Provide an overview of the Meaningful Use program and an analysis of the implications for nurses, nursing, national health policy, patient outcomes, and population health associated with the collection and use of Meaningful Use core criteria. Recommend additional core criteria not presently identified for Meaningful Use collection in Stages 1 or 2 (lists of criteria may be found at cms.gov) that you feel would be beneficial for nurses, nursing, monitoring population health, setting national health policies, and/or improvements in patient outcomes or population health, providing your evidence for your recommendations.

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Meanigful Use for Nurses : Implications and Recommendations

Meanigful Use for Nurses : Implications and Recommendations

Order Description

Please follow these requirements:

Provide an overview of the Meaningful Use program and an analysis of the implications for nurses, nursing, national health policy, patient outcomes, and population health associated with the collection and use of Meaningful Use core criteria. Recommend additional core criteria not presently identified for Meaningful Use collection in Stages 1 or 2 (lists of criteria may be found at cms.gov) that you feel would be beneficial for nurses, nursing, monitoring population health, setting national health policies, and/or improvements in patient outcomes or population health, providing your evidence for your recommendations. If you feel that no additional criteria are necessary, provide your evidence-based rationale for your argument. Conclude with insights gained from this assignment. A minimum of three outside scholarly resources is required—texts may be cited but are NOT included among the minimum of three outside scholarly resources.(less than 5 years)

Preparing the paper

1. Required texts may be used as references, but a minimum of three sources must be from outside course readings.

2. All aspects of the paper must be in APA format as expressed in the 6th edition.

3. The paper (excluding the title page and reference page) is 5–7 pages in length.

4. Ideas and information from professional sources must be cited correctly.

5. Grammar, spelling, punctuation, and citations are consistent with formal academic writing.

 

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Include relevant normal and abnormal findings; provide complete ABGs with interpretation Medication    Medication    Medication Augmentin 875/125mg 1 tab po q12hrs x 6days for surgical sit prophylaxis. Ondansetron (zofraninjection)  2 mg/ml injection 2ml, iv push,Q6h PRN for nausea/vomiting.

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PROBLEM LIST

PROBLEM LIST

Order Description

This care plan problem list i s based on a patient which information of the patient will be providing on the patient DATA PROFILE and please MUST USE for this assignment. also I will be providing EXAMPLE FROM THE TEACHER, BUT NOT THE SAME PROBLEM. also A BLANK TEMPLATE WITH FOUR PROBLEMS WITH THE NURSING DIAGNOSES as stated inside the template. 1 ABDOMINAL PAIN 2 POOR APPETITE 3 VERTIGO 4 SKIN. PRIORITIZE the answer when doing.

/COMPLETED Clinical Assignment due within ONE week of the date of care.
Points will be deducted for late submissions.
Clinical Assignment Number: _2 _
Student Name: CHINYERE JULIET  OGUAYO _
Date of Submission: __3/17 /15_
12, please see comments, need correction to key problems and nursing diagnoses.    Date of Admission: _3/11/15__
FROM:  ER_807_ Unit _800_
Other facility: __PG HOSPITAL_______
Date of Care:
Patient Initials:         G  M                                        Age: 75                         Gender:  FEMALE

Reason for Hospitalization:
Abdominal pain, Perforated Diverticulitis
Surgical Procedures with dates:  post day 4 Exploratory laparotomy, with sigmoidectomy, colostomy on the left abdomen, and Hartmann’s procedure/end colostomy. 3/8/15, Post menopausal hormone replacement at the age of sixty.
Admitting Medical Diagnosis: Abdominal pain, Perforated Diverticulitis Vitamin –D deficiency

Current Medical Diagnosis: Abdominal pain, Perforated Diverticulitis. Vitamin-D deficiency, vertigo,

Past Medical & Surgical History:  CVA, 3 years ago, post menopausal hormone replacement at the age of sixty one 14 years ago.  vertigo
Smoking History: Formal smoker, quit more than one year ago

Allergies: Patient stated no drug or food allergies known.

Psychosocial and Cultural Assessment

Marital Status:  0 married     0 single     0 divorced     0  partnered     0 widowed
Occupation (if retired, list previous):  Was Elementary school teacher for 36 years. Retired 15 years ago.
Mood/Affect:  calm but looks drowsy.
Ethnicity:  African American.
Other relevant psychosocial and cultural data:  Has two children, one is a medical doctor, (OBGYN), with one daughter that is in pre med school. Another is a college chemistry professor, also has one daughter and two grand children. Her husband died of colon cancer 5 years ago at the age of 77 years old, also was a retired social worker and a deacon at the church. Her both parents died at the earlier age. Has one brother with the hx of CVA, HTN, and Never use any ETOH/substance abuse.

