patient education strategies

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The way it goes this week. They responded to my responses and I have to respond back.

You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.

Respond to KAD

RE: Discussion – Week 7

 

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Thank you, H, for your informative reply.

I  agree that for a thorough assessment, I must assess general labs for CK for differential diagnosis purposes since bipolar disorder symptoms can resemble certain medical conditions. At this time, diagnosis of bipolar is based on symptoms rather than brain imaging or other diagnostic tests. (NIMH.com,(2021 )In my diagnostic section of CK SOAP, I mentioned the following:   There were no laboratory tests specific to diagnose BD, however, the PMHNP will ask about current medical conditions that can affect the patient’s mood;

I will order a urine drug screen because of my patient’s strong family history of use of alcohol and drugs, I will order CBC, chemistry profile, thyroid function tests, and B12 level. These labs will help the PMHNP  rule out metabolic causes or unidentified conditions. Johnson, Vanderhoef, & Johnson (2016). In my clinical rotations, I noticed that my preceptor continuously assesses our patients’ labs results, vital signs, and weight trends  to ensure the safety and the well-being of our patients while they are being treated with psychotropic medications.

 

 

References

Bipolar Disorder. (2021). Retrieved July 15, 2021, from https://www.nimh.nih.gov/health/publications/bipolar-disorder/

 

Johnson, K., Vanderhoef, D., & Johnson, K. (2016). Psychiatric-mental health nurse practitioner

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Respond to Wand

Hello H

Thank you for responding to my post.  I agree with you that physical and psychological tests need to be

completed. I would also complete an EEG on the first episode of psychosis.  Upon admission to the inpatient

unit, AM had labs completed which were all normal.  When addressing an adolescent patient, the first episode

of psychosis one would need to rule out multiple etiologies including brain tumor or other brain

abnormalities, but this is not the first psychotic episode with this particular patient (Clancy et al., 2014) I would

think if its a an adolescent it may be just their imagination or non-compliant with medications.  So unless this

is causing significant problems imaging would not be indicated.

 

This is a wonderful option that the patient lives in physical isolation in the home.  Another option is that

AM go live with another family member who she feels safe and loved. When children struggle with their

behavior, it can have a negative impact on everyone in the family (Child Mind Institute, 2021).  This will ensure

that everyone feel safe and she doesn’t have to go to a residential area to live with strangers.  No matter

where she lives, she has tobe compliant with her medication or this cycle will continue.

 

Reference

Clancy, M. J., Clarke, M. C., Connor, D. J., Cannon, M., & Cotter, D. R. (2014, March 13). The prevalence of

     psychosis in epilepsy; a systematic review and meta-analysis. BMC Psychiatry.

https://bmcpsychiatry.biomedcentral.com/articles/10.1186/1471-244X-14-75.

 

Maijer, K., Hayward, M., Fernyhough, C., Calkins, M. E., Debbané, M., Jardri, R., Kelleher, I., Raballo, A.,

Rammou, A., Scott, J. G., Shinn, A. K., Steenhuis, L. A., Wolf, D. H., & Bartels-Velthuis, A. A. (2019, February 1).

Hallucinations in Children and Adolescents: An Updated Review and Practical Recommendations for Clinicians.

Schizophrenia bulletin. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6357982/.

References

Parents Guide to Problem Behavior. Child Mind Institute. (2021, March 9). https://childmind.org/guide/parents-

guide-to-problem-behavior/.

 

Stevens, J. R., Prince, J. B., Prager, L. M., & Stern, T. A. (2014). Psychotic disorders in children and adolescents: a

     primer on contemporary evaluation and management. The primary care companion for CNS disorders.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4116281/.

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data mining project

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My experience with learning how to navigate the EHR is through classes given by the hospital I worked at.  This workshop is only given one time and it is a 5-day class.  Most of the work is done individually with an instructor who has questions.  Since covid-19 this work was completed at home and with instruction from skype or zoom.    The class consist of the instructor showing you how to complete a task and you performing it, of course not remembering how you completed it once you hit the floor.

clinical environment centered on EHR

So, through the several years working on Epic I have learned through trial and error and through co-worker’s explanations how to make my page easier. If I were to design a program for my clinical environment centered on EHR it would be several people in the class and two instructors.  They would explain the system and basics, we would all sign on.

