Consumer Health Informatics Assignment

Consumer Health Informatics (CHI) came about decades ago as the shift of healthcare expanded heavily into the community, requiring more patients to become involved in self-management of chronic illnesses or preventative measures. As CHI develops, access and usability does evolve, now available through multiple CHI applications. Some examples of CHI applications include online educational formats, games, telehealth and telemedicine, patient’s personal health records (PHR) or portals, various social media outlets, and mhealth” (Hebda & Hunter, 2019, p 729). CHI is an information technology that is dependent on management and access via the internet through wireless systems and networks. Barriers in individual abilities and access to CHI applications impedes the healthcare consumer in their effort to participate in their self-care management.

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Hebda and Hunter (2019) share that many barriers are common to consumers, as discussed in box 18-2 which includes “concerns about privacy and security, lack of perceived benefit, usability, and Access issues, (no internet-capable device or internet service, physical or cognitive disabilities, literacy issues (basic literacy, computer literacy, health literacy))” (p 735). I’ll further discuss those multiple barriers that negatively impact access to care or ability to self-manage care. A consumer may not have access to the internet, or their internet may have poor connection or only have access on less user-friendly devices. Economic status of the consumer leads to different internet speeds, devices, and lack of 24/7 access. Consumer Health Informatics Assignment

CHI applications may not take into consideration the physical or mental disabilities of a consumer, not having appropriate handicap accessible applications. The CHI applications are not always user-friendly, decreasing usability. If the application is not understandable and easy to navigate, the consumer will not have success in using the applications. Literacy from the consumer can affect their ability to understand the application’s language, topic related or interface related. This could involve basic understanding of reading, or possibly language used in health terms, or computer literacy with the understanding of how to use the computer or device available to the consumer. A consumer who does not see value or positive results from using a CHI application will question its benefit, delaying or preventing its use and self-care management. The benefits may be hidden behind one of the aforementioned barriers of CHI application use. Additionally, a cautious consumer will also be concerned about their privacy, protective of their personal information. If there is a concern about safety, information sharing or exposure outside of a private and professional environment, the consumer will refrain from participation rather than take a unknown risk.    In my personal practice, one of the examples that comes to mind right away is through a CHI application of telehealth. As a home health nurse, we would connect patients to telehealth in order to monitor their vital signs and some other clinical data (i.e. pain, blood sugar levels, etc.). In a population that was mostly elder who do not use internet-based technology on a regular basis, we ran into computer literacy barriers with understanding how to use telehealth technology correctly. Consumer Health Informatics Assignment

Once the patients felt confident they could understand these devices in their home, there was also occasional system issues that prevented the sharing of data to the home health agency that would require a phone call or visit to fix the situation. This caused the patients to state the technology was “a hassle” in some cases. Most patients saw the value of telehealth monitoring and reducing re-hospitalizations or emergency room visits, and were eager to participate in learning and using the devices. However, there were a few patients who refused “that technology” right from the beginning or after any technological issues, creating barriers of use, despite education on the how and why of telehealth. Another barrier I saw was the access to internet, as not every patient had internet services in their home due to economic status or geographical location (i.e. deep in the mountains).    References:  Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals (6th ed.). New York, NY: Prentice-Hall/Pearson

Advance Pathophysiolgy Assignment

Week 2 Module 1: Case Study Analysis Assignment: This is the case for next week’s assignment:  Scenario: A 49-year-old patient with rheumatoid arthritis comes into the clinic with a chief complaint of a fever. Patient’s current medications include atorvastatin 40 mg at night, methotrexate 10 mg po every Friday morning and prednisone 5 mg po qam. He states that he has had a fever up to 101 degrees F for about a week and admits to chills and sweats. He says he has had more fatigue than usual and reports some chest pain associated with coughing. He admits to having occasional episodes of hemoptysis. Advance Pathophysiolgy Assignment. He works as a grain inspector at a large farm cooperative. After extensive work-up, the patient was diagnosed with Invasive aspergillosis.An understanding of cells and cell behavior is a critically important component of disease diagnosis and treatment. But some diseases can be complex in nature, with a variety of factors and circumstances impacting their emergence and severity.  Effective disease analysis often requires an understanding that goes beyond isolated cell behavior. Genes, the environments in which cell processes operate, the impact of patient characteristics, and racial and ethnic variables all can have an important impact.   Photo Credit: Getty Images/Hero Images  An understanding of the signals and symptoms of alterations in cellular processes is a critical step in the diagnosis and treatment of many diseases. For APRNs, this understanding can also help educate patients and guide them through their treatment plans.  In this Assignment, you examine a case study and analyze the symptoms presented. You identify cell, gene, and/or process elements that may be factors in the diagnosis, and you explain the implications to patient health.  To prepare:  By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.  The Assignment (1- to 2-page case study analysis) Develop a 1- to 2-page case study analysis in which you:

