What discussions should Lois and Henry have had with each other before Lois went into the hospice program?

Chapter 14 – Assignment

SCENARIO – Lois, who is in the last stages of breast cancer, was recently admitted into a hospice program. Her husband Henry, is relieved to have a hospice nurse come into their home and help with the care of his wife. After Lois had been receiving care for a week, Henry asked when he should take Lois into the hospital out-patient department for more chemotherapy. The hospice nurse said, “I thought that you understood that since treatments would no longer help Lois and she would ultimately die, that she would not receive any more treatments once she entered the Hospice program.” Henry said he did not understand this and insisted that he wanted everything done to save Lois.

Instructions:

  1. Read the scenario above and then, answer the following questions:
    1. How could this misunderstanding have been avoided?
    2. What discussions should Lois and Henry have had with each other before Lois went into the hospice program?
    3. What could hospice programs do to better inform the general public of their purpose?
  2. Your response should be: 
    • One (1) pg.
    • Typed according to APA style for margins, formatting and spacing standards

Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health.

Assignment (3–4 pages, not including title and reference pages):

· Overweight 5-year-old black boy with overweight parents who work full-time and the boy spends his time after school with his grandmother 

Include the following:

Provide an explanation of the health issues and risks that are relevant to the child you selected. Describe additional information you would need in order to further assess his or her weight-related health. Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information. Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

Based on your research, evaluate the test or the tool’s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

An explanation of the health issues and risks that are relevant to the child you were assigned.

Describe additional information you would need in order to further assess his or her weight-related health.

Identify and describe any risks and consider what further information you would need to gain a full understanding of the child’s health. Think about how you could gather this information in a sensitive fashion.

Taking into account the parents’ and caregivers’ potential sensitivities, list at least three specific questions you would ask about the child to gather more information.

Provide at least two strategies you could employ to encourage the parents or caregivers to be proactive about their child’s health and weight.

Describe one strategy that you learned that would help you create a strong literature review/search for evidence

Discussion Questions

You must access the following article to answer the questions:

Boyle, D. K., & Thompson, S.A. (2020). CMSRNs’ continuing competence methods and perceived value of certification: A descriptive study. MEDSURG Nursing, 29(4), 229-254. https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=a9h&AN=145282314&site=eds-live&scope=site (Links to an external site.)

1. Locate the literature review section. Summarize using your own words from one of the study/literature findings. Be sure to identify which study you are summarizing.

2. Discuss how the author’s review of literature (studies) supported the research purpose/problem. Share something that was interesting to you as you read through the literature review section.

3. Describe one strategy that you learned that would help you create a strong literature review/search for evidence. Share your thoughts on the importance of a thorough review of the literature.

Houser, J. (2018). Nursing research: Reading, using, and creating evidence (4th ed.). Jones and Bartlett.

· Chapter 1: The Importance of Research as Evidence in Nursing, pp. 24-26 (WOs 4, 5)

· Chapter 5: The Successful Literature Review (WOs 1, 2, 3, 4, 5)

Using what you have learned through your nursing education, what are your thoughts about how you might affect legislation around this issue at the local level or above?

Based on the following question, I need you to help respond to the attached 4 peers’ posts in 150 words each.

Question on Public Health Law and Legislation

Question(s):

  1. Visit the CDC Public Health Law News Archives, and choose one of the reports.
         In no more than 300 words, discuss:
    • Why did you choose your report?
    • Why is this particular report important to society and how it fits in the Dahlgren-Whitehead model?
    • Using what you have learned through your nursing education, what are your thoughts about how you might affect legislation around this issue at the local level or above?
       
  2. Visit: NCSL. (2021, April, 26). State Action on Coronavirus (COVID-19).National Conference of State Legislatures. Choose one state that passed a piece of legislation regarding health care and Covid-19.
    • Why did you choose this legislation?
    • What does the legislation provide for?

What do we know about the statistics around the mean incubation periods?

Week 03: Basic Statistics (Part I)

Week 03 Discussion (200 words).

Question(s):

  1. Read: Kolifarhood, G., Aghaali,M., Saadati, H.M., Taherpour, N., Rahimi, S., Izadi, M., &      Nazari, S.S.H. (2020, April). Epidemiological and Clinical Aspects of COVID-19; a Narrative Review (PDF)Archives of Academic Emergency Medicine, 8(1): e41.

Use this article to apply some of the concepts about incidence and prevalence to COVID-19. Be sure to read the entire article (don’t just do a search) and discuss the following:

  • What do we know about the statistics around the mean incubation periods?
  • What about the median infectivity, pathogenicity and incubation periods?
  • What is the range of incubation?
  • What information would be helpful to know that is missing?

Week 04: Basic Statistics (Part II) 

Week 04 Discussion (200 words).

Question(s):

  1. Read: WHO. (2018).  Monitoring Health for the SDGs Sustainable Development Goals Annex A. WHO: World Health Statistics.

Then summarize the morbidity and mortality information across countries in this article and compare the US from other American Countries and nationalities in any one of the following measures.