Advance Directives (Nursing Admission Assessments)

Do not resuscitate (DNR) order:  0 yes  0 no          Living will:  0 yes   0 no

Physical Assessment Data?RANGE OF FINDINGS (ESPECIALLY IF UNSTABLE)
ASSESSMENT PARAMETER    FINDINGS
Temp:
7:30am  99.9
10:00am  98.7          (3/11/15)
12:00am 98.3
HR
7:30am 76
10:00am  84                  (3/11/15)
12:00am 86
RR:
7:30am 18
10:00am 18                     (3/11/15)
12:00pm 20
SpO2 (pulse oximetry):
7:30am  97%  room air
10:00am  98% room air                     (3/11/15)
12:00am 98% room air.
BP:
7:30am 136/67 position lying l/arm
10:00am 128/ 59 position sitting l/arm  (3/11/15)
12:00pm 124/60, position lying l/arm
PAIN Assessment:
TYPE OF PAIN SCALE:    (Note location, intensity etc.) At the time of assessment patient verbalized no pain round the stoma and surgical site pain 0/10. patient stated the “nurse gave me Percocet an about one and half to two house ago this am ok for now”

Height 66.0 method wing span.    Weight:   166lbs 11 oz (75.60kg) lying down bed scale.   3/11/15
BMI: 26.8
CHANGE from BASELINE?  How much? + or –Mrs GM is overweight. Normal weight range would be from 115to 150 pounds.
Hemodynamic Monitoring
(IF APPLICABLE)    n/a
Swan Ganz catheter:
location, waveform, dressing, readings:    n/a
Arterial line:
location, waveform, dressing, Allen’s sign:    n/a
Balloon pump:
location, dressings, settings, distal pulses    n/a
REVIEW OF SYSTEMS
Briefly describe assessment finding in the areas outlined below.
Include any additional abnormal findings that are not listed below.

Physical Assessment Data?RANGE OF FINDINGS (ESPECIALLY IF UNSTABLE)
Psychosocial:
Anxiety level:
Calm, look drowsy but verbalized concern of been in the hospital,  alert and oriented x 3
Visitors/support systems:
Two children are very involved and supportive said patient.
Neurological:
Glasgow coma scale (explain any deficiencies)    Total 15.

Pupils (size/ reaction/ consensual):     Rt:  3mm       PERL                              Lt: 3mm  PERL
Movement of extremities:
Unable to assess for the gait at the time, patient stated she can walk to the bathroom but not at the time, however bed pan was offered to the patient before the assessment.  And strongly able to move all extremities with no pain verbalized..
BIS monitor reading:    n/a
Other:    Patient alert to person, oriented to place, oriented to time (3/117:30), however look drowsy.

Skin and Mucous Membranes:
Color:
Pink
Temperature (route):
7:30am 98.9 Axilla
10:00am  98.3 oral
12:00am 98.7 oral. warm to touch equal
Edema (specific location and grade):    No edema present on assessment.
Wounds/incisions/drains
(including location, dressing, drainage):    Colostomies on the left abdomen stoma with surrounding tissue pink in color, Tx change bag every day and PRN. middle Abdominal wound surgical incision site pink in color with 10 staples intact no drainage , no odor, no swelling noted Dehiscence measurement11x 2×6.5cm. Treatment wet to dry dressing twice daily and PRN. patient albumin level 4.8g/dl
Other:
Cardiovascular:
ECG rhythm    n/a
Heart sounds:
Clear on auscultation, no murmurs, rubs or gallops, no edema.
Pulses(specific location and grade)::    2+ Redial pulses bilaterally and 2+ dorsalis pulses bilaterally.
Pacemaker:         rate/mA/sensitivity: n/a
IV sites   (List location, type of line, dressing appearance, fluid/rate)

Periphery line to the right for arm. Site no s/sx of (infection) no redness, no swelling observed.  Ondansetron (zofraninjection)  2 mg/ml injection 2ml, iv push,Q6h PRN for nausea/vomiting.
Other:
Gastrointestinal:
Abdomen (inspection):
Non distended,  no masses/tenderness, no organomegaly, no hernias, however     Colostomy on the left lower abdomen,   middle Abdominal wound surgical incision site pink in color with 10 staples intact no drainage  noted, Dehiscence measurement11x 2×6.5cm. Treatment wet to dry dressing twice daily. Patient albumin level 2.4g/dl.
Bowel sounds:
Present in all quadrants. Colostomy bag with gas, small loose but not diarrhea in the bag
Diet:
Apetite:    Patent was on NG tube progressed to clear liquid, than just started this morning on regular diet, appetite poor, ate only 25 % breakfast, and lunch only 15% .
Tube feeding (rate and type):                                    n/a                                            Residuals:
Ostomy (site and appearance):    Pink tissue round surrounding site.
Stools:    Colostomy bag with small loose but not diarrhea in the bag
Other:    n/a
Genitourinary:
Urine (color, odor, character):
Clear  yellow no odor urine
Catheter:
n/a
Conduit:    n/a
Dialysis access:
n/a
INTAKE/OUTPUT
(24 hour total)    INTAKE:              PO: about 240cc            IV:n/a                     OUTPUT: voided x 3, bed pan offered
Respiratory:
Artificial airway:    n/a
ET tube (size):
(cm/mark-taped at teeth/gumline):   n/a
Ventilator settings:
n/a
O2 saturation %:
7:30am  97%  room air
10:00am  98% room air  (3/11/15)
12:00am 98% room air.
Supplemental O2:
2L N/C PRN, not in use at the time of assessment.
Rate/depth/pattern/effort:
Regular, Even and unlabored. RR 18-20.
Breath sounds:
Clear and Unlabored, symmetrical.
Sputum:
Moist clear white
Chest tubes (location, drainage, amount of suction):
n/a
Other:    n/a

Diagnostic Tests
Include relevant normal and abnormal findings; provide complete ABGs with interpretation

Medication    Medication    Medication
Augmentin 875/125mg 1 tab po q12hrs x 6days for surgical sit prophylaxis.
Ondansetron (zofraninjection)  2 mg/ml injection 2ml, iv push,Q6h PRN for nausea/vomiting.

