· Explain any legal and/or ethical implications related to counseling this client.

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Practicum – Week 5 Journal Entry                                       Learning Objectives Students will: · Develop diagnoses for clients receiving psychotherapy* · Evaluate the efficacy of therapeuti

Practicum – Week 5 Journal Entry

                                      Learning Objectives

Students will:

· Develop diagnoses for clients receiving psychotherapy*

· Evaluate the efficacy of therapeutic approaches for clients*

· Analyze legal and ethical implications of counseling clients with psychiatric 

  disorders*

                                             The Assignment 

Select a client whom you observed or counseled that suffers from a disorder related to trauma. Then, address the following in your Practicum Journal:

· Describe the client (without violating HIPAA regulations) and identify any 

  pertinent history or medical information, including prescribed medications.

· Using the DSM-5, explain and justify your diagnosis for this client.

· Explain whether any of the therapeutic approaches in this week’s Learning 

 Resources would be effective with this client. Include expected outcomes based  

 on these therapeutic approaches. Support your approach with evidence-based  

 literature.

· Explain any legal and/or ethical implications related to counseling this client.

                                                  Learning Resources

Required Readings

Wheeler, K. (Ed.). (2014). Psychotherapy for the advanced practice psychiatric nurse: A how-to guide for evidence-based practice (2nd ed.). New York, NY: Springer Publishing Company.

  • Chapter      13, “Stabilization for Trauma and Dissociation” (pp. 469–508)

American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.

Required Media

Laureate Education (Producer). (2012a). Academic year in residence: Thompson family case study [Multimedia file]. Baltimore, MD: Author. 

Ochberg, F. (2012). Psychotherapy for chronic PTSD [Video file]. Mill Valley, CA: Psychotherapy.net.

· NOTE: PLEASE SEE AND PAY ATTENTION TO THE ATTACHED Practicum Journal  

 Template AND JOURNAL SAMPLE (TIME LOG & JOURNAL ENTRIES) FOR WRITING 

 THIS ASSIGNMENT…..ALSO FOR THE TIME LOG AND JOURNAL ENTRIES, JUST 

 MAKE UP A REASONABLE INFORMATION AND CLIENT INFORMATION IN MENTAL 

 HEALTH NURSING.

b. Discuss your rationale for whether a practice change is warranted.

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Download the required article for analysis:Colvin, C. M., Karius, D., & Albert, N. M. (2016). Nurse adherence to safe-handling practices: Observation versus self-assessment. Clinical Journal of Oncolo

Download the required article for analysis:

Colvin, C. M., Karius, D., & Albert, N. M. (2016). Nurse adherence to safe-handling practices: Observation versus self-assessment. Clinical Journal of Oncology Nursing, 20(6), 617-622. doi:10.1188/16.CJON.617-622

https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=c9h&AN=119605781&site=eds-live&scope=site (Links to an external site.)

Running head is: Research Article Critique Paper

Paper page is 6-7 pages not including front page and references

1.Introduction (one paragraph): The introduction should be interesting and capture the reader’s attention.

a. Provide a brief description of the research article to be discussed.

 b. Discuss the purpose of your paper. The purpose statement of the paper should relate to the research article reviewed and the implications that it has to evidence based nursing practice.

c.You will need to summarize and analyze the information from the article in your own words

2. Describe the research question for this study in a paragraph.

a. Describe the research in greater detail.

b. Include your observations about this question.

c. Discuss events or trends that could have affected this question.

d. You will need to summarize and analyze the information from the article in your own words

3. Describe the research design of this study, and in your own words discuss the design.

a. Discuss the research design of the study.

b. Discuss the strengths and weaknesses of the type of design and hypothesize why the author  utilized the design as opposed to others.

c. You will need to summarize the information from the article in your own words

4. Describe the sample.

a. Briefly describe the sample size used for this study

b. Make a judgment as to whether the sample size was adequate and defend your answer.

c. Describe the number or participants and determine if the number of participants was adequate compared to the research question and the intent of the study.

d. Are these numbers adequate? Discuss gaps in that you identified.

e. You will need to summarize and analyze the information from the article in your own words

5. Describe the data collection method(s)’

a.Who collected the data?

b. What tools were used?

c. What were the ethical considerations addressed and discuss gaps you identified.

 d. You will need to summarize and analyze the information from the article in your own words

