PHILOSOPHY OF SCIENCE 3

Running head: PHILOSOPHY OF SCIENCE 1

PHILOSOPHY OF SCIENCE 3TopicStudent’s nameProfessor’s nameInstitutionCourse titleDateQuestion 1It is essential that all nurses be aware of the philosophical science behind their area of expertise because it will allow them to advance in knowledge. The science is also necessary because nurses can understand how nursing science has evolved over the years (Dahnke, & Dreher, 2015). The science has enhanced the reflection of various aspects in the nursing field that are open for further exploration. Knowledge I the science sector will legitimize this field into a discipline. Further, this discipline will always act as a referencing material for all issues in the subject (Wyman, & Henly, 2015). It will also offer a stepping stone for the advancement of nursing doctorate students into nursing scientists.In my experience, the provision of treatment for patients should be fair and not favor just a few people. A nurse should know the background of why they take the course because in most cases nurses are not ethical in their dealings (Alligood, 2017). Nurses are required to continually improve the quality of service they give to patients like always attending seminars to be more informed. Also, nurses should always make patients aware of every possible harm like the need for HIV testing in the case of pregnant women and ways of family planning to have the number of children one can manage to take care of. To be more advanced in their expertise, nurses are willing to study further to specialize further and to have more knowledge about the nursing profession by going for masters programs for advancement from one level to a higher level.ReferencesAlligood, M. R. (2017). Nursing Theorists and Their Work-E-Book. Elsevier Health Sciences.Dahnke, M. D., & Dreher, H. M. (2015). Philosophy of science for nursing practice: Concepts and application. Springer Publishing Company.Wyman, J. F., & Henly, S. J. (2015). PhD programs in nursing in the United States: Visibility of American Association of Colleges of Nursing core curricular elements and emerging areas of science. Nursing outlook, 63(4), 390-397.Blog ArchiveCopyright © 2019 HomeworkMarket.com Read Mor

 
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Brief Effects


Write
a 700- to 1,050-word policy brief on the effects the legislation will have on your selected facility or service and on the state’s population. Use the following structure when putting together your policy brief:

  • Title
  • Executive summary (175 to 260 words)
  • Recommendations
  • Introduction
  • State recommendation again
  • Body
  • Overview of problem
  • Review of relevant research
  • Application of research results
  • Policy implications
  • Conclusion

Cite 3 reputable references to support your assignment (e.g., trade or industry publications, government or agency websites, scholarly works, or other sources of similar quality).

 
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Health Care Information And Technology

Provide 1000 words APA written summary of at least two peer reviewed article related to electronic medical health records including a short history background.

a. Make sure you provide the name of article and tittle

b. Succinctly explains the article content

c. Within your summary; explain why you choose this article?

d. Explain some of the implications of electronic medical health records in nursing.

Follow proper APA format and style and include a cover page, reference page, and any applicable tables or appendices.

 
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Describe at least four factors that can be associated in a complex inheritance health issue.

A. Describe at least four factors that can be associated in a complex inheritance health issue.

B. Compare two genomic tests used for screening, diagnosis, and management of a disease. Describe whether outcome data exists related to the utility of these tests and what the data shows, if available.

C. Contrast two models used for multigenerational family health histories. Which do you prefer and why?

D. Describe the importance of a comprehensive health and physical assessment that includes information on environment, and genomic influences. Frame this answer through your current role, whether as an Advanced Registered Nurse Practitioner (ARNP) with a practice, or a nurse executive overseeing nursing practice in an organization.

 
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STANDARDIZED PROCEDURE PEDIATRICS 2

STANDARDIZED PROCEDURE PEDIATRICS 11

Standardized Procedure Pediatrics

Name

United States University

Primary Health of Acute Clients/Families Across the Lifespan

Course

Dr. Maria Luisa Ramira

July 4, 2016

Running head: STANDARDIZED PROCEDURE PEDIATRICS 1

Standardized Procedure for Nurse Practitioners: General Policy

I Purpose

A. To establish a standardized procedure, in compliance with the California Board of Registered Nursing (BRN) and the 11 components of the BRN’s guidelines for Nurse Practitioners (NPs) to perform specified functions without the immediate supervision of a Physician.

II Development and Review

A. All standardized procedures are developed through the collaborative efforts of the members of the organization’s established interdisciplinary committee (IDC). The IDC will consist of physicians, nurse practitioners, registered nurses and administrative representatives of the organization.

B. All standardized procedures will be approved through the IDC made readily available and contain signed and dated approval sheets of all professionals covered by the procedures.

C. All standardized procedures will be reviewed every 3 years or more often as necessary by the IDC.

D. All NPs and their supervising physicians will signify agreement to the standardized procedures upon hire, annually and with changes as needed as evidenced by a signed and dated approval sheet.

E. Signature on the statement of approval and agreement implies the following: Approval of all procedures in the document, intent to abide by the procedures and willingness to maintain a collegial and collaborative relationship with all parties. The signed statement of approval and agreement form will serve as the record of those NPs who have been authorized to perform the procedures. The signature page will be kept on file and readily available together with Standardized Procedures.

III Scope and Setting

A NPs may manage those functions outlined in the standardized procedures, within their trained area of specialty and consistent with their experience and credentialing. Such functions include assessment, management and treatment of acute and chronic illness, contraception, health promotion and overall evaluation of health status. Additional functions include the ordering of diagnostic procedures, physical, occupational, speech therapies, diet and referral to specialty care as needed.

B NPs are authorized to practice standardized procedures in the organization’s Outpatient Clinics.

IV Education and Training/Qualifications

A NPs must have the following

1 Current California registered nurse (RN) license

2 Certification by the State of California, BRN as an NP

3 Board certification from the American Nurses Credentialing Center

4 NP furnishing number

5 DEA registration number

6 Current Health Care Provider Card from the American Heart Association

7 Credentialed by the organization’s medical staff

B In addition to the required education and training all NPs will be required to complete competency validation upon hire and annually. The supervising physician is charged with observing the NP and documenting competency validation. The competency validation checklist is managed, maintained and made available by the Office of Medical Staff as a component of the privilege process. Checklist will be reviewed and updated annually by the IDC.

V Supervision and Evaluation

A NP is authorized to implement the approved standardized procedures without the direct or immediate observation or supervision of a physician unless otherwise specified within a particular procedure.

B Supervising physicians will conduct a weekly case review of a minimum of 10% of each NPs cases for the week. The review will be documented within the electronic medical record and must be completed within 30 days of the visit selected for review. Cases will be selected randomly unless a request for review is received by a medical professional.

C No single physician will supervise more than 4 NPs at any one time.

VI Consultations

A Physician consultation is to be obtained as specified in individual procedures or when deemed appropriate.

VII Patient Records

A NPs will be responsible for the documentation of a complete electronic medical record for each patient contact/encounter in accordance with existing clinic and medical staff policies.

Protocol:

Croup initial visit in the outpatient clinic setting

I Rationale

To assist Nurse Practitioners in the outpatient clinic setting in the differentiation between

croup and other upper airway conditions and to establish guidelines for the management of croup in this setting.

II Definition

Swelling and erythema of the upper airway resulting in narrowing of these airways, usually as a result of viral infection and in some instances bacterial. Most cases are usually mild and self-limiting however, children can be seriously ill or at risk for rapid progression of disease leading to further narrowing of the airways and respiratory compromise.

III Epidemiology

A Typically occurs in children between the ages of 6 months to 6 years, with a peak

incidence between 6 and 36 months.

B Most often occurs in the fall and is usually but not limited to parainfluenza type 1 viral infection.

C Cases occurring in winter are usually but not limited to influenza A and B viruses

D Risk factors include familiar history, parental smoking and male gender.

IV History

A Symptoms of upper respiratory infection for several days.

B Rhinorrhea

C Cough

D Low grade fever

E Symptoms occurring most often at night

F Sore throat

G Stridor

H Intermittent barking, seal like cough

V Physical Exam

A Barking seal like cough, stridor

B Tachypnea

C Use of accessory muscles for respiration

D Tachycardia

E Wheezing

F Low grade fever however, can be elevated to 104F

G Visualization of mouth and epiglottis normal

VI Diagnostic tests

A Diagnosis typically made based on clinical presentation

B Plain imaging of soft tissue of the neck may display classic pattern of subglottic narrowing (steeple sign) on posteroanterior view.

C Pulse oximetry

D Laboratory tests are not necessary for the diagnosis of croup however, may be used to assist with differential diagnosis.

