse observes erythema, swelling, and a red streak along the vessel above the iv access site. which action should the nurse take?
A client receiving a cephalosporin antibiotic IV and then complains about erythema, swelling, and a red streak along the vessel above the access site. The nurse should take this action: Initiate an alternate site for the IV infusion of the medication.
What is cephalosporin antibiotic IV?Cephalosporin antibiotic IV is a process of delivering cephalosporin antibiotics into the bloodstream through the IV tube. The IV tube, which stands for Intravenous Line, will be placed inside the patient’s vein as the most effective way to rehydrate them due to illness or during surgery.
If the IV site swells and causes erythema, the nurse should initiate an alternate location for the IV infusion so the swelling will not get worse.
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the nurse is speaking to the caregivers of a client who is experiencing complicated grief. the nurse is explaining some of the consequences of complicated grief. what are the health-related consequences associated with this type of grieving? select all that apply.
Panic disorder and Precipitation of a cardiac disease and Psychosomatic disorder.
Which drug is used in psychosomatic disorder?Pharmacologic therapy with antidepressants, such as tricyclic antidepressants (TCAs), selective serotonin inhibitors (Serotonin reuptake inhibitors ( ssris), serotonin - norepinephrine reuptake inhibitors (SSRIs), and other antidepressants, is the primary treatment for psychosomatic disorders. Psychosomatic therapy relies on the mind-body connection to function. A therapist can assist someone in making progress toward both emotional and physical healing by concentrating on this relationship. Then, it may be feasible to heal the body through the mind and the mind thru the body.
What exactly is a psychosomatic disorder?A psychosomatic illness is a psychological ailment that causes physical symptoms to appear but usually has no known medical cause. People who have this illness may worry, feel, or think excessively about the symptoms, which impairs their capacity to perform normally.
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the nurse is preparing new parents and their infant for discharge by answering questions and presenting basic discharge instruction. which explanation should the nurse provide when questioned about the infant's yellow hue?
When questioned about the infant's yellow hue, the nurse should provide instructions while discharging the infant that the tint is due to jaundice.
In the question, it is stated that the nurse is preparing the parents for the discharge presentation by answering questions related to further instructions for caring for the child. While questioning the infant's yellow hue, the nurse should instruct that the tint is due to Jaundice.
Jaundice causes yellow coloring of the skin, mucus membranes, or the eyes. This yellow coloring is mainly caused by Bilirubin, a by-product of old Red Blood Cells. The excess of Bilirubin causes the yellow pigment.
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the nurse is caring for an 8-year-old girl who has been diagnosed with leukemia and will have a variety of tests, including a lumbar puncture, before beginning chemotherapy. what action would be the priority?
The action that should be a priority for the nurse while caring for an 8-year-old girl who has been diagnosed with leukemia and will have a variety of tests, including a lumbar puncture is educating the child and family about the testing procedures.
What is leukemia?Leukemia is defined as the cancer that affects the white blood cells which inhibits it's ability to fight fight infection from the body.
The clinical investigations following the diagnosis of leukemia is lumbar puncture to obtain cerebrospinal fluid.
Lumbar puncture is defined as the diagnostic procedure that involves the insertion of needle into the spinal canal to extract cerebrospinal fluid for diagnosis.
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a toddler is admitted to the facility for treatment of a severe respiratory infection. the child's recent history includes fatty stools and failure to gain weight steadily. the physician diagnoses cystic fibrosis. by the time of the child's discharge, the child's parents must be able to perform which task independently?
The parents could perform some chest therapy, proper food, and medication for the toddler in the home.
Most cystic fibrosis patients prefer to stay at home rather than in the hospital. Patients can recover more comfortably at home, eating home-cooked meals, sleeping in their own beds, and staying with family and friends. When our patient requires intravenous antibiotics and it has been approved by the hospital, they can be treated at home. Adding IV antibiotics at home can be a positive option and help with recovery.
Give medication as directed. Doing at least three chest treatments a day for a persistent cough is great for clearing mucus in the lungs. Eat healthy meals and snacks and drink all the necessary fluids. Rest and sleep well. Keep appointments with nurses at home, labs, and cystic fibrosis clinics.
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a client, newly admitted to the nursing unit, has a primary diagnosis of renal failure. when assessing the client, the nurse notes a blood pressure (bp) of 180/100. the nurse knows that this is what kind of hypertension?
