Assignment: Global Healthcare Comparison Matrix and Narrative Statement

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.
  • Select at least one additional country to compare to the U.S. for this Assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

The Assignment: (1- to 2-page Global Health Comparison Matrix; 1-page Plan for Social Change)

Part 1: Global Health Comparison Matrix

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples.

Dietary Needs for Patient with Heart Disease

Assignment Overview

For this assignment, you will answer questions about a client named Mr. Smith. You will analyze the dietary needs and risks for patients who are at risk for heart disease. Using your textbook and the internet you will identify the best recommendations, risks, and needs of a patient in Mr. Smith’s condition, based on the questions asked. You are required to include citations of your references.

This assignment is intended to explore differences between macronutrient and micronutrient concepts and describe their physiological functioning. Additionally, you will apply human nutritional theories and relevant research to formulate nutritional assessments and describe nutritional requirements corresponding to stages in the life span. You will also examine how effective nutritional counseling is contingent upon collaboration, organization, and concurrence among the members of the health care team.

Case Study:

Mr. Andrew Smith is a 50-year-old male, 5 feet 10 inches tall and weighs 265 lbs. He has gained 30 pounds in the past year. He has been diagnosed with heart disease. Testing revealed his total cholesterol is 225 mg/dL, and blood pressure is 150/95. Mr. Smith eats a diet that is high in saturated and trans fats. He also complains of shortness of breath when climbing stairs. Mr. Smith meets with his physician and is started on atorvastatin. Mr. Smith is concerned because he has never taken anything besides over-the-counter medicines before. He would like to explore dietary interventions to improve his heart health.

Assignment Details:

Perform the following tasks:

· Complete the reading assignment before attempting this assignment.

· Please review your reading for this week as well as the Case Study located in Week 9 of your online course.

· Use your text and the internet to respond (in approximately 250 words) to the following (provide your responses in the Assignment Worksheet section on page 2):

· Based on what you learned about Mr. Smith in your interview, briefly explain his modifiable risk factors for heart disease.

· Based on your client’s height and weight, what is his current body mass index? Based on his current BMI, how many pounds should your client lose to achieve a healthy weight?

· Discuss the recommendations that you would make for Mr. Smith’s fat intake (in grams) What foods should be limited to restrict saturated and trans fat intake (list 5)?

· Discuss heart healthy fats. What foods should be included to increase your clients intake of heart healthy fats? (list 5)?

· Briefly discuss three nutritional interventions that you would suggest to your client to improve his heart health.

· Submit the Week 9 Assignment via Blackboard by clicking on the “Week 9 Assignment” link.

· Include the proper file naming convention: SCI115_wk9_assn_jsmith_mmddyyyy.

Refer to the Writing Conventions in the Written Assignment Rubric for detailed grading information.

Grading:

Gradable items in assignmentPoints
Explain risk factors for heart disease.10
Discussion of clients Body Mass Index5
Discussion of saturated and trans fats5
Discussion of heart healthy fats5
Three dietary interventions for heart disease10
Adhere to the Writing Conventions.5
Total Points40

Assignment Worksheet:

Respond to the following (in approximately 250 words) in the spaces provided:

· Based on what you learned about Mr. Smith in your interview, briefly explain his modifiable risk factors for heart disease.

[Write your response here…]

· Based on your client’s height and weight, what is your clients body mass index (BMI)?

[Write your response here…]

· Discuss the recommendations that you would make for Mr. Smith’s intake of dietary fat. What foods should be limited in the diet (list 5)? Which heart healthy fats should be included? (list 5)

[Write your response here…]

· List three nutritional interventions that would improve the heart health of your client.

[Write your response here…]

Project Milestone One: Malpractice Case

For this milestone, you will start working on the case for Final Project I: Malpractice. Below is is a link to the case you will investigate. This link is also provided in the Final Project I Guidelines and Rubric document. 

Surgery: Iturralde v. Hilo Medical Center USA
Prompt: In this milestone, you will complete part of your analysis of the malpractice case. Using this analysis of the case, you will address the facts pertaining to 

the medical standard of care, breach of care, and causation. Specifically, the following critical elements must be addressed: 

I. Introduction:
A. Summarize the case, including information on the stakeholders involved, the problem, and the time period the incident occurred. 

II. Medical Malpractice Component: In this section, you will evaluate the case to address the legal components, the malpractice policies similar to this case, and the standard of care given to the patient and how it was breached. Then, you will draw connections to how this malpractice case impacted stakeholders and healthcare consumers outside of the case. 

  1. Explain the key legal components of the case, including the nature of the issue and the rules that applied.
     
  2. Determine relevant malpractice policies in place for addressing the issues within the case.
     
  3. Analyze the malpractice case for the standard of care provided to the victim. Be sure to apply what the law states about standard of care to
    support whether or not it was breached in the case.
     
  4. Analyze how the malpractice case would impact healthcare consumers from different cultural backgrounds. For example, would this case have a
    similar impact on a person from a culture different from the one in the case? How could this incident change the views of these healthcare
    consumers toward the healthcare system?
     
  5. Assess the malpractice case for accountability based on its severity. To what extent was the healthcare provider held accountable?
     

Case below is what the paper needs to be answered.

LINK TO CASE –>  https://caselaw.findlaw.com/hi-intermediate-court-of-appeals/1597588.html

Advanced Pathophysiology

1. A 40-year-old woman who experiences severe seasonal allergies has been referred by her family physician to an allergist for weekly allergy injections. The woman is confused as to why repeated exposure to substances that set off her allergies would ultimately benefit her. Which of the following phenomena best captures the rationale for allergy desensitization therapy? (Points : 0.4)        Repeated exposure to offending allergens binds the basophils and mast cells that mediate the allergic response.
        Exposure to allergens in large, regular quantities overwhelms the IgE antibodies that mediate the allergic response.
        Repeated exposure stimulates adrenal production of epinephrine, mitigating the allergic response.
        Injections of allergens simulate production of IgG, which blocks antigens from combining with IgE.

