Case Study 1:

Mrs. Martinez is an 83-year-old Mexican American widow who lives in her own home and is cared for by her adult daughter. Mrs. Martinez owns the home, and her daughter lives with her and provides the care. Her daughter brought her mother to the clinic today to ask to speak to the social worker. She requests that her mother be placed in a nursing home. The daughter states that her mother has nothing to do during the day. The television is on The Weather Channel most of the day because Mrs. Martinez has limited English capability and is unable to read closed-captioning. Mrs. Martinez also has two sons who do not live in the local area, but they do call regularly and check in with their mother and sister. The two sons are opposed to moving their mother to a nursing home because they had promised her that they would “never put her away.”

Post 1-2 page paper of a comparison of the model used for the interdisciplinary geriatric teams at your current practicum site to models used at other sites. Then, explain how the role of the advanced practice nurse differs according to the site of care. Finally, explain how care should be facilitated for the patient in the case you selected based on the model used for the interdisciplinary geriatric teams at your practicum site.

How would the LPN contribute to the plan of care for a surgical client? You may choose any surgical procedure, related to pregnant patient or a pediatric patient. Identify three need areas and identify a goal for each and four standard interventions from which you would select. Utilize APA formatting to cite your resources. Be sure to cover the following:

• Description of the disorder that led to the need for surgery
• Safety concerns for this age group or stage of development.
• Ambulation, rest, play, toys, and games for this patient.
• Fluid and nutritional needs for the patient following surgery.
• Equipment that will be needed for the patient following surgery.
• Educational needs of the patient and family.
• Emotional care, for the child and the care giver
• Needed health care information under the care of the RN would the LPN need to identify?

Spelling, grammar and APA format

Description of the disorder that led to the need for surgery

Safety concerns for this age group or stage of development.   Ambulation, rest, play, toys, and games for this patient. Fluid and   nutritional needs for the patient following surgery. Equipment that will be   needed for the patient following surgery.

Identify health information needed to provide care to the   post-op client.

Post-Graduation Plan

In this Discussion, you complete the Post-Graduation Plan you began to develop in Weeks 6 and 7. Your Post-Graduation Plan is an opportunity to explore how you may continue to develop your professional and leadership skills, promote change in your department and organization, and stimulate progress in the nursing profession.

Your Post-Graduation Plan (geared toward the next 2–3 years) should feature two to five career and/or personal goals; goals should be specific, measurable, attainable, realistic, and timely. In your plan, outline necessary steps for achieving these goals. Also, consider how you can reflect these goals in your curriculum vitae (CV).

To prepare:

• Consider      the following:
  • As       a graduate of Walden University’s DNP program, how will you contribute to       or influence factors/developments related to ethics, standards, politics,       economics, technology, etc.?
  • What       opportunities will you pursue to develop scholarship, engage in community       service, and/or teach?
  • In       which professional organizations or associations would you like to become       an active member?
  • What       opportunities do you foresee for attending conferences, delivering       presentations and posters, writing papers, lobbying, etc.?
  • How       will you engage in ongoing review of research/stay current on the       literature?
  • What       strategies do you plan to employ for cultivating professional       relationships?
  • Would       you plan to run for political office or join a committee?
  • Explain       how you will continue to develop skills as a nurse leader, particularly       in your area of specialization (e.g., certifications).
  • How       you may accommodate for the dynamic health care environment (i.e., how       you will build in a renewal cycle/alternate steps to achieve goals)
  • How       you may account for unexpected personal or professional events in the       planning and attainment of professional goals

By Tomorrow Tuesday 8/6/19 before 10pm, in APA format and a minimum of 3 references, create a short summary PowerPoint with a minimum of 10 slides that features five goals and describes steps for achieving these goals.

Required Readings

Resources for the Post-Graduation Plan (also shared during Weeks 6 and 7):

Dickerson, P. S. (2010). Continuing nursing education: Enhancing professional development. The Journal of Continuing Education in Nursing, 41(3), 100–101.

This article examines current frames of reference for continuing nursing education and the work that is guiding the future.

American Association of Colleges of Nursing. (2012). Career resource center. Retrieved from http://www.aacn.nche.edu/students/career-resource-center

This website provides a battery of resources for nursing graduates seeking employment.

Robert Wood Johnson Foundation. (2010). Career tools and advice. Retrieved from http://www.newcareersinnursing.org/scholars/career-central/tools

This website supplies a variety of guides on applying for jobs.

American Nurses Association. (2012). Career & credentialing. Retrieved from http://www.nursingworld.org/MainMenuCategories/CertificationandAccreditation

This website provides links to guides on careers and credentialing. The website also highlights special membership benefits for ANA members.

Optional Resources

Bolles, R. N. (2012). What color is your parachute? 2012: A Practical Manual for Job-Hunters and Career-Changers. New York, NY: Ten Speed Press.

Isaacs, K. (2010). Surviving and thriving in the workplace: Resume tips for nurses. Ohio Nurses Review, 85(6), 5.

Policies are written documents that mirror the administrators of a particular organization. In this case, the organizations are healthcare organizations such as hospitals and clinics. With healthcare informatics becoming such a big part of healthcare organizations, policies are being made to keep patients and staff safe. Healthcare informatics policy is directed at making care more effective, improving public health, and proper collection and analyzation of data to guide evidence-based practice. Since policies are reflections of administrations, they can change based on the direction a healthcare organization is heading or what their focus may be (Hebda, Hunter, Czar, 2019). For example, if a hospital is having an increase in medication administration errors, then their policy may focus on scanning all patients and medications prior to administration.

