The final discussion is a concluding argument revealing a “defensible solution to the topic “What  facts about neurological disorder help to relate the condition of spinal cord tumor/cancers to neurological dysfunction”, supported by the “evidence” explained in the first two papers.

• Revise and re-order each of the informative papers you have composed for the course, placing them in a strategic arrangement that supports the final section of this final paper, your argument for a “defensible solution” to the health care issue you have studied, researched, and written about. As a result, this final paper will be comprehensive and summative.
• Important: this final paper should include a newly composed introductory section, and a final conclusion section which presents your discussion of (and argument for) the solution. Your argument for the defensible solution that you propose should be the focus of this paper.

Your paper must:

• Be 15–20 pages in length
  • Title page (1 page)
  • Introduction (1–2 pages)
  • Reworked informative papers (10-15 pages)
  • Conclusion (1–2 pages)
  • References page (1–2 pages)
• Reference 12–15 scholarly, peer-reviewed resources (compiled by combining all of the references from your Perspective of Inquiry papers and any additional resources you use in this final paper.)
• Follow all APA formatting guidelines for this paper, with each of your previous four papers being presented as “sections” of this fifth paper, using Level 1 headings.
• Use the provided template.

Refer to the rubric for evaluation details and to assist in preparing the paper.

Due: Submit by 11:59 pm (Pacific time) the evening before the Week 8 onsite class
Points: 150

Team Meeting Notes:

• In your team meetings this week (both in-class and online) focus on sharing your solutions as you develop them.
• Pay attention to (and learn from) the unique aspects of each team member’s solutions, but do not reference them in your final paper. (You will reference one another’s solutions in your final presentation assignment.)

Other Important Notes:

• Use the Learning Resources that address introductions and conclusions to help understand best practices and procedures for argumentative paper
• That being said, realize that this paper is unique, as it is a culmination of Informative Papers (rather than a traditional argumentative essay). Use the aforementioned Learning Modules as guidelines for best practices, not as procedural requirements.
• It is highly recommended that you compose the conclusion section of your paper (your solution) first, then move backward into the introduction, and finally the abstract.
• Use the final paper template provided, adapting the titles of each of your four short papers as headings in this final paper, and following instructions and examples provided in our in-class meeting.
• Make sure to review the SafeAssign report generated when you submit your paper, and address and revise any portions of your work which might be plagiarized.

Respond on two different days who selected different factors than you, in one or more of the following ways:

Share insights on how the factor you selected impacts the pathophysiology of diabetes mellitus and diabetes insipidus.

Offer alternative diagnoses and prescription of treatment options for diabetes mellitus and diabetes insipidus.

Validate an idea with your own experience and additional research.

Main post

Diabetes affects millions of Americans and the cost of diabetes is a constant healthcare stressor as Insulin costs continue to rise. Diabetes mellitus is separated into three classes; Type 1, the pancreas fails to produce enough insulin to meet the body’s demand and Type 2, where the body’s cells do not respond to the insulin production and can be managed with lifestyle modifications, and gestational diabetes. Diabetes insipidus is not as common as diabetes mellitus but can have a severe effect on the human body due to the fluid imbalance that is created. It is important for the practitioner to understand the pathophysiologies and the roles behavior and ethnicity play in the diagnosis and treatment.

Pathophysiology of Diabetes Mellitus

Type 1 diabetes mellitus is an autoimmune disease that results from beta-cell destruction in pancreatic islets. Beta-cell death via virus directed or physiological mechanisms induces the release of antigens and initiation of immune responses against other beta-cells (Saberzadeh-Ardestani et al., 2018). Type 2 diabetes also has beta-cell destruction more but, more variable different degrees of beta-cell failure relative to varying degrees of insulin resistance. Kumar et al. (2018) acknowledge that insulin resistance impairs the ability of muscle cells to take up and store glucose and triglycerides, which results in high levels of glucose and triglycerides circulating in the blood. Type 2 diabetes can be managed with diet and exercise; like these, both can improve insulin resistance and delay the long-term complications associated with diabetes mellitus.

Pathophysiology of Diabetes Insipidus

Diabetes insipidus is separated into four classifications; central, nephrogenic, dipsogenic, and gestational. The results are that the body excretes an abundance of urine, causing the patient to have an unquenchable thirst. Kalra et al. (2016) describe central diabetes insipidus due to impaired secretion of arginine vasopressin could result from traumatic brain injury, surgery, or tumors whereas nephrogenic diabetes insipidus due to failure of the kidney to respond to arginine vasopressin is usually inherited.

