Disseminated intravascular coagulation: Adult-gerontology patients often present with signs and symptoms that may differ in subtle or in significant ways from non-adult-gerontology patients when they are injured or develop an illness or disease. Select a complex blood disorder or hematology: I choose Disseminated Intravascular Coagulation. Provide a 1,250-word essay inclusive of the following: 1. In what ways does an adult-gerontology patient typically present with this condition or disease that is different from how other patient populations might present? How and why is this significant? 2. What is the pathology of the altered presentation for the condition or disease you selected? How and in what ways might this differ than how it presents in a non-adult-gerontology patient? 3. What other comorbidities could impact treatment and care options for this condition. What alterations in treatment and care would apply due to comorbid factors? 4. What considerations must the acute care nurse practitioner adhere to in the management and treatment of the condition or disease process due to the fact that the patient is an adult-gerontology patient? Note any essential precautions or care delivery requirements that apply. 5. What type(s) of education would you provide to the affected patient in order to prevent these injury, illness, and diseases from occurring again? How will you deliver this information to the patient? Answer the questions and support your management plan with a minimum of three peer-reviewed references in addition to the course materials. Apa style 6th Ed. writing required. Added as an download is some of the text book text that you can use
just answer the question below and give reference but no essay format needed You are tasked with developing an insulin protocol for your patient. Discuss some of the key components you would include. What will be your recommended blood glucose target range? Provide literature that would identify ethnic, cultural, and genetic differences in patients, and how this may affect the safety or efficacy of medications used. Support your recommendations with the most current evidence and treatment guidelines.
Is a new business such as a strip mall or a pharmaceutical company that will employ young professionals and increase a town’s tax revenues sufficiently public to justify moving old people out of a home that has been in the family for generations? How about a casino for an Indian tribe that forces farmers to give up their land?
Then consider this hypothetical situation:
Your town has been struggling to keep pace with increasing demands for revenue for police, fire, schools, and other essential infrastructure and services. Much of its manufacturing capacity has been outsourced overseas to cheaper labor markets in China and India, resulting in high local unemployment. For that reason, many of the town’s young people have decided not to return after college, leading to a downward economic spiral.
A local Indian tribe has resided for years on a small reservation outside of town. Recently the laws in your state have changed to permit full Las Vegas-style gambling but only on Indian land.
You are a town council-person asked to argue your position on a bill that would take a large swath of private land owned by farmers and give it to the tribe. Compensation would be paid to the farmers as constitutionally required, but many farmers do not want to leave the land which has been in their families for generations.
Assignment
Write a 3–4 page double-spaced position-paper in which you
State whether you believe the town should exercise eminent domain, and Support your belief with economic, social, historical, and ethical arguments, including using the readings and internet research on eminent domain. Submit your position paper to the Dropbox by the end of Unit 7.
create a PowerPoint presentation of 10-15 slides in which you compare the pros and cons of continuing nursing education related to the following:
Impact on competency. Impact on knowledge and attitudes. Relationship to professional certification. Relationship to ANA Scope and Standards of Practice. Relationship to ANA Code of Ethics.
A minimum of three scholarly sources are required for this assignment
RUBRIC: ( Please follow) -Thoughtfully compares most of the pros and cons of continuing nursing education related to the impact on competency, and supports comparisons with logical reasoning and research. Clearly and persuasively presents group's position on continuing nursing education, and draws support from specific examples from the pro/con comparison. -Thoughtfully compares most of the pros and cons of continuing nursing education related to the impact on knowledge and attitudes, and supports comparisons with logical reasoning and research. Clearly and persuasively presents group's position on continuing nursing education, and draws support from specific examples from the pro/con comparison. -Thoughtfully compares most of the pros and cons of continuing nursing as it relates to professional certification, and supports comparisons with logical reasoning and research. Clearly and persuasively presents group's position on continuing nursing education, and draws support from specific examples from the pro/con comparison. -Thoughtfully compares most of the pros and cons of continuing nursing education related to the ANA Scope and Standards of Practice, and supports comparisons with logical reasoning and research. Clearly and persuasively presents group's position on continuing nursing education, and draws support from specific examples from the pro/con comparison. -Thoughtfully compares most of the pros and cons of continuing nursing education related to the ANA Code of Ethics, and supports comparisons with logical reasoning and research. Clearly and persuasively presents group's position on continuing nursing education, and draws support from specific examples from the pro/con comparison. -The layout is visually pleasing and contributes to the overall message with appropriate use of headings, subheadings, and white space. Text is appropriate in length for the target audience and to the point. The background and colors enhance the readability of the text. -Title slide is complete. References section includes correctly cited sources. Correct citations are included within the body of the presentation.
you will define the behavioral theory and the systems theory (make sure to cite your reference).
2. you will compare and contrast the two theories.
3. you will choose one of the two theories and relate it to a case/or situation related to a field placement experience. " YOU WILL HAVE TO MAKE UP A SITUATION AND CHOOSE WHICH THEORY TO USE".
