Treatment Of Sleep/Wake Disorders

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Treatment Of Sleep/Wake Disorders

The power of sleep to heal the body cannot be underestimated. Most research indicates that 7–8 hours of sleep are a minimum that people need to stay healthy. Clients who come to the PMHNP’s office frequently complain of sleep problems. It is estimated that 10–20% of patients report some type of sleeping problem.

Assignment:

Assigned Sleep/wake disorder(CENTRAL SLEEP APNEA)

  • Explain the diagnostic criteria for your assigned sleep/wake disorder.(CENTRAL SLEEP APEA
  • Explain the evidenced-based psychotherapy and psychopharmacologic treatment for your assigned sleep/wake disorder.
  • Describe at what point you would refer the client to their primary care physician for an additional referral to a neurologist, pulmonologist, or physician specializing in sleep disorders and explain why.
  • Support your rationale with at least 3 references to the Learning Resources or other academic resource.

The Value Of The Humanities

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Required Resources
Read/review the following resources for this activity:

  • Minimum of 1 scholarly source
  • Use textbook Chapter 1

Initial Post Instructions
For the initial post, address the following:

  • What is the value of studying the humanities in the field of health professions?
  • How might a topic such as art, literature, music, dance, etc. from other time periods enhance your career as a future Nurse and personal life in the present?
  • Select one aspect of the humanities that is meaningful to your personal life and one for career. Explain how is each meaningful.
  • In addition, include a specific example of a work (a specific work of art, literature, theater, or music) that you feel is meaningful to your personal life and/or career. Explain the connection.

Follow-Up Post Instructions
Respond to at least one peer. Further the dialogue by providing more information and clarification.

Book: Martin, F. D., & Jacobus, L. A. The Humanities through the Arts. 10e. Mcgraw-Hill,2019.

Cause And Effect Fishbone 

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Cause And Effect Fishbone

Why can’t admitting remember to change these patients to pre-admit so that we can see the information. From the emergency room in their electronic record and view their current medication?” the scribe complained to the cath leb nurse. “ I will never understand why it is so difficult to get cath lab. Patients transferred from an ED patient to pre-admit.” The scribe stops trying to record patient. Information in the electronic health record. And calls the admitting department. The scribe is so frustrated because admitting has not updated the patient type listed in the electronic health record.

acute myocardial infarction

This patient was seen a few minutes ago in the ED for an acute myocardial infarction. The patient had come into Western States Hospital with a chest pain. An EKG was ordered for the patient and the EKG showed that the patient had a STEMI. Once this diagnosis was made, the patient was emergently transferred to the cath lab. Although the electronic health record used by the facility has many features that allow care providers. To access necessary patient information, the system has a few issues. The issue that caused the most headaches in the cath lab was the fact that the cath lab. Personnel could not view important patient information or chart new information. Until the admitting department changed the patient type from ED to pre-admit.

Although there was a way to override the system to view the necessary information, this process was also concerning. Charting within the system was not possible even with the override, and there had been some instances where the. Latest information from the ED was not in the system if the system had been overridden. Time frames were also problematic. Quality measures and reporting requirements necessitate accurate times. “ Door-to-balloon times” are an important reporting measure. Without the ability to chart in real time, the time of arrival to the cath lab and the time the vessel was opened are not accurately reflected in the system. As Western States Hospital collects data to determine how long it takes cath lab staff to open a vessel once the patient is in the cath lab, the report is showing that it happens very quickly, it almost seems like the average time is unrealistic.

acute myocardial infarction

The procedure in the cath lab is that a scribe or technician is responsible for developing everything that happens during the encounter. Without the ability to document directly into the electronic health record, the scribe or technician sends precious time contacting admitting and documenting the encounter on paper. This information must then be transferred into the electronic health record or “back charted.” At Western States Hospital the scribe calls the admitting clerk and states,

“ The patient from ED room 5 is here in the cath lab and patient type is still set at ED. You do realize that I cannot do my job when you do not do yours, right? Why can’t you admitting clerks figure out how to get these patient types changed faster and do your job so that I can do mine?” The admitting clerk responds, “ I have been busy taking care of other patients and didn’t realize this was your patient that was taken to the cath lab. I do have other patients to take care of besides the one that you have in the cath lab.

Just override the system so that you can view the information until I get the type changed,” to which the scribe states, “ Truly you don’t understand the ramifications of what your job entails and the problems this can cause the patient. Just make the change. Now!” The patient type is changed and the technician is now trying to document what has happened to this patient in the cath lab from memory.

