6051 Wk 6 Discuss REPLY (1)

  

Write a 2 Paragraph response (with 2-3 sources) to this post offering additional/alternative ideas regarding opportunities and risks related to the observations shared.

Innovative technology in the healthcare industry has made significant strides in patient care by utilizing these advancements to diagnose health conditions and deliver effective treatment quickly. My healthcare organization has adopted the use of interpretation technology, a device that facilitates communication between patients who have limited proficiency in English and healthcare providers through a digital communication system (Scamman, 2018). At my organization, we often use the audiovisual interpretation system when we are communicating with patients with limited English proficiency. The audiovisual call is done through a touchscreen tablet on a wheeled stand that can be rolled into the patient’s room and connects to a medically trained interpreter for the language of choice within seconds. This application is used to translate pertinent information about the treatment plan, provide education, and answer patient questions. Another feature used at my organization is the mobile patient portal, a web-based application that allows patients to communicate with their providers, ask questions, schedule appointments, and review their health records.

As with most technological devices, there is always the risk of encountering a device malfunction. The use of an audiovisual interpretation system presents a risk for technical disruptions, such as sound and video quality issues or inability to connect the call. While these disruptions can be corrected through technology design and adequate internet connection, it can create feelings of frustration in providers who are unable to effectively communicate with the patient (Clay-Williams, Baysari, Taylor, Zalitis, Georgiou, Robinson, Braithwaite & Westbrook, 2017).

Another risk associated with the use of healthcare technology is a patient data breach. Even with advanced security features, electronic systems are still subject to the invasion of cyberhackers. According to Vrhovec (2016), the majority of data breaches in healthcare are directly connected with mobile device loss and theft. Cyberhackers can access patient information shared between medical providers on their personal device or gain access to the patient’s portal system, placing patients at risk for medical identity theft and violation of their privacy (Vrhovec, 2016).

Despite these risks, healthcare technology serves a significant contribution to patient care and the delivery of data. While studies show that language barriers between providers and patients may lead to inappropriate treatment and increased length of hospital stay (Fetterolf, 2017), the use of the interpretation system can mitigate this barrier. By using the audiovisual interpretation system, providers can communicate the treatment plan in a language that the patient understands, and the patient can address any concerns or questions they have. Other studies have shown that patient portals improve outcomes of preventive care and disease awareness and self-management (Alotaibi & Federico, 2017).

The healthcare technology trend, I believe, is most promising for impacting technology in nursing practice is telemonitoring, also known as remote patient monitoring (RPM). RPM uses digital technology to collect data from patients outside of a clinical setting and transmit this information to healthcare providers for further management of behaviors and trends that affