Nursing  Health IT

Conduct a search for health IT systems that are common in similar health care organizations that employ about 250 physicians. Search for five hospitals and three outpatient clinics.Select a health IT system that you want to implement in the health care organization (e.g., electronic medical records (EMR), consolidated provider order entry (CPOE), ePrescribing (eRX), etc.).Note: The IT system must have a clinical focus.Write a 525- to 700-word proposal that identifies the health IT system you want to implement. Your proposal should:·         Provide a description and specifications of the IT system you selected.·         Explain why the health IT system is needed.·         Explain why this particular system was selected.·         Explain if the organization is ready to make the change.·         Explain how the new health IT system will affect the organization.·         Establish SMART goals for the implementation process.Note: Your instructor will need to approve your proposal before you can move on to the IT System Implementation assignments in Weeks Two through Six.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).Format your assignment according to APA guidelines

 
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Nursing  dq28888

1=Explain the Diagnostic Criteria for your assigned Neurocognitive Disorder (Alzheimer’s Disease).2=Explain the Evidenced-Based Psychotherapy and Psychopharmacologic Treatment for your assigned Neurocognitive Disorder (Alzheimer’s Disease).3=Identify the risks of different Types of Therapy andExplainHOWthe Benefits of the Therapy that might be achieved might outweigh the risks.4=Support your rationale with references to the Learning Resources or other academic resource.

 
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Nursing  Treating Residual Inattention

