Category: Nursing

  • PERSONAL LEADERSHIP PHILOSOPHIES NURS-6053 ASSIGNMENT

    Personal Leadership Philosophies NURS-6053 Assignment 

    NURS 6053: Interprofessional Organization and System Leadership

    Introduction

    I am a nurse committed to providing compassionate care and upholding the highest ethical standards. My CliftonStrengths Assessment revealed five strengths: Relator, Strategic, Learner, Analytical, and Responsibility. I am driven to develop and strengthen my communication skills and responsibility to collaborate more effectively with others and become a more productive and successful individual. My development plan includes practicing active listening, participating in group discussions, taking ownership of my work, and staying organized and focused. The aim of this paper is to explore my leadership philosophy by looking at my core values, my strength assessment results, and my development plan.

    Core Values as a Nurse

    My core values are compassion, respect, integrity, collaboration, and excellence as a nurse. I believe in providing compassionate care that is based on respect and kindness. I am committed to upholding the highest ethical standards and always acting with integrity. I collaborate with patients, families, and other healthcare professionals to ensure the best possible outcomes. I am committed to excellence in all aspects of my practice.

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    Mission and Vision Statement

    My mission is to provide compassionate and excellent care to all my patients. My vision is to create meaningful connections with others and become a more confident and booming individual who will continue to improve myself and influence those around me to strive for excellence.

    Clifton Strengths Assessment

    My CliftonStrengths Assessment revealed five strengths in my profile: Relator, Strategic, Learner, Analytical, and Responsibility. As a relator, I am focused on creating and maintaining relationships with others (Rath, 2007). I am driven to build strong connections and create a sense of community. Being strategic means, I can look at problems and develop creative solutions. I can think about the big picture and pay attention to the details. Being a Learner means I am always looking for new knowledge and skills, and I am motivated to continuously grow and develop (Duggan et al., 2015). Analytical means seeing problems from multiple angles and breaking them down into parts. I can identify patterns and draw meaningful insights from data. Finally, Responsibility means I am reliable and take ownership of my work (Rath, 2007). I can stay focused and complete tasks, even when faced with challenges or obstacles. These five strengths make me a well-rounded individual who can think critically and work effectively with others Personal Leadership Philosophies NURS-6053 Assignment .

    Behaviors to Strengthen.

    The two key behaviors that I wish to strengthen are my communication skills and responsibility. With analytical strength comes the challenge of communicating one’s analysis fairly. Also, with responsibility as a leadership strength, one must find ways to manage time effectively, learn to delegate tasks, and not take on more than one can handle, which could lead to burnout. Communication is a vital component of care at every level of nursing practice (Jankelová & Joniaková, 2021).
     
      Developing proper communication skills means communicating my thoughts and opinions clearly and concisely (Bullington et al., 2019). This includes being able to listen attentively and respond in a respectful, productive way. It also means being able to recognize and understand different points of view. Effective communication also involves positively and respectfully resolving disagreements with others. According to Broome and Marshall (2021), responsibility is also an important skill to develop. This means staying focused and completing tasks, even when faced with challenges or obstacles. It also involves being accountable and taking ownership of my work. It is essential to be reliable and trustworthy and to be able to work independently as well as in groups. By developing these two key behaviors, I will be able to collaborate more effectively with others and become a more productive and successful individual.

    Development Plan

    My development plan includes two main goals: improving my communication skills and increasing my responsibility. I have also incorporated the feedback from my colleagues, who suggested improving my communication and responsibility skills to make me a better leader. To improve my communication skills, I plan to practice active listening and responding in a respectful, productive way when engaged in conversation. I will try to understand and appreciate different points of view. I will also improve my public speaking skills by speaking more in meetings and participating in group discussions. I will set deadlines and follow through on my commitments to increase my responsibility. I will also take ownership of my work and be accountable for my actions. Lastly, I will strive to stay organized and focused on the task.

    I plan to use the development plan outlined above to achieve my vision. I will practice active listening when engaged in conversations, which will help me better understand and appreciate different points of view. I will also improve my public speaking skills and make an effort to speak up more in meetings. Furthermore, I will keep myself organized and follow through on my commitments. By developing my communication skills and responsibility, I will create meaningful connections with others and become a more confident and booming individual.

    Conclusion

    Nurses are responsible for providing quality care and should know their strengths and weaknesses to succeed. Setting objectives to improve areas of weakness is essential, as it helps nurses become more confident and booming individuals. Tools such as the CliftonStrengths Assessment can be used to identify and understand one’s strengths, which can be used to create a development plan to help achieve personal goals Personal Leadership Philosophies NURS-6053 Assignment. Additionally, self-reflection is an integral part of the development process, as it helps nurses be more aware of their strengths and weaknesses and develop the skills needed to succeed.

     
     

    References

    Broome, M., & Marshall, E. S. (2021). 
    Transformational leadership in nursing: From expert clinician to influential leader
     (3rd ed.). New York, NY: Springer.

    Bullington, J., Söderlund, M., Sparén, E. B., Kneck, Å., Omérov, P., & Cronqvist, A. (2019). Communication skills in nursing: A phenomenologically-based communication training approach. 
    Nurse Education in Practice
    , 
    39
    , 136-141.
    https://doi.org/10.1016/j.nepr.2019.08.011

    Duggan, K., Aisaka, K., Tabak, R. G., Smith, C., Erwin, P., & Brownson, R. C. (2015). Implementing administrative evidence based practices: lessons from the field in six local health departments across the United States. 
    BMC Health Services Research
    , 
    15
    (1), 1-9.
    https://doi.org/10.1186/s12913-015-0891-3

    Jankelová, N., & Joniaková, Z. (2021). Communication skills and transformational leadership style of first-line nurse managers in relation to job satisfaction of nurses and moderators of this relationship. 
    Healthcare (Basel, Switzerland)
    , 
    9
    (3), 346.
    https://doi.org/10.3390/healthcare9030346

    Rath, T. (2007). Strengths finder 2.
    0.
     Gallup Press

     

    PERSONAL LEADERSHIP PHILOSOPHIES

    Many of us can think of leaders we have come to admire, be they historical figures, pillars of the industry we work in, or leaders we know personally. The leadership of individuals such as Abraham Lincoln and Margaret Thatcher has been studied and discussed repeatedly. However, you may have interacted with leaders you feel demonstrated equally competent leadership without ever having a book written about their approaches.

    What makes great leaders great? Every leader is different, of course, but one area of commonality is the leadership philosophy that great leaders develop and practice. A leadership philosophy is basically an attitude held by leaders that acts as a guiding principle for their behavior. While formal theories on leadership continue to evolve over time, great leaders seem to adhere to an overarching philosophy that steers their actions.

    What is your leadership philosophy? In this Personal Leadership Philosophies NURS-6053 Assignment, you will explore what guides your own leadership.

    RESOURCES

     

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources.

    WEEKLY RESOURCES

    To Prepare:

    Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.

    Reflect on the leadership behaviors presented in the three resources that you selected for review.

    Reflect on your results of the CliftonStrengths Assessment*, and consider how the results relate to your leadership traits.

    *not required to submit CliftonStrengths Assessment

    The Assignment (2-3 pages):

    Personal Leadership Philosophies

    Develop and submit a personal leadership philosophy that reflects what you think are characteristics of a good leader. Use the scholarly resources on leadership you selected to support your philosophy statement. Your Personal Leadership Philosophies NURS-6053 Assignment should include the following:

    A description of your core values.

    A personal mission and vision statement.

    An analysis of your CliftonStrengths Assessment summarizing the results of your profile

    A description of two key behaviors that you wish to strengthen.

    A development plan that explains how you plan to improve upon the two key behaviors you selected and an explanation of how you plan to achieve your personal vision. Be specific and provide examples.

    Be sure to incorporate your colleagues’ feedback on your CliftonStrengths Assessment from this Module’s Discussion 2. Personal Leadership Philosophies NURS-6053 Assignment

  • HEALTHCARE INFORMATION TECHNOLOGY TRENDS

    HEALTHCARE INFORMATION TECHNOLOGY TRENDS

    COVID-19 created extensive disruption in healthcare services around the world, increasing the need for the use of technology. The pandemic triggered a demand for digital transformation in order to tend to patient needs. “Digital health incorporates the use of information technology, wearable devices, telehealth, mobile health and telemedicine to manage illnesses and health risks and to promote wellness” (Williams, 2022). Other healthcare technology trends include artificial intelligence (AI), virtual reality, automated IV pumps, portable monitors and smart beds.

    Challenges with incorporating technology in healthcare include security, integration and cost, data privacy and effectiveness and regulation of digital technologies. Being that more people are using mobile health apps “it is important for healthcare professionals to have the knowledge and skills to evaluate and recommend appropriate digital tools” (Skiba, 2017). Users must also have the knowledge and skills to use the apps successfully. In order to utilize technology, the user must have a cellphone suitable for video conferencing and a reliable internet connection.