One of the biggest concerns of healthcare informatics is the privacy and protection of important patient information and policies on informatics have been aimed at reducing the risk of the security of that information being breached. Hospitals have policies such as not putting patient identifiers in emails, logging out of electronic health records once leaving the patients room, education on phishing emails, creating firewalls, having backup storages for patient information, audit trails for and specialized access for private charts. There are also policies on the recovery and retrieval of healthcare information in case of unplanned disasters. The AMIA identified six key health informatics policies: patient empowerment, HIT safety, workforce education, data sharing, quality measurement, and public health (Simpson, 2012).

The impact these policies have made on informatics have been steps in the right direction due to the importance and protection they place on informatics. They allow us to safely use informatics for better patient outcomes. Telehealth is also fairly new has new policies arising too. For example, at our hospital we use telephysch medicine for psychiatric patients in the emergency department. One of our policies is that all of our psychiatric patients must be assessed by a telepsychiatrist and their recommendation must be upheld regarding 51/50 holds. Using telemedicine in place in person consultations at hospitals that do not have in house specialties improves patient care because it saves time and money for both the patient and hospital. It is especially effective for time sensitive cases such as patients with stroke like symptoms in deciding whether or not to use TPA because instead of having to wait for a neurologist to arrive, the neurologist is able to instantly assess the patient via computer video chat and receive expert consults.

References

Hebda, T., Hunter, K. M., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals. NY, NY: Pearson.

Simpson RL. (2002). Nursing informatics. Issues in telemedicine: why is policy still light-years behind technology? Nursing Administration Quarterly, 26(4), 81–84. Retrieved from https://search.ebscohost.com/login.aspx?direct=true&db=c8h&AN=106956521&site=ehost-live

2)

With the rise in communicable disease, possible threats of bioterrorism, and other chronic illnesses, informatics and public health policies go hand in hand.  Data collection and analyzation through interoperability systems can provide so much information that can help the entire population nationally.  “Public health informatics (PIH) is considered to be one of the most useful systems in addressing disease surveillance, epidemics, natural disasters, and bioterrorism” (Aziz, 2017, p. 79).  The government is essentially in control of public health decisions and determines which polices and guidelines will be enacted to abide by national standards.  Public health information systems will depend on available resources and budget.

Currently, data collection comes from multiple different sources including, surveys, facilities, surveillance systems, and data collection systems such as health information exchange (HIE) and health information organization (HIO) (Aziz, 2017).  Hospitals and clinics are often mandated to report specific patient information, which can aid in disease prevention and management.  Although all this data collection aids in PHI, “nonclinical data sources can help assist in identifying public health trends as well” (Hebda, Hunter, & Czar, 2019, p. 426).

Surveillance systems collect patient data, which is then interpreted and analyzed to look for specific patterns and trends in diseases and injuries.  This research can then provide insight on ways to possibly prevent or mitigate damage from the illness.  Syndromic surveillance system is a specific system that “collects symptoms and clinical features of an undiagnosed disease or health event in near real time that might indicate the early stages of an outbreak or bioterrorism attack” (Aziz, 2017, p. 78).  This information could then be conveyed to all national health officials.  HIE and HIO can also provide pertinent information to the appropriate source, in the event of a natural disaster, where paper documents may get destroyed.  This would be beneficial to PHI as well.

According to Aziz, the newest development in PHI is “geographic information system (GIS), which uses digitized maps from satellites or aerial photography to provide large volumes of data” (p. 78).  This also helps provide nonclinical data such as location and spatial patterns.  Another benefit for PHI and data collection is the advance of telemedicine/telehealth services.  These services will hopefully be able to provide direct patient data, via smart devices.  So many benefits exist with PHI that could provide information pertaining to vaccines, cancer, communicable disease, and the emergence of new diseases.  This data would allow healthcare officials to determine if there is a possible correlation between patient location, diet regimen, or any other possible link between the patient and the illness.

PHI plays a pivotal role in the health and well being of all individuals.  Funding and adequate resources need to be applied to the PHI specialty in order for it to prosper and gain support in the profession.  Data collection, along with education, are imperative to the management and prevention of disease and possible threats.

References

Aziz, H.A. (2017). A review of the role of public health informatics in healthcare. Journal of Taibah University Medical Sciences, 12(1), 78-81. Retrieved from https://www.sciencedirect.com

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals (6th ed.). New York, NY: Pearson.

200 words for each response

Assignment—Case Study for Chronic Condition

For this Assignment, you are answer the questions regarding this case study. Please make sure to support your answers using evidence based practice.

Case Study: 

56 y/o Caucasian male presents to the primary care clinic with complains of dizziness and nausea x 4 days. The patient reports he has not been able to get out of bed since the symptoms started. The patient reports symptoms are worse when he tries to get out of bed to stand. He denies any headaches or blurry vision. He states he is urinating more over the last few days and he has noticed increase in thirst. He reports he just drank a large sweet tea before he came into the clinic.

The patient reports that he is out of his Lantus and metformin because he cannot afford the refill until he gets his disability check. He is disabled after his second CVA that left his with generalized weakness. His medical history includes DM, HTN, CAD.

Upon arrival at the clinic, the patient’s vital signs are as follows- Blood sugar 405, B/P 190/101, HR 102, R-20, T- 98.5.

Using Evidence Based practice, answer the following questions thoroughly. Be sure to use APA formatting.

Use headings while answering questions below:

1. What is the pertinent positive and negative findings in this patient assessment?
2. Create a list of differentials with rationales for this patient?
3. Discuss a medication regimen for this patient considering his financial status?
4. What is the priority concern for this patient?
5. How does this patient’s comorbid diagnosis impact his current symptoms?
6. Discuss how the patient’s’ health beliefs, culture and behaviors impact the potential outcomes for the patient.