Australian Health Care System

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HLTENN001: Australian Health Care System- Clinical Placement- Nursing Practice Assignment Help

Task:

The student must show evidence of the ability to undertake nursing work in accordance with Nursing  and Midwifery Board of Australia professional practice standards, codes and guidelines during at  least 1 clinical work placement, and that they have worked effectively in the context of professional  nursing practice including:

performing 5 different professional interactions to demonstrate adaptation to nursing role and application of knowledge of nursing practice

Reflecting on the 5 professional interactions and identifying how nursing practice contributed to the person’s health outcome.

A person who demonstrates competency in these skills will be able to provide evidence of competency in  their knowledge of the Australian health care system and their role and scope of practice working in  the nursing profession. They will be able to provide health across the lifespan of people in a range  of health and community care services or environments.

Assessment Method 
Please read the following instructions about your assessment, as they will assist you to achieve the  required level of competency for this assessment. 
Consider the different professional interactions that are part of the day to day working environment  in Clinical Placement.

HIT Projects and Decision Makers

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HIT Projects and Decision Makers
A nurse leader sought to implement greater security in the children’s wing of the hospital by installing a new alarm and monitoring system. Due to budget constraints, the CNO rejected the proposal, stating that current security methods were sufficient. Shortly after this failed proposal, an individual did in fact breach the children’s wing security and abducted a young child. Thankfully, the child was found and returned to her parents; and the CNO quickly found the money to install the new security system.
Not all HIT projects have such high-profile stakes. The main takeaway from this example is the importance of getting key stakeholders and decision makers on board when planning a new HIT project.
To prepare:

  • Bring      to mind a HIT project implemented in your organization. Which leaders      identified the project? Which stakeholders and decision makers helped      moved the project forward?
  • Consider      methods that were used to garner the support of stakeholders and decision      makers to move the project forward. HIT Projects and Decision Makers

By tomorrow Wednesday 09/20/17, write a minimum of 550 words essay in APA format with a minimum of 3 references from the list in the instructions area. Include the level one headings as numbered below:

post a cohesive response that addresses the following:

1) Describe an example of a HIT project implemented at your organization and analyze how that project was identified and moved forward. (HIT stands for Health Information Technology, pick one that was implemented in the hospital. One project that comes to my mind is when my hospital upgraded their EHR system from MEDITECH to EPIC system).

2) Evaluate the impact of key decision makers on moving the HIT project forward.

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.

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  • Chapter      17, “Disruptive Innovation: Point of Care”

This chapter uses real-world integration examples to illustrate the visions and challenges that characterize Smart Point of Care systems.

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

  • “Standards      of Nursing Informatics Practice” (pp. 67-79)

This excerpt presents the specific measurement criteria found within each nursing informatics standard.

Madsen, M. (2010). Knowledge and information modeling. Studies in Health Technology and Informatics, 151, 84-103.

Within this article, the overall design models of information systems are linked to the metastructures, data, information, knowledge, and wisdom. HIT Projects and Decision Makers

Peleg, M. (2011). The role of modeling in clinical information system development life cycle. Methods of Information in Medicine, 50(1), 7-10.

The author of this article discusses the role of conceptual modeling in health information technology systems and how it has been an effective component of system development.

Philip, A., Afolabi, B., Adeniran, O., Oluwatolani, O., & Ishaya, G. (2010). Towards an efficient information systems development process and management: A review of challenges and proposed strategies. Journal of Software Engineering and Applications, 3(10), 983-989.

This article examines the phases and methodologies found within the Systems Development Life Cycle (SDLC), and proposes a framework for establishing the crucial roles that participants must play during the SDLC.

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

Qualitative research is used in this article to examine the trends, goals, outcomes, barriers, and mistakes that hospital leaders may experience when implementing health information technology systems.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Systems analysis. Baltimore, MD: Author.

Note: The approximate length of this media piece is 11 minutes.

The presenters in this week’s media presentation outline the stages involved when implementing a new technology system.

Optional Resources

Burgess, L., & Sargent, J. (2007). Enhancing user acceptance of mandated mobile health information systems: The ePOC (electronic Point-Of-Care Project) experience. Studies in Health Technology and Informatics, 129(Pt 2), 1088-1092. HIT Projects and Decision Makers

Human Resource Management

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Human Resource Management Homework Help Write a paper (1,000-1,250 words) that addresses the impact diversity has on health care, and the changes that occur to support diverse populations. Include the following: Define diversity. Explain how diverse demographics influence the health care indust APA style, times Roman 12, double space ,3 scholarly references Write a paper (1,000-1,250 words) that addresses the impact diversity has on health care, and the changes that occur to support diverse populations. Include the following: Define diversity. Explain how diverse demographics influence the health care industry. Consider culture, gender, religion and spirituality, and social and economic status. Define the meaning of cultural competence and the role it plays in organizational behavior. What is meant by the term “diversity management”? How have changes in U.S. demographics impacted the health care industry, diversity of customers, and diversity within the organization itself? How does understanding diversity support awareness, empathy, and understanding with a community? How does it support a national and global community? Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

Planning for future wellness

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Family Genetic History Form

NOTE: Please do NOT remove any of the text on this form. Fill it in and submit in its entirety to aid in its grading.Failing to complete this assignment using an adult participant other than yourself will result in a 20% penalty deduction being applied.Thank you.

Your Name: Date:

Your Instructor’s Name:

Purpose: This assignment is to help you gain insight regarding the influence of genetics on an individual’s health and risk for disease. You are to obtain a family genetic history on a willing, nonrelated, adult participant.

Disclaimer:When taking a family genetic history on an actual client, it is essential that the information is accurate. Please inform the person you are interviewing that they do NOT need to disclose information that they wish to keep confidential. If the adult participant decides not to share information, please write, “Does not want to disclose.” If you find that the client is unwilling to answer several questions, you will need to find another client who can provide more information.

