[ANSWERED] Hebda, Hunter and Czar (2019) identify three types of data that is currently being tracked by organizations (p. 46)
Hebda, Hunter and Czar (2019) identify three types of data that is currently being tracked by organizations (p. 46) Theory of health care informatics 1. Electronic health records (EHRs) are easier to read than the paper charts of the past, but many complain that healthcare providers are focusing too much on the computer screen instead of the patient. Is this due to lack of skill or training, poor computer system design, or just the nature of computer charting? Is patient care suffering from the implementation of EHRs? Charting in an EHR consist of clicking boxes, do you feel this provides enough detail about the patient, condition, and events if there was a law suit 2. Hebda, Hunter and Czar (2019) identify three types of data that is currently being tracked by organizations (p. 46). Identify and explain another type of data, specific to your practice, that is being tracked by an organization. Why do you feel this data is important to track? Identify and discuss the organization that is tracking the data. Are there any ethical concerns with an outside organization tracking this data, explain and give examples? 3. In this week’s discussion post, you identified and explain the topic selected for the project. Provide a description of your selected topic based on input from the discussion forum. What is your project, why is it relevant to this class, and why is it important to you? Identify an informatics/healthcare theory from pages 29-30 of the textbook that aligns with the project and explain why. Expert Answer and Explanation Theory of Healthcare Informatics Like any other new concept in healthcare, healthcare informatics is associated with different problems that limit its use in patient care. An improvement in the overall presentation of data in electronic health records could guarantee better success in the healthcare outcomes (Cowie et al., 2017). Data management is a crucial idea that should be treated with utmost care, as the exposure of patient data to unauthorized individuals is not only unethical, but could cause significant harm on patients. EHR Causing Too Much Focus on Machines Rather than on Patients Cause of the Over-emphasis on Computer Screen by Health Experts Some healthcare givers focus too much on the computer screen instead of patients when using electronic health records because most of them are yet to be fully acquainted with the computer system. Also, the nature of computer charting requires full concentration lest the healthcare givers would make large mistakes in feeding the patient information (Kruse et al., 2017). Unlike the traditional charting techniques where one fills patient information in their files without much calculations and involvements, computer charting requires one to be fully engaged in the process, and this makes it hard to give patients full concentration. Suffering of Patient Care under EHR Implementation Patient care is not suffering from EHR implementation as the benefits of EHR systems exceed the limitations. One of the main advantages of having electronic health records is the fact that they help in faster patient information processing as well as accuracy in data collection and management. The drawbacks can also be corrected using basic maintenance procedures. The Insufficiency of Clicking on Boxes in the Charting Process Clicking boxes in EHR charting process is one of the reasons why patient details are not captured in full. There should be more options for filling patient information such as using prose format to capture details of patient’s condition. This can also help in safeguarding the safety of the healthcare givers in the case of a lawsuit. Types of Data Tracking by Hebda, Hunter, and Czar (2019) Type of Data Specific to My Organization and the Importance of Tracking It The incidence rate of various disease outbreaks is one of the primary data that is being tracked by organizations outside the facility. Tracking this data helps to implement national and international policies on disease control, such as in the case of the coronavirus pandemic. It also helps in improving the preparedness of healthcare facilities in managing patient care in different situations such as pandemics. Organization Tracking the Data The Centers for Disease Control and Prevention (CDC) is one of the organizations that track the data. This organization serves as a major health protection agency where it identifies health, security and safety threats early enough to allow corrective action (Yang et al., 2020). It also helps to promote vaccination and health education campaigns that reduce the overall vulnerable communities (Yang et al., 2020). Ethical Concerns of the Tracking The CDC always obtains consent from the parties responsible for the data, and hence there are no major ethical concerns in tracking data. Besides, most of the data collected does not display personal information of the patient populations, as it is only used for research purposes (Rahimi et al., 2018). Nevertheless, there is need to put up more regulations to reduce the chances of misuse of patient data by external organizations. Topic Selected for the Project Description of Topic Selected and Its Relevance The topic selected for the project is ‘the influence of health informatics nurses on behavior change.’ This topic is relevant in that there are many ways in which nurses today have integrated health informatics into care, but it is not clear how they can achieve the right levels of behavior change (Wu et al., 2019). Specifically, there is need to identify areas in informatics that can serve as better channels of achieving positive behavior change among nurses. Informatics Theory The behavior change model can be applied in healthcare informatics by using its concepts to assess how a health informatics intervention influences the patients (Medlock & Wyatt, 2019). The theory shows how nurses can respond to patient needs in a timely fashion and tailor their behaviors and those of the patients to suit the informatics demands. Applying this theory in the topic can help in gaining more insight about the project. Conclusion Health informatics is one of the most discussed topics in nursing, and has helped nursing experts to grow their
[ANSWERED 2024] Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare
Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare Discussion: Healthcare Information Technology Trends Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes. In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment. To Prepare: Reflect on the Resources related to digital information tools and technologies. Consider your healthcare organization’s use of healthcare technologies to manage and distribute information. Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery. By Day 3 of Week 6 Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples. McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning. Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 267–287) Chapter 15, “Informatics Tools to Promote Patient Safety and Quality Outcomes” (pp. 293–317) Chapter 16, “Patient Engagement and Connected Health” (pp. 323–338) Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 341–355) Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 359–388) Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study. Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449 HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from https://www.healthit.gov/faq/what-electronic-health-record-ehr Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). Leveraging interactive patient care technology to Improve pain management engagement. Pain Management Nursing, 19(3), 212–221. doi:10.1016/j.pmn.2017.11.002 Note: You will access this article from the Walden Library databases. Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32–40. doi:10.3390/informatics4030032 Note: You will access this article from the Walden Library databases. Expert Answer and Explanation Healthcare Information Technology Trends Description of General Healthcare Trends The 21st century has been coupled with numerous technological advances that seek to completely revolutionize the face of care. Among some of the biggest trends in healthcare is the use of electronic health records, artificial intelligence, and other more specific technologies such as biosensor tools. According to Cowie et al. (2017), electronic health records are the digital versions of patient charts that make instant availability of information of patients to the authorized users, as well as treatment and medical history of the patient. These electronic health records help in improving the ability of healthcare givers to share patient information and to coordinate the improvement of the patients (Barak-Corren et al., 2017). Artificial intelligence (AI) systems, on the other hand, are computerized simulations of human beings that can perform human functions such as data management, patient diagnoses, and routine medication. AI systems help in ensuring that the human elements of fatigue and making errors are reduced throughout the provision of care. These trends in healthcare have led to a complete change in the face of care. Potential Threats that may be Inherent to the Healthcare Trends While electronic health records help in making patient information instantly to the authorizes users, there is the risk of insecurity of the data, so that it gets to the wrong uses or to the wrong users. Whenever a patient submits their information to a database, it becomes hard for them to assume control over it, especially when some of them are too sick. People who are in teaching hospitals engage in a lot of research that uses patient data, and some of the time, they may not obtain proper consent before using this data (Rao-Gupta et al., 2017). This is one of the threats that jeopardizes the application of this technology in the healthcare continuum. Similarly, AI can be lethal if there is a problem in programming that proves to be challenging to patient outcomes. Potential Benefits and Potential Risks associated with Data Safety, Legislation, and Patient Care for the Described Technologies One of the potential benefits of using electronic health records with regard to legislation, data safety, and patient care is that it is easy to have a track of the usage of information from a system. This means that it would be hard for anyone to use the information for the wrong purposes (Skiba, 2017). A potential risk for the same is the fact that in some of the cases, such as the case of patients who are too sick, it may be hard to coordinate the system with things that require the conscious of the individuals, such as consent on health procedures. Most Promising Healthcare Trends in Impacting Nursing Practice I believe the rise of Artificial Intelligence is the most promising healthcare trend in nursing practice for several reasons. Top in the list is the fact that these technology systems help in reducing the ongoing problem of nursing shortage (Dykes
[ANSWERED] Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected
Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction Mrs. Franklin-Jones was admitted from the Emergency Room to Cardiac Intensive Care one week ago with a diagnosis of acute myocardial infarction. She has recovered as expected and is moving to the cardiac step down unit today. She is talking with Nurse Julie Hernandez, as she gets settled in her new room, \”I was really surprised when I got that bad pain in my chest! I knew I had high pressure but I just didn\’t think it was that bad. I try to take my medicine like they told me to in the clinic but sometimes I forget. I guess that I need to study those papers they gave me about what foods I should eat and not eat. I better take care of myself! Momma had bad pressure and it killed her! Who knows—I may even have to learn to cook different than I was taught in Jamaica! I may have to let Tomas do the cooking. He\’s got more time at home now than I do since he lost his job. There isn\’t too much time between my shifts at the school cafeteria and my new housecleaning job. You know my sister is coming up from Jamaica to see me. I think she is bringing me some bush tea. That\’ll set me right!\” Using Leininger\’s Culture Care Model, what factors in the story shared by Mrs. Franklin-Jones should be considered by Nurse Hernandez when planning for the patient\’s discharge? Why is the theory of Culture Care Diversity important in the delivery of nursing care for all patients? Using Leininger\’s Theory of Culture Care Diversity and Universality, develop a plan of care for Mrs. Franklin-Jones. Discuss the strengths and limits to Leininger’s Theory. Case Study #2 Claude Jean-Baptiste is recovering from post-hip replacement surgery and has been transferred to the Rehabilitation Institute adjacent to the hospital. When he enters the unit, he sees welcoming signs written in several languages including his own, Creole. Since there are no nurses on that shift that speak Creole, they use a language line to ask for translation services. During this initial nursing assessment, the translator informs Mr. Jean-Baptiste that the nurses invite him to have a relative at his side so that they can be sure to understand and meet his needs. He is asked about Haitian customs and beliefs that they might honor. Mr. Jean-Baptiste is encouraged to bring food and spiritual care items, and to share the warmth of his culture with the nursing staff. Discuss assumptions of the Transpersonal Caring relationship. What is the nurse\’s role? How is love, as defined by Watson, evident in this caring moment? How can the nurse creatively use self to create a healing environment? Discuss the strengths and limits to Watson’s Theory. Expert Answer and Explanation The transcultural Nursing Theory and the Transpersonal Caring Relationship Theory Case Study One The transcultural Nursing Theory or Cultural Care Theory is a nursing theory developed by Madeleine Leininger in 1995. The theory involves understanding and knowing different cultures considering healthcare and nursing illness caring activities, values, and beliefs to offer efficacious and meaningful nursing care services to individuals according to their health-disease context and cultural values (Busher Betancourt, 2016). According to the theory, different cultures across the globe have different values and beliefs about health and illness and have different modes of caring. This part of the assignment uses a case study to apply the theory in nursing care. Factors to Consider When Planning Mrs. Franklin-Jones’ Plan According to P. Sagar and D. Sagar (2018), Leininger developed various factors that should be considered by nurses when planning care. These factors include economic, educational, political, cultural beliefs, values, and lifeways, social and kinship, religious and philosophical, and technological factors. Based on the model and the case, Nurse Hernandez should consider various factors when planning to discharge the patient. The first factor the nurse should consider is the educational factor. Mrs. Franklin-Jones tells the nurse that “she needs to study the papers they gave her about what foods she should eat and not eat.” Therefore, the nurse should educate the patient about the foods to eat before discharging her to avoid readmission. The nurse should also factor in the patient’s kinship characteristics. The patient noted that her mother died of HBP, and thus the nurse should provide the interventions that should prevent her from suffering HBP (Busher Betancourt, 2016). The nurse should also consider the patient’s economic factors. Information about the patient’s economy can help the nurse recommend interventions that suit her financial status. Information