Percocet 5/325mg 2 tab po q4hrs prn  for pain     Ibuprofen 600mg po 1 tab 4 times daily for pain

Meclizine 12.5mg po 1 tab po tid for vertigo    Phenol 1.4 %throat spray 180ml (chlorasptic GEQ) 1 spray po prn for sore throat.

Premarin 625 1 tab poqhs, For post menopausal hormone replacement.

Asprin 81mg po 1 tab dail, for cva prophylaxis.

Vitamin D2 50,000iu cap po twice a week.
For vitamin D deficiency.

Daily MVI 1 tab daily for supplement

PART II: Key Problems and Associated Nursing Diagnoses
Directions: Based on the completed, corresponding patient data profile, do the following:
1)    select 4 key problems
2)    select 4 associated nursing diagnoses
3)    prioritize the selections

PRIORITIZE
(label 1-4)    KEY PROBLEM    NURSING DIAGNOSIS

1
Abdominal pain     Acute pain

2
Poor appetite    Imbalanced nutrition less then body requirements.

3
Vertigo
Risk for falls

4
Skin    (Patient has colostomy and abdominal surgical incision)     Risk for impaired tissue integrity

 

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Discuss the consequences associated with Post – Traumatic stress disorder (PTSD) and the Different psychotherapies treatments and pharmacological interventions for PTSD. Discuss the role of a registered nurse in the recovery of patients with PTSD

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assignment report

assignment report

Order Description

Assignment (Report)
Choose one (1) of the tutorial presentation topics and produce an in-depth written report on a question related to the chosen topic. You must choose a different topic to the one you have been allocated to present on. The list of topics is available on 302 subject Moodle site.
You are required to develop one (1) question related to your topic. From this you are to write a report investigating the question. Your report will include a section discussing recommendations for nursing practice.
Major Components of a Report
-Title Page
-Abstract
In a maximum of 200 words provide a precise summary of the whole report.
-Table of Contents
A list of the major and minor sections of your report.
-Introduction
Set the scene; give background information about the topic to establish why the report is important and to lead the reader to your research question.
Identify your question. State the aim/purpose of the investigation.
-Main Body
Discuss and critically analyse the evidence you have gathered to address your question.
Organise the sections with subheadings in a logical sequence to explore: what you investigated; what you found; and what interpretations and judgements can be made from the literature.
-Implications for Nursing
What is relevance of your discussion to mental health nursing practice? Utilise literature to explore implications.
-Conclusion
Conclude the whole report.
Provide a precise summation of the significance of your report and what has been learned.
-References
A list of all the sources you have used.
-Appendices
Any information (graphs, charts, tables or other data) you used in your report but did not include in the body.

Assignment (Report)
Task Description    Choose one (1) of the tutorial presentation topics and produce an in-depth written report on a question related to the chosen topic. You must choose a different topic to the one you have been allocated to present on. The list of topics is available on 302 subject Moodle site.
You are required to develop one (1) question related to your topic. From this you are to write a report investigating the question. Your report will include a section discussing recommendations for nursing practice.
Major Components of a Report
-Title Page
-Abstract
In a maximum of 200 words provide a precise summary of the whole report.
-Table of Contents
A list of the major and minor sections of your report.
-Introduction
Set the scene; give background information about the topic to establish why the report is important and to lead the reader to your research question.
Identify your question. State the aim/purpose of the investigation.
-Main Body
Discuss and critically analyse the evidence you have gathered to address your question.
Organise the sections with subheadings in a logical sequence to explore: what you investigated; what you found; and what interpretations and judgements can be made from the literature.
-Implications for Nursing
What is relevance of your discussion to mental health nursing practice? Utilise literature to explore implications.
-Conclusion
Conclude the whole report.
Provide a precise summation of the significance of your report and what has been learned.
-References
A list of all the sources you have used.
-Appendices
Any information (graphs, charts, tables or other data) you used in your report but did not include in the body.

Assessment Due Date     Wednesday, 30 March 2015 (Week 5)
Length     2000 words
plus 200 word abstract
Total: 2200 words (not including reference list)
Return Date to Students     Refer to subject outline for details
Weighting
Assessment Criteria     Refer to marking guide for details
Referencing Style     Refer to subject outline for details
Submission     Refer to subject outline for details
Subject Learning Outcomes Assessed     A C D E F G H I

Chosen topic is Post – Traumatic Stress Disorder
Developed question
Discuss the consequences associated with Post – Traumatic stress disorder (PTSD) and the Different psychotherapies treatments and pharmacological interventions for PTSD. Discuss the role of a registered nurse in the recovery of patients with PTSD

 

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1. Which of your listed assets do you think would best meet the needs of the nursing plan for the community? Why? 2. Which of your potential partners do you think would be best suited to the nursing plan for the community? Why?

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Chisholm community in Mn assets

Connecting Assets and Choosing Your Community Partner

It is now important for the community nurse to evaluate the assets (resources) of the various potential partners.

Specific to your listed assets (resources) and potential partners answer the following questions and formulate the script as mentioned in item #4. The completed script forms a large part of your professionally written paper (APA format) and should include:
– a title page,
– discussion within body, and
– reference page
Support your responses with scholarly sources of information mostly from peer-reviewed nursing journals. You may also include some scholarly sources from other disciplines.