Directions: Refer to the Family Genetic History guidelines and grading rubric found in Course Resources to complete the information below. This assignment is worth 150 points.

Type your answers on this form. Click Save as and save the file with the assignment name and your last name, e.g., “NR305_Family_Genetic_History_Form_Smith”.When you are finished, submit theform to theFamily Genetic History Dropbox by the deadline indicated in your guidelines. Post questions in the Q&A Forum or contact your instructor if you have questions about this assignment.

1: Family Genetic History (60 points):

Develop a family genetic history that includes,at a minimum, three generations of your chosen adult’s family, including grandparents, parents, and the adult’s generation. If the adult has any children, include them as the fourth generation. **PLEASE NOTE: This assignment is to reveal the potential impact of the family’s health on the adult participant. You do not need to identify anyone who is not biologically related to the adult except for a spouse or significant other.

You do not need to use symbols, but instead write brief descriptions for each person. Each description should include the following information: first name, birthdate, death date, occupation, education, primary language, and a health summary, including any medical diagnoses. An example is below.

Family MemberDescription
Paternal grandfatherFirst and last initials:RL
Birthdate:1921
Death date:1981
Occupation:Retired as a coal miner
Education:6th grade
Primary language:English
Health summary:He was diagnosed with chronic lung disease, diabetes, and hypertension. He died from a heart attack.
Paternal grandmotherFirst and last initials:ML
Birthdate:1932
Death date:1998
Occupation:House wife
Education:Does not want to disclose
Primary language:English
Health summary:Diagnosed with chronic lung disease from smoking cigarettes. Died from heart failure.

This example points to common problems among this generation on both sides of the family. Consider the implications this would have for the adult participant’shealth if these were that person’s family members.

Complete the family genetic history form below. Indicate if any information is N/A (not applicable) or unknown. Indicate any information the person did not want to disclose by noting “Does not want to disclose.”

*Please note any areas left blank will be considered missing information and will result in loss of points*

Family MemberDescription
Paternal grandfatherFirst and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:
Paternal grandmotherFirst and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:
FatherFirst and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:
Father’s siblings (write a brief summary of any significant health issues)
Maternal grandfatherFirst and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:
Maternal grandmotherFirst and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:
MotherFirst and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:
Mother’s siblings (write a brief summary of any significant health issues)
Adult ParticipantFirst and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:
Adult participant’s siblings (write a brief summary of any significant health issues)
Adult participant’s spouse/significant otherFirst and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:
Adult participant’s children (write a summary for each child, up to four children)Child #1 first and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:
Child #2 first and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:
Child #3 first and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:
Child #4 first and last initials:
Birthdate:
Death date:
Occupation:
Education:
Primary language:
Health summary:

2. Evaluation of family genetic history (30 points)

Evaluate the impact of thefamily’s genetic history on your adult participant’s health. For example, if the adult participant’s mother and both sisters have diabetes, hypertension, or cancer, what might that mean for the adult participant’s future health?

3. Planning for future wellness (45 points)

Plan changes based on the evaluation of the adult participant’sfamily’s health history that will promote an optimal level of wellness both now and in the future. Include what information you would provide to the adult participant regarding the results of the family 

Nursing Questions & Answers Paper

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Nursing Questions & Answers Paper

Complete each case study utilizing collegiate formatting (MLA or APA); typed in Cambria or New Times Roman 12 point font in ONE document.  Citations required.

Case studies are case specific. Your answers should reflect the assessment and your analysis of the information in the case study… no generalized answers of all matter regarding the content.

QUESTION 1: Healthcare Delivery and Evidenced –Based Nursing Practice

The registered nurse working in the cardiac care clinic is tasked with implementing quality improvement measures. To educate the clinic staff, the nurse plans an in-service program to introduce concepts of quality improvement and evidence-based practice. Additionally, the role of the case manager will be included in the presentation. The nurse plans on using care of the patient with Congestive Heart Failure as a template, and prepares sample clinical pathways, care maps, and multidisciplinary action plans. (Learning Objective 3)

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a. Describe how clinical pathways are used to coordinate care of caseloads of patients.

b. What is the role of the case manager in evaluating a patient’s progress?

c. What are examples of evidence-based practice tools used for planning patient care? Nursing Questions & Answers Paper

QUESTION 2: Community-Based Nursing Practice

Mrs. Johnson, a 67-year-old female patient, has recently been discharged from the hospital following an admission for COPD. She has a past medical history of a colon resection related to acute diverticulitis. She developed a surgical wound infection that requires daily wet to dry wound packing and IV Zosyn. Mrs. Johnson was discharged with home oxygen. To manage her care at home, home care visits were ordered. (Learning Objective 5). Nursing Questions & Answers .

a. What would be involved in setting up the first home care visit?

b. Describe the nursing assessments and management that would occur during the visit.

QUESTION 3: Case Study, Chapter 3, Critical Thinking, Ethical Decision Making, and the Nursing Process

1. Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort measures only in hospice. She has gangrene of her right foot and has a history of diabetes controlled with oral agents. She is confused and the physician has determined that she is unable to make her own informed decisions. The hospice nurse, not realizing that the weekly order for CBC and renal profile had been discontinued, obtained the labs and sent them to the nearby laboratory for processing. The abnormal lab results obtained later that day revealed that the patient needed a blood transfusion. The hospice nurse updated the patient’s medical power of attorney who was distressed at the report. The patient’s wishes were to die peacefully and to not have to undergo an amputation of her right foot. But if the patient receives the blood transfusion, she may live long enough to need the amputation. The patient’s physician had previously informed the medical power of attorney that the patient would most likely not be able to survive the amputation. The patient’s medical power of attorney had made the request to cease all labs so that the patient would receive comfort measures until she died. The patient has no complaint of shortness of breath or discomfort. (Learning Objective 4).  Nursing Questions & Answers Paper

What ethical dilemma exists?

