ZERO PLAGIARISM

5 REFERENCE

7TH EDITION APA FORMAT

Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere that lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be or how the next new idea for applying existing technology can benefit outcomes.

In this Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

To Prepare:

• Reflect on the Resources related to digital information tools and technologies.
• Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.
• Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

By Day 3 of Week 6

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

1.Read the article, understand it, interpret it, and create a summary in APA style in your own words clearly and succinctly (two pages double spaced)
2.In-text citations used accurately in summary including the last name of the author(s), year, and page numbers if direct quote. No other errors noted.
3.At the end of the summary, type the reference to your article in correct APA style. 

Week 2: Racial Disparities of COVID-19 Reflection Questions

Purpose: The racial and health disparities related to COVID-19 are staggering. This ANA (American Nurses Association) Webinar will address this particular topic.  Along with this webinar, the article by McNeely et al. (2020) further examines this issue.  Here are just a few of the concepts that will be addressed: 

• The magnitude and origins of COVID-19 racial disparities
• Addressing the roots of the problem
• Facing Implicit Bias: An effort we all must make
• How to translate insight and knowledge into life-saving actions
• Points of intervention when caring for a COVID-19 patient and how you can make an impact on each step of the way (nursingworld.org, n.d.)

Directions: Watch this ANA Webinar and read the article by McNeely et al. (2020) related to racial and health disparities during the pandemic. Once completed, answer the following reflection questions and upload them to the dropbox. 

Webinar link: Racial Disparities of COVID-19 (Links to an external site.)

Article link: McNeeley et al. (2020). Social Determinants and COVID‐19 Disparities: Differential Pandemic Effects and Dynamics (Links to an external site.)

Reflection Questions: ANA Webinar Reflection Questions-student.docx

Rubric

Health Disparity ReflectionHealth Disparity ReflectionCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeReviews video webinar and questions50.0 ptsSatisfactoryReviews video case study and satisfactorily completes the questions.25.0 ptsNeeds ImprovementUnsatisfactorily completes the questions.0.0 ptsUnsatisfactoryDoes not complete the case study questions50.0 pts
Total Points: 50.0

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

Week 8: Reflection   

Reflect  back over the past eight weeks and describe how the achievement of the  course outcomes in this course have prepared you to meet the MSN program  outcome #4, the MSN Essential IV, and the Nurse Practitioner Core  Competencies # 7. 

Program Outcome #4:  Integrate professional values through scholarship and service in health care. (Professional identity)

MSN Essential IV: Translating  and Integrating Scholarship into Practice Recognize that the  master’s-prepared nurse applies research outcomes within the practice  setting, resolves practice problems, works as a change agent, and  disseminates results.

Nurse Practitioner Core Competencies # 7

Health Delivery System Competencies

1. Applies knowledge of organizational practices and complex systems to improve health care delivery.

2. Effects health care change using broad based skills including negotiating, consensus-building, and

partnering.

3. Minimizes risk to patients and providers at the individual and systems level.

4. Facilitates the development of health care systems that address the needs of culturally diverse

populations, providers, and other stakeholders.

5. Evaluates the impact of health care delivery on patients, providers, other stakeholders, and the

environment.

6. Analyzes organizational structure, functions and resources to improve the delivery of care.

7. Collaborates in planning for transitions across the continuum of care.

Do a Soap Note following the scenario that the patient is developing acute endocarditis. I attached the information for do the job and an example. 

HA3300D – Healthcare Policy and Ethics

Discussion 07: Tuskegee Experiment

In Week 1, you learned about the 1932-1972 Tuskegee Experiment, in which 399 black men were subject to medical research by the U.S. Public Health Services without their consent. Use what you’ve learned about this experiment, and your textbook, to answer these questions:

.Researchers used utilitarian ethics to support their actions. Do their actions make sense when viewed from a utilitarian perspective? Why or why not?

.Explain why and how Kantian ethics might have changed the researchers’ behavior.

.Propose a second ethical theory that might have saved these men from abuse.

Your initial post should be a minimum of 8 – 10 sentences and include an APA-style references list to ensure full credit. Respond to two other students in a minimum of 4 – 6 sentences, being sure to cite course material in APA format in your work.

As a nurse in a healthcare organization, it has become evident that patient outcome data have been consistently declining in some patient care settings. Some of the outcomes under inspection include patient Hospital acquired pressure injury (HAPI), (4 % increase in the last 6 months) .

