Tag: Clinical-Nursing

Shadow Health Assessment Assignment

You will complete all assessment assignments using the 
Shadow Health
  virtual reality simulation platform.

Introduction and Pre-brief

This assignment provides the opportunity to conduct a focused exam on Brian Foster, who presents with recent episodes of chest pain in a non-emergency setting. Interview Mr. Foster and be sure to thoroughly assess the cardiovascular system as well as related body systems in order to compile a list of differential diagnoses. This case study offers you the opportunity to evaluate Mr. Foster’s personal and family history with heart disease and identify lifestyle risk factors. During the physical examination, thoroughly examine the cardiovascular system and carefully evaluate and document the patient’s heart sounds.

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ASSESSMENT

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Tips and Tricks

The sounds in the Shadow Health Concept Labs and Physical Assessment Assignments are medically accurate.

Distinguishing normal from abnormal heart sounds requires practice and carefully listening for sometimes subtle and easily missed sounds. Be sure to take advantage of the Cardiovascular Concept Lab to sharpen your skills prior to beginning this assignment. Brian Foster Shadow Health Assessment.

Optimize your listening experience by using headphones with your computer and listen to both normal and abnormal sounds multiple times to improve your proficiency with recognizing subtle differences.

Often patients present with a specific complaint or problem. However, during the history and physical examination, a new problem may be discovered that takes precedence during the visit. Be alert to such a situation with this case study assignment.

Purposes

The purposes of the Shadow Health Physical Assessment Assignments are to: (a) increase knowledge and understanding of advanced practice physical assessment skills and techniques, (b) conduct focused and comprehensive histories and physical assessments for various patient populations, (c) adapt or modify your physical assessment skills and techniques to suit the individual needs of the patient, (d) apply assessment skills and techniques to gather subjective and objective data, (e) differentiate normal from abnormal physical examination findings, (f) summarize, organize, and appropriately document findings using correct professional terminology, (g) practice developing primary and differential diagnoses, (h) practice creating treatment plans which include diagnostics, medication, education, consultation/referral, and follow-up planning; and (i) analyze and reflect on own performance to gain insight and foster knowledge.

Due Date

Sunday 11:59 PM MT
 at the end of 
each respective week.

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Brian Foster Shadow Health Assessment.

In the event of an emergency that prevents timely submission of an assignment, students may petition their instructor for a waiver of the late submission grade reduction. The instructor will review the student’s rationale for the request and make a determination based on the merits of the student’s appeal. Consideration of the student’s total course performance to date will be a contributing factor in the determination. Students should continue to attend class, actively participate, and complete other assignments while the appeal is pending.

Total Points Possible: 75 Points

Assignment

Step One: Complete the designated Shadow Health (SH) Assignment on the SH platform.

Step Two: Document your findings on the  
Fillable Soap Note Template
 or the 
Printable Soap Note
.

Step Three:  Upload the Lab Pass and completed SOAP Note as separate documents to the same assignment tab in the gradebook.

Requirements

NOTE: Before initiating any activity in Shadow Health, complete the required course weekly 
readings and lessons
 as well as review the 
introduction and pre-brief.

Complete the Shadow Health Concept Lab (Weeks 2, 4, and 5) prior to beginning the graded assignment.

Gather subjective and objective data by completing a focused, detailed health history and physical examination for each physical assessment assignment.

Critically appraise the findings as normal or abnormal.

Complete the post activity assessment questions for each assignment .

Complete all reflection questions following each physical assessment assignment. Brian Foster Shadow Health Assessment.

Digital Clinical Experience (DCE) scores do not round up. For example, a DCE score of 92.99 is a 92, not a 93.

You have a maximum of two (2) attempts per Shadow Health assignment to improve your performance. However, you may elect not to repeat any assignment. NOTE: If you repeat an attempt, ONLY the second attempt will be graded, regardless of the DCE score. Please refer to the grading rubric categories for details.

Download the Lab Pass for the final attempt on the assignment. Brian Foster Shadow Health Assessment.

On the Canvas Platform:

Summarize, organize, and appropriately document findings using correct professional terminology on the SOAP Note Template.

Identify three (3) differential diagnoses and provide ICD-10 codes and pertinent positive and negative findings for each diagnosis.

Create a comprehensive treatment plan for each assignment. Must address the following components: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up planning. If no interventions for one or more component, document “none at this time” but do not skip over the component.

Provide rationales and citations for diagnoses and interventions. Brian Foster Shadow Health Assessment.

Include at least one scholarly source to support diagnoses and treatment interventions with rationales and references on the SOAP note. Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are NOT considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality. Each student is responsible for determining the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.

Upload the Lab Pass to the appropriate assignment area in Canvas Grades Brian Foster Shadow Health Assessment.

 

Shadow Health Grading Rubric

Portions of the rubric are designated with a ***. The following explains those portions of the rubric:

* 
Digital Clinical Experience (DCE) Score 
is automatically translated by Shadow Health based on individual student performance and reflects how student work compares to their peer learners across the country for a particular assignment. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments.

**Scholarly Sources: 
Only scholarly sources are acceptable for citation and reference in this course. These include peer-reviewed publications, government reports, or sources written by a professional or scholar in the field. The textbooks and lessons are 
NOT
 considered to be outside scholarly sources. For the threaded discussions and reflection posts, reputable internet sources such as websites by government agencies (URL ends in .gov) and respected organizations (often ends in .org) can be counted as scholarly sources. The best outside scholarly source to use is a peer-reviewed nursing journal.  You are encouraged to use the Chamberlain library and search one of the available databases for a peer-reviewed journal article.  The following sources should not be used: Wikipedia, Wikis, or blogs.  These websites are not considered scholarly as anyone can add to these. Please be aware that .com websites can vary in scholarship and quality.  For example, the American Heart Association is a .com site with scholarship and quality. Each student is responsible for determining the scholarship and quality of any .com site.  Ask your instructor before using any site if you are unsure. Points will be deducted from the rubric if the site does not demonstrate scholarship or quality. Current outside scholarly sources must be published with the last 5 years.  Instructor permission must be obtained BEFORE the assignment is due if using a source that is older than 5 years.

***
Components of a treatment plan include 
diagnostics
, 
medication
, 
education
, 
consultation/referral
, and 
follow-up planning

****Insight
 refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. For example, one might demonstrate insight by relating a concept to a personal or meaningful experience.

ASSIGNMENT CONTENT

Category

Points

%

Description

Health History Communication, Education, Empathy, and Summary

(DCE Score
 
or transcript)

 

15

20%

The Digital Clinical Experience (DCE)Score is automatically translates by Shadow Health based on individual student performance and reflects how student work with data collection, health history communication, education, empathy, and summarization compares to peer learners across the country for a particular assignment. The DCE Score is a fair assessment of effort, and therefore is appropriate for use when grading assignments. Occasionally, performance transcripts may be reviewed for secondary support.

Assessment, Documentation, Treatment Plan, and Scholarly Sources

35

47%

This category is evaluated on the quality of student’s ability to: Identify pertinent normal and abnormal findings for the assignment, utilize professional terminology, provide comprehensive and detailed subjective and objective findings, identify differential diagnoses, and create a comprehensive treatment plan. Includeat least one appropriate EBP scholarly source and use the SOAP Note format template to document all findings.

 

Self-Reflection

15

20%

Self-reflection posts must demonstrate the student’s own perspective. The quality of this criterion is based upon responding to all the reflection questions; providing responses that are substantive (add importance, meaningfulness, and relevance to the post); demonstrate analysis of own performance; and demonstrate insight. Brian Foster Shadow Health Assessment. Insight refers to the capacity to gain an accurate and deep intuitive understanding of a concept or thing. For example, one might demonstrate insight by relating a concept to a personal or meaningful experience.Reflection post responses should vary from SH assignment to assignment.

 

65

87%

Total CONTENT Points= 65

ASSIGNMENT FORMAT

Category

Points

%

Description

Grammar, Spelling, Syntax, Mechanics and APA Format

10

13%

Reflection post has minimal grammar, spelling, syntax, punctuation and APA* errors. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post.

* APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.