Differences and Similarities of Hormonal Regulation

Despite sharing a name, the differences between diabetes mellitus and diabetes insipidus are great, from the pathophysiology to the treatment. Similarities between diabetes insipidus and diabetes mellitus due to hormonal changes lie within the symptoms that the patient is experiencing. Diabetes mellitus involves blood sugar levels and insulin resistance; diabetes insipidus, it isn’t blood sugar that is the problem, but blood water levels. The similarities of these diseases lie within the signs and symptoms that the patients may be present. Diabetes insipidus, excessive fatigue occurs because of an overall lack of hydration or an electrolyte imbalance. For diabetes mellitus, excessive fatigue generally occurs because blood sugar levels are too low or too high. Excessive thirst occurs in diabetes insipidus because the body senses a lack of Vasopressin, and so it demands more fluids because it thinks it needs them. For diabetes mellitus, excessive thirst occurs because of excessive glucose levels that need to be expelled from the body.

Ethnicity and Behavior’s Impact

Research by Saberzadeh-Ardestani et al. (2018) shows environmental factors include reduction in gut microbiota, obesity, early introduction to fruit or cow milk during childhood, gluten, toxins, lack of vitamins, and viruses play a role in the development of diabetes mellitus type 1; while previously most prevalent in Europeans, it is becoming more common in other ethnic groups. Diet and exercise can help delay diabetes mellitus type 2 from other disease processes related to diabetes mellitus. Diabetes insipidus is common when a traumatic brain injury (TBI) occurs, wearing seatbelts when driving and helmets when participating in cycling or sporting events can decrease the opportunity for diabetes insipidus to occur.

Conclusion

It is important for a practitioner to distinguish between the multiple types of diabetes that patients may present with, although signs and symptoms may be similar, the diagnosis and treatments are completely different. Patient education for each disease is also important because diabetes mellitus type 1 cannot be managed with diet and exercise alone. Diabetes insipidus can occur, but the underlying cause must be singled out to classify and treat. Central diabetes insipidus may require long term treatment depending on the extent of trauma, whereas gestational diabetes insipidus is usually a short term treatment, but the treatments remain the same.

References

Kalra, S., Zargar, A. H., Jain, S. M., Sethi, B., Chowdhury, S., Singh, A. K., … Malve, H. (2016). Diabetes insipidus: The other diabetes. Indian Journal of Endocrinology & Metabolism, 20(1), 9–21. https://doi-org.ezp.waldenulibrary.org/10.4103/2230-8210.172273Kumar, A. S., Maiya, A. G., Shastry, B. A., Vaishali, K., Ravishankar, N., Hazari, A., … & Jadhav, R. (2018). Exercise and insulin resistance in type 2 diabetes mellitus: A systematic review and meta-analysis. Annals of physical and rehabilitation medicine. https://doi-org.ezp.waldenulibrary.org/10.1016/j.rehab.2018.11.001Saberzadeh-Ardestani, B., Karamzadeh, R., Basiri, M., Hajizadeh-Saffar, E., Farhadi, A., Shapiro, A. M. J., … Baharvand, H. (2018). Type 1 Diabetes Mellitus: Cellular and Molecular Pathophysiology at A Glance. Cell Journal (Yakhteh), 20(3), 294–301. https://doi-org.ezp.waldenulibrary.org/10.22074/cellj.2018.5513

Why has telehealth adoption taken so long in the health-care industry when Skype, cell phones, and other video conferencing applications have been used in personal and business interactions for decades?

Develop a 4–6-page proposal for executive leadership that addresses  changes you would like to see within your organization that would  advance the field of nursing.

Nursing is in the midst of many changes. In this assessment you  will consider how you can be a driving force to bring about needed  change within the field of nursing.

Collaborative interprofessional groups are at the heart of resolving  contemporary nursing issues. The work of groups and teams is based on  strong decision-making and problem-solving skills, led by effective and  engaged leaders. Nurses leading collaborative teams are critical for  resolving a number of issues such as errors in medications, accidents  involving patients, and unsafe shortcuts.

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Nurses truly are expert problem-solvers. Tucker and Edmondson  (2002) found that nurses utilized problem-solving skills so often that  it had become a routine aspect of a nurse’s day. However, nurses must be  able to maximize their problem-solving skills in order to lead health  care teams in addressing challenges, identifying evidence-based  solutions, and implementing those solutions.

Reference

Tucker, A. L., & Edmondson, A. C. (2002). Managing routine exceptions: A model of nurse problem solving behavior. Advances in Health Care Management, 3, 87–113.

Preparation

To prepare for this assessment, you will need to think about  changes you feel are needed to address a problem either within nursing  as a professional field or within the organization where you work.  Narrow down your options by considering which change would best be  undertaken by an interprofessional team. Some examples for you to  consider might include:

• The use of mobile and portable technology to support patients.
• Using evidence-based practice (EBP) to improve patient care.
• Increasing patient safety and quality of care.
• The use of medical technology such as genes and stem cells, or robots in the OR.
• Addressing the nursing shortage now and into the future.
• Improving the work environment (providing calm, supportive spaces  for nurses; improved dialog between health care professionals).
• Better safety for nurses at work (violence, spreading diseases, physical injury).
• Substance abuse by health care professionals.