You have investigated contributing factors to the declining outcomes and participated with a team approach to developing an evidence-based practice project. After reading this article Aiken Article titled “The effects of nurse staffing and nurse education on patent deaths in hospital with different nurse work environment”, PICO: In a healthcare setting, what is the effect of nursing staffing in reducing patient outcomes in HAPI cases? Was developed.

In this assignment, you will complete this evidence-based practice (EBP) proposal using the categories below

• Conceptual and theoretical frameworks (an example of a conceptual model for an EBP project would be the Iowa Model). An example of a theoretical framework (this will support the phenomenon of interest) and if caring was an integral part of the project then Watson’s Model of caring might be a consideration). If a theoretical framework is selected, be sure that the purpose of the framework is discussed in detail, and explain specifically how the framework supports the evidence-based practice project. Do not select a theoretical framework just for the sake of selecting one.
• Methodology
• Evaluation and Analysis.
• Significance and/or implications for practice
• References
• Appendices

Mainpost

Case study:

JC, an at-risk 86-year-old Asian male is physically and financially dependent on his daughter, a single mother who has little time or money for her father’s health needs. He has a hx of hypertension (HTN), gastroesophageal reflux disease (GERD), b12 deficiency, and chronic prostatitis. He currently takes Lisinopril 10mg QD, Prilosec 20mg QD, B12 injections monthly, and Cipro 100mg QD. He comes to you for an annual exam and states “I came for my annual physical exam, but do not want to be a burden to my daughter.”

Discussion: Diversity and Health Assessments

Introduction

            Health care providers should exhibit knowledge of population diversity and treat all patients with respect regardless of their culture and belief system. This is essential in understanding patient’s lifestyle, and behavior which may affect their health care. Accepting patient’s culture in a nonjudgmental manner creates a unique relationship between the patient and the healthcare provider. Therefore, APRN’s should be cognizant of patient’s culture, beliefs, lifestyle, and socioeconomic status as it relates to healthcare. A culturally competent healthcare provider accustoms his/herself to the exclusive needs of patients with cultures that are different from his or her own. Being accustomed to the belief’s and values of a patient lays the foundation for a trusting patient-provider relationship (Ball et al., 2019).

Socioeconomic, Spiritual, Lifestyle, and Cultural Factors Associated with the Patient

            The case study presents an 86-year-old Asian male that is physically and financially dependent on his daughter who is a single mother with little money to care for the patient’s healthcare needs.  Understanding the Asian culture is relevant to providing care to this elderly patient.  I will verify patient’s preferred language, ask about patient’s preference with a healthcare provider regarding race or ethnicity, gender, and age. Ensuring respect for this patient despite his financial and physical dependency will encourage a trusting relationship between the patient and the health care provider. Asian culture is known to teach respect for parents and family is a priority over self. Additionally, in Asian culture adult children are required to make financial, physical, and social sacrifices for their parents that are aging (Miyawaki, 2015). As a healthcare provider, I will welcome this patient, show respect by avoiding eye contact as some Asian countries consider making eye contact as rude. Maintaining eye contact is not done with individuals of East Asian cultural backgrounds. Also, the Japanese culture, teaches against maintaining   eye contact with others as it is believed to disrespectful (Uono & Hietanen, 2015).

            I will make the patient understand that I am familiar with culture of adult children caring for their aged parents. I will explain to the patient that he should not consider himself a burden to his daughter as the daughter is maintaining the requirement of their culture. This will encourage a relaxing environment that will enable the patient to feel accepted and ready to relate with the health care provider. Respect for the patient’s spiritual and religious belief is also vital. The patient should be asked about any spiritual belief that may affect his healthcare when sick or dying. Also, the APRN should inquire about spiritual or religious groups that the patient may belong that could be supportive in providing some assistance to his healthcare. Spirituality and faith help Asian-Americans manage the turmoil of adapting to a new country, by providing a safe environment where immigrants can socialize and be of assistance to one another (Lee & Eun-Kyoung, 2017).