**Direct quote should not to exceed 15 words & must add substantively to the assignment

10

100%

Total FORMAT Points= 10

ASSIGNMENT TOTAL=
 
75 points

Rubric

NR509 Weeks 2-6 Shadow Health Assignment_Sept19 (3)

NR509 Weeks 2-6 Shadow Health Assignment_Sept19 (3)

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeAssignment Content Possible Points = 65 Points

Criterion 1

Health History Communication, Education, Empathy, and Summary

(DCE Score or Transcript)

15.0 pts

Excellent

DCE Score > 93

14.0 pts

V. Good

DCE Score 86-92

12.0 pts

Satisfactory

DCE Score 80-85

8.0 pts

Needs Improvement

DCE Score < 79 0.0 pts Unsatisfactory No Assignment 15.0 pts This criterion is linked to a Learning OutcomeCriterion 2 Assessment, Documentation, Treatment Plan, and Scholarly Sources Must demonstrate the following elements: Brian Foster Shadow Health Assessment Identified all pertinent normal and abnormal findings; Used professional terminology; Subjective and objective documentation was detailed and comprehensive; Used the SOAP Note Format template for documentation; Identified three (3) differential diagnoses with ICD-10 codes and pertinent positive/negative findings; Addressed each of the following on the treatment plan: Diagnostics, Medication, Education, Referral/Consultation, and Follow-up Planning; Interventions are detailed and appropriate for the focused assignment; Provided at least one appropriate EBP scholar source (8 Required Elements) 35.0 pts Excellent Demonstrated all elements for this Criterion 32.0 pts V. Good Missing 1 element for this Criterion 29.0 pts Satisfactory Missing 2 or 3 elements for this Criterion 18.0 pts Needs Improvement Missing 4 or 5 elements on for this Criterion 0.0 pts Unsatisfactory Missing 6 or more elements for the criterion Or No Assignment 35.0 pts This criterion is linked to a Learning OutcomeCriterion 3 Self-Reflection Must demonstrate the following elements: Written from the student’s own perspective; Responded to all the reflection questions; Responses were each substantive (added importance, meaningfulness, and relevance to the post); Offer self-analysis of performance and insight; Reflection post responses should vary from SH assignment to assignment. (5 Required Elements) 15.0 pts Excellent Demonstrated all elements for this Criterion 14.0 pts V. Good Missing 1 element for this Criterion 12.0 pts Satisfactory Missing 2 elements for this Criterion 8.0 pts Needs Improvement Missing 3 elements for this Criterion 0.0 pts Unsatisfactory Missing 4 or more elements for the criterion Or No Assignment 15.0 pts This criterion is linked to a Learning OutcomeAssignment Format Possible Points = 10 Points Format Criterion 1 Grammar, Spelling, Syntax, Mechanics and APA Format 10.0 pts Excellent 0-1 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format 9.0 pts V. Good 2-3 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format Brian Foster Shadow Health Assessment 8.0 pts Satisfactory 4-5 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format 5.0 pts Needs Improvement 6-7 errors in grammar, syntax, spelling, punctuation, mechanics, or APA format 0.0 pts Unsatisfactory 8 or more errors in grammar, syntax, spelling, punctuation, mechanics, or APA format Or No assignment 10.0 pts This criterion is linked to a Learning OutcomeLate Penalty Deductions Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. 0.0 pts Minus Points 0.0 pts Minus Points 0.0 pts Total Points: 75.0 Brian Foster Shadow Health Assessment

Benchmark – Population Health Policy Analysis

Optimal health is achieved through high-quality health care services which are cost-effective and accessible to the public and also well-coordinated. Health policies present plans, actions and decisions that facilitate the achiev3ment of healthcare goals in the society (Blank, 2019). The World Health Organization notes that health policies define visions for the future, provides the expected roles and priorities roles of the public population and creates consensus as well as informs the public on healthcare issues (Abel-Smith, 2018). As such, this paper examines the publicly funded healthcare policy in the United States and how it is designed to improve a specific population’s access to quality, cost-effective health care…

Select a current or proposed health care policy that is designed to improve a specific population’s access to quality, cost-effective health care. In a paper of 1,000-1,250 words, include the following:

ORDER A PLAGIARISM-FREE PAPER HERE

Explain the policy and how it is designed to improve cost-effectiveness and health care equity for the population. Is the policy financially sound? Why or why not? How does the policy account for any relevant ethical, legal, and political factors and the nursing perceptive one must consider when implementing it? Benchmark – Population Health Policy Analysis

To what state, federal, global health policies or goals is this particular policy related? How well do you think the policy is designed to achieve those goals?

Finally, discuss the advocacy strategies you would employ on behalf of your population to ensure they have access to the benefits of the policy. Explain, from a Christian perspective, the professional and moral obligation of advanced registered nurse to advocate for and promote health and prevent disease among diverse populations.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content. Benchmark – Population Health Policy Analysis

Prepare this Benchmark – Population Health Policy Analysis 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.

You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center.

 

NUR-550

NUR-550-XO0905XB

Benchmark – Population Health Policy Analysis

160.0

Criteria

Percentage

Unsatisfactory (0.00%)

Less than Satisfactory (80.00%)

Satisfactory (88.00%)

Good (92.00%)

Excellent (100.00%)

Content

70.0%

Financially Sound Health Care Policy That Incorporates the Nursing Perspective and Relevant Ethical, Legal, and Political Factors (2.1)

20.0%

A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is not included. Benchmark – Population Health Policy Analysis

A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is present, but it lacks detail or is incomplete.

A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is present.

A discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is clearly provided and well developed.

A comprehensive discussion of financially sound health care policy that incorporates the nursing perspective and relevant ethical, legal, and political factors is thoroughly developed with supporting details.

Integration of Appropriate State, Federal, and Global Health Policies and Goals Related to Equitable Health Care for Populations (4.2)

20.0%

A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is not included.

A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is present, but it lacks detail or is incomplete.

A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is present.

A discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is clearly provided and well developed.

A comprehensive discussion of appropriate state, federal, and global health policies and goals related to equitable health care for populations is thoroughly developed with supporting details.

Benchmark – Population Health Policy Analysis

Advocacy Strategies for Improving Access, Quality, and Cost-Effective Health Care for Diverse Populations (2.2)

10.0%

A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is not included.

A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is present, but it lacks detail or is incomplete.

A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is present.

A discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is clearly provided and well developed.

A comprehensive discussion of advocacy strategies for improving access, quality, and cost-effective health care for diverse populations is thoroughly developed with supporting details.

The Professional and Moral Obligation of Advanced Registered Nurses to Respect Human Dignity and Advance the Common Good Through Working to Promote Health and Prevent Disease Among Diverse Populations from a Christian Perspective (4.3)

15.0%

A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is not included.

A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is present, but it lacks detail or is incomplete.

A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is present.

A discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is clearly provided and well developed.

A comprehensive discussion of the professional and moral obligation of advanced registered nurses to respect human dignity and advance the common good through working to promote health and prevent disease among diverse populations from a Christian perspective is thoroughly developed with supporting details.

Required Sources

5.0%

Sources are not included.

Number of required sources is only partially met. Benchmark – Population Health Policy Analysis

Number of required sources is met, but sources are outdated or inappropriate.

Number of required sources is met. Sources are current, but not all sources are appropriate for the assignment criteria and nursing content.

Number of required resources is met. Sources are current, and appropriate for the assignment criteria and nursing content.

Organization and Effectiveness

20.0%

Thesis Development and Purpose

7.0%

Paper lacks any discernible overall purpose or organizing claim.

Thesis is insufficiently developed or vague. Purpose is not clear.

Thesis is apparent and appropriate to purpose.

Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Benchmark – Population Health Policy Analysis

8.0%

Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.

Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility.

Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.

Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative.

Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

5.0%

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

Writer is clearly in command of standard, written, academic English.

Format

10.0%

Paper Format (Use of appropriate style for the major and assignment)

5.0%

Template is not used appropriately or documentation format is rarely followed correctly.

Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent.

Template is used, and formatting is correct, although some minor errors may be present.

Template is fully used; There are virtually no errors in formatting style.

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

5.0%

Sources are not documented. Benchmark – Population Health Policy Analysis

Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.

Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.

Sources are documented, as appropriate to assignment and style, and format is mostly correct.

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Total Weightage

100%

 

Optimal health is achieved through high-quality health care services which are cost-effective and accessible to the public and also well-coordinated. Health policies present plans, actions and decisions that facilitate the achiev3ment of healthcare goals in the society (Blank, 2019). The World Health Organization notes that health policies define visions for the future, provides the expected roles and priorities roles of the public population and creates consensus as well as informs the public on healthcare issues (Abel-Smith, 2018). As such, this paper examines the publicly funded healthcare policy in the United States and how it is designed to improve a specific population’s access to quality, cost-effective health care. Benchmark – Population Health Policy Analysis.

Publicly funded healthcare policy in the United States is designed to meet all or part of the healthcare needs from public funds. The Medicare and Medicaid programs together with the Veterans Health Administration and Children’s Health Insurance Programs are involved in funding 64% of healthcare costs paid by the government since 2013 (Sommers et al., 2017). Benchmark – Population Health Policy Analysis. The policy is designed to improve cost-effectiveness and health care equity for the population as it meets a larger portion of healthcare bills. Thus, it reduces the economic burden of the population and particularly the marginalized groups who have difficulties in accessing care due to poverty. Even though is not a universal healthcare fund, the policy ensures equitable distribution of healthcare services through equal distribution of healthcare funds. It also gives the population a chance to select their insurances depending on their economic capabilities. Consequently, it protects the consumers from exploitation by insurance companies. Benchmark – Population Health Policy Analysis.

The publicly funded healthcare policy in the United States is somehow not financially sound. Healthcare costs in the US are considerably higher and continues to increase even more than the overall economic growth of the country. For instance, in 2016, the cost was reported to be approximately $3.3 trillion dollars in 2016 (Martin, 2016). These high costs are bound to strain the economy of the country in the future considering that the US has the highest healthcare costs compared to other countries Benchmark – Population Health Policy Analysis. In 2016, the government spent 17.9% of GDP on the costs of healthcare which is substantially higher than Japan, France, Germany and Sweden who spent about 11% and Switzerland which spent only 12% of their gross domestic product (Papanicolas, Woskie & Jha, 2018). Moreover, an individual American citizen spent about $9900 for healthcare in 2016 (Martin, 2016). This increased expenditure could be therefore become unsustainable in the long run because, they tend to increase the national debt. In addition, the quality of life reduces as people spend more on health and insurances, the costs of their products and services increase and people end up being unable to afford healthcare insurance. Benchmark – Population Health Policy Analysis.