6. Describe the limitations of the study.

a. Identify the limitations within the study

b. Describe how the limitations could be overcome in subsequent studies

c. Comment on why limitations are important to list and discuss within a study

d. You will need to summarize and analyze the information from the article in your own words

7. Describe the findings reported in the study.

a. Describe the findings reported in the study

b. Discuss whether the findings of the study answered the research question posed within the study

  c.  Discuss the credibility of the findings

d. If the findings do not support the research question posed within the study, what do you believe is the reason?

e. you will need to summarize and analyze the information from the article in your own words

8. Summary of Required Article

a. Summarizes important points from the required article.

b. Discuss your rationale for whether a practice change is warranted.

c. Based on these findings, is the evidence that you found on your topic strong enough to suggest a change in practice or an idea for practice, or an idea for practice?

9. End with a concluding statement.

10. Citations and References must be included to support the information within each topic area.

11. Reference Page: The Reference Page should start on a new page (insert a page break). All references should be cited within the body of the paper as (Author, year) and the full reference should be included in APA format on the reference page.

Identify evidence-based interventions that are effective, efficient, cost-effective, and equitable for promoting wellness and disease prevention in the specific area and population.

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IT IS IMPORTANT TO COVER THE COMPETENCES; I WROTE THE WORD -IMPORTANT- NEXT TO THE COMPETENCES. PLS READ IT; THOSE ARE THE THINGS THAT NEED TO BE ADDRESSED. THANK YOU !Develop a 6–8 page, APA-format

IT IS IMPORTANT TO COVER THE COMPETENCES; I WROTE THE WORD -IMPORTANT- NEXT TO THE COMPETENCES. PLS READ IT; THOSE ARE THE THINGS THAT NEED TO BE ADDRESSED. THANK YOU !

Develop a 6–8 page, APA-formatted article on a global health topic for publication. Describe the factors that impact health and health care delivery, and the interventions that have been implemented. Explain the influence of altruism on global health, and identify evidence-based interventions to address the global health topic.

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Explain the factors that affect the health of communities.
    • (IMPORTANT) -Describe the factors that impact health and health care delivery associated with a global health care issue.
    • (IMPORTANT) -Explain the influence of altruistic organizations on health and health care practices associated with a global health care issue.
    • (IMPORTANT) -Explain how health care decisions and practices at a local level relate to health and health care delivery on a global scale.
  • Competency 2: Apply evidence-based interventions to promote health and disease prevention and respond to community health issues.
    • (IMPORTANT) -Describe interventions implemented to address a global health care issue.
    • (IMPORTANT) -Identify evidence-based interventions to promote wellness and disease prevention associated with a global health care issue.
  • Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations of a nursing professional.
    • (IMPORTANT) -Provide background information and statistics on a global health care issue.
    • (IMPORTANT) -Write content clearly and logically with correct use of grammar, punctuation, and mechanics.
    • (IMPORTANT) -Correctly format paper, citations, and references, using current APA style.

Assessment Instructions

Preparation

Suppose you have been asked to submit an article for publication in your organization’s newsletter, about a global health topic and how policies and practices at the local level can affect global health. Choose one global health topic from the list (or use another of your choice):

  • Mental health.
  • Communicable diseases (HIV/AIDS, influenza, malaria, tuberculosis).
  • Non-communicable diseases (cancer, lung, and heart disease).
  • Maternal and child health (prenatal care, midwife education, childhood vaccinations).
  • LGBT health.
  • Disabilities.
  • Global water supply and safety (GlobalHealth.gov, n.d.).

Look in the Capella library and on the Internet for very recent peer-reviewed articles, statistics, and professional nursing information on the global health topic you selected.

Requirements

For this assessment, develop an APA-formatted research review article that covers one global health topic of your choice. In this assessment:

  • Identify your topic. Provide background information and statistics on the topic, including the global areas most affected by the topic and the types of health care issues most often associated with the topic.
  • Describe the factors that impact health and health care delivery in the global areas most affected by the topic you selected. These factors may include not only culture and tradition, but also politics, economics, and social attitude.
  • Explain the influence of altruistic organizations (Peace Corps, Project Hope, religious and non-religious missions, and so on) on health and health care practices in the global area specifically associated with the topic.
  • Describe the interventions implemented to address the health care issues associated with the topic. Include both conventional and unconventional interventions.
  • Explain how the health care decisions and practices at the local level (the area most impacted by the topic) relate to health and health care delivery in other global areas. This is not limited only to best practices, but could include poor health care decisions and practices.
  • Identify evidence-based interventions that are effective, efficient, cost-effective, and equitable for promoting wellness and disease prevention in the specific area and population.