Who are the stakeholders and what gains or losses do each have?

What strategies should the hospice nurse take to resolve the ethical dilemma?

QUESTION 4:

Chapter 4, Health Education and Health Promotion

he community health nurse is planning a health promotion workshop for a high school PTSO (Parent-Teacher-Student Organization). The choice of topics was suggested by the high school’s registered nurse who has observed a gradual increase in student obesity. The two nurses have collaborated to develop this workshop to provide parents, students, and teachers with information about the importance of health promotion. (Learning Objectives 6, 8, and 9). Nursing Questions & Answers .

a. Describe the importance of a focus on health promotion.

b. According to the health promotion model developed by Becker (1993), what four variables influence the selection and use of health promotion behaviors?

c.       Describe four components of health promotion.

QUESTION 5: Chapter 5, Adult Health and Nutritional Assessment

The registered nurse prepares to conduct a nutritional assessment on Mrs. Varner, a 52-year-old Caucasian female who describes herself as “overweight most of my adult life.” The client states that her health is good. She works part time as a receptionist and volunteers about 10 hours per week in her church. The nurse obtains Mrs. Varner’s height as 64 inches and her weight as 165 pounds. (Learning Objective 8). Nursing Questions & Answers .

a. What is the rationale for computing body mass index? What is Mrs. Varner’s BMI?

b. Calculate her ideal body weight. What is your assessment of her BMI and weight?

c. Based on Mrs. Varner’s BMI and weight, the nurse measures her waist circumference. Describe the proper procedure for this assessment.

d. Mrs. Varner’s waist circumference is 38 inches. What is your assessment?

e. What laboratory values would the nurse review to evaluate Mrs. Varner’s protein levels? Nursing Questions & Answers .

QUESTION 6: Chapter 6, Individual and Family Homeostasis, Stress, and Adaptation

Mary Turner stepped on a nail 5 days ago and sustained a puncture about 1 inch deep. She immediately cleaned the area with soap and water and hydrogen peroxide, and applied triple antibiotic ointment to the site. Today she comes to the clinic with complaints of increased pain and swelling in her foot. On assessment, the nurse notes that the puncture site is red and edematous, and has a moderate amount of yellowish drainage. (Learning Objective 9).  Nursing Questions & Answers Paper

a. Describe the sequence of events that caused the local inflammation seen in Mary’s foot.

b. What is the role of histamine and kinins in the inflammatory process?

c. Which of the five cardinal signs of inflammation does Mary exhibit?

d. Because Mary’s injury occurred 5 days ago, the nurse should assess for what systemic effects? Nursing Questions & Answers .

QUESTION 7:

Chapter 7, Overview of Transcultural Nursing

The nurse manager of an ambulatory care clinic has noted an increased number of visits by patients from different countries and cultures, including patients from Mexico and other Latin American countries. Concerned about meeting the needs of this culturally diverse population, the nurse manager convenes a staff meeting to discuss this change in patient demographics, and to query the staff about any learning needs they have related to the care of these patients. (Learning Objective 3)

a. What strategy to avoid stereotyping clients from other cultures should the nurse include in this meeting?

b. Identify culturally sensitive issues to be discussed in the staff meeting. Nursing Questions & Answers .

c. One technician on the staff complains that some patients never make eye contact, and this makes it difficult for him to complete his work. How should the nurse respond?

QUESTION 8: Chapter 8, Overview of Genetics and Genomics in Nursing

Mr. Wayne is a 38-year-old man with a significant family history of elevated cholesterol levels. His father died at age 42 from a massive heart attack secondary to elevated cholesterol and triglycerides, and two of his older siblings are currently taking medications to lower their cholesterol levels. Mr. Wayne makes an appointment to discuss his risk for hypercholesterolemia. The nurse recognizes that Mr. Wayne is at risk for familial hypercholesterolemia because this is an autosomal dominant inherited condition. (Learning Objective 2).  Nursing Questions & Answers Paper

a. Describe the pattern of autosomal dominant inheritance.

b. Mr. Wayne asks what chance his children have of developing familial hypercholesterolemia. How should the nurse respond? Nursing Questions & Answers .

c. Explain the phenomenon of penetrance observed in autosomal dominant inheritance.

QUESTION 9: Chapter 9, Chronic Illness and Disability

Mr. Edwards is 20-year-old male patient who is admitted for treatment of recurring pyelonephritis (kidney infection) and surgical treatment of a urinary stricture, which has decreased the urinary stream. Mr. Edwards has paraplegia; he is paralyzed from the waist down secondary to an automobile accident when he was 16. He came by ambulance to the hospital, leaving his wheelchair and wheelchair pressure-relieving cushion at home. According to the nursing history, the patient is a nonsmoker and he does not drink alcohol or take any illegal drugs. (Learning Objective 5). 

a. What nursing considerations should be made for Mr. Edwards related to his disability?

b. What health promotion and prevention education does Mr. Edwards need?

QUESTION 10: Chapter 10, Principles and Practices of Rehabilitation

You are assigned to care for David Ramsey, a 22-year-old male patient who sustained a back injury secondary to being thrown from a motorcycle. He did not damage the spinal cord, but the computed tomography revealed a compression fracture at L-2 (lumbar area). David complains of severe lower back pain with numbness and tingling in the lower extremities. You identify the following nursing diagnosis: Impaired Physical Mobility. 

(Learning Objective 4)

a. What assessments are indicated based on this nursing diagnosis?

b. List other major nursing diagnoses based on David’s clinical presentation.

QUESTION 11:

Chapter 11, Health Care of the Older Adult

The nurse working at the senior center notices Mrs. Jones, a 78-year-old, crying. The nurse approaches Mrs. Jones and asks if she needs help. Mrs. Jones states “I am so embarrassed. I had another accident and my pants are all wet. It’s like I’m a baby. I never should have come to the senior center.” (Learning Objectives 3 and 4).  Nursing Questions & Answers Paper

a. What factors may be contributing to the urinary incontinence?

b. How should the nurse respond to Mrs. Jones?