Question 2.2. A 24-year-old woman presents with fever and painful, swollen cervical lymph nodes. Her blood work indicates neutrophilia with a shift to the left. She most likely has: (Points : 0.4)        A mild parasitic infection
        A severe bacterial infection
        A mild viral infection
        A severe fungal infection

Question 3.3. A 60-year-old male patient with an acute viral infection is receiving interferon therapy. The nurse practitioner is teaching the family of the patient about the diverse actions of the treatment and the ways that it differs from other anti-infective therapies. Which of the following teaching points should the nurse practitioner exclude? (Points : 0.4)        “Interferon can help your father’s unaffected cells adjacent to his infected cells produce antiviral proteins that limit the spread of the infection.”
        “Interferon can help limit the replication of the virus that’s affecting your father.”
        “Interferon helps your father’s body recognize infected cells more effectively.”
        “Interferon can bolster your father’s immune system by stimulating natural killer cells that attack viruses.”

Question 4.4. As part of his diagnostic workup, a 77-year-old man’s nurse practitioner has ordered blood work that includes ferritin levels. The man is very interested in the details of his health care and is unfamiliar with ferritin and its role. He asks his nurse practitioner to explain the significance of it and the rationale for testing it. Which of the following explanations by the nurse practitioner is most accurate? (Points : 0.4)        “Ferritin is the activated and usable form of iron that your red blood cells can use to transport oxygen.”

        “Ferritin is a stored form of iron that indirectly shows me whether you would benefit from iron pills.”
         “Ferritin is a protein-iron complex that allows your red blood cells to make use of the iron that you consume in your diet.”
        “Ferritin is the form of iron that is transported in your blood plasma to the red blood cells that need it.”

Question 5.5. A 16-year-old female has been brought to her primary care nurse practitioner by her mother due to the girl’s persistent sore throat and malaise. Which of the following facts revealed in the girl’s history and examination would lead the nurse practitioner to rule out infectious mononucleosis? (Points : 0.4)        The girl has a temperature of 38.1°C (100.6°F) and has enlarged lymph nodes.
        Her liver and spleen are both enlarged.
        Blood work reveals an increased white blood cell count.
         Chest auscultation reveals crackles in her lower lung fields bilaterally.

Question 6.6. Which of the following patients is most likely to benefit from transplantation of thymic tissue or major histocompatibility complex (MHC)-compatible bone marrow? (Points : 0.4)        A 12-year-old girl with a history of epilepsy and low IgG levels secondary to phenytoin use
         A 7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM
        A 6-year-old boy whose pre-B cells are incapable of translation to normal B cells
        A 9-year-old girl who has a diagnosis of IgA deficiency

Question 7.7. A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the following pathophysiological phenomena is most responsible for his symptoms? (Points : 0.4)        The Epstein-Barr virus (EBV) is lysing many of the boy’s neutrophils.
        Viruses are killing some of his B cells and becoming incorporated into the genomes of others.
        The EBV inhibits the maturation of white cells within his peripheral lymph nodes.
        The virus responsible for mononucleosis inhibits the maturation of myeloblasts into promyelocytes.

Question 8.8. A 23-year-old man has received a recent diagnosis of appendicitis following 24 hours of acute abdominal pain. The nurse practitioner providing care for the man is explaining that while it is unpleasant, the inflammation of his appendix is playing a role in his body’s fight against the underlying infectious process. Which of the following teaching points should the nurse practitioner eliminate from his teaching for the patient? (Points : 0.4)        “Inflammation can help to remove the body tissue cells that have been damaged by infection.”
        “Inflammation will start your body on the path to growing new, healthy tissue at the site of infection.
        “Inflammation helps your body to produce the right antibodies to fight the infection.”
        “Inflammation ultimately aids in eliminating the initial cause of the cell injury in your appendix.”

Question 9.9. A 71-year-old male patient with a history of myocardial infarction and peripheral vascular disease has been advised by his nurse practitioner to begin taking 81 mg aspirin once daily. Which of the following statements best captures an aspect of the underlying rationale for the nurse practitioner’s suggestion? (Points : 0.4)        Platelet aggregation can be precluded through inhibition of prostaglandin production by aspirin.
        Aspirin helps to inhibit adenosine disphosphate (ADP) action and minimizes platelet plug formation.
        Aspirin can reduce unwanted platelet adhesion by inhibiting thromboxane A2 (TXA2) synthesis.
        Aspirin inhibits the conversion of fibrinogen into fibrin and consequent platelet plug formation.

Question 10.10. A nurse practitioner is explaining to a 40-year-old male patient the damage that Mycobacterium tuberculosis could do to lung tissue. Which of the following phenomena would underlie the nurse practitioner’s explanation? (Points : 0.4)        Tissue destruction results from neutrophil deactivation.
        Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.
        Macrophages are unable to digest the bacteria, resulting in immune granulomas.
        Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.

Question 11.11. A 2-year-old girl has had repeated ear and upper respiratory tract infections since she was born. A pediatrician has determined a diagnosis of transient hypogammaglobulinemia of infancy. What is the physiological origin of the child’s recurrent infections? (Points : 0.4)        Antibody production by plasma cells is compromised because of impaired communication between B and T cells.
        The child had a congenital absence of immunoglobulin G (IgG) antibodies and her body is only slowly beginning to produce them independently.
        The child was born with immunoglobulin A (IgA) and immunoglobulin (IgM) antibodies, suggesting intrauterine infection.
        The child lacks the antigen presenting cells integral to normal B-cell antibody production.

Question 12.12. A nurse practitioner is teaching her colleagues about the role of cytokines in a variety of pathologies. Which of the following teaching points best captures an aspect of the functions and nature of cytokines? (Points : 0.4)        “A particular cytokine can have varied effects on different systems, a fact that limits their therapeutic use.”
        “Cytokine production is constant over time, but effects are noted when serum levels cross a particular threshold.”
        “Most cytokines are produced by granular leukocytes, and different cells are capable of producing the same cytokine.”
        * “Cytokine actions are self-limiting in that activation of one precludes activation of other cytokines with similar actions.”