Information Governance Principles for Healthcare

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Information Governance Principles for Healthcare (IGPHC)™

3AHIMA

INFORMATION GOVERNANCE Principles for Healthcare (IGPHC)™

 

 

Information Governance Principles for Healthcare (IGPHC)™

1

INFORMATION GOVERNANCE Principles for Healthcare (IGPHC)™

Preamble ………………………………………………………………………………………………3

Principle of Accountability ………………………………………………………………….5

Principle of Transparency ……………………………………………………………………6

Principle of Integrity ……………………………………………………………………………7

Principle of Protection…………………………………………………………………………9

Principle of Compliance ……………………………………………………………………. 10

Principle of Availability ……………………………………………………………………… 11

Principle of Retention ……………………………………………………………………….. 12

Principle of Disposition …………………………………………………………………….. 14

IGPHC™ Glossary of Selected Terms ………………………………………………… 15

Acknowledgements…………………………………………………………………………… 19

©2014 by the American Health Information Management Association

 

 

Information Governance Principles for Healthcare (IGPHC)™

2 AHIMA

PREAMBLE Complete, current, and accurate information is essential for any organization in the healthcare industry to achieve its goals. Adoption of an information governance program underscores the organization’s commitment to managing its information as a valued strategic asset. Governance of clinical and operational information:

■ Improves quality of care and patient safety ■ Improves population health ■ Increases operational efficiency and effectiveness ■ Reduces costs ■ Reduces risk

Information governance helps manage and control information by supporting the organization’s activities and ensuring compliance with its duties. Drawing from definitions of Gartner and ARMA International, AHIMA defines information governance as an organization-wide framework for managing information throughout its lifecycle and supporting the organization’s strategy, operations, regulatory, legal, risk, and environmental requirements. Information governance establishes policy, prioritizes investments, values and protects informa- tion assets, and determines accountabilities for managing information, making it an imperative for healthcare. It also promotes objectivity through robust, repeatable processes insulated from individ- ual, organizational, political, or other biases, and then protects information with suitable controls. By following information governance principles, organizations conduct their operations effectively, while ensuring compliance with legal requirements and other duties and responsibilities.

Healthcare as a Unique Information Environment

Trust plays a critical role in healthcare delivery. Patients entrust their personal information to healthcare organizations, creating distinct requirements for confidentiality, privacy, and security. These organizations, regardless of their roles in healthcare, must earn the confidence of patients and society, through a firm commitment to ethical and responsible handling of personal information. Embedded in trust is the expectation of information integrity, which depends on the completeness and correctness of data.

Heightened focus on integrity to ensure confidence in information is demanded by the nature of healthcare, changes in care delivery and payment models, the increasing adoption of electronic systems, and the importance of reliable information exchange. Healthcare organizations have an obligation to define uses of information and to define the policies and practices for governing use of the information.

This includes protected health information, personally identifiable information, de-identified and anonymized information, aggregate and detailed information used to satisfy mandatory or voluntary reporting purposes, operational needs, secondary uses of data/information, and other uses based on the role and mission of the organization. Research is fundamental to advancing the science of medicine. New guidelines, protocols, treatments, interventions and wellness insights, all developed through research, are essential to elevating population health. Research, whether focused on clinical care, delivery systems, or payment models, depends on trusted information.

“ Trust plays a critical role in healthcare delivery. Patients entrust their personal information to healthcare organizations, creating distinct requirements for confidentiality, privacy, and security. These organizations, regardless of their roles in healthcare, must earn the confidence of patients and society, through a firm commitment to ethical and responsible handling of personal information.”

HEALTH CARE DELIVERY SYSTEMS

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The U.S. health care system is unique in comparison to health care systems in other industrialized countries. According to the Commonwealth Fund Analysis (2017), the U.S. ranks 11 in overall ranking of health care system performance rankings.(Image: Common Wealth Fund, Retrieved from https://www.commonwealthfund.org/chart/2017/health-care-system-performance-rankings)

Identify and select 5 of the following countries to research:

  1. Austria
  2. Canada
  3. France
  4. Germany
  5. Netherlands
  6. New Zealand
  7. Norway
  8. Sweden
  9. Switzerland
  10. United Kingdom

In a 13- to 15-slide PowerPoint (PPT) presentation:

  1. Compare and contrast the selected country’s health care delivery systems to the U.S.
  2. Based on your research, provide 2-3 recommendations the U.S. should adopt to improve health care delivery.

Speaker’s notes are required for each slide. Much of the information presented on the slides should be concise and explained in detail through your speaker notes.

