Nursing  nursing

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A 15-year-old single mother has a three-month-old infant. If the infant needs to be hospitalized for a nonemergent illness, the consent for admission and treatment must be signed by the:

 
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Nursing  Patient Preferences and Decision Making

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Changes in culture and technology have resulted in patient populations that are often well informed and educated, even before consulting or considering a healthcare need delivered by a health professional. Fueled by this, health professionals are increasingly involving patients in treatment decisions. However, this often comes with challenges, as illnesses and treatments can become complex.What has your experience been with patient involvement in treatment or healthcare decisions?In this Discussion, you will share your experiences and consider the impact of patient involvement (or lack of involvement).You will also consider the use of a patient decision aid to inform best practices for patient care and healthcare decision making.To Prepare:Review the Resources and reflect on a time when you experienced a patient being brought into (or not being brought into) a      decision regarding their treatment plan.Review the Ottawa Hospital Research Institute’s      Decision Aids Inventory at https://decisionaid.ohri.ca/.Choose “For Specific       Conditions,” then Browse an alphabetical listing of decision aids by health topic.NOTE: To ensure compliance with HIPAA rules, please DO NOT use the patient’s real name or any information that might identify the patient or organization/practice.Post a brief description of the situation you experienced and explain how incorporating or not incorporating patient preferences and values impacted the outcome of their treatment plan. Be specific and provide examples. Then, explain how including patient preferences and values might impact the trajectory of the situation and how these were reflected in the treatment plan. Finally, explain the value of the patient decision aid you selected and how it might contribute to effective decision making, both in general and in the experience you described. Describe how you might use this decision aid inventory in your professional practice or personal lifeMelnyk, B. M., & Fineout-Overholt, E. (2018). Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed.). Philadelphia, PA: Wolters Kluwer.· Chapter 7, “Patient Concerns, Choices and Clinical Judgement in Evidence-Based Practice” (pp. 219–232)Hoffman, T. C., Montori, V. M., & Del Mar, C. (2014). The connection between evidence-based medicine and shared decision making. Journal of the American Medical Association, 312(13), 1295–1296. doi:10.1001/jama.2014.1018.Kon, A. A., Davidson, J. E., Morrison, W., Danis, M., & White, D. B. (2016). Shared decision making in intensive care units: An American College of Critical Care Medicine and American Thoracic Society policy statement. Critical Care Medicine, 44(1), 188–201. doi:10.1097/CCM.0000000000001396Opperman, C., Liebig, D., Bowling, J., & Johnson, C. S., & Harper, M. (2016). Measuring return on investment for professional development activities: Implications for practice. Journal for Nurses in Professional Development, 32(4), 176–184. doi:10.1097/NND.000000000000048Schroy, P. C., Mylvaganam, S., & Davidson, P. (2014). Provider perspectives on the utility of a colorectal cancer screening decision aid for facilitating shared decision making. Health Expectations, 17(1), 27–35. doi:10.1111/j.1369-7625.2011.00730.xThe Ottawa Hospital Research Institute. (2019). Patient decision aids. Retrieved from https://decisionaid.ohri.ca/

 
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Nursing  D4: Masters Essentials V: Informatics and Healthcare Technologies : maternal mental health