1 CBC

2 Viral Serology

3 Tissue culture

VII Differential Diagnosis

A Epiglottitis

B Foreign body aspiration

C Retropharyngeal or peritonsillar abscess

D Compression due to tumors, trauma or congenital malformations

E Angioedema

F Asthma exacerbation

G Bacterial traceitis

VIII Management – According to severity of disease by means of the Westley Croup Score based on the presence or absence of stridor at rest, degree of chest wall retractions, air entry, the presence or absence of pallor or cyanosis and the mental status.

A Mild croup (Westley croup score of ≤2)

No stridor at rest (although stridor may be present when upset or crying), a barking cough, hoarse cry, and either no, or only mild, chest wall/subcostal retractions.

B Moderate croup (Westley croup score of 3 to 7)

Stridor at rest, has at least mild retractions, and may have other symptoms or signs of respiratory distress, but little or no agitation.

C Severe croup (Westley croup score of ≥8)

Significant stridor at rest, although the loudness of the stridor may decrease with worsening upper airway obstruction and decreased air entry. Retractions are severe (including indrawing of the sternum) and the child may appear anxious, agitated, or pale and fatigued.

D Impending respiratory failure (Westley croup score of ≥12)

Fatigue and listlessness

Marked retractions (although retractions may decrease with increased obstruction and decreased air entry)

Decreased or absent breath sounds

Depressed level of consciousness

Tachycardia out of proportion to fever

Cyanosis or pallor

E Treatment

Mild Croup:

1 Single dose of dexamethasone 0.15 to 0.6 mg/kg orally or parentally to a max dose of 10mg.

2 Disposition home with the following instructions:

a Fever management with acetaminophen 15mg/kg po every 4-6hrs as needed not to exceed 75mg/kg/day.

b Anticipatory guidance of potential worsening and instructions on when to seek care.

c Use of humidified air, cool mist or hot stream

d Return for follow-up next day.

Moderate Croup

1 Follow mild croup guidelines

2 Observe patient for up to 4 hours

If improved

3 Disposition home following instructions for mild croup

If no improvement

a Consult with supervising physician and prepare to administer

b Inhaled racemic epinephrine 0.05 ml/kg per dose (maximum of 0.5 ml) of a 2.25% solution diluted with normal saline for a 3ml total volume via nebulizer.

c If pulse oximetry is <92% provide supplemental oxygen at a rate to maintain 02 Sat < 92%

d Refer or disposition child via emergency transport to emergency department

Severe croup and impending respiratory failure

a Activate 911 and provide the following until emergency transport arrives:

b Ensure open airway

c Administer supplemental 02 to maintain 0s sat 92%

d Single dose of dexamethasone 0.15 to 0.6 mg/kg parentally.

e Inhaled racemic epinephrine 0.05 ml/kg per dose (maximum of 0.5 ml) of a 2.25% solution diluted with normal saline for a 3ml total volume via nebulizer.

f Notify supervising physician of need for emergency transport

IX Development and Approval of the Standardized Procedure

This standardized procedure was developed and approved through the organization’s Interdisciplinary Committee and will be reviewed and approved every 3 years or more often as needed.

Revision Date_____________ Review Date______________

X Standardized procedure was approved by the following members of the Interdisciplinary Committee.

_______________________________ Date_______________________

Pediatric Department Chair

_______________________________ Date_______________________

Supervising Physician

_______________________________ Date_______________________

Director of Nursing Practice

_______________________________ Date_______________________

Administration

XI Practitioners authorized to function under this standardized procedure:

This list of Nurse Practitioners will be maintained on file in the department in which Nurse Practitioners practice and hospital administration.

References

An explanation of standardized procedure requirements for nurse practitioner practice. (1998). Retrieved from http://www.rn.ca.gov/pdfs/regulations/npr-b-20.pdf

Bjornson, C., & Johnson, D. (2015). Croup. Retrieved from https://online.epocrates.com/diseases/68111/Croup/Key-Highlights

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric Primary Care (5th ed.). Philadelphia, PA: Elsevier.

Ferri, F. F. (2016). Ferri’s Clinical Advisor. Philadelphia, PA: Elsevier.