Question 13.13. A child has been diagnosed with thalassemia. Which of the following other health problems is the child at risk for? (Points : 0.4)        Hypocoagulation
        Iron and ferritin deficiencies
        Splenomegaly and hepatomegaly
        Neutropenia

Question 14.14. A 44-year-old female patient presents to the emergency department with abnormal bleeding and abdominal pain that is later attributed to gallbladder disease. Which of the following diagnoses would the medical team be most justified in suspecting as a cause of the patient’s bleeding? (Points : 0.4)        Calcium deficiency
        Vitamin K deficiency
        Hemophilia B
        Idiopathic ITP

Question 15.15. A 22-year-old female who adheres to a vegan diet has been diagnosed with iron-deficiency anemia. Which of the following components of her diagnostic blood work would be most likely to necessitate further investigation? (Points : 0.4)        Decreased mean corpuscular volume (MCV)
        Decreased hemoglobin and hematocrit
        Microcytic, hypochromic red cells
        Decreased erythropoietin levels

Question 16.16. A 66-year-old female patient has presented to the emergency department because of several months of intermittently bloody stools that has recently become worse. The woman has since been diagnosed with a gastrointestinal bleed secondary to overuse of nonsteroidal anti-inflammatory drugs that she takes for her arthritis. The health care team would realize that which of the following situations is most likely? (Points : 0.4)        The woman has depleted blood volume due to her ongoing blood loss.
        She will have iron-deficiency anemia due to depletion of iron stores.
        The patient will be at risk for cardiovascular collapse or shock.
        She will have delayed reticulocyte release.

Question 17.17. A nurse practitioner student is familiarizing herself with the overnight admissions to an acute medical unit of a university hospital. Which of the following patients would the student recognize as being least likely to have a diagnosis of antiphospholipid syndrome in his or her medical history?(Points : 0.4)        A 66-year-old obese male with left-sided hemiplegia secondary to a cerebrovascular accident
        A 90-year-old female resident of a long-term care facility who has been experiencing transient ischemic attacks
        A 30-year-old female with a diagnosis of left leg DVT and a pulmonary embolism
        A 21-year-old male with a diagnosis of cellulitis and suspected endocarditis secondary to intravenous drug use

Question 18.18. A patient has been admitted to an inpatient medical unit of a hospital with an acute viral infection. The health care team providing care for the patient would recognize which of the following statements as an accurate description of the role of viruses in human infections? (Points : 0.4)        Viruses have limited or absent genetic material of their own.
        Some viruses are capable of transforming normal host cells into malignant cells.
        Viruses are often implicated in cases of transmissible neurodegenerative disease.
        Viruses require stimulation after a latent period before they are able to produce symptoms.

Question 19.19. A 30-year-old man has spent 5 hours on a cross-country flight seated next to a passenger who has been sneezing and coughing, and the man has been inhaling viral particles periodically. Which of the following situations would most likely result in the stimulation of the man’s T lymphocytes and adaptive immune system? (Points : 0.4)        Presentation of a foreign antigen by a familiar immunoglobulin
        Recognition of a foreign MHC molecule
        Recognition of a foreign peptide bound to a self MHC molecule
        Cytokine stimulation of a T lymphocyte with macrophage or dendritic cell mediation

Question 20.20. A 60-year-old woman is suspected of having non-Hodgkin lymphoma (NHL). Which of the following aspects of her condition would help to rule out Hodgkin lymphoma? (Points : 0.4)        Her neoplasm originates in secondary lymphoid structures.
        The lymph nodes involved are located in a large number of locations in the lymphatic system.
        The presence of Reed-Sternberg cells has been confirmed.
        The woman complains of recent debilitating fatigue.

Question 21.21. Following a course of measles, a 5-year-old girl developed scattered bruising over numerous body surfaces and was diagnosed with immune thrombocytopenic purpura (ITP). As part of her diagnostic workup, blood work was performed. Which of the following results is most likely to be considered unexpected by the health care team? (Points : 0.4)        Increased thrombopoietin levels
        Decreased platelet count
        Normal vitamin K levels
        Normal leukocyte levels

Question 22.22. Sputum samples from a patient with pneumonia contain an infective agent that has a peptidoglycan cell wall, expresses endotoxins, replicates readily in broth and on agar, grows in clusters, has pili, and does not stain when exposed to crystal violet. This pneumonia is most likely: (Points : 0.4)        Chlamydial
        Viral
        Mycoplasmal
        Bacterial

Question 23.23. The blood work of a 44-year-old male patient with a diagnosis of liver disease secondary to alcohol abuse indicates low levels of albumin. Which of the following phenomena would a clinician be most justified in anticipating? (Points : 0.4)        * Impaired immune function
        Acid-base imbalances
        Impaired thermoregulation
        Fluid imbalances

Question 24.24. A 29-year-old construction worker got a sliver under his fingernail four days ago. The affected finger is now reddened, painful, swollen, and warm to the touch. Which of the following hematological processes is most likely occurring in response to the infection? (Points : 0.4)        Proliferation of immature neutrophils
        High circulatory levels of myeloblasts
        Increased segmented neutrophil production

        Phagocytosis by myelocytes

Question 25.25. A patient presented to the emergency department of the hospital with a swollen, reddened, painful leg wound and has been diagnosed with methicillin-resistant Staphylococcus aureus cellulitis. The patient’s nurse practitioner has ordered a complete blood count and white cell differential. Which of the following blood components would the nurse practitioner most likely anticipate to be elevated? (Points : 0.4)        Basophils
        Eosinophils
        Platelets
        Neutrophils
Question 1.1. A couple who are expecting their first child have been advised by friends to consider harvesting umbilical cord blood in order to have a future source of stem cells. The couple have approached their nurse practitioner with this request and are seeking clarification of exactly why stem cells are valuable and what they might expect to gain from harvesting them. How can the nurse practitioner best respond to the couple’s inquiry? (Points : 0.4)        “Stem cells can help correct autoimmune diseases and some congenital defects.”
        “Stem cells can be used to regenerate damaged organs should the need ever arise.”
        “Stem cells can be used as a source of reserve cells for the entire blood production system.”
        “Stem cells can help treat some cancers and anemias, but they must come from your child himself or herself.”


 Question 2.2. A 2-year-old girl has had repeated ear and upper respiratory tract infections since she was born. A pediatrician has determined a diagnosis of transient hypogammaglobulinemia of infancy. What is the physiological origin of the child’s recurrent infections? (Points : 0.4)      Antibody production by plasma cells is compromised because of impaired communication between B and T cells.
        The child had a congenital absence of immunoglobulin G (IgG) antibodies and her body is only slowly beginning to produce them independently.
        The child was born with immunoglobulin A (IgA) and immunoglobulin (IgM) antibodies, suggesting intrauterine infection.
        The child lacks the antigen presenting cells integral to normal B-cell antibody production.