A client, newly admitted to the nursing unit, has a primary diagnosis of renal failure. when assessing the client, the nurse notes a blood pressure (bp) of 180/100. the nurse knows that this is"I chose broiled chicken with a baked potato for dinner.
A normal blood pressure level is less than one hundred twenty/eighty mmHg. no matter your age, you can take steps each day to maintain your blood strain in a healthy range.
Blood strain has an everyday sample. typically, blood pressure begins to rise some hours before a person wakes up. It continues to rise for the duration of the day, peaking at midday. Blood pressure generally drops within the overdue afternoon and evening.
Egg consumption has no giant effects on systolic and diastolic blood pressure in adults. because of several boundaries amongst present research, general conclusions can't be drawn concerning the useful or impartial effect of egg intake on blood strain in adults.
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the nurse is creating a plan of care for a client who was experiencing anxiety after the loss of a job. the client is now verbalizing concerns regarding the ability to meet role expectations and financial obligations. what is the priority nursing problem for this client?
Using the duties of nursing, we got that Lack of ability to cope effectively is the priority which nurse should tell to a person who is experiencing anxiety after the loss of a job and verbalizing concerns regarding the ability to meet role expectations and financial obligations.
Nursing is the profession within the health care sector focused on the care of individuals, families, and the communities so they may attain, maintain, or recover optimal health and the quality of life.
They also take on vital roles of the education, assessing situations, as support.
Hence, for a client who was experiencing anxiety after the loss of a job, and verbalizing concerns regarding the ability to meet role expectations and financial obligations, nurse should tell him that Lack of ability to cope effectively is the priority.
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the nurse is caring for a woman who just delivered a healthy 7-pound baby 8 hours ago and is experiencing episodes of palpitations, heart rate is fluctuating between 90 and 120, blood pressure is 100/70. the client is questioning the nurse about her palpitations. what would be the most accurate response?
Answer:
Were keeping a check on it
Explanation:
susan was recently diagnosed with breast cancer and has finished her first round of chemo. her diet has consisted of eating fast food several times a week, and when she is not at the local fast food joint, she often skips meals and drinks diet soda all day. what changes would you recommend to her diet? why would you make those recommendations?
Answer: Cut down on the fast food eat plenty of proteins in small portions throughout the day and NO DIET SODA
Explanation: Diet soda has saccharine which has been proven to cause brain cancer and worsen other cancers
With Hallucinogen use you develop a false sense of ______.
a patient has suffered repeated upper respiratory infections. the patient is now complaining of ear pain, muffled sound, and crackling noises. the patient does not exhibit any signs of equilibrium problems. what is the probable cause of these symptoms?
An affected person has suffered repeated upper respiration infections. the affected person is now complaining of earache, muffled sounds, and crackling noises. the affected person does now not show off any signs of equilibrium issues or infection of the middle ear equilibrium is detected in the internal ear.
A device referred to as a pneumatic otoscope is frequently the simplest specialized device a doctor wishes to diagnose ear contamination. This instrument permits the physician to look inside the ear and decide whether or not there is fluid at the back of the eardrum. With the pneumatic otoscope, the physician lightly puffs air against the eardrum.
Respiratory tract infections (RTIs) are infections of components of the body concerned with breathing, such as the sinuses, throat, airways or lungs. maximum RTIs get better without treatment, however from time to time you may need to see a GP.
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a client is considering the options available for their child's health insurance coverage in the marketplace provided by the affordable care act, but the client is worried because the child has a preexisting diagnosis of diabetes. what should the nurse tell the client about preexisting conditions and the affordable care act?
The nurse tells the client that The coverage agencies are calling to cover and man or woman irrespective of preexisting conditions.
Affected person protection and cheap Care Act (PPACA) legislation made fundamental changes to the public and private provision of health insurance, and consists of provisions to make bigger coverage, set up new methods to fund the program, and create packages to lessen health care expenses while improving care.
The affordable care act public coverage applications consist of Medicare, Medicaid, CHIP, and military medical insurance programs (Veteran's health administration, TRICARE). The Centers for Medicare and Medicaid Services is the most important governmental source of health coverage investment.
The affected person protection and less expensive medical Care Act establishes a brand new, voluntary, self-funded lengthy-term care coverage application, the magnificence Independence Advantage Plan, for the purchase of community residing assistance offerings and supports by using individuals with practical barriers.