about economic status can also help the nurse plan care that will not interfere with her job schedule and prevent her from forgetting to take her medications. Importance of the Theory The theory of Culture Care Diversity is so vital in care delivery. This theory can help a nurse understand the patient’s culture under his or her care and deliver care based on the patient’s values and beliefs. For instance, in the case, the theory has helped Nurse Hernandez identify that Mrs. Franklin-Jones lacks education about the foods to eat and not to eat. As a result, Hernandez effectively plans an intervention to improve the patient’s knowledge. Another importance of this theory is that it can be used to improve the relationship between nurses and patients. When nurses understand patients’ values and beliefs, they will provide care that respects their values, hence improving their relationship (P. Sagar & D. Sagar, 2018). Lastly, the theory is significant because it can improve patients’ satisfaction. Patients who feel that caregivers respect their norms, beliefs, traditions, and values will be highly satisfied with the services (Albougami et al., 2016). A Plan of Care for Mrs. Franklin-Jones The first step of the care plan is health assessment. The health assessment will be done by analyzing the patient’s personal and medical history and physical, sexual, cultural, and emotional factors. Assessment results will be used to provide a diagnosis. The second step is outlining the expected outcomes of the plan. Third, interventions to solve the problem to be highlighted and rationale
[ANSWERED] A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income but has enough to manage a modest lifestyle
A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4 A 68-year-old client lives alone and is independent with all ADLs, has no restrictions for mobility, and is competent, and oriented x4. The client is on a fixed income but has enough to manage a modest lifestyle. The client has family and social supports but is very independent and is proud of her self-reliance. The client’s height is 5’ 6”, weight is 210 lb. / 95.25 kg. Please answer the following: What is the client’s BMI? Identify what screening tools you would use to assess nutritional and exercise knowledge, and why? One Outcome/Intervention/Rationale: Identify one outcome/goal that is reasonable, measurable and realistic. Identify 1 nursing intervention for the outcome and give rationale for the intervention. Identify what weakness in the client’s life may be impacting the client’s activity and diet? What referrals would you make and why? (Use references for your responses, not just opinion.) Expert Answer and Explanation Aging Adult Case Study One’s weight affects their health status considering that being overweight raises one’s risk of developing various conditions including hypertension. For a person to be in good health, they need to maintain normal or average weight because this can lower the risk of chronic illnesses. However, this does not mean people should rely on weight to indicate good health because a person may still be sick if their weight is low. The Body Mass Index (BMI) provides the means of determining if an individual’s weight may cause health issues (Arnold, Holmes & Rosenthal, 2019). Therefore, calculating the BMI is crucial when it comes to patient assessment, and after determining that a patient is overweight, a provider has to come up with a realistic and meaningful outcome including an intervention to achieve the outcome as described in this study. The Client’s BMI The BMI equals to kg/m2, and considering that the client weighs 95.25 kg, and she has a height of 5’6’’ which translates to 1.5240 meters, the BMI for the client is 92.25/1.52402m. This yields 48.33 kg/m2. The client is therefore overweight, and there is likelihood that she may develop health problems. Screening Tools to use to Assess Nutritional and Exercise Knowledge (Why) Considering that the client is overweight, she needs to be screened to assess her nutritional and exercise knowledge. To perform the screening, a provider would use screening tools, and given the client’s age, the most appropriate tool for nutrition would be Food Frequency Questionnaire (FFQ). With the FFQ, the clinician would assess the kinds of foods the client consumes including the frequency with which she consumes it. The rationale for selecting the tool is that it is easy to administer, and it provides a reliable measurement of nutritional behavior (Speer & McPhillips, 2018). Measuring the level of the patient’s physical activity can be achieved using the Exercise Assessment and Screening for You (EASY). This is a tool developed to help assess the level of a person’s physical activity, and it is particularly suitable to the elderly. The tool would therefore benefit the client. Identification of a Reasonable, Measurable and Realistic Goal I want to help the client to reduce her weight by 17kgs within a span of six months by using available resources to educate her on how she can improve her physical activity, and nutritional behaviors. Identification of the Nursing Intervention for the Outcome and its Rationale The nursing intervention that can help achieve the outcome is patient education. To educate the client, the nurse may use various methods including printed materials to show her the kinds of lifestyle choices that can jeopardize her wellbeing and health in general. Having a one on one conversation about her weight including how she can manage her weight by for instance, limiting the intake of certain foods including the foods with high calories, can support health loss efforts. When educating the patient, the nurse may emphasize working with her to build an intervention framework that includes information that the patient may eat and the types of routine activities she can perform to manage her weigh. The rationale for choosing patient education is that it would help change the client’s behavior by directing her to the right path to embracing desirable behaviors. The Weakness in the Client’s Life that is impacting the Client’s Activity and Diet The client lives alone and this might be the reason why she has excessive weight. Loneliness tends to affect people’s weight, and there are various explanations presented to explain the weight-loneliness relationship. For example, loneliness affects the quality of sleep, which in turns contributes to the weight gain. From the biological perspective, the cortisol levels tend to rise if a person is lonely for long and with the rise in the level of this hormone, one’s weight may increase (Yahia et al., 2016). Therefore, loneliness associated with living alone seems to exacerbate the issue surrounding the client’s weight. The Referrals I would make and the Reasons for such Referrals I would make referrals if there is a sign that the client’s weight poses health risks to her. For example, I would refer her to bariatric surgery because such a surgical intervention can be effective not only in reducing her weight but limiting her exposure to various conditions including diabetes. I would also refer her to resources including those published on the American Diabetes Association (ADA) so that she can learn about her to take care of her own health (Koehler & Drenowatz, 2019). I would recommend that she visit a cardiologist to assess the health of heart because obesity is associated with a higher risk of cardiovascular issues. Conclusion In conclusion, being overweight can increase the likelihood of a person developing heart problems among other conditions. Nursing intervention for an obese patient should start with patient assessment with emphasis on examining how well the patient understands behaviors or lifestyle choices that can put her health at risk. This is accompanied by
[ANSWERED 2024] For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration, must work together in reasonable harmony.