QUESTION 12:

Chapter 12, Pain Management

Mr. Rogers is 2 days postoperative of a thoracotomy for removal of a malignant mass in his left chest. His pain is being managed via an epidural catheter with morphine (an opioid analgesic). As the nurse assumes care of Mr. Rogers, he is alert and fully oriented, and states that his current pain is 2 on a 1-to-10 scale. His vital signs are 37.8 – 92 – 12, 138/82. (Learning Objective 6). Nursing Questions & Answers . 

What are benefits of epidural versus systemic administration of opioids?

b. The nurse monitors Mr. Rogers’ respiratory status and vital signs every 2 hours. What is the rationale for these frequent assessments?

c. The nurse monitors Mr. Rogers for what other complications of epidural analgesia?

d. Mr. Rogers complains of a severe headache. What should the nurse do?

e. Mr. Rogers’ epidural morphine and decreased mobility increase his chances of constipation. What interventions should be included in his plan of care to minimize constipation?  Nursing Questions & Answers Paper

QUESTION 13:

Chapter 13, Fluid and Electrolytes: Balance and Disturbance

Mrs. Dean is 75-year-old woman admitted to the hospital for a small bowel obstruction. Her medical history includes hypertension. Mrs. Dean is NPO. She has a nasogastric (NG) tube to low continuous suction. She has an IV of 0.9% NS at 83 mL/hr. Current medications include furosemide 20 mg daily and hydromorphone 0.2 mg every 4 hours, as needed for pain. The morning electrolytes reveal serum potassium of 3.2 mEq/L. (Learning Objective 4). Nursing Questions & Answers .

a. What are possible causes of a low potassium level?

b. What action should the nurse take in relation to the serum potassium level?

c. What clinical manifestations might the nurse assess in Mrs. Dean?

Question 14:

Chapter 14, Shock and Multiple Organ Dysfunction Syndrome

Adam Smith, 77 years of age, is a male patient who was admitted from a nursing home to the intensive care unit with septic shock secondary to urosepsis. The patient has a Foley catheter in place from the nursing home with cloudy greenish, yellow-colored urine with sediments. The nurse removes the catheter after obtaining a urine culture and replaces it with a condom catheter attached to a drainage bag since the patient has a history of urinary and bowel incontinence. The patient is confused, afebrile, and hypotensive with a blood pressure of 82/44 mm Hg. His respiratory rate is 28 breaths/min and the pulse oximeter reading is at 88% room air, so the physician ordered 2 to 4 L of oxygen per nasal cannula titrated to keep SaO2 greater than 90%. The patient responded to 2 L of oxygen per nasal cannula with a SaO2 of 92%. The patient has diarrhea. His blood glucose level is elevated at 160 mg/dL. The white blood count is 15,000 and the C-reactive protein, a marker for inflammation, is elevated. The patient is being treated with broad-spectrum antibiotics and norepinephrine (Levophed) beginning at 2 mcg/min and titrated to keep systolic blood pressure greater than 100 mm Hg. A subclavian triple lumen catheter was inserted and verified by chest x-ray for correct placement. An arterial line was placed in the right radial artery to closely monitor the patient’s blood pressure during the usage of the vasopressor therapy. (Learning Objectives 6 and 7)

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a. What predisposed the patient to develop septic shock?

b. What potential findings would suggest that the patient’s septic shock is worsening from the point of admission? Nursing Questions & Answers .

c. The norepinephrine concentration is 16 mg in 250 mL of normal saline (NS). Explain how the nurse should administer the medication. What nursing implications are related to the usage of a vasoactive medication?

d. Explain why the effectiveness of a vasoactive medication decreases as the septic shock worsens. What treatment should the nurse anticipate to be obtained to help the patient?  Nursing Questions & Answers Paper

QUESTION 15:

Chapter 15, Oncology: Nursing Management in Cancer Care

The oncology clinical nurse specialist (CNS) is asked to develop a staff development program for registered nurses who will be administering chemotherapeutic agents. Because the nurses will be administering a variety of chemotherapeutic drugs to oncology patients, the CNS plans on presenting an overview of agents, classifications, and special precautions related to the safe handling and administration of these drugs. (Learning Objectives 6 and 8)

a. What does the CNS describe as the goals of chemotherapy?

b. How should the CNS respond to the following question: “Why do patients require rounds of chemotherapeutic drugs, including different drugs and varying intervals?” Nursing Questions & Answers .

c. In teaching about the administration of chemotherapeutic agents, what signs of extravasation should the nurse include?

d. What clinical manifestations of myelosuppression, secondary to chemotherapy administration, should the CNS include in this program?

QUESTION 16:

Chapter 16, End-of-Life Care

Joe Clark, 79 years of age, is a male patient who is receiving hospice care for his terminal illnesses that include lung cancer and chronic obstructive pulmonary disease (COPD). He developed bilateral pleural effusion (fluid that accumulates in the pleural space of each lung), which has compromised his lung expansion. He states that he is short of breath and feels anxious that the next breath will be his last. The patient is admitted to the hospital for a thoracentesis (an invasive procedure used to drain the fluid from the pleural space so the lung can expand). The thoracentesis is being used as a palliative measure to relieve the discomfort he is experiencing. Low dose morphine is ordered to provide relief from dyspnea or discomfort. The patient is prescribed Proventil (albuterol) inhaler 2 puffs per day, as needed, and Flovent (fluticasone propionate) inhaler 2 puffs twice a day. The patient has 2 L/min of oxygen ordered per nasal cannula as needed for comfort. (Learning Objective 9)

a.       What nursing measures should the nurse use to manage the patient’s dyspnea?

b. The patient complains that he has no appetite and struggles to eat and breathe. What nursing measures should the nurse implement to manage this physiologic response to the terminal illnesses?