Then the students would be given tasks to perform on program.  They would have a certain amount of time and could ask questions.  I feel the only way to learn these systems is to roll up your sleeves and begin the tasks.  When there is an issue one can x out and try again.  I also believe there should be someone working in the hospital and would be on the floor once every two weeks or once a month and would look at the employee’s setup and work with them to make things more efficient.

data mining project

A data mining project that would be wonderful for the Emergency room which would extract data using these techniques would be prior visits.  A majority of patient which come into the ER are “frequent flyers”.  Although we are not supposed to use this term it is because it is true.  Several patients present to the ER looking for something specific.  Most of the time narcotics is the reason for admission.

If the EHR would use mining techniques to see the patterns of dates, times, what medications were given and what the diagnosis was along with medications they say they have allergies too.  What was the first allergic reaction to Toradol? This data would be used to help show a pattern, another mining method would be to take blood work from several different visits and explain how there is a specific pattern evolving.  For instance.  Say a patient has an A1C which is increasing over the past five years.  This is a pattern that should be alerted to the provider.

problematic for patient and nurse safety

Twelve-hour shifts are not problematic for patient and nurse safety, hospitals continue to keep the 12-hour shift schedule. This increases continuity of care and better flexibility for work and family balance. In a number of qualitative studies, 12-h shift patterns were seen as positive, contributed to staff satisfaction and also both a good recruitment and retention strategy.  Results from (battle, 2018) highlighted a positive impact on physical and psychological well-being and increased work satisfaction, for the nursing staff working the 12-h shift pattern. Increased continuity of patient care was identified as a positive outcome of the 12-h shift. Rarely have I seen nurses working longer than a 12-hour shift.  Most single parents have chosen this profession because of the ease of schedule.

What recommendations I would give to the management team is during a 12 hour shift the nurse must take all of her breaks.  Nurses become busy and they sacrifice their lunch to help better flow of the unit.  This is unacceptable.  All nurses should enjoy breaks, lunch, and the ability to use the bathroom when needed.  Management team could educate nurses on the problems with working several 12 hour shifts in a row, how it would cause fatigue and then mistakes could be made. I would suggest looking at incident reports whether it be falls, medication errors etc.  Look at the times of the incident and graph them to see a better picture of whether they are happening after 8 hours.

the application of patient care technologies

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  1. Purpose of Assignment
    According to the American Association of Colleges of Nursing (2008), “Graduates must have basic competence in technical skills, which includes the use of computers, as well as the application of patient care technologies such as monitors, data gathering devices, and other technological supports for patient care interventions.”
    American Association of College of Nursing. (2008). The Essentials of Baccalaureate Education for Professional Nursing Practice. Retrieved from: https://www.aacnnursing.org/Education-Resources/AACN-Essentials
  2. Course Competency
    Explain technologies that lead to enhanced decision-making strategies utilizing the technology life cycle.
  3. Content
    Scenario
    As a BSN student, you are shadowing a Nurse Informaticist to better understand their role and impact in making healthcare decisions. You have one day in this immersion and will be exposed to several Health Information Technologies and their impact on healthcare decision making. Due to the fast-paced nature of the Nurse Informaticist role, the clinic manager has asked nursing students to come prepared to fully immerse into this fast-paced environment. You received a welcome email for your assigned Nurse Informaticist providing you with her background, but also asking you to spend some time reflecting on your own experience with healthcare technology. Reflect on your experiences both as a client and as a nurse, and how technology leveraged the decisions you have made. She also wants you to think about how technology evolves and its implications for future use.

