Cognitive computing in healthcare

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Cognitive computing

Hirons,

Cognitive computing is a phenomenon involving the synthesis of large quantities scientific information to make intelligent and informed decisions. Cognitive computing involves data mining to pull from information. Then, the computer mimics a human brain by assessing the data, looking for patterns, and formulating a response. In healthcare, cognitive computing could be used to assess symptoms and recommend specific diagnostic or treatment options (Behera et al., 2019).

Cognitive computing in healthcare has the potential to improve the quality of patient care. Healthcare providers are very much respected, but they are still human. A provider makes informed decisions based on his or her education, experience, and expertise. However, cognitive computing makes decisions based on vast quantities of information that one human brain would not be able to retain. It is possible this strategy could make more informed healthcare decisions, simply because cognitive computing can assess much more information. Cognitive computing could also provide much more efficient  and accessible healthcare. If a patient can tell a machine their presenting issue and symptoms, their concern could be addressed immediately. The patient would not have to make an appointment, get transportation to the appointment, and meet with one or more providers Coccoli, , & Maresca, 2018).

Cognitive computing

Cognitive computing may have negative effects on the quality of patient care. There is value in human interaction and seeing a patient face-to-face. I work in mental health, so most of the information I assess is subjective. Patients have to trust me enough to express thoughts of suicide and symptoms of depression. That trust may be lost when speaking to a machine instead of a human (Coccoli, , & Maresca, 2018).

Cognitive computing has the potential to decrease the cost of healthcare. If cognitive computing can assist providers in making informed decisions, then there is less guess work and problem solving. Research shows that 80% of healthcare costs are due to physician decisions about testing, procedures, pharmaceuticals, and other treatments. Cognitive computing may reduce the amount of repeated or unnecessary tests and procedures. It may also ease the provider’s need to rule out particular diseases. Insurance companies must adapt to a changing healthcare system using cognitive computing (Emanue & Wachter, 2019).

cognitive computing

It’s important to note that there is a wide spectrum involving the use of cognitive computing.  Some research focuses on the replacement of healthcare professional with cognitive computing, while others focus on how cognitive computing can assist healthcare workers and improve the quality of care (Chen et al, 2017). Nursing could be impacted by using cognitive computing as a tool to make informed medical decisions. This could potentially help with making decisions about testing, procedures, medications, and when to make consults (Behera et al., 2019).

There are some barriers to preventing widespread usage of cognitive computing. This includes patient privacy issues, patient distrust of technology, technology problems, accessibility of devices to use the technology, and the technical skills required to use such technology. To maintain privacy, programs must be protected from outside sources viewing and using patient information. This includes the use of encryptions, passwords, and secure clouds. Patient education will play a large role in the implementation of cognitive computing, especially if patients are expected to use the technology and dispel any feelings of paranoia or fear. Nurses will need to make sure the patient feels comfortable using this technology. The nurse must also assess to see if the patient has the technical skills needed to effectively use the technology and a device that allows them access. There must be some training involved and a way to get assistance when needed (Coccoli, , & Maresca, 2018).

References

Behera, R.K., Bala, P.K., & Dhir, A. (2019). The emerging role of cognitive computing in healthcare: A systematic literature review, International Journal of Medical Informatics, 129(2019), 154-166.  https://doi.org/10.1016/j.ijmedinf.2019.04.024 (Links to an external site.).

Chen, M. Yang, J., Hao, Y., Mao, S. & Hwang. K. (2017). A 5G cognitive system for healthcare. Big Data and Cognitive Computing, 1(1). https://doi.org/10.3390/bdcc1010002 (Links to an external site.)

Coccoli, M., & Maresca, P. (2018). Adopting cognitive computing solutions in healthcare. Je-LKS, 14(1). https://doi.org/10.20368/1971-8829/1451 (Links to an external site.)

Emanue, E.J., & Wachter, R.M. (2019). Artificial intelligence in health care: Will the value match the hype? JAMA Network, 321(23), 2281–2282. doi:10.1001/jama.2019.4914

CLINICAL PRESENTATION

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Clinical presentations can be based on any content area covered in NUR2115. You could use an idea below or develop your own idea. All topics MUST be cleared with your clinical instructor. Presentations take place on the last day of clinical. You do not need to submit your clinical presentation to the main course shell (only submit to your clinical course shell).  See requirements below.

20 points

Presentation Requirements:

Choose a topic you can cover well in about 15 – 20 minutes. Prepare! You must be well versed in your topic as you will get questions from your peers. The presentation should include at least 3 learning objectives included in an organized. Thoughtful teaching presentation outline to hand out to your audience (can either be in outline format or a PPT outline). You will need a visual (such as PPT, Kahoot!, quizzes, handouts, etc.- cannot solely include a pre-made visual such as a YouTube video).