  • Maternal Mortality
  • Child Mortality
  • HIV
  • Hep B
  • Non-communicable disease
  • Suicide

What surprised you (if anything)?

Where do you see the balance between standardized EHR systems and customized EHR systems?

Week 03: Standardization (Part I)

· Week 03 Lecture Video – Healthcare StandardizationURL

ANSI – American National Standards Institute.  (2017, Oct.). Dr. John Halamka, Harvard Medical School, on Healthcare Standardization. Youtube.com.

Week 03 Discussion (200 words)

Question(s) – answer both questions:

· Where do you see the balance between standardized EHR systems and customized EHR systems? What are the advantages of customization? What are the disadvantages?

· If you were working to create a policy on standardized terminology and data collection methods for your organization, what would you be sure to include?

Week 03 Assignment – Tiger VLE Module completion

Complete your TIGER VLE Module: Systems Analysis, Planning, and Design

Upload a picture of your “Module Completion / Quiz Summary” into the dropbox below. You can use the print function to save as PDF or take a screen shot and save as a picture.

Week 03 Assignment – Health IT Evaluation – Part I

For this week’s assignment:

· Complete sections I-V of the  Health IT Evaluation Toolkit.  The toolkit should be used as a guide for the student to write a word document that includes the sections for this assignment.  For section II of the toolkit, be sure to select two or more important stakeholders and discuss their goals and vision for success of this proposed project implementation.  APA formatting (with the exception of an abstract) is required for this submission.

· Submit your documents below.

For complete information refer to your  Health IT Evaluation Project .

If your organization is not considering implementing any new technology in the near future, you may elect to evaluate the process that was completed for a health IT system already in existence.

Health IT Evaluation Project

Health information technology (IT) is largely utilized for the purposes of improving care, healthcare quality, and patient safety. Implementing health IT systems in healthcare organizations is an incredibly expensive, detailed endeavor. Oftentimes, large project implementations, while intended to increase efficiency, ultimately do not live up to the potential. The causes for this are multifaceted, and thus early stages of evaluation are necessary to avoid costly and dangerous technology failures (Cusack et al., 2009).

The purpose of this project is for you to perform an evaluation of a proposed health IT system in your place of employment, using components of the Health Information Technology Evaluation Toolkit published by the Agency for Healthcare Research and Quality (AHRQ). If your organization is not considering implementing any new technology in the near future, you may elect to evaluate the process that was completed for a health IT system already in existence.

The  Health IT Evaluation Toolkit  by Cusack, et al.  is also listed on the Require Reading page as a Resource. The toolkit should be used as a guide for the student to write APA style formatted word document(s) that include the sections for the different assignments. 

Week 3: Health IT Evaluation Toolkit Assignment (Part 1)

For this week’s assignment, complete sections I-V of the Health IT Evaluation Toolkit. APA formatting (with the exception of an abstract) is required for this submission. For section II of the toolkit, be sure to select two or more important stakeholders and discuss their goals and vision for success of this proposed project implementation.

Week 5: Health IT Evaluation Toolkit Assignment (Part 2)

For this week’s assignment, complete sections VI – X of the Health IT Evaluation Toolkit. APA formatting (with the exception of an abstract) is required for this submission.

Week 7: Health IT Evaluation Toolkit Assignment (Part 3)

For this week’s assignment, complete sections XI – XV of the Health IT Evaluation Toolkit. APA formatting (with the exception of an abstract) is required for this submission.

Week 9: Health IT Evaluation Toolkit Assignment (Part 4)

For this week’s assignment, complete sections XVI – XVII of the Health IT Evaluation Toolkit. APA formatting (with the exception of an abstract) is required for this submission.

Week 11: Final System Evaluation Project paper

For this week’s assignment, complete section XVIII of the Health IT Evaluation Toolkit. APA formatting (including an abstract) is required for this submission.

In earlier weeks your assignment deliverables are formative components of the toolkit. This week, you will turn in your completed project, which is the total evaluation.

Your final submission, the evaluation plan, should be formatted as follows:

1. Short description of the project

2. Goals of the project

3. Questions to be answered by the evaluation effort

4. First measure to be evaluated – quantitative

a. Overview – general considerations

b. Timeframe

c. Study design/comparison group

d. Data collection plan

e. Analysis plan

f. Power/sample size calculations

5. Second measure to be evaluated – qualitative

a. Overview – general considerations

b. Timeframe

c. Study design

d. Data collection plan

e. Analysis plan

6. Subsequent measures to be evaluated in the same format

What really differentiates psych emergency treatment from psych crisis intervention?

What really differentiates psych emergency treatment from psych crisis intervention? In emergency treatment, we work on the symptoms that the patient presented. During a crisis intervention, we focus on a quick resolution of the patient’s stress. Handling a mental health crisis can be demanding. Based on that:

 1-Compare interventions used for psychiatric crises with those used for other crises like disasters.  

2- What are the similarities?

3- What are the differences? 