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As you plan, develop, implement and evaluate your nursing practicum project, reflect on how this project and your graduate education have prepared you to meet the growing needs of healthcare and the diverse populations we serve.This week you will address Essential V: Informatics and Healthcare Technologies.o Recognizes that the master’s-prepared nurse uses patient-care technologiesto deliver and enhance care and uses communication technologies tointegrate and coordinate care.400 words 2 resourcesRationaleInformatics and healthcare technologies encompass five broad areas:• Use of patient care and other technologies to deliver and enhance care;• Communication technologies to integrate and coordinate care;• Data management to analyze and improve outcomes of care;• Health information management for evidence-based care and health education;and• Facilitation and use of electronic health records to improve patient care.Knowledge and skills in each of these four broad areas is essential for all master’spreparednurses. The extent and focus of each will vary depending upon the nurse’s role,setting, and practice focus.Knowledge and skills in information and healthcare technology are critical to the deliveryof quality patient care in a variety of settings (IOM, 2003a). The use of technologies todeliver, enhance, and document care is changing rapidly. In addition, informationtechnology systems, including decision-support systems, are essential to gatheringevidence to impact practice. Improvement in cost effectiveness and safety depend onevidence-based practice, outcomes research, interprofessional care coordination, andelectronic health records, all of which involve information management and technology(McNeil et al., 2006). As nursing and healthcare practices evolve to better meet patientneeds, the application of these technologies will change as well.As the use of technology expands, the master’s-prepared nurse must have the knowledgeand skills to use current technologies to deliver and coordinate care across multiplesettings, analyze point of care outcomes, and communicate with individuals and groups,including the media, policymakers, other healthcare professionals, and the public.Integral to these skills is an attitude of openness to innovation and continual learning, asinformation systems and care technologies are constantly changing, including their use atthe point of care.Graduates of master’s-level nursing programs will have competence to determine theappropriate use of technologies and integrate current and emerging technologies intoone’s practice and the practice of others to enhance care outcomes. In addition, themaster’s-prepared nurse will be able to educate other health professionals, staff, patients,and caregivers using current technologies and about the principles related to the safe andeffective use of care and information technologies.Graduates ethically manage data, information, knowledge, and technology tocommunicate effectively with healthcare team, patients, and caregivers to integrate safeand effective care within and across settings. Master’s-prepared nurses use research andclinical evidence to inform practice decisions.Master’s-degree graduates are prepared to gather, document, and analyze outcome datathat serve as a foundation for decision making and the implementation of interventions orstrategies to improve care outcomes. The master’s-prepared nurse uses statistical andepidemiological principles to synthesize these data, information, and knowledge toevaluate and achieve optimal health outcomes.The usefulness of electronic health records and other health information managementsystems to evaluate care outcomes is improved by standardized terminologies. Integrationof standardized terminologies in information systems supports day-to-day nursingpractice and also the capacity to enhance interprofessional communication and generatestandardized data to continuously evaluate and improve practice (American NursesAssociation, 2008). Master’s-prepared nurses use information and communicationtechnologies to provide guidance and oversight for the development and implementationof health education programs, evidence-based policies, and point-of-care practices bymembers of the interdisciplinary care team.Health information is growing exponentially. Health literacy is a powerful tool in healthpromotion, disease prevention, management of chronic illnesses, and quality of life–all ofwhich are hallmarks of excellence in nursing practice. Master’s-prepared nurses serve asinformation managers, patient advocates, and educators by assisting others(includingpatients, students, caregivers and healthcare professionals) in accessing, understanding,evaluating, and applying health-related information. The master’s-prepared nurse designsand implements education programs for cohorts of patients or other healthcare providersusing information and communication technologies.The master’s-degree program prepares the graduate to:1. Analyze current and emerging technologies to support safe practice environments,and to optimize patient safety, cost-effectiveness, and health outcomes.2. Evaluate outcome data using current communication technologies, informationsystems, and statistical principles to develop strategies to reduce risks and improvehealth outcomes.3. Promote policies that incorporate ethical principles and standards for the use of healthand information technologies.4. Provide oversight and guidance in the integration of technologies to document patientcare and improve patient outcomes.5. Use information and communication technologies, resources, and principles oflearning to teach patients and others.6. Use current and emerging technologies in the care environment to support lifelonglearning for self and others.Sample Content• Use of technology, information management systems, and standardizedterminology• Use of standardized terminologies to document and analyze nursing careoutcomes• Bio-health informatics• Regulatory requirements for electronic data monitoring systems• Ethical and legal issues related to the use of information technology, includingcopyright, privacy, and confidentiality issues• Retrieval information systems, including access, evaluation of data, andapplication of relevant data to patient care• Statistical principles and analyses of outcome data• Online review and resources for evidence-based practice• Use and implementation of technology for virtual care delivery and monitoring• Electronic health record, including policies related to the implementation of anduse to impact care outcomes• Complementary roles of the master’s-prepared nursing and informationtechnology professionals, including nurse informaticist and quality officer• Use of technology to analyze data sets and their use to evaluate patient careoutcomes• Effective use of educational/instructional technology• Point-of-care information systems and decision support systems