Develop an approximate timeline to organize yourself and to assure you cover your content. And answer any questions within the time allowed. Be prepared for your presentation. Presenters will be randomly chosen; Please be ready when called to avoid losing points.

TOPIC: CULTURAL CONSIDERATIONS IN NURSING

POWER POINT ON CULTURAL CONSIDERATIONS IN NURSING!

DIFFERENT CULTURES: MEDICINE, FOOD/DIET, CARE, PRIVACY

INCLUDE YOUTUBE VIDEOS  ABOUT THE TOPIC

SOURCES, APA FORMAT, OUTLINE INCLUDED

technology and healthcare

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This is the week to really see where technology and healthcare are connecting. Select ONE of the following trends and discuss your understanding of this trend in healthcare and its potential impact on your practice as a nurse. What are the legal, privacy, and ethical considerations of this trend? (Everyone attempt to choose a different topic so that we will learn about the many advancements in technology).

  • Nanotechnology
  • Consumer health informatics (CHI)
  • Social media healthcare applications
  • Health-focused wearable technology
  • eHealth
  • Artificial Intelligence
  • Simulation
  • Computerized provider order entry (CPOE)
  • Bar Code Medication Administration (BCMA)
  • Creative measures in healthcare for use with 3D printers
  • Smart Pumps
  • Smart Rooms
  • Robotics in healthcare
  • Mobile technology in outpatient care
  • Web-based tools and software technology
  • Risk Management tools
  • Chatbots or Bots in healthcare
  • Telenursing
  • Telemedicine
  • Telepharmacy
  • Telerehabilitation
  • Teleconsultation
  • Telehospice
  • Technology advancement from your clinical practice
  • Palm Vein Technology
  • Microchip use in healthcare
  • Optical head-mounted computer glasses (Google Glass)
  • Smart hospital bed

the characteristics of papulosquamous eruptions

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Clinical Case Scenario:
A 7-month-old boy presents with an erythematous, confluent, slightly raised, and scaly rash on his cheeks; and his extremities are also covered with a fine papular rash. The infant has had some scaling behind the ears and on the scalp since early infancy, but the symptoms have recently increased. The mother applies baby oil to the scalp to relieve scaliness. Except for some intermittent rhinorrhea, the infant has otherwise been well. Immunizations are deficient; he received only the first set when he was two months old. The family history is positive for bronchitis. The infant’s weight is at the 75th percentile, and the height is at the 50th percentile. Vital signs are normal. The physical examination is normal, except for the presence of the rash.

  1. What are the characteristics of papulosquamous eruptions? Be thorough and descriptive.
  2. What are the common conditions associated with papulosquamous eruptions in children? List at least 3 common conditions and include the pathophysiology of each condition.
  3. What are the appropriate treatments for common papulosquamous eruptions? Why?
  4. When should children with papulosquamous eruptions be referred to a dermatologist?
  5. Define the following: a) confluent, b) papular, c) papulosquamous, and d) rhinorrhea

nursing care strategies for clients with cardiovascular disorders

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nursing care strategies for clients with cardiovascular disorders

Competency

Prioritize nursing care strategies for clients with cardiovascular disorders.

Scenario

Cardiac disease a one of the leading causes of death in the United States. Since it is so prevalent, you want to ensure your co-workers are fully prepared to care for patients. You are hosting a lunch to provide a refresher on heart disease and how to care for patients. During the lunch, you will present a PowerPoint Presentation to your co-workers.

Instructions

Choose one of the cardiac diseases that we covered in the last two modules. Within your presentation include:

  • Provide a detailed overview of the disease process
  • Diagnosis
  • Treatment
  • Multidimensional care including risk reduction, health promotion, and nursing interventions specific to the disease process

Submit your completed assignment by following the directions linked below. Please check the Course Calendar for specific due dates.

common misconceptions about CAM

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Write a short (50-100-word) paragraph response for each question posed below. Submit this assignment as a Microsoft Word document.

  1. Define CAM.
  2. Describe the patient who uses CAM the most.
  3. List some common misconceptions about CAM.
  4. Identify methods of including the use of CAM in patient education.
  5. Discuss the safe use of CAM.
  6. List ways in which conventional medicine and CAM can be integrated.
  7. Define ethical theories, ethical principles, and values.
  8. Provide examples of ethical issues in patient education and compliance, and describe ways in which an effective professional/patient relationship and a poor health professional/patient relationship can impact these issues.
  9. Explain what is meant by “ethical patient education practices”.
  10. Explain the purpose of informed consent.
  11. Discuss what factors determine the patient’s ability to give informed consent.
  12. Compose a sample informed consent form. .
  13. Discuss the process of communication to use with the patient and the family when obtaining informed consent.

