What is the role of a religious ethic in public policy today? Should a religious ethic or theistic worldview take priority over that of others? How can religious policy decision makers remain true to their personal values while respecting the views of individuals with differing cultural and spiritual beliefs? Respond to two other classmates and cite references as appropriate

 

Establishing security standards that protect patient data is an important step in the database design process. Protecting the confidentiality of personal health information is not optional; it is mandated under the Health Insurance Portability and Accountability Act (HIPAA). HIPAA violations can result in both fines and legal consequences. Failing to protect private information can also damage a health care organization’s reputation as well as result in the loss of patients’ peace of mind.

 

For this Discussion, you consider the clinical information systems presented in the case studies below and identify the security and integrity problems and risks that need to be addressed.

 

Case Study 1:

 

A busy academic hospital has grown rapidly and acquired multiple clinical information systems that interface with each other. Physicians and practitioners require access to each system and frequently have workflows that require access to multiple systems at the same time. In addition, practitioner responsibilities often require them to complete documentation or access clinical information at home and during off hours.

 

Case Study 2:

 

An increase in the number of clinical research studies and the use of undergraduate students as research assistants for subject recruitment was perceived as a risk for a medium-sized academic hospital. Students were enrolled at the hospital-affiliated university but still required a credentialing process to be able to access clinical areas of the hospital and clinical systems. The hospital wants to meet IRB and HIPAA research regulations, and to exceed HIPAA’s minimum necessary principle.

 

Case Study 3:

 

As a large multi-specialty academic medical practice, providers are often utilizing laptop computers and mobile devices in patient care and research-related activities. Tracking, securing, and managing the numerous devices to mitigate loss, theft, or other breaches is important to the enterprise.

 

To prepare:

 

• Review the information in this week’s Learning Resources, focusing on the security and integrity of clinical information systems. Consider the importance of security and integrity, as well as the consequences of failing to address these aspects of database design.
• Select one of the case studies above to examine further for this Discussion.
• Determine the security or integrity problems in the clinical information system in the case study. What legal, ethical, and organizational risks do these issues pose?
• Begin to formulate a potential solution or strategy to address the security and integrity problems. How would this solution or strategy mitigate the security or integrity risks you identified?

  Post by tomorrow 07/19/16, 550 words in APA format with 3 references. Include the level one headings below:

    1) A description of the security and integrity problems identified with regards to the case study you selected.

  2) Select at least two specific risks (legal, ethical, or organizational) related to the case study and propose a solution or strategy to address each. Justify your response

   

 

 

Readings

 

• Coronel, C. & Morris, S. (2015). Database systems: Design, implementation, and management (11th ed.). Stamford, CT: Cengage Learning.
  • Chapter 15, “Database Administration and Security” (pp. 670–713)

    This chapter describes the role of the database manager and highlights responsibilities covered in the database administration process. These responsibilities ensure that data is protected and continually monitored to yield the most accurate information.

 

• Murray, M. C. (2010). Database security: What students need to know. Journal of Information Technology Education, 9, IIP61–IIP77.
  Retrieved from the Walden Library databases.

  Security is an important requisite of database design. This article describes the pitfalls of vulnerability in databases and the importance of data security methods.

 

• Forrest, M., Maclean, D., Towers, H. K., & Younes, H. (2012). The accuracy of real-time procedure coding by theatre nurses: A comparison with the central national system. Health Informatics Journal, 18(1), 3–11.
  Retrieved from the Walden Library databases.

  The authors compare the differences in real-time coding performed by clinical coders and non-clinical coders. They observed that complications arose during attempts to embed coding in clinical workflow.

 

• Imran, S.,&  Hyder, I. (2009). Security issues in databases. Future Information Technology and Management Engineering, 2009. FITME ’09. Second International Conference, 541–545.
  Retrieved from the Walden Library databases.

  This article explains discretionary and mandatory database security models, their implementation, and their efficiency. It also evaluates how these methods may be inefficient with regard to specific database designs.

Gaff, B. M., Smedinghoff, T. J., & Sor, S. (2012). Privacy and security. Computer, 45(3), 8–10.
Retrieved from the Walden Library databases.

Privacy regulation and the protection of sensitive information are still inconsistently established and enforced. This article addresses the legal issues surrounding database security. It also evaluates protection methods that are the most effective

ALl  CASE DECISION INSTRUCTIONS

Grading Criteria for Clinical Case Decisions:

The highest potential points for each Clinical Case Decision Question are 15-points. Students are required to upload their response as a word document attachment to the assignment drop box.

Each uploaded response is worth a possible 15 points.