 
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Nursing  Patient Education for Children and Adolescents

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Major Depressive Disorder is the topicPatient education is an effective tool in supporting compliance and treatment for a diagnosis. It is important to consider effective ways to educate patients and their families about a diagnosis—such as coaching, brochures, or videos—and to recognize that the efficacy of any materials may differ based on the needs and learning preferences of a particular patient. Because patients or their families may be overwhelmed with a new diagnosis, it is important that materials provided by the practitioner clearly outline the information that patients need to know.For this Assignment, you will pretend that you are a contributing writer to a health blog. You are tasked with explaining important information about an assigned mental health disorder in language appropriate for child/adolescent patients and/or their caregivers.To Prepare: Major Depressive DisorderResearch signs and symptoms for your diagnosis, pharmacological treatments, nonpharmacological treatments, and appropriate community resources and referrals.The AssignmentIn a 400- to 500-word blog post written for a patient and/or caregiver audience, explain signs and symptoms for your diagnosis, pharmacological treatments, nonpharmacological treatments, and appropriate community resources and referrals.

 
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Nursing  Nursing AL

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Details:  Select a family to complete a family health assessment. (The family cannot be your own.)  Before interviewing the family, develop three open-ended, family-focused questions for each of the following health patterns:  1. Values, Health Perception  2. Nutrition  3. Sleep/Rest  4. Elimination  5. Activity/Exercise  6. Cognitive  7. Sensory-Perception  8. Self-Perception  9. Role Relationship  10. Sexuality  11. Coping  NOTE:Your list of questions must be submitted with your assignment as an attachment.  After interviewing the family, compile the data and analyze the responses.   In 1,000-1,250 words, summarize the findings for each functional health pattern for the family you have selected.  Identify two wellness problems based on your family assessment.  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.  You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.  Health Assessment   1  Unsatisfactory  0.00% 2  Less than Satisfactory  75.00% 3  Satisfactory  79.00% 4  Good  89.00% 5  Excellent  100.00%   80.0 %Content   20.0 % Develops Open-Minded, Family-Focused Questions for Each of the 11 Identified Health Patterns The development of open minded, family-focused questions for each of the 11 Identified Health Patterns is not offered. The development of two to three open minded, family-focused questions for each of the 11 Identified Health Patterns is offered, but may be lacking in quality to elicit needed information. The development of two to three open minded, family-focused questions for each of the 11 Identified Health Patterns meet the requirements of the assignment and appropriate for eliciting needed information. The development of two to three open minded, family-focused questions for each of the 11 Identified Health Patterns meet the requirements of the assignment and are appropriate while structured in a way that shows sensitivity to the patient’s culture and beliefs. The development of two to three open minded, family-focused questions for each of the 11 Identified Health Patterns that are both thoughtful in content and in how they support each other in eliciting a holistic view of the patient.   30.0 % Summarizes the Findings for Each Functional Health Pattern Brief summarization of the findings for each functional health pattern for your family is not offered. Brief summarization of the findings for each functional health pattern for your family is offered, but incomplete, lacking relevant information. Brief summarization of the findings for each functional health pattern for your family meets the requirements of the assignment. Brief summarization of the findings for each functional health pattern for your family is supported by accurate details. Brief summarization of the findings for each functional health pattern for your family is supported by accurate details along with thoughtful reflection.   30.0 % Wellness Problems Identification of two wellness problems based on your family assessment is not offered. Identification of two wellness problems that you identified about your family based on your assessment are offered, but incomplete, lacking relevant information. Identification of two wellness problems that you identified about your family based on your assessment meet the requirements of the assignment. Identification of two wellness problems that you identified about your family based on your assessment are supported by accurate details. Identification of two wellness problems that you identified about your family based on your assessment are supported by accurate details along with thoughtful reflection.   15.0 %Organization and Effectiveness   5.0 % Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis and/or main claim are insufficiently developed and/or vague; purpose is not clear. Thesis and/or main claim are apparent and appropriate to purpose. Thesis and/or main claim are clear and forecast the development of the paper. It is descriptive and reflective of the arguments and appropriate to the purpose. Thesis and/or main claim are comprehensive; contained within the thesis is the essence of the paper. Thesis statement makes the purpose of the paper clear.   15.0 %Organization and Effectiveness   5.0 % Paragraph Development and Transitions Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed. Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident. Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other. A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose. There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.   15.0 %Organization and Effectiveness   5.0 % Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice and/or sentence construction are used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, and/or word choice are present. Some mechanical errors or typos are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.   5.0 %Format   2.0 % Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct.   3.0 % Research Citations (In-text citations for paraphrasing and direct quotes, and reference page listing and formatting, as appropriate to assignment) No reference page is included. No citations are used. Reference page is present. Citations are incoansistently used. Reference page is included and lists sources used in the paper. Sources are appropriately documented, although some errors may be present. Reference page is present and fully inclusive of all cited sources. Documentation is appropriate and GCU style is usually correct. In-text citations and a reference page are complete. The documentation of cited sources is free of error.   100 % Total Weightage