    Instructions

    Your instructor has just released your pre-clinical paperwork, and you have been asked to write a professional reflection in preparation for the next day’s shadowing experience. You must provide detailed responses to the following:

    • Explain one technology you have used in healthcare
    • Explain the impact of the technology using referenced support with in text citation
    • Describe how you used this type of technology to support a healthcare decision
    • Describe an example illustrating how use of the technology effected your decision making
    • Research the evolution of your identified technology using the technology life cycle
    • How has the technology evolved and where is it heading (past, present, future)?
    • How has this evolution improved healthcare decision making?
    • Format
    • Standard American English (correct grammar, punctuation, etc.)
    • Logical, original and insightful
    • Professional organization, style, and mechanics in APA format
    • Submit your document to Grammarly to correct errors before submission

personal strength and weakness

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Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these. And discuss why it is important for you to work on these skills. If you want to present your findings in a more formal setting.

Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization’s culture. So it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now. And your strategies for overcoming these barriers.

technological advancements

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Throughout history, technological advancements have appeared for one purpose before finding applications elsewhere. What lead to spikes in its usage and development. The internet, for example, was originally developed to share research before becoming a staple of work and entertainment. But technology—new and repurposed—will undoubtedly continue to be a driver of healthcare information. Informaticists often stay tuned to trends to monitor what the next new technology will be. Or how the next new idea for applying existing technology can benefit outcomes.

In this Discussion, you will reflect on your healthcare organization’s use of technology. And offer a technology trend you observe in your environment.

To Prepare:

  • Reflect on the Resources related to digital information tools and technologies.
  • Consider your healthcare organization’s use of healthcare technologies to manage and distribute information.
  • Reflect on current and potential future trends, such as use of social media and mobile applications/telehealth, Internet of Things (IoT)-enabled asset tracking, or expert systems/artificial intelligence, and how they may impact nursing practice and healthcare delivery.

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described. Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why. Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide

Risk Of Major Labour-Related Complications For Pregnancies Progressing To 42 Weeks Or Beyond

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RESEARCH ARTICLE Open Access

Risk of major labour-related complications for pregnancies progressing to 42 weeks or beyond Anthea C. Lindquist1,2* , Roxanne M. Hastie1,2, Richard J. Hiscock1,2, Natasha L. Pritchard1,2, Susan P. Walker1,2 and Stephen Tong1,2

Abstract

Background: Post-term gestation beyond 41+6 completed weeks of gestation is known to be associated with a sharp increase in the risk of stillbirth and perinatal mortality. However, the risk of common adverse outcomes related to labour, such as shoulder dystocia and post-partum haemorrhage for those delivering at this advanced gestation, remains poorly characterised. The objective of this study was to examine the risk of adverse, labour- related outcomes for women progressing to 42 weeks gestation or beyond, compared with those giving birth at 39 completed weeks.

Methods: We performed a state-wide cohort study using routinely collected perinatal data in Australia. Comparing the two gestation cohorts, we examined the adjusted relative risk of clinically significant labour-related adverse outcomes, including macrosomia (≥ 4500 at birth), post-partum haemorrhage (≥1000 ml), shoulder dystocia, 3rd or 4th degree perineal tear and unplanned caesarean section. Parity, maternal age and mode of birth were adjusted for using logistic regression.

Results: The study cohort included 91,314 women who birthed at 39 completed weeks and 4317 at ≥42 completed weeks. Compared to 39 weeks gestation, those giving birth ≥42 weeks gestation had an adjusted relative risk (aRR) of 1.85 (95% CI 1.55–2.20) for post-partum haemorrhage following vaginal birth, 2.29 (95% CI 1.89–2.78) following instrumental birth and 1.44 (95% CI 1.17–1.78) following emergency caesarean section; 1.43 (95% CI 1.16–1.77) for shoulder dystocia (for non- macrosomic babies); and 1.22 (95% CI 1.03–1.45) for 3rd or 4th degree perineal tear (all women). The adjusted relative risk of giving birth to a macrosomic baby was 10.19 (95% CI 8.26–12.57) among nulliparous women and 4.71 (95% CI 3.90–5.68) among multiparous women. The risk of unplanned caesarean section was 1.96 (95% CI 1.86–2.06) following any labour and 1.47 (95% CI 1.38–1.56) following induction of labour.

