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Week 5 Project

Compilation

Summarize, in 3-4 pages, this assignment that provides information from Weeks 1 to 4 (ATTACHED).

In addition to the work you completed in the last four weeks, your assignment should also:

·  Include an introduction and a conclusion.

·  Implement the recommendations from the instructor.

·  Describe the role of nursing informatics.

·  Explain how nursing informatics or technology in health care will help or hinder your leadership.

Please note that the title and reference pages should not be included in the total page count of your paper.

On a separate references page, cite your sources in your work and provide references for the citations in APA format. Support your work, using your course lectures and textbook readings. Helpful APA guides and resources are available in the  University Online Library. Below are guides that are located in the library and can be accessed and downloaded via the  University Online Citation Resources: APA Style page. The American Psychological Association website also provides detailed guidance on formatting, citations, and references at APA Style.

Respond to all the  discussion board questions post at least one substantive comment (or comment and question) in each of the student-led discussions. Your comments should demonstrate critical thinking, extend the conversation and add to the class.  Responses should be more than just one or two sentences. 

please cite Explain, and make references to themes from the required readings using American Psychological Association (APA) format.

Please answer the 5 questions below for attendance credit. Submit your answers to the proper assignment folder. Please do not share work.

1. What is hypopituitarism and how is it managed?
2. Compare and contrast the pathophysiology of Syndrome of Inappropriate Antidiuretic Hormone (SIADH) and Diabetes Insipidus (DI)
3. Discuss the pathophysiology of Graves disease and include signs and symptoms associated with this disorder.
4. Discuss the pathophysiology of congenital hypothyroidism and the therapeutic management
5. Discuss the therapeutic management of diabetic ketoacidosis (DKA)

After reading chapters nine (9) and 10 answer the following question

1. To best understand the concepts of ethics, define the following terms:

• Utilitarianism
• Egoism
• Relativism
• Absolutism

2.List two of the functions of a gerontological nurse regardless of practice setting.

Please use the following 3 x 3 rule: when writing your weekly discussions: – A minimum of three paragraphs per DQ. Each paragraph should have a minimum of three sentences.

All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

Discussions must have a minimum of two references, not older than 2015.

Begin reviewing and replying to peer postings/responses early in the week to enhance peer discussion. See the rubric for participation points. Participate in the discussion by asking a question, providing a statement of clarification, providing viewpoints with a rationale, challenging aspects of the discussion, or indicating relationships between two or more lines of reasoning in the discussion. Always use constructive language, even in criticism, to work toward the goal of positive progress.

Peer 1

Once an elderly individual becomes abused, they end up in a pattern of abuse. According to Levin et al., (2020), an elderly individual is mostly likely subject to abuse from a family member, and the abuse also comes from a caregiver or trusted individual. The abuse can be psychological, financial, physical, sexual, exploitation, neglect and self-neglect. Because these elderly individuals that require assistance due to physical or cognitive issues, they often with a family member, this makes it difficult for the elderly abused to get out of the situation. This abuse can be considered intentional, unintentional, or related to lack of knowledge. Miller (2018, p. 166) also indicated that the caregiver can become overwhelmed, or suffer from their own cognitive and physical issues making the neglect or abuse complicated. Elderly abuse is also perceived by differently cultures differently, for example the Chinese culture can consider raising your voice, or being disrespectful as abuse. Physical abuse to this vulnerable population is preventable and needs to be rectified. The second is emotional or psychological. This form of abuse can be hidden easier, but it causes the individua to become isolated leading to depression. According to the National Council on Aging, 5 million elderly are abused each year with only 1 in 14 cases being reported.  

There are ways to limit elderly abuse. Families that are taking care of an elderly person should seek outside time, or time for themselves, this helps prevent caregiver strain and fatigue. Elderly individuals can also be educated at checkup appointments about abuse and the many forms it can entail. As practitioner’s we should evaluate our patients regularly, even asking he caregiver to step outof the room to discuss their emotional state and identify any signs of possible abuse. We should also empower healthcare givers to attend group meetings to form relationships with other caregivers. 