The public funded healthcare policy ensures equitable distribution of resources among the public population regardless of their financial or social status. This supports the justice principle of ethics which focuses on fairness. Moreover, it promotes the protection of vulnerable groups such as the minorities and as well as ensures the patient’s choice of treatment is respected as expected by autonomy Benchmark – Population Health Policy Analysis. It also promotes culturally sensitive care thus enhancing solidarity between communities during outbreaks through prevention strategies and collaboration in eradicating illnesses. The policy is basically set up to benefit the public in improving the access and quality of healthcare and reducing the cost (Wilkinson, & Savulescu, 2018).

On the other hand, the legal foundation of public health in the US is embedded in the rights to life, safety and health of the population. The constitution mandates the government’s protection of its citizens against harm and hence the federal and states governments should provide a functioning public health system (Chen, Vargas-Bustamante, Mortensen & Ortega, 2016). The public health policy was set up through a political decision processes which involve the enactment of The Affordable Care Act (ACA) legislations Benchmark – Population Health Policy Analysis. Notably, the repealing, removal or amendment of the policy is dependent on the political authorities.

The implementation of the healthcare public funding policy should be patient centered and seek to reduce the cost as well as increase the quality of care. As such, nurses must consider influencing the processes and standards of their practice settings to achieve quality. Furthermore, they should promote active participation of other nurses and collaborations to ensure successful implementation and sustainability of the policy. Nurses should also consider being information sources to the community for the much-needed information regarding healthcare insurance coverage and access provided by the policy. Benchmark – Population Health Policy Analysis.

The public health funding policy is related to the Affordable Care Act (ACA) Federal health policy. This Act was enacted in 2010 with the aim of offering affordable health insurance coverage to the public. It also sought to protest the citizens for exploitation by insurance companies (Sommers et al., 2017). In this case, it was designed to lower the cost of healthcare particularly for low-income households. The public funding healthcare policy is well designed to achieve the ACA goals in that it offers healthcare funding programs suitable for all citizens through various insurance programs Benchmark – Population Health Policy Analysis. This ensures that costs are maintained at a realistic level that increases access as healthcare services become more affordable.

The public health funding policy seeks to improve the quality of healthcare, reduce the cost, increase access and affordability. One of the advocacy strategies I would employ on behalf of my population to ensure they have access to the benefits of the policy is to provide a voice. This means that I provide information to enable them understand the policy and its benefits as well as how to become a beneficiary. I will also allow them to ask questions that will facilitate my successful implementation of the policy. Another strategy will involve the protection of the patients’ rights (Assi, Peterson & Hatmaker, 2018). Benchmark – Population Health Policy Analysis. This will entail knowing their wishes and communicating them to the policy makers as well as educating them on how to optimally benefit from the policy as well as improve the quality of their care.  I will also connect patients to resources both on the inside and outside the healthcare facility to support their wellbeing and understanding of the policy. This will help them gain financial assistance and enable them meet their needs.

From a Christian perspective, the advanced registered nurses have a professional and moral obligation to advocate for and promote health and prevent disease among diverse populations Benchmark – Population Health Policy Analysis. This is achieved through upholding of autonomy, beneficence, non-maleficence and justice during healthcare delivery (Leffers & McDermott-Levy, 2019). This means that nurses are expected to engage patients in treatment and as well in decision making regarding the implementation of healthcare policies. They should also ensure fair and equitable distribution of healthcare resources and services and attend to patients without discrimination. Nurses should also be culturally sensitive while dealing with patients from different backgrounds (Albougami, Pounds & Alotaibi, 2016). This includes conducting a spiritual needs assessment to resolve ethical dilemmas and as well as practicing according to the legal requirements of the advanced nurse license. They should also uphold holistic and evidence-based practice at all times. Benchmark – Population Health Policy Analysis.

References

Abel-Smith, B. (2018). 
An introduction to health: policy, planning and financing
. Routledge.

Albougami, A. S., Pounds, K. G., & Alotaibi, J. S. (2016). Comparison of four cultural competence models in transcultural nursing: A discussion paper. 
International Archives of Nursing and Health Care
, 
2
(3), 1-5.

Assi, M. J., Peterson, C., & Hatmaker, D. D. (2018). Workforce Advocacy for a Professional Nursing Practice Environment. 
Contemporary Nursing E-Book: Issues, Trends, & Management
, 232. Benchmark – Population Health Policy Analysis.

Blank, R. H. (2019). Public Policy Context: Funding and Policy Initiatives. In 
Social & Public Policy of Alzheimer’s Disease in the United States
 (pp. 27-44). Palgrave Pivot, Singapore.

Chen, J., Vargas-Bustamante, A., Mortensen, K., & Ortega, A. N. (2016). Racial and ethnic disparities in health care access and utilization under the Affordable Care Act. 
Medical care
, 
54
(2), 140.

Leffers, J., & McDermott-Levy, R. (2019, November). Ethical principles for global health nursing: Promoting equity in practice. In 
APHA’s 2019 Annual Meeting and Expo (Nov. 2-Nov. 6)
. American Public Health Association.

Martin, A. B. (2016). Healthcare expenditure increasing in USA. 
PharmacoEconomics & Outcomes News
, 
768
, 17-17.

Papanicolas, I., Woskie, L. R., & Jha, A. K. (2018). Health care spending in the United States and other high-income countries. 
Jama
, 
319
(10), 1024-1039 Benchmark – Population Health Policy Analysis.

Sommers, B. D., Maylone, B., Blendon, R. J., Orav, E. J., & Epstein, A. M. (2017). Three-year impacts of the Affordable Care Act: improved medical care and health among low-income adults. 
Health Affairs
, 
36
(6), 1119-1128.

Wilkinson, D., & Savulescu, J. (2018). Cost-equivalence and Pluralism in Publicly-funded Health-care Systems. 
Health Care Analysis
, 
26
(4), 287-309. Benchmark – Population Health Policy Analysis.

Respiratory Shadow health Assignment Transcript

All Lines (285)
Interview Questions (220)
Statements (0)
Exam Actions (65)

Tina Jones.

and your date of birth

February 17th.

what is the year of birth please

I was born in . . . [Ms. Jones reports correct birth year.]

how old are you ms. jones

I’m 28.

what brings you in to the clinic today?

I came in because I’ve been having breathing problems, and my inhaler just isn’t working the way it normally does.

what made you seek medical treatment ms. jones?

Brian Foster Chest Pain Shadow Health Assessment

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Subjective Data Collection: 21 of 21 (100.0%)

Hover To Reveal…

Hover over the 
Patient Data
 items below to reveal important information, including 
Pro Tips
 and 
Example Questions
.

Found:

 Indicates an item that you found.

Available:

 Indicates an item that is available to be found. Respiratory Shadow health Assignment.

Category

Scored Items

Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data

Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Chief Complaint

Finding:

Established chief complaint

Finding:

Reports increased breathing problems and shortness of breath

(Found)

Pro Tip: Foundational questions about general well-being are important in assessing how a patient feels at the current moment. This creates a space for Tina to contextualize her current feeling in relation to a chief complaint.

Example Question:

What brings you in today?

Finding:

Reports decreased effectiveness of inhaler

(Found)

Pro Tip: Initially establishing a chief complaint allows the patient to express their reason for seeking care, primary concerns, or condition they are presenting with.

Example Question:

Why did you decide to seek treatment?

History of Presenting Illness

Finding:

Asked about onset of symptoms

Finding:

Reports symptoms began two days ago

(Found)

Pro Tip: Determining the onset of a health problem is the first step to understanding if the underlying condition is acute or chronic. Respiratory Shadow health Assignment.

Example Question:

How long have you had breathing problems?

Finding:

Asked about frequency and duration of SOB episodes

Finding:

Reports exacerbations lasting several minutes

(Available)

Pro Tip: Knowing the duration of an asthma or shortness of breath episode will give you insight into how effective the patient’s interventions are, and how severe the episode is.

Example Question:

How long do your asthma episodes last?

Finding:

Reports exacerbated breathing about every 4 hours since original episode

(Found)

Pro Tip: The frequency of asthma episodes or shortness of breath might vary over time. Asking Tina about her recent experience will expound upon her current condition. Respiratory Shadow health Assignment

Example Question:

How many times have you had breathing problems in the past two days?

Finding:

Reports waking up twice a night with asthma the past 2 nights

(Available)

Pro Tip: Many patients with asthma report trouble sleeping. Asking Tina if she has trouble sleeping can indicate the severity of her asthma.

Example Question:

How many times in the past two nights did asthma wake you up?

Finding:

Asked about severity of symptoms

Finding:

Describes asthma severity as “not full attack,” but worse than usual

(Found)

Pro Tip: Asthma severity might change over time for a variety of reasons. Asking Tina about the severity of her asthma will allow her to assess her condition. Respiratory Shadow health Assignment

Example Question:

How severe is your asthma?