Additional Requirements

Complete your assessment using the following specifications:

  • Title page and reference page.
  • Number of pages: 6–8 (not  including the title and reference pages).
  • At least 3 current scholarly or professional resources.
  • APA format for citations and references.
  • Times New Roman font, 12-point, double-spaced.

Examine the findings that the article presents and consider how well they addressed the researcher’s initial question(s). What additional research could be done to build on these findings and gain a fuller understanding of the question?

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Weighing the Evidence

Weighing the Evidence

When conducting original research, the final step researchers must complete is weighing the evidence and interpreting the meanings of their data, statistics, and analyses. This is the culmination of the research process in which all of the research methods and designs can be synthesized into a meaningful conclusion. In this stage, researchers should formulate explanations for what their data indicates, determine whether the data answers their initial research question, identify areas of uncertainty, and consider directions for further research.

In this Discussion, you focus on one of the research articles that you identified for Part 2 of the Course Project (Literature Review). You then explore the process of how the researchers generated conclusions based on their data, consider other possible interpretations of their data, and formulate ideas for further research.

To prepare:

  • Review this week’s Learning Resources, focusing on how researchers find meaning in their data and generate sound conclusions. Pay particular attention to Table 2 in the article, “Study Design in Medical Research.”
  • Revisit the 5 articles that you identified in Part 2 of the Course Project. Select one to consider for the purpose of this Discussion.
  • Read sections of the chosen article where the data is presented, analyzed, and interpreted for meaning. What reasoning process did the researchers use to formulate their conclusions? What explanation did they give to support their conclusions? Were there any weaknesses in their analysis or conclusions?
  • Consider possible alternate conclusions that the researchers could have drawn based on their data.
  • Examine the findings that the article presents and consider how well they addressed the researcher’s initial question(s). What additional research could be done to build on these findings and gain a fuller understanding of the question?

By Day 3

Post an APA citation and brief summary of the research article that you selected. Describe the data and the results of any statistical tests or analyses presented in the article. Explain how the researchers formulated their conclusion, any weaknesses in their analysis or conclusions, and offer at least one alternate interpretation of their data. Propose at least one additional research study that could be done to further investigate this research topic.

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

  • Chapter 21, “Qualitative Research Design and Approaches” This chapter introduces qualitative research designs. It provides an overview of the different types of qualitative research and then describes each one in greater detail, outlining how and when they should be used.

Houghton, C. E., Casey, D., Shaw, D., & Murphy, K. (2010). Ethical challenges in qualitative research: Examples from practice. Nurse Researcher, 18(1), 15–25.

Retrieved from the Walden Library databases.

This article explores ethical challenges associated with qualitative research. Specifically, the authors examine the challenges of informed consent procedures, the researcher-participant relationship, risk-benefit ratio, confidentiality, and the dual role of the nurse-researcher.

Pringle, J., Hendry, C., & McLafferty, E. (2011). Phenomenological approaches: Challenges and choices. Nurse Researcher, 18(2), 7–18.

Retrieved from the Walden Library databases.

This article examines the dilemmas faced by a researcher looking for appropriate methods and approaches for investigating the experiences of stroke survivors. In addition, this article reviews the challenges of using phenomenology as a research method.

Ryan-Nicholls, K. D., & Will, C. I. (2009). Rigour in qualitative research: Mechanisms for control. Nurse Researcher, 16(3), 70–85.

Retrieved from the Walden Library databases.

The authors of this article provide recommendations for improving the control mechanisms of methodological rigor in qualitative research methods. The text establishes the basis of criticism on the rigor of qualitative work, ways of demonstrating methodological rigor, and the definition of rigor.

Smith, J., Bekker, H., & Cheater, F. (2011). Theoretical versus pragmatic design in qualitative research. Nurse Researcher, 18(2), 39–51.

Retrieved from the Walden Library databases.

This article assesses the benefits of using a generic qualitative approach to design studies for understanding user and caregiver perspectives. The authors assess these benefits in the context of a qualitative study that focused on parents’ experience of living with children with hydrocephalus.