 Question 3.3. A 40-year-old woman who experiences severe seasonal allergies has been referred by her family physician to an allergist for weekly allergy injections. The woman is confused as to why repeated exposure to substances that set off her allergies would ultimately benefit her. Which of the following phenomena best captures the rationale for allergy desensitization therapy? (Points : 0.4)        Repeated exposure to offending allergens binds the basophils and mast cells that mediate the allergic response.
        Exposure to allergens in large, regular quantities overwhelms the IgE antibodies that mediate the allergic response.
        Repeated exposure stimulates adrenal production of epinephrine, mitigating the allergic response.
        Injections of allergens simulate production of IgG, which blocks antigens from combining with IgE.

 Question 4.4. A 14-year-old boy has been diagnosed with infectious mononucleosis. Which of the following pathophysiological phenomena is most responsible for his symptoms? (Points : 0.4)        The Epstein-Barr virus (EBV) is lysing many of the boy’s neutrophils.
        Viruses are killing some of his B cells and becoming incorporated into the genomes of others.
        The EBV inhibits the maturation of white cells within his peripheral lymph nodes.
        The virus responsible for mononucleosis inhibits the maturation of myeloblasts into promyelocytes.

 Question 5.5. A 16-year-old female has been brought to her primary care nurse practitioner by her mother due to the girl’s persistent sore throat and malaise. Which of the following facts revealed in the girl’s history and examination would lead the nurse practitioner to rule out infectious mononucleosis? (Points : 0.4)        The girl has a temperature of 38.1°C (100.6°F) and has enlarged lymph nodes.
        Her liver and spleen are both enlarged.
        Blood work reveals an increased white blood cell count.
        Chest auscultation reveals crackles in her lower lung fields bilaterally.

 Question 6.6. A 24-year-old woman presents with fever and painful, swollen cervical lymph nodes. Her blood work indicates neutrophilia with a shift to the left. She most likely has: (Points : 0.4)        A mild parasitic infection
        A severe bacterial infection
        A mild viral infection
        A severe fungal infection

 Question 7.7. Which of the following patients is most likely to benefit from transplantation of thymic tissue or major histocompatibility complex (MHC)-compatible bone marrow? (Points : 0.4)        A 12-year-old girl with a history of epilepsy and low IgG levels secondary to phenytoin use
        A 7-year-old boy whose blood work indicates decreased IgA and IgG with increased IgM
        A 6-year-old boy whose pre-B cells are incapable of translation to normal B cells
        A 9-year-old girl who has a diagnosis of IgA deficiency

 Question 8.8. Which of the following statements most accurately conveys an aspect of lymphatic system activity? (Points : 0.4)        B and T lymphocyte development begins in the bone marrow and ends in the peripheral lymphoid structures.
        B cells and macrophages are released from the bone marrow in their completed state.
        Stem cells in the lymph nodes initiate and regulate the process of white cell synthesis.
        Leukocytes bypass vascular circulation and are distributed instead by the lymphatic system.

 Question 9.9. A child has been diagnosed with thalassemia. Which of the following other health problems is the child at risk for? (Points : 0.4)        Hypocoagulation
        Iron and ferritin deficiencies
        Splenomegaly and hepatomegaly
        Neutropenia

 Question 10.10. The blood work of a 44-year-old male patient with a diagnosis of liver disease secondary to alcohol abuse indicates low levels of albumin. Which of the following phenomena would a clinician be most justified in anticipating? (Points : 0.4)        Impaired immune function
        Acid-base imbalances
        Impaired thermoregulation
        Fluid imbalances

 Question 11.11. A 60-year-old male patient with an acute viral infection is receiving interferon therapy. The nurse practitioner is teaching the family of the patient about the diverse actions of the treatment and the ways that it differs from other anti-infective therapies. Which of the following teaching points should the nurse practitioner exclude? (Points : 0.4)        “Interferon can help your father’s unaffected cells adjacent to his infected cells produce antiviral proteins that limit the spread of the infection.”
        “Interferon can help limit the replication of the virus that’s affecting your father.”
        “Interferon helps your father’s body recognize infected cells more effectively.”
         “Interferon can bolster your father’s immune system by stimulating natural killer cells that attack viruses.”

 Question 12.12. A patient has been admitted to an inpatient medical unit of a hospital with an acute viral infection. The health care team providing care for the patient would recognize which of the following statements as an accurate description of the role of viruses in human infections? (Points : 0.4)        Viruses have limited or absent genetic material of their own.
         Some viruses are capable of transforming normal host cells into malignant cells.
        Viruses are often implicated in cases of transmissible neurodegenerative disease.
        Viruses require stimulation after a latent period before they are able to produce symptoms.

 Question 13.13. A patient presented to the emergency department of the hospital with a swollen, reddened, painful leg wound and has been diagnosed with methicillin-resistant Staphylococcus aureus cellulitis. The patient’s nurse practitioner has ordered a complete blood count and white cell differential. Which of the following blood components would the nurse practitioner most likely anticipate to be elevated? (Points : 0.4)        Basophils
        Eosinophils
        Platelets
        Neutrophils

 Question 14.14. A 23-year-old man has received a recent diagnosis of appendicitis following 24 hours of acute abdominal pain. The nurse practitioner providing care for the man is explaining that while it is unpleasant, the inflammation of his appendix is playing a role in his body’s fight against the underlying infectious process. Which of the following teaching points should the nurse practitioner eliminate from his teaching for the patient? (Points : 0.4)        “Inflammation can help to remove the body tissue cells that have been damaged by infection.”
        “Inflammation will start your body on the path to growing new, healthy tissue at the site of infection.
        “Inflammation helps your body to produce the right antibodies to fight the infection.”
        “Inflammation ultimately aids in eliminating the initial cause of the cell injury in your appendix.”

 Question 15.15. A nurse practitioner is teaching her colleagues about the role of cytokines in a variety of pathologies. Which of the following teaching points best captures an aspect of the functions and nature of cytokines? (Points : 0.4)        “A particular cytokine can have varied effects on different systems, a fact that limits their therapeutic use.”
        “Cytokine production is constant over time, but effects are noted when serum levels cross a particular threshold.”
        “Most cytokines are produced by granular leukocytes, and different cells are capable of producing the same cytokine.”
        “Cytokine actions are self-limiting in that activation of one precludes activation of other cytokines with similar actions.”