Finding:

Reports asthma has been interfering with activities of daily life

(Found)

Pro Tip: Severe asthma can interfere with daily life. Asking Tina the degree to which asthma impacts her daily life can be illustrative of the relative severity of her asthma.

Example Question:

Is there anything you can’t do because of your asthma?

Finding:

Asked about character of symptoms

Finding:

Reports recent wheezing

(Found)

Pro Tip: Some people who experience chronic asthma may be accustomed to wheezing and, as a result, might not volunteer this information. Asking Tina if she’s been wheezing illustrates how her asthma is presenting.

Example Question:

Do you wheeze during an asthma exacerbation?

Finding:

Reports chest tightness

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe what happens when her asthma acts up will indicate how her individual symptoms manifest.

Example Question:

What happens when your asthma acts up?

Finding:

Denies chest pain

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina whether she experiences chest pain during an attack will indicate how her individual symptoms manifest.

Example Question:

Are the shortness of breath episodes associated with chest pain?

Finding:

Asked about cough

Finding:

Reports cough

(Found)

Pro Tip: A shallow history of a patient’s condition can provide a comparative baseline for juxtaposing an attack, exacerbation, and more regular breathing. Soliciting this information from Tina allows her to explain any recent developments with her asthma. Respiratory Shadow health Assignment

Example Question:

Have you been coughing?

Finding:

Cough has persisted since original asthma exacerbation 2 days ago

(Found)

Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not volunteer this information. Asking Tina how long she has been coughing illustrates how her asthma is presenting.

Example Question:

How long have you had a cough?

Finding:

Describes cough as “dry”

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe her cough specifies the way her individual symptoms manifest.

Example Question:

How would you describe your cough?

Finding:

Describes cough as “small” and not severe

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina to describe her cough specifies the way her individual symptoms manifest.

Example Question:

How severe is your cough?

Finding:

Reports cough slightly relieved by drinking water

(Found)

Pro Tip: Coughing can be a symptom of a constricted airway. Assessing what relieves Tina’s cough can open up a conversation about asthma management.

Example Question:

What makes your cough better?

Finding:

Has not treated cough with medication or home remedies

(Found)

Pro Tip: Some people who experience chronic asthma may be accustomed to coughing and thus might not treat this symptom. Asking Tina how she is treating her cough might reveal her current symptom management and health literacy. Respiratory Shadow health Assignment

Example Question:

Have you tried to treat your cough?

Finding:

Asked about aggravating factors

Finding:

Reports symptoms worse at night

(Found)

Pro Tip: Sometimes a condition will fluctuate during the course of the day. By asking Tina how her asthma differentially impacts her both during the day and at night, you are assessing an important change over time.

Example Question:

Is your asthma worse at night?

Finding:

Reports symptoms increase when lying flat on back

(Found)

Pro Tip: Asthma can be aggravated by movements that constrict the respiratory airways. By asking Tina if lying down causes shortness of breath, you’re assessing which positions might cause exacerbation.

Example Question:

Does lying down make your asthma worse?

Finding:

Reports symptoms aggravated by movement

(Found)

Pro Tip: Asthma can be aggravated by movements that constrict the respiratory airways. Inquiring into what activities make Tina short of breath can indicate possible triggers.

Example Question:

Is there anything you can’t do because of your asthma?

Medical History

Finding:

Confirmed use of medications

Finding:

Confirms medications (no new medications reported)

(Found)

Pro Tip: Determining what, if any, medications a patient is taking is a crucial element of a thorough health history and will help you avoid unwanted drug interactions.

Example Question:

What medications do you take?

Finding:

Followed up about inhaler use

Finding:

Uses an inhaler to treat asthma symptoms

(Found)

Pro Tip: It’s essential to ask specifically what medications a patient is using to treat her current complaint or any ongoing medical conditions.

Example Question:

Do you use an inhaler for your asthma?

Finding:

Inhaler is Proventil

(Found)

Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina what medication she takes for her asthma will indicate her treatment plan and the degree to which she complies with it.

Example Question:

What is the name of the inhaler you are currently using?

Finding:

Reports most recent inhaler use was this morning

(Available)

Pro Tip: Soliciting a shallow history of a patient’s medication history can reveal recent exacerbation. Asking Tina when she last used her inhaler will indicate when her symptoms most recently required medical treatment.

Example Question:

When did you last use your inhaler?

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Finding:

Reports using inhaler every 4 hours or so since exacerbation

(Found)

Pro Tip: After an asthma exacerbation, patients often will become more reliant on medical tools like inhalers. Asking Tina how many times she’s used her inhaler in the past two days will point to the severity of her recent exacerbation.

Example Question:

How many times have you used your inhaler in the past two days?

Finding:

Prescribed usage is 2 puffs

(Found)

Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina how many puffs of her inhaler she’s prescribed will indicate her treatment plan and the degree to which she complies with it. Respiratory Shadow health Assignment

Example Question:

How many puffs of your inhaler are you prescribed?

Finding:

Reports needing more than 2 puffs to resolve asthma symptoms

(Found)

Pro Tip: Inhaler effectiveness can vary over time for a variety of reasons. Asking Tina about the number on inhaler puffs she needs to resolve symptoms can indicate whether her asthma has worsened or point to potential problems like poor inhaler technique.

Example Question:

How many inhaler puffs do you need?

Finding:

Confirmed allergies

Finding:

Confirms allergies (no new allergies reported)

(Found)

Pro Tip: It’s best practice to ask a patient about her allergies each visit, even with an established patient, to uncover any new allergy triggers or symptoms.

Example Question:

Do you have any new allergies?

Finding:

Followed up on exposure to allergy and asthma triggers

Finding:

Reports cat allergy triggered recent episodes

(Found)

Pro Tip: Questions about what factors might have caused an illness can point to a patient’s environmental stressors, habits, and general wellbeing. Asking Tina what caused her asthma might indicate her health literacy and understanding of what factors impact her breathing.

Example Question:

What started your recent asthma problems?

Finding:

Reports dust as a known trigger

(Found)

Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has a dust allergy can reveal one such trigger.

Example Question:

Does being around dust trigger your asthma?

Finding:

Reports activity such as walking up stairs as a known trigger

(Available)

Pro Tip: Shortness of breath or asthma can be exercise-induced. Asking whether climbing stairs can be a trigger for Tina might reveal a possible provocation. Respiratory Shadow health Assignment

Example Question:

Does climbing stairs trigger your asthma?

Finding:

Denies seasonal pattern

(Found)

Pro Tip: Discerning what’s making Tina’s asthma worse can point to possible triggers like environmental factors, bodily positions, or movement that may have a bearing on Tina’s breathing. Asking Tina whether she has seasonal triggers will indicate, in part, Tina’s health literacy.

Example Question:

Do you have seasonal asthma triggers?

Finding:

Denies changes in weather as a trigger

(Available)

Pro Tip: For some patients, weather changes can be asthma irritants. Asking Tina if the weather impacts her asthma will indicate if weather is an irritant for Tina’s condition.

Example Question:

Do changes in weather make your asthma worse?

Finding:

Reports minimal exposure to asthma triggers at work

(Available)

Pro Tip: Environmental factors at home or work can often be primary allergy triggers. Asking Tina about possible allergens at work might indicate a relevant factor in her recent exacerbation.

Example Question:

Does anything at work make your asthma worse?

Finding:

Asked detailed questions about asthma history

Finding:

No current asthma doctor

(Found)

Pro Tip: Seeing a specialist, like an asthma doctor, can help patients to manage symptoms. Asking whether Tina is seeing an asthma doctor will allow you to assess her current treatment plan and healthcare access.

Example Question:

Do you have an asthma doctor?

Finding:

Diagnosed with asthma in childhood

(Found)

Pro Tip: By determining the onset of asthma you can get a sense for Tina’s asthma history, instance, and frequency of exacerbation.

Example Question:

How long have you had asthma?

Finding:

Age of diagnosis was 2 1/2 years old

(Found)

Pro Tip: By determining the onset of asthma you can get a sense for Tina’s asthma history, instance, and frequency of exacerbation.

Example Question:

How old were you when you were diagnosed with asthma?

Finding:

Asked about hospitalizations for asthma

Finding:

Reports prior hospitalizations for asthma

(Found)

Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina if she’s been hospitalized, you are soliciting information about the history and severity of her condition.

Example Question:

Have you ever been hospitalized for asthma?

Finding:

Reports last hospitalization was age 16

(Found)

Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina when she was last hospitalized, you are soliciting information about the history and severity of her condition.

Example Question:

When was your last hospitalization for asthma?

Finding:

Estimates 5 total hospitalizations for asthma

(Available)

Pro Tip: Hospitalization for a condition, like asthma, can reveal its severity. By asking Tina the number of times she’s been hospitalized, you are soliciting information about the history and severity of her condition.

Example Question:

How many times have you been to the hospital?

Finding:

Reports she has never been intubated

(Found)

Pro Tip: Intubation for a condition, like asthma, can reveal its severity. By asking Tina if she’s been intubated, you are soliciting information about the history and severity of her condition. Respiratory Shadow health Assignment

Example Question:

Have you ever been put on a breathing tube?