QUESTION 17:

Chapter 17, Preoperative Nursing Management

The nurse in a gynecology clinic is completing preoperative teaching for a patient scheduled for an abdominal hysterectomy next week. The patient states that she is currently taking 325 mg of aspirin daily for chronic joint pain, along with a multivitamin. The patient has type 2 diabetes; she closely monitors her blood glucose levels. Currently, she is taking an oral hypoglycemic agent. The nurse advises her to ask the anesthesiologist whether she should take this medication the morning of surgery. (Learning Objectives 2 and 4).  Nursing Questions & Answers Paper

a. The nurse instructs the patient to stop taking the aspirin. What is the rationale for this action?

b. Why is it important to assess the patient for use of herbal products prior to surgery?

c.       The patient asks how surgery could affect her blood glucose; how should the nurse respond?

QUESTION 18: Chapter 18, Intraoperative Nursing Management

Pearl Richards, 69 years of age, is a female patient who is in the operating room for a repair of an abdominal aortic aneurysm. The patient has a history of hypertension controlled with medications, osteoporosis, chronic obstructive pulmonary disease, and has smoked two packs of cigarettes per day for 40 years. (Learning Objectives 2, 6, and 9). Nursing Questions & Answers .

a. What nursing interventions are instituted to reduce the surgical risk factors related to the patient’s age?

b. Explain the role of the nurse in providing patient safety measures during the intraoperative period.

QUESTION 19: Chapter 19, Postoperative Nursing Management

1. Rita Schmidt, 74 years of age, is a female patient who was admitted to the surgical unit after undergoing removal of a section of the colon for colorectal cancer. The patient does not have a colostomy. The patient has several small abdominal incisions and a clear dressing over each site. The incisions are well approximated and the staples are dry and intact. There is a Jackson-Pratt drain intact with minimal serous sanguineous drainage present. The patient has a Salem sump tube connected to low continuous wall suction that is draining a small amount of brown liquid. The patient has no bowel sounds. The Foley catheter has a small amount of dark amber-colored urine without sediments. The patient has sequential compression device (SCD) in place. The nurse performs an assessment and notes that the patient’s breath sounds are decreased bilaterally in the bases and the patient has inspiratory crackles. The patient’s cardiac assessment is within normal limits. The patient is receiving O2 at 2 L per nasal cannula with a pulse oximetry reading of 95%. The vital signs include: blood pressure, 100/50 mm Hg; heart rate 110 bpm; respiratory rate 16 breaths/min; and the patient is afebrile. The patient is confused as to place and time. (Learning Objectives 4 and 7)

a. Explain the assessment parameters used to provide clues to detect postoperative problems early and the interventions needed.

b. What gerontological postoperative considerations should the nurse make? Nursing Questions & Answers .

2. Mr. John Smith is admitted to the hospital for surgical incision and drainage (I&D) of an abscess on his right calf, which resulted from a farm machinery accident. The right calf has an area 3 cm × 2.5 cm, which is red, warm and hard to touch, and edematous. (Learning Objective 5)

a. Explain the wound healing process according to the phase of Mr. Smith’s wound?

b. The surgeon orders for wet-to-dry sterile saline dressing twice a day with iodoform gauze to the wound, covered with the wet-to-dry dressing. Explain how to perform this dressing change. Nursing Questions & Answers .

REFERENCE TEXTBOOK:

Fundamentals of Nursing Second Edition Theory, Concepts and Applications by Judith M. Wilkinson, Leslie S Treas .  Nursing Questions & Answers Paper

VAP PICOT Question Example

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VAP PICOT Question Example

I need a PICOT question that deals with nursing research independently, it cannot be including anything that deals with medication or treatment since we will not be ordering the medications, etc. I also need a \”clinical significance\” portion explaining what the significance of the PICOT question is in the healthcare field.

Identification of the Nursing Problem

VAP (Ventilator-Associated Pneumonia) is a growing concern among critical patients admitted in ICU settings. As supported by Zuckerman, (2016), the incidence of VAP is increasing gradually among adult patients admitted in ICU settings under mechanical ventilation. VAP PICOT Question Example.

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            Clinical significance

VAP is a major cause of prolonged admissions, morbidity, mortality and additional medical costs in the US. According to Villar et al. (2016), VAP occurs between 48-72 hours after intubation. It contributes to half of the hospital-acquired pneumonia infections with an 8-40% prevalence. An estimated 85% of hospital-acquired pneumonia is linked to intubation.  Annually in the US, there are between 250,000-300,000 cases of VAP with a 0-50% mortality (Zuckerman, 2016) VAP PICOT Question Example. VAP   has organizational, financial, individual and psychological impacts. At the organizational level, it results in additional healthcare costs and lowers the safety and quality of care, which ultimately results in loss of revenue (Zuckerman, 2016). Healthcare staff may be stressed due to a patient’s deteriorating health status, which negatively impacts healthcare delivery and patient outcomes. Families are affected both economically and psychologically in terms of saving more household income to cater to medical needs besides dealing with the psychological stress of prolonged sickness VAP PICOT Question Example.

            Solution

According to Li et al. (2015) oral chlorhexidine is an effective reduction and prevention approach of VAP. It reduces the bacterial colonization of the oral cavity as the major pathogen that causes infections.

PICOT Question: Among intubated or mechanically ventilated patients in the ICU aged 45 years or older(P), does the use of oral chlorhexidine(I) compared to no chlorhexidine(C) help to reduce the incidence of VAP(O) within 8 weeks(T)? VAP PICOT Question Example.

