The Impact Of Nursing Informatics On Patient Outcomes And Patient Care Efficiencies

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The Impact Of Nursing Informatics On Patient Outcomes And Patient Care Efficiencies

To Prepare:

  • Review the concepts of technology application as presented in the Resources.
  • Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies. The Impact Of Nursing Informatics On Patient Outcomes And Patient Care Efficiencies

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The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

  • Describe the project you propose.
  • Identify the stakeholders impacted by this project.
  • Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
  • Identify the technologies required to implement this project and explain why.
  • Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
  • Use APA format and include a title page and reference page.
  • submit your completed Project Proposal. The Impact Of Nursing Informatics On Patient Outcomes And Patient Care Efficiencies

Assessing And Diagnosing Patients With Anxiety Disorders, PTSD, And OCD

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Assessing And Diagnosing Patients With Anxiety Disorders, PTSD, And OCD

For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5 criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5 criteria.

To Prepare:

  • Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing anxiety, obsessive-compulsive, and trauma- and stressor-related disorders.
  • Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient. Assessing And Diagnosing Patients With Anxiety Disorders, PTSD, And OCD

Training Title 21

Name: Sergeant Patrick Flanrey Gender: male Age:27 years old T- 97.4 P- 84 R 18 B/P134/88 Ht 5’8 Wt 167lbs Background: He entered the military just after high school and did three long tours of duty in warzones. He separated from active duty in the Marines (MOS 0800 Field Artillery) less than a year ago after eight years of service. He is engaged to be married (no date set) and is currently working as a furniture salesman. He said he grew up poor and would not do much else if he didn’t go into the military. He denies ever using any drugs and avoids alcohol because his father was “sloppy drunk.” Father is still alive, unwell (DM, liver disease, HTN), still drinking. Paternal grandfather was also a veteran and suffered depression at times though he never told anyone except the patient because of their combat connection. Mother is alive and well, still “caring for dad.” He has one younger and one older sister. He lives in a different state, approximately five hours from his parents and siblings. After the military, he and his fiancé moved because she got a much better opportunity. They want kids someday and hope to marry in a year or two. Has service-connected asthma, seasonal allergies; no hx of psychiatric or substance use treatment

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Symptom Media. (Producer). (2016). Training title 21 [Video]. https://videoalexanderstreetcom.ezp.waldenulibrary.org/watch/training-title-21

Training Title 21 – Alexander Street, a ProQuest Company (openathens.net)

Assignment: Assessing and Diagnosing Patients With Anxiety Disorders, PTSD, and OCD

“Fear,” according to the DSM-5, “is the emotional response to real or perceived imminent threat, whereas anxiety is anticipation of future threat” (APA, 2013). All anxiety disorders contain some degree of fear or anxiety symptoms (often in combination with avoidant behaviors), although their causes and severity differ. Trauma-related disorders may also, but not necessarily, contain fear and anxiety symptoms, but their primary distinguishing criterion is exposure to a traumatic event. Trauma can occur at any point in life. It might not surprise you to discover that traumatic events are likely to have a greater effect on children than on adults. Early-life traumatic experiences, such as childhood sexual abuse, may influence the physiology of the developing brain. Later in life, there is a chronic hyperarousal of the stress response, making the individual vulnerable to further stress and stress-related disease.  Assessing And Diagnosing Patients With Anxiety Disorders, PTSD, And OCD

Photo Credit: Hill Street Studios / Blend Images / Getty Images

For this Assignment, you practice assessing and diagnosing patients with anxiety disorders, PTSD, and OCD. Review the DSM-5 criteria for the disorders within these classifications before you get started, as you will be asked to justify your differential diagnosis with DSM-5 criteria.

To Prepare:

  • Review this week’s Learning Resources and consider the insights they provide about assessing and diagnosing anxiety, obsessive-compulsive, and trauma- and stressor-related disorders.
  • Download the Comprehensive Psychiatric Evaluation Template, which you will use to complete this Assignment. Also review the Comprehensive Psychiatric Evaluation Exemplar to see an example of a completed evaluation document.
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient.