Finding:

Followed up about non-medication forms of asthma management

Finding:

Denies record keeping of asthma exacerbation or shortness of breath episodes

(Found)

Pro Tip: For some patients, keeping records of asthma exacerbation allows them to monitor their conditions. Soliciting this information from Tina will show health literacy.

Example Question:

Do you use a chart to monitor your asthma?

Finding:

Denies using peak flow meter

(Found)

Pro Tip: A peak flow meter measures how well a patient’s lungs can expel air. By asking whether Tina uses a peak flow meter, you are asking about her health literacy and what kind of medical tools she uses to manage her asthma.

Example Question:

Do you check your peak flow regularly?

Finding:

Denies nebulizer use

(Found)

Pro Tip: The medication that a patient takes reveals a current treatment plan and healthcare access. Asking Tina if she uses a nebulizer for her asthma will indicate her treatment plan and the degree to which she complies with it.

Example Question:

Do you use a nebulizer?

Social History

Finding:

Asked about exercise and activity level

Finding:

Reports general low activity level

(Found)

Pro Tip: Learning about a patient’s typical exercise habits helps

Example Question:

Do you exercise?

Finding:

Reports diminished activity due to asthma

(Found)

Pro Tip: Asking a patient if her current complaint affects her exercise level or (vice version) helps you understand if there is a causal relationship in symptoms.

Example Question:

Have you been able to exercise?

Finding:

Asked about environmental control

Finding:

Reports living situation is tidy and free of dust

(Available)

Pro Tip: Environmental factors at home or work can often be primary allergy triggers. Asking Tina about possible allergens at home might indicate a relevant factor in her recent exacerbation.

Example Question:

Have you noticed anything at home that aggravates your asthma?

Finding:

Reports hypoallergenic bedding hygiene

(Available)

Pro Tip: Bedding provides the perfect environment for dust mites and other allergens. By asking Tina if she regularly changes her bedding, you’re soliciting information about environmental factors that might exacerbate her condition. Hypoallergenic bedding can provide relief to those who suffer from sensitivity to dust mites, allergies, or asthma. Discovering that Tina uses hypoallergenic bedding can indicate a reason why she might feel asthma relief at night.

Example Question:

Do you change your bedding regularly?

Finding:

Avoids animals and has no pets at home

(Found)

Pro Tip: Environmental factors can often be primary allergy triggers. Asking whether Tina has any pets can reveal one such trigger.

Example Question:

Do you have pets at home?

Finding:

Avoids exposure to secondhand smoke

(Found)

Pro Tip: Secondhand smoke can be particularly triggering for asthmatics. Asking whether anyone in Tina’s household smokes might indicate a proximate environmental trigger.

Example Question:

Does anyone in your house smoke?

Finding:

Asked about possible contributing factors in health history

Finding:

Denies history of eczema

(Available)

Pro Tip: Children with eczema are often at a higher risk of developing asthma. In soliciting a medical history from Tina, you are getting a sense for the history of Tina’s asthma and related conditions.

Example Question:

Have you had eczema?

Finding:

Denies history of sinus problems

(Found)

Pro Tip: People with asthma are likely to also experience sinus problems. It is important to determine whether Tina has sinus problems as they can cause complicating symptoms in patients who also experience asthma.

Example Question:

Do you have a history of sinus problems?

Finding:

Denies history of GERD, heartburn, or indigestion

(Found)

Pro Tip: People with asthma are almost twice as likely to also experience GERD. It is important to determine whether Tina has GERD as GERD can cause shortness of breath in patients who also experience asthma.

Example Question:

Do you have gastroesophageal reflux disease?

Finding:

Denies history of COPD or emphysema

(Found)

Pro Tip: For a patient with a known history of COPD or emphesyma, the symptoms of cough or shortness of breath could be caused by that disease.

Example Question:

Have you ever been diagnosed with COPD?

Finding:

Asked about smoking, inhalants, or tobacco

Finding:

Denies history of tobacco use, including cigarettes

(Found)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked cigarettes can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

Example Question:

Have you ever smoked cigarettes?

Finding:

Reports past history of marijuana use

(Found)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked marijuana can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

Example Question:

Have you ever smoked marijuana?

Finding:

Last use of marijuana was age 20 or 21

(Found)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina is she ever smoked marijuana can help you to discern whether smoking was an exacerbating factor for Tina’s asthma.

Example Question:

When was the last time you smoked marijuana?

Finding:

Denies inhaling substances

(Found)

Pro Tip: Smoking or inhaling substances can have adverse respiratory effects. Asking Tina when she quit smoking marijuana can help you to discern whether smoking recently exacerbated Tina’s asthma.

Example Question:

Have you ever experimented with inhaling substances?

Review of Systems

Finding:

Asked about general symptoms

Finding:

Denies recent respiratory or other illness

(Found)

Pro Tip: Broad, open questions will allow Tina to describe, in her own words, the specific pain and discomfort that she is experiencing.

Example Question:

Have you been sick recently?

Finding:

Denies fever

(Found)

Pro Tip: The presence or absence of fever can indicate if an infection is approaching sepsis, a life-threatening condition.

Example Question:

Have you had any fever symptoms?

Finding:

Denies nausea or vomiting

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her pain, like nausea, details the way her individual symptoms and pain manifest.

Example Question:

Have you had nausea or vomiting?

Finding:

Denies chills

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her pain, like getting chills, details the way her individual symptoms and pain manifest.

Example Question:

Have you had chills?

Finding:

Reports low energy level

(Available)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her pain, like fatigue, details the way her individual symptoms and pain manifest.

Example Question:

Are you fatigued?

Finding:

Denies night sweats

(Found)

Pro Tip: Symptoms often vary from patient to patient. Asking Tina about the symptoms she is experiencing with her injury, like night sweats, details the way her individual symptoms and pain manifest.

Example Question:

Have you had night sweats?

Finding:

Asked review of systems for respiratory

Finding:

Denies phlegm or sputum

(Found)

Pro Tip: A productive asthma cough can expel sputum from the lungs. By asking whether Tina has been coughing up phlegm or sputum you are discovering the nature of Tina’s cough since exacerbation.

Example Question:

Have you been coughing anything up?

Finding:

Denies sore throat, swelling, or difficulty swallowing

(Found)

Pro Tip: Difficulty swallowing could indicate a more severe allergic reaction, or a physical problem with the throat.

Example Question:

Do you have any problems swallowing?

Finding:

Denies nasal drainage

(Found)

Pro Tip: Nasal drainage could suggest that the patient’s symptoms are caused by a viral or bacterial infection, or an allergy attack.

Example Question:

Do you have any nasal drainage?

Family History

Finding:

Asked about relevant family history

Finding:

Reports no recent illnesses with family members at home

(Available)

Pro Tip: For people with asthma, getting sick can increase their risk for exacerbation. If Tina’s had any family members recently sick, that might have caused her recent exacerbation.

Example Question:

Has anyone at home been sick?

Finding:

Reports younger sister as only family with asthma

(Found)

Pro Tip: Soliciting a family history helps you to determine which, if any, conditions are inherited. In asking Tina whether anyone in her family has asthma, you’re ascertaining whether Tina’s condition is inherited.

Example Question:

Does anyone in your family have asthma?

Finding:

Reports younger sister as only family member with allergies

(Available)

Pro Tip: A family history of allergies is an important factor to determine whether a patient is at risk for developing allergies.

Example Question:

Does anyone in your family have allergies?

Finding:

Reports no family history of eczema

(Found)

Pro Tip: People with a family history of eczema are often at a higher risk of developing asthma.

Example Question:

Does anyone in your family have eczema?

Finding:

Reports no family history of chronic nasal or sinus problems

(Available)

Pro Tip: People with a family history of sinus problems are often at a higher risk for asthma. If Tina has a family history of sinus problems, this could suggest inherited sensitivity.

Example Question:

Do you have a family history of sinus problems?