Walker, W. (2011). Hermeneutic inquiry: Insights into the process of interviewing. Nurse Researcher, 18(2), 19–27.

Retrieved from the Walden Library databases.

This article examines the process of interviewing from a research perspective. The authors supply personal and theoretical insights into using the research interview, along with a guide to the practicalities of interviewing.

Explain medical necessity and how it impacts payment.

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Discussion week 4

Please review the discussion board rubric under “Start Here”.

 Use in-text citations appropriately and provide full citations for your initial post and at least one of your response posts.  One of your citations needs to be outside of your text.  

The idea is that you would not only comment on your classmate’s post but also do some additional research furthering the discussion.

To begin discussing in this forum, click the forum title, “Week 4 Discussion Forum”. Then, click Create Thread on the Action Bar to post your initial reply. To reply to a fellow participant, click the title of the initial post, then click Reply.

Kristin Cook

Week 4 Payment Methodologies

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1) Fee For Service is where the payer has a fee schedule with a set reimbursement amount for each service covered. Cost Based is for facilities that receive payments throughout the year until the cost report comes out. Then the payments that have been received are deducted from the remaining amount. Prospective Payment inpatient hospital reimbursement was based on the DRG data that already appeared on the claim. Ambulatory Surgical Centers are based on only procedures that are performed. Skilled Nursing Facilities payment based on the acuity or illness of the patient has been used.

2) Medical necessity is where you have a procedure done for a diagnosis and when it is sent to claims it can either be approved or denied. If it is denied that means that the insurance company doesn’t believe the procedure or tests run for that diagnosis was necessary. This impacts payment a great deal because if a patient has insurance, but the insurance company will not pay for the procedure or test that were done that means that the patient has to pay out of pocket. This can be very difficult for patients that live on a fixed income.

3) Payment methods now have changed coding for the better. Everything that we do now as a society is done electronically now, this means that every claim that is filed it is done electronically. Everything can be filed and stored electronically and still meet HIPAA’s requirements for patient privacy and safety.

Reference

Aalseth, P. (2015). Medical Coding: What It Is and How It Works. Second Edition. Boston, MA. Jones & Bartlett Learning.

Chenelle Weaver

Week 4 Discussion (Initial post)

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  1. Refer to Chapter 4, focus on pages 179 – 188 and discuss payment systems. Demonstrate understanding of fee for service, cost based, and prospective payment systems. Fee for service is a designated reimbursement amount for service rendered. Cost based details the cost of running a business and receiving payments. A Prospective Payment System (PPS) is a method of reimbursement in which Medicare payment is made based on a predetermined, fixed amount. The payment amount for a particular service is derived based on the classification system of that service. CMS uses separate PPSs for reimbursement to acute inpatient hospitals, home health agencies, hospice, hospital outpatient, inpatient psychiatric facilities, inpatient rehabilitation facilities, long-term care hospitals, and skilled nursing facilities. Explain medical necessity and how it impacts payment. Medical necessity refers to a decision by your health plan that your treatment, test, or procedure is necessary for your health or to treat a diagnosed medical problem. Most health plans will not pay for healthcare services that are not considered medically necessary. A common example of a non-medically necessary procedure is a Botox. If the procedure is considered to not be necessary the claim may be denied thus affecting payment. What is the effect of payment methods on coding? Use of the correct codes ensures the correct payment method will be used. 

Reference: 

www.medicalbillingandcodingonline.com/medical-coding-for-billers retrieved on June 29, 2017

Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.

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In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus

In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem statement
  3. Purpose of the change proposal
  4. PICOT
  5. Literature search strategy employed
  6. Evaluation of the literature
  7. Applicable change or nursing theory utilized
  8. Proposed implementation plan with outcome measures
  9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
  10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the 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.

RUBRIC:

Background

Background section is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Problem Statement

Problem statement is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Change Proposal Purpose

Purpose of change proposal is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

PICOT

PICOT is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Literature Search Strategy

Literature search strategy is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Literature Evaluation

Literature evaluation is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Utilization of Change or Nursing Theory (2.2)

Theory utilization content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Proposed Implementation Plan with Outcome Measures (3.2)

Implementation plan is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Identification of potential barriers to plan implementation, and a discussion of how these could be overcome (2.3)

Identification of potential barriers to plan implementation with a discussion component is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Appendices Inclusive of Practice Immersion Clinical Documentation (1.2)

Appendices are present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Evidence of Revision

Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.