Woods, C. R. (2015). Croup. Retrieved from https://www.uptodate.com/contents/croup-approach-to-management?source=see_link&sectionName=Respiratory+care&anchor=H91700#H1

Zoorob, R., Sidani, M., & Murray, J. (2011). Croup: An overview. Retrieved from http://www.aafp.org/afp/2011/0501/p1067.html

 
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Leadership Health Policy


This assignment requires thought about a public policy that is needed or needs to be changed that relates to nursing, health care, or the public.  Policy changes can occur by working with members of your legislature, and state or national nurses associations, to introduce a new bill and/or change to a current law in your state or federal government.

Examples of public policy includes any component of the current legislation governing health care, Medicare Part D, Medicaid, nursing regulation, medication technicians, etc.

In 800-1,000 words, propose a health policy change (that is currently a bill, a law, or may not exist at all) at the state or federal level that you believe needs to change and why.

  1. The policy must NOT be a clinical care policy for individual care. The policy involved may include public or community health, legislative or regulatory, professional organization (nursing-oriented), advanced nursing practice, health plan, or hospital plan.
  2. Include a specific section for the exact wording for the bill or change in wording of the law.
  3. Include the plan for the implementation of your policy development, to lobbying for passage, to next steps after passage.
  4. Discuss who would be the champion for the bill/law change from your state advocates (legislators, federal legislators, local or national state nursing organizations). Are these individuals also influential in making changes occur? Did you vote for the individual in office that you want to help you make this change?

Resources:

  1. Review different pieces of legislation for ideas on wording.
  2. Visit your state’s legislative governmental affairs website site to understand the process your policy change could take if you wanted to introduce to into legislation.
 
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INFORMATION SYSTEMS IN HEALTHCARE

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NR360 INFORMATION SYSTEMS IN HEALTHCARE

Required Uniform Assignment: We Can, but Dare We?

PURPOSE The purpose of this assignment is to investigate smartphone and social media use in healthcare and to

apply professional, ethical, and legal principles to their appropriate use in healthcare technology.

Course Outcomes This assignment enables the student to meet the following course outcomes.

• CO #4: Investigate safeguards and decision‐making support tools embedded in patient

care technologies and information systems to support a safe practice environment for

both patients and healthcare workers. (PO 4)

• CO #6: Discuss the principles of data integrity, professional ethics, and legal

requirements related to data security, regulatory requirements, confidentiality, and

client’s right to privacy. (PO 6)

• CO #8: Discuss the value of best evidence as a driving force to institute change in the

delivery of nursing care (PO 8)

DUE DATE See Course Schedule in Syllabus. The college’s Late Assignment Policy applies to this activity.

TOTAL POINTS POSSIBLE This assignment is worth a total of 240 points.

Requirements 1. Research, compose, and type a scholarly paper based on the scenario described below, and

choose a conclusion scenario to discuss within the body of your paper. Reflect on lessons

learned in this class about technology, privacy concerns, and legal and ethical issues and

addressed each of these concepts in the paper, reflecting on the use of smartphones and social

media in healthcare. Consider the consequences of such a scenario. Do not limit your review of

the literature to the nursing discipline only because other health professionals are using the

technology, and you may need to apply critical thinking skills to its applications in this scenario.

2. Use Microsoft Word and APA formatting. Consult your copy of the Publication Manual of the

American Psychological Association, sixth edition, as well as the resources in Doc Sharing if you

have questions (e.g., margin size, font type and size (point), use of third person, etc.). Take

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advantage of the writing service SmartThinking, which is accessed by clicking on the link called

the Tutor Source, found under the Course Home area.

3. The length of the paper should be four to five pages, excluding the title page and the reference

page. Limit the references to a few key sources (minimum of three required).

4. The paper will contain an introduction that catches the attention of the reader, states the

purpose of the paper, and provides a narrative outline of what will follow (i.e., the assignment

criteria).

5. In the body of the paper, discuss the scenario in relation to HIPAA, legal, and other regulatory

requirements that apply to the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations.

6. Choose and identify one of the four possible endings provided for the scenario, and construct

your paper based on its implications to the scenario. Make recommendations about what should

have been done and what could be done to correct or mitigate the problems caused by the

scenario and the ending you chose. Demonstrate support from sources of evidence (references)

included as in‐text citations.

7. Present the advantages and disadvantages of using smartphones and social media in healthcare

and describe professional and ethical principles to the appropriate use of this technology, based

on facts from supporting sources of evidence, which must be included as in‐text citations.