Finding:

Reports no family history of COPD or emphysema

Objective Data Collection: 5.67 of 6 (94.5%)

 Correct

 Partially correct

 Incorrect

 Missed

 Inspected chest

1 of 1 point

Symmetry 
(1/2 point)

 Symmetric

 Asymmetric

Appearance 
(1/2 point)

 No visible abnormal findings

 Rash or lesion

 AP diameter abnormal

 Intercostal retraction while breathing

 Excessive use of accessory muscles while breathing

 Pectus excavatum

 Evidence of trauma (scar, laceration, or bruising)

 Palpated chest expansion

1 of 1 point

Symmetry 
(1/1 point)

 Equal bilaterally

 Unequal bilaterally

 Palpated tactile fremitus

1 of 1 point

Symmetry 
(1/2 point)

 Equal bilaterally

 Unequal bilaterally

Vibration 
(1/2 point)

 Expected fremitus

 Decreased fremitus

 Absent fremitus

 Percussed chest wall

1 of 1 point

Observations 
(1/2 point)

 All areas resonant

 Some areas of dullness

Location 
(1/2 point)

 No areas of dullness

 Dullness, anterior right upper lobe

 Dullness, anterior right middle lobe

 Dullness, anterior right lower lobe

 Dullness, anterior left upper lobe

 Dullness, anterior left lower lobe

 Dullness, posterior right upper lobe

 Dullness, posterior right lower lobe

 Dullness, posterior left upper lobe

 Dullness, posterior left lower lobe

 Auscultated breath sounds

0.67 of 1 point

Breath Sounds 
(1/3 point)

 Present in all areas

 Diminished in some areas

 Absent in some areas

Adventitious Sounds 
(1/3 point)

 No adventitious sounds

 Wheezing

 Fine crackles

 Stridor

 Rhonchi

 Rales

Location 
(No point)

 All areas clear

 Adventitious sounds in anterior right upper lobe

 Adventitious sounds in anterior right middle lobe

 Adventitious sounds in anterior right lower lobe

 Adventitious sounds in anterior left upper lobe

 Adventitious sounds in anterior left lower lobe

 Adventitious sounds in posterior right upper lobe

 Adventitious sounds in posterior right lower lobe

 Adventitious sounds in posterior left upper lobe

 Adventitious sounds in posterior left lower lobe

 Auscultated for bronchophony

1 of 1 point

Bronchophony 
(
1/1 point
)

 Positive

 Negative

Documentation / Electronic Health Record

Document: Provider Notes

Document: Provider Notes

Student Documentation

Model Documentation

Subjective

I have been having been having breathing problems and the inhaler doesnt work

Return to Canvas to complete your SOAP note for this assignment.

Objective

Ms. Jones is a 28 year pleasant female presents with chief complaint of shortness of breath (SOB) RR20, Bpm bilateral breathsounds are diminished in the lower lobes with wheezing, HR is 87 bpm with brisk capillary refil , skin is warm and dry BP 140/81. She started having shortness of breath and cough and ineffectiveness of her inhaler after the allergies were triggered by the cat at the cousins house a couple of days ago , she states her symptoms are worse at night when she lays down other known allergies includes , dust and penicillin. Patient takes proventil inhaler 90 mcg HFA 2 puffs -3 puffs every 4 hours as needed for asthma attacks, she describe the symptoms as chest tightness and poor taking in air. RIGHT HAND SPO2 P87, HR 89 LEFT HAND SPO2, P 87, HR 89 SPIROMETER FVC 3.91 L, FEV1 3.15L PROVENTIL(Albuterol Sulfate Inhalation Aerosol ) FOR ORAL INHALATION WITH PROVENTIL HFA ACTUATOR ONLY 200 METERED INHALATIONS NET CONTENT 6.7g EXP 06/14*2020

Return to Canvas to complete your SOAP note for this assignment. Respiratory Shadow health Assignment

Assessment

Lifespan
Activity Time: 21 min

Tina’s second cousin was diagnosed with asthma at age 5. What would be included in your treatment plan? What factors might concern you related to compliance?

Student Response:
I would instruct Tina to have her cousin see a medical professional if she has trouble breathing for further evaluation. Since asthma is related to lower social economical status as well as exposure to specific irritants a you children and infants.factors that concern me related to compliance are are educational as welll as transportation to appointments and insurance. Younger patients diagnosed with bronchial asthma are treated with the same medications as adults, dosages are based on the weight of the child usually lower than the adult dose. Pediatric patients usually use a spacer between the inhaler and after a puff, he or she must be instructed to breathe in and out for 10 times. There is an option to use nebulizer to give the medication but for pediatric patients they are usually afraid of the nebulizer, this is less effective The provider should advise the parents to always have her carry a rescue inhale in school for sudden asthma attacks and give them a note allowing her to have an inhaler in school. The parents should be educated on the importance of having an inhaler close to her at all times to use it as needed. Respiratory Shadow health Assignment

Model Note:
 Younger patients with asthma are treated with the same medication as adults. Some medication dosages are based on weight. She should use an inhaler with a spacer attached for proper medication administration and her caregiver should always assist her. Studies have shown that nebulizer treatments are a less efficient way to administer medication. The provider should acknowledge that she may have an asthma attack while in school, and therefore needs a note to allow her to use it as needed. The patient and her caregiver should be educated about the importance of having her inhaler close-by and how to use it.

Consider that Tina’s uncle is now 68 years old and has smoked heavily every day since he was fifteen. What would you expect to find in his respiratory assessment? How would this affect your oxygenation goals for this patient?

Student Response:

Review Questions
Activity Time: 11 min

If Tina had mentioned that she was just diagnosed with pneumonia, what would you have expected to find during percussion?

 
Correct:
 Dull percussion sounds are expected over the areas of diffuse infiltrate (accumulation of fluid and by products of inflammation) in a patient with pneumonia.

Hyperresonance

Tympany

Resonant

Dullness (Correct Response)

If the results of Tina’s pulse oximetry had been 97%, which of the following would have been true?

 
Correct:
Pulse oximetry measures the percent of hemoglobin molecules that are filled with oxygen. Oxygen-saturated hemoglobin absorbs light wavelengths differently than unsaturated hemoglobin. The oximeter emits a light and reads the extent of wavelength absorption. Respiratory Shadow health Assignment

Partial pressure O2 = 97%

Unbound oxygen level = 97%

PaO2 = 97%

Arterial hemoglobin saturation = 97% (Correct Response)

Suppose that, during your lung exam on Tina, you had heard bronchial breath sounds in the left lower lung posteriorly. What would you have suspected based on this finding?

Self-Reflection
Activity Time: 12 min

After completing this Respiratory Shadow health Assignment assessment, what goals can you set for yourself for the next time you complete a similar assessment? Think about efficiency, organization, time management, and holistic care of the patient.

Student Response:

The comprehensive integrated psychiatric assessment of a child or adolescent consists of gathering information from not only the child but from several sources, most notably the family members, caregivers, and the child’s teacher or school counselor. Because of this, the diagnostic assessment becomes more complicated. Issues of confidentiality, privacy, and consent must be addressed. Also, the PMHNP must take into consideration the impact of culture on the child.

ORDER A PLAGIARISM-FREE PAPER HERE

In this Discussion, you review and critique the techniques and methods of a mental health professional as he or she completes a comprehensive integrated psychiatric assessment of an adolescent. Comprehensive Integrated Psychiatric Assessment

Learning Objectives

Students will:

Evaluate comprehensive integrated psychiatric assessment techniques

Recommend assessment questions

To Prepare for the Discussion:

Review the Learning Resources concerning the comprehensive integrated psychiatric assessment.

Watch the Mental Status Examination video.

Watch the two YMH Bostonvideos.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click submit, you cannot delete or edit your own posts and cannot post anonymously. Please check your post carefully before clicking Submit! Comprehensive Integrated Psychiatric Assessment

By Day 3

Based on the YMH Boston Vignette 4 video, post answers to the following questions:

What did the practitioner do well?

In what areas can the practitioner improve?

At this point in the clinical interview, do you have any compelling concerns? If so, what are they?

What would be your next question, and why? Comprehensive Integrated Psychiatric Assessment

Strep Throat Pathophysiology

A 16-year-old boy comes to clinic with chief complaint of sore throat for 3 days. Denies fever or chills. PMH negative for recurrent colds, influenza, ear infections or pneumonias. NKDA or food allergies. Physical exam reveals temp of 99.6 F, pulse 78 and regular with respirations of 18. HEENT normal with exception of reddened posterior pharynx with white exudate on tonsils that are enlarged to 3+. Positive anterior and posterior cervical adenopathy. Rapid strep test performed in office was positive. His HCP wrote a prescription for amoxicillin 500 mg po q 12 hours x 10 days disp #20. He took the first capsule when he got home and immediately complained of swelling of his tongue and lips, difficulty breathing with audible wheezing. 911 was called and he was taken to the hospital, where he received emergency treatment for his allergic reaction. strep throat pathophysiology.

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By Day 3 of Week 1

Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

•The role genetics plays in the disease.

•Why the patient is presenting with the specific symptoms described.

•The physiologic response to the stimulus presented in the scenario and why you think this response occurred.

•The cells that are involved in this process.

•How another characteristic (e.g., gender, genetics) would change your response.

Use three scholarly peer review article not later than FIVE YEARS eg 2015 to 2020 in writing this paper. strep throat pathophysiology

NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends

Discussion: 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.

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In this NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends Discussion, you will reflect on your healthcare organization’s use of technology and offer a technology trend you observe in your environment.

 

To Prepare:

Reflect on the Resources related to digital information tools and technologies.

Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.

Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery. NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends.

Assignment

Write
 
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.

 

*Please Use APA style 6
th
edition. No cover page needed. No running head. References must be within the past five years to include doi and peer reviewed journals. References used must be included in the in-text citations. Please use 4-5 references and follow the instructions provided. Thank you. NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends.

 

Discussion: healthcare information technology trends

The healthcare information technology trend observed in my organization is the use of Voalte phones. The use of the Voalte technology application allows all healthcare providers in my organization to receive secured messages through their phones; respond to the patient call lights; make and receive direct calls, and also to receive critical alarms regarding any emergency.  This technology supports efficient workflows and allows a fast response to the patients (Hansen et al., 2018). In addition, the application has been shown to support a quite hospital atmosphere by reducing environmental noise. NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends.

