week 1 discussion answers

Please respond to each discussion post with 4 to 5 sentences with apa references for each 

please turn in with plagiarism report thanks 

Challenges in Practice

Scenario: 

 The radiologist at your hospital reports to the administrator that 30 patients have been diagnosed with brain tumors during the past 2 months. The administrator requests a report detailing the number of patients diagnosed with brain tumors during the past 6 months. However, the radiology department uses a free-text entry for their diagnoses, and their system does not communicate with the larger electronic health record (EHR) system installed at the hospital. You recognize an opportunity to address challenges with the EHR system in your hospital and decide to also write a proposal for a solution to improve your hospital’s EHR system. 

 compose a proposal for how the hospital in the scenario might overcome each of the following challenges related to the scenario:

  • Vocabulary standards
  • Interoperabiliy
  • Workarounds
  • Patient safety
  • Patient privacy and security when pulling reports
  • Recommend a change theory that might assist in your convincing the hospital administration to implement the EHR solution and improvements you propose. Be specific and provide examples.
  • Support your proposal by explaining how the EHR solution might benefit data analysis for the promotion of improved health outcomes.
  • Provide references within 5 years to support your answers.
  • Note: The title page, introduction, summary, and references are in addition to the required page count.

week 4 reply classmate-



Nicole Fox

The main goal of having an EHR is to improve the quality and safety of patient care (Hebda et al. 2018). More hospitals are turning to EHRs because it's a smoother flow of care and recording without compromising patient privacy. Other benefits include: “improving the accuracy and completeness of patient health information; increasing the speed at which care is provided; enhancing the coordination of care; and increasing transparency of health information for patients and their families, flag potentially dangerous drug interactions, verify medications, and reduce the needs for risky tests and procedures (Hebda et al. 2018).” In this scenario, the patient's PHR is limited because tests were outsourced versus being conducted all at the same facility. This can make patients question their diagnosis especially if they don't have all the information available to them. PHRs allow patients to be involved in the healthcare, however for some it may not be entirely user friendly which can hinder their understanding of the medical care. Additionally, not all patients have the level of technology available to them, whether it be a smartphone, laptop, or tablet, and therefore have limited access to their records. It has definitely been a major step forward in the medical field, and there is always room for improvements. Patients also need to understand the risks of safeguarding their personal information and how to protect their records from being accessed by non approved personnel. Both systems do provide results in real time and therefore both patient and provider can access and discuss already performed tests as well as prepare for future testing, thus ensuring they are both in line with the same goals. To ensure PHR protection, the user creates their own login and password. They are then responsible for keeping both of those safe. 

I am glad that patients have access to a PHR. I think it's helps provide understanding to their care and allows them to research and identify questions concerning their medical treatments. We oftentimes find that patients can be a little too research happy and find the 1% side affect that they are afraid might happen to them, and can cause a pause in their treatment. I do enjoy being able to discuss with my patients their results and answer questions on a nursing level, but most of the questions are referenced towards the provider. In this case, I feel like the patient could be frustrated because they don't have access to all the information, but that doesn't mean it's not attainable, just a little more difficult and a little more time consuming to put it all together. 

References:

Hebda, T., Hunter, K., & Czar, P. (2018). 
Handbook of Informatics for Nurses & Healthcare Professionals. (6th ed.). Pearson Learning Solutions

Kruse, C. S., Smith, B., Vanderlinden, H., & Nealand, A. (2017). Security Techniques for the Electronic Health Records. 
Journal of medical systems
41(8), 127. https://doi.org/10.1007/s10916-017-0778-4

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522514/
Links to an external site.

Analyis of social determinants of health

What is the best way to analyze social determinants of health on population

IVF & NFP

 

After studying the course materials located on Module 4: Lecture Materials & Resources page, answer the following:

  1. Description and bioethical analysis of:
    • Pre-implantation Genetic Diagnosis PGD
    • Surrogate motherhood
    • “Snowflake babies”
    • Artificial insemination
  2. What is Natural Family Planning (NFP)?
  3. Describe the 3 Primary ovulation symptoms.
  4. Describe the 7 Secondary ovulation symptoms.
  5. Describe various protocols and methods available today.
  6. Describe some ways in which NFP is healthier than contraception.
  7. Bioethical evaluation of NFP as a means and as an end.
  8. Read and summarize ERD paragraphs #: 38, 39, 42, 43, 44, 52.

Submission Instructions:

  • is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
  • If references are used, please cite properly according to the current APA style

w8 y

 

Analyze the potential effectiveness resulting from professional or nurse-provided social support versus enhancement of social support provided by personal relationship and social networks for parents of children with chronic mental illness.

Please include at lest 400 words and 2 referent

Week 5

Soap Note 1 Acute or Chronic Conditions (10 Points)

Iron Deficiency Anemia

Must use the sample template for your soap note, keep this template for when you start clinicals.

Late Assignment Policy

Assignments turned in late will have 1 point taken off for everyday assignment is late, after 7 days assignment will get grade of 0 (zero). No exceptions 

Follow the MRU Soap Note Rubric as a guide

Use APA format and must include minimum of 2 Scholarly Citations.

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Turn it in Score must be less than 25% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25%. Copy-paste from websites or textbooks will not be accepted or tolerated.

Please see College Handbook with reference to Academic Misconduct Statement.

The use of tempates is ok with regards to Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient. 

MRU MSN5600L SOAP NOTE Template 2021-1.docx MRU MSN5600L SOAP NOTE Template 2021-1.docx  September 4 2023, 10:25 AMMRU Soap Note Rubric 2021-1.docx MRU Soap Note Rubric 2021-1.docx  

Nursing assignment

please review all supportive documents 

DISCUSSION BOARD 4

Read the required articles on health care workers’ legal liability for medical mistakes: https://www.sciencedirect.com/science/article/pii/S2155825615303653;

AND,

the IOM report “To Err is Human” chapter 8 on recommendations to reduce medical errors.

Analyze current events in legal liability for medical mistakes, either in nursing or another healthcare profession, and compare an example of legal liability with the IOM recommendations.

Please give 3 scientific citation

disscusion 6psych

 Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.Scenario:

C.Z. is a 20-year-old Caucasian male who is in his second year of college. He is seeking treatment due to persistent fears that campus security and the local police are tracking and surveilling him. He cites occasional lags in his internet speed as evidence that surveillance devices are interfering with his electronics. His intense anxiety about this has begun getting in the way of his ability to complete schoolwork, and his friends are concerned – he says they have told him, “you’re not making sense.”

C.Z. occasionally laughs abruptly and inappropriately and sometimes stops speaking mid-sentence, looking off in the distance as though he sees or hears something. He expresses concern about electronics in the room (phone, computer) potentially being monitored and asks repeatedly about patient confidentiality, stating that he wants to be sure the police won’t be informed about his treatment. His beliefs are fixed, and if they are challenged, his tone becomes hostile.

Questions:

Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers. 

  1. Discuss the etiology, course, and the structural/functional abnormalities of schizophrenia. 
  2. Discuss the evidence-based pharmacological and nonpharmacological treatment for this patient using the US Clinical Guidelines.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.  Your initial post is worth 8 points.
  • You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) 
  • All replies must be constructive and use literature where possible.
  • Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
  • Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.
  • You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.