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the nurse is concerned that a client with a chronic illness is becoming more debilitated due to increasing body mass index. which health promotion education will the nurse provide to this client? select all that apply.
The nurse is concerned that a client with a chronic illness is becoming more debilitated due to increasing body mass index. Repeat back what the client states.
Continued chronic illness has a tendency to arise in older adults and may typically be controlled but not cured. The maximum common styles of persistent ailment are most cancers, coronary heart disorder, stroke, diabetes, and arthritis.
maximum persistent chronic illness resulting from key hazard behaviors: Tobacco use and exposure to secondhand smoke. negative vitamins, along with diets low in culmination and vegetables and high in sodium and saturated fats. the physical state of being inactive.
For a few human beings, their mental infection may also best be a couple of quick episodes. however, many human beings must control their mental health circumstance continually all through their whole existence. even though the severity of chronic illness conditions can fluctuate, they're frequently continual in nature which makes mental illness chronic.
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a client informs the nurse of a problem with acid indigestion. the client notes taking large amounts of calcium carbonate antacids daily but still has no relief. the client consumes about 1 bottle of 100 antacids in 4 days. which blood gas result does the nurse anticipate?
PH 7.6 is the blood gas result the nurse can anticipate. A good balance of acidity and alkalinity is something that the human body is designed to automatically maintain.
Any malfunctioning in the organs leads to acid - base imbalance acidosis and alkalosis. A blood pH of less than 7.35 or very acidic blood is referred to as acidosis. Alkalosis is defined as having overly basic blood, or blood with a pH higher than 7.45. Acidosis may be respiratory acidosis and metabolic acidosis. Alkalosis may be respiratory and metabolic acidosis.
The following are some signs of a pH imbalance: tingling, cramping in the muscles, weakness, convulsions, and changes in mental status, ranging from bewilderment to comatose . Both acidosis and alkalosis need prompt medical intervention from a qualified healthcare provider.
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when a client with right shoulder pain has been cleared to exercise, which of the following steps comes earliest in the corrective exercise process? 1. perform corrective exercises for the shoulder 2. assess whether or not the client can perform diaphragmatic breathing 3. show the client how to perform self-stretches for the shoulder 4. perform corrective exercises for the neck
The earliest in the corrective exercise process by the client would be:
assess whether or not the client can perform diaphragmatic breathing; option BWhat are diaphragmatic breathing exercises?A diaphragmatic breathing exercise is a type of breathing exercise that involves breathing and out to help strengthen the diaphragm. It also helps to release stress and tension in the shoulders.
The diaphragm is a muscle that is found below the chest cavity whose contraction and relaxation enable the process of breathing.
A patient that had right shoulder pain but has been cleared to exercise will need to ensure that the muscle required for breathing is strong enough. Hence, the client needs diaphragmatic breathing exercises.
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a client was chopping firewood and experienced a heaviness in the chest and dyspnea. the client arrives in the emergency department four hours after the heaviness and the health care provider diagnoses an anterior myocardial infarction (mi). what orders will the nurse anticipate?
Sublingual nitroglycerin, tissue plasminogen activator (tPA), and telemetry orders will the nurse anticipate.
What is the main cause of myocardial infarction?When the heart muscle isn't receiving enough blood, it can suffer from a heart attack, also known as a myocardial injury. More the time that elapses without receiving care to reestablish blood flow, more the harm the heart muscle has endured. Heart attacks are typically brought on by coronary heart disease (CAD).
Is myocardial infarction dying painful?Sometimes the discomfort is felt inside the lower abdomen, where indigestion may be assumed to be the cause. Similar to angina, the discomfort is typically more intense, lasts longer, and is not relieved by relaxing or taking nitroglycerin. One in three persons who suffer from heart problems do not experience any chest pain.
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what is the dietary reference intake for protein? if a person consumed an 1800 calorie diet, how many grams of protein this per day? show your work. (hint these are ranges). what is the rda for protein? using this value, calculate the rda for a 220 lb. person.
Protein requirements for a 220 lb. 80g per person per day.
Dietary Reference Intakes (DRI): Set of four reference values: Recommended Dietary Allowances (RDA), Estimated Average Requirements (EAR), Tolerable Upper Intake Levels (UL), and Adequate Intakes (AI).