Thesis Development and Purpose

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment)

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.Hide Files: Assignment01DS.docx, TeacherfeedbackLiteraturereview-hypertension.docx

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

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The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for th

The practice of health care providers at all levels brings you into contact with people from a variety of faiths. This calls for knowledge and understanding of a diversity of faith expressions; for the purpose of this course, the focus will be on the Christian worldview.

Based on “Case Study: End of Life Decisions,” the Christian worldview, and the worldview questions presented in the required topic study materials you will complete an ethical analysis of George’s situation and his decision from the perspective of the Christian worldview.

Provide a 1,500-2,000-word ethical analysis while answering the following questions:

  1. How would George interpret his suffering in light of the Christian narrative, with an emphasis on the fallenness of the world?
  2. How would  George interpret his suffering in light of the Christian narrative, with an emphasis on the hope of resurrection?
  3. As George contemplates life with amyotrophic lateral sclerosis (ALS), how would the Christian worldview inform his view about the value of his life as a person?
  4. What sorts of values and considerations would the Christian worldview focus on in deliberating about whether or not George should opt for euthanasia?
  5. Given the above, what options would be morally justified in the Christian worldview for George and why?
  6. Based on your worldview, what decision would you make if you were in George’s situation?

Remember to support your responses with the topic study materials.

Prepare this assignment according to the guidelines found in the APA Style Guide. An abstract is required.

This assignment uses a rubric.You are required to submit this assignment to LopesWrite. 

1. Bioethics: A Primer for Christians

Read Chapters 6 and 12 in Bioethics: A Primer for Christians.

http://gcumedia.com/digital-resources/wm-b-eerdmans-publishing-co/2013/bioethics_a-primer-for-christians_ebook_3e.php2. Called to Care: A Christian Worldview for Nursing

Read Chapters 10-12 in Called to Care: A Christian Worldview for Nursing.

http://gcumedia.com/digital-resources/intervarsity-press/2006/called-to-care_a-christian-worldview-for-nursing_ebook_2e.php

3. Defining Death: Medical, Legal and Ethical Issues in the Determination of Death

Read the Introduction and Chapters 1-3 of “Defining Death: Medical, Legal and Ethical Issues in the Determination of Death” by the President’s Commission for the Study of Ethical Problems in Medicine and Biomedical and Behavioral Research (1984).

https://repository.library.georgetown.edu/bitstream/handle/10822/559345/defining_death.pdf?sequence=1

Rubric

  1. Analysis of how the man would interpret his suffering in light of the Christian narrative and the fallenness of the world is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  2. Analysis of how the man would interpret his suffering in light of the Christian narrative and the hope of resurrection is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  3. Analysis of how the Christian worldview of the man might inform his view about the value of his life as a person with ALS is clear and demonstrates a deep understanding that is skillfully supported by topic study materials.12%
  4. Evaluation of which values and considerations the Christian worldview focuses on when deliberating the option of euthanasia for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  5. Evaluation of which options would be justified in the Christian worldview for the man is clear and demonstrates a deep understanding that is skillfully supported by topic study materials. 12%
  6. Reflection hypothesis of which personal choices would be make if faced with ALS based on personal worldview is clear, relevant, and insightful. 10%
  7. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 7%
  8. Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 8%
  9. Writer is clearly in command of standard, written, academic English. 5%
  10. All format elements are correct.5%
  11. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 5%

Construct a 4-5-page paper about the legal constructs involved in of the case.

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Case Study 2: Wrongful Death by Howard Carpenter on Behalf of Wilma Carpenter, Deceased People Involved in Case: Mrs. Wilma Carpenter — patient, deceased Mr. Howard Carpenter — husband and plainti