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    Mobile devices and apps have many benefits for both providers and patients.  Apps that providers can use include drug reference guides, medical calculators, electronic prescribing, coding and billing, some apps are even able to perform hearing and vision test. Providers who use EPIC have instant access to patient information due to EPIC partnering with Apple, a version of EPIC can now be downloaded on an iPhone or iPad. Communication and collaboration amongst providers and other healthcare personnel is essential, “mobile devices satisfy this need by offering multiple means of communication including: voice and video calling, text, email, multimedia messaging and video conferencing” (Ventola, 2014) HEALTHCARE INFORMATION TECHNOLOGY TRENDS.

    Patients can use mobile apps to track vital signs, set reminders, monitor blood sugar levels, connect with their provider, online counseling, etc. Prescription alerts and medication adherence, immediate access to care, convenience and improved monitoring are just a few of the benefits for patient mobile health app use. For example, mySugr is an app for diabetic patients, with the app patients are able to set blood glucose reminders, check estimated A1C level, bolus calculator, automatic data import with blood glucose meter, daily, weekly and monthly reports to share with their provider, meal shots to improve carb counting and so much more.

    Risk involved with using mobile health apps include patient privacy, mobile screen size, internet connection, the user’s ability to use the app correctly and resistance from older providers who are not tech savvy. It is imperative that patients who utilize these apps keep their phone protected. Some of the apps have a monthly or yearly subscription, therefore it is important for providers to ensure that the patient can afford it before making recommendations.

    Telehealth has a promising impact in nursing practice. With telehealth providers are able to connect with patients using audio and video technology. Care and resources can be provided to patients who live in rural areas or areas with physician shortage; it can overall reduce wait times and patient travel while improving access to and quality of care. Providers are able to potentially diagnose and treat and monitor a wide range of acute and chronic conditions.

    Telehealth helps improve patient outcomes because video conferencing is an easy way for patients to comply with follow up appointments, contact their provider about side effects or prescription renewals, remove barriers to mental health treatment and follow up after hospitalization. Patients are able to voice their concerns and complaints comfortably without office distractions. Patients who are potentially contagious will not expose others and immunocompromised patients aren’t exposed to viruses and infectious diseases.

    References

    Dr. Nicola Williams, P.D. (2022, March 22). 
    How has the COVID-19 Pandemic Impacted the Adoption of Digital Health Technology?
     
    https://www.news-medical.net/health/How-has-the-COVID-19-Pandemic-Impacted-the-Adoption-of-Digital-Health-Technology.aspx
    Links to an external site.

    Skiba, D. (2017). 
    Evaluation tools to appraise social media and mobile applications Links to an external site.
    Links to an external site.
    . 
    Informatics, 4
    (3), 32–40.

    Ventola C. L. (2014). 
    Mobile devices and apps for health care professionals: uses and benefits. P & T : a peer-reviewed journal for formulary management
    , 
    39
    (5), 356–364.

     

    HEALTHCARE INFORMATION TECHNOLOGY TRENDS

    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.

    RESOURCES

     

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources. 

    WEEKLY RESOURCES

    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.

    BY DAY 6 OF WEEK 6

    Respond
     to at least 
    two
     of your colleagues
    * on two different days
    , offering additional/alternative ideas regarding opportunities and risks related to the observations shared
    .

    Healthcare Information Technology Trends

    The most prominent example of healthcare technology trends is the use of electronic medical records (EMR). The use of electronic medical records improves patient care and outcomes; it allows for data collection and analysis, which will improve patient care over time. An electronic medical record is a secure real-time patient chart in electronic form. It is a chart that can easily be accessed by authorized personnel where all of the patient’s cumulative medical information is stored such as vital sign trends, medical history, medication allergies, prescriptions, procedures and so much more(“What is an electronic health record (HER)? | HealthIT.gov,” 2019). In my hospital almost all of the patient charts are on an (EMR) and can be accessed by staff in multiple departments and units all at the same time, medical professionals can add to the electronic medical records as the patient’s care progresses and are able to be recalled in following visits. I work for a private organization where most of the primary physicians or follow-up care are provided by physicians that are a part of the medical group so the patient visits a provider after a hospital stay. The provider can easily access the medical records from their office by logging on to the secure system.

    The challenges that I have seen with our facility and the utilization of electronic medical records are the use of multiple systems used between the departments. LDRP uses Centricity, ER is using Medi Tech while the inpatient units are using Micro medics there are also the Microsoft portions, and the Cath lab and OR use a separate charting system. I have access to all the systems, but most medical professionals only have access to the charting systems they work based on the departments they work in. Some risks I have spoken about in the previous post are the risk of cyber-attacks. Our hospital was a victim of having their medical records held at ransom. Luckily, there was no privacy breach at the tie, but it changed how we view electronic medical records (Baker, 2016). If there is a loss of power or computer malfunctions, we cannot only access the medical records, the test cannot be ordered, and the results cannot be viewed. We have mandatory downtimes once a month, and during that time, we are not able to utilize the electronic medical records, so we have to use paper charting and then scan the charts into the electronic medical records when the system comes back up.

    Patients are utilizing the electronic medical charting system to keep track of their healthcare records; they can access their medical records anywhere from their phones (Skiba, 2017). A great example is one of the children I have requires many specialty visits at Loma Linda children’s hospital and every time is seeing a provider they ask for any updates on care that the baby has gotten, I can pull up on my phone the MYCHART app, and I have all of his medical information from labs to procedures and everything else right there on my phone (My Chart, n.d.). A second would be telemedicine, which is growing in the healthcare setting quickly since the pandemic presented itself at the beginning of the year. Telemedicine allows for access to providers that would usually not be accessed, for example, in my hospital mental health telemedicine. During this time, it allows for decreased contact between humans, decreasing the risk of transmission of COVID- 19 (Phillips et al., 2020).

    I believe strongly that the benefits outweigh the risks of having electronic medical records. I personally know through my work that I can provide better treatment for my patients when I can quickly log onto a computer and access their medical information rather than running around looking for a hard chart and navigating through it to find the information in hopes that the lab results and such have made it to the chart. I can quickly trend a patient’s care by easily having access to previous visits allowing for optimal treatment. I also know on a personal level that having electronic medical records that I can easily access allows me to seek treatment for my children without having to run around and collect medical records from different offices Healthcare Information Technology Trends.

     

    Reference

    Baker, P. (2016, March 23). Desert Valley hospital hacked by ransomware.vvdailypress.com.https://www.vvdailypress.com/article/20160323/NEWS/160329900

    MyChart. (n.d.). Cleveland Clinic.https://my.clevelandclinic.org/online-services/mychart#:~:text=MyChart%20is%20a%20secure%2C%20online%20health%20management%20tool,test%20results%2C%20including%20labs%2C%20radiology%2C%20procedures%2C%20and%20pathology

    Phillips, T., Munn, A., & George, T. (2020, May 6).Assessing the impact of telehealth objective structured…: Nurse educator.LWW.https://journals.lww.com/nurseeducatoronline/FullText/2020/05000/Assessing_the_Impact_of_Telehealth_Objective.23.aspx

    Skiba, D. (2017, September 15).Evaluation tools to appraise social media and mobile applications. MDPI.https://www.mdpi.com/2227-9709/4/3/32

    What is an electronic health record (EHR)? | HealthIT.gov. (2019, September 10). ONC | Office of the National Coordinator for Health InformationTechnology.https://www.healthit.gov/faq/what-electronic-health-record-ehr

     

    HEALTHCARE INFORMATION TECHNOLOGY TRENDS SAMPLE 3

    Healthcare Information Technology Trends

    The healthcare sector is undergoing a technological transformation to adapt to the problems of the twenty-first century. Technology can help healthcare organizations operate more efficiently and provide better patient care while also helping them fulfil the growing demand. Most healthcare organizations have adopted healthcare information technology (HIT), but there are still several issues, possible advantages, and dangers connected to data security, laws, and patient care.

    Healthcare Information Technology in My Healthcare Organization

    My workplace in the healthcare institution has seen the implementation of electronic health record (EHR) systems to store a large amount of patient data (HealthIT.gov., 2019). Because obtaining patient data is so direct, the technology has boosted treatment effectiveness while greatly reducing workload. However, I have seen that using EHR causes sluggish data entry. Notably, inputting data into an EHR requires a significant amount of typing, which reduces physician productivity. I have also seen concerns with the device’s usability. EHRs, in particular, are not available at the bedside or anywhere else a clinician requires them, which greatly slows down workflow.