Discussion posts must be at least 200 words in order to receive credit for the assignment. Make sure to utilize confidentiality when addressing agency clients, employees, information, etc. Please read over assignment prior to submitting to avoid grammar errors, spelling error, formatting errors, etc.
1. In a hospitalized patient due to serious illness, the patient is placed on IV antibiotic for prolonged period of time, say 14 days. Does Vitamin K has role to be a part of the patient's management? If it has a role, why and how it should be given?
2. Patient developed resistance to resistant antimicrobial agents. What are the factors that lead to resistance? What is the mechanism involved in bacterial resistance?
Written Assignment Guidelines 1. Instructions a. Be sure to read through this document and comply with all instructions b. Read each assignment guidelines carefully to ensure you comply with all the requirements c. Review each grading rubric as you work on the assignment to ensure you earn the most points for your hard work d. Save each document as – your last name and name of document i. i.e. Smith Group Presentation e. Only Word documents will be accepted; do not save and submit as PDFs f. Submit to appropriate Drop Box by due date in above format
2. Evidence-Based Practice APA Paper Guidelines Topic: CAUTI
d. Paper requirements i. Correct APA format – utilize all available resources ii. Contents 1. Title page 2. Reference page 3. No abstract is needed 4. Body of paper (excluding title and reference pages) is to be 500 – 750 words iii. Two main points as Level One headings 1. First main point is the topic you chose, i.e. Central Line Associated Blood Stream Infection 2. Second main point is Recommendations and Best Practices iiii. References must include 1. nursing today: transition and trends: zerwekh & garneau - 9th. edition 2. One professional nursing journal article with the following requirements a. Peer reviewed b. First author is a nurse c. At least 3 full pages in length d. Dated between January 2013 – Present 3. One other ‘scholarly’ source; i.e. professional organization, CDC,
I. Introduction A. Provide an attention grabber Indentify topic Give background summary State purpose of your essay State thesis of your argument II. Summary of Opposing Position III. Limitations of Opposing Position A. Limitation 1 of Opposing Position B. Limitation 2 of Opposing Position C. Limitation 3 of Opposing Position (Each limitation should have its own paragraph. There can be more than 3 limitations.) IV. Your understanding of the issue V. Reasons that your understanding is stronger A. Reason 1 B. Reason 2 C. Reason 3 (Each reason should have its own paragraph. You can have more than 3 reasons.) VI. Conclusion VII. Works Cited list
Use similes, metaphors, and analogies when describing your position. Make your essay interesting!
Define unfamiliar or ambiguous terms and maintain that definition throughout the essay. Do not equivocate.
Enhance your argument by adding a descriptive title and one of the following: photograph, illustration, graph, diagram or chart, or embed a Youtube video, TED talk, etc. Use the standard manuscript format—double spaced, Times New Roman, 12 pt. type—including numbering the pages and providing your information in the top right corner of the first page.
COURSE PROJECT OVERVIEW Objectives Apply knowledge gained pertaining to healthcare services in the United States, users of health information, health information functions, information systems or technology, and their use in healthcare. Analyze healthcare technologies and systems in terms of their strengths, weaknesses, and overall benefits to the organization and patient care.
Guidelines For the Course Project, you are asked to research a healthcare organization, health information functions, and information technology used at this facility. Your report should identify the type of healthcare setting, identify services offered, identify users of health information and their needs, discuss how user needs are met, describe health information functions performed at this organization, and describe at least one information system used in this facility along with the system's functions and role in healthcare delivery. Application of knowledge attained in this class will support your ability to critically analyze your findings, to assess the strengths and weaknesses of this organization's health information technologies, and provide recommendations for improvement as may be appropriate to the situation.
Examples of the types of healthcare organization that may be appropriate subjects for this type of project include hospitals, hospital systems, integrated healthcare systems, multispecialty medical clinics, physician practice offices, ambulatory surgical centers, mental health service providers, public health clinics, rehabilitation or long-term care facilities, insurance companies, pharmacies, Urgent care clinics, etc. The organization chosen must be complex enough to offer sufficient challenge and must be realistic in terms of information available at a level needed to complete the project in the required time frame. For example, an assisted living facility that does not make use of information systems would not be appropriate for this project.
There is no need to, nor would it be appropriate to access any confidential patient information in order to complete the project.
The best learning experience is obtained when you go through a dynamic communication process with people in the chosen healthcare organization. It is preferred that you interview someone who works in health information management (HIM director, coder, someone in the registration area, someone working with health information systems, release of information, billing, etc.); however, interviews with physicians, nurses, or other clinicians or administrative assistants will work, too. Yes, it may take several attempts and different modes of communications to secure an interview but you need to be persistent, proactive, and adaptive in order to achieve your goal: the interview. If your communication attempts and/or completion of the interview fails, you may consider using your own experience in using health information systems, or research AHIMA resources, articles, and case studies available online or library resources. In such cases, reach out to the professor for more guidance.