 Question 16.16. A nurse practitioner student is familiarizing herself with the overnight admissions to an acute medical unit of a university hospital. Which of the following patients would the student recognize as being least likely to have a diagnosis of antiphospholipid syndrome in his or her medical history?(Points : 0.4)        A 66-year-old obese male with left-sided hemiplegia secondary to a cerebrovascular accident
        A 90-year-old female resident of a long-term care facility who has been experiencing transient ischemic attacks
        A 30-year-old female with a diagnosis of left leg DVT and a pulmonary embolism
        A 21-year-old male with a diagnosis of cellulitis and suspected endocarditis secondary to intravenous drug use

 Question 17.17. A 66-year-old female patient has presented to the emergency department because of several months of intermittently bloody stools that has recently become worse. The woman has since been diagnosed with a gastrointestinal bleed secondary to overuse of nonsteroidal anti-inflammatory drugs that she takes for her arthritis. The health care team would realize that which of the following situations is most likely? (Points : 0.4)        The woman has depleted blood volume due to her ongoing blood loss.
        She will have iron-deficiency anemia due to depletion of iron stores.
        The patient will be at risk for cardiovascular collapse or shock.
        She will have delayed reticulocyte release.

 Question 18.18. A tourist presented to a primary care health clinic complaining of malaise, fever, and headache. She has subsequently been diagnosed with Rocky Mountain spotted fever, a pathology caused by Rickettsiaceae. Which of the followed statements best captures a characteristic trait of Rickettsiaceae?(Points : 0.4)        They are eukaryotic.
        They have both RNA and DNA.
        They have a distinct spiral-shaped morphology.

        They are neither gram-negative nor gram-positive.

 Question 19.19. A nurse practitioner is explaining to a 40-year-old male patient the damage that Mycobacterium tuberculosis could do to lung tissue. Which of the following phenomena would underlie the nurse practitioner’s explanation? (Points : 0.4)        Tissue destruction results from neutrophil deactivation.
        Nonspecific macrophage activity leads to pulmonary tissue destruction and resulting hemoptysis.
        Macrophages are unable to digest the bacteria, resulting in immune granulomas.
        Neutrophils are ineffective against the Mycobacterium tuberculosis antigens.

 Question 20.20. Following a course of measles, a 5-year-old girl developed scattered bruising over numerous body surfaces and was diagnosed with immune thrombocytopenic purpura (ITP). As part of her diagnostic workup, blood work was performed. Which of the following results is most likely to be considered unexpected by the health care team? (Points : 0.4)        Increased thrombopoietin levels
        Decreased platelet count
        Normal vitamin K levels
        Normal leukocyte levels

 Question 21.21. A 29-year-old construction worker got a sliver under his fingernail four days ago. The affected finger is now reddened, painful, swollen, and warm to the touch. Which of the following hematological processes is most likely occurring in response to the infection? (Points : 0.4)        * Proliferation of immature neutrophils
        High circulatory levels of myeloblasts
        Increased segmented neutrophil production

        Phagocytosis by myelocytes

 Question 22.22. As part of his diagnostic workup, a 77-year-old man’s nurse practitioner has ordered blood work that includes ferritin levels. The man is very interested in the details of his health care and is unfamiliar with ferritin and its role. He asks his nurse practitioner to explain the significance of it and the rationale for testing it. Which of the following explanations by the nurse practitioner is most accurate? (Points : 0.4)        “Ferritin is the activated and usable form of iron that your red blood cells can use to transport oxygen.”

        “Ferritin is a stored form of iron that indirectly shows me whether you would benefit from iron pills.”
        “Ferritin is a protein-iron complex that allows your red blood cells to make use of the iron that you consume in your diet.”
         “Ferritin is the form of iron that is transported in your blood plasma to the red blood cells that need it.”

 Question 23.23. A nurse practitioner is providing prenatal care and education for a first-time expectant mother, 22 weeks’ gestation, who has a diagnosis of a sexually transmitted infection. Which of the following statements by the expectant mother demonstrates an adequate understanding of vertical disease transmission and congenital infections? (Points : 0.4)        “Gonorrhea and chlamydia pose the greatest risks of transmission from mother to child.”
        “I know that my baby will need observation for HIV signs and symptoms in the weeks following my delivery.”
         “My baby could become infected either across the placenta or during the birth itself.”
        “Prophylactic immunization will reduce my baby’s chance of being born with an illness.”

 Question 24.24. A 71-year-old male patient with a history of myocardial infarction and peripheral vascular disease has been advised by his nurse practitioner to begin taking 81 mg aspirin once daily. Which of the following statements best captures an aspect of the underlying rationale for the nurse practitioner’s suggestion? (Points : 0.4)         Platelet aggregation can be precluded through inhibition of prostaglandin production by aspirin.
        Aspirin helps to inhibit adenosine disphosphate (ADP) action and minimizes platelet plug formation.
        Aspirin can reduce unwanted platelet adhesion by inhibiting thromboxane A2 (TXA2) synthesis.
        Aspirin inhibits the conversion of fibrinogen into fibrin and consequent platelet plug formation.

 Question 25.25. A 22-year-old female who adheres to a vegan diet has been diagnosed with iron-deficiency anemia. Which of the following components of her diagnostic blood work would be most likely to necessitate further investigation? (Points : 0.4)        Decreased mean corpuscular volume (MCV)
        Decreased hemoglobin and hematocrit
        Microcytic, hypochromic red cells
        Decreased erythropoietin levels

Advanced Pathophysiology Across The Lifespan Week 8 Discussion

Case Study: Topic

Case Study Posting Requirements

  1. Make sure all of the topics in the case study have been addressed.
  2. Cite at least three sources—journal articles, textbooks or evidenced-based websites to support the content.
  3. All sources must be within five years.
  4. Do not use .com, Wikipedia, or up-to-date, etc., for your sources.

Case Study 1

Structure and Function of the Male Genitourinary System

Mario is a 68-year-old male whose wife died of cancer five years ago. Since her death, he began to eat more fast food and stay at home and watch television. Recently, however, Mario’s friend introduced him to a woman whom he became to like very much. After seeing her a few times, Mario became concerned about his health and went to see his doctor. He noticed a change in his sexual performance when he turned 60 and, after seeing so much on television about erectile dysfunction, was concerned he would experience this with his girlfriend.