8. The paper’s conclusion should summarize what you learned and make reflections about them to

your practice.

9. Use the “Directions and Assignment Criteria” and “Grading Rubric” below to guide your writing

and ensure that all components are complete.

10. Review the section on Academic Honesty found in the Chamberlain Course Policies. All work

must be original (in your own words). Papers will automatically be submitted to TurnItIn when

submitted to the Dropbox.

11. Submit the completed paper to the “We Can, but Dare We?” Dropbox by the end of Week 3.

Please refer to the Syllabus for due dates for this assignment. For online students, please post

questions about this assignment to the weekly Q & A Forums so that the entire class may view

the answers.

Preparing for the Assignment

BACKGROUND Healthcare is readily embracing any technology to improve patient outcomes, streamline operations,

and lower costs, but we must also consider the impact of such technology on privacy and patient care.

This technology includes the use of social media applications, such as Facebook, Instagram, MySpace,

Twitter, and LinkedIn on smartphones.

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In healthcare today, smartphones are widely used for communication, efficiency, and care. Obviously, a

variety of issues (ethical, professional, and legal) from both the personal and hospital perspectives

must be considered. SCENARIO

You are a nurse in the emergency room, working the Friday 7 p.m. to 7 a.m. shift, and your evening has

been filled with the usual mix of drunken belligerent teens, wailing babies, chronic obstructive

pulmonary disease (COPD) exacerbations, falls, fractures, and the routine, regular congestive heart

failure (CHF) patients. Your best friend is texting you from the concert that you had to miss tonight

because you were scheduled to work, and you respond to her between care of patients, jealous that she

is there and you are not. “What a jerk to torture me like this!” you think to yourself.

It is now 2 a.m., and the medics radio once again, notifying you of an incoming motor vehicle accident

victim, ETA of 5 minutes. You sigh and opt to use the restroom, rather than getting that much‐needed

cup of coffee, and prepare a room for your next patient. The medics roll in and begin to fill you in. The

patient is a 28‐year‐old male, a passenger on a bus that was involved in a crash, leaving the vehicle

overturned after rolling over an embankment. There were several fatalities among the bus passengers,

and “this victim has remained unconscious, though his vitals are currently” . . . and as you start to focus

on the patient, you take a second look. Can it be? It is! The lead singer, Jerod, from the band “Blue

Lizards,” who you have adored since you first heard his voice! The band had just left the concert that

you had missed last evening when the accident occurred. You quickly text your best friend . . . “Can you

believe?” and she responds with “Yeah, right. PROVE IT.” So you quickly snap a picture with your

smartphone, when alone with the patient, and send it to her. Can’t hurt, right? Celebrities are “public

property,” and that’s a part of their life, right? Just for good measure, you snap a few more pictures of

the unconscious singer in various stages of undress and then a shot of his home address, phone number,

and demographic information from his electronic health record. You sit your phone down on the

bedside table for a minute as you continue your assessment of the patient.

At 7:00 a.m., you drag your tired body home and straight to bed after a long but eventful night.

What happens next? Choose an ending to the scenario, and construct your paper based on those

reflections:

1. You are the following nurse on the day shift and discover the night nurse’s phone on the bedside

table. While trying to figure out to whom it belongs, you open the phone and see the

photographs taken the night before. Holy moly! What a find, and nobody could trace you to the

photos.

2. You receive a call from the gossip paper the Gossip Gazette, offering you $20,000 for the photos

you have taken (courtesy of your best friend). Your identity would never be revealed, and you

desperately need a new car and are behind on some bills.

3. You go on Facebook, on your day off, and talk about the night you had at work and how you

didn’t really feel as bad having to miss the concert, because you actually got to meet Jerod in

person and even “Got his number!” You then post a picture of Jerod on Facebook and

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Instagram, figuring that most of your contacts would never recognize him anyway. It’s your day

off and your personal time, so no harm, no foul, right?

4. You receive a message the next morning from a peer at work that there is a big investigation

being conducted at work due to a HIPAA violation and that it involved a celebrity who had been

admitted to the hospital. The word is that legal action is being taken against the hospital due to

some photos that were sold to the Gossip Gazette. Knowing that the photo you sent is safe with

your best friend, you reach for your smartphone, but it is nowhere to be found.