Jaimee 

Levin, M. K., Reingold, D., & Solomon, J. (2020). Elder Abuse Shelter Programs: From Model to Movement. Generations, 44(1), 74–80. 

Miller, C. A. (2018). Nursing for Wellness in Older Adults. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9781975100735/ 

Peer 2

Elder abuse has been shined a spotlight on and has become more evident to the public. Two types of elder abuse that are very crucial to discuss are chemically subduing the elderly patients and physically abusing the elderly patients with assault and battery. Even though the light is on this topic, it may be difficult to intervene even though it may be easily spotted. if the elderly patient is being chemically subdued in the nursing home, it can become difficult to notice the signs since the elderly patient may be sleeping when the family members arrive, or may be afraid to say something because the patient believes they will receive some sort of punishment. When physically abusing the patient, the signs are easy to identify however the employee may say the patient just fell and hurt themselves. It is easily believable especially if the older patient suffers from dementia and has become restless and anxious.

These two are the most crucial because these two are mentally, physically, and emotionally exhausting to the patients that must endure it. These patients may become depressed, scared, traumatized, and have a hard time trusting anyone else. As nurses, it goes against our code when purposely inflicting damage to someone that is under our care. It is our responsibility to go beyond and provide the utmost care possible to everyone. The most important is prevention however we cannot prevent another employee causing harm however what we may do is be able to detect and know the early signs. Some signs are oversleeping, unexplained bruises, scarring, burns, sprains, so many signs so it is our duty to stay educated on this topic to help all our patients (Team, 2020).

Team, T. N. H. A. C. (2020, January 8). Physical Elder Abuse – Signs of Physical Elderly Abuse. Nursing Home Abuse Center. https://www.nursinghomeabusecenter.com/elder-abuse/types/physical-abuse/

HA3220D – Health Information Systems 

Discussion 10.2: Workflow Design Team

 A group of physician offices is in the process of implementing a new clinical documentation system to replace a paper-based process. The group already uses an electronic patient registration system. You have been asked to create a multidisciplinary workflow design team to address concerns with system communication. What are some work processes that may be redesigned as a result of the implementation? How could the system improve the workflow? What team members would you assign? Explain your reasoning. 

Write a 650-1300 word response to the following questions: 

1. Explain multicultural communication and its origins.
2. Compare and contrast culture, ethnicity, and acculturation.
3. Explain how cultural and religious differences affect the health care professional and the issues that can arise in cross-cultural communications.
4. Discuss family culture and its effect on patient education.
5. List some approaches the health care professional can use to address religious and cultural diversity.
6. List the types of illiteracy.
7. Discuss illiteracy as a disability.
8. Give examples of some myths about illiteracy.
9. Explain how to assess literacy skills and evaluate written material for readability.
10. Identify ways a health care professional may establish effective communication.
11. Suggest ways the health care professional can help a patient remember instructions.

This assignment is to be submitted as a Microsoft Word document.

What are your thoughts? Reply to this discussion question.

Per our infection control nurse, one area in which my hospital lacks is with patients diagnosed with sepsis. I have yet to get ahold of the numbers which I will have later this week, but per Melissa, these numbers are not great and could be improved. She believes and even from working as a bedside nurse in the Intensive Care Unit (ICU), I agree with her that we are lacking in the department of handoff communication between nurses. Report from the emergency room to the floors, or from the floors to a higher level of care (I.e. ICU’s, Cardiac ICU’s, ICU step downs or telemetry), there is a lack of effective communication between nurses. 