ADVANCED PRACTICE ROLES IN NURSING

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Running Head: ADVANCED PRACTICE ROLES IN NURSING 1

 

ADVANCED PRACTICE ROLES IN NURSING 2

ADVANCED PRACTICE ROLES IN NURSING

Ivis Perez Delgado

Role of Advance Practice Nurse

08/20/2021

ADVANCED PRACTICE ROLES IN NURSING

Distinguish between Advanced Nursing Practice (ANP) and the Advanced Practice Nurse (APN). 

“Advanced nursing practice is a nurse field that extends the boundaries of nursing practice, helps in contributing to nursing knowledge as well, a promoting the advancement of the nursing profession” (Tappen, 2017). On the other hand, a nurse with an ANP title has completed the master’s or doctorate, allowing the nurse to pursue higher-level roles in their respective fields. The nurses become more autonomous and versatile in the service delivery.

Briefly define advanced nursing practice and the four roles in nursing about clinical practice, primary care, education, administration, and health information. 

According to Miranda Neto, et al., (2018) “advanced nursing practice is a field of nursing that extends and expands the boundaries of nursing’s scope of practice, contributes to nursing knowledge, and promotes the advancement of the profession.” the healthcare industry is changing at a very high pace which therefore requires that the healthcare professionals are also up to the task. The ANPs have various healthcare roles that help improve the outcomes of the patients. The first one is their role in helping in nursing research. The principal objective is to improve the patient’s safety and quality by understanding the science at hand and the approaches behind the efficient use of evidence and implementation of change.

The second role is that these nurses help in managing the overall care by prescribing medications. APRNs are required to prescribe controlled drugs listed in schedule II to a limit of only seven days supplies. The prescription does not, however, take in psychotropic medications prescribed for children aged below 18 years. Another role is that these nurses help in offering education to the patients. Patients’ education is crucial in nursing practice to help improve the outcome of the treatment, such as through medication adherence. Lastly, they also help in offering leadership to the other nurses. Nurse leaders are motivated and empowered to accomplish some goals, and they lead others in ensuring that the goals and objectives are achieved.

Discuss the role you intend to acquire through SUO. Include experiences and qualities you have that have influenced your decision. Include your philosophy. 

I intend to acquire knowledge and skills that will help me advance in public health nursing. Public health nursing is a practice that helps promote and protect the population’s health through knowledge from social sciences, public health, and nursing. Unlike the other nurses who mainly help in a wide variety of healthcare settings, public health nurses improve patients’ health by providing community channels and information on various topics such as sanitation and education (Stanhope, & Lancaster, 2019). Their primary work involves many basic concepts like healthy living promotion, prevention of diseases and health problems, rehabilitation, wellness, among many others. I am very passionate about the prevention of diseases and health promotion in the community.

Develop a minimum of ten questions that you would like to ask the advanced practice clinician or non-clinician you have chosen to interview.  

1. What do you love most about your career as an advanced practice clinician?

2. Why did you choose this job?

3. What other kinds of nursing/other jobs did you ever do?

4. What is your role in reducing the unfavorable outcomes in healthcare?

5. What is the difference between the other nursing career and advanced practice clinician?

6. How would you describe your role in admission and staffing decisions?

7. What do you do to eradicate the barrier of medication adherence?

8. How do you ensure the use of evidence-based practices and patient-centered care?

9. How do you ensure collaboration and good communication between you and the various healthcare professionals?

10. What is the role of technology in helping improve the patients’ quality of care?

References

Miranda Neto, M. V. D., Rewa, T., Leonello, V. M., & Oliveira, M. A. D. C. (2018). Advanced practice nursing: a possibility for Primary Health Care?. Revista Brasileira de Enfermagem, 71, 716-721.

Stanhope, M., & Lancaster, J. (2019). Public health nursing e-book: Population-centered health care in the community. Elsevier Health Sciences. retrieved from: Public Health Nursing E-Book: Population-Centered Health Care in the Community – Marcia Stanhope, Jeanette Lancaster – Google Books

Tappen, R. M. (2017). Advanced nursing research: From theory to practice. Jones & Bartlett Publishers.

God, Humanity, And Human Dignity

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 2 DQ 2

Every human being has values that are build up as they grow older based on their surroundings. We are on this world to do good as human beings and sever god’s will. Even though its modern world and everyone option and lifestyle choices are respected by another individual.