 

 

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?
  • Objective: What observations did you make during the psychiatric assessment?
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Reflection notes: What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.). Assessing And Diagnosing Patients With Anxiety Disorders, PTSD, And OCD

 

Quiz Test

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Question 1 Statistics for 2008 to 2009 indicated that 20.7% of children lived in poverty. What health implications can be drawn from this statistic?

Select all that apply.

  1. These children run a higher risk of poor overall health status.
  2. Public health clinics can provide preventive care.
  3. Medicaid assistance can enable these children to receive health care.
  4. Increased funding for children’s health has resulted from these statistics.

Question 2 Which criterion limits access to health care?

  1. No public transportation
  2. Employment opportunities
  3. Transition programs for newly arrived legal residents
  4. Advocacy groups for immigrants

Question 3 A patient in the Emergency Department is concerned about the cost of treatment because of no financial income. What areas would the nurse include when assessing this patient?

Select all that apply.

  1. Preventive care
  2. Nutritional status
  3. Number of accidents
  4. Shelter
  5. Status of current immunizations

Question 4 While taking the health history, a Black Hispanic patient tells the nurse about having difficulty finding employment. The nurse realizes that which is a factor that causes income disparity within this segment of the population?

  1. Shift to labor requiring higher technological skills
  2. Increase in the real minimum wage potential
  3. Increase in traditional labor skills for these groups
  4. Shift of skilled jobs to unskilled labor

Question 5 The nurse notes that a larger number of foreign-born patients are being seen in the hospital. From which countries are the majority of foreign-born legal permanent residents?

Select all that apply.

  1. Mexico
  2. China
  3. India
  4. Europe
  5. South America

Question 6 A patient explains how a former job has been outsourced to another country. What impact has globalization had on the economy?

  1. Increased income inequality for some groups in the United States
  2. Improved income for all minority groups in the United States
  3. Increased membership in labor unions
  4. Decreased immigration

Question 7 Legal permanent residents tend to initially settle in urban areas. What can be inferred from this?

  1. Employment may be found but will probably be in lesser-paying jobs.
  2. Unemployment will not be a concern.
  3. Employment is easy to obtain in urban areas.
  4. Income earning potential is higher.

Question 8 A foreign-born patient tells the nurse about preparing for the naturalization exam. What kinds of questions will be on this exam?

Select all that apply.

  1. Questions about the Constitution
  2. Parts of the US government
  3. Who makes federal laws
  4. The number of justices on the Supreme Court
  5. Words of the US national anthem

Question 9 While shifts in the population profile are occurring, what is an important consideration to address in health care?

  1. Cultural health needs of varying groups must be considered.
  2. Health care needs to be streamlined for consistent care delivery.
  3. More physicians need to be trained to deliver health care.
  4. Health care providers need to be younger to care for an aging population.

Question 10 According to the 2010 Census, the percentage of the 65+ population of White non-Hispanics is at 13%. How will health planning needs be affected by this percentage?

  1. This population will have greater demands on the health care system as it ages.
  2. Planning needs for other segments of the population can be revised downwards.
  3. There is no need to increase manufacture of childhood immunizations.
  4. Cultural accommodations for other minority groups can be decreased.

Question 11 A patient tells the nurse that she lives in Section 8 housing. The nurse realizes that eligibility for this program is determined by:

  1. Low-income guidelines
  2. Family size
  3. Geographic address
  4. Employment history

Question 12 A patient, an immigrant from another country, is waiting to be seen in the Emergency Department. What difficulties is this patient dealing with since coming to a new country?

Select all that apply.

  1. Learning a new language
  2. Adapting to a new climate
  3. Eating new foods
  4. Fitting in with the new culture
  5. Rejecting old customs in favor of new ones

Question 13 The nurse is comparing the patient population at a health care organization with the US Bureau of the Census population statistics. Which statement would the nurse use to make this comparison?