PICOT Format

Population-intubated or mechanically ventilated patients in the ICU aged 45 years or older

Intervention-Use of oral chlorhexidine

Comparison-no oral chlorhexidine VAP PICOT Question Example

Outcome- reduce the incidence of VAP

Time-8 weeks

 

References

Li, L., Ai, Z., Li, L., Zheng, X., & Jie, L. (2015). Can routine oral care with antiseptics prevent ventilator-associated pneumonia in patients receiving mechanical ventilation? An updated meta-analysis from 17 randomized controlled trials. International journal of clinical and experimental medicine, 8(2), 1645.

Villar, C. C., Pannuti, C. M., Nery, D. M., Morillo, C. M., Carmona, M. J. C., & Romito, G. A. (2016). Effectiveness of intraoral chlorhexidine protocols in the prevention of ventilator-associated pneumonia: a meta-analysis and systematic review. Respiratory care, 61(9), 1245-1259.

Zuckerman, L. M. (2016). Oral chlorhexidine use to prevent ventilator-associated pneumonia in adults: a review of the current literature. Dimensions of Critical Care Nursing, 35(1), 25-36 VAP PICOT Question Example.

Locates medical mnemonic essay

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Locates medical mnemonic essay

CASE STUDY 1
Clay is a 7-year-old male who presents in your office with complaints of right thigh pain and a limp. The pain began approximately 1 week ago and has progressively worsened. There is no history of trauma.analysis of your assigned case by responding to the following:
What additional questions will you ask?
Has the case addressed the LOCATES mnemonic? If not, what else do you need to ask? What additional history will you need? (Think FMH, allergies, meds and so forth, that might be pertinent in arriving to your differential diagnoses).
What additional examinations or diagnostic tests, if any will you conduct?
What are your differential diagnoses? What historical and physical exam features support your rationales? Provide at least 3 differentials.
What is your most likely diagnosis and why? locates medical mnemonic essay.

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How will you treat this child?
Provide medication treatment and symptomatic care.
Provide correct medication dosage. Use the knowledge you learned from this week\’s and previous weeks\’ readings as well as what you have learned from pharmacology to help you with this area locates medical mnemonic essay.
Patient Education, Health Promotion & Anticipatory guidance:
Explain strategies for educating parents on their child’s disorder and reducing any concerns/fears presented in the case study.
Include any socio-cultural barriers that might impact the treatment and management plans.
Health Promotion:
What immunizations should this child have had?
Based on the child’s age, when is the next well visit?
At the next well visit, what are the next set of immunizations?
What additional anticipatory guidance should be provided today?
The Primary Diagnosis is Leg Calve Perthes Disease
The other three are is Juvenile rheumatiod arthritis, slipped capital femoral epiphysis, and osteomyelitis.
Each diagnosis needs to be in its own paragraph explaiing similarities in symptoms and why they would be ruled out locates medical mnemonic essay

HCIS140 Information Systems Worksheet

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HCIS140 Information Systems Worksheet

Information Systems

 Complete Parts A and B of this worksheet.

 Cite any outside sources. For additional information on how to properly cite your sources, check out the Reference and Citation Generator resource in the Center for Writing Excellence. HCIS140 Information Systems Worksheet

 

 Part A 

Vocabulary Words Definitions Purpose Type (If Applicable)
Information System According to Kroenke, “Information system is a group of components that interact to produce information” (2015). It is an organized system for collecting and storing information that helps medical professionals to communicate and be more productive in treating patients. It stores, manages, transmits, and captures information related to a person’s health status and medical history. It makes accessing the medical records of the patients a lot easier to access by the medical professionals. Information System is a combination of hardware and software. 

HCIS140 Information Systems Worksheet
Hardware Hardware is the physical component of a computer. The main purposes of a hardware are to accept input, process data, and provide output. Hardware
CPU The Central Processing Unit contains the arithmetic-logic unit and control unit (Burke and Weill, 2013). The CPU is the brain of a computer and is responsible for making calculations, processing, searching, and sorting information. CPU is a hardware.
Memory and Storage It is where all the data are stored. The purpose of memory and storage is to provide temporary and permanent storage. Memory and Storage are hardware.
Input and Output Devices An input is the data that a computer receives, while an output is the data that a computer sends. 

HCIS140 Information Systems Worksheet

 Input devices’ function is to take the data that humans understand and then translates it into a form that the computer can understand. Once the data is processed, the output devices translate it into a form that humans can understand such as, hard copy and soft copy (Burke and Weill, 2013). Input and output devices are considered as hardware.
Software A software is consist of programs that let the computer manage its resources. Without the software, the hardware does not have any use (Burke and Weill, 2013). Software refers to various programs to operate a computer. The software enables the computer to perform the tasks that you want it to do. It helps individuals process and do what they want and need to do in the computer. Software
Operating Systems Operating systems are system software that manage both the hardware and software resources and provide services for the programs in a computer.  (Wikipedia website, 2017). HCIS140 Information Systems Worksheet Operating systems ensures security by making sure that unauthorized users are not able to access a computer. It recognizes input, sends output, and keep track of the files and documents. Operating systems are software. 

HCIS140 Information Systems Worksheet

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Section B

  1. Explain the difference between computer hardware and software?

Since the computer hardware is generally any physical device used in or with the machine but software is a collection of codes which is installed in the computer hard drive and it is intangible. For example the mouse which we use to navigate is the computer hardware whereas the internet browser which allows us to visit various pages and the operating system that runs the browser is considered software. HCIS140 Information Systems Worksheet.

  1. How can technology be used to bring health care information in areas of the world that lack electricity and landlines?

We know that mobile phones have incredible potential in the healthcare sector especially in the poor countries where there is a lack of electricity and landlines. Since we know that the medical care in these areas or countries is underdeveloped reason being no sufficient money to fund for expensive medical instruments or machines or lack of medical specialists. As we know that 8 out of 10 individual worldwide has a cell phone hence the utility increases more because they can access to the medical information.