For successful completion of the project, please follow the guidelines below and comply with the criteria listed in the grading rubric for deliverables, organization, grammar, and resourcefulness.
Describe and analyze the chosen healthcare facility. Location - where is the organization located. Type of setting - acute care hospital, skilled nursing facility, physicians office, surgical center, insurance company, etc. Size of the facility - research the number of beds if applicable or other information on the size. Ownership - private, government owned, proprietary, voluntary, etc. Population served Services offered Any accreditation or certification facts (You can find these from the organization's website, by searching accrediting organizations, such as The Joint Commission at https://www.jointcommission.org/ , https://www.qualitycheck.org/ or DNV GL Healthcare at http://dnvglhealthcare.com/hospitals or by asking questions during the interview). Work on this section after completing Week 2 content and reviewing Chapter 2 -
Describe users of the health information and health information management functions at this organization. Internal users, such as physicians, nurses, administrators, coders, support services, therapists, pharmacists, etc.) External users depending on the type of the facility, such as accrediting agencies, payors, state department of health, CMS, and others as applicable. Patients - do they access health information through a patient portal. Explain whether this facility has paper medical records only, electronic only, or both/hybrid. Describe how users access these records (in whatever format). Describe health information functions performed at this organization such as patient registration, master patient index, quality checks, record filing, scanning, retrieval coding, billing, record storage, release of information, dictation, claims processing, health information transmission, registries, data abstraction, auditing, data transfer, patient education on using the patient portal, etc. (Note that not all of these functions may apply depending on the type of organization. You need to figure out as much as you can which ones apply and clarify that in your writing.) Identify any health information functions that may be outsourced and performed by another company or vendor. If possible, obtain the name of that company. Based on what you learned (through your readings, research, and the interview), share your interest in the health information functions - which ones seems more appealing to you at this time; why; what would you need to do to work in such function; and any other comments. Work on this section after completing Week 3 content and reviewing Chapters 1 and 3 - Draft due on Week 4, Final Project due on Week 7. Describe information technology or information systems used in the facility. Identify the name of the system and the vendor (e.g., Chart Locator software by 3M, Sunrise software by Eclipsys, etc.). If you have chosen to describe a technology, identify its name, such as Picture Archiving and Communication Technology (PACS). Describe the system as explained by the interviewer or other sources of information. Consider the following questions or prompts in your description: What is the purpose or function; what does the system do? For example: registration, billing, coding, computerized physician order entry [CPOE], nursing notes, picture archiving communication system [PACS], medication administration, e-prescribing, claims processing, finance system, etc.) What type of data is entered in it; where does the data come from (manual entry, transfer from another system, etc.); what does the system do with that data (store only?; allows editing?, allows updates?; enable transmission to another organization?) Does the system generate any reports; does it have any analytical tools? If so, how is it used in decision-making? Is this system considered part of the electronic health record (EHR)? If so, based on your knowledge, comment on whether the system would be considered a source, core clinical "EHR", supporting infrastructure, or connectivity system. Does the system connect to or interface with other systems? If so, which ones? What does that connection or interface do? Why is it needed? Is the system user friendly (easy to use)? Is the screen layout efficient? Is the system secure? Does the system have built-in tools to assure data completeness and accuracy? Does the system go down often? Do vendors support the maintenance and updates of the system? What do users do if they have a problem or a glitch? Who helps them resolve it? Classify the system (to the best of your ability) based on the description you are given (e.g., clinical, administrative, decision support, transaction-processing, MIS, EIS, etc.) and what you have learned from Sayles, chapters 14 and 15. Describe strengths (e.g., ask about benefits of using this system; has it made a difference in the way care is delivered and decisions are made?). Describe weaknesses (e.g., functions that the system does not currently perform and you would like it to perform). Ask the interviewer on whether he/she has been involved during the systems development life cycle (SDLC). If so, try to learn about their input or impressions from that involvement. It could have been something related to planning, implementation, training, conversion, participation in a demo from a vendor who designed the system, etc. Try to find out if the organization is part of a health information exchange (HIE). Also, try to find out if the organization is engaged in a recent AHIMA initiative, called information governance. Write your findings. Ask if it is possible to see copies of a screenshot, policies and procedures, brochures, training guidelines, or anything else that they may be willing to share. Keep in mind that these are not required and you definitely, do not need to submit these as part of the project. They may simply help you gain better understanding. Identify any opportunities for improvement (based on what you learned from the interview, identification of weaknesses, additional research, or your knowledge about systems). Work on this section after completing Weeks 4 and 5 content and reviewing Chapters 11 and 12 - Draft due on Week 4, Final Project due on Week 7.
Provide final comments and conclusions. Summarize your findings about the organization. Summarize your findings about the health information functions. Summarize your findings about the system or technology described. Comment on your experience in reaching out to the organization and securing the interview (how difficult it was and what it took to achieve your goal). Reflect on your overall feelings and learning experience as a result of working on this project. Suggest working on this section after completing all other sections of the project -
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