Case Study 2: Wrongful Death by Howard Carpenter on Behalf of Wilma Carpenter, Deceased People Involved in Case: Mrs. Wilma Carpenter — patient, deceased Mr. Howard Carpenter — husband and plaintiff in wrongful death suit Mrs. Scale, RN, MS — nursing supervisor Elizabeth Adelman, RN — recovery room nurse Richard Washington, MD — orthopedic surgeon Judy Gouda, RN, NP Joseph Alsoff, LPN — post-surgical unit nurse Kelly Wheeler, RN — post-surgical unit nurse David Casler, LRT Susan Post, JD — risk manager Amy Green — quality assurance Michael Parks, RN, MS, CNS — education coordinator Caring Memorial Hospital Facts: The plaintiff, Mrs. Carpenter, was a 55-year-old woman who underwent a total hip replacement at Caring Memorial Hospital. The physician was Richard Washington, MD. Dr. Washington is an orthopedic surgeon. His nurse practitioner is Judy Gouda, RN, NP. Dr. Washington reviewed the consent with Mrs. Carpenter prior to surgery. Joseph Alsoff, LPN, witnessed the consent and Mr. Carpenter was present. Joseph does not remember the doctor ever mentioning that death could be a result of the surgery. The recovery room nurse is Elizabeth Adelman, RN. The respiratory therapist is David Casler, LRT. The nurse on the post-surgical unit was Kelly Wheeler, RN. The supervising nurse was Mrs. Scale, RN, MS. The patient had an epidural catheter for a post-operative pain management following an episode of hypotension in the recovery room which was treated with Ephedrine. Judy Gouda made rounds on the patient in the recovery room after the hypotensive event and vital signs were stable. The patient, Mrs. Carpenter, was placed on a medical surgical nursing unit with the epidural. The nurse, Kelly, was assigned to the patient and had not worked on that unit before, but had worked in post-acute critical care units. The nurse’s assignment was to provide patient care on the entire floor for that shift. There was also an LPN, Joseph, on the unit. It was a busy day on the unit. Mrs. Carpenter was not the only post-operative patient. Kelly assessed the plaintiff upon admission, checked the IVs, asked if the patient was in pain, noted that the patient was responsive and understood where she was, and was stable. She then left to care for other patients. The licensed practical nurse, Joseph Alcoff, had been working on the unit for several years. It had been rumored that Joseph was an alcoholic. There was no evidence that he had been drinking on the unit. Approximately an hour after the patient arrived on the unit, she was unable to tolerate respiratory therapy that was ordered and she became nauseated and vomited. David Casler administered the respiratory therapy. According to Kelly, the registered nurse, 10 minutes after the vomiting episode, Joseph Alcoff, the LPN, found the patient blue and unresponsive and called a code. Joseph is the only person other than the physician that carries his own liability insurance. The hospital also has malpractice insurance. The code team responded, along with Kelly, the registered nurse. Mrs. Carpenter was intubated and cardiac resuscitation was initiated. The patient responded to resuscitative efforts and she was transferred to the intensive care unit. Subsequently, Mrs. Carpenter did not do well, was unresponsive, and declared brain dead and taken off the respirator. She did not have a DNR in place. There is a conflict in testimony between Joseph the LPN and Kelly the RN. Joseph indicated that Kelly found the plaintiff to be unresponsive after the vomiting episode and called the code. The record is not clear as to when the vital signs and epidural site were assessed. Kelly said she did a motor and sensory level assessment and they were fine — it is not charted though. The time elapsed between the vomiting episodes and finding the patient is in dispute. The final diagnosis was anoxia encephalopathy due to the time lapse between CPR being initiated. The patient was eventually extubated, breathed independently for a period of time, and then subsequently expired. The vital signs ordered by the physician were hourly. The hypotensive episode in the recovery room had not been reported to the registered nurse. The risk manager is Susan Post, JD, who works in collaboration with the quality assurance director Amy Green. Amy had noted when doing chart reviews over the last 3 months prior to this incident that the vital signs taken in the recovery room were not charted, not done, or not reported to the units. She was in the process of collecting data from the different units on this observation. She also noted a pattern of using float nurses to several postoperative units. Prior to this incident, the clinical nurse specialist, Michael Parks, RN, MS, CNS, was consulting with Susan Post and Amy Green about the status of staff education on these units and what types of resources and training was needed.