4- What is the role of the psychiatric mental health nurse practitioner during a crisis.

KNOW THAT YOUR WORK WILL BE CHECKED WITH TURNITIN!

Instructions:

Use an APA 7 style and a minimum of 350 words. Provide support from a minimum of at least (4) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. Citation and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA stylestandards apply. Include the Doi or URL link.

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used

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How Has Nursing Informatics And Technology Impacted Your Practice?

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DNPnursing

 It is March 2020, and COVID-19 has resulted in lockdowns and stay-at-home orders nationwide. Patients are fearful to visit healthcare offices and hospitals, for routine care or other illnesses. As a result, virtual technologies are introduced to bridge the gap between healthcare needs and an emerging pandemic. Patients are encouraged to schedule visits virtually and seek care in new ways. 

While the impacts of COVID-19 in 2020 were immediate, how might these changes influence the capabilities of healthcare beyond a pandemic? How might these changes become permanent or even facilitate further change and innovation?

For this Discussion, you will explore the impact of digital technology on nursing practice. Consider the influence these technologies may have on nursing practice, and what skills you might need to hone in on in order to address these needs.

To Prepare

  • Review the Learning Resources for this week and focus on the article, “How COVID-19 Accelerated the Digital Transformation of Healthcare.”
  • Reflect on the impacts of the COVID-19 pandemic on healthcare and nursing practice.
  • Consider your nursing background and professional interests as you view the video.
  • What potential skills, knowledge, or competencies might you need to develop for your healthcare organization or nursing practice given the impacts of the COVID-19 pandemic?

Post a response to your blog describing your own experiences with digital changes and how the COVID-19 has affected your healthcare organization or nursing practice. Address the following:

  • Summarize how informatics has impacted or changed nursing practice, especially with the effects of the COVID-19 pandemic. Provide an example from your personal or professional experience. Be sure to also include the name of the professional organization you belong to. 
  • Explain how established informatics competencies may influence quality of care, safety improvements, and any other changes since the pandemic for excellence in nursing practice. Be specific. What would you need to do to develop skills, knowledge, and competencies in order to apply the technology?
  • Describe your informatics strengths and preferences, as well as potential challenges and areas for development.
  • Do you think the information technology framework discussed in the Ye, et al. (2020) article is applicable in the U.S. to manage COVID and other major pandemics? How much of what is discussed do we currently use?
  • Describe one strategy for enhancing and updating your project management and informatics skills and competencies. 

Why will you need to include family in psychotherapy for adolescents with depression and anxiety?

1-  Write a breve description of the neurobiological cause of: 

F33.1 – Major depressive disorder

F41.1 – Generalized anxiety disorder

F41.0- Panic attack 

2-  Write a breve description of  DSM-5 criteria for diagnosing:  

F33.1 – Major depressive disorder

F41.1 – Generalized anxiety disorder

F41.0- Panic attack 

3- The patient will start Lexapro 10 mg 1 tablet PO daily. Write a breve description of why this SSRI is appropriated to treat depression and anxiety (how the medication work, how long needs treatment to see results). Include side effects and considerations for the treatment of depression in adollecents.

4- Why will you need to include family in psychotherapy for adolescents with depression and anxiety?

KNOW THAT YOUR WORK WILL BE CHECKED WITH TURNITIN!

Instructions:

Use an APA 7 style and a minimum of 350 words. Provide support from a minimum of at least (4) scholarly sources. The scholarly source needs to be: 1) evidence-based, 2) scholarly in nature, 3) Sources should be no more than five years old (published within the last 5 years), and 4) an in-text citation. Citation and references are included when information is summarized/synthesized and/or direct quotes are used, in which APA stylestandards apply. Include the Doi or URL link.

• Textbooks are not considered scholarly sources. 

• Wikipedia, Wikis, .com website or blogs should not be used

Describe plan for data analysis for demographic variables (descriptive statistical tests).

Criteria: 
Introduction

  • Background and Significance of Problem
  • Statement of the Problem and Purpose of the Study

Literature Review

  • Summary of the Evidence for the Proposed Study

Research Question, Hypothesis, and Variables with Operational Definitions

Theoretical Framework

  • Overview and Guiding Propositions(s) Described in Theory
  • Application of Theory to Your Study’s/Project’s Focus

Methodology

  • Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.
  • Sampling Strategy
  • Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection. 
  • Extraneous Variables (and plan for how controlled).
  • Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).
  • Description of the Intervention
  • Data Collection Procedures
  • Data Analysis Plans
    • Describe plan for data analysis for demographic variables (descriptive statistical tests).
    • Describe plan for data analysis of study variables (descriptive and inferential statistical tests).

Ethical Issues

  • Describe ethical considerations and your plan to protect human rights.

Limitation of Proposed Study
Implications for Practice
References
Appendices

  • Informed Consent Letter
    • Procedure section is clear, described in detail, specific, and all inclusive. Written in lay language (as documented by reading level score). Includes risks and benefits relevant to study. Address assent (if applicable).