Abortion is one topic that could be found by on individual. As normal practice and could be against another culture and religious beliefs. Even though science is growing, and many things have changed but once must always realize we are here to serve the purpose of God. All the decision that human make is perceived as gods’ intention. Often time we come across decision that could be against once personal beliefs but then we are here to respect everyone decision and cultural acceptance. Rather than putting forward own beliefs patient beliefs are respected and treatment is provided on their preferences.

 

Using 200-300 words APA format with at least two references. Sources must be published within the last 5 years.

Advanced Practice Nursing Model

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Discussion Reflection Response – Advanced Practice Nursing Model

Post your complete response to the discussion questions in the Discussion Area by the due date assigned.

This first week we are going to reflect on who we want to be and why. Why do you want to be an advanced practice nurse?

Please note:

  • Start with why you wanted to be a nurse originally; what does nursing mean to you? Describe the APN role that you are pursuing at South and why you chose this role—add a personal story to illustrate. 
  • This is a reflection and therefore no references are needed nor expected.
  • There is only one (1) post for this discussion board.
  • There is no requirement to respond to any of your peers.
  • Your response should be 200-250 words in length.

Guidelines: In your discussion response, provide a substantive response that illustrates a well-reasoned and thoughtful response. Reflective posts provide you an opportunity to think back on the concepts and materials you reviewed for the week. A reflection is a method for personal growth. A reflection post can help answer questions, such as, “How has my thinking changed this past week?”, “How can I use the concepts or relationships from the course readings and course content in my practice?” Reflection enhances personal and professional growth by making connections to previous course content and/or presenting novel ideas and insights

Maternal-Child Nursing

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The nursing student should be able to identify seizure activity, how to educate the family and or caregiver of the pediatric patient on what to do if a seizure occurs and what medications to administer, implement safety to prevent injury and treatment of fracture. Develop education to support discharge based on assessment of data.

Competency

Prioritize nursing interventions when caring for pediatric clients with health disorders.

Scenario

A 5-year-old Gabriel is a multiracial male weighing 48 lbs with an allergy to penicillin arrives in the emergency room, no cultural considerations identified. You are handed the following notes on the patient that read:

He arrived in ER with his mother after falling out of bed after jerking movement activity as witnessed by his older brother while sleeping. Right-upper extremity appears with deformity. Mother and child speak English. Child has no significant medical history. Mother reports incontinent of urine during episode.

Your Assessment

Vital Signs: T 102.9, P 135, R 24, BP 118/60, O2 sat 100% RA

General Appearance: appears drowsy; face flushed, quiet

Neuro: oriented X3

Cardiovascular: unremarkable

Respiratory: lungs clear

Integumentary: very warm, dry

GI/GU: abdomen normal

Physician Orders

  • Complete Blood Count (CBC)
  • Complete Metabolic Panel (CMP)
  • Urinalysis with culture and sensitivity (U/A C&S)
  • Blood Cultures x 2
  • X-rays kidneys,
  • Influenza screening
  • Acetaminophen 15 mg/kg PO now
  • Ibuprofen 10 mg/kg PO now
  • Pad side rails
  • Suction at bedside with seizure precautions
  • Radiographs of right arm
  • Cast to right arm
  • Start PO fluids and increase as tolerated

The physician discharges Gabriel from ER to home with a diagnosis of; Right ear infection, Acute Febrile Seizure and fracture of the right ulna.

Discharge orders include:

  • Follow up with pediatrician in 7 days
  • Follow up with pediatric orthopedics in 7-10 days
  • Cefuroxime 30mg/kg PO BID for 10 days not to exceed 1,000mg daily. What is the recommended dosage if cefuroxime is supplied as an oral suspension 125mg/5ml or 250/5ml?
  • Acetaminophen 15 mg/kg PO Q4 hours PRN fever or pain and ibuprofen 10 mg/kg PO Q6 hours PRN fever and pain for up to 3 days
  • Acetaminophen is available as 160 mg/5 mL. Ibuprofen is available as 100 mg/ 5 mL.
  • What is the amount of acetaminophen in mg and ml per dose? What is the amount of ibuprofen in mg and ml per dose?
Instructions

Develop a discharge plan with three goals listed in order of priority, prior to discharge from current orders. Provide rationale for why you listed the goals in a particular order. Also, list three nursing interventions to meet each of the goals (you should have nine interventions in total). Last, give the mother the exact dosage she will need to give the child for acetaminophen, ibuprofen, and the cefuroxime when she gets home and explain why the exact dosage is important.

Format
  • Standard American English (correct grammar, punctuation, etc.)
  • Logical, original and insightful
  • Professional organization, style, and mechanics in APA format
  • Submit document through Grammarly to correct errors before submission