  1. What factors are present in Mario’s history that predispose him to erectile dysfunction?
  2. What condition would you suspect if Mario had a blood test indicating elevated LH and decreased testosterone levels? What effect do low testosterone levels have on the reproductive organs of the male?
  3. How do the parasympathetic and sympathetic nervous systems generate erection, emission, and ejaculation?

Case Study 2

Disorders of the Male Genitourinary System

Darius is 63 years old and began to wake up at night to urinate. When he went to the bathroom, he had to strain to initiate the flow, and the stream of urine was weak. Over time, the pattern became more apparent during the day; he often had a sense of urgency and felt he was going to the bathroom frequently. When he did, however, he did not always feel he had emptied his bladder, and he tended to dribble throughout the day. Much to his reluctance, his wife urged him to see a physician. At the doctor’s office, his case history was carefully taken, a digital rectal exam was performed, and lab work was ordered. His blood results were unremarkable, but his urinalysis showed an elevated white blood cell count and bacteria. His physician diagnosed Darius with benign prostatic hyperplasia and urinary tract infection.

  1. How does BPH contribute to the signs and symptoms of bladder dysfunction, and how was Darius prone to developing a urinary tract infection?
  2. What are the static and dynamic components of BPH? Why are α1-adrenergic receptor blockers sometimes used to treat prostatic hyperplasia?
  3. How does the prostate feel during a digital rectal exam with benign prostatic hyperplasia, acute bacterial prostatitis, and prostate cancer?
  4. Why does the patient with prostate cancer present with symptoms later in the disease?

Case Study 3

Structure and Function of the Female Reproductive System

Janice is 49 years old, is married, and has two teenage children. Over the last year, her periods tended to be irregular and heavier than usual. She also noticed intercourse was becoming more painful for her, and her interest in sex declined. She knew her mother was 51 when she reached menopause, and Janice was concerned about having the mood swings and hot flashes her mother had experienced. She phoned some of her friends to seek their advice. Some said she should try hormone therapy, while others said it was not a good idea at all. Other friends said she should use remedies like red clover tea and soy isoflavone supplements. Janice decided her best bet was to go to the local women’s health care clinic to discuss her options with a nurse.

  1. Using the data collected by the Women’s Health Initiative and the Nurses’ Health Study, why are some women at an increased risk for CHD and others are at a decreased risk when hormone therapy is prescribed?
  2. Why are alternative methods like red clover and some plant oils being promoted for the menopausal woman? What are the changes that occur in a woman’s reproductive organs when estrogen levels decline?
  3. How does estrogen affect bone growth during puberty? Why are postmenopausal women at risk for osteoporosis?

Case Study 4

Disorders of the Female Reproductive System

Tracie is 39 years old and is in a casual relationship with a man. She had her first sexual relationship when she was 13 and prefers to have short-term sexual relationships with men instead of a monogamous, committed partnership. It had been several years since Tracie had a complete physical, so before going on a vacation, she decided to have one done. Tracie’s Pap smear indicated CIN 3 (HSIL) dysplasia. Her physician immediately ordered a colposcopy and LEEP excision, and then asked to see Tracie for a follow-up appointment 6 months later.

  1. Why is cervical cancer considered a sexually transmitted disease?
  2. Explain what the Pap smear entails and why it is an effective tool in the detection of cervical cancer. What does Tracie’s result mean?
  3. What is the transformation zone, and why is it vulnerable to the development of cervical cancer?
  4. What is the LEEP procedure, and why is it useful for the diagnosis and treatment of cervical dysplasia?

To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home.

Information Systems And Changing Organizational Culture

Information Systems and Changing Organizational Culture
 

The Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine (2011) notes that “the nursing profession is the largest segment of the nation’s health care workforce.” Nursing’s three million–plus members are known for their ability to react quickly and efficiently on the front lines of patient care. This agility is lost, however, when the nursing profession fails to evolve with the field of information technology. Have you witnessed any unintentional barriers that have excluded nurses from quickly adopting and accepting informatics systems?
 

Those nurses who apply strategies developed by change management experts can help expedite the adoption process by positively addressing staff concerns and implementation challenges. In this Discussion, you explore change leadership strategies through a role-playing activity.
 

Reference:
Committee on the Robert Wood Johnson Foundation Initiative on the Future of Nursing, at the Institute of Medicine. (2011). The future of nursing: Leading change, advancing health [Consensus report]. Retrieved from the Institute of Medicine of the National Academies website: http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx
 

To prepare:

  • Review      the Learning Resources, focusing on the findings of the TIGER Leadership      Collaborative.
  • Consider      the TIGER Nursing Informatics Competencies model from a leadership      standpoint.
  • Engage      in the following role play: Your practice setting has appointed you to      lead the implementation of a new information technology initiative. As you      plan for this undertaking, you consider the various challenges that this      implementation may bring to your practice.
  • Select       an information technology initiative that your practice could benefit       from (i.e., a new information system, point-of-care service, robotics       machinery, mobile devices, glucometers, smart pumps etc.).
  • What       change management strategies might you utilize to facilitate a quick and       successful implementation?
  • What       potential barriers might the initiative bring to the practice? What       leadership strategies could shift the culture toward a smooth transition?

By tomorrow Tuesday October 31, 2017, write a minimum of 550 words essay in APA format with at least 3 references. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Briefly identify your practice setting (hospital setting) and the information technology initiative you selected. Provide a rationale for your selection. (i.e., a new information system, point-of-care service, robotics machinery, mobile devices, glucometers, smart pumps etc.).

2) Evaluate the potential barriers to implementing your hypothetical initiative.

3) Identify the change management strategies that you would use to facilitate a successful implementation. Identify key resources that you would need to promptly overcome potential barriers.

4) Appraise the leadership strategies that you would employ to establish a culture that supports the new information technology initiative. Reference the TIGER Informatics Competencies where appropriate.

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

Chapter 2, “Strategies for Culture Change”

Chapter 9, “Leadership Collaborative”

Chapter 10, “Challenging Leadership Status Quo”

Chapters 2 and 10 discuss the theories, models, and trends of technology. Chapter 9 details TIGER’s strides in the realms of education and basic competency requirements to better prepare nurses in informatics principles.

Caballero Muñoz, E., & Hullin Lucay Cossio, C. M. (2010). Engaging clinicians in health informatics projects. Studies in Health Technology and Informatics, 151,195-206.

The authors of this article break down the implementation, planning, and design phases of informatics projects into specific management categories. Each category consists of factors that can help to integrate clinician’s work flow needs.