  1. The percentage of US citizens who were people of color in 2010 was 36.3% of the population.
  2. The percentage of Black Americans dropped considerably between 2000 and 2010.
  3. People of color are the majority population within the United States.
  4. People of color as a percentage of the overall US population are decreasing.

Question 14 Prior to completing an admission assessment, a foreign-born patient provides the nurse with a green card. What does this green card represent?

Select all that apply.

  1. Proof of legal permanent residency
  2. All rights of a US citizen with exceptions
  3. Inability to vote
  4. Restrictions to become a citizen
  5. Automatic US citizenship

Question 15 When determining health care needs for a patient population, the health care organization analyzes the percentage of races represented within the organization with those of the US Census. What was the change in the White population between the 2000 and 2010 censuses?

  1. 2.7%
  2. 1.2%
  3. 0.3%
  4. 3.8%

Question 16 While completing demographics for a new admission, the nurse notes that there are separate categories for race and Hispanic origin.What influenced this change to occur in demographic data reporting?

  1. Federal guidelines written in 1997 separated race and Hispanic origin as two separate concepts.
  2. The number of people identified as non-White was increasing out of proportion to the population.
  3. Identifies which health plans the patient is eligible to enroll in
  4. Better differentiates categories within the African-American group

Question 17 How might immigration contribute to income inequality in the United States?

  1. Many immigrants’ willingness to do jobs for less money than native-born residents
  2. Being the primary income earners in the family
  3. Advocating for higher minimum wages
  4. A willingness to join labor unions as in previous immigrant trends

Question 18 Which characteristic would the nurse assess in a family experiencing multi-generational poverty?

  1. Repeated cycles of decreased educational opportunities leading to poorer income potential and poorer health outcomes
  2. Members not wishing to improve their life circumstances
  3. Decreased interest by lawmakers in reducing poverty circumstances
  4. Increased government efforts to provide money to improve incomes

Question 19 The health care administrator is comparing the 2000 Census Bureau data with patient demographic data. Which cultural group represented 12.5% of the population in 2000?

  1. Hispanic or Latino
  2. Asian
  3. African American
  4. American Indian and Alaskan Native

Question 20 What does the nurse identify as reasons why income influences health?

Select all that apply.

  1. Increases access to health care
  2. Enables people to live in better neighborhoods
  3. Enables people to afford better housing
  4. Enables people to live in areas without environmental hazards
  5. Reduces despair

Collaborative Decision Making Through Shared Governance

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Details: Collaborative Decision Making Through Shared Governance

Attend a committee meeting in your health care organization

Attend a committee meeting in your health care organization. If you are not currently employed in a health care setting, you may elect to attend a committee meeting at another company, a community center, a local school, local chamber of commerce or other professional organization.

Observe the interactions between committee members and the process used by the committee to arrive at decisions.

In 500-750 words, describe the function of the committee and the roles of those in attendance. Describe your observations of the interactions between members of the committee and determine whether the process used to arrive at decisions is a form of shared governance.

Prepare this assignment according to the APA guidelines

In addition to your textbook, “The Interprofessional Health Care Team: Leadership and Development”. A minimum of FOUR academic references from credible sources are required for this assignment.