The cell phone can be used as a telemedicine which provide remote clinicians to access specialists from a distant place efficiently. Since we know that this is happing in the Botswana, Africa.  It is also used as the medical imaging which occurs in three steps

  • Measurement of the patient
  • Computer processing of the measurement and production of image
  • Image display on the doctor side

3) Why is the use of information systems in health care important? Explain your answer. HCIS140 Information Systems Worksheet.

The information system has much more to offer in managing the healthcare cost and also helps to improve the quality of the healthcare. It also helps in decision making since it educates the people about healthcare which give them an upper hand. It generally address to the barriers like digital technology which includes cost, cultural factors etc. HCIS140 Information Systems Worksheet

References:

http://scicasts.com/specialreports/86-healthcare-it/1421-the-role-of-information-systems-in-todays-healthcare/

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1360897/

http://www.techopedia.com/definition/7650/input-output-device-io-device

http://searchstorage.techtarget.com/definition/storage

http://www.webopedia.com/TERM/M/memory.html

http://www.techterms.com/definition/bit HCIS140 Information Systems Worksheet

http://searchstorage.techtarget.com/definition/byte

http://www.webopedia.com/TERM/C/CPU.html

http://www.teach-ict.com/gcse_computing/ocr/212_computing_hardware/cpu/miniweb/pg2.htm

http://ecomputernotes.com/fundamental/input-output-and-memory/list-various-input-and-output-devices HCIS140 Information Systems Worksheet

 

Budget Proposal for a Health Initiative

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Overview

Identify and research the health needs of a specific population, define a problem, and develop a plan in collaboration with public health agencies and community-based organizations, for addressing that problem. The five parts of the Assessment will take you from an initial needs analysis through the creation of a budget. You will also be assessed on the Professional Skills of Written Communication, Critical Thinking and Problem Solving, and Information Literacy.

Access the following to complete this Assessment:

· Jellybean Diagram

· Logic Model Template

· Timeline Template

· Budget Template

· Academic Writing Expectations Checklist

To complete this Assessment:

· Download the Academic Writing Expectations Checklist to use as a guide when completing your Assessment. Responses that do not meet the expectations of scholarly writing will be returned without scoring. Properly formatted APA citations and references must be provided, where appropriate.

· Be sure to use scholarly academic resources as specified in the rubric. This means using Walden Library databases to obtain peer reviewed articles. Additionally, .gov (government expert sources) are a quality resource option. Note:  Internet and .com sources do not meet this requirement. Contact your coach or SME for guidance on using Library Databases.

· Carefully review the rubric for the Assessment as part of your preparation to complete your Assessment work.

This Assessment requires submission of three (3) files. Save your files as follows:

· Save the written narrative from Part I-5 and the Logic File as HE009_Narrative_firstinitial_lastname (for example, HE009_Narrative_J_Smith).

· Save the completed budget template as HE009_Budget_firstinitial_lastname (for example, HE009_Budget_J_Smith).

· Save the completed timeline template as HE009_Timeline_firstinitial_lastname (for example, HE009_Timeline_J_Smith).

When you are ready to upload your completed Assessment, use the Assessment tab on the top navigation menu.

Instructions

Before submitting your Assessment, carefully review the rubric. This is the same rubric the assessor will use to evaluate your submission and it provides detailed criteria describing how to achieve or master the Competency. Many students find that understanding the requirements of the Assessment and the rubric criteria help them direct their focus and use their time most productively.

Rubric

This assessment has five-parts.  Click each of the items below to complete this assessment.

Part I: Needs Analysis

For this Assessment, you will first select a priority population on which to focus. The population could be defined by geographic boundaries, such as a city, town, or neighborhood, or by demographics within the community, such as senior citizens, infants and toddlers, children, teens, men, or women. You may also define the community by locale, such as urban, rural, or suburban. The population can be further narrowed by race/ethnicity, socioeconomic status, gender or sexual orientation, or specific situations: pregnant women, children at risk for obesity, senior citizens living below the poverty line, victims of domestic abuse, veterans, etc. It is suggested that you select a population in which you have an interest or are familiar. Keep in mind the availability of data for the population you select. The more narrow the population or geographic area, the more difficult to find data. The more broad, however, the more difficult it might be to determine meaningful trends.

Once you select the priority population, you must determine how you will collect information and data regarding the authentic health needs of that population. Keep in mind that a needs analysis is taken to ensure that an initiative is based on clear evidence and is, in fact, needed. Consider: What existing health regulations or policies might prompt an initiative for this population? What are the population’s greatest health needs? What initiatives already exist addressing the needs? What financial and human capital are available to this population? In what ways might the population be underserved? What organizations and health programs serve this population? What initiatives have been successful and not successful in the past?

Consider these approaches to information and data collection:

·  Start with public health agencies. These are often the best source for local and targeted information, and public health staff can also point you toward sources of the statistical information that you need.

·  Check individual states and towns for community health statistics. Speak to members of the community and ask questions. Qualitative as well as quantitative data is valuable, and information gained can further focus your efforts. Review media and research.

·  Speak to community organizations. For example, United Way, local senior centers, after-school programs, veterans’ services, baby clinics, maternal and child health services, support groups, or whatever organizations are involved with the selected population.

·  Locate the statistics that can help pinpoint and verify needs, and provide the persuasive quantitative data you will need to inform an initiative.

·  Look at resources listed in this Competency and other online resources.

In a 2-page needs analysis, briefly describe the results of your research. Include the following:

·  A description of the priority population or community.

·  A list of at least five chosen indicators (statistics that you have found) and comparison to the state or national levels (Note: It may be helpful for you to organize this information in a table first.)

·  A list of at least three stakeholders (individuals, organizations, etc.) representing the priority population that you wish to receive feedback from concerning their perceived health needs, including an explanation of how the stakeholders are relevant to the priority population.

·  Identification of the health need you wish to address based on gaps between indicators among your priority population and state/national averages.

·  A data-based rationale for selecting this need.

·  A brief description of at least five sources you used to verify this need.