    Potential EHR Challenges in Terms of Safety, Legislation, And Patient Care

    EHRs have several advantages and risks in patient care, data security, and the law. The system’s ability to securely share electronic information with other professionals and patients is a noteworthy benefit connected to data security (HealthIT.gov., 2018). However, when accessed by an unauthorized person, EHR also presents a risk of a data breach (HealthIT.gov., 2019). Identity theft may be committed with such data Healthcare Information Technology Trends.

    Regarding the law, the Health Information Technology for Electronic and Clinical Health (HITECH) Act of 2009 compelled the switch to EHR, improving patient care by giving doctors rapid access to patient data needed for better diagnosis and patient outcomes (Adler-Milstein & Jha, 2017). However, the law risks interfering with providers’ workflows and short-term productivity losses. In inpatient care, EHR improves the capacity to identify sickness and reduces or even prevents medical errors, improving patient outcomes (Mcgonigle & Mastrian, 2021). Nevertheless, it is important to remember that as EHR capabilities advance, more complicated software is required, which raises the risk of software failures that could jeopardize patient safety. A software malfunction may negatively impact an immense number of patients in an EHR that houses patients’ medical records, such as a bug that results in erroneous reporting of patients’ prescriptions or allergies.

    Most Promising Healthcare Technology Developments for Influencing Healthcare Technology in Nursing Practice

    Moreover, some of the most promising medical technology advancements for improving nursing practice include using electronic health records, telemedicine, and mobile health applications. These technologies enhance nurse-to-nurse communication, increase patient access to care, and enhance patient outcomes. EHRs can enhance the flow of information between nurses and other healthcare professionals, expand patient access to care, and enhance patient outcomes (Mcgonigle & Mastrian, 2021). For example, nurses might use telehealth to assist patients who live in rural areas or have difficulty accessing treatment. Nurses can use electronic health records to maintain track of their patients’ prescriptions, allergies, and medical histories. A nurse can provide telehealth services to patients who live in a remote area or have trouble receiving treatment by establishing a phone or computer connection with them. After that, the nurse can answer any patient’s queries and give them health information and advice.

    Contribution to Better Patient Outcomes, Efficiency, and Data Management

    One of the main benefits of mobile health applications is improved data management. Patients and medical professionals can easily track and manage medical data using a mobile health app. It could lead to more complete and accurate medical records. Additionally, mobile health apps help you spend less time on administrative tasks like scheduling and paying (Atarodi & Atarodi, 2019). Another benefit of mobile health apps is increased effectiveness. The use of mobile health apps can automate tasks and reminders. Both patients and medical professionals may benefit from time savings in this. Also, mobile health apps can help patients take a more proactive approach to their health by giving them easy access to resources and tools. Notably, patient outcomes can be improved with the aid of mobile health apps. Mobile health apps can help patients, and their caregivers communicate better by providing easy access to health information and tools. Mobile health apps can also help individuals manage their conditions more effectively.

    Conclusion

    To meet the difficulties of the twenty-first century, the healthcare organizations are undergoing a technological change. As result, healthcare organizations are employing technology to increase productivity, provide better patient care, and satisfy rising demand. Electronic health records, telemedicine, and mobile health applications are some of the most promising developments in medical technology for enhancing nursing practice. With the help of these technologies, nurse-to-nurse contact is improved, and patients have better access to care and better outcomes. Notably, EHRs have the capacity to improve communication between nurses and other healthcare providers, increase patient access to care, and improve patient outcomes.

     

    References

    Adler-Milstein, J., & Jha, A. K. (2018). HITECH Act Drove Large Gains in Hospital Electronic Health Record Adoption. 
    Health Affairs
    , 
    36
    (8), 1416–1422. 
    https://doi.org/10.1377/hlthaff.2016.1651
    Links to an external site.

    Mcgonigle, D., & Mastrian, K. (2021). 
    Nursing Informatics and The Foundation of Knowledge.
     Jones & Bartlett Learning.

    Radanović, I., & Likić, R. (2018). Opportunities for the use of Blockchain Technology in Medicine. 
    Applied Health Economics and Health Policy
    , 
    16
    (5), 583–590. 
    https://doi.org/10.1007/s40258-018-0412-8
    Links to an external site.

    Atarodi, A., & Atarodi, A. (2019). The impact of information technology on health. 
    Journal of Research and Health
    , 
    9
    (3), 193–194. https://doi.org/10.29252/jrh.9.3.193

    HealthIT.gov. (2019, September 10). 
    What is an electronic health record (EHR)?
     Healthit.gov. 
    https://www.healthit.gov/faq/what-electronic-health-record-ehr
    Links to an external site.

     

    HEALTHCARE INFORMATION TECHNOLOGY TRENDS SAMPLE 4

    Discussion:
    Healthcare Information Technology Trends

    Technology and technological advances are here to stay for the foreseeable future, and there is no going back for those uncomfortable with navigating technology. Electronic access to patient information changes how healthcare is practiced (Laureate Education Inc., 2018). The advancement of technology has not only improved the equipment we use in healthcare, but it has also improved the way care is provided by enhancing better patient outcomes, minimizing errors, and improving quality of life. Laureate Education Inc. stated, “patients now have access to their health history because of electronic medical records” (2018). Patients are more involved in their care, such as having access to their medical portal and surgeries becoming less invasive, resulting in quicker recovery. These examples are how technology has advanced care provision.

    Healthcare Technology Trends

    My hospital has embraced technology as a whole, but I have co-workers who could be better with technology and others who avoid technology at any cost. My hospital’s decision-makers purchased technology to manage our electronic healthcare records, which is the norm around most hospitals in my city. The use of technology to conduct meta-analyses is lovely. Our nurse leaders also use scheduling software to make the schedules for our nursing staff, and the nurse leaders use email and cell phones to communicate with each nurse for confirmation. Also, at the facility I work, I utilize healthcare technology to access, analyze, and display patient information daily. One of the technologies we utilize is Electronic Health Records. With the use of the electronic health record (EHR), we can access, share, and incorporate up-to-date patient information, provide care in a timely and organized manner, reduce mistakes, smoother transition continuation of care, and incorporate all these into the plan of care for our patients. In the future, hospitals will communicate more virtually with patients to decrease the number of in-patients. COVID-19 has forced many medical practices to use virtual communication, and video conferencing can be easy for patients to set up and join (Wong, 2021) Healthcare Information Technology Trends.

     

    Potential Benefits and Risk associated with data safety

    One potential benefit we have with healthcare technology is the ability to share information anywhere, and patients can access their information anywhere they may be. With the massive quantity of communication shared via email and mobile applications, there is a risk that this information could contact the wrong recipient. Our email network and mobile applications are safely encrypted, and information is labeled as protected health information. Even though this additional protection level could stop a potential breach, there is always room for human error, spelling mistakes, and illegal information breaching. We cannot expect all technology to be error-proof, so we must be sure that we are always using safety methods with each healthcare technology. Even though we are provided several technological advances to enhance our patient care practices, we cannot become overly reliant on them to a fault.

    Promising Healthcare Trend

    The most promising healthcare technology trend that can significantly impact nursing practice is a well-designed patient portal system that can integrate and communicate patient data across multiple platforms. Patient portals can provide the patient with a personal profile of their care team. This can help strengthen the patient-nurse relationship and transparency between the patient and the care team. Patients can use the portal to be involved in developing their plan of care and trend progress. Links for educational material and support groups can be accessed on the patient portal and reinforce any care team’s educational teaching. Bedside patient portals can increase communication, enhance the nurse-patient relationship, and facilitate more effective nursing care during hospitalization and beyond discharge.

    There is no doubt that hospitals will have to purchase the right technology for their needs, adequately train their staff on how to use the technology, remove bugs within the technology, and teach the patients how to use the technology through formal education, video tutorials, and one-on-one training (Booth, 2021). Video conferencing can improve the quality of patient care, patient outcomes, and the hospital’s bottom line. However, technology alone cannot solve communication errors, so hospitals will also have to invest in training their staff on techniques that can help them improve their communication skills.

     

    References

    Laureate Education (Producer). (2018). 
    Electronic Records and Managing IT Change
     (Video file). Baltimore, MD: Author. Retrieved from 
    https://class.content.laureate.net/713521cc8e57f17a585752d83d12afb3.html#section_container_20
    Links to an external site.

    Laureate Education (Producer). (2018). 
    Informatics Tools and Technologies
     (Video file). Baltimore, MD: Author. Retrieved from 
    https://class.content.laureate.net/713521cc8e57f17a585752d83d12afb3.html#section_container
    Links to an external site.

    Booth, R., Strudwick, G., & Lopez, A. (June 2021). How the Nursing Profession Should Adapt to a Digital Future. Source DOI: 
    10.1136/BMJ.n1190
    Links to an external site.