1. Which of your listed assets do you think would best meet the needs of the nursing plan for the community? Why?

2. Which of your potential partners do you think would be best suited to the nursing plan for the community? Why?

3. Are the needed assets all owned by one of your potential partners? If not, what other potential partner could be contacted? (It is not necessary that all assets come from one potential partner i.e., space from one, paper for fliers from another, etc.). However, it does mean that the community health nurse may have to contact other potential partners to fill in the gap.)

4. Formulate a script to follow for discussion with your potential community partner. This segment will help you discuss your thoughts in a smooth manner without “losing your place” in discussion. You should include information from items 1, 2 & 3 above in your script. (Chapter 13 in your textbook will be helpful.) The script should cover:
A. Briefly, why you are contacting them. (who you are, etc.)
B. A synopsis of your community assessment.
C. Your priority health risk hazard.
D. The goal for the community’s health (prevention or current need).
E. Your plan/intervention/strategy, you think will impact change (and why).
F. Where they fit into the plan. (Present this in a positive light and with honesty, you
want their help.)
G. What are their thoughts and suggestions?

 

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Write a 6-8 -page paper (excluding title and reference page) following Parker and Smith’s guide for “Using Insights to Choose Theory” found in the text. Include in your discussion: 1. What nursing theory seems consistent with the values and beliefs that guide my practice? 2. What theories are consistent with my personal values and beliefs?

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Using Insights to Choose Theory

Using Insights to Choose Theory

Order Description
Assignment 1: “Using Insights to Choose Theory” paper. (9 points)

Purpose: To evaluate a nursing theory consistent with your values, beliefs and nursing practice.

Course objective:
1. Analyze the relationship between theory, practice and research.

Directions:

Choose a middle range nursing theory that you believe resonates with your values, beliefs, and nursing practice, to analyze and consider for guiding your nursing practice.

Write a 6-8 -page paper (excluding title and reference page) following Parker and Smith’s guide for “Using Insights to Choose Theory” found in the text. Include in your discussion:
1. What nursing theory seems consistent with the values and beliefs that guide my practice?
2. What theories are consistent with my personal values and beliefs?
3. What do I hope to achieve from the use of nursing theory?
4. Given my reflection on a nursing situation, how can I use theory to support this description of my practice?
5. How can I use nursing theory to improve my practice for myself and for my patients? (Parker & Smith, 2010, p. 27)

This is a reflective assignment; however you will need to give supporting evidence for your statements.
This assignment is due according to the date posted on the Activities and Assignments Schedule. Assignments turned in late without previous approval or notification will receive a 10-percentage deduction for every day the assignment is late. See rubric for the assignment.

NOw these are professor recommendations how she would like the paper:
1. Paper format (i.e. You can modify as you desire. You may want to incorporate the discussed information to aid in topic discussion clarity.)
• Introduction – Speak to the topic you selected. Include literature to support the topic rationale. Explain the purpose for the paper. For example, “This paper will address the following topicsL (1)…… (2)….., etc). Remember to elaborate on the topic of interest throughout the paper. The introduction provides you with an opportunity to capture your reader’s attention by indicating what the paper will be about and how you will be describing something or arguing a point. Begin your introduction with an attention grabber (i.e. summary information, anecdote, or starting information). If the attention grabber is only a sentence or two, add one or two more sentences that will lead the reader from your opening to your problem statement or interest statement. Usually a statement at the end of your introductory paragraph delineates your paper, such as: This paper is about/will show (add your paper’s main points); will suffice.
2. Body comments (Background )
• Do not use one-sentence paragraphs
• Elaborate by quoting (APA only) authoritative sources, paraphrase scholar publications or give an analogy.
• Well-constructed paragraphs will help you to attain clarity at the sentence level. A paragraph is a short collection of sentences dealing with a single idea. Each sentence in a paragraph should serve to promote the main idea by saying more about it, illustrating it, or summing it up. A well-written paragraph has unity, because it is about one idea, and order, because the sentences are arranged in a way that logically develops the topic of the paragraph. The acronym SEES may help you write a better paragraph. S = Short sentence that states the main idea. E = Explanation of the main idea in more detail. E = Example or quotation given to illustrate the main idea. S = Sum up the main idea in a way that leads on to the next paragraph.
• Sum up the main idea in a way that leads on to the next paragraph. You should strengthen the paragraph’s final sentence as it draws together your thinking by relating it back to the paragraph’s topic sentence.
• You may wish to incorporate additional citations than what’s recommended for topic clarity (i.e. not required, recommended).
• Watch for lengthy sentences. Break up your sentences into two sentences for greater clarity.
• Provided stats to support your topic of interest (i.e. CDC, NIH, etc.)
• Evaluate if your research or topic has been applied to your area of interest and elaborate.
• Incorporate if applicable Healthy People 2020. Especially, if you are speaking to outcome measures in research (i.e. recommendation, optional).
3. Problem Statement
• What’s the rationale for this topic of interest?
• How does affect the hospital, community, patient outcome, practice, etc.?
• Elaborate on the problem significance in relations to others if applicable.
4. Literature Revies
• Is there literature to support your topic of interest?
• Incorporate if possible literature that has been applied to your area and others.
• You can use more than the A&A guidelines requested (5 citations). Use literature to best explain your area of interest.
• Allow the literature to be within the last 10 years. No literature greater than 10 years.
• Refer to the 6th edition APA manual for best written citations. Be care with missing APA citation fwith quote.
5. Workplace Application
• How can the topic of interest be applied to your workplace?
• Do your workplace have a vision or mission statement that incorporate your topic of interest?
• Can you hospitals general vision and mission statement reflected of your unit vision or mission?
• Provide examples, for instance: “The large Metropolitan hospital services underserved populations of high risk diabetics. Three-thirds of the patients represents both male and female over 50 years of age. The hospitals vision and mission enhances community engagement thru patient education, web-based initiatives, home health visitation, family-driven insight, etc. These components are based on the “Patient-relationship” theory or concept. Etc.”
• Incorporate the area of your expertise to enhance the topic concept and your selection of it.
6. Professional Collaboration Through Practice Outcomes
• The paper has identified the significants of professional engagement, theorical understanding, research support, etc. You can select the significants that fit your topic or write another.
• What contribution has or can you provide as an APRN? If applicable.
• Does your professional vision and mission fit the institutions? (if applicable)
7. Conclusion
• You can benefit from a stronger conclusion. A paper’s conclusion should return to the main idea and summarize it. Then summarize the main points of each paragraph. Simply review the main points (being careful not to restate them exactly). Subsequently, making a final point for the reader to think about.
Order Description