DRIs establish the bare minimum nutritional requirements while adhering to the suggested dietary patterns. RDS stands for sufficient intake, tolerated upper intake level, and estimated average demand.
The recommended daily intake is between 45% and 65%.
1800 × 0.10 = 180
1800 × 0.35 = 630
180 ÷ 4 = 45
630 ÷ 4 = 157.5
220 ÷ 2.2 = 100kg
100kg × 0.8 = 80g a day
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john, the compliance officer at abc internal medicine, explained to the new employees at the new hire orientation that emtala refers to what? a. emergency medical treatment and active labor act b. emergency medical treatment act long area c. emergency medical treatment abandonment leave act d. emergency medical treatment abandonment labor act
John, the compliance officer at ABC internal medication Emergency medical treatment and active abandonment Act.
choice d. emergency medical remedy abandonment hard work act.
Job abandonment is an employee who does no longer touch his/her supervisor for three or more operating days and who isn't always on legal go-away both cases are crimes, passives and punishments, and even imprisonment.
Job abandonment An employee who's absent from work for 5 or greater consecutive work days and who without correct cause fails to inform the organization of the reasons for his or her absence will be considered to have deserted his or her employment.
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for which reasons is it important to encourage the practice of spirituality when caring for patients, regardless of whether the patient follows an organized religious community?
It is important to encourage the practice of spirituality when caring for patients, regardless of whether the patient follows an organized religious community because it can lead to physical healing, reduction of pain, and personal growth of the patient.
Why is religious spirituality important in healthcare?Religious spirituality is important in healthcare because it can impact patients' experiences and influence their decisions regarding treatment. Individuals may go about addressing medical issues in completely different ways depending on their religion's teachings and traditions.
According to the context of this question, spirituality has its own power of healing physical as well as mental consequences, regardless of what medicine has been prescribed to the patients and what are its medical issues.
Therefore, for reasons like physical healing, reduction of pain, and personal growth of the patient, it is important to encourage the practice of spirituality when caring for patients.
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Why should you find a cure for Alzheimer's Disease
the nurse is providing discharge education for a client with angina pectoris. which information will the nurse include when instructing the client on self-care at home? select all that apply.
Angina pectoris is a clinical illness characterised by bouts of discomfort or pressure in the upper chest. When there is increased myocardial supply of oxygen in reaction to physical activity, resulting in a lower oxygen supply.
When a patient has angina, the nurse should urge them to halt all activities and sit or relax in bed in a semi-posture, Fowler's and then deliver nitroglycerin sublingually.
Reducing adherence/anxiety
Exploring the implications of the diagnosis for the angina patient, as well as offering knowledge about the illness, its therapy, and techniques for avoiding its development, are all critical nursing interventions.
Pain prevention
The nurse goes through the evaluation findings, determines the degree of activity that is causing the angina patient's discomfort, and then organises the patient's activities appropriately.
Oxygen requirement is decreasing. Balancing exercise and relaxation is an important part of the patient's and family's educational strategy. At the commencement of chest pain, oxygen treatment is frequently commenced in an attempt to increase the quantity of oxygen given to the myocardium and relieve discomfort.
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a client with a terminal illness who is incapacitated is experiencing intractable pain that is no longer effectively addressed by conventional pharmacology. which type of pain management will the nurse anticipate for this client?
Answer:
Palliative sedation
Explanation:
Effective control of symptoms can be achieved under most conditions; however, some clients may experience distressing, intractable symptoms and other clients may be incapacitated. Although palliative sedation remains controversial, it is offered in some settings to clients who are close to death or who have symptoms that do not respond to conventional pharmacologic and nonpharmacologic approaches, resulting in unrelieved suffering.
The nurse anticipates using palliative sedation to handle this client's intractable pain.
How does the term "intractable pain" mean in medicine?The definition of debilitating pain is "hardship whose source can indeed be removed and, per the broadly agreed clinical practice, a wide spectrum of pain treatment modalities adequate for this patient have been used without sufficient result or with unacceptable side effects." When a health care professional certifies a patient as having severe chronic pain, they were also certifying that the patient fulfills this definition.
An intractable function is what?When considering computational complexity, intractable issues are those for which there are no effective solutions. The brute-force search algorithm is the one that offers a solution to the majority of seemingly insoluble situations.
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