 
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Nursing  Nursing research

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After reading chapters 2,3 and 4, please answer the following question.Name five continuous, five discrete, and five categorical variables. Which ones are you going to use in your practicum?Answer to another student. The answer should be also three paragraphs with three sentences.Authors Denise F.PolitCheryl Tatano Beck

 
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Nursing  hip 3500

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We will discuss 2 cases related to withholding and withdrawing life support. One is a landmark case from over 30 years ago and one is very recent. One involved a court case to remove life support and one involved a court case to maintain life support on an infant.There are brief youtube videos on each. You can also google both of these individuals to read much more.Case 1:Nancy CruzanCase 2:Charlie GardPlease select one of these cases for your initial response. When creating a thread, complete the subject line by identifying which case you are responding to.in responding, first do a very brief summary of the particular individual and the ethical dilemma. Then respond to Step 2 OR Steps 3 and 4 of the Framework for Ethical Decision Making.Use the worksheet that includes the prompts for what to include at each step.Remember that the ethical decision making in these cases is about the ethical dilemma of withholding / withdrawing life support vs. maintaining life support.

 
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Nursing  Community health nursing

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Write a paper (2,000-2,500 words) in which you apply the concepts of epidemiology and nursing research to a communicable disease. Refer to “Communicable Disease Chain,” “Chain of Infection,” and the CDC website for assistance when completing this assignment.Communicable Disease SelectionChickenpoxTuberculosisInfluenzaMononucleosisHepatitis BHIVEbolaMeaslesPolioInfluenzaEpidemiology Paper RequirementsDescribe the chosen communicable disease, including causes, symptoms, mode of transmission, complications, treatment, and the demographic of interest (mortality, morbidity, incidence, and prevalence). Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.Describe the social determinants of health and explain how those factors contribute to the development of this disease.Discuss the epidemiologic triangle as it relates to the communicable disease you have selected. Include the host factors, agent factors (presence or absence), and environmental factors. Are there any special considerations or notifications for the community, schools, or general population?Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up) and why demographic data are necessary to the health of the community.Identify at least one national agency or organization that addresses the communicable disease chosen and describe how the organizations contribute to resolving or reducing the impact of disease.Discuss a global implication of the disease. How is this addressed in other countries or cultures? Is this disease endemic to a particular area? Provide an example.A minimum of three peer-reviewed or professional references is required.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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Nursing  Assignment: Practicum – Journal Entry

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As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your Practicum Experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week you complete an Assignment such as Journal Entries or SOAP Notes that prompts you to reflect on your Practicum Experiences and relate them to the material presented in the classroom. This week you begin documenting your Practicum Experiences in your Practicum Journal.To prepare for this course’s Practicum Experience, address the following in your Practicum Journal:·         Select and explain a nursing theory or feminist perspective to guide your clinical practice.·         Develop goals and objectives for the Practicum Experience in this course. When developing your goals and objectives, be sure to keep women’s health guidelines and best practices in mind.·         Create a timeline of practicum activities based on your practicum requirements (11 weeks)

 
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Nursing  Module 4 Electronic Record Implementation

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Research the Internet and find a recent (less than 5 years old) article about “Electronic Record Implementation.” Discuss two challenges identified in the article. Explain why this is a challenge. How could it be mitigated? What do you think should be done? Reflect from your experience if you encountered such challenges at the workplace.

 
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