For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration Assignment Description: Professional Development Assignment Based on what you have learned so far this week, create a PowerPoint presentation with detailed notes for each slide that addresses each of the following points/questions. Be sure to completely answer all the questions. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least four (4) citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Title Slide (1 slide) For a hospital to operate efficiently and effectively, the three important influences in its governance, medical staff, board of trustees, and administration, must work together in reasonable harmony. What factors contribute to the tension that usually exists among them? (4 slides). Organizations such as the LeapFrog Group represent a growing trend to survey and report on the quality of hospital care and to make the findings available to the public. What are your opinions about the public’s readiness to deal with having this information available and using it to make choices about medical care? (2-3 slides) Hospitals are facing unprecedented financial challenges from entrepreneurial physician initiatives that are establishing competitive, free-standing diagnostic and treatment centers and specialty hospitals. What are the advantages and disadvantages to these developments from a patient perspective? (2-3 slides) References (1 slide) Expert Answer and Explanation Every organization has its own power structure that influences different dynamics which shape the culture of the organization. Three major influencing forces, namely the governance, medical staff, board of trustees, and administration at times engage in conflicting situations that are likely to cause tensions. Some of the causes that bring about these tensions include the following; Conflicting interests – This usually occurs when each wing has a conflicting goal with the other. In most cases, it is supposed to be the organization’s leadership that brings unity of purpose steered towards achieving organizational goals. However, without the alignment of goals among the different entities, then there is likely to be tension (Antonacci et al., 2018). Resource allocation – Resources are usually scarce. When the medial staff are not accorded the required resources to execute their mandate there is a high likelihood for tensions to occur across the different entities. Communication breakdown – Poor communication is always a recipe for organizational conflicts. When instructions are not understood, or when a party is kept in the dark concerning the going-on of the organizations, there is likely to be build-up of tension. Performance expectations – Failure to meet the targets agreed upon can also cause tensions to exist. There are times when unrealistic targets are set for the medical staff, for example, targets that conflict with the business perspective of the facility. Such targets can be a source of demotivation leading to tension between the different groups (Labelle et al., 2016) Organizational change – Unplanned change can cause significant resistance to exist from any of the influential groups. Existing allegiances and power struggles – Power dynamics within the organization, including how reward and punishment is delivered can cause tension. Tendency to be biased when making important decisions favoring a particular cluster of people within the organization brig about discontentment leading to build-up of tension. (Figueroa et al., 2019) Failure to respond to existing issues – There are time when the administration or the board fails to approve or deal with pertinent issue concerning medial staff for example approving additional staff to be employed. This can lead to conflict between the different influences. Lack of accountability – Transparency is crucial in the management of organizational operations. In an environment where no one is brought to account for expenditure, operational efficiency, leadership, or general organizational performance, tensions are bound to exist (Figueroa et al., 2019). Publication of data plays a critical role in improvement of the standards of care quality. Care facilities depend on the data collected from independent entities to improve their internal systems allowing provision of superior care in terms of quality and safety. The following are some of the reasons why healthcare facilities should encourage publication of findings by independent organizations. Data allows provision of enhanced quality of care Implementation of evidence-based practice Creation of innovative practices in clinical practice Foundation of new frontiers in research (Hagan et al., 2017) Enhanced health literacy=- Over time, the level of patients, health literacy has been goring making them more aware of their health needs and outcomes. Easy access to information facilitated by technology – Technology has made access to information easy. Using technology, patients can easily access information which at times influence their decision making when it comes to health preferences. Increased sensitization on patients’ right to quality and safe care – After the enactment of the ACA, there have been increased efforts to sensitize patients about the provision of quality care Increased call to provide patient-centered care – Similarly, in conformance with the value-based system, there has been increased involvement of patients in clinical decision making which has contributed to increased appetite to consume healthcare information. Specialty facilities are those that have a limited range of services, providing specialized therapeutic and diagnostic services addressing specific patient needs (Sultz & Young, 2017). There are several factors that have given rise to specialty hospitals. Some of them include Increased advancements in healthcare, especially technological advancements. Increased competition within the healthcare industry Changes in patient demands and the need for quality care Changes in population dynamics, for example the increasing baby boomer generation has seen a growth in long-term care facilities. Focused experience from healthcare personnel thus improved quality of care – Staff working in specialty hospitals are usually trained and have the experience to handle patients with a specific condition making their interventions more targeted and refined which usually equates to better quality. Specialized resources for targeted patient groups –
[ANSWERED 2024] Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for
Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media Decision Making When Treating Psychological Disorders Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders. For this Discussion, you will select an interactive media piece to practice decision making when treating patients with psychological disorders. You will recommend the most effective pharmacotherapeutic to treat the psychological disorder presented and examine potential impacts of pharmacotherapeutics on a patient’s pathophysiology. To Prepare · Review this week’s interactive media pieces and select one to focus on for this Discussion. · Reflect on the decision steps in the interactive media pieces, and consider the potential impacts from the administration of the associated pharmacotherapeutics on the patient’s pathophysiology. Post a brief explanation of the psychological disorder presented and the decision steps you applied in completing the interactive media piece for the psychological disorder you selected. Then, explain how the administration of the associated pharmacotherapeutics you recommended may impact the patient’s pathophysiology. How might these potential impacts inform how you would suggest treatment plans for this patient? Be specific and provide examples. Expert Answer and Explanation Brief Explanation of the Psychological Disorder and the Decision Steps Applied in Completing the Interactive Media Piece for the Disorder Depression is one of the common mood disorders in which the affected patient has feels extreme sadness or emotional emptiness as a result of changes in their brain chemistry (Costantino, 2019). A 70 y.o. male pt. presents to the facility with complaints of depression and minor physical complaints of stiff shoulders, which he attributes to the fact that he works in a warehouse as a laborer doing heavy jobs. The subjective data indicates the presence of childhood abuse from peers, weight gain and insomnia. In the mental status exam, he does not make direct eye contact, and has a depression score of 51, indicating severe depression. In decision point one, the patient is given Zoloft 25mg daily, decision point 2 includes a decrease of dosage to 25mg orally daily, and decision point three entails an increase of the dosage of the same drug to 25mg orally daily. How the Administration of the Associated Pharmacotherapeutics Recommended May Impact the Patient’s Pathophysiology The first administration of the drug contributes to the return of the patient in four weeks, a 25% decrease in the symptoms, but also leads to the development of a new disorder, erectile dysfunction. After decreasing the dosage by half, the ED subsides but the depressive symptoms still worsen (Buck et al., 2019). An increase in the dosage to the initial amount does not lead to any better situation, but the patient should be ready to change to another drug if the ED returns. How the Potential Impacts Inform Me How I Would Suggest Treatment Plans The potential impacts of the drugs show how adopting various lines of treatment plans may affect the patient. Since the patient is 70 years and may not have regular sex, it could be appropriate to take up the option of the Zoloft 25mg daily orally with the side effects of erectile dysfunction, as the effects would not be much on the life of the patient (Potter, 2019). However, I would include, in the treatment plan, a discussion with the patient, about the suitability of other drugs such as Paxil 20mg daily in the second level of treatment, which could have relatively lesser side effects while maintaining the reduction in the depression levels. References Buck, K., Zekri, S., Nguyen, L., & Ogar, U. J. (2019). Cognitive Behavior Therapy for Postpartum Depression. American family physician, 100(4), 244-245. Costantino, C. (2019). Does Sertraline Decrease Depression In Patients Who Suffered A Traumatic Brain Injury (TBI)? Potter, D. R. (2019). Major Depression Disorder in Adults: A Review of Antidepressants. International Journal of Caring Sciences, 12(3), 1936. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order
[ANSWERED 2024] Post an episodic focused note about the patient in the case study to which you were assigned using the episodic/focused note template
Post an episodic focused note about the patient in the case study to which you were assigned Case Study: A 42–year–old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform? Post an episodic focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient\’s differential diagnosis, and justify why you selected each. Expert Answer and Explanation SOAP Note Patient Information: S. CC “pain in the lower back.” HPI: Patient BB is a 42-year-old male who has visited the hospital complaining of lower back pain that has occurred for the past month. The patient reports that the pain may be severe in the left leg. The pain was measured to be a scale of 7/10. The pain started moments after he had got out of bed one month ago and it has not gone away since then. Current Medications: Tylenol tablets. Allergies: Allergic to aspirin. PMHx: He got influenza vaccination three months ago. Fam Hx: His father died of kidney failure and his mother has HBP. ROS: GENERAL: The patient feels lower back pain that extends to the left leg. HEENT: No hearing or visual loss, no running nose, and no sore throat. CARDIOVASCULAR: Has HBP. RESPIRATORY: No sputum. MUSCULOSKELETAL: Pain in the lower back that extends to the left leg. O. Physical exam: During physical examination it was found that the patient felt pain in forward flexion when he was moving. Also, palpation showed that there is a fracture in the area around the lower spine. Diagnostic results: Urinalysis test was conducted to find whether the patient had kidney infection (Petersen et al., 2017). A. Differential Diagnoses Fracture of the Lumbar Vertebral Body– Most possible condition Inflammatory Conditions Kidney Infection Ulcer Epidural Infection Reason for Selecting Lateral Ligament Injury The above diseases have been selected as the diagnoses for the disease because they all cause back pain (Verhagen et al., 2017). However, fracture of the lumbar vertebral body is the primary diagnosis due to the following reasons. According to Lipani (2017), fracture of the lumbar vertebral body can cause back pain by pinching or damaging the lower spine. Physical exam of Mr. C showed that he had fracture in the lower spine, and this has made the disease the most possible condition. References Lipani, J. D. (2017). U.S. Patent No. 9,630,011. Washington, DC: U.S. Patent and Trademark Office. https://patents.google.com/patent/US9630011B2/enaa Petersen, T., Laslett, M., & Juhl, C. (2017). Clinical classification in low back pain: best-evidence diagnostic rules based on systematic reviews. BMC musculoskeletal disorders, 18(1), 188. https://link.springer.com/article/10.1186/s12891-017-1549-6 Verhagen, A. P., Downie, A., Maher, C. G., & Koes, B. W. (2017). Most red flags for malignancy in low back pain guidelines lack empirical support: a systematic review. Pain, 158(10), 1860-1868. doi: 10.1097/j.pain.0000000000000998 Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon: NEW30 to Get 30% OFF Your First Order FAQs What is the condition causing pain in the lower back and leg? Sciatica is a term used to describe pain that radiates along the path of the sciatic nerve, which runs from the lower back through the buttocks and down each leg. The pain is typically caused by compression or irritation of the sciatic nerve. Common causes of