    Wong, A., Bhyat, R., & Appireddy, R. (January 2021). Patient Care During the COVID-19

    Pandemic: Use of Virtual Care. Source DOI: 
    10.2196/20621
    Links to an external site.
      Healthcare Information Technology Trends

  • management plan template nursing assignment essay

    57 YO Hispanic who presents with high BP. Associated symptoms include, headache, tiredness, and sleep disturbances due to snoring. Reports 10# weight gain over the last year. BMI of 28.7. Poor diet. Physical exam showed elevated BP on left arm 172/94 and right arm 178/98. Laterally displaced PMI. Prominent arteriovenous (AV) nicking 3:1 ratio. No JVP, murmurs or carotid bruit noted. management plan template nursing assignment essay

     

    The Primary Diagnosis is Hypertension, primary (essential)

    Differential DX are:

    Hypertension, secondary

    Hypertension, white coat/pseudoresistant

    Obstructive Sleep apnea

    Please use these to answer the following questions on the
    Management Plan

    The Management Plan has to be in this order EXACTLY

    References have to be at least 3 SCHOLARLY and APA Format

    Management plan template

    Primary Diagnosis with ICD-10 code, rationale and

    resources. Include CPT codes, and any procedural codes,

    including nurse lab draws, vaccinations given, biopsies,

    etc…10 pts.

    Guidelines used to develop this primary diagnosis. 5 pts

    Differential diagnoses with rationale and resources. 3-5

    Ddx required, unless well visit. 5 pts

    Medications including OTC, dosage and education,

    additional ancillary tests needed, referrals and follow up –

    10 pts

    ORDER A PLAGIARISM-FREE ESSAY

    Problem Statement – 5 pts

    Social Determinants of Health to consider, Health

    Promotion and Pt risk factors – 5 pts

    Must use 3 scholarly references

    Worth 40 points

    Management Plan Template– must include these

    headings management plan template nursing assignment essay

  • THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES

    The Impact OF Nursing Informatics on Patient Outcomes  and  Patient Care Efficiencies

    In addition to care quality and safety, care efficiency and improved patient outcomes have become critical measuring facets describing effective and successful care delivery practices in healthcare settings today. Technology has become indispensable in the healthcare sector. Nursing informatics has equally become critical in fostering a smooth adoption and integration of health information technology (IT) tools and projects into care delivery and operations. According to McGonigle & Mastrian (2022), the application of nursing informatics fosters the integration of data, IT, information, and knowledge to support nurses, clinicians, patients, and other users to make better decisions regarding how patients’ needs are addressed. Technology-based projects have been adopted in care delivery and nursing practices to improve efficiency and outcomes. This paper proposes a nursing informatics project to improve patient outcomes or care efficiency.

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    Project Description (Patient Queue Management
    )

    Patient experience in hospitals greatly determines their overall care outcomes. The adoption of queue management systems would reduce actual and perceived waiting times, increasing care effectiveness, efficiency, and ability to meet desired patient outcomes. According to Mosier et al. (2019), effective patient management practices increase an organization’s operational efficiency and service quality by reducing waiting times and meeting the desired outcomes and care efficiency. Adopting a queue management system would provide actual time queue status and display, notification to care providers on patient flow, status checking, virtual queue, and appointment booking, and can also be integrated with other systems to provide priority for cases such as emergency, elderly, pregnant, and disabled. When visiting healthcare facilities, patients are sometimes stressed, in pain and discomfort; hence their main focus is to find the best and most comforting care environment possible (Sipes, 2016). Not only does the queue management system help improve the patient experience, but also a resourceful approach to staff and clinicians management. The project would improve patient experience, care efficiency, and staff productivity. The adoption of a queue management system would help manage appointments for in and out-patients as well as help in reducing patients’ waiting time.

    Stakeholders Impacted By This Project

    Interprofessional and teamwork have become critical to effective healthcare performance and safe and quality care. Regarding the proposed project, different stakeholders will be impacted by the implementation. These include patients, nurses and other care providers, nurse informatics and IT experts, organization leaders, and the administration. Patients would be the primary consumers and beneficiaries of the proposed project. The system would enable them to schedule and reschedule doctor appointments and virtually follow up on the traffic at the hospital, hence visiting at their best and most convenient times. According to Ng et al. (2018), patients are satisfied with the healthcare environment where they are served as soon as they enter the care facility. The utilization of patient queue management systems improves patient experience, allowing their needs to be addressed timely hence better outcomes.

    In addition to patients, the IT and nursing informatics experts are critical stakeholders in the proposed project. The project will be founded on IT knowledge, tools, and skills; hence the IT expert’s input will be indispensable. The stakeholders will ensure the system meets the required application and organizational needs. According to Bidari et al. (2021), information technology has become a requisite in today’s healthcare industry. Hence it is an indispensable aspect of the proposed project. In addition to developing and implementing the project, the team would help maintain other systems and related technologies. The project would allow the team to flex their skills and IT knowledge, provide an opportunity to influence patient experience positively, and improve patient outcomes and care efficiency.

    The leader and the organizational administrators will collaboratively provide relevant financial support to the proposed project and approve its implementation. Their input would be to evaluate the overall benefit of the proposed project and eventually approve it, providing relevant support, including authority, end users, and the end product of the system. More so, they will communicate the incoming change to the rest of the workers, creating a positive change environment for the incoming project. Finally, the nurses and other care providers work in the healthcare organization. The care providers would be critical users and beneficiaries of the project regarding patient management. They will actively utilize the system for scheduling patient visits and incoming traffic, preparing for probable busy periods such as emergencies. The care providers’ input would include implementors and evaluators, ensuring the system meets the patient’s needs and the worker’s and organizational needs concerning care delivery.

    Patient Outcome or Patient-Care Efficiencies This Project is Aimed at Improving

    A patient queue management system would result in various benefits to care delivery and patient experience. The project, once implemented, would improve or aid in enhancing patient experience raising their satisfaction levels and hence better care outcomes. According to McGonigle & Mastrian (2022), improving patient experience and care providers’ satisfaction overall improves healthcare organization performance in meeting patient needs. Adopting the proposed project would mean an enhanced patient experience and increased satisfaction hence a better care experience. On the other hand, the system would ensure that patients effectively schedule their appointments as it allows for effective time management and prompt service delivery, hence a positive patient experience and outcomes. Finally, the system would be critical in building steady nurse or care provider management. The leaders would be able to monitor what time there would be high patient traffic which would mean more care providers would be set to serve the patients. The system would allow for prior arrangement of the care providers hence a positive experience for the patients.

    Technologies Required in The Proposed Project

    Different technologies will be critical to the implementation of the proposed project. These include a patient flow management system database, a computer network, and patient or end-user interfaces such as an app, website, or messaging platform. The website or the app will provide patients with an easily accessible platform to check on the current queue in their hospital and how much time they are expected to undertake. Through the computer systems, the website will allow the clinicians to track the patient traffic and prepare for the incoming number by allocating enough care providers. Multiple display screens will also be utilized, indicating patient ticket and their position in the queue. The computer system and the database will provide the foundation of the project on which the queue management trend will be based. The care providers will constantly monitor data and patient virtue queues to understand the critical cases pending hence allocating more workers and, in turn, waiting time reduced.

    Project Team By Roles

    The project’s success will be based on the team’s ability to implement the proposed change collaboratively. The team comprises a team or project leader, nurse informaticists and IT experts, nurses, clinicians, and patients. Sipes (2016) identified that, while change is inevitable in the modern day, effective change management in a healthcare setting is based on the ability of the change-implementing team to work together effectively towards a common goal or objective. The team or project leader will be responsible for overall project facets, including setting goals, communicating, updating the administrators, developing a timeline, and providing critical updates to all stakeholders and team members. On the other hand, nurse informaticists and IT experts will be responsible for applying IT knowledge and skills to develop the required system functionalities. They will actively ensure the system meets organizational and patient needs regarding care delivery, cost saving, care safety, and efficiency. Finally, the nurses, other care providers, and patients are end users of the proposed system/project. In addition to being users, they will be the source of feedback and evaluation to ensure the project meets the set goals and objectives.

     

    References

    Bidari, A., Jafarnejad, S., & Alaei Faradonbeh, N. (2021). Effect of Queue management system on patient satisfaction in emergency department: A randomized controlled trial. 
    Archives of Academic Emergency Medicine
    , 
    9
    (1), E59.
    https://doi.org/10.22037/aaem.v9i1.1335

    McGonigle, D., & Mastrian, K. G. (2022). 
    Nursing informatics and the foundation of knowledge
     (5th ed.). Jones & Bartlett Learning.