IP – Policy Implementation And Improvement

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IP – Policy Implementation And Improvement

Assignment Details (Format APA 7)

Policy analysis is a mainstay of any healthcare administrator. The ability to analyze policy from year to year and implement changes determines the behavior of your employees and the risk mitigation of your department and organization. You must be able to effectively communicate the changes needed for the policy. In this Individual Project (IP), you are going to research the current suggestions of the Centers for Disease Control and Prevention (CDC) using the following resources:

  • Policy and Strategy at CDC
  • Hand Hygiene in Healthcare Settings
  • Eliminating Healthcare Associated Infections
  • Policies and Procedures for Healthcare Organizations: A Risk Management Perspective

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Then, analyze the following sample policy:

Sample Policy

Purpose: Effective hand hygiene to reduce the incidence of healthcare-associated infections

Policy: All members of the healthcare team will comply with current CDC hand hygiene guidelines. IP – Policy Implementation And Improvement

Procedure Indications for Handwashing

Indications for Handwashing

  1. Wash hands when hands are visibly dirty.
  2. Wash hands using antimicrobial soap and water before eating and after using a restroom.
  3. Handwashing may also be used for routinely decontaminating hands in the following clinical situations:
    • Before having direct contact with patients
    • After contact with inanimate objects (including medical equipment) in the immediate vicinity of the patient
    • After removing gloves

For this assignment, you will respond to the following prompts in APA 7 format:

  • How well does this policy align with the current hand hygiene standards based on the CDC recommendations for hand hygiene in healthcare settings? Describe the areas of alignment and opportunities for improvement.
  • Based on your analysis, what modifications would you recommend to the policy?
  • According to the CDC guidelines and resources for hand hygiene and the state policy options associated with Eliminating Healthcare Associated Infections, provide a brief discussion of what you must consider with regard to training your staff and documenting the impact by measuring hand hygiene practices.
  • Now, review the Guidelines for Policy and Procedure Development, and write the policy based on your recommendations and what you found in the CDC guidelines. Submit the revised policy along with your assignment. Any changes remitted from the CDC policy should be defended in your assignment. IP – Policy Implementation And Improvement 

Nursing homework help

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Article

Although nursing practice problems and medical practice problems are both related to the patient and target positive patient outcomes, there are major differences between them and approaches in addressing the problems.  While medical practice problems deal with disease pathology of patients, nursing practice problem encompasses issues identified with patients experiencing illness right from when nursing assessment is done and during nursing care as well as those problems discovered either through insight or intuition that will need nursing interventions (Helbig, 2018). Nursing practice problems range from patients’ reactions to illness, presenting signs and symptoms, the decline in activities of daily living and many more. Nursing interventions to those patients’ problems is holistic in approach which focuses on their care, needs and support during and after recovery. Nursing homework help

For instance, when a patient presents with a stroke with paralysis, the physician will assess the cause of the stroke, diagnose, and treat it. Whereas, when the same patient presents with CVA, the nurse will review actual and potential problems such as the ability to perform activities of daily living, the risk for depression/ suicide/falls/pressure ulcer, pain management, need for support system and referrals. While both medical and nursing practice focuses on the patient and seeks evidence-based practice (EBP) to address the problems, nursing intervention is holistic and centers not only on the patient, but considers the physical, mental, spiritual, and social needs of the patients through problems discovered and anticipated during nursing care.

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Evidence-based (EBP) care utilizes and applies the best clinical evidence, mostly from research findings and guidelines toward making patient-care decisions and ensuring positive outcomes (Dagne & Beshah, 2021). While nurses utilize EBP to address these patients’ problems, the application of PICOT (Problem/population, intervention, comparison, outcome, and time) is paramount to nursing practice problems and is effective in developing evidence-based interventions (Helbig, 2018). The PICOT question is the initial step in formulating evidence-based practice with the aim of providing safe, quality care and improving outcomes (Helbig, 2018). For example, developing a PICOT question is essential in studying the effectiveness of purposeful hourly rounding in preventing falls. Asking these questions involves gathering relevant information, validating strategies and interventions which aid in answering questions and understanding the effectiveness of EBP in addressing nursing practice problems.