Assignment 1: “Using Insights to Choose Theory” paper. (9 points)

Purpose: To evaluate a nursing theory consistent with your values, beliefs and nursing practice.

Course objective:
1. Analyze the relationship between theory, practice and research.

Directions:

Choose a middle range nursing theory that you believe resonates with your values, beliefs, and nursing practice, to analyze and consider for guiding your nursing practice.

Write a 6-8 -page paper (excluding title and reference page) following Parker and Smith’s guide for “Using Insights to Choose Theory” found in the text. Include in your discussion:
1. What nursing theory seems consistent with the values and beliefs that guide my practice?
2. What theories are consistent with my personal values and beliefs?
3. What do I hope to achieve from the use of nursing theory?
4. Given my reflection on a nursing situation, how can I use theory to support this description of my practice?
5. How can I use nursing theory to improve my practice for myself and for my patients? (Parker & Smith, 2010, p. 27)

This is a reflective assignment; however you will need to give supporting evidence for your statements.
This assignment is due according to the date posted on the Activities and Assignments Schedule. Assignments turned in late without previous approval or notification will receive a 10-percentage deduction for every day the assignment is late. See rubric for the assignment.

NOw these are professor recommendations how she would like the paper:
1. Paper format (i.e. You can modify as you desire. You may want to incorporate the discussed information to aid in topic discussion clarity.)
• Introduction – Speak to the topic you selected. Include literature to support the topic rationale. Explain the purpose for the paper. For example, “This paper will address the following topicsL (1)…… (2)….., etc). Remember to elaborate on the topic of interest throughout the paper. The introduction provides you with an opportunity to capture your reader’s attention by indicating what the paper will be about and how you will be describing something or arguing a point. Begin your introduction with an attention grabber (i.e. summary information, anecdote, or starting information). If the attention grabber is only a sentence or two, add one or two more sentences that will lead the reader from your opening to your problem statement or interest statement. Usually a statement at the end of your introductory paragraph delineates your paper, such as: This paper is about/will show (add your paper’s main points); will suffice.
2. Body comments (Background )
• Do not use one-sentence paragraphs
• Elaborate by quoting (APA only) authoritative sources, paraphrase scholar publications or give an analogy.
• Well-constructed paragraphs will help you to attain clarity at the sentence level. A paragraph is a short collection of sentences dealing with a single idea. Each sentence in a paragraph should serve to promote the main idea by saying more about it, illustrating it, or summing it up. A well-written paragraph has unity, because it is about one idea, and order, because the sentences are arranged in a way that logically develops the topic of the paragraph. The acronym SEES may help you write a better paragraph. S = Short sentence that states the main idea. E = Explanation of the main idea in more detail. E = Example or quotation given to illustrate the main idea. S = Sum up the main idea in a way that leads on to the next paragraph.
• Sum up the main idea in a way that leads on to the next paragraph. You should strengthen the paragraph’s final sentence as it draws together your thinking by relating it back to the paragraph’s topic sentence.
• You may wish to incorporate additional citations than what’s recommended for topic clarity (i.e. not required, recommended).
• Watch for lengthy sentences. Break up your sentences into two sentences for greater clarity.
• Provided stats to support your topic of interest (i.e. CDC, NIH, etc.)
• Evaluate if your research or topic has been applied to your area of interest and elaborate.
• Incorporate if applicable Healthy People 2020. Especially, if you are speaking to outcome measures in research (i.e. recommendation, optional).
3. Problem Statement
• What’s the rationale for this topic of interest?
• How does affect the hospital, community, patient outcome, practice, etc.?
• Elaborate on the problem significance in relations to others if applicable.
4. Literature Revies
• Is there literature to support your topic of interest?
• Incorporate if possible literature that has been applied to your area and others.
• You can use more than the A&A guidelines requested (5 citations). Use literature to best explain your area of interest.
• Allow the literature to be within the last 10 years. No literature greater than 10 years.
• Refer to the 6th edition APA manual for best written citations. Be care with missing APA citation fwith quote.
5. Workplace Application
• How can the topic of interest be applied to your workplace?
• Do your workplace have a vision or mission statement that incorporate your topic of interest?
• Can you hospitals general vision and mission statement reflected of your unit vision or mission?
• Provide examples, for instance: “The large Metropolitan hospital services underserved populations of high risk diabetics. Three-thirds of the patients represents both male and female over 50 years of age. The hospitals vision and mission enhances community engagement thru patient education, web-based initiatives, home health visitation, family-driven insight, etc. These components are based on the “Patient-relationship” theory or concept. Etc.”
• Incorporate the area of your expertise to enhance the topic concept and your selection of it.
6. Professional Collaboration Through Practice Outcomes
• The paper has identified the significants of professional engagement, theorical understanding, research support, etc. You can select the significants that fit your topic or write another.
• What contribution has or can you provide as an APRN? If applicable.
• Does your professional vision and mission fit the institutions? (if applicable)
7. Conclusion
• You can benefit from a stronger conclusion. A paper’s conclusion should return to the main idea and summarize it. Then summarize the main points of each paragraph. Simply review the main points (being careful not to restate them exactly). Subsequently, making a final point for the reader to think about.