    Mosier, S., Roberts, W. D., & Englebright, J. (2019). A systems-level method for developing nursing informatics solutions.
    JONA: The Journal of Nursing Administration
    , 
    49
    (11), 543-548. https://doi.org/10.1097/NNA.0000000000000815

    Ng, Y. C., Alexander, S., & Frith, K. H. (2018). Integration of mobile health applications in health information technology initiatives: Expanding opportunities for nurse participation in population health. 
    CIN: Computers, Informatics, Nursing
    , 
    36
    (5), 209-213. https://doi.org/10.1097/CIN.0000000000000445

    Sipes, C. (2016). Project management: Essential skill of nurse informaticists.
     Studies in Health Technology and Informatics, 225
    , 252-256.

    THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES

    In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

    Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

    RESOURCES

     

    Be sure to review the Learning Resources before completing this activity.

    Click the weekly resources link to access the resources.

    WEEKLY RESOURCES

    To Prepare:

    Review the concepts of technology application as presented in the Resources.

    Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

    The Assignment: (4-5 pages not including the title and reference page)

    In a 4- to 5-page THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

    Describe the project you propose.

    Identify the stakeholders impacted by this project.

    Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

    Identify the technologies required to implement this project and explain why.

    Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

    Use APA format and include a title page and reference page.

    Use the Safe Assign Drafts to check your match percentage before submitting your THE IMPACT OF NURSING INFORMATICS ON PATIENT OUTCOMES AND PATIENT CARE EFFICIENCIES work.

  • Primary Diagnosis with ICD-10 Code management plan Nursing Essay

    Primary Diagnosis with ICD-10 Code Management Plan Nursing Essay

    Management Plan

    Primary Diagnosis with ICD-10 Code

    Primary Diagnosis:
    Hypertension, primary (essential)
    ICD-10 Code:
    I10

    The patient’s elevated blood pressure readings in both arms (172/94 and 178/98) and associated symptoms of headache, tiredness, and sleep disturbances due to snoring indicate hypertension as the primary diagnosis. Hypertension, according to Iqbal and Jamal (2019), is a widespread condition and a substantial risk factor for cardiovascular disease. These include heart attacks and strokes. The patient’s BMI of 28.7 and poor diet are also contributory factors.

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    CPT Code for Initial Evaluation:
    99204 (Comprehensive new patient office visit)

    Nurse Lab Draws:
    CMP (Comprehensive Metabolic Panel) and Lipid Panel

    Vaccinations Given:
    Ensure the patient is up to date on recommended vaccinations, including influenza and pneumococcal vaccines.

    Guidelines Used to Develop This Primary Diagnosis

    The diagnosis of primary hypertension is based on the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC-8) guidelines. These guidelines define hypertension as blood pressure greater than 130/80 mm Hg (Banga et al., 2019).

    Differential Diagnoses with Rationale and Resources

    Hypertension, secondary:
     Secondary hypertension may be considered if the primary diagnosis does not respond adequately to treatment. It may also be considered if additional symptoms and history suggest an underlying cause like renal disease or endocrine disorders (Ruaro et al., 2022).

    Hypertension, white coat/pseudoresistant:
     White coat hypertension is possible if the patient’s elevated blood pressure readings are only observed in clinical settings but not in other environments. Ambulatory blood pressure monitoring (ABPM) or home blood pressure monitoring can help rule out this diagnosis.

    Obstructive Sleep Apnea:
     Given the patient’s report of snoring and sleep disturbances, obstructive sleep apnea should be considered a differential diagnosis (Gottlieb & Punjabi, 2020). Polysomnography (sleep study) may be needed to confirm this condition.Primary Diagnosis with ICD-10 Code management plan Nursing Essay

    Medications, Dosage, Education, Additional Ancillary Tests, Referrals, and Follow-Up

    Medications:
    Initiate antihypertensive therapy with consideration of lifestyle modifications.

    Medication:
    ACE inhibitor (Lisinopril)

    Dosage:
    Start with Lisinopril 10 mg daily, titrate as needed based on blood pressure response.

    Education:
    Educate the patient about the necessity of drug adherence, possible adverse effects, and the necessity for periodic follow-up sessions.

    Additional Ancillary Tests:

    Ambulatory Blood Pressure Monitoring (ABPM):
    To confirm the diagnosis and assess for white coat hypertension.

    Polysomnography:
    If obstructive sleep apnea is strongly suspected based on symptoms.

    Referrals:

    Cardiologist:
    Refer the patient to a cardiologist for further evaluation and management of hypertension.

    Sleep Specialist:
    If obstructive sleep apnea is diagnosed or strongly suspected.

    Follow-Up:
    Arrange a follow-up session in 2-4 weeks to examine the patient’s reaction to treatment and, if required, alter prescriptions.

    Problem Statement

    The patient, a 57-year-old Hispanic individual, presents with high blood pressure, associated symptoms of headache, tiredness, sleep disturbances due to snoring, and a 10-pound weight gain over the last year. Primary Diagnosis with ICD-10 Code management plan Nursing Essay The BMI is 28.7, indicating overweight, and the patient reports a poor diet. Physical examination reveals elevated blood pressure readings in both arms, laterally displaced PMI, and prominent arteriovenous (AV) nicking with a 3:1 ratio. The primary concern is managing primary hypertension and assessing potential secondary causes or comorbid conditions.

    Social Determinants of Health, Health Promotion, and Patient Risk Factors

    Social Determinants of Health:
     Assess the patient’s socioeconomic status, living conditions, access to healthcare, and support system. Address any identified barriers to medication adherence and lifestyle modifications.

    Health Promotion:
    Emphasize the importance of lifestyle modifications. These include dietary changes, regular physical activity, and weight management Primary Diagnosis with ICD-10 Code management plan Nursing Essay.

    Patient Risk Factors:
     Recognize the risk factors, like ethnicity and family history of hypertension. Provide education on risk reduction strategies, including smoking cessation if applicable.

     

    References

    Banga, S., Mungee, S., Patel, A. R., Singh, S., Kizhakekuttu, T. J., & Kizhakekuttu, T. (2019). Management of resistant hypertension based on recommendations from different guidelines and the systolic blood pressure intervention trial. Cureus, 11(8).
    https://doi.org/10.7759/cureus.5371

    Gottlieb, D. J., & Punjabi, N. M. (2020). Diagnosis and management of obstructive sleep apnea: a review. 
    Jama
    , 
    323
    (14), 1389-1400.
    https://doi.org/10.1001/jama.2020.3514

    Iqbal, A. M., & Jamal, S. F. (2019). Essential hypertension.

    Ruaro, B., Salton, F., Baratella, E., Confalonieri, P., Geri, P., Pozzan, R., … & Hughes, M. (2022). An overview of different techniques for improving the treatment of pulmonary hypertension secondary in systemic sclerosis patients. Diagnostics, 12(3), 616.
    https://doi.org/10.3390/diagnostics12030616
      Primary Diagnosis with ICD-10 Code management plan Nursing Essay

  • NRNP-6540 Week 9: Knowledge Check Quiz ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS

    NRNP-6540 Week 9: Knowledge Check Quiz ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS

    Question 1

    1 
    / 1
     pts

    Which of the following BMI choices would be considered obesity?

    BMI 21 or greater

     

    BMI 24 or greater

     

    Correct!

    BMI 30 or greater

     

    BMI 34 or greater

     

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    Question 2

    1 
    / 1
     pts

    The NP recognizes that all of the following patients have an increased risk of developing adverse effects from metformin (Glucophage) except:

     

    Patients who drink lots of alcohol

     

    Patients who are dehydrated

     

    Patients with renal disease

     

    Correct!

    Patients who are overweight

     

    Metformin (Glucophage) often causes weight loss. Metformin may rarely cause a serious, life threatening condition called lactic acidosis. Patients with dehydration, renal disease, and alcoholism, especially binge drinking, increased their risk for developing lactic acidosis.

    NRNP-6540 Week 9: Knowledge Check Quiz ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS Question 3

    1 
    / 1
     pts

     Stefanie is a 70 y/o female with 2 year history of Type II  diabetes, presents to your office for her routine follow up visit. Which of the following would you recommend on an annual basis for an elderly patient with Type II Diabetes?

     

    Correct!

    An eye examination with an ophthalmologist

     

    Ankle brachial index

     

    Colonoscopy

     

    Bone density scan

     

    Patients with Type 2 diabetes should have an initial dilated and comprehensive eye examination by an ophthalmologist shortly after the diagnosis of diabetes. Subsequent examinations for Type 1 and Type 2 Diabetic patients should be repeated annually by an ophthalmologist. Examinations will be required more frequently if retinopathy is progressing. 

    Question 4

    1 
    / 1
     pts

    The NP is reviewing annual labs on a patient with Type II diabetes.  The urine glucose level is over 200.  What medication would the NP suspect that patient is taking?