RESPONSE NEEDED

(Please write a response to the article above using 200-300 words APA format with at least two references. Sources must be published within the last 5 years. There should be a mix between research and your reflections. Add critical thinking in the posts along with research. Apply the material in a substantial way.) Nursing homework help

Nutrition Assignment help

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Nutrition Assignment help

This should be a substantive response (between 120-175 words minimum) to the topic(s) in your own words, referencing (using APA format) what you have discovered in your required reading and other learning activities.  You may use resources in addition to your textbook that supports your post(s); however, you must mention the source(s) that you used in your post(s) using APA format in-text citations and reference lists.  Think about your most recent meal.  Nutrition Assignment help

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  • Identify foods and beverages that were sources of carbohydrates in the meal.
  • Identify simple sugars
  • Identify any added sugars
  • Identify any complex carbohydrates (starches and fiber).
  • Explain what happens to carbohydrates in the digestive system.
  •   Place the food you consumed into a food tracker app (MyFitness Pal, etc.)  or into a paper journal. Be specific with your portion sizes and quantities. Connect also has a tracker you can use for free called Nutrition Calc. You may create your food log in that as well. Your food journal should include the following information:
  •      All of the food that you consume. This includes all meals, snacks, desserts, etc.
  •     All of the beverages you consume. This includes water, alcoholic, and non-alcoholic beverages.
  •    All of the supplements, vitamins, etc. that you consume.       Include a full weekend: Friday, Saturday, and Sunday to compare to your weekday choices.
  •      Include any exercise or physical activity.  Nutrition Assignment help

DB – Policy Implementation And Improvement

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Within the Discussion Board area, write 300–500 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas.

For this Discussion Board, please complete the following:

As a new healthcare leader you have been tasked with developing policy for local lawmakers, politicians, and business owners with regard to the Centers for Disease Control and Prevention (CDC) guidelines for COVID-19. For this discussion, you will Explore the Covid Data Tracker and the Covid-19 Policy Tracker for a better understanding of what your local policymakers are doing relative to national infection/virus rates and policy recommendations. DB – Policy Implementation And Improvement

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  • COVID Data Tracker
  • COVID-19 Policy Tracker

Focus your discussion on the following:

  • Based on the data related to infection rate trends (past/current) in your area, and the current policy recommendations at the state/local level, discuss what you believe should be the top 2 healthcare policy concerns for lawmakers and healthcare leaders in your local area relative to the COVID-19 pandemic.
  • If state/local recommendations/policies differ from the CDC policy recommendations related to the Covid-19 Pandemic guidelines (e.g. mask guidelines, quarantine, vaccination requirements in the workplace, etc.) describe what steps you would take and what data you would use to convince local lawmakers to change the polices in the community. DB – Policy Implementation And Improvement

Nursing homework help

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Each student must post (1) substantial initial post with a minimum of 270 words. All
initial posts must contain at least (2) professional references (must be within 5
years), one may be the course textbook, properly cited in the current APA format.
Late discussion posts are not accepted in this course.
For the initial post Remember to ask a provocative question to prompt online discussion
with your peers using bold print at the end of your initial discussion.
The student must also reply to at least (2) classmates using a minimum of 170 words
per reply (please don’t start working on the replies unless I provide the student
replies or tell you to do so). All replies in the discussion forum should enhance the
discussion. Non-informative messages posted in the discussion forum will not be
counted towards the required number of replies for that topic. Nursing homework help
Provide plagiarism reports for both initial post and student replies.

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Discussion Topic
Identify an area of clinical practice interest in the adult population.
1. Consider a research study that they might conduct with this population.
2. Name the independent variable (IV) (i.e., intervention) and the dependent
variable (DV) (i.e., effect of the intervention).
3. Identify extraneous variables. How would they control for those extraneous
variables? Identify potential threats to internal validity.
4. Identify potential threats to external validity. How would they control for each
type of potential threat?
5. What time dimension for data collection will they use? Nursing homework help

Technology

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Technology is integral to successful implementation in many projects, through either support or integration or both. Name at least one technology that could improve the implementation process and the outcomes of your EBP project NEUTROPENIC SEPSIS). Do you plan to use this technology? If not, what are the barriers that prevent its use?