 

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Word Count • Demonstrate knowledge of the main features of the schools of moral thought and ethical traditions influencing nursing and midwifery; • Critically evaluate clinical practice with reference to moral and ethical principles; • Identify the main provisions of codes of ethics that govern the practice of nursing and midwifery in Australia; • Demonstrate knowledge of the law as it applies to nursing and midwifery in Australia in general, and Queensland in particular.

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law and ethics

law and ethics

Order Description

ASSESSMENT TASK 1: [ESSAY]
????????????Aligned subject learning outcomes
Group or individual
Weighting
Work length
Due date
Word Count
• Demonstrate knowledge of the main features of the schools of moral thought and ethical traditions influencing nursing and midwifery;
• Critically evaluate clinical practice with reference to moral and ethical principles;
• Identify the main provisions of codes of ethics that govern the practice of
nursing and midwifery in Australia;
• Demonstrate knowledge of the law as it applies to nursing and midwifery in
Australia in general, and Queensland in particular.
Individual
50 %
2500 words
Tuesday 7th April 2015
????????????????????????????????????????????You must include a word count (including in-text referencing but not including the Reference list or any Appendices) at the end of your assignment. Word counts more than 10% below or above that prescribed will be penalised by 10% deduction from the total available marks.
ASSESSMENT TASK 1: DESCRIPTION
For each of the three people involved in this case study, identify and discuss their legal, ethical and moral conduct and also where relevant, their actions with reference to Professional Codes and Standards and relevant peer review Journal articles.
CASE STUDY
RN John steals used dressing forceps and scissors which are destined for disposal from the hospital in which he works. He donates them to an overseas third world charity. The forceps and scissors benefit many, many people who otherwise would not receive adequate care. RN John does this with the awareness of RN Jane who is both his fiancé and Nurse Unit Manager.
An investigation into the matter is to be undertaken by the Director of Nursing, Ms. Day. Ms. Day approaches RN Jane and says “you either tell me who is doing this or give me $100 to forget about the matter”. RN Jane says she does not know who is stealing but agrees anyway to pay $100 to protect RN John as she believes his actions are honourable.
Jane has that amount in her bank account but cannot get to the bank until tomorrow. Ms. Day will not wait until then. Jane is aware that patient Ian has that amount hidden in his bed locker. She intends to take the money and replace it tomorrow having gone to the bank. On arrival at Ian`s room Jane tells relatives that they should leave and once gone takes the money. Upon taking the money Ian wakes and asks what she is doing. Jane grabs Ian by his injured arm which causes him pain and verbally threatens him not to say anything.
Jane leaves and gives the money to Ms. Day. She uses half the money to buy a bottle of wine and half is donated to charity. Ms. Day lies to hospital management that she has investigated the matter and no one can be identified.
Jane is later charged with stealing $100.
RN John breaks off the engagement with Jane as he does not want to be married to a thief as it will damage his career, even though he has been told the reason for Jane`s actions.
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1.     Why is this medication being used to treat this patient? 2.     How does this medication work?

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Rationales of morphine sulphate medications.

Rationales of morphine sulphate medications.

Assessment 1 – Case Study

Students will be required to complete a case study relating to the content presented in the unit. Students are to choose one of four case studies provided on LMS. Students are to utilise the same case study that they selected in NUR203. Students who are not enrolled in NUR203 may choose any of the four case studies.
Case studies will consist of a patient scenario including aspects of their medication management. Students must choose a medication that the patient is prescribed and provide a 1500 word rationale for the use of and nursing care of the patient in the case study.

When writing their rationale students will consider the following questions:
(Please note: students must not use these questions as headings within their case study, they are for guidance only)

1.     Why is this medication being used to treat this patient?
2.     How does this medication work?
3.     What possible contra-indications or adverse effects need to be considered when taking this medication?
4.     What possible alternatives exist for this medication and when might they be utilised?
5.     What is the nursing care required for the patient whilst on this medication?
6.     How would we assess the effectiveness of the medication?
7.    What is the evidence base behind the use of this medication and the nursing care for the patient?

Case Study for Assessment No. 3 (Cholecystectomy)

Trent Black is a 65 year old retiree who is admitted to your ward from the emergency department. On arrival you note that he is trembling and nearly doubled over with severe abdominal pain.

