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WORK MUST BE ORIGINAL!   

Paper will be checked for plagiarism. 

WORK MUST MEET ALL OF ASSIGNMENT DESCRIPTION.

ALL ASPECTS OF THIS ASSIGNMENT MUST BE COVERED. 

MUST BE A CLEAR DISTINCTION OF EACH POINT MADE  

INSTRUCTIONS TO BE FOLLOWED IS ATTACHED.

Data-Based Changes

Write an word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

1. Identify one aspect of big data and data mining that is interesting to you. Explain the concept and how it might bring value to healthcare. 
2. Describe the concept of continuity planning. If you were the director or manager for your current workplace, describe the preparedness program you would recommend.
3. Locate an article discussing the use of informatics in healthcare education of the general public or of nursing students. Discuss the benefits and drawbacks to using technology in this situation and recommendations from the author. Do you feel this use of technology is a viable method of educating (the public or nursing students)? Why or why not?

Identify a quality improvement initiative that relates to improving population health outcomes for a population with which you are familiar. Have these initiatives been successful? Why or why not?  

Discuss how culture affects health: physical and psychological health, perception of health, and health decision-making. Discuss examples from your own experience, culture, and patient care experience. Cite references to support your statements whenever possible. Please use scholarly peer-reviewed sources, not websites. 

Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technology trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

· Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

· Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

· Identify and select 4 peer-reviewed research articles from your research.

The Assignment: (4-5 pages)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

· Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

· In your conclusion, synthesize the findings from the 4 peer-reviewed research articles

Essay: Answer each prompt using at least 400 words.

1. Describe an experience that directly affected you or that you observed where someone was treated as an “O”. What did you, or could you have done to minimize this experience?
2. Think of 3 different ages or points in your life, for example, ages 6, 12, and 18.
   • What racial identity development stage would you say you were in for each of these stages and why? 
   • What factors can you think of that may have impacted any changes in your racial identity development stages from one age to another?
   • Do you feel that each of these stages could have been better supported by the caregivers, educators, peers, or colleagues around you?
3. Reflecting on the McNickles section, what explains the perception gap that exists between whites and African Americans when it comes to matters of race and racism? Do you agree with McNickles?
4. The ability to communicate in English is important for many jobs and therefore some companies offer ESL (English as a Second Language) courses to their non-English-speaking employees. One alternative to requiring company-sponsored ESL instruction is to require that all potential employees meet an English language proficiency standard before they may be hired. Compare and contrast these two alternatives in terms of advantages and disadvantages to the company.

Assignment Expectations:

• Length:
  • 1600-1750 words (5-7 pages); answers must thoroughly address the questions in a clear, concise manner
• Structure:
  • Include a title page and reference page in APA style

Choose one health-promoting behavior in which you personally could but don’t engage. Identify factors, as defined in the health promotion model, which contribute to your decision not to participate. Include immediate competing alternatives.

2. Analyze factors that contribute to your participation in a health-promoting activity and place each factor under the appropriate label from the health promotion model.

3. Consider your own philosophy of health and prepare your description of wellness. Is absence of disease more prominent than positive, active statements of health?

4. Anticipate the health-promoting behaviors important at various stages of development across the life span. What health promotion topics do you include in your practice?

Case Study: Hypertension in Pregnancy

Kita Brown is a 36-year-old black female presenting to her local urgent care with headache and stating her mother took her blood pressure and it was a “little higher than it should be”. Kita has had an unremarkable pregnancy, which was conceived thru IVF. She is currently 30 weeks and 5/7 days pregnant and relates she has had no problem with her pregnancy. She only takes prenatal vitamins, and relates she was on hctz prior to pregnancy for borderline BP but stopped it when she underwent IVF and her BP has remained “pretty normal”. Sher relates she was prescribed labetalol but did not take it regularly as she didn’t want to take anything that might hurt the baby.

Her initial prenatal screening, including initial labs, and third trimester CBC and glucose testing have been normal. She additionally at her 1st prenatal visit had baseline PIH (pregnancy induced hypertension/pre-eclampsia) due to her history of hypertension which were normal including a protein to creatine ratio.

Upon intake at the urgent care the notes relate she appears in no apparent distress, and she has reported fetal movement within the past hour. She denies, any other symptoms including epigastric pain, vision changes or nausea. She states fetal movement has been normal, and denies leaking fluid, vaginal bleeding, or contractions. She relates slight swelling and her weight gain to-date has been 17 lbs. Current BMI is 25.1, BP is 162/90, pulse 82, respirations 16 and unlabored, temperature 98.2 orally. Kita was transferred to the emergency room due to her complaints and her gestational age.

Upon arrival to the emergency room 30 minutes later her repeat BP was 166/ 88. It was retaken 15 minutes later and was 162/92. All blood pressures were confirmed with a manual cuff. She had no additional complaints.

QUESTIONS:

1. What are your 3 differential diagnosis? (place primary diagnosis as first)

2. What treatments would you implement?

3. What further information would you need?

4.  What is the first priority in conducting your assessment?

5.  What diagnostic tools/tests would you use? And why?

Case Study: Mr. C.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 Mr. C., 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

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

1. Height: 68 inches; weight 134.5 kg
2. BP: 172/98, HR 88, RR 26
3. 3+ pitting edema bilateral feet and ankles
4. Fasting blood glucose: 146 mg/dL
5. Total cholesterol: 250 mg/dL
6. Triglycerides: 312 mg/dL
7. HDL: 30 mg/dL
8. Serum creatinine 1.8 mg/dL
9. BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

1. Describe the clinical manifestations present in Mr. C.
2. Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.
3. Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)
4. Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.
5. Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
6. Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.

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. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

 Instruction

THIS IS A GROUP ASSIGNMENT SO I AM GOING TO NEED TO COLLABORATE 2 PAGES IN THE PAPER. DOES NOT NEED AN INTRO OR CONCLUSION. JUST IN TEXT CITATIONS AND REFERENCE AND THE 2 PAGES NEEDS TO BE “IDENTIFYING CURRENT PUBLICATIONS” ON A RECENT ARTICLE ABOUT “ELDERLY POLYPHARMACY”. THIS IS THE INSTRUCTIONS: Identify current publications concerning the issue being analyzed – literature review 30% In this section the team must demonstrate analysis and synthesis of the extant literature. The review should include information published in refereed journals, authoritative websites, government and other publications. References should be current and reflective of contemporary thought with regard to the selected issue. ALSO, THE POWERPOINT IS ALSO GROUP ASSIGNMENT SO PLEASE MAKE 2-3 SINGLE SLIDES REFERRING TO (ELDERLY POLYPHARMACY) AND TO “IDENTIFY CURRENT PUBLICATIONS AS WELL” NO INTRO OR CONLUCION NEEDED FOR THE SLIDES EITHER JUST 2 SLIDES IDENTIFYING CURRENT PUBLICATIONS ON ELDERLY POLYPHARMACY LIKE THE 2 PAGE PAPER AS WELL