SLP Assignment Expectations

  1. Conduct additional research to gather sufficient information to support your design of your PPT.
  2. Limit your total PPT to a maximum of 15 slides, not including your title or reference slide.
  3. Support your report with peer-reviewed articles, with at least 3 references. Use the following link for additional information on how to recognize peer-reviewed journals. Angelo State University Library (n.d.) Library guide: How to recognize peer reviewed (refereed journals). Retrieved from link https://www.angelo.edu/services/library/handouts/peerrev.php
  4. You may use the following source to assist in formatting your assignment. Purdue Online Writing Lab. (n.d.). General APA guidelines. Retrieved from link: https://owl.english.purdue.edu/owl/resource/560/01/.
  5. For additional information on reliability of sources review the following source. Georgetown University Library (n.d.) Evaluating internet resources. Retrieved from link:https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content

aspects of integrity in the classroom

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aspects of integrity in the classroom

As a leader, one of the many qualities that you must embrace during your journey, as a professional or a student, is integrity. According to Telford & Gostick (2005), “integrity is tough taskmaster… the ability to consistently act in accordance with their own principles is one thing that sets people of integrity apart” (pg. 1). As we begin this education journey, let’s take a moment to review aspects of integrity in the classroom. Begin by reviewing and completing the graduate tutorial at the following source.

Frick, T., Dagli, C., Barrett, A., Myers, R., Kwon, K., & Tomita, K. (2019). How to recognize plagiarism: Tutorial and tests. Bloomington, IN: Department of Instructional Systems Technology, School of Education, Indiana University. Retrieved from: https://academy.sitehost.iu.edu

Once you have completed your tutorial, you will receive a certificate. Submit the Certificate in your Case 1 Assignment dropbox (Note: you can submit multiple attachments). Please note that you MUST complete this tutorial, successfully pass the quiz, and submit your certificate before you can progress with Case and SLP assignments beyond Module 1.

delivery of health care

There are three key players in the delivery of health care: 1) the health care organization, 2) the clinician (team of physicians, nurses, medical assistants, and office staff), and 3) the patient (Coqing, Daviono-Ramaya, Ramaya, & Szmerekosky, 2009). For Module 1 Discussion, discuss the influence each key player has on healthcare delivery and explain the importance of integrity for each player.

Your posts will be graded on how well they meet the Discussion Requirements posted in the “Before You Begin” section. Please review this section as well as the discussion scoring rubric.

Cowing, M., Davino-Ramaya, C. M., Ramaya, K., & Szmerekovsky, J. (2009). Health care delivery performance: service, outcomes, and resource stewardship. The Permanente Journal, 13(4), 72–78. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2911834/

Frick, T., Dagli, C., Barrett, A., Myers, R., Kwon, K., & Tomita, K. (2019). How to recognize plagiarism: Tutorial and tests. Bloomington, IN: Department of Instructional Systems Technology, School of Education, Indiana University. Retrieved from: https://academy.sitehost.iu.edu

Accident Prevention And Safety Promotion For Parents And Caregivers Of Infants

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You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

The growth, development, and learned behaviors that occur during the first year of infancy. Have a direct effect on the individual throughout a lifetime. For this assignment, research an environmental factor that poses a threat to the health or safety of infants. And develop a health promotion that can be presented to caregivers.

Create a 10-12 slide PowerPoint health promotion, with speaker notes, that outlines a teaching plan. For the presentation of your PowerPoint, use Loom to create a voice over or a video. Include an additional slide for the Loom link at the beginning, and an additional slide for references at the end.

In developing your PowerPoint, take into consideration the health care literacy level of your target audience, as well as the demographic of the caregiver/patient (socioeconomic level, language, culture, and any other relevant characteristic of the caregiver) for which the presentation is tailored.

Include the following in your presentation:
Describe the selected environmental factor. Explain how the environmental factor you selected can potentially affect the health or safety of infants.
Create a health promotion plan that can be presented to caregivers to address the environmental factor and improve the overall health and well-being of infants.
Offer recommendations on accident prevention and safety promotion as they relate to the selected environmental factor and the health or safety of infants.
Offer examples, interventions, and suggestions from evidence-based research. At least three scholarly resources are required. Two of the three resources must be peer-reviewed and no more than 6 years old.
Provide readers with two community resources, a national resource, and a Web-based resource. Include a brief description and contact information for each resource.

Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style.

Refer to the resource, “Loom,” located in the Student Success Center, for additional guidance on recording your presentation.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

Concepts In Community

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1) Minimum 10 full pages  (Follow the 3 x 3 rule: minimum three paragraphs per part)

             Part 1, 2, 3, 4: Minimum 1 page

          

 

   

Submit 1 document per part

2)¨******APA norms

All paragraphs must be narrative and cited in the text- each paragraph

          Bulleted responses are not accepted

          Don’t write in the first person 

Don’t copy and paste the questions.