Mr Black indicates he has severe pain in the right upper quadrant of his abdomen that radiate through to his mid back as a deep sharp boring pain. He is more comfortable walking or sitting bent forward rather than lying flat in bed. He admits to having had several similar bouts of abdominal pain in the last month, but ‘none as bad as this’.

He feels nauseated but has not vomited, although he did vomit a week ago with a similar episode. Mr Black experienced an acute onset of pain after eating fish and chips at a fast-food restaurant earlier today.

Admission vital signs are: BP 164/100, HR 132, RR 26, Temp 36, SaO2 96% on 2L of oxygen by nasal cannula.

Mr Blacks abdominal ultrasound demonstrates several retained stones in the common bile duct and a stone-filled gallbladder. He undergoes an ERCP and the stones and bile are released, but imaging reveals that a stone is still retained within the cystic duct, and multiple stones remain within the gallbladder as well. The surgeon decides that Me Black will require a laparoscopic cholecystectomy.

Mr Black is ordered morphine sulphate 2-4mg IV q1-2h.
Assessment 1 Marking guide Case study
Introduction
Your introduction is to tell the reader what you will write about in the body of your work.     5%
Rationale – 1500 Words
This section is to include the following:
•    Medication use and rationale explained including aspects of pharmacology (15 marks)
•    Appropriate nursing care and nursing assessment discussed (15 marks)
•    Presentation of evidence to support pharmacology and nursing care. (15 marks)
•    Evidence presented represents recent and relevant research on the chosen medication and appropriate nursing care. (5 marks)
•    Student has addressed and given thought to the questions asked above as part of the assessment outline.  (20 marks)
•    Write in full paragraphs with topic sentences and explanation. (5 marks)
•    Appropriate use and citation of literature (references) to support the discussion you present. (5 marks)
•    Evidence of formulated structure and constructed discussion. (5 marks)
85%

Conclusion
Your conclusion consists of two parts:
•    Summarise key findings from the body of your text
•    Write wrap up statements which suggest that you have derived a conclusion in your own mind about the significance of the treatment prescribed and the importance of appropriate nursing care.    5%
Presentation
The following criteria must be addressed:
•    Table of contents and essay title
•    Headings within essay
•    A minimum of 10 research journal articles to be cited (students should consider articles written in the last 10 years).
•    Observe specified word limit. (+/- 10%)    5%
Total    100% converted to a mark out of 25

 

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Submit a 3- to 4-page paper that addresses each part of this Assignment to include reference page with references listed below in APA format ·         Part 1: Design Considerations …Per Chapter 30 ( per the x5 scanned docs w/ numbers attached) ·         Identify two major design considerations associated with each of the following: hardware, software, human factors. (6 considerations in total)

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Design Considerations and Workarounds

  • Design Considerations and Workarounds

Note: This assignment is for academic research pro only Thank you. Due by 11 Jul @ 11 pm

 

 I’m looking for a tutor who understanding informatics nursing and healthcare

 

Please address a 3-4 page  citing the references below including references page in APA format. Note: Please address it from a nursing view

Design Considerations and Workarounds

When nurse informaticists are tasked with identifying the most appropriate technology to meet a specific need within a health care setting, there are many questions that must be asked.

Consider the following scenario to address assignment

Riverdale Hospital has come under recent scrutiny for their medication procedures. Many times, paper medication records are not up to date or have been misplaced. As a result, patients have increasingly received their medications at the wrong times. Though each nurse is performing to the best of his or her ability, the fast pace of the hospital has caused some to ineffectively manage patient records.

The lead nurse informaticist, Nancy, has decided that a bar code scanner could help streamline the documentation process while also improving patient quality and safety. Nancy knows that when selecting a bar coding system she must not only examine the hardware and software of the system but also consider the various human factors that can positively and/or negatively affect the outcomes of the system implementation. As such, Nancy asked three of the most reputable bar code vendors to bring sample systems to Riverdale Hospital.

In evaluating each system, Nancy role plays the process of scanning a patient’s bar code. She rolls the coding cart into the room to begin her mock demonstration. First, Nancy scans her identification card to gain access to the medication screen. To scan the patient’s bar code identifier, Nancy then pulls the medication cart to the patient so that the attached scanner reaches the bar code on the patient’s wristband. When the scan is complete, the computer displays a screen that houses the patient’s personal information. By navigating the screens, Nancy finds that she can use the computer to track medication administration. In addition, Nancy is able to view applicable vitals and medication history. As Nancy continues to examine this system, she reflects on the other hardware and software facets she should be sure to consider. She also thinks about how human factors will affect this and other vendor systems.

 

In this Assignment, you consider how hardware, software, and human factors can impact the implementation of an informatics system.

 

·         Review Chapter 30, “The Role of Technology in the Medication-Use Process,” in the course text,Essentials of Nursing Informatics. When examining computerized prescriber order entry (CPOE) systems and bar code-enabled technologies, what hardware, software, and human factors did the authors identify?

·         Consider how each of these factors can negatively impact patient safety and quality of care.

·         How might these factors translate to the usability, implementation, and outcomes of other informatics technologies?

·         Review the media presentation Selecting New Technologies in this week’s Learning Resources. How did presenter Dr. Patricia Button take the above factors into consideration when selecting an informatics technology for her health care setting?  Per attachment

·         When planning and selecting a new informatics system, what steps should informaticists take to ensure the system will address the needs of their health care setting? In addition, how can informatics leaders encourage all nurses to commit to using a new technology?