Liaw, S. T., & Gray, K. (2010). Clinical health informatics education for a 21st century world. Studies in Health Technology and Informatics, 151, 479-491.

This article examines the educational and competency requirements put into place by the American Medical Informatics Association.

T.I.G.E.R. Technology Informatics Guiding Education Reform. (2011). Informatics competencies collaborative team. Retrieved from https://web.archive.org/web/20150910131244/http://www.thetigerinitiative.org/docs/tigerreport_informaticscompetencies.pdf 

Use this website to acquire the informatics competencies as outlined by the TIGER collaborative. Useful links, resources, and learning objectives can be easily located, as they are categorized into the competencies of basic computer, information literacy, and information management.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Information systems and changing culture. Baltimore, MD: Author.

Note: The approximate length of this media piece is 7 minutes.

This week’s media presentation provides real-world examples of doctors, nurses, and general staff changing their standard methods and procedures to reap the benefits of new technology systems. 

Optional Resources

Simpson, R. L. (2009). Innovations in transforming organizations. Nursing Administration Quarterly, 33(3), 268-272.

Stanton, M. P., & Barnett Lammon, C. A. (2008). The “wins” of change: Evaluating the impact of predicted changes on case management practice. Professional Case Management, 13(3), 161-168.

Szydlowski, S., & Smith, C. (2009). Perspectives from nurse leaders and chief information officers on health information technology implementation. Hospital Topics, 87(1), 3-9.Bottom of Form

Digestive Disorders

Many patient symptoms can be tied to multiple disorders, which may lead to misdiagnoses. For instance, consider two digestive disorders of the gastrointestinal tract—inflammatory bowel disease and irritable bowel syndrome. These two disorders are commonly confused because they present similar symptoms. As an advanced practice nurse, you must know the differences to properly diagnose and treat the disorders. How does the pathophysiology of inflammatory bowel disease compare to the pathophysiology of irritable bowel syndrome? How do treatments for the two disorders compare?

To Prepare

  • Review      Chapter 36 in the Huether and McCance text and Chapter 13 in the McPhee      and Hammer text.
  • Identify      the pathophysiological mechanisms of inflammatory bowel disease and      irritable bowel syndrome. Think about similarities and differences between      the disorders.
  • Consider      common treatments for inflammatory bowel disease and irritable bowel      syndrome. Reflect on whether treatments for one disorder would work for      the other disorder.
  • Select      one of the following patient factors: genetics, gender, ethnicity, age, or      behavior. Reflect on how the factor you selected might impact the      pathophysiology of and treatments for each disorder.

Post an explanation of the pathophysiological mechanisms of inflammatory bowel disorder and irritable bowel syndrome, including similarities and differences. Then describe common treatments, addressing whether treatments for one disorder would work for the other disorder. Finally, explain how the patient factor you selected might impact the pathophysiology of and treatments for each disorder.

Required Readings

**Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby.

  • Chapter 35, “Structure and      Function of the Digestive System”

This chapter provides information relating to the structure and function of the digestive system. It covers the gastrointestinal tract and accessory organs of digestion.

  • Chapter 36, “Alterations of      Digestive Function”

This chapter presents information relating to disorders of the gastrointestinal tract and accessory organs of digestion. It also covers the pathogenesis, clinical manifestations, evaluation, and treatment of gastroesophageal reflux disease, gastritis, peptic ulcer disease, inflammatory bowel disease, and irritable bowel syndrome.

  • Chapter 37, “Alterations of      Digestive Function in Children”

This chapter presents information relating to disorders of the gastrointestinal tract and liver that affect children. It focuses on congenital impairment, inflammatory disorders, metabolic disorders, as well as the impairment of digestion, absorption, and nutrition.

**Hammer, G. G. , & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine. (7th ed.) New York, NY: McGraw-Hill Education.

  • Chapter 13,      “Gastrointestinal Disease”

This chapter provides a foundation for exploring gastrointestinal disorders by reviewing the structure and function of the GI tract. It also describes mechanisms of regulation of GI tract disorders such as acid-peptic disease, inflammatory bowel disease, and irritable bowel syndrome.

  • Chapter 14, “Liver Disease”

This chapter reviews the structure and function of the liver. It then explores the clinical presentation, etiology, pathogenesis, pathology, and clinical manifestations of three liver disorders: acute hepatitis, chronic hepatitis, and cirrhosis.

  • Chapter 15, “Disorders of      the Exocrine Pancreas”

This chapter begins by reviewing the anatomy, histology, and physiology of the exocrine pancreas. It then examines the clinical presentation, etiology, pathology, pathogenesis, and clinical manifestations of acute and chronic pancreatitis, pancreatic insufficiency, and pancreatic cancer.

**de Bortoli, N., Martinucci, I., Bellini, M., Savarino, E., Savarino, V., Blandizzi, C., & Marchi, S. (2013). Overlap of functional heartburn and gastroesophageal reflux disease with irritable bowel syndrome. World Journal of Gastroenterology, 19(35), 5787-5797. doi:10.3748/wjg.v19.i35.5787

– This work should have Introduction and Conclusion

– It should have at least 3 current references (Year 2013 and up)

The following Resources are not acceptable:

1. Wikipedia

2. Cdc.gov- nonhealthcare professionals section

3. Webmd.com

4. Mayoclinic.com

Nursing homework help

Nursing homework help

Module 5/ Writing for Nurses.

Review alphanumeric outlines at https://owl.purdue.edu/owl/purdue_owl.html

Remember when you are creating an outline that each heading MUST have a minimum of two (2) subheadings.  The rationale lies in the thinking that if you cannot think of at least two items to flesh out a specific heading then the information in that one subheading is really part of the topic in the heading. Nursing homework help

ORDER A PLAGIARISM FREE PAPER NOW

  1. Introduction to topic
    II. Topic:  Abuse of alcohol and opioids can affect individuals economically, physically, and emotionally
  2. Economically
    1. Alcohol
  3. Cost to buy alcohol
    b. Cost of legal proceedings
    c. Cost of property damage
  4. Opioids
  5. Cost of legal prescriptions
    b. Cost of illegal purchases
    c. Cost of legal proceedings
  6. Physical effects
    1. Alcohol
  7. Poor nutrition
    b. Liver damage
    c. Depression
  8. Opioids
  9. Infection from use of dirty needles
    b. Tolerance and dependence
    c. Depression
  10. Emotional effects

lll. Next topic, etc.