sciatica include: Herniated Disc: When the soft inner core of a spinal disc pushes through the tough outer layer and irritates or compresses the nearby nerve roots. Spinal Stenosis: The narrowing of the spinal canal, which can put pressure on the spinal cord and nerves. Degenerative Disc Disease: The breakdown of discs in the spine, often associated with aging. Spondylolisthesis: When a vertebra slips forward over the vertebra below it, causing pressure on the nerves. Piriformis Syndrome: Irritation of the piriformis muscle, which can cause it to press against the sciatic nerve. Muscle Strain: Overuse or injury to the muscles and ligaments supporting the spine. What nerve roots might be involved in the cause of the back pain based on your knowledge of anatomy? Lower back pain and leg pain, particularly associated with sciatica, often involve nerve roots in the lumbar (lower) and sacral (pelvic) regions of the spine. The specific nerve roots that may be involved depend on the underlying cause of the pain. Here are the nerve roots typically associated with lower back pain and sciatica: L4 (Lumbar 4): Pain or discomfort may radiate to the thigh and sometimes the lower leg. L5 (Lumbar 5): Pain can extend from the lower back to the back of the thigh and down the leg. It may also affect the top of the foot. S1 (Sacral 1): Pain may radiate from the lower back down the back of the thigh and calf, possibly reaching the outer side or sole of the foot. These nerve roots make up part of the sciatic nerve, which is formed by the combination of nerve roots from the lower spine. Compression or irritation of these nerve roots can lead to the characteristic symptoms of sciatica, including lower back pain that radiates down the buttocks and into one or both legs. What causes lower back pain in your 40s? Lower back pain in your 40s can be caused by various factors, and it often results from a combination of factors rather than a single cause. Common contributors to lower back pain in this age group include: Muscle Strain: Overuse or improper use of
[ANSWERED 2023] Applying the principles learned throughout this course, students will complete a business plan
Applying the principles learned throughout this course, students will complete a business plan Applying the principles learned throughout this course, students will complete a business plan for an entrepreneurial opportunity of their choice. In classes of 1-5 students the business plan will be completed individually In classes of 6 or more students the business plan will be completed in group of 2-4 students. Groups will be assigned by faculty. All members must participate to earn points. Review the Week 8 discussion forum Power Point requirements Include these components in the business plan: o The team o The customer and the problem o The market opportunity o The solution o The competitive positioning o The business model o Summary financial projections o The go-to-market strategy o The funding request o The exit strategy Utilize your previous readings and exercises to write your business plan. Each student will submit a copy of their business plan under the Signature Assignment tab in D2L by the end of week seven. Expert Answer and Explanation Business Plan Daycare Introduction Over the years, I have always known that my life’s purpose is to help children grow and develop in a safe environment where they are loved and cared for. As a nurse, I enjoy taking care of children, but I am always in dismay when a child is brought with something they caught in the daycare or experience something that someone should have noticed months ago. For this reason, I decided to open a daycare catering for children as low as two months and as old as four years. Through it, the children will grow up in a safe and professional environment where every moment of their life will be carefully watched and nurtured, giving them the preparations they need before getting into school (Del Boca, 2015). I decided on this after observing the significant gap in the market concerning the development of children. Most daycares are unprofessional, and some parents leave their children with nannies only to later report cases of abuse. Additionally, it is essential to understand the children’s growth milestones and ensure they are on the right path. This allows for early intervention if the children have issues with their development, increasing their chances of high-quality life (Felfe & Lalive, 2018). To create this environment I will include only expert professionals. This includes myself, as a nurse, two former teachers and a security officer. Additionally, to make my business known I will promote it two months prior opening in social media and through community events. I hope that after opening, the word of mouth will be an important way of marketing. Notably, the business is quite expensive to start with the starting cost amounting to $136,000. However by the second year I hope that the business will break even. The main source of funds will be savings and contribution from friends. The fact that the company is not yet registered might make it impossible to get grants from the government. My startup will offer professionalism in caring for children, hence ensuring that parents can be at peace and that the children’s affairs are well catered for. The Team As the business owner, I will be responsible for overseeing that all the activities in the business are closely monitored (Varmuza et al. 2019). I will be the business manager and provide my nursing expertise to the group. Before accepting any child, there will be a quick medical checkup after getting the parent’s consent to understand the child’s development milestones and does not have any contagious illness or needs a doctor’s attention. Additionally, I will be guiding what should be done in the daycare, and I will always be present to solve any issue that comes up in the case of the operations. I will also include my neighbor, who is 60 years old but still physically active. She is the most famous person in the neighborhood and is extremely popular with children. Having retired as a teacher a year ago, she is always looking for something to fill her day, and I believe her love for children qualifies her to be an employee in the daycare. Additionally, she has a lot of experience with infants and usually offers to look after them even for free, especially on weekends. It is always customary to see children waiting for her on her porch as she usually entertains them. She has won the trust of all parents, and she knows how to handle children. By including her in the team, parents will be more comfortable when sending their children to a new daycare. Another member of the team is Ann, who is a kindergarten teacher. She has a lot of experience dealing with children and has extensive knowledge of handling ethical issues. She has worked as a teacher for many years, and she is known for her kind heart. However, she has been looking to handle a lesser team of children and suggested that