To complete:

Submit a 3- to 4-page paper that addresses each part of this Assignment to include reference page with references listed below in APA format

·         Part 1: Design Considerations …Per Chapter 30 ( per the x5 scanned docs w/ numbers attached)

·         Identify two major design considerations associated with each of the following: hardware, software, human factors. (6 considerations in total)

o    Describe why informaticists should play close attention to each of these considerations when evaluating an informatics technology. In your description, include the potential dangers each of these pose to patient safety and quality of care.

·         Part 2: Employee Workarounds

o    Even with a carefully thought out design and implementation, nurses and other health care employees may adopt workarounds. With this reality in mind:

§  What benefits and/or consequences do you associate with workarounds?

§  When selecting an informatics technology, would you opt to purchase a system that mitigates the opportunity for workarounds; or do you believe that workarounds are sometimes necessary? Justify your response.

****Note: The responses should focus on informatics technologies in general, not just bar code scanners as portrayed in the scenario. You may, however, use specific examples such as bar code scanners and other informatics technologies to justify your responses.

 

References

Crilly, J. F., Keefe, R. H., & Volpe, F. (2011). Use of electronic technologies to promote community and personal health for individuals unconnected to health care systems. American Journal of Public Health, 101(7), 1163-1167. Doi: 10.2105/AJPH.2010.300003.

 

Gooder, V. J. (2011). Nurses’ perceptions of a (BCMA) bar-coded medication administration system. Online Journal of Nursing Informatics, 15(2).

This article explores the outcomes of a bar-coded medication administration (BCMA) system, which included increased patient safety and accuracy of medication. The importance of assessing the impact of a BCMA system on nurses before implementation is also highlighted.

Househ, M., Ahmad, A., Alshaikh, A., & Alsuweed,  F. (2013). Patient safety perspectives: The impact of CPOE on nursing workflow. Studies in Health Technology & Informatics, 183367-371.

Laureate Education, Inc. (Executive Producer). (2012a). Competencies for nurse informaticists. Baltimore: Author.   (Dr. Patricia Button)

In this week’s media presentation, Gail Latimer, Dr. Patricia Button, and Dr. Roy Simpson overview the progress that the ANA and the TIGER initiative have made in outlining key informatics competencies. In addition, each presenter identifies competencies that he or she believes to be vital to working in the informatics field.

Niazkhami, Z., Pirejad, H., van der Sijs, H., & Aarts, J. (2011). Evaluating the medication process in the context of CPOE use: The significance of working around the system. International Journal of Medical Informatics, 80(7), 490-506. Doi:10.1016/j.ijmedinf.2011.03.009

 

Preheim, G. J., Armstrong, G. E., &am
p; Barton, A. J. (2009). The new fundamentals in nursing: Introducing beginning quality and safety education for nurses’ competencies. The Journal of Nursing Education, 48(12), 694–697.

This article discusses the Quality and Safety Education for Nurses (QSEN) initiative and its six competencies, including informatics, that are essential for nursing practice. The authors emphasize that nursing education should shift from task-training and development to more current skills and competencies for informatics and patient-centered care.

Quality and Safety Education for Nurses. (2012). Informatics. Retrieved fromhttp://qsen.org/competencies/graduate-ksas/#informatics

 

 

Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.  Note Chapter 30 are the 5 scanned documents please us the magnify glass to enhance

Attachments:
Design Considerations and Workaroundsimg-710151242.pdf
Design Considerations and Workaroundsimg-710151419.pdf
Design Considerations and Workaroundsimg-710152227.pdf
Design Considerations and Workaroundsimg-710152252.pdf
Design Considerations and Workaroundsimg-710152325.pdf
Design Considerations and Workaroundselectronic_health_records_and_data_ownership.pdf
Design Considerations and Workaroundsnurses_perceptions_of_a_bcma.pdf
Design Considerations and Workaroundsthe_significance_of_working_around_the_system.pdf
Design Considerations and Workaroundsuse_of_electronic_technologies_to_promote_community.pdf
Design Considerations and Workaroundspatricia_button.pdf
Design Considerations and Workaroundsuse_of_electronic_technologies_to_promote_community.pdf
Design Considerations and Workaroundsdoes_cpoe_increase_patient_safety_by_reducing_medical_1.pdf
 

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Write a 30- to 50-word response in each box on the formthat describes your understanding of the values for the BSN student. Your response must: ·Define the concepts of altruism, autonomy, human dignity, integrity, and social justice. 30-50 words ·Describe how each value affects the practice of a professional nurse. 30-50 words

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NUR 403 Week 1 Individual Assignment Professional Values Assignment

  • NUR 403 Week 1 Individual Assignment Professional Values Assignment

Resources: Electronic Reserve Readings and Professional Values for the BSN Student on the Materials page of the student website

Write a 30- to 50-word response in each box on the formthat describes your understanding of the values for the BSN student. Your response must:

·Define the concepts of altruism, autonomy, human dignity, integrity, and social justice. 30-50 words

·Describe how each value affects the practice of a professional nurse. 30-50 words

·Discuss how as a BSN student you demonstrate those values in your nursing practice. 30 -50 words

Prepare an APA-formatted reference page.

 

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