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Directions and Assignment Criteria

Assignment Criteria Points % Description

Introduction 40

points 40 17%

Catches the attention of the reader States

the purpose of the paper

Provides a narrative outline of the paper (i.e., the assignment criteria).

HIPAA, Legal, & Regulatory Discussion 40 points

40 17% Discussion the following as they apply to the use of cellphones and social media in healthcare: o

HIPAA/regulatory requirements o Other legal requirements appropriate to the

use of this technology Demonstrate support from sources of evidence

included as in‐text citations.

Scenario Ending & Recommendations

50 points

50 21%

Choose and identify one of the four possible endings provided for the scenario. Make recommendations about what should have been

done and what could be done to correct or mitigate

the problems caused by the scenario and the ending

you chose. Demonstrate support from sources of evidence

included as in‐text citations.

Advantages and Disadvantages

50 points

50 21% Discuss at least two (2) advantages and two (2) disadvantages of using smartphones and social media

in healthcare

Describe professional and ethical principles to the appropriate use of this technology

Demonstrate support from sources of evidence included as in‐text citations.

Conclusion and Reflections

30 points 30 12%

Summarize what you learned Make reflections about lessons learned to your

practice.

Scholarly Writing and APA Format

30 points

30 12%

Title page, running head, & page numbers are correct.

Use Microsoft Word and APA (6th ed.) formatting Length is 4‐5 pages (excludes title & reference pages).

At least 3 references are used, listed in APA format

References match in text citations in APA format

Spelling, grammar, & mechanics are correct.

Total 240 100%

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Grading Rubric

Assignment

Criteria Outstanding or Highest Level of Performance

A (92–100%)

Very Good or High Level of

Performance

B (84–91%)

Competent or Satisfactory

Level of Performance

C (76–83%)

Poor, Failing or

Unsatisfactory Level of

Performance F

(0–75%)

Introduction 40

points The student catches the reader’s attention, states the paper’s purpose, and provides a narrative outline of the paper’s body.

35–40 points

One of the following is missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.

30–34 points

Two of the following are missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.

26–29 points

Three of the following are missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.

0–25 points

HIPAA, Legal, & Regulatory Discussion 40 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is thoroughly addressed:

• HIPAA/regulatory requirements

• Other legal requirements appropriate to the use of this technology

Demonstrated support from sources of evidence included as intext citations.

35–40 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking in one or more component:

• HIPAA/regulatory requirements

• Other legal requirements appropriate to the use of this technology

or Support is not demonstrated adequately from sources of evidence included as in‐text citations.

30–34 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking in one or more component:

• HIPAA/regulatory requirements

• Other legal requirements appropriate to the use of this technology

and Support is not demonstrated adequately from sources of evidence included as in‐text citations.

26–29 points

The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking both components: • HIPAA/regulatory requirements • Other legal requirements appropriate to the use of this technology

and Support is not demonstrated adequately from sources of evidence included as in‐text citations.

0–25 points

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Scenario Ending & Recommendations

50 points

Included all of the following elements sufficiently: • Identify one of the four possible

endings provided for the scenario.

Included all of the following elements but did not develop at least one area substantively : • Identify one of the four possible

endings provided for the scenario.

Included all of the following

elements but did not develop at

two or more area substantively : •

Identify one of the four possible

endings provided for the scenario.

Did not included the following elements substantively : • Identify one of the four possible

endings provided for the scenario.

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. • Demonstrated support from sources of evidence included as intext citations.

45‐50 points

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. Or • Did not demonstrated support from sources of evidence included as in‐text citations.

40‐44 points

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. Or • Did not demonstrated support from sources of evidence included as in‐text citations.

36‐39 points

• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. Or • Did not demonstrated support from sources of evidence included as in‐text citations.

0‐35 points

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Advantages and Disadvantages

50 points

Met all of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.

45‐50 points

Did not meet one of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.

40‐44 points

Did not meet two or more of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.

36—39 points

Did not meet Three or more of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.

0‐35 points

Conclusion and Reflections 30 points

Met the following criteria substantively: • Summarized what you learned • Made reflections about lessons learned to your practice.

25‐30 points

Did not meet at least one of the following criteria substantively: • Summarize what you learned • Make reflections about lessons learned to your practice.

20‐24 points

Did not meet either of the following criteria substantively: • Summarize what you learned • Make reflections about lessons learned to your practice.