·  Descriptions of existing financial and human resources, policies, and programs in place for this population.

Part II: Planning Model for a Health Initiative

You will now focus on a planning model that aligns to the health need you have identified and wish to address. A planning model is a comprehensive framework for creating a health initiative (also called a health program) and, in particular, guides the goals, specific objectives, and theoretical considerations of the initiative.

Many different planning models are applied in healthcare. Most address common elements such as engagement of the community, prioritization of health issues, and development of a goal or vision. When selecting a planning model for a health initiative it is important to select one that best provides a strong correlation between the model and identified health needs. Refer to the Jellybean Diagram included with this Assessment as an example of a model in population health that demonstrates the relationships between community partners, and all who could be involved in health program planning.

In a 3- to 4-page narrative, describe the planning model of your initiative as follows:

List the goal (at least one) and objectives (2–3) of your initiative based on the identified health need of your priority population.

With the intended goal(s) of your health initiative in mind, select one planning model that provides a direct correlation between the model and initiative objectives. Identify and describe the planning model you have selected. Provide a rationale for choosing this model. Why is it most effective for your program?

Describe specific aspects of your initiative including:

Inputs: What resources will go into the program?

Include collaboration between a public health agency and community-based organization.

Include at least four additional resources as appropriate to your initiative, such as other stakeholders or partners, staffing time, money, volunteer availability, equipment, technologies, etc.

Activities: What are the events or actions that will take place?

What will actually be done? These can include: early planning and assessment activities, training sessions, phone campaign, media outreach, community meetings, presentations at city council meetings, and local events (such as, a health fair or fundraiser[s] for a specific issue).

Outcomes: What are the intended outcomes of the initiative?

These include short-term, intermediate, and long-term outcomes.

Part III: Timeline for Initiating a Health Initiative

Assume that your health initiative has been approved. With the planning you have already accomplished, consider a 1-year timeline for initiating the program. Ask yourself: For this initiative to launch in 1 year (the typical timeline for grants and evaluations), what activities need to happen by when?

Create a timeline of your activities for launching your health initiative using the Timeline Template provided.

Part IV: Budget Proposal for a Health Initiative

A well-thought out budget proposal is a critical part of getting any health initiative approved. Create a budget proposal for your health initiative using the Budget Template provided.

In addition, create a 2-page budget narrative as follows:

Explain each category and item. This might include donations that might be covering some costs.

Describe potential funding sources for the health initiative. Consider local corporate sponsors, community organizations, special interest groups, or any other place that you might realistically go looking for money.

Describe any community partner collaboration (i.e., financial, gifts, or bartering) for this initiative that includes at least one public health agency and a community-based organization.

PART  V

The logic model summarizes the program that has been designed. Create a logic model graphic using the template provided. Your “Logic Model Graphic” should reflect all core aspects of your initiative as described in Part 2.

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Ministry of Health state plan as it relates to digitalising health care

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Length:
1000 words
Submission Details:
Through Turnitin in word format.
Feedback Details:
Via Grademark
Rationale
This assessment allows you to apply analytical economics skills to problems of resource allocation in a health care system. You will gain an understanding of real-world identification of short comings, limitations and what works well, and questioning of how things are done from an economic perspective. Deeper learning also includes the ability to extrapolate, extend and apply principles and theory based on the evidence. This is shown in the ability to make recommendations for the future. Students have to examine recent national and international literature. Quality of writing skills is also being assessed to help improve competency in this area.
Task
NSW Ministry of Health state plan released in 2014, lists “enabling eHealth” as one of the key strategies to address health care delivery. Your assignment is to write a report that reviews and critically evaluates the consequences of digitalising healthcare NSW Health and that reflects the health care decision-making process based on economic evaluation, including alternative decision modelling techniques and methods of analysis, and valuation tools for eliciting utility values.
You will write a report to be structured in the following way:
Cover Page
Table of Contents
Executive Summary (250 words maximum): This section provides a short summary of the main points being presented in the report. This section does not add to the total word count of the assignment.

Introduction (approximately 200 words): This section (one paragraph) provides a context for the report by introducing the topic and purpose of the report (i.e. reviewing and analysing NSW Ministry of Health state plan as it relates to digitalising health care), briefly introducing your argument (e.g. the pressures on NSW Health’s public sector, health care reforms and how information and communications technology will address those pressures or enable person-centred health and wellbeing)
eHealth priorities/strategic themes (approximately 300 words): In this section you are required to provide a critical analysis of the NSW Health plan in relation enabling eHealth as one of the key strategies to address for health care delivery in NSW. and provide a summary of findings. Make sure to include the important economic concepts learnt in the course so far. It is important to write in a paragraph format, avoiding the use of bullet points to provide data. Feel free to include graphs or tables if you feel this will help convey your message within the word limit. Do not forget to include the sources you used to gather the information.
Discussion of Findings (approximately 300 words): In this section you will analyse your findings based on the following questions: Recommendations (approximately 200 words). Based on the above, if you were a consultant working on the digitalisation of healthcare economy for eHealth NSW what general recommendations would you make for the organisation to implement digital strategies , whether mobile applications, cloud, electronic health records (EHRs) or wearables in order to achieve the NSW Health Plan? You must address the costs, benefits, and efficiencies of enabling and delivering eHealth solutions and how digital health can contribute to the long-term sustainability of the health care system. Use the academic literature to support your recommendations.
Determining the composition of output. Should NSW government be devoting more resources on expansion of a comprehensive digital infrastructure to support healthcare and less to other industries?
Allocating and organising the limited productive resources available. How to produce digital infrastructure to support healthcare and should NSW government produce it by providing more digital hospitals or more digital community-based health services?
Supply needs in the future. How much should be consumed now and how much should be put aside to supply needs in the future?
Determining Allocation. For which health services to produce these digital technologies and who gets these goods and services and who misses out?
References: List of references used in the report, including at least 10 academic references .