The paper should discuss the following issues: • Liability issues • Parties involved and who should be sued • Risk management issues before and after the incident

 Construct a 4-5-page paper about the legal constructs involved in of the case. Directions:  APA formatted paper. Support the paper with peer reviewed articles and case law where applicable. You must have minimum of 3-4 references. You may have an appendix that has samples of documents that support your positions or expands on the facts of the case.

describe the action or execution of a series of tasks in a prescribed sequence (McGonigle, & Mastrian, 2015). W

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Workflow Assessment for Health IT Toolkit   Workflow can be defined as a term used to describe the action or execution of a series of tasks in a prescribed sequence (McGonigle, & Mastrian, 2015). W

Workflow Assessment for Health IT Toolkit   Workflow can be defined as a term used to describe the action or execution of a series of tasks in a prescribed sequence (McGonigle, & Mastrian, 2015). 

Workflow tools can help make it easier to redesign workflow and aid in the application of health information technology (U.S Department of Health and Human Services, n.d). 

For the purpose of this discussion three workflow tools were selected which include benchmarking interviews and usability evaluation.  Benchmarking  Benchmarking is a process of evaluating metrics or best practices from other organizations (either related or unrelated to your own) and then applying them to your organization (U.S Department of Health and Human Services, n.d). 

Benchmarking is an important tool that facilitators can use to motivate a practice to engage in improvement work and to help members of a practice understand where their performance falls in comparison to others. Benchmarking can stimulate healthy competition, as well as help members of a practice reflect more effectively on their own performance. Benchmarking can be done by reaching out to peers at other facilities and finding out what they do and if it works well. My facility has many other sister and we are the bigger where we encounter most of the problem. The common system that all we use is the point click care.  What I going to do is to contact all the leader of the entire facility sister, so we can have a meeting to debate about each system in place in each facility. I would want to physically see how the design of their system works and if the charting works well. Because nurse has to be involve in and informatics technology process, I would bring with me 2 to 3 clinical managers nurses to see the charting, so they could also see the new idea and give feedback on their feelings about it. Based on the information gathered I would plan a process to implement the new ideas into the charting system at our facility.  

Interviews provide a means of eliciting information from a group of individuals regarding their opinions, behavior, or knowledge (U.S Department of Health and Human Services, n.d). Here the interview involves 2 to more people and during the interview, data are collected and most of the time, it is the interviewee who provide data Here, I will set up an interview with 2 to 3 leaders form the sister facility where I will ask questions about sensitive issues, to determine users’ needs on the systems and to clarify some of my questions question.  

Usability evaluation  A usability evaluation is conducted to determine the extent to which a system is easy to use or “user friendly.” (U.S Department of Health and Human Services, n.d). Here I will determine if the new system is useful to user and if it is easy for to use it before implementation. Here I will determine the goal of my evaluation, what will be evaluated and how? For that I will choose some main staff from each sister facility who will conduct the survey to the rest of the staff to see how easy it is for them to use the informatics system. Based on the result, I will see what the areas of improvement before the implementation.  The article I will be use the information to improve workflow within your organization is:  Improvement of workflow and processes to ease and enrich meaningful use of health information technology (Singh & al., 2014).  In this article the author develop a self-contained workflow toolkit that uses ‘universal visual language’ and recognizes that most practices lack the required expertise and often need external assistance because the current methods (using esoteric charts or various software packages11 that require long and steep learning curves) are alien to health care workers and are, therefore, perceived to be barriers (Singh & al., 2014). It is a well established fact that, in any setting or industry, better management of work processes leads to improved value. Education and training of stakeholders in this management skill needs appropriate tools. The toolkit particularly addresses the ‘system-based practice’ and ‘practice-based learning and continuing improvement’ (Singh & al., 2014). Base on that, I will educate staff by using that pictorial tool for assessing the current and continuing redesigns of future workflows for achieving staff comfort, efficiency, communication, organization, productivity, effectiveness, safety, and satisfaction of patients and staff, all without having to seek outside help.  According to Caspi (2015), it is clear that informatics nurses will continue to be instrumental players in the analysis, implementation, and optimization of advanced information systems and emerging technologies that aim to improve the quality of patient care, while reducing costs.     

Caspi, H. (2015). The significant impact of nursing informatics on workflow, productivity. Healthcare Dive. Retrieved from https://www.healthcaredive.com/news/the-significant-impact…workflow…/387301  McGonigle,  D., & Mastrian, K. G. (2018). Nursing informatics and the foundation of  knowledge (4th ed.). Burlington, MA: Jones and Bartlett  Learning. Chapter 13, “Workflow and Beyond Meaningful Use”     Singh, R. Singh, A., Singh, R., Singh, R. (2014). Improvement of workflow and processes to ease and enrich meaningful use of health information technology. DOI: 10.2147/AMEP.S53307. Retrieved form Walden library.   U.S department of health and human services (n.d.b). Workflow Assessment for Health IT Toolkit.http://healthit.ahrq.gov/portal/server.pt/community/health_it_tools_and_resources/919/workflow_assessment_for_health_it_toolkit/27865

 Explain how the project relates to the Healthy People 2020 topic area you have chosen.