We all are aware of a sepsis bundle as it was drilled into our minds during our nursing programs and very well followed us into our careers. Whether you work medical-surgical, telemetry, critical care, mother/baby, labor and deivery, pediatrics, etc., we will always have patients of all ages who can have sepsis. Although the sepsis bundle is quite straightforward, communicating that is not always easy. Many times, nurses are not thorough in their reports of interventions and cares already provided, fail to notify the receiving nurse of sepsis protocol interventions that were canceled by physicians although this is not allowed in my facility or miss handing off important parts of report. By discontinuing interventions I am talking about a physician saying it is not necessary to achieve repeat lactates, administer fluid boluses, more than one sets of blood cultures, etc. Main things you would do during a sepsis bundle. It is now the nurses responsibility, per protocol, to reorder any interventions that a physician has canceled despite the discontinuation.  

Our hospital is beginning to implement a paper form, strictly for nursing to complete and then hand into our quality department for review. We are calling this the “Sepsis Handoff Tool”. It is a form that has the nurse fill out the time and date of when severe sepsis was recognized and what systemic inflammatory response syndromes (SIRS) were identified. It also requires the hospitalist notified three sets of vital signs to be noted. The form also has two boxes, one with a three hour sepsis bundle power plan and the other with a six hour sepsis bundle power plan; all which much be checked off with no exceptions. Then registered nurse and physician both must sign the paper and send to the quality department. With this new implemenation, infection control will then perform a study on whether this new tool increased patient outcomes or not. 

As nurses, there are many implications to our job. WIth sepsis and nursing in general, we are expected to be on top of our patients, their cares and interventions. We are responsible for making sure our patients are receiving all of the treatments they have ordered and that they are appropriate. WIth sepsis, a patients condition can rapidly deteriorate. We are a part of the team that attempts to prevent this from occuring, which means implementing our protocols and policies to the fullest extent. This handoff tool has the potential for nurse to nurse and nurse to phyisicians to both be on the same page and aware of patient care. The second implication for nurses would be that we are here to help our patients. As nurses, we do what we do to help those who are sick. Accurately implementing interventions that have been proven to decrease morbidity related to sepsis when performed together are interventions that we should be doing. Having a form that helps nurses reduce time wasted in determining what has and has not been done is very beneficial as we can go right ahead to implement appropriate interventions that are left. 

The content of this critique should include:

Describe the problem and purpose of the study (like a Summary). Is the problem of the study discussed in the introduction? Was the significance of the study established in the introduction? What is the significance of the study? Describe the research methods, including the process of data collection, sampling, and data analysis, for the research study. Identify the specific aims/objectives. Who were the subjects and or the participants? What sampling approach was undertaken and why?How sample size was used for the variables(s). What instrument(s) was used?. How reliability and validity were established. Summarize the major findings and conclusions of the study.Critic the strength and weaknesses of the research methods. The expectation is that you include your textbook as a resource.How this study is relevant to evidence-based practice in nursing. 

MUST BE APA STYLE!!! 

When you wake in the morning, you may reach for your cell phone to reply to a few text or email messages that you missed overnight. On your drive to work, you may stop to refuel your car. Upon your arrival, you might swipe a key card at the door to gain entrance to the facility. And before finally reaching your workstation, you may stop by the cafeteria to purchase a coffee.

From the moment you wake, you are in fact a data-generation machine. Each use of your phone, every transaction you make using a debit or credit card, even your entrance to your place of work, creates data. It begs the question: How much data do you generate each day? Many studies have been conducted on this, and the numbers are staggering: Estimates suggest that nearly 1 million bytes of data are generated every second for every person on earth.

As the volume of data increases, information professionals have looked for ways to use big data—large, complex sets of data that require specialized approaches to use effectively. Big data has the potential for significant rewards—and significant risks—to healthcare. In this Discussion, you will consider these risks and rewards.

To Prepare:

• Review the Resources and reflect on the web article Big Data Means Big Potential, Challenges for Nurse Execs.
• Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.

By Day 3 of Week 5

Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.

By Day 6 of Week 5

Respond to at least two of your colleagues* on two different days, by offering one or more additional mitigation strategies or further insight into your colleagues’ assessment of big data opportunities and risks.