Explain why you think the patient presented the symptoms described. Identify the genes that may be associated with the development of the disease. Explain the process of immunosuppression and the effect it has on body systems. By Day 7 of Week 2: NURS_6501_Module1_Case Study_ Assignment_Rubric Grid View List View                  Excellent              Good     Fair         Poor Develop a 1- to 2-page case study analysis, examining the patient symptoms presented in the case study. Be sure to address the following:  Explain why you think the patient presented the symptoms described.             28 (28%) – 30 (30%) The response accurately and thoroughly describes the patient symptoms.  Advance Pathophysiolgy Assignment

The response includes accurate, clear, and detailed reasons, with explanation for the symptoms supported by evidence and/or research, as appropriate, to support the explanation. 25 (25%) – 27 (27%) The response describes the patient symptoms.  The response includes accurate reasons, with explanation for the symptoms supported by evidence and/or research, as appropriate, to support the explanation. 23 (23%) – 24 (24%) The response describes the patient symptoms in a manner that is vague or inaccurate.  The response includes reasons for the symptoms, with explanations that are vague or based on inappropriate evidence/research. 0 (0%) – 22 (22%) The response describes the patient symptoms in a manner that is vague and inaccurate, or the description is missing.  The response does not include reasons for the symptoms, or the explanations are vague or based on inappropriate or no evidence/research. Identify the genes that may be associated with the development of the disease.         23 (23%) – 25 (25%) The response includes an accurate, complete, detailed, and specific analysis of the genes that may be associated with the development of the disease. 20 (20%) – 22 (22%) The response includes an accurate analysis of the genes that may be associated with the development of the disease. 18 (18%) – 19 (19%) The response includes a vague or inaccurate analysis of the genes that may be associated with the development of the disease. 0 (0%) – 17 (17%) The response includes a vague or inaccurate analysis of the genes that may be associated with the development of the disease is missing.

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Explain the process of immunosuppression and the effect it has on body systems.        28 (28%) – 30 (30%) The response includes an accurate, complete, detailed, and specific explanation of the process of immunosuppression and the effect it has on body systems. 25 (25%) – 27 (27%) The response includes an accurate explanation of the process of immunosuppression and the effect it has on body systems. 23 (23%) – 24 (24%) The response includes a vague or inaccurate explanation of the process of immunosuppression and the effect it has on body systems. 0 (0%) – 17 (17%) The response includes a vague or inaccurate explanation of the process of immunosuppression and the effect it has on body systems. Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. 5 (5%) – 5 (5%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity.  A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria. 4 (4%) – 4 (4%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.  Purpose, introduction, and conclusion of the assignment are stated, yet are brief and not descriptive. 3 (3%) – 3 (3%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time.  Advance Pathophysiolgy Assignment

Purpose, introduction, and conclusion of the assignment are vague or off topic. 0 (0%) – 2 (2%) Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.  No purpose statement, introduction, or conclusion were provided. Written Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation         5 (5%) – 5 (5%) Uses correct grammar, spelling, and punctuation with no errors. 4 (4%) – 4 (4%) Contains a few (1 or 2) grammar, spelling, and punctuation errors. 3 (3%) – 3 (3%) Contains several (3 or 4) grammar, spelling, and punctuation errors. 0 (0%) – 2 (2%) Contains many (? 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.               5 (5%) – 5 (5%) Uses correct APA format with no errors. 4 (4%) – 4 (4%) Contains a few (1 or 2) APA format errors. 3 (3%) – 3 (3%) Contains several (3 or 4) APA format errors. 0 (0%) – 2 (2%) Contains many (? 5) APA format errors. Total Points: 100McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.  Chapter 1: Cellular Biology; Summary Review Chapter 2: Altered Cellular and Tissue Biology: Environmental Agents (pp. 46-61; begin again with Manifestations of Cellular Injury pp. 83-97); Summary Review Chapter 3: The Cellular Environment: Fluids and Electrolytes, Acids, and Bases Chapter 4: Genes and Genetic Diseases (stop at Elements of formal genetics); Summary Review Chapter 5: Genes, Environment-Lifestyle, and Common Diseases (stop at Genetics of common diseases); Summary Review Chapter 7: Innate Immunity: Inflammation and Wound Healing Chapter 8: Adaptive Immunity (stop at Generation of clonal diversity); Summary Review Chapter 9: Alterations in Immunity and Inflammation (stop at Deficiencies in immunity); Summary Review Chapter 10: Infection (pp. 289–303; stop at Infectious parasites and protozoans); (start at HIV); Summary Review Chapter 11: Stress and Disease (stop at Stress, illness & coping); Summary Review Chapter 12: Cancer Biology (stop at Resistance to destruction); Summary Review Chapter 13: Cancer Epidemiology (stop at Environmental-Lifestyle factors); Summary Review  Justiz-Vaillant, A. A., & Zito, P. M. (2019). Immediate hypersensitivity reactions. In StatPearls. Treasure Island, FL: StatPearls Publishing. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513315/  Credit Line: Immediate Hypersensitivity Reactions – StatPearls – NCBI Bookshelf. (2019, June 18). Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK513315/. Used with permission of Stat Pearls  Required Media (click to expand/reduce)  Discussion: Alterations in Cellular Processes  Photo Credit: Getty Images  At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells . Advance Pathophysiolgy Assignment