I NEED A RESPONSE TO THIS ASSIGNMENT1 PAGE3REFERENCESZERO PLAGIARISMWeek 9 Main Post, Case #3, Vol. 2, Case #21, Treating Residual InattentionQuestions I Would Ask the ClientI would ask the client if he felt comfortable taking Cymbalta and if it is helping his anxiety. I would also ask: are you having sexual side effects, are you having trouble sleeping, how long have you noticed the inattention problems, do you have other medical conditions like high blood pressure, and tell me what other symptoms you are having?I would also question the client’s partner or nearest relative. A partner can provide information about daily activities of the client (Kooij, Bijlenga, Salerno, Jaeschke, Bitter, Balazs, Thome, Dom, Kasper, Filipe, Stes, Mohr, Leppamaki, Casas, Bobes, Mccarthy, Richarte, Philipsen, and Asherson, 2019). I would ask the partner what it is like to be with this person. I would ask: do you notice him having an inability to finish tasks, does he start several projects without completing them? I would ask the client and the partner or family member these questions because the symptomology is what guides the sort of medication that will be prescribed.Also, some of the side effects of medications are increased heart rate and blood pressure. Sexual side effects can cause the client to discontinue a medication. Sleep problems would incline the clinician to prescribe a more sedating medication at bedtime versus a stimulant. This client likely has ADHD undiagnosed and it is important to get symptoms in order to make a diagnosis.Tests NeededI would administer an IQ test since many clients with high IQs can mask their disorder of ADHD (Milioni, Chaim, Cavallet, de Oliveira, Annes, dos Santos, Louza, da Silva, Miguel, Serpa, Zanetti, Husatto, and Cunha, 2017). I would use the Stroop task test which activates the dorsal anterior cingulate cortex of the brain indicating ADHD (Stahl, 2013). I would also administer the n-back test which analyzes the client’s problem solving, sustained attention, and ability to finish tasks (Stahl, 2013). I would have the client fill out the Adult Self Report Rating Scale (ASRS) to get the symptomology in order to diagnose ADHD (Kooij et al., 2019). Finally, I would get a baseline blood pressure and vital signs, since ADHD medications can lower or increase blood pressure and heart rate (Joseph, Ayyagari, Xie, M., Cai, Xie, J., Huss, and Sikirica, 2017).Differential DiagnosesAccording to the DSM-5 I would diagnose this client with these three disorders:Post-Traumatic Stress Disorder 309.81 (F43.10)Attention-Deficit/Hyperactivity Disorder: Predominant inattentive presentation 314.01 (F90.0)Generalized Anxiety Disorder 300.2 (F41.1) (American Psychiatric Association, 2013).Medications for This ClientI would continue with Cymbalta 60 mg daily for this client if he states it is working for him and we could always increase up to 120 mg per day if his anxiety is not well controlled. Generalized anxiety disorder (GAD) is his main diagnosis and we can also switch him to Zoloft if the side effects are too much, since Zoloft has less side effects (Stahl, 2017).I would add guanfacine ER (Intuiv), which is an Alpha 2 adrenergic antagonist. I chose this over a stimulant since they can become habit forming (Stahl, 2013). Guanfacine ER has no potential for abuse and works throughout the day with no side effects (Stahl, 2017). I would counsel the patient about possible decreased appetite and sedation, but they generally go away with time (Stahl, 2017).Since the client has some mood problems, PTSD history, and anxiety, this medication is an NRI and will treat those symptoms as well and is used for treatment-resistant depression (Stahl, 2017). Amoxetine (Strattera) is another non-stimulant medication for ADHD, but in a systematic review of several randomized controlled trials, Intuiv was more efficacious and participant’s ADHD symptoms declined significantly to a probability of 93.91% (Joseph et al., 2017). This is why I chose Intuiv over Strattera, but in 4-8 weeks we could re-evaluate and try Strattera if Intuiv is ineffective.Lessons LearnedFirst, many adults go undiagnosed with ADHD because it was missed in childhood and they learned to compensate for the dysfunction as they got older (Stahl, 2013). Too often clinicians focus on the mood disorder and miss the diagnosis of ADHD and this could lead to a substance disorder, low quality of life, or nicotine dependence in adulthood if not treated (Stahl, 2013).Second, it is important to administer neuropsychology tests in adults in order to diagnose ADHD because many clients with a high IQ mask their ADHD with intelligence and “creative compensation” (Milioni et al., 2017). The executive function dysregulation of ADHD shows up in college and when the client gets a job in the professional world (Milioni et al., 2017). The clients can no longer compensate and the disorganization of ADHD and inability to handle life’s responsibilities shows up (Milioni et al., 2017).ReferencesAmerican Psychiatric Association (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: .Joseph, A., Ayyagari, R., Xie, M., Cai, S., Xie, J., Huss, M., & Sikirica, V. (2017). Comparative efficacy and safety of attention-deficit/hyperactivity disorder pharmacotherapies, including guanfacine extended release: A mixed treatment comparison. European Child & Adolescent Psychiatry, 26(8), 875-897. https://doi.org/10.1007/s00787-017-0962-6Kooij, J., Bijlenga, D., Salerno, L., Jaeschke, R., Bitter, I., Balazs, J., … Asherson, P. (2019). Updated European consensus statement on diagnosis and treatment of adult ADHD. European Psychiatry, 56, 14-34. https://doi.org/10.1016/j.eurpsy.2018.11.001Milioni, A. L., Chaim, T. M., Cavallet, M., De Oliveira, N. M., Annes, M., Dos Santos, B., … Cunha, P. J. (2017). High IQ may “mask” the diagnosis of ADHD by compensating for deficits in executive functions in treatment-naive adults with ADHD. Journal of Attention Disorders, 21(6), 455-464. https://doi.org/10.1177/1087054714554933Stahl, S. M. (2013). Stahl’s essential psychoparmacology: Neuroscientific basis and practical applications (4th ed.). New York, NY: Cambridge University Press.Stahl, S. M. (2017). Stahl’s essential psychopharmacology: Prescriber’s guide (6th ed.). New York, NY: Cambridge University Press.

 
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Nursing  Discussion question needed ASAP.. only need 5 sentences

Ethics and Globalization of Health Care, and Electronic Medical Records Versus Personal Health Records“ Please respond to the following:From the e-Activity, examine the primary reasons why medical tourism is becoming popular among Americans, and determine whether or not the health care industry should encourage this consumer behavior. Give at least two (2) specific examples associated with such patient medical consumerism behaviors.Compare and contrast electronic medical records with personal health records. Justify the ethical responsibility of keeping patients medical and personal health records confidential. Provide a rationale for your response.

 
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Nursing  Importance of Technology in Healthcare

Discuss the importance of technology in healthcare systems

 
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Nursing  Social Media Discussion

Answer must be at least 150-200 words in length for total.Read the page 11 on NCSBN Social Media Brochure document below and answer the following questions:Page 11 of theNCSBN brochuredescribes common myths and misunderstandings of social media. Which one of these surprised you?What steps will you take to make you avoid disclosing confidential patient information?In light of the COVID-19 breakout, how have you seen social media being used by medical professionals?  Based on what you have seen has patient confidentiality been  violated?  Why or Why not?