    Metformin

     

    Correct!

    Empagliflozin

     

    Ozempic

     

    Glyburide

     

    Question 5

    1
    / 1
     pts

    A 66-year-old male patient who has hypothyroidism takes level thyroxine daily. Based on the following lab results, how should the nurse practitioner proceed?

    TSH

    28.2 mIU/L

    Normal Values:

    0.4-3.8 mIU/L

    Free T4

    0.05 ng/dL

    Normal Values:

    0.8-2.8 ng/dL

     

    Total Cholesterol

    272 mg/dL

    Normal Values:

    <200 mg/dl LDL Cholesterol 189 mg/dL Normal Values: <100 HDL Cholesterol 34 mg/dL Normal Values: 40-60 Triglycerides 142 mg/dL Normal Values: <150 Begin statin therapy   Encourage diet modifications   Encourage lifestyle modifications   Correct! Adjust levothyroxine dose   Dyslipidemia is a common finding when TSH values exceed 10 mIU/L. In patients who have hypothyroidism, there is decreased catabolism of LDL, primarily due to a reduction of cell surface receptors for LDL. This causes an accumulation of LDL cholesterol. The NP should first treat the TSH to 10 mIU/L or less. Lipids should be treated if they remain elevated after TSH is less than 10 mIU/L. NRNP-6540 Week 9: Knowledge Check Quiz ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS Question 6 1  / 1  pts The most appropriate time to begin screening for renal nephropathy in a patient with Type I Diabetes is: Two to three years after diagnosis   At diagnosis   Once annually after diagnosis   Correct! Five years after diagnosis   Patients with Type I Diabetes should be screened for renal nephropathy five years after diagnosis. Since nephropathy takes several years to develop, it is highly improbable that a newly diagnosed patient will have no properties secondary to diabetes. Diabetic nephropathy is usually diagnosed based on the presence of albuminuria and/or reduced eGFR in the absence of signs or symptoms of other primary causes of kidney damage. Question 7 1  / 1  pts Identify the lab findings consistent with primary hypothyroidism Correct! Elevated thyroid stimulating hormone and decreased T4 level   Decreased thyroid stimulating hormone and elevated free thyroxine level   Elevated thyroid stimulating hormone and elevated free T4 level   Decreased thyroid stimulating hormone and low free T4   Question 8 1 / 1  pts According to the clinical practice guideline by the American Association of Clinical Endocrinology, the NP should consider initiating insulin therapy when the HgA1c reaches what level? Greater than 8   Greater than 9   Correct! Greater than 10   Greater than 11   Question 9 1  / 1  pts A 70-year-old male is seen for his annual evaluation.   The patient completins of episodes of blurred vision but denies pain and photophobis.    During funduscopic examination, the nurse practitioner appreciates retinal drusen. This presentation is consistent with Cataracts   Glaucoma   Herpes opthalmicus   Correct! Macular degeneration   Macular degeneration is typically characterized by loss of central vision. Early complaints and findings include patchy or blurry vision and the presence of retinal drusen, pale yellow deposits visible upon ophthalmic examination.  Question 10 1  / 1  pts Mrs Thompson presents today with concerns of functional decline, progressive appetite loss, and no willingness to eat or drink. The  NP recognizes that these are symptoms of: Correct! Adult failure to thrive   Hashimotos thyroiditis   Acute pancreatitis   None of the above as this is a normal part of aging   Miss Johnson’s symptoms are consistent with adult failure to thrive. It is important that the NP recognizes that this is not a normal part of aging and it should be assessed properly. NRNP-6540 Week 9: Knowledge Check Quiz ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS

  • Riku Organization and Control of Neural Function Case Study

    Riku Organization and Control of Neural Function Case Study

    Riku is a 19-year-old college student. One morning, after a long night of studying, Riku woke up and made himself a hot cup of coffee and toast. Much to his surprise, when he brought the cup to his mouth to drink, the coffee spilt onto the table. Riku went to the bathroom mirror and noticed the left side of his face seemed to droop. He quickly got dressed and ran to the medical clinic on the college campus. As he ran, his left eye began to feel scratchy and dry, but he could not blink in response. The physician at the clinic listened to Riku’s story and then did a careful cranial nerve examination. She concluded that Riku had Bell palsy, an inflammatory condition of the facial nerve most likely caused by a virus. Student Name: What are an afferent neuron and efferent neuron? What are efferent components of the facial nerve and their actions? Under certain circumstances, axons in the peripheral nervous system can regenerate after sustaining damage. Why is axonal regeneration in the central nervous system much less likely? At a healthy myoneural junction, acetylcholine is responsible for stimulating muscle activity. Riku Organization and Control of Neural Function Case Study What mechanisms are in place to prevent the continuous stimulation of a muscle fiber after the neurotransmitter is released from the presynaptic membrane?

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    Introduction

    The case study involves a 19-year-old college student who woke up with the left side of his face drooping after a long night of studying. On his way to the medical clinic, his left eye began to feel scratchy and dry, and he could not blink. The physician conducted a cranial nerve examination and found that the patient had bell palsy, which presents with weaknesses or paralysis of facial muscle mainly caused by a virus leading to inflammation or damage of the cranial nerve VII (facial nerve). This paper will discuss differences between afferent and efferent neurons, efferent components of the facial nerve, axonal degeneration in the central nervous system, and mechanisms preventing continuous muscle fiber stimulation at a healthy myoneural junction.

    Afferent Neuron and Efferent Neuron

    Afferent neurons transmit sensory information from sensory organs like skin, eyes, and ears to the central nervous system (CNS) (Aragona et al., 2022). They detect stimuli like touch, pain, and temperature and transmit these signals to the brain and spinal cord for processing. As the patient was on his way to the medical clinic, his temperature rose, and he encountered some light detected by the sensory neutrons converting these stimuli into nerve impulses that the CNS, which, after processing, he could not blink. Afferent neurons help us perceive and become aware of our external environment and internal bodily conditions Riku Organization and Control of Neural Function Case Study.

    Efferent neurons transmit signals from the central nervous system (CNS) to effector organs, such as muscles (Yam et al.,2018). These neurons initiate and control muscle contractions and glandular secretions. Efferent neurons are responsible for carrying out motor commands, including voluntary movements. They carry out commands and instructions from the CNS to initiate specific actions. Efferent neurons control voluntary muscle movements, involuntary muscle actions like heart rate and digestion, and the release of hormones and other substances by glands (Norris & Lalchandani, 2018). They execute the body’s responses to sensory input and maintain various physiological functions.

    Efferent Components of the Facial Nerve and Their Actions

    The facial nerve (cranial nerve VII) has several efferent components that control various facial muscles responsible for facial expressions and some glands. The facial nerve controls the muscles responsible for facial expressions, including the orbicularis oculi, which closes the eyelids; the orbicularis iris, responsible for closing the lips; and other facial muscles involved in smiling, frowning, and other expressions (Norris & Lalchandani, 2018). His orbicularis oculi were affected since he could not blink. Salivary Glands also innervate the submandibular and sublingual salivary glands, stimulating saliva production.

    Axonal Regeneration in the Peripheral vs. Central Nervous System

    Due to several factors, axonal regeneration is much more likely in the peripheral nervous system (PNS) than in the central nervous system (CNS) (Norris & Lalchandani, 2018). The environment within the CNS is inhibitory to axonal regeneration. After an injury, glial cells called oligodendrocytes in the CNS release inhibitory molecules like myelin-associated glycoproteins and chondroitin sulfate proteoglycans, which create physical and chemical barriers that impede axon growth (Norris & Lalchandani, 2018). In the PNS, Schwann cells are crucial in supporting axonal regeneration. They provide physical guidance for regenerating axons and release growth-promoting factors. The equivalent glial cells in the CNS are oligodendrocytes, which do not have the same regenerative properties as Schwann cells. Neurons in the CNS generally have a lower intrinsic regenerative capacity than those in the PNS. This intrinsic regenerative capacity refers to the neuron’s ability to initiate and sustain axonal growth.

    In response to CNS injury, astrocytes in the CNS tend to form scar tissue. This glial scar further inhibits axonal regeneration by creating a physical barrier and releasing inhibitory factors. The CNS contains highly complex neural circuits with precise connections. Even if axonal regeneration were possible, ensuring that regenerated axons connect correctly and functionally reestablish the lost neural pathways would be challenging. This level of precision is much more challenging in the CNS than in the simpler PNS. The CNS has a limited neuronal plasticity and reorganization capacity compared to the PNS. This means that even if axons can regenerate, the CNS may not be able to adapt and rewire effectively to restore lost functions. The window of opportunity for successful axonal regeneration in the CNS is often limited. After injury, the damaged tissue undergoes significant changes, making it increasingly difficult for axons to regenerate effectively (Norris & Lalchandani, 2018).