1.       Your comments should be substantiated and substantive. Postings require two citations from 1 scholarly journal and/or 1 outside text book Text books assigned to this course may be used for an additional citation only.   
2.       Each of the two references must be from a different reference source.
3.       To gain full credit for the assignment, the response must be a full page discussion, but no more than three (3) pages in length, which  includes the reference list.
4.       Students are required to use APA format, proper citations, and references.  Students using direct quotes from referenced sources in the body       of the paper must include quotations.
5.       Students will be assigned to a question.

Clinical Cases

There are five cases listed below; Begin with an assessment, students will decide if it should be treated as episodic with rationale.

You have been assigned two (2) cases to provide analysis. Students’ first initials of their last names will determine which questions they will provide an answer to for the clinical case assignments. (Students are encouraged to review each question and research the correct answers to increase their knowledge of the varied topics in the course).All cases should include the following:

a. Pathophysiology and pharmacology of the disease

b. Expected signs and symptoms of the disease.

c. Nursing Diagnosis with a plan of care.

d. All questions pertaining to the case are listed under each case. 

Clinical Decision Cases

Alpha-Numeric Student Clinical Case Assignments Legend (Assignment Selection By The Student Is By First Initial of the Student’s Last Name):

Question #C3 & C4:  please answer these  2 questions  for these cases in APA format. copy and paste C3 then the question do the same for C4  the book that we use is  UNDERSTANDING PATHOPHYSIOLOGY BY SUE  E HUETHER   KATHERYN L McCANCE 6TH EDITION   987654321

C3.   Carl is a 15-year-old admitted to the hospital following a closed head injury during a motor vehicle crash. He is diagnosed with syndrome of                    inappropriate anti-diuretic hormone (SIADH).

a. You would monitor him for what signs and symptoms?

C4.   Identify the intracellular and plasma buffer systems and discuss how they function.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mrs. J., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mrs. J. is a 63-year-old married woman who has a history of hypertension, chronic heart failure, and chronic obstructive pulmonary disease (COPD). Despite requiring 2L of oxygen/nasal cannula at home during activity, she continues to smoke two packs of cigarettes a day and has done so for 40 years. Three days ago, she had sudden onset of flu-like symptoms including fever, productive cough, nausea, and malaise. Over the past 3 days, she has been unable to perform ADLs and has required assistance in walking short distances. She has not taken her antihypertensive medications or medications to control her heart failure for 3 days. Today, she has been admitted to the hospital ICU with acute decompensated heart failure and acute exacerbation of COPD.

Subjective Data

1. Is very anxious and asks whether she is going to die.
2. Denies pain but says she feels like she cannot get enough air.
3. Says her heart feels like it is “running away.”
4. Reports that she is exhausted and cannot eat or drink by herself.

Objective Data

1. Height 175 cm; Weight 95.5kg.
2. Vital signs: T 37.6C, HR 118 and irregular, RR 34, BP 90/58.
3. Cardiovascular: Distant S1, S2, S3 present; PMI at sixth ICS and faint: all peripheral pulses are 1+; bilateral jugular vein distention; initial cardiac monitoring indicates a ventricular rate of 132 and atrial fibrillation.
4. Respiratory: Pulmonary crackles; decreased breath sounds right lower lobe; coughing frothy blood-tinged sputum; SpO2 82%.
5. Gastrointestinal: BS present: hepatomegaly 4cm below costal margin.

Intervention

The following medications administered through drug therapy control her symptoms:

1. IV furosemide (Lasix)
2. Enalapril (Vasotec)
3. Metoprolol (Lopressor)
4. IV morphine sulphate (Morphine)
5. Inhaled short-acting bronchodilator (ProAir HFA)
6. Inhaled corticosteroid (Flovent HFA)
7. Oxygen delivered at 2L/ NC

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mrs. J.’s situation. Include the following:

1. Describe the clinical manifestations present in Mrs. J.
2. Discuss whether the nursing interventions at the time of her admissions were appropriate for Mrs. J. and explain the rationale for each of the medications listed.
3. Describe four cardiovascular conditions that may lead to heart failure and what can be done in the form of medical/nursing interventions to prevent the development of heart failure in each condition.
4. Taking into consideration the fact that most mature adults take at least six prescription medications, discuss four nursing interventions that can help prevent problems caused by multiple drug interactions in older patients. Provide a rationale for each of the interventions you recommend.
5. Provide a health promotion and restoration teaching plan for Mrs. J., including multidisciplinary resources for rehabilitation and any modifications that may be needed. Explain how the rehabilitation resources and modifications will assist the patients’ transition to independence.
6. Describe a method for providing education for Mrs. J. regarding medications that need to be maintained to prevent future hospital admission. Provide rationale.
7. Outline COPD triggers that can increase exacerbation frequency, resulting in return visits. Considering Mrs. J.’s current and long-term tobacco use, discuss what options for smoking cessation should be offered.

You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.