 
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Nursing  theory 3a

Do you agree or disagree? Nurse theorists sought ways to represent the realities and relationships found within nursing practice.Do you all agree that these theories were developed to enhance practice either directly, by stimulating practice-based thinking through reflection or indirectly, through the further development of theory ?I’m asking for 150 words. APA 7th ed. Plagiarism free. 1 scholarly reference required. due date: January 22, @10am

 
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Nursing  Informed Consent

Participation Requirement: You are required to post a minimum of three (3) times in each discussion. These three (3) posts must be on a minimum of two (2) separate days. You must respond to the initial discussion question by 11:59 p.m. on Wednesday.  On additional days, respond to your peers’ posts as well as additional faculty posts. Responses to peers must be posted by 11:59 p.m. on Sunday each week a discussion is due.Step 1: Read the attached article entitled, “Informed Consent – The Joint Commission”Step 2: View the video entitled, “Nursing Fundamentals: Informed Consent, Advance Directives, Reporting and Nursing Documentation”https://www.youtube.com/watch?v=9u53jNI4qoU (Links to an external site.)Informed consent is obtained after a client receives complete disclosure of all pertinent information provided by the provider regarding the surgery or procedure to be performed. The nurse may obtain informed consent only after the client verbalizes understanding of the potential benefits and risks associated with the surgery or procedure.Elements of Informed Consent:The individual giving consent must fully understand the procedure that will be performed, the risks involved, expected/desired outcomes, expected complications/side effects, and alternative treatments or therapies available.Consent is given by a competent adult, legal guardian or designated power of attorney (DPOA), emancipated or married minor, parent of a minor, or a court order.A trained medical interpreter must be provided when the person giving consent is unable to communicate due to a language barrier.The nurse’s role is to witness the client’s signature and ensure the provider gave the necessary information and that the client understood and is competent to sign. If it has been identified that the client does not understand the procedure or is not competent to sign the informed consent, the nurse must STOP the process and the physician must be notified immediately.A consultation occurs when a professional provides expert advice in a particular area and determines what treatment or services the client requires. The nursing intervention evolves around facilitating coordination with other health care providers throughout the continuum of care in order to protect the client from conflicting and potentially dangerous treatments.A referral is a formal request for a special service by another care provider so that the client can access the care identified by the primary care provider or consultant. Some examples of referrals include physical therapy, wound care, and hospice. The nursing intervention continues to evolve around monitoring the client’s response and progress.Directions: There are three scenarios that will be used in this discussion posting. You are all responsible for the initial discussion posting and then responding to one posting in the remaining scenarios. For example, my last name is Combs, therefore my initial discussion posting will occur from CASE #1. I will then be responsible for responding to one post from CASE #2 and one post from CASE #3.CASE #1 (A to H); CASE #2 (I to Q); CASE #3 (R to Z)CASE #1:30-year-old male presents to the emergency department with RLQ pain and fever. Labs reveal an elevated white blood count. The surgical intern tells the patient that appendicitis is suspected and that the plan is to proceed with surgery to remove the appendix. He explains that the surgery is to be performed to prevent complications of appendicitis, including abscess formation, sepsis or even death. He goes on to explain the risks of surgery, including bleeding, infection and damage to adjacent organs. What additional information needs to be included in this consent? Provide an evidence-based reason for your answer.Whether or not the intern would undergo the procedure in a similar circumstance.Alternative to the surgery, including receiving antibiotics and monitoring the patient.Name of the surgeon who will actually be performing the procedure.A, B and CB and C onlyCASE #2:33-year-old woman is in the operating room to undergo colectomy for ulcerative colitis. Patient was given appropriate information, and consented for the procedure. During the operation, a mass is identified involving the liver. Given the previous consent, it is acceptable for the surgeon to proceed further to either biopsy or excise the lesion. Provide an evidence-based reason for your answer.TrueFalseCASE #3:14-year-old girl presents to the emergency department, accompanied by her 10-month-old daughter and boyfriend. The boyfriend is the child’s father. Patient complains of severe lower abdominal pain, although she is afebrile, with normal laboratory values and normal vital signs. No cause of the pain is able to be delineated, and the plan is to take the girl to the operating room to perform a diagnostic laparoscopy. In this case, from whom should informed consent be obtained? Provide an evidence-based reason for your answer.PatientPatient’s parentsPatient’s boyfriend

 
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Nursing  NURSING RESEARCH TYPE OF STUDY

Descriptive research design, mixed methods and meta-analysisEpidemiology and Longitudinal StudiesPLEASE READ CAREFULLY AND FOLLOW THE RUBRIC

 
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Nursing  Research

Joesph Beuys research

 
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