    Preventing Continuous Stimulation of Muscle Fibers at Myoneural Junction

    Several mechanisms in a healthy myoneural junction, also known as a neuromuscular junction, prevent muscle fibers’ continuous stimulation after acetylcholine (ACh) is released from the presynaptic membrane (Norris & Lalchandani, 2018). This is crucial to ensure that muscle contractions are precisely controlled and do not become uncontrollable Riku Organization and Control of Neural Function Case Study.

    Acetylcholinesterase, an enzyme in the synaptic cleft (the gap between the motor neuron’s presynaptic membrane and the muscle fiber’s postsynaptic membrane), rapidly breaks down acetylcholine into its constituent parts, acetic acid and choline (Kaur et al., 2019). This breakdown process is highly efficient and occurs within milliseconds of ACh release. By degrading ACh, acetylcholinesterase ensures that ACh’s stimulatory effect on the muscle fiber is short-lived. After acetylcholinesterase breaks down ACh into choline and acetic acid, choline is actively transported back into the presynaptic neuron. This process helps recycle choline for the synthesis of new acetylcholine molecules. This recycling limits the availability of choline for ACh synthesis and release, contributing to the termination of muscle stimulation.

    The postsynaptic membrane of the muscle fiber contains ACh receptors. When ACh binds to these receptors, it triggers muscle fiber depolarization and contraction (Norris & Lalchandani, 2018). However, with continuous ACh binding, these receptors undergo desensitization. This means that they become less responsive to ACh stimulation, reducing the effectiveness of ACh in stimulating the muscle fiber. The action potential (electrical signal) that travels along the motor neuron has a limited duration. Once the action potential ends, ACh release from the presynaptic membrane also ceases. This ensures that the stimulus for muscle contraction is transient and does not persist indefinitely.

    Calcium ions play a crucial role in muscle contraction. The release of ACh from the motor neuron causes an influx of calcium ions into the muscle fiber’s cytoplasm. However, the sarcolemma, muscle cell membrane, and the sarcoplasmic reticulum, an organelle within muscle cells, actively regulate calcium levels (Norris & Lalchandani, 2018). Once the stimulus ends, the sarcoplasmic reticulum takes up calcium ions, reducing their concentration in the cytoplasm and allowing the muscle fiber to relax.

     

    References

    Aragona, M., Porcino, C., Guerrera, M. C., Montalbano, G., Laurà, R., Cometa, M., … & Germanà, A. (2022). The BDNF/TrkB neurotrophin system in the sensory organs of zebrafish. 
    International Journal of Molecular Sciences
    , 
    23
    (5), 2621.
    https://doi.org/10.3390/ijms23052621

    Kaur, A., Anand, C., Singh, T. G., Dhiman, S., & Babbar, R. (2019). Acetylcholinesterase inhibitors: A milestone to treat neurological disorders. 
    Plant Arch
    , 
    19
    , 1347-1359.

    Norris, T. L., & Lalchandani, R. (2018). 
    Porth’s pathophysiology: Concepts of altered health states
    . Lippincott Williams & Wilkins Riku Organization and Control of Neural Function Case Study.

    Yam, M. F., Loh, Y. C., Tan, C. S., Khadijah Adam, S., Abdul Manan, N., & Basir, R. (2018). General pathways of pain sensation and the major neurotransmitters involved in pain regulation. 
    International Journal of Molecular Sciences
    , 
    19
    (8), 2164.
    https://doi.org/10.3390%2Fijms19082164

  • NRNP-6540 week 7 KNOWLEDGE CHECK: ABDOMINAL, UROLOGICAL, AND GYNECOLOGICAL DISORDERS

    NRNP-6540 week 7 KNOWLEDGE CHECK: ABDOMINAL, UROLOGICAL, AND GYNECOLOGICAL DISORDERS

    Question 1

    1
    / 1
     pts

    A 74-year-old patient presents with cramping abdominal pain, nausea, and vomiting for 4 days.  All of the following are potential differential diagnosis EXCEPT

    Cholecystitis

     

    Diverticulitis

     

    Correct!

    Pancreatitis

     

    Appendicitis

     

    GET EXAM, QUIZ, OR ASSIGNMENT HELP HERE

    Question 2

    1 
    / 1
     pts

    Sally is a 65-year-old patient who had a mammogram and biopsy positive for breast cancer. Her breast cancer is staged at T1N1M0. Sarah asks you what this means.

    Correct!

    T – tumor is 20 mm or smaller N – spread to 1 -3 axillary lymph nodes M – Not spread to distant body parts

     

    T – tumor is 20 mm or bigger  N – spread to 5 or more  axillary lymph nodes M – Not spread to distant body parts

     

    T – tumor is 40 mm or smaller N – spread to 1 -3 axillary lymph nodes M – Not spread to distant body parts

     

    T – tumor is 40 mm or bigger  N – spread to 5 or more  axillary lymph nodes M – Not spread to distant body parts

     

    Question 3

    1 
    / 1
     pts

    An ultrasound of the gallbladder confirms gall stones and  biliary stone obstruction in your 72-year-old patient complaining of right-sided abdominal pain, nausea, and vomiting that began after eating 3 days ago.  What non invasive procedure can be performed to treat this condition?

    magnetic resonance cholangiopancreatography (MRCP)

     

    Correct!

    endoscopic retrograde cholangiopancreatography (ERCP)

     

    hepatobiliary iminodiacetic acid scan (HIDA)

     

    cholecystectomy

     

    Question 4

    1
    / 1
     pts

    The NP is seeing an 80 year old male patient complaining of cramping abdominal pain, nausea, vomiting, and obstipation for the past 4 days.  PMH includes hernia repair, HTN, and atrial fibrillation.    Physical exam reveals a distended abdoment, hyperactive bowel sounds, and no rebound tenderness.   What is the initial diagnostic test you should order?

    ultrasound

     

    Correct!

    Abdominal flat plate and upright

     

     

    CT scan of the abdomen

     

    MRI of the abdomen

     

    Question 5

    1 
    / 1
     pts

    Salma is a 70-year-old female who has always had normal mammograms. She recently found a lump in her right breast upon self-examination in the shower. She is very concerned it could be breast cancer.  The NP explains to Salma that a breast lump is not always cancerous.  What are other potential causes of a breast lump?

    Correct!

    Mastitis

     

    Correct!

    Fibroadenoma

     

    Embolism

     

    Correct!

    Fibrosis

     

    NRNP-6540 week 7 KNOWLEDGE CHECK: ABDOMINAL, UROLOGICAL, AND GYNECOLOGICAL DISORDERS Question 6

    1 
    / 1
     pts

    Alex  is a 72-year-old patient who complains of worsening symptoms of BPH, his nocturia has increased significantly over the past year.    He has not tried any medication previsouly.     What first line medication would be appropriate to consider at this time?

     

    oxybutynin

     

    dutasteride

     

    finasteride

     

    Correct!

    tamsulosin

     

    Question 7

    1
    / 1
     pts

    The NP suspects cholecystitis and biliary tree obstruction in your 72-year-old patient complaining of right-sided abdominal pain, nausea, and vomiting that began after eating 3 days ago. Beside ultrasound, what other diagnostic tests could you order?

    Correct!

     

    magnetic resonance cholangiopancreatography (MRCP)

     

    endoscopic retrograde cholangiopancreatography (ERCP)

     

    hepatobiliary iminodiacetic acid scan (HIDA)

     

    MRI of the abdomen

     

    Question 8

    1 
    / 1
     pts

     Armando
     is a 71-year-old patient the NP is seeing for his annual exam.    What ROS questions would you ask him about his genitourinary status?

    Correct!

    difficulty urinating

     

    Correct!

    urinary hesitancy

     

    Correct!

    decreased force of stream

     

    Correct!

    penile drainage

     

    Question 9

    1 
    / 1
     pts

    The NP suspects cholecystitis and cystic duct obstruction  in your 72-year-old patient complaining of right-sided abdominal pain, nausea, and vomiting that began after eating 3 days ago. Beside ultrasound, what other diagnostic tests could you order?

    magnetic resonance cholangiopancreatography (MRCP)

     

    endoscopic retrograde cholangiopancreatography (ERCP)

     

    Correct!

    hepatobiliary iminodiacetic acid scan (HIDA)

     

    MRI of the abdomen

     

    Question 10

    1 
    / 1
     pts

    The NP is seeing an 80 year old male patient complaining of cramping abdominal pain, nausea, vomiting, and obstipation for the past 4 days.  PMH includes hernia repair, HTN, and atrial fibrillation.    Physical exam reveals a distended abdoment, hyperactive bowel sounds, and no rebound tenderness.   What is your working diagnosis?

    appendicitis

     

    gastroparesis

     

    Correct!

    bowel obstruction

     

    irritable bowel syndrome

    NRNP-
    6540 week 7
    KNOWLEDGE CHECK: ABDOMINAL, UROLOGICAL, AND GYNECOLOGICAL DISORDERS

  • DC is a 46-year-old female who presents with a 24-hour history of RUQ pain

    DC is a 46-year-old female who presents with a 24-hour history of RUQ pain.  She states the pain started about 1 hour after a large dinner she had with her family.  She has had nausea and on instance of vomiting before presentation.

