An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition.For this Discussion, you will examine the above case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts.To prepare:By Day 3 of Week 1Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:The role genetics plays in the disease.Why the patient is presenting with the specific symptoms described.The physiologic response to the stimulus presented in the scenario and why you think this response occurred.The cells that are involved in this process.How another characteristic (e.g., gender, genetics) would change your response.

Nurses have sought to understand the art and science of nursing since the time of Florence Nightingale. Six fundamental ways of knowing underpin nursing science. These ways of knowing include: (a) personal, (b) empirical, (c) ethical, (d) aesthetics, (e) emancipatory, and (f) unknowing. Consider how these ways of knowing contribute to knowledge development by addressing the following.1-Which two ways of knowing have had the most influence on your understanding of nursing science?2-Which two ways of knowing have you not considered previously and how will these ways of knowing shape your future nursing practice?3-Provide an example of how nursing science encompassed the six ways of knowing to bridge a gap to improve a healthcare outcome.I need that each questions would be answer separated and that you use 3 sources not later than 5 years.

Prior to beginning work on this assignment review Chapters 21, 24, 25 and 27 of Health Informatics: An Interprofessional Approach.Select two of the case studies located in the course textbook at the end of Chapters 21, 24, 25, or 27, and answer the questions associated with those case studies in a cohesive, APA-formatted paper.Chapter 21:Recommend where would you start to improve the user experience.Pharmacists are asking for your help due to struggles with non-integrated systems. What methods would you use to examine this issue?Describe how usability should be incorporated as part of the purchasing process for this institution.Chapter 24:Assuming that you are the clinical content manager leading reporting efforts, recommend the approach you would take to address the reporting problem.Describe how the effort of changing preadmission testing data collection from paper to the Electronic Health Record System (EHR) can be approached.Using Patient Safety and Quality Research Design (PSQRD) methodology, identifying area of quality improvement in the hospital setting, recommend a process plan and identify the expected outcomes.Chapter 25:Discuss whether the proposed course of action would be permissible under current fraud and abuse regulations.Explain common issues related to the use of EHR and healthcare fraud.Discuss how the proposed EHR could potentially facilitate healthcare fraud.Chapter 27:Describe the timeline of the program and its potential financial impact on the individual healthcare providers who are involved in meaningful use.Explain the process that providers must complete to avoid payment penalties.Explain the timeframe for the provider to achieve modified stage two and stage three measures.The Week 4 Case Studies PapersMust be three to four double-spaced pages in length (not including title and references pages) and formatted according to APA style as outlined in the Ashford Writing Center (Links to an external site.)’s APA Style (Links to an external site.) resource for each case study.Must include a separate title page for each case study with the following:Title of paper including the chapter number and case study titleStudent’s nameCourse name and numberInstructor’s nameDate submittedFor further assistance with the formatting and the title page, refer to APA Formatting for Word 2013 (Links to an external site.).Must utilize academic voice. See the Academic Voice (Links to an external site.) resource for additional guidance.Must include an introduction and conclusion paragraph. Your introduction paragraph needs to end with a clear thesis statement that indicates the purpose of your paper.For assistance on writing Introductions & Conclusions (Links to an external site.) as well as Writing a Thesis Statement (Links to an external site.), refer to the Ashford Writing Center resources.Must use at least two scholarly or credible sources in addition to the course text.The Scholarly, Peer-Reviewed, and Other Credible Sources (Links to an external site.) table offers additional guidance on appropriate source types. If you have questions about whether a specific source is appropriate for this assignment, please contact your instructor. Your instructor has the final say about the appropriateness of a specific source for a particular assignment.To assist you in completing the research required for this assignment, view this Ashford University Library Quick ‘n’ Dirty (Links to an external site.) tutorial, which introduces the Ashford University Library and the research process, and provides some library search tips.Must document any information used from sources in APA style as outlined in the Ashford Writing Center’s Citing Within Your Paper (Links to an external site.)Must include a separate reference page that is formatted according to APA style as outlined in the Ashford Writing Center. See the Formatting Your References List (Links to an external site.) resource in the Ashford Writing Center for specifications.Carefully review the Grading Rubric (Links to an external site.) for the criteria that will be used to evaluate your assignment.

Case Study, Learning Unit 4: Quality ImprovementThe nursing director has asked you to form a team for quality control that addresses the issue of extended stay of patients who have been noncompliant with their diabetic protocol. These patients are staying an extra 72 hours in the acute care facility and usually have repeated admissions.Related question #1Based on what you know about the need for continuous quality control, who would you select to be part of this team?Related question #2What data should you ask your team to collect?Related question #3What could your team member produce that would assist in assessing the situation?Unfolding Case Study, Learning Unit 4: Quality Improvement(Based on case in Module 4.1)Part ISylvia has recently received complaints from her nursing staff that cancer patients are waiting up to 2 hours to begin their chemotherapy IV regime. Some of the oncologists often leave out important details when ordering the chemotherapy agents, and therefore, the pharmacy must contact the oncologists to get further instructions. If the order is incomplete, oftentimes it is not brought to the nurses’ attention until the patient has been waiting. At times, the oncologist cannot be contacted or located, which is adding to the frustration of the staff and patients.Related question #1What can Sylvia do to improve this process?Part IISylvia asks the pharmacy and oncologist to appoint a team member that would serve on the task force to develop a process that would decrease the delay in chemotherapy treatments. The team meets and creates a sample checklist. The checklist is approved by all team members, and Sylvia decides it is time to incorporate the checklist in the process.Related question #2What steps should Sylvia take to assess the effectiveness of the new protocol?Part IIISylvia writes a report summarizing her findings of the audit she conducted on patient satisfaction, waiting time, and time of filling orders to time of administration of the chemotherapy.Related question #3According to quality improvement guidelines, what is the logical next step for Sylvia?

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