(Continued on next page)

© The Author(s). 2021 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License. Which permits use, sharing, adaptation, distribution and reproduction in any medium or format. As long as you give appropriate credit to the original author(s) and the source. Provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material.

If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

* Correspondence: anthea.lindquist@unimelb.edu.au 1Department of Obstetrics and Gynaecology, University of Melbourne, Melbourne, Victoria, Australia 2Mercy Perinatal, Mercy Hospital for Women, 163 Studley Rd., Heidelberg, Victoria 3084, Australia

Lindquist et al. BMC Medicine (2021) 19:126 https://doi.org/10.1186/s12916-021-01988-5

 

 

(Continued from previous page)

Conclusions: Giving birth at ≥42 weeks gestation may be an under-recognised risk factor for several important, labour- related adverse outcomes. Clinicians should be aware that labour at this advanced gestation incurs a higher risk of adverse outcomes. In addition to known perinatal risks, the risk of obstetric complications. Should be considered in the counselling of women labouring at post-term gestation.

Gene Therapy

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5

W1 Topic Selection

 

 

 

 

 

 

Critical Reasoning Project W1

 

 

Taylor Wester

HIST 405N

Chamberlain University

July 7, 2021

 

 

 

 

 

 

 

 

 

 

 

Critical Reasoning Project W1

Part #1

Topic: Gene Therapy

Gene therapy is the process of changing the genes inside the body’s cells to stop or treat a disease. Gene therapy can also be defined as a technique that utilizes genes to prevent or treat a disease (Deverman et al., 2018). In the future, the technique might allow physicians to treat a disease by inserting a new gene into the body’s cells instead of conducting surgery or using drugs. Gene therapy is more likely to treat cancer, heart disease, fibrosis, AIDS, hemophilia, and diabetes.

Part #2

Should gene therapy be allowed?

Part #3

I will examine the following aspects in my paper: law enforcement aspect, safety aspect, and ethical aspect. I have chosen the aspect of law enforcement as I want to analyze the legal issues surrounding gene therapy. I have also chosen the safety aspect to evaluate any safety issue related to gene therapy. According to research, a gene cannot be inserted directly into the body cells. Instead, it is delivered using a vector. Viruses are the most common vectors as they can identify certain cells and transfer genetic material into the genes. This process can, however, result in several safety risks in the body. I also chose the ethical aspect because I want to assess the ethical issues surrounding the technique. Gene therapy entails making changes to the body’s cells. This can raise several ethical concerns. Some of the moral questions surrounding the technique are:

Should individuals be allowed to use gene therapy to improve basic human characteristics such as athletic ability, intelligence, or height?

Who decides which human characteristics are normal?

Could the extensive use of the technique make the community less accepting of individuals who are different?

Which traits constitute a disorder or disability?

 

 

 

 

 

 

 

 

 

 

 

References

Deverman, B. E., Ravina, B. M., Bankiewicz, K. S., Paul, S. M., & Sah, D. W. (2018). Gene therapy for neurological disorders: progress and prospects. Nature Reviews Drug Discovery, 17(9), 641-659.

 

Diet and Lab Values

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Discussion: Diet and Lab Values

Ebook attached below: Nutritional Foundations and Clinical Applications: A Nursing Approach 7th Edition

 

Diet and Lab Values
Proteins have many functions within our bodies. List the functions, and explain why proteins are crucial to growth and maintenance.

Why are the protein diets of children different from adults?

Mark, a single father of a 2-year-old son, Jacob, stops every morning at a local fast food restaurant to pick up breakfast for himself and his son on their way to daycare. Mark says, “I don’t have time to cook in the mornings, and I can’t feed Jacob anything I would ever make at home any cheaper than this! Besides, he really loves these sausage and egg sandwiches, and at least I can get him to eat them!” Mark has a family history of diabetes, as well as hyper- lipidemia. At his next physical, Mark learns that his lipid panel is as follows: total cholesterol 245 mg/dl, LDL 180 mg/dl, and HDL 35 mg/dl.