    PMH: Vitals:
    HTN Temp: 98.8oF
    Type II DM Wt: 202 lbs
    Gout Ht: 5’8”
    DVT – Caused by oral BCPs BP: 136/82
    HR: 82 bpm

    Current Medications: Notable Labs:
    Lisinopril 10 mg daily WBC: 13,000/mm3
    HCTZ 25 mg daily Total bilirubin: 0.8 mg/dL
    Allopurinol 100 mg daily Direct bilirubin: 0.6 mg/dL
    Multivitamin daily Alk Phos: 100 U/L
    AST: 45 U/L
    ALT: 30 U/L
    Allergies:

    Latex

    Codeine

    Amoxicillin

    PE:

    Eyes: EOMI

    HENT: Normal

    GI:bNondistended, minimal tenderness

    Skin:bWarm and dry

    Neuro: Alert and Oriented

    Psych:Appropriate mood

     

     
    Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

    Accurate patient diagnosis is vital in ensuring that individuals receive the most appropriate and effective medical care tailored to their specific conditions. In the case of DC, a 46-year-old female presenting with right upper quadrant (RUQ) pain, a meticulous diagnostic approach is paramount. This paper delves into the comprehensive evaluation of DC’s medical history, physical examination findings, vital signs, current medications, and notable laboratory results to arrive at a precise diagnosis and initiate appropriate management.

    BUY YOUR ESSAY HERE

    Diagnosis and Rationale

    The patient’s presentation suggests acute cholecystitis, an inflammatory condition of the gallbladder. The onset of pain after a large meal, particularly the RUQ pain, is consistent with gallbladder pathology, as gallbladder contraction triggered by dietary fat can exacerbate symptoms in patients with cholecystitis (Tanaja & Meer, 2019). Nausea and vomiting are also frequently associated with gallbladder inflammation due to the release of inflammatory mediators. These symptoms, along with a history of hypertension (HTN), type II diabetes mellitus (DM), and gout, indicate potential risk factors for gallstone formation (Zhang et al., 2022). The presence of minimal tenderness on abdominal examination supports this diagnosis. Additionally, a history of deep vein thrombosis (DVT) related to oral contraceptive pills (BCPs) might indicate hormonal influences on gallstone development.

    Drug Therapy Plan

    In light of the acute cholecystitis diagnosis, the recommended drug therapy plan consists of pain management, antiemetics, antibiotics, and cholecystectomy consultation. Analgesics, specifically nonsteroidal anti-inflammatory drugs (NSAIDs) like ibuprofen, should be prescribed to alleviate pain and reduce inflammation. However, caution is necessary due to the patient’s history of HTN. Thus, short-term NSAID use and vigilant blood pressure monitoring are essential (Ghlichloo & Gerriets, 2023). To manage nausea and vomiting, antiemetic medications such as ondansetron can be administered. This will enhance the patient’s overall comfort and well-being. Broad-spectrum antibiotics like ciprofloxacin and metronidazole should be initiated promptly to address potential bacterial infection within the gallbladder. The patient should be referred for a surgical consultation for cholecystectomy, which serves as the definitive treatment for acute cholecystitis. According to Hassler and Jones (2019), laparoscopic cholecystectomy is the preferred surgical approach in most cases.

    Conclusion

    The comprehensive assessment of DC’s case underscores the importance of precise diagnosis and tailored drug therapy plans in the realm of healthcare. With a strong indication of acute cholecystitis based on her clinical presentation and medical history, our recommended drug therapy plan, encompassing pain management, antiemetics, antibiotics, and a cholecystectomy consultation, aligns with established guidelines for this condition. This case exemplifies the critical role that accurate diagnosis plays in guiding patient care, ensuring timely interventions, and ultimately improving the overall quality of life for individuals like DC. In the pursuit of effective healthcare delivery, a patient-centred approach that integrates diagnosis, treatment, and ongoing monitoring remains essential to achieving the best possible outcomes.

    References

    Ghlichloo, I., & Gerriets, V. (2023, May 1).
    Nonsteroidal Anti-inflammatory Drugs (NSAIDs)
    . PubMed; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK547742/

    Hassler, K. R., & Jones, M. W. (2019, March 22).
    Laparoscopic cholecystectomy
    . Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK448145/

    Tanaja, J., & Meer, J. M. (2019, January 27).
    Cholelithiasis
    . Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK470440/

    Zhang, Y., Sun, L., Wang, X., & Chen, Z. (2022). The association between hypertension and the risk of gallstone disease: a cross-sectional study.
    BMC Gastroenterology
    ,
    22
    (1). https://doi.org/10.1186/s12876-022-02149-5

    DC is a 46-year-old female who presents with a 24-hour history of RUQ pain.  She states the pain started about 1 hour after a large dinner she had with her family.  She has had nausea and on instance of vomiting before presentation.

  • PRAC-6540 Week 7: Quiz DIAGNOSTIC IMAGING AND LABS

    PRAC-6540 Week 7: Quiz DIAGNOSTIC IMAGING AND LABS

    Question 1

    1 
    / 1
     pts

    The EKG or ECG is looking at the electrical activity of the heart. True or false?

    True

     

    False

     

    Incorrect
    Question 2

    0 
    / 1
     pts

    Your 70-year-old male patient has finished a surgical resection and radiation for prostate cancer. What do you expect his PSA to be in 6 months?

    <5 mg/ml <4 mg/ml <0.5 mg/ml <0.1 mg/ml Incorrect Question 3 0  / 1  pts The beating of the heart is controlled by: Nerve cells   Myocardiocytes   Muscle fibers   All of the above   ORDER EXAM, QUIZ, OR ASSIGNMENT HELP NOW Question 4 1  / 1  pts Your 70-year-old married male patient comes to the clinic stating he has had “trouble in the sex department.” You check his testosterone level, and it comes back as <275 pmol/L. You determine this result is: Normal for his age   Low   High   High normal   PRAC-6540 Week 7: Quiz DIAGNOSTIC IMAGING AND LABS Question 5 1  / 1  pts Key things about X-rays are that: X-rays are less likely to penetrate dense materials (like bone)   X-rays are like a negative   Black areas on an X-ray indicate an air-filled space   All of the above are correct   Question 6 1  / 1  pts The electrical conduction of the heart follows which pathway? Atrioventricular (AV) node – sinoatrial (SA) node – His bundle – Purkinje fibers   Sinoatrial (SA) node – atrioventricular (AV) node – His bundle – Purkinje fibers   Sinoatrial (SA) node – His bundle – Purkinje fibers – atrioventricular (AV) node   Purkinje fibers – sinoatrial (SA) node – His bundle – atrioventricular (AV) node   Question 7 1  / 1  pts Your 73-year-old diabetic patient has a urinary albumin excretion of >30 mg/dl. You order a 24-hour urine test to determine chronic kidney disease (CKD). The results are GFR 60–89 mL/min/1.73m2 and persistent albuminuria. What stage of CKD is this?

    Stage G1

     

    Stage G2

     

    Stage G4

     

    Stage G5

     

    Question 8

    1 
    / 1
     pts

    When performing a CBC on your older adult, all of the following values are within normal levels EXCEPT:

    WBC 15,000

     

    Lymphocytes 29

     

    Hemoglobin 15

     

    Platelets 227,000

     

    Question 9 PRAC-6540 Week 7: Quiz DIAGNOSTIC IMAGING AND LABS

    1 
    / 1
     pts

    Reading a chest X-ray can be done using the letters A B C D E F G. These stand for:

    A: Assessment—image quality; B: Bones; C: Cardiac silhouette

     

    D: Diaphragm; E: Equipment—look for images of lines, pacemakers, etc.; E: Effusions

     

    F: Lung fields; G: Great vessels—look for the great vessels and their positions, and symmetry

     

    All of the above are correct

     

    Question 10

    1 
    / 1
     pts

    When reviewing an X-ray, all of the following are correct EXCEPT:

    Black areas = air

     

    Dark grey = fat

     

    Bright white = metal

     

    Light grey = bone (correct answer is soft tissue)

    PRAC-6540 Week 7: Quiz DIAGNOSTIC IMAGING AND LABS