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research paper

 TOTAL POINTS POSSIBLE 100 Points REQUIREMENTS 

1. Identify a health problem or need for health promotion for a particular stage in the life span of a population from a specific culture in your area. Choose one of the Leading Health Indicators (LHI) priorities from Healthy People 2020 (see the Healthy People.gov 2020 Leading Health Indicators website link in the Assignment section for Unit 2 under “Web Links). Students in a cultural concentration will use that specific cultural focus to complete this assignment. 

2. Research a topic related to health and wellness associated with one of the Healthy People 2020 topic areas. Students in a cultural concentration will use that specific cultural focus to complete this assignment. 

3. Submit your topic to the instructor for approval at least 2 weeks prior to the assignment (during Unit 3) but earlier if desired. All topics must be approved. 

4. You will develop an educational health promotion project addressing the population/culture in your area. For or example, if you are in the Hispanic concentration, your project might be educational interventions to address how food choices are related to the high rates of diabetes among Latinos; or, a community project that addresses the statistic that Hispanics experience new HIV infections at more than twice the rate of whites; or, finding opportunities to intervene with Puerto Ricans, a Hispanic subculture, who suffer asthma at twice the rate of the general population (2020 LHI Topic Three: Environmental Quality: (see the Healthy People.gov 2020 Leading Health Indicators website link in the Assignment section for Unit 2 under “Web Links). 

5. General expectations 

• All articles must be from nursing or scholarly journals and should include health promotion and wellness content. Articles must be published within the last five (5) years. If you are unsure whether the article is appropriate, ask your instructor. You could lose significant points if the article is not from a scholarly source and/or appropriate to the topic. 

NR‐222 HEALTH AND WELLNESS 

• Copies of articles from any Databases, whether PDF, MSWord, or any other electronic file format, cannot be sent via the Learning Management System (eCollege) Dropbox or through email, as this violates copyright law protections outlined in our subscription agreements. Refer to the “Policy” page under the Course Home tab in the shell for the directions for properly accessing and sending library articles electronically using permalinks. 

• Please ask questions if you need clarification. 

PREPARING THE ASSIGNMENT 

1. Writing the Paper: You will explore the topic and explain the information in writing a 3‐4 page APA formatted paper. 

  1. a. Select a minimum of three (3) scholarly nursing or research article (published within the last 5 years) related to your topic that include health promotion and wellness content. Students in a cultural 

concentration will select at least one article specifically related to the cultural focus for this assignment. You may need to evaluate several articles before you find appropriate selections. For more information on how to choose a scholarly article, open the “Course Resources” tab under the “Course Home” Menu to the left of your Learning Studio (eCollege) course page and open “What Is a Scholarly Source.” 

  1. b. Write a 3‐4 page paper (excluding the title and reference pages) using the following guidelines:  Write brief introduction of the topic and describe why it is important to health promotion in the specific cultural population in your area. 
  2.  Include a description of the topic and the targeted sub culture or population (include statistics). 
  3.  Explain how the project relates to the Healthy People 2020 topic area you have chosen. 
  4.  Summarize the articles; include key points or findings from the articles. 
  5.  Discuss how you used the information from the articles for your Health Promotion Project. Provide specific examples. 
  6.  Describe the approach/approaches you developed to educate the target population about the topic. Include specific ways to promote lifestyle changes within the specified population relative to your specific culture. The approach should be appropriate for your cultural concentration.  Write your conclusion and summary. 
  • c. Your paper must follow APA format. Include a title page and a reference page. Use 12‐point Times New Roman font and include in‐text citations (use citations whenever paraphrasing, using statistics, or quoting from the article). Please refer to your APA manual as a guide for in‐text citations and sample reference pages. 

My topic is mental health here is the link below:

https://www.healthypeople.gov/2020/leading-health-indicators/2020-lhi-topics/Mental-Health