What is the significance of this blood work?

What should his lipid profile look like, and as the nurse in Mark’s physician’s office, how would  you

educate him?

APA format (6th ed.) and is free of errors

Grammar and mechanics are free of errors free of Plagiarism

References: Use your book or Nurse journals and  articles with 5 years old

professional development goals.

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professional development goals.

Post an explanation of at least two strategies for including academic activities and accomplishments into your professional development goals. Then, explain how those goals may align with the University’s emphasis on social change. Be specific and provide examples.

Rozzano Locsin’s Technological Competency as Caring in Nursing

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Week 12 Assignment Reading and Discussion Post Due: Saturday @ 2359

·

NGR 5101 Grading Rubric Discussions and Reading Reflections.docx

 

Reading Assignment from Smith and Parker Textbook

Chapter 25: The Community Nursing Practice Model

Chapter 26: Rozzano Locsin’s Technological Competency as Caring in Nursing

Discussion Post Assignment #7 Due: Saturday

This assignment is worth 1 Point

How do you see the benefit of using both the Community Nursing Practice Model and Locsin’s Technological Competency as Caring in Nursing in today’s nursing environment?

I am looking forward to some robust conversations taking place. Please remember to adhere to APA 6th edition publication standards and please following the grading rubric. One post is your original submission and two responses to your peers are required.

 

 

 

 

 

 

 

Discussions and Reading Reflections:

· Participation in online discussion is an expectation of students enrolled. Giving this is an online class, discussions allow for class participation and interactions. A discussion week is Sunday to Saturday (11:59 pm EST).

· On specific weeks, there are questions or topics to be discussed. You are to post your initial post and respond to all professors posted questions. Initial posts must be made no later than Wednesdays at 11:59 pm. You will also be required to respond to at least two of your peers during the week. Failure to do so will cause a point’s deduction. You must also post at least four days per week. All posts cannot be posted on the same day.

· The initial post will be regarding the week and will be at least 250 words. Provide appropriate references and utilize APA style. Peer posts will be at least 150 words, otherwise will be counted as 0, all subsequent post must be in APA format and properly referenced. There will be 8 discussion posts worth 1 point each. To obtain full credit students must follow the above requirements. Each discussion will be allocated to a specific Master’s Essential.

· Besides the weeks that a discussion question is not posted, the student will be mandated to post a reading reflection paragraph (5-6 sentences, with reference material) regarding the assigned chapters of that week. These posts will be counted towards participation grade.

· In addition, on weeks 15 and 16, each student is to write a small reflection paragraph and post it objectives reflection” in answering what you have learned from this class, where the objectives you had for the class met and how do you anticipate the use of research.

· The reflection posts are your personal viewpoints regarding your reading assignments. No responses are required to your classmates’ posts. This applies to reflection assignments only.

 

Discussion Post Rubric:

Each posting and Reading Reflection:

Criteria 1 Point 0.75 Point 0.50 Point 0.25 Point
Participation

Weight 25.00%

 100 %

3 Posts

 80 %

2 Posts

 60 %

1 Post

 0 %

0 Posts
Quality of information

Weight 25.00%

 100 %

Information is clear and relates to the topic

 80 %

Information is somewhat clear and might relate to the topic

 60 %

The information has little relation to the topic and is not clearly displayed

 0 %

Information is not clear, and it does not relate to the topic
Resources

Weight 25.00%

 100 %

Provides resources using APA guidelines

 80 %

Provides resources without APA guidelines

 60 %

Limited on the resources provided with major errors in APA

 0 %

Provides no resources
Critical Thinking

Weight 25.00%

 100 %

Enhances the critical thinking process through premise reflection

 80 %

Enhances the critical thinking process without premise reflection

 60 %

Does enhance the critical thinking process in a very limited manner

 0 %

Does not enhance the critical thinking process