The challenge associated with the use of Voalte technology is the connectivity issue. Sometimes there are issues of inability to send messages, hanging network, interrupted calls, and dropping calls. This significantly interrupts the communication. For example, there was a time the message was being regarding a critical patient and the network hand and hence the message was not communicated. NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends. This significantly affected the communication regarding care provision for this particular patient. In addition, sometimes the staff members lack the required knowledge and skills to use the application. Evidence indicates that technology applications require education and training to ensure competency and skillfulness for the end-users (Alotaibi & Federico, 2017).

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Telemedicine is the healthcare technology trend likely to significantly impact healthcare technology in nursing practice. Telemedicine is the provision of healthcare service remotely utilizing technology to diagnose, treat, prevent diseases, and research with the aim of improving health (Serper & Volk, 2018). Telehealth enables patient monitoring and provision of care while patients are at a distance. This significantly improves the health outcomes for patients with chronic diseases and those who are having difficulties in accessing care due to geographical location challenges (Dinesen et al., 2016). For instance, telehealth integrates family members into the care and also allows monitoring of the progress and adherence to prescribed treatments for patients with chronic diseases, which has been shown to improve health outcomes. NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends.

References

Alotaibi Y & Federico F. (2017. The impact of health information technology on patient safety.
Saudi Med J
, 38(12):1173–1180. doi: 
10.15537/smj.2017.12.20631

Dinesen B, Nonnecke B, David L, Toft E, Kamal J et al. (2016). Personalized Telehealth in the Future: A Global Research Agenda.
J Med Internet Res
,18(3), e53. doi:10.2196/jmir.5257

Hansen J, Lazow M & Hagedorn P. (2018). Reducing Interdisciplinary Communication Failures Through Secure Text Messaging: A Quality Improvement Project.
Pediatr Qual Saf
, 3(1), e053. doi: 
10.1097/pq9.0000000000000053

Serper M & Volk M. (2018). Current and Future Applications of Telemedicine to Optimize the Delivery of Care in Chronic Liver Disease.
Clin Gastroenterol Hepatol
, 16(2), 157–161.e8.  DOI:
https://doi.org/10.1016/j.cgh.2017.10.004 
  NURS 6051C Week 6 Discussion: Healthcare Information Technology Trends

NURS 6051C Assignment: The Impact of Standardized Nursing Terminology Essay

Assignment: The Impact of Standardized Nursing Terminology

Among the Resources in this module is the Rutherford (2008) article 
Standardized Nursing Language: What Does It Mean for Nursing Practice?
 In this article, the author recounts a visit to a local hospital to view the recent implementation of a new coding system.

During the visit, one of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1).

How would you respond to a comment such as this one? NURS 6051C Assignment: The Impact of Standardized Nursing Terminology Essay

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To Prepare:

Review the concepts of informatics as presented in the Resources, particularly Rutherford, M. (2008) 
Standardized Nursing Language: What Does It Mean for Nursing Practice
?

Reflect on the role of a nurse leader as a knowledge worker.

Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

In a 2- to 3-page paper, address the following:

Explain how you would inform this nurse (and others) of the importance of standardized nursing terminologies.

Describe the benefits and challenges of implementing standardized nursing terminologies in nursing practice. Be specific and provide examples.

Be sure to support your paper with peer-reviewed research on standardized nursing terminologies that you consulted from the Walden Library. NURS 6051C Assignment: The Impact of Standardized Nursing Terminology Essay

 

The Impact of Standardized Nursing Terminology

Introduction

In the time of evidence-based nursing care, nurses are needed to demonstrate that the care they provide is connected with optimal patient outcomes, along with high level of safety and quality. By using standardized nursing terminologies in the documentation of care, nurses can generate evidence connected to nursing practice. The purpose of this paper is to address how a nurse can inform other nurses on the importance of standardized nursing terminologies and to describe the benefits and challenges in implementing standardized nursing terminologies in nursing practice. NURS 6051C Assignment: The Impact of Standardized Nursing Terminology Essay

How I would inform this (nurse) and others on the importance of standardized nursing terminologies

I would inform this nurse and others that nursing has standardized language, entailing unique terminology that aids the efficient delivery of quality care. it is crucial that nurses understand standardized nursing terminology lists, as this comprehension can possibly draw the line that divides a healthcare organization that is efficient from an organization that is inefficient. The utilization of standardized nursing language for documenting care that nurses provide to patients is a crucial tool for the profession of nursing, nurses, and clients/patients (Huard & Monsen, 2017).   When SNTs are not utilized, nurses cannot communicate the concepts they utilize with each other, with consumers and with other providers in a consistent and clear manner. Additionally, with no SNTs, it is not possible to efficiently share electronic nursing data with other settings. NURS 6051C Assignment: The Impact of Standardized Nursing Terminology Essay

Standardized nursing terminologies (SNTs) provide vital information about patients and the care they receive.   SNTs contribute to improved communication among the nursing staff and other providers which improves the care provided to patients with augmented visibility of nursing interventions and supports health information exchange as well.  This in addition assists to attain the objective of improving quality of care and patient satisfaction. The utilization of SNTs is fundamental for documenting nursing interventions and outcomes, nursing research and continuity of care (Huard & Monsen, 2017; Tastan et al, 2014).

The benefits and challenges in implementing standardized nursing terminologies in nursing practice

The implementation of SNTs in nursing practice can be beneficial in organizing patient care, care planning, generation of suitable interventions and generation of appropriated outcomes.  In this era, nurses are required to provide evidence-based care and demonstrate that the care they provide is connected with optimal patient outcomes, along with a high level of safety and quality. By using standardized nursing terminologies in the documentation of care, nurses can generate evidence connected to nursing practice (Strudwick & Hardiker, 2016). NURS 6051C Assignment: The Impact of Standardized Nursing Terminology Essay

Utilization of SNTs can augment the visibility of nursing and produce the data required to show how nursing care influences patient implementation of SNTs improves the superiority of documented nursing diagnoses and interventions as well as patient outcomes (Huard & Monsen 2017).  For example, nursing intervention classification entails collaborative and independent interventions that a nurse performs or directs others to undertake, on behalf of patients. It involves treatments that a nurse carries out in all specialties and settings. NURS 6051C Assignment: The Impact of Standardized Nursing Terminology Essay. Since every intervention possesses a coded number, the utilization of nursing intervention classification interventions enhances t electronic gathering of standardized nursing information to assess how effective interventions are.

Optimal communication among health care provides is essential for the safety of the patient and continuity of care.  Nurses are at the frontline in planning care and communicating crucial information. The utilization of SNTs in documenting care can lead to better care continuity by improving how nurses communicate with one another and with providers and capturing of additional nursing procedures to determine the costs of nursing, offer standards for improving care quality and permit collection of data which enables evaluation of patient outcomes (Adubi et al, 2018). For example, the nursing outcome classification lists the can understand the measures, definitions, and concepts that define patient outcomes affected by nursing interventions. A nurse can identify and measure how her nursing practice impacts patient outcomes when she chooses a nursing outcome classification outcome. NURS 6051C Assignment: The Impact of Standardized Nursing Terminology Essay.

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The implementation of SNTs has several benefits to patients, nurses and the nursing profession. However, there are several challenges in implementing SNTs in nursing practice. A key barrier to the implementation of SNTs is the absence of hospital policy concerning the utilization of standardized nursing terminologies.  Another challenge to the adoption of SNTs in nursing practice is the nurses’ lack of know-how on standardized nursing language (Sani & Sani, 2017). The majority of nurses do not adequately understand what standardized nursing language really is, which impedes its use.  Additionally, decision-makers and nurse leaders find it to implement sets of standardized nursing terminology because of lack of comprehensible selection criteria along with directions for utilization (Tastan et al, 2014) NURS 6051C Assignment: The Impact of Standardized Nursing Terminology Essay.

Conclusion

The utilization of standardized nursing terminologies in documenting nursing care is crucial to both nurses and the nursing profession. Utilizing standardized nursing terminologies has numerous essential and significant benefits. These benefits include optimal communication among nurses and other health care team members and improved visibility of nursing intervention and resulting in patient outcomes. NURS 6051C Assignment: The Impact of Standardized Nursing Terminology Essay

 

References

Adubi, I., Olaogun, A., & Adejumo, P. (2018). Effects of standardized nursing language continuing education programme on nurses’ documentation of care at University College Hospital, Ibadan.
Nursing Open
, 5(1), 37-44. doi: 10.1002/nop2.108

Huard, R., & Monsen, K. (2017). Standardized Nursing Terminology Use in Electronic Health Records in Minnesota.
Modern Clinical Medicine Research
, 1(1), 13-19. doi: 10.22606/mcmr.2017.11003

Sani, A., & Sani, S.   (2017). Nurses Attitudes and Barriers toward Utilization of Standardized Nursing Language in Sokoto State, Nigeria. 
Asian Journal of Medicine and Health
, 2(2), 1-6.   doi:
10.9734/AJMAH/2017/29433

Strudwick, G., & Hardiker, N. (2016). Understanding the use of standardized nursing terminology and classification systems in published research: A case study using the Internal Classification for Nursing Practice.
International Journal of Medical Informatics,
94, 215-221. doi: 10.1016/j.ijmedinf.2016.06.012.