.

Selecting Credible Sources

University of California San Diego Department of Psychology. (2018). What types of references are appropriate? https://psychology.ucsd.edu/undergraduate-program/undergraduate-resources/academic-writing-resources/writing-research-papers/appropriate-references.html

University of Maryland. (2018). Is my source credible?  http://sites.umuc.edu/library/libhow/credibility.cfm

Writing for Nurses/Module 5 Outline directions.

Overview:

Creating an outline of a paper assists the author in organizing the content of the paper.  It allows the author the opportunity to discover what ideas fit together well and which ones need additional clarification.  The more detailed the outline the easier it will be to write the final paper.

Review first sample outline at https://owl.purdue.edu/owl/purdue_owl.html

  • Use Roman numerals for the main headings in the outline (I, II, III, IV)
    • Capital letters are used for the subheadings (A, B, C, D)
    • If another set of subheadings is needed use 1, 2, 3, 4
    • The next subheading would be lowercase letters, e.g., a, b, c, d

Note: There can be no fewer than two (2) subheadings beneath any heading. See the example in the Instructional Materials folder for Module 5. Nursing homework help

 

Instructions

  1. You are to create an alphanumeric outline of the final paper.
  2. Main headings will include one heading titled Introduction and one titled Conclusion.  Other main headings will address major concepts in your thinking.
  3. The outline is to provide the logical progression of the ideas and points you will make in the final paper. Items do not need to be in complete sentences.
  4. The outline is to have at least two (2) peer reviewed references.  You do NOT need to include in-text citations in the outline, but you will need to include a reference list on a separate page to give credit to the original author of the information. References MUST be in proper APA Manual 7th edition
  5. Include a properly formatted student APA Manual 7th edition title page

 

  • Click on the link titled ” M5 A1: OUTLINE OF FINAL PAPER – SUBMISSION AREA” to submit the assignment.
  • Refer to Rubric for evaluation guidelines
  • Points: 20
  • Due: See Course Calendar/Checklist

Note: You will have three (3) attempts to submit a written assignment, only the final attempt will be graded. For each attempt you will receive a SafeAssign originality report. This will give you a chance to correct the assignment based on the SafeAssign score. Click here to view instructions on how to interpret your SafeAssign originality report.

Kindly note: If a submission has been made for more than 48 hours without a re-submission, it will be considered final and will be subject to being graded.

 

Health Data Standards

Health Data Standards Discussion

What are health data standards and how do they relate to your role as an informaticist? Health data standards are the agreed upon representations of nursing data. From the coding of medical processes to documentation formats and terminology definitions, health data standards help to align nursing language. Being knowledgeable in health data standards is imperative to the data aggregation and informatics system selection process. It is the informaticist’s responsibility to not only understand the nursing domains of each standard, but also to be educated on the standards development organizations (SDO) that create, maintain, and approve these standards.

In this Discussion, you explore one health data standard of your choosing. For the purposes of this Discussion, do not focus on the standardization of nursing terminologies, as you will examine those in next week’s Discussion.

To prepare:

  • Review the health data standards presented in this week’s Learning Resources.
    • How does each provide a framework to align the terminologies and data sets used in health care settings?
  • Reflect upon your current health care setting.
    • Does your setting currently use any of the standards outlined by a specific organization? Why?
    • How might standards impact the documentation processes of your setting? Furthermore, which standards might most apply to you in your work as a nurse?

Note:If you are not currently working in a health care setting, select a setting with which you are familiar for this Discussion.

By Day 3

Post a description of the health data standards(1 or 2) your setting(VHA “Veterans Health Administration) uses and how these standards impact documentation and your specific nursing role (ICU RN Nurse). Explain how standard development organizations impact your health care setting.

*** please read the part “prepare”. APA Style, 500-600 words minimum. 

Due Date: April 11, 2018 at 8pm

Health Care Paper

I. JOB DESCRIPTION 

  •   Describe the care/service provided by the healthcare professional, (used correct APA ciations)
     
  •   Describe the limits of authority and responsibility legislated “scope of practice” for this health care career. (used correct APA citations)
     
  •   Describe the “Code of Ethics” for this health care occupation (used correct APA citations)
    II. EDUCATION /REGISTRATION/CERTIFICATION
     
  •   Describe the requirements for the profession/occupation (using correct APA citations)
     
  •   Identify at least two different types of educational institutions/schools offering the
    program. (using correct APA citations)
     
  •   State how much time it takes to complete the program (using correct APA citations)
     
  •   Describe the approximate cost for each of the educational institutions required using
    correct APA citations) (using correct APA citations)
     
  •   What degree or certification that can be earned for this health care career (using
    correct APA citations)
     
  •   Identify the professional certification or registration required (using correct APA
     
  •   citations)
    III. EMPLOYMENT
     
  •   What is the job availability for this profession? (using correct APA citations)
     
  •   Growth trends in the field (using correct APA citations)
     
  •   Number of jobs advertised locally for example in the Sunday Herald or other
    publication (using correct APA citations)
     
  •   Is experience required? explain (using correct APA citations)
     
  •   Salaries – Entry level and with experience (using correct APA citations)
     
  •   Advancement Opportunities, with or without additional education (using correct APA
    citations)
     

MIAMI DADE COLLEGE
MEDICAL CAMPUS
HSC 0003, INTRODUCTION TO HEALTH CARE COURSE PROJECT: HEALTH CARE CAREER WRITTEN PAPER GRADING RUBRIC
20% of overall course grade 

HSC 0003, Health Care Career Paper (Rev. 2014, PL) 

IV. PROFESSIONAL ACTIVITIES 

  •   Local/State/National Professional Organizations (cost to join as a student) (using correct APA citations)
     
  •   Professional journals with address and cost. (using correct APA citations)
     
  •   Are Continuing Educational Units (CEUs) required for this profession? If so how
    many and how often (using correct APA citations)
     
  •   Describe ways that members of a professional organization can gain continuing education
    requirements and earn CEUs (using correct APA citations)
    V. REFLECTION / PERSONAL CAREER PLAN
     
  •   Reflect on how you see yourself “fitting” into this profession.
     
  •   Describe a personal career plan for you to enter this field. Include goals,
    objectives and strategies.