she would like to work in a daycare. I believe that as a startup, the children will benefit from her professionalism as she observes their developmental milestones and introduces them to age-appropriate learning. I will also have a janitor who will also be the property’s caretaker. Notably, the daycare needs protection and maintenance to ensure all items present do not pose a health hazard to the children. Therefore the janitor, who will also be cleaning the children’s area three times a day, will also be the maintenance person. He will be required to ensure that the environment is clean and safe for the children. Lastly, I will have a security officer who will always be at the gate to ensure that everyone accessing the daycare is authorized. The security officer will provide entry to parents dropping off their children and take details of the people permitted to take the children. This will ensure that the children are secure and that no security issues are experienced in the school. With this team, the children will have a safe environment where they can be nurtured and
[2024] This week you will seek approval for a research area for your quantitative research proposal project due in weeks 7 and 8. Submit a one-page, double-spaced paper addressing the following points
This week you will seek approval for a research area for your quantitative research proposal This week you will seek approval for a research area for your quantitative research proposal project due in weeks 7 and 8. Submit a one-page, double-spaced paper addressing the following points: Identify your chosen research topic Create at least one problem statement to go along with your chosen research area Identify your research question/s Explain the significance of the research topic to nursing Upon completion, your instructor will approve, deny, or make recommendations for modifications of your research topic, problem statement, or research question(s) to ensure successful completion of the research proposal project. If you need some assistance creating a PICOT question, click hereLinks to an external site. for a template provided by the AAACN. Place your order now on the similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. FAQs Sample Research Proposal: A Step-by-Step Guide Are you planning to conduct research but don’t know how to write a proposal? A research proposal is an important document that outlines the objectives, methods, and expected outcomes of a research project. In this article, we will guide you through the process of writing a sample research proposal step-by-step. 1. Introduction The introduction is the first section of your research proposal, where you introduce the topic and provide a brief overview of what you intend to investigate. In this section, you should provide some background information about the topic and explain why it is important. 2. Background and Significance In this section, you should provide a more detailed explanation of the background and significance of your research topic. This should include a literature review of previous studies related to your topic, and an explanation of why your research is important and relevant. 3. Research Questions and Objectives In this section, you should state the research questions and objectives of your study. Your research questions should be specific and answerable, and your objectives should be measurable and achievable. 4. Methodology In this section, you should describe the methodology you will use to conduct your research. This should include a description of your research design, data collection methods, and data analysis techniques. 5. Literature Review In this section, you should provide a more detailed review of the literature related to your research topic. This should include a summary of previous studies and their findings, as well as an explanation of how your research will contribute to the existing literature. 6. Ethical Considerations In this section, you should describe any ethical considerations related to your research. This may include obtaining informed consent from participants, protecting their privacy and confidentiality, and ensuring that your research is conducted in an ethical manner. 7. Expected Outcomes and Limitations In this section, you should describe the expected outcomes of your research, as well as any limitations or potential obstacles you may encounter during the research process. 8. Timeline and Budget In this section, you should provide a timeline for your research project, including key milestones and deadlines. You should also provide a detailed budget, including any funding sources you will use to support your research. 9. Conclusion The conclusion is the final section of your research proposal, where you summarize your main points and restate the significance of your research. You should also explain how your research will contribute to the field and its potential impact. APA Format Research Proposal Example: A Comprehensive Guide If you are planning to write a research proposal in APA format, you have come to the right place. In this article, we will provide you with a comprehensive guide to writing a research proposal in APA format. We will cover everything from the title page to the reference list, with examples and tips for each section. Whether you are a student or a researcher, this guide will help you write a successful research proposal that follows the APA format. Introduction A research proposal is a document that outlines the proposed research project. It is an important document that helps researchers to convince their audience that their research project is worth pursuing. Writing a research proposal in APA format is important because it is the standard format used in the social sciences. The following sections will guide you through the process of writing a research proposal in APA format. Title Page The title page of a research proposal should include the following information: Title of the research proposal Name of the researcher(s) Institutional affiliation(s) Running head Page number For example: APA Format Research Proposal Example: A Comprehensive Guide John Smith University of California, Los Angeles Running head: APA FORMAT RESEARCH PROPOSAL EXAMPLE Page 1 Abstract The abstract is a brief summary of the research proposal. It should be no more than 250 words and should include the following information: Research question(s) Brief overview of the research design Methodology Key findings For example: This research proposal aims to investigate the impact of social media on adolescent mental health. The study will use a mixed-methods research design, including both quantitative and qualitative data collection methods. The study will recruit participants aged between 13 and 18 years old from local schools in Los Angeles. Data will be collected through surveys and interviews. The findings of this study will contribute to the understanding of the relationship between social media use and adolescent mental health. Introduction The introduction should provide a background to the research problem and explain why the research is important. It should also include the research question(s) and the hypothesis or hypotheses. For example: Social media has become an integral part of modern society, with millions of people using social media platforms every day. While social media has many benefits, including connecting people and facilitating communication, there is also growing concern about the impact of social media on mental health. This research proposal aims to investigate the relationship between social media use and adolescent mental health. Specifically, this study will examine the following research question: Does