Healthcare Utilization And Finance Assignment

Compare the U.S. healthcare system with the healthcare system of Great Britain, Japan, Germany, or Switzerland, by doing the following: 1. Identify one country from the following list whose healthcare system you will compare to the U.S. healthcare system: Great Britain, Japan, Germany, or Switzerland. 2. Compare access between the two healthcare systems for children, people who are unemployed, and people who are retired. a.

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Discuss coverage for medications in the two healthcare systems. b. Determine the requirements to get a referral to see a specialist in the two healthcare systems. c. Discuss coverage for preexisting conditions in the two healthcare systems. 3. Explain two financial implications for patients with regard to the healthcare delivery differences between the two countries (i.e.; how are the patients financially impacted). Healthcare Utilization And Finance Assignment

Inter Professional Leadership Assignment

NURS 6053  Week 1 Discussion Post           Health care as we know it today faces many hurtles. One national health care issue that poses a great deal of stress in my organization, is lack of health care staff. It’s not easily fixed and seems to be a revolving issue that’s never resolved, in any part of the hospital setting. According to experts from the Laureate Education Video file (2015), the health care industry should focus on successful systems already in place to address this issue. Committed employees at each organization should be aware and understand staffing shortage, networking with stakeholders and be able to function within multiple disciplines.

Staffing shortage causes many other issues in health care, including: burn out, poor quality care, increased workload and poor patient outcomes. The domino effect of staffing shortage overall can be cumbersome to any organization. The ever-changing health care environment needs health care systems that are adaptable with analysts and clinicians capable of changing the work flow to meet the needs and demand of the patient population (Broome & Marshall, 2021, pg. 38).    Inter Professional Leadership Assignment

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I work in the emergency room of a rural hospital. Staffing shortage can significantly impact patient care. For example, if there are four nurses on the unit with a 1:5 ratio and then several patients come in from a motor vehicle crash, those patients could wait hours for issues that need immediate medical care. Working as a nurse in this environment with a lack of staff can be difficult for other members of the hospital team as well. For example, when this type of issue arises, such as the motor vehicle crash; nurses from other units, house supervisors and other team members will come assist. Although our emergency department will take all the extra hands available, the staff are still unfamiliar with procedures and have a lack of certifications or hands on experience. Our hospital frequently sends the house supervisor to assist the emergency department. This works well sometimes but other times, even the house supervisor is not prepared for the madness that awaits them. It ends up causing more stress on the ER nurses.

According to Ricketts & Fraher (2013), changing health care systems want to include clinicians with multiple functions or roles. The approach would be team based. For example, if the radiology tech comes to pick up a patient for a cat scan without intravenous access, the radiology tech should speak with the nurse and go ahead with inserting access. This type of team-based approach would be beneficial in reducing burn out, decreasing wait times and improving patient experience. Regulations, complex patient care and culture frequently lead to staffing shortage (Broome & Marshall, 2021, pg. 45).  Inter Professional Leadership Assignment.    Resources     Broome, M., & Marshall, E. S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, Ny: Springer.     Ricketts, T., & Fraher, E. (2013). Reconfiguring health workforce policy so that education, training and actual delivery of care closely connected. Health Affairs, 32 (11), 1874-1880.     Laureate Education (Producer). (2015). Leading in Health care Organizations of the Future [Video file.] Baltimore, MD: Author.        Respond to discusion