Or you can narrow the scope to an issue within your own organization:

• Developing a mobility program for an inpatient unit.
• Implementing “smart” technology to assist in patient monitoring.
• Creating a mentoring program to attract and retain nurses.
• Implementing protocols for infection control and/or treatment of an epidemic.
• Developing a plan to eliminate physical violence and verbal abuse in the workplace.
• Other.

Once you have selected an issue to address, look for scholarly and  professional articles that focus on the problem, the needed change, and  how interprofessional teams can work together to drive change.

Requirements

Lately you have noticed the need for changes within your  organization that would advance the field of nursing. You have decided  to develop a proposal and submit it to executive leadership. Format this  assessment as a professional proposal. You may want to look at how  proposals are drafted within your organization and follow that format.  You will still need a references page; follow APA guidelines for in-text  citations and references.

Address the following in your proposal:

• Briefly describe the problem and how it impacts the organization, patients, and/or the nursing profession.
• Describe possible evidence-based interventions for the problem.
• Analyze potential barriers and resistance to change that might come from the organization, patients, and/or colleagues.
• Describe strategies to overcome barriers and resistance to change.
• Develop a plan to implement evidence-based interventions. What steps would you take? What resources might you need?
• Identify other health care professionals to enlist as team members to help drive change in the organization.

Your completed assessment should be 4–6 pages in length, not  including title page and references page. Support your statements and  intervention plan with references to and citations for at least four  scholarly or professional resources.

Additional Requirements

• Include a title page and references page.
• Reference at least four current scholarly or professional resources.
• Use APA format for citations and references.
• Use Times New Roman font, 12 point.
• Double space.

The cross posts provide new or supplemental information to the original posting or raise additional areas for discussion. New or additional peer reviewed references should be cited in both cross posts.

Discussion cross posts should elaborate upon the ideas of others or content found in the readings/keynotes by adding details, examples, a different viewpoint, or other relevant information. The cross posts should provide original insights or responses which integrates multiple views. (Just saying ditto, I agree, or restating the original post is not considered elaboration.) There should be evaluation and feedback which assesses the accuracy, reasonableness, or quality of idea, and provides constructive feedback to classmates.

Be sure to use at least one reference. APA formatting, References should be timely, published within the previous 5 years.

Listed below is the discussion post you must respond to in 250-350 words max:

Background

The topic chosen that is related to nursing informatics is the role of the electronic health records on quality and safety in providing patient care. The Electronic Health Records (EHR) is an electrically version that is used to store the medical history (progress, problems, and medication among others) of the patient and it is being maintained by the provider at the given time (Cowie, 2017). Previously in the year 1950s, all the medical accounts in the hospitals were being kept together with papers in a filling system which was manual. By the middle of the 1960s, Lockheed come up with an electronic program by the name clinical information system that was used to store the medical records electronically. From his invention, the engineering and the technology firms started to develop the electronic medical records systems that were being used both by the universities and the hospitals. In 1970s, the government started to use the EHR as more of the medical facilities started to use it and is still being use up to date (Goldstein, 2017).

Significance

This system plays an important role in the production of the documentations and exchanging information in the different disciplinary which are found under the patient care (Cowie, 2017). Besides, it also plays an important role in providing the opportunity for educating, teaching and learning under the medical environment. The EHR allows for medical facilities to have a decrease in the amount of paper work dealt with, and the amount of storage spaced required is decreasing. Also, it plays a major role in managing the results and the decision making as the quality of the patients care is highly improved. The nurses has the ability to review lab work with the click of a button. This enhances the quality of the medical records as the man-made errors from the manual system have been dealt away with.

Challenges and benefits in healthcare

The information within the medical records of the patient is very safe and secure. This is because it is not easily accessed by unauthorized person hence security. Also, it is very hard to lose such data as compared to the manual system where the information could easily be misplaced. Despite the benefits of EHRs, these systems are faced with many challenges. Among the challenges we have the security and privacy issues as all the computers are networked currently have, which makes them vulnerable to hacking of a patient’s data. This is dangerous as the information of the patient might land to the hands of the wrong person (Goldstein, 2017). Another challenge is that some people using the system might be stuck in their ways making it impossible for the system to be accessed with efficiency. This is challenging as much time and resources have to be taken to train them on how to use the system. Another challenge comes on the side of the power disruption where all the activities will have to be stopped until a backup for power is available.

^^PLEASE REMEMBER THAT THIS WILL BE A RESPONSE TO THE DISCUSSION ABOVE^^