Answer the question objectively, do not make introductions to your answers, answer it when you start the paragraph

Submit 1 document per part

3)****************************** It will be verified by Turnitin (Identify the percentage of exact match of writing with any other resource on the internet and academic sources, including universities and data banks)

********************************It will be verified by SafeAssign (Identify the percentage of similarity of writing with any other resource on the internet and academic sources, including universities and data banks)

4) Minimum 3 references per part not older than 5 years

Part 3: minimum 6 references not older than 5 years

5) Identify your answer with the numbers, according to the question. Start your answer on the same line, not the next

Example:

Q 1. Nursing is XXXXX

Q 2. Health is XXXX

6) You must name the files according to the part you are answering: 

Example:

Part 1.doc and 2 

 

__________________________________________________________________________________

Part 1: Concepts in Community

1.  What are social determinants of health?

2. Explain how social determinants of health contribute to the development of disease.

3. Describe the fundamental idea that the communicable disease chain model is designed to represent.

4.  Give an example of the steps a nurse can take to break the link within the communicable disease chain.

Part 2: Concepts in Community

1. Select a global health issue affecting the international health community.

2. Briefly describe the global health issue and its impact on the larger public health care systems (i.e., continents, regions, countries, states, and health departments).

3. Discuss how health care delivery systems work collaboratively to address global health concerns and some of the stakeholders that work on these issues.

Part 3: Concepts in Community

Topic: HIV

Write a paper 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.

Epidemiology Paper Requirements

1. Describe the chosen communicable disease, including:

a. Causes

b. Symptoms

c.  Mode of transmission

d. Complications

e. Treatment

f.  Demographic of interest (mortality, morbidity, incidence, and prevalence).

g. Is this a reportable disease? If so, provide details about reporting time, whom to report to, etc.

2. Describe the social determinants of health and explain how those factors contribute to the development of this disease.

3. Discuss the epidemiologic triangle as it relates to the communicable disease you have selected.

a. Include the host factors, agent factors (presence or absence), and environmental factors.

b. Are there any special considerations or notifications for the community, schools, or general population?

4. Explain the role of the community health nurse (case finding, reporting, data collection, data analysis, and follow-up)

a. Why demographic data are necessary to the health of the community.

5. 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.

6. Discuss a global implication of the disease.

a. How is this addressed in other countries or cultures?

b. Is this disease endemic to a particular area? Provide an example.

 

Part 4: APRN

1. Describe your vision of your role as an APRN (Write in the first person)

clinical environment

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clinical environment

In collaboration with the approved course preceptor. Students will identify a specific evidence-based topic for the capstone project change proposal. Students should consider the clinical environment in which they are currently employed or have recently worked. The capstone project topic can be a clinical practice problem. An organizational issue. A leadership or quality improvement initiative, or an unmet educational need specific to a patient population or community. The student may also choose to work with an interprofessional collaborative team.

Students should select a topic that aligns to their area of interest. As well as the clinical practice setting in which practice hours are completed.

Write a 500-750 word description of your proposed capstone project topic. Include the following:

  1. The problem or issue, intervention, quality initiative. Educational need, or collaborative interprofessional team project that will be the focus of the change proposal.
  2. The setting or context in which the problem or issue. Intervention, quality initiative, educational need, or collaborative interprofessional team project can be observed.
  3. A description (providing a high level of detail) regarding the problem or issue. Intervention, quality initiative, educational need, or collaborative interprofessional team project.
  4. Effect of the problem or issue, intervention. Quality initiative, educational need, or collaborative interprofessional team project.
  5. Significance of the topic and its implications for nursing practice.
  6. A proposed solution to the identified project topic with an explanation of how it will affect nursing practice.

You are required to cite to a minimum of eight peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years. Appropriate for the assignment criteria. And relevant to nursing practice. Plan your time accordingly to complete this assignment.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Prepare this assignment according to the guidelines found in the APA Style Guide. Located in the Student Success Center. An abstract is not required.

Health History and Medical Information

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It is necessary for an nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. M., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read, is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. And has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

Temperature: 37.1 degrees C
BP 123/78 HR 93 RR 22 Pox 99%
Denies pain
Height: 69.5 inches; Weight 87 kg
Laboratory Results

WBC: 19.2 (1,000/uL)
Lymphocytes 6700 (cells/uL)
CT Head shows no changes since previous scan
Urinalysis positive for moderate amount of leukocytes and cloudy
Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L
Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. M.’s situation. Include the following:

Describe the clinical manifestations present in Mr. M.
Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.
When performing your nursing assessment, discuss what abnormalities would you expect to find and why.

Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.
Discuss what interventions can be put into place to support Mr. M. and his family.
Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.
You are required to cite to a minimum of two sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice.

Prepare this assignment according to the guidelines found in the APA Style Guide,