Tastan, S., Linch, G., & Keenan, G et al. (2014). Evidence for the Existing American Nurses Association-Recognized Standardized Nursing Terminologies: A Systematic Review.
International Journal of Nursing Studies
, 51(8), 1160-1170. doi: 10.1016/j.ijnurstu.2013.12.004 NURS 6051C Assignment: The Impact of Standardized Nursing Terminology Essay

NURS 6051C Discussion: Big Data Risks and Rewards Essay

Discussion: Big Data Risks and Rewards

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

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

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

To Prepare:

Review the Resources and reflect on the web article
Big Data Means Big Potential, Challenges for Nurse Execs
.

Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed. NURS 6051C Discussion: Big Data Risks and Rewards Essay

By Day 3 of Week 4

Post
a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples. NURS 6051C Discussion: Big Data Risks and Rewards Essay

Big data risks and rewards

Big data within the context of health care refers to all the data generated from interactions between stakeholders and health care systems. In fact, they are information collected from medical devices, pharmaceutical research, mayor records, genomic sequencing, medical imaging, and electronic health records. Other sources of big data include public records, search engines, smart phones, government agencies, patient portals, and research studies (Tavazzi, 2019). Big data is useful for the health care industry. In this case, appropriate software and data analysis tools can be leveraged to determine trends and themes in the big data, which would then act as actionable information that informs advancements such as cost reduction, improved safety, better care outcomes, and value-based health care. With the wealth of analytics information from big data, stakeholders in the health care industry can make better financial and medical information as increasing quality of health care is delivered (Dash et al., 2019). Still, the use of big data is hindered by some challenges. NURS 6051C Discussion: Big Data Risks and Rewards Essay. The first challenge is the privacy of health information since most medical data is protected and its use in analytics without the express permission of the patient could be construed as violation of existing confidentiality and privacy regulations. The second challenge is data security since there is always a potential for unauthorized persons to access the data. The third challenge is budget constraints since analyzing big data could require substantial resources and time. The fourth challenge is data siloes that isolate the data thus making it difficult to access. The final challenge is the diversity in data context, type and format that makes it difficult to process big data and harness its potential. The mentioned challenges can be addressed through targeted approaches that acknowledge the existence of these challenges and proactively addresses them (Adibuzzaman et al., 2017; Hong et al., 2018). For instance, ensuring that data is presented in the same context, type and format to facility processing efforts. Overall, big data has value for the health care industry through delivering evidence-based information to improve the performance of clinical systems. NURS 6051C Discussion: Big Data Risks and Rewards Essay.

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References

Adibuzzaman, M., DeLaurentis, P., Hill, J. & Benneyworth, B. (2017). Big data in healthcare – the promises, challenges and opportunities from a research perspective: A case study with a model database.
AMIA Annual Symposium Proceedings Archive
, 2017, 384-392. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977694/pdf/2731403.pdf NURS 6051C Discussion: Big Data Risks and Rewards Essay

Dash, S., Shakyawar, S. K., Sharma, M. & Kaushik, S. (2019). Big data in healthcare: management, analysis and future prospects.
Journal of Big Data
, 6, Article number 54. DOI: 10.1186/s40537-019-0217-0. Retrieved from https://journalofbigdata.springeropen.com/articles/10.1186/s40537-019-0217-0

Hong, L., Luo, M., Wang, R., Lu, P., Lu, W. & Lu, L. (2018). Big data in health care: applications and challenges.
Data and Information Management
, 2(3), 175-197. DOI: 10.2478/dim-2018-0014

Tavazzi, L. (2019). Big data: is clinical practice changing?
European Heart Journal Supplements
, 21(Suppl. B), B98–B102. DOI: 10.1093/eurheartj/suz034 NURS 6051C Discussion: Big Data Risks and Rewards Essay

NURS 6051C Discussion Week 3 – nurse informaticists Essay

NURS 6051C Discussion Week 3

In this Discussion, you will reflect on your own observations of and/or experiences with informaticist collaboration. You will also propose strategies for how these collaborative experiences might be improved.

To Prepare:

Review the Resources and reflect on the evolution of nursing informatics from a science to a nursing specialty.

Consider your experiences with nurse Informaticists or technology specialists within your healthcare organization. NURS 6051C Discussion Week 3 – nurse informaticists Essay

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Post
 a description of experiences or observations about how nurse informaticists and/or data or technology specialists interact with other professionals within your healthcare organization. Suggest at least one strategy on how these interactions might be improved. Be specific and provide examples. Then, explain the impact you believe the continued evolution of nursing informatics as a specialty and/or the continued emergence of new technologies might have on professional interactions.

 

NURS 6051C

How Nurse Informaticists Interact with other Professionals

In my healthcare organization, nurse informaticists and other technology specialists work to improve the accuracy, improve efficiency, eliminate unnecessary work, and ensure that the data analysis is meaningful in order to help other healthcare providers improve the quality of patient care (Darvish et al., 2014). Technology specialists and nurse informaticists in my organization belong to the IT department where they facilitate data integration, knowledge and information to support nurses, patients, and other healthcare providers during decision-making. Since they mostly spend most of their time in the IT department, the interactions with other healthcare providers are minimal. However, there are open lines where healthcare providers can directly contact the IT specialists in case of any technology hiccup such system breakdown. The main interactions between technology specialists, nurse informaticists, and other healthcare professionals occur electronically or when there is a scheduled physical meeting. This means that interactions are relatively minimal (Mi et al., 2017). However, nurse informaticists, IT specialists and other healthcare professionals in the organization share the organizational vision and understand the role of each other, towards achieving better patient outcomes.

Strategies to Improve the Interactions

Since technology specialists are located in a different office, and hence there are minimal interactions with other healthcare providers, interactions can be improved by implementing software that can facilitate interactions between healthcare providers and IT specialists. This can promote information sharing and assist team members to interact often even without physical meetings. The interactions can improve collaboration between healthcare professionals with technology specialists and nurse informaticists. The applications should have automated notifications to ensure that the appropriate team members get suitable communications at the appropriate time. In addition, social media platforms such as Facebook and WhatsApp can be used to facilitate interactions between technology specialists and other professionals. Through WhatsApp and Facebook groups, information can be shared about the latest technology developments and other professionals get a platform to ask questions and raise their concerns and challenges they might be facing with the technology (Smailhodzic et al., 2016). It is important to encourage different departments, and particularly the technology department to regularly post on the organizational blog page and share updates and news on their activities and latest developments. This will keep all staff members up-to-date and at the same time promote interactions. NURS 6051C Discussion Week 3 – nurse informaticists Essay

Impact of Evolution of Nursing Informatics and New Technologies on Professional Interactions

The continued evolution of nursing informatics and technologies are likely to reduce physical interactions among professionals. For instance, the technologies are likely to reduce physical meetings because information can be communicated electronically. Moreover, nurses and other healthcare providers use computers and information technologies to communicate and document clinical data, which is finally sent to the target audience electronically. This significantly minimizes physical interactions and hence reduces professional interactions (Mi et al., 2017). However, new technologies are likely to improve interactions electronically where professionals can even interact remotely and even discuss important clinical decisions while located in different geographical locations (Ramundo, 2015).

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References

Darvish A, Fatemeh B, Sara K & Mojdeh N. (2014). The Role of Nursing Informatics on Promoting Quality of Health Care and the Need for Appropriate Education.
Glob J Health Sci
, 6(6), 11–18.

Mi K, Coiera E & Magrabi F. (2017). Problems with health information technology and their effects on care delivery and patient outcomes: a systematic review,
Journal of the American Medical Informatics Association
, 24(2), 246–250.

Ramundo D. (2015). New technologies to enhance nursing practice.
NursCrit Care
, 7(3), 40-42.

Smailhodzic, E., Hooijsma, W., Boonstra, A. et al. (2016).  Social media use in healthcare: A systematic review of effects on patients and on their relationship with healthcare professionals.
BMC Health Serv Res
, 16(442). doi:10.1186/s12913-016-1691-0. NURS 6051C Discussion Week 3 – nurse informaticists Essay

NURS 6051C knowledge worker in Nursing assignment

NURS 6051 C Assignment 1

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, 
The Landmarks of Tomorrow
(1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar? NURS 6051C knowledge worker in Nursing assignment

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Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways. NURS 6051C knowledge worker in Nursing assignment

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

Review the concepts of informatics as presented in the Resources.

Reflect on the role of a nurse leader as a knowledge worker.

Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

Explain the concept of a knowledge worker.

Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

Develop a simple infographic to help explain these concepts.NOTE: For guidance on infographics, including how to create one in PowerPoint, see “How to Make an Infographic in PowerPoint” presented in the Resources.

Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses. NURS 6051C knowledge worker in Nursing assignment

 

Make sure to include detailed speaker notes and follow the grading rubric closely, as I will be grading according to the grading rubric.

Tip:  ALWAYS include detailed speaker notes when developing a PowerPoint.  This is VERY important. NURS 6051C knowledge worker in Nursing assignment