16‐19 points

Did not include a formal conclusion paragraph

0–15 points

Scholarly Writing and APA Format

30 points

The following

points

• 6 points

are achieved by successful implementation of each scholarly writing/APA element:

Title page, running head, & page numbers are correct.

• 4 points Use Microsoft Word and APA (6th ed.) formatting

• 2 point Length is 4‐5 pages (excludes title & reference pages).

• 6 points At least 3 references are used, listed in APA format

• 6 points References match in text citations in APA format

NR360 INFORMATION SYSTEMS IN HEALTHCARE

NR360 WECANBUTDAREWE Guidelines.docxRevised 05 /09/ 18 DA SME/psb 07.14.16 9

• 4 points Spelling/mechanics & grammar are correct.

• 2 point Scholarly writing style is used

Total Points Possible = /240 Points

 
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Peripheral Vascular Disease

Peripheral Vascular Disease

Case Studies

A 52-year-old man complained of pain and cramping in his right calf caused by walking two

blocks. The pain was relieved with cessation of activity. The pain had been increasing in

frequency and intensity. Physical examination findings were essentially normal except for

decreased hair on the right leg. The patient’s popliteal, dorsalis pedis, and posterior tibial

pulses were markedly decreased compared with those of his left leg.

Studies Results

Routine laboratory work Within normal limits (WNL)

Doppler ultrasound systolic pressures Femoral: 130 mm Hg; popliteal: 90 mm Hg;

posterior tibial: 88 mm Hg; dorsalis pedis: 88

mm Hg (normal: same as brachial systolic

blood pressure)

Arterial plethysmography Decreased amplitude of distal femoral, popliteal,

dorsalis pedis, and posterior tibial pulse waves

Femoral arteriography of right leg Obstruction of the femoral artery at the midthigh

level

Arterial duplex scan Apparent arterial obstruction in the superficial

femoral artery

Diagnostic Analysis

With the clinical picture of classic intermittent claudication, the noninvasive Doppler and

plethysmographic arterial vascular study merely documented the presence and location of the

arterial occlusion in the proximal femoral artery. Most vascular surgeons prefer arteriography

to document the location of the vascular occlusion. The patient underwent a bypass from the

proximal femoral artery to the popliteal artery. After surgery he was asymptomatic.

Critical Thinking Questions

1. What was the cause of this patient’s pain and cramping? 2. Why was there decreased hair on the patient’s right leg? 3. What would be the strategic physical assessments after surgery to determine the

adequacy of the patient’s circulation?

4. What would be the treatment of intermittent Claudication for non-occlusion?

 
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Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.

The benchmark assesses the following competency:

Benchmark: 5.1. Understand the human experience across the health-illness continuum.

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:

  1. Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.
  2. Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.
  3. Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).

Prepare this 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. 

 
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What is the most likely cause of this patient’s current pulmonary complaints?

A 39-year-old homeless man presents to the emergency department for cough and fever. He says that his illness has been worsening over the past 2 weeks. He originally had dyspnea on exertion and now is short of breath at rest. On questioning, he tells you that he lives in a homeless shelter when he can, but he frequently sleeps on the streets. He has used IV drugs (primarily heroin) “on and off” for many years. He denies medical history but the only time he gets medical attention is when he comes to the emergency department for an illness or injury. On review of systems, he complains of fatigue, weight loss, and diarrhea. On examination, he is a thin, disheveled man appearing much older than his stated age. His temperature is 100.5°F (38.0°C), his blood pressure is 100/50 mm Hg, his pulse is 105 beats/min, and his respiratory rate is 24 breaths/min. His initial oxygen saturation is 89% on room air, which comes up to 94% on 4 L of oxygen by nasal cannula. Significant findings on examination include dry mucous membranes, a tachycardic but regular cardiac rhythm, a benign abdomen, and generally wastedappearing extremities. His pulmonary examination is significant for tachypnea and fine crackles bilaterally, but no visible signs of cyanosis. His chest x-ray is read by the radiologist as having diffuse, bilateral, interstitial infiltrates that look like “ground glass.”

Answer the following questions:

1. What is the most likely cause of this patient’s current pulmonary complaints?

2. What underlying illness does this patient most likely have?

3. What testing and treatment should be started now?

1 Scholarly Resource in APA format.

 
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