CASE 1-25 Personal Health Record Education
As the patient advocate at your facility and a member of an EHR task force, you have been asked to write a patient information sheet for the PHR your facility is rolling out through the patient portal. This is to be a one- page information sheet that defines the PHR explains the benefits of the PHR, and tells about the PHR that your facility is offering. With the PHR, patients will have access to test results, key clinical findings, and secure e-mail to communicate with their doctors. Create this PHR information sheet. Keep in mind that it is being written for the patient to us
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Medical schools and hospitals are heavily involved in the training of new physicians. After prospective new physicians have graduated from medical school and have earned an M.D. degree, and perhaps have done an internship, nearly all do a “residency” for several years. During their residency, the new M.D.s typically are trained in a sub-specialty and work under the supervision of a veteran physician.
It costs both time and money to train and supervise residents. Rules adopted in 2010 limit the hours of a medical resident to no more than 80 per week, averaged over four weeks.
(a) Keeping the Law of Diminishing Returns in mind, comment on the quality of teaching and learning that occur when a resident successively works her 60th, 70th, 80th and 90th hours in a week.
(b) What general principle or rule can you specify that would tell residents and hospitals when adding an incremental hour of residency training and work during a specific week no longer is a good idea?

reflective essay on nursing bedside handover using Gibbs reflecive cycle (1998) during my clinical placementReflective essay assigment instructions-word count; 750-1000 words.-Present your work in standard essay format.-The purpose of this assessment is for you to demonstrate your abillity to refelct on your clinical practice and understand the relationship between your practice and the NMBA(National competency standards for the registrerd nurse) competency standards.*Reflecting on your practice enables:-Alignment of practice to the NMBA National competency standards for the registered nurse (2006)-Professional and personal growth-Time to consider the complexities of health care delivery in contemporary settings.*Throughout the Retern to Register course you have been made aware of Gibbs reflective cycle (1998) which is comprised of the follwing steps:a description of what occureda description of what you thought and feltan evaluation of what was good and bad about the experiencean alalysis of what was learneda conclusion: describing what could have been done differentlyan action plan: describing what would be done in future if the same situation arose.Choose the learning goal which you consider to be your significant. Using the Gibbs cycle reflect upon your achivement of this goal. Remember to include any barriers that your encountered during clinical plaement and any strategies you used to overcome those barriers and achieve your goal.Throughout your reflection you must demonstrate an understanding of and alignment of practice with the NMBA National competency standards for the registred nurse (2006).My goal for this essay is*To be able to communicate effectively and deliver a clear accurate and relevant clinical bedside handover based on individualised nursing care by week 5 on the clinical placement.*Learning strategies and resources for the goal are:-Attend hand over to gather information at the beginning of my shift.-Observe and listen to other nurses handover to get useful strategies.-Attend the handover on time to not miss relevant clinical information.-Practice giving clinical handover with 2 patients by week 1 and building up to 6 patients by week 2 under preceptor supervision at the end of my shift.-Use the time management gird.-Collect relevant medical/surgical information from the various tools (ex: read progress notes check fluid balance chart medication chart observation chart pathology results and talk to patients) so that I know my patients well enough to handover.-Evaluate and assess the patients response to nursing interventions and upgrade information accordingly.-Use the ISBAR tool as a guideline for the handover.-Find/read the hospital policies and procedures related to the handover.-Simulated handover practice with my preceptor before giving the handover especially 1st week of clinical placement.-Learn and use medical terminologies and standard abbreviations appropriately during my handover.-Reflect on my own performance of handover and identify areas of improvement.Before ou submi your assignmen check that you have covered the following steps:*Identified a clear SMART goal*The refelction is structured according to the Gibbs cycle including:-Description-Feeling-Evaluation-Analysis-Conclusion-Action plan*There is evidence of practice alignment with the relevant NMBA standards.*The learning goal is evaluated in the conclusion of the essay.*Writing and referencing are correct.5 weeks theory part finished and I am doing the 6 weeks clinical placement in Orthopaedic ward night shift at the moment.My back ground of nursing is 4 years operating theatre in Korea and 5 years of Haemodialysis in Australia so Orthopaedic ward is quite different environment for me especially handover. Because the two parts where I used to work are the special areas at the hospital and not need much to give handover to the next shift nurse. Also my background is Korea(been in Australia for 12 years) and non english native speaker.That is why I chose the goal to learn and overcome about the nursing handover.Please help me to pass this course and if you need any more information to write the essay please contact me.Thanks in advance.PS: for the Referencesthese two have to be in and other internet resources are fine.-Nursing and Midwifery Board of Australia (NMBA) 2006 Competency standards for the registered nurse. Author Canberra-Gibbs Cycle of reflectionMay use NMBA code of ethics for nurses in Australia and NMBA code of professional conduct for nurses in Australia.

A female patient, age 15, is brought to the hospital emergency room with complaints of recurrent kidney infections. The patient has stated that she has regular menstrual periods. The ER physician writes orders for a renal sonogram.
After taking the appropriate images of the kidneys, the sonographer begins taking a sonogram of the patient’s urinary bladder. The sonographer notes that the female is about 20 weeks pregnant and that there is no active fetal heartbeat.
The patient’s mother is in the waiting room and wants to come in and watch the sonogram.
In 15 – 20 sentences differentiate between the legal and ethical points of this case. Explain on the legal and ethical points.

• Discuss how the results might have been affected if the comparison group was: (1) no milk instead of non-fortified milk; (2) milk fortified with other nutrients besides those being investigated in the study. • Do you see any ethical issues in this study in terms of equipoise? • Discuss the meaning of informed consent in vulnerable or underage populations. Can truly informed consent ever be obtained in these populations? How would you as a study investigator make sure that patients enrolled in the study were fully informed? What elements should go into an informed consent in this type of study?