In order to promote self esteem to a stroke patient, you are going to have to try and help them come to realize that they have a medical condition that may or may not at any fault of their own. Another way to help promote self esteem could be to introduce other stroke patient's with similar stories.
Is it the patient or the dentist that is filing for insurance payment? A dentist that is in a network, is contractually required to file the discounted charge given to the patient. Any payment made from the insurer is governed by the terms of the insurance policy. If the policy indicates that the patient files a claim based on the charge and requires a copy of the billing to support the claim, then the patient is bound to report the fee charged, i.e. the discounted fee. If the patient (and/or the doctor) files a charge other than the actual charge, they could be engaged in fraud. Shorter answer not based on law but what is ethical--yes.
EMT's need to be prepared for the unexpected. Small clues in a patient's history can make a huge difference in their care. A patient with a headache could be having a migraine, a stroke, an impending seizure, or a thousand other ailments. Knowing what problems the patient has encountered in the past helps the EMT to narrow down the possibilities of what is wrong. A patient regularly taking Excedrine (R) Migraine might be having another migraine. A patient who historically has high blood pressure but is out of their medication could be at a high risk for a fatal stroke. A typically healthy patient with extremely low blood pressure could be at risk of shock or cardiac arrest, whereas an elderly patient whose blood pressure is normally high but is currently "textbook normal" could be suffering from a multitude of issues. What is normal for one patient is deadly for another; the patient's history helps to figure this out.
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