Sensitive Issues

            I will inquire if the patient is compliant with taking his medications as prescribed and access for the use of over the counter, herbal, or traditional medications. This is especially important as the patient takes lisinopril 10mg QD, prilosec 20mg QD, B12 injections monthly, and cipro 100mg QD. To avoid drug interactions, it is important to ask about additional medications that the patient may be taking. Examples of Chinese herbal medicine include astragalus, ginger, licorice, panax ginseng, and schizandra. Traditional medicine is used across Asian societies for daily health maintenance, and treatment of certain medical conditions. Also, in China, Japan, and Korea, traditional medicine has become almost or equivalent to conventional medicine (Mu et al., 2020).

            Furthermore, the functionality of the patient will be accessed to determine the level of dependency on the daughter. Activities of daily living like feeding, bathing, wearing clothes, grooming will be accessed. Asking about financial assistance with purchasing medications, proper feeding and housing is vital to ensure the overall needs of the patient are catered for. Due to socioeconomic status and financial constraint of the patient and his caregiver (daughter), I will recommend the help of a social worker to provide the services of a home health nurse and home health nursing assistant. This will ensure that patients’ needs are met, and the patient takes his medications in a timely manner thereby relieving the responsibility on the patient’s daughter.  In addition, the services of physical and occupational therapy will be sorted to help strengthen any weak muscles or extremities to ensure some dependence with physical activities. I will explain to the patient that my recommendation for a social worker is to help him meet his daily needs and not to disrespect him. This will maintain patients pride and ego.

Targeted questions to assess health risks

1. Do you have health insurance, or do you pay out of pocket for your medications?
2. Do you take your medications as prescribed?
3. Do you check your blood pressure at home?
4. Would you want to receive help with feeding, clothing, bathing, or moving around your home?
5. Do you experience any pain or difficulty in urinating?
6. In the las two weeks have you experienced sleep disturbances, decreased appetite, feeling of sadness, hopelessness, or guilt, thoughts of committing suicide and poor concentration.
7. In what way do you think you are a burden to your daughter?
8. How often do you eat and what type of food do you eat?
9. Do you take any herbal, traditional or over the counter medications?

            The questions above are used to access the patient’s access to his medications and if he is compliant with taking his medications. The need to access for patient’s knowledge about checking his blood pressure due to his history of hypertension. Accessing patient’s willingness to receive outside resources like home health assistance is essential to providing the needed healthcare. Question about urinating accesses the history of prostatitis. Accessing for depression in the elderly is crucial to determine the patient’s mental state. Elderly Asian immigrants in the US are at risk of depression (Seungah & Eun-Kyoung, 2017). Evaluating the patients feeding habits and if the patient takes any medication outside his prescribed medications determines the patient’s health risk.

References

Ball, J., Dains, J., Flynn, J., Solomon, B., Stewart, R. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby.

Lee, R., Eun-Kyoung, O. (2017). Faith, spirituality, and values among Asian-American older adults: An exploratory factor analysis of the multidimensional measures of religion and spirituality. Mental Health, Religion & Culture, 19 (8), 920–931.    doi:10.1080/13674676.2017.1290593

Miyawaki, C. (2015). A review of ethnicity, culture, and acculturation among Asian caregivers of older adults. SAGE Journals. https://doi.org/10.1177/2158244014566365

 https://journals.sagepub.com/doi/full/10.1177/2158244014566365

Ryu, S., & Lee, O. E.-K. (2016). Faith, spirituality, and values among Asian-American older adults: An exploratory factor analysis of the multidimensional measures of religion and spirituality. Mental Health, Religion & Culture, 19 (8), 920-931. https://doi- org.ezp.waldenulibrary.org/10.1080/13674676.2017.1290593

Uono, S., Hietanen, J. (2015). Eye contact perception in the West and East: A cross-cultural study. Plus One. https://doi.org/10.1371/journal.pone.0118094

Xin, B., Mu, S., Tan, T., Yeung, A., Gu, D., Feng, Q. (2020).  Belief in and use of traditional Chinese medicine in Shanghai older adults: A cross-sectional study. BMC Complement Medicine and Therapies 20 (128). https://doi.org/10.1186/s12906-020-02910-x. https://bmccomplementmedtherapies.biomedcentral.com/articles/10.1186/s12906-020-  02910-x

Directions: End of Life
• An 80, year old woman was admitted to the hospital with pneumonia and weakness. She lives alone. Her children are supportive and help her around the house but do not live with her. Her husband of 51 years died within the last 6 months. She is grieving the loss, but she is relieved and feels guilty as he was an abusive spouse.

Question:
• How do you assist her in coping with her loss?