[ANSWERED 2024] This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include
This is an individual assignment. In 1,500-2,000 words, describe the teaching experience Note: This is an individual assignment. In 1,500-2,000 words, describe the teaching experience and discuss your observations. The written portion of this assignment should include: Summary of teaching plan Epidemiological rationale for topic Evaluation of teaching experience Community response to teaching Areas of strengths and areas of improvement Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. Expert Answer and Explanation Community Teaching Experience Paper Summary of the Teaching Plan Waterborne, cancer, and respiratory illnesses were some of the common established health issues faced by residents of Clarkston refugee camp. This prompted to focus the teaching on these three epidemiological issues. The topic taught was the environmental factors that lead to the spread of diseases. The teaching included three main sections the introduction of the issue, how environmental factors affect the spread of infections and lastly preventive measures which can be taken to break the chain of infection. The duration of the teaching lasted approximately 30 minutes The introduction was mainly to orient the audience on what was being discussed. A good community health advocate, when educating the audience is supposed to capture their attention and good communication skills are importing in doing so. It is during the introduction stage that the speaker aimed to capture the attention of the audience. The introduction mainly touched on environmental health and how they relate to the three most prevalent health conditions faced by the community. The second phase of the teaching linked the environmental factors and how they contribute to the spread of diseases, primarily the three established prevalent illnesses faced by the community. At this stage, the community was taught about environmental awareness and how they contributed to their current environmental health, and finally, the established risk factors that led to the high prevalence of waterborne, cancer and respiratory illnesses. The last part of the teaching included both preventive and infection management and treatment measures which can be taken in case of an infection outbreak. Some of the preventive measures taught included proper disposal of waste and sewerage, good hygiene and health practices, and proper handling methods of food and drinking water to list a few. Some of the management techniques included, isolation and immediate treatment of infected persons (especially for infectious disease cases), and the reporting methodology in case of an infection outbreak. The teaching concluded by taking questions from the audience and laying emphasis on the collective responsibility of every community member in ensuring that the spread of preventable waterborne and respiratory infections is eradicated, through proper environmental health practices. Epidemiological Rationale for Topic Correlation between the spread of waterborne infections, cancer, and respiratory infections with the environment, is one has been emphasized by community health experts (Efstratiou, Ongerth & Karanis, 2017; Prüss-Üstün et al., 2016). Waterborne infections are specifically those diseases which are spread through contaminated water. Diarrhea, typhoid, cholera, to list a few, is a good example of such infections. Waterborne illnesses if left unchecked can spread at an alarming rate, especially in a densely populated area like Clarkston refugee camp, where this health promotion exercise was conducted. Likewise, communicable respiratory infections can spread just as fast. Most of the communicable respiratory infections are spread through contaminated air. The severity of the conditions of an infected person can be further influenced by pollution of air. Non-communicable respiratory diseases such as asthma are also made much worse when there is high pollution in the air (D’amato et al., 2015). Research has also show linkages between environmental pollution and the increased cases of cancer (Guo et al., 2016). The understanding of linkages between the environment and the community’s health issues will help in breaking the chain of common infections faced and assist in enhancing positive health outcomes. It will also help promote proactive approaches in dealing with the spread of diseases. Evaluation of Teaching Experience As a nurse, getting into the shoes of a primary community health worker is something which always encouraged especially in enhancing the health outcomes of the residents within that community (Katigbak et al., 2015). The aim of the teaching was to create awareness to the community on the importance of environmental cleanliness in their health outcomes. The teaching conducted from my perspective was quite engaging and productive. Getting hands-on experience in carrying out community health promotion by educating the community on matters health was quite enriching. Getting the attention of the audience and maintaining it all through the presentation was a matter I was initially concerned with, but with the skills obtained in class, I managed to pull it through. Throughout my presentation, I realized the importance of knowledge on communication skills in delivering a focused message. The aspect of nervousness was apparent, given the unpredictable nature of how the audience might have responded. The teaching experience not only helped me gain hands-on experience in my role as a primary community health worker, but it was also a motivational experience knowing that I was able to contribute positively in the community’s health outcome. Through the teaching experience, I was also able to identify some of the areas which I needed to improve on, to better present similar activities in future (some of the identified issues will be described in the later section of this paper). Ultimately the teaching experience was educational and brought to life the practical application of the theories and knowledge gained in class. Community Response to Teaching One of my biggest concerns during the teaching exercise was how the community is going to respond during the teaching and whether the teaching is going to have a positive effect on their health practices and outcome.