The Elderly

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As a community health nurse, you are working in an outpatient clinic in a community that serves mainly elderly clients.This year, you noted that 85 percent of the visits resulting in hospitalization resulted from bronchitis, asthma, pneumonia, and influenza as compared to last year. At that time; the visits were due to colds, sore throats, influenza, bronchitis, and pneumonia, in order of frequency.Maria Perez, a 73-year-old Cuban American woman has been referred for community health nursing services following her discharge from the hospital. She smokes two packs of cigarettes per day. She was recently hospitalized as a result of a severe shortness of breath due to an asthma attack. The primary care provider prescribed respiratory treatments using Albuterol via jet nebulizer every 4-6 hours as needed. Mrs. Perez lives alone and has three cats to take care of.

Instructions:Read the scenario above and answer the following questions:

1)What are the biophysical, psychological, physical environmental, sociocultural, behavioral, and health system factors influencing Mrs. Perez’s health?

2)Describe at least three primary, secondary, and tertiary prevention strategies that would be appropriate in resolving Mrs. Perez’s health problems. 

3)Why would they be appropriate?

4)What activities related to health promotion and disease prevention would you plan for the late fall?

5)How would you evaluate your nursing interventions? 

6)What criteria would you use to evaluate care?

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Information Systems in Healthcare – Chamberlain

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NR 361 RN Information Systems in Healthcare – Chamberlain

NR 361 Week 1 DQ 1 Moving Data to Wisdom

Reflect on the content from your readings and this week’s lesson. Then, think of a recent experience and describe how you mentally moved data through the stages of information and knowledge to wisdom. What information system(s) helped you move from data to wisdom?

Keep this short like assessing a patient for congestive heart failure. How did you evaluate and combine the various pieces of data? What was the outcome of this process?

NR 361 Week 1 DQ 2 AACN Essentials Self-Assessment Results

Complete your Self-Assessment of the AACN Essentials located in Doc Sharing (Week 1). Note your total score. If you are willing, please share your total score with your classmates. Identify areas where your knowledge is lacking. Keep in mind that we are all “knowledge workers.” What areas of inquiry do you have as they relate to the essentials?

 

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How relevant is social identity theory as an explanation for inter group behavior?

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How relevant is social identity theory as an explanation for inter group behavior? Justify your answer with a detailed critical assessment of current research.

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Opportunities for Improvement with Usability and Interoperability

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NR 361 Week 3 DQ 1 Opportunities for Improvement with Usability and Interoperability

Usability and interoperability are major issues to consider in the development of healthcare information systems (HIS). How does your organization address these issues? Does the transfer of information occur smoothly, or do you need to re-enter data from one application to the next—such as patient information from the emergency room that does not transfer—along with the patient who is admitted to the critical care unit? Or what happens when the patient is discharged and the home care nurses have to start from scratch as they prepare the patient’s plan of care?

NR 361 Week 3 DQ 2 Library Search for Telenursing Resources

This week’s lesson points out key concepts in searching the National Library of Medicine’s PubMed/MEDLINE database, the Chamberlain Library’s EBSCO/CINAHL database, and Google Scholar. This week’s lesson directs you to links and resources on the basics of searching these three information sources. The tutorials are very helpful. You are strongly urged to view them prior to posting.

Locate one article in each of the data sources to prepare your scholarly paper due during Week 4’s Telenursing: The Future Is Now. Briefly summarize each article in your post.

 

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Information Systems in Healthcare

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NR 361 RN Information Systems in Healthcare – Chamberlain

NR 361 Week 6 DQ 1 Nursing Gains Visibility

The repeated sound of an alarm can be annoying to the patient, family, and staff. This can lead to someone shutting off the alarm. Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because an alarm was turned off. What do the data show about the value of alarms in general? Is alarm fatigue an issue?

NR 361 Week 6 DQ 2 Alarms—What Do the Data Show

The repeated sound of an alarm can be annoying to the patient, family, and staff. This can lead to someone shutting off the alarm. Give an example of an ethical or legal issue that may arise if a patient has a poor outcome or sentinel event because an alarm was turned off. What do the data show about the value of alarms in general? Is alarm fatigue an issue?

 

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Information Systems in Healthcare – Chamberlain

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NR 361 RN Information Systems in Healthcare – Chamberlain

NR 361 Week 7 DQ 1 Use of Personal Communication Devices in Patient Care Settings

How can the use of the nurse’s personal communication devices impact patient care either positively or negatively? Are there ethical and legal implications? Locate an article and share a brief summary of that article with your classmates.

NR 361 Week 7 DQ 2 Safe Nursing Care Is There an App for That

Andrea was working in the cardiac catheterization lab when a young woman undergoing a cardiac ablation started to have small seizures. The nurse noticed these symptoms and asked the physician to look at the patient. The physician asked Andrea to get his smart phone and film the seizures. This video message was sent to a neurologist, and he could tell from the video the part of the brain from which the seizures were emanating. This is one example of using technology. Does this count as safe care? Is there an app for that?

If you could develop an app to enhance safe nursing care, what would it be like?

 

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Barriers to Care

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Barriers to Care
Suicide and homicide are violent actions reported in the news daily.  Individuals suffering from abuse, depression, mental disorders, or substance-abuse disorders are at an increased risk for committing suicide or homicide.  Factors that contribute to the risk are age, gender, socio-economic status, and race/ethnicity. Additionally, situations that cause extreme life or job stress, such as those seen when a loved one dies or by military personnel, can contribute to the risk.  Chapter 6 of your course text highlights barriers to care relating to the vulnerable and this population group in particular.  For this discussion:

  1. Locate and share statistical data for your community on annual suicide and homicide rates.
  2. Identify and briefly describe one organizational barrier and one financial barrier relating to the suicide- and homicide-prone.
  3. Create two recommendations on ways each of these barriers can be reduced or eliminated.
  4. Identify two local resources available for suicide- or homicide-prone individuals.  Discuss which services are offered and whether the services fully meet the needs of the population.

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by a minimum of two scholarly sources beyond your course text.  Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

 

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Variations in Approaches to Care

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Variations in Approaches to Care
Choose a specific culture or ethnicity of an immigrant or refugee population.  

  1. Analyze their cultural and social norms.  
  2. Discuss how they experience the healthcare system in America.  
  3. Include an evaluation of how both the community and market-oriented approaches to health care, as highlighted in Chapter 10 of your text, can assist your chosen culture in getting the care they need.  Provide an analysis of a multidisciplinary approach that can be used to deliver the best care to your population.
  4. Discuss a program in your community, or the nearest large community, that serves immigrants and refugees.  Are the services truly accessible to a wide population of immigrants and refugees?  Identify one approach which could improve accessibility, cost, or the quality of care for the population.

Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by a minimum of two scholarly sources beyond your course text.  Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

 

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Making a Difference

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Making a Difference 
Imagine you are a policymaker for your city or town. Based on what you know and what you have learned in this course, what would you modify or improve to make a positive change in the life of a vulnerable group we have not covered in class? Justify whether or not you would consult the vulnerable group when developing programs or policies?  Propose a policy you would create to improve health care services accessibility, cost, and quality related to your selected group?
Your initial contribution should be 250 to 300 words in length. Your research and claims must be supported by a minimum of two scholarly sources beyond your course text.  Use proper APA formatting for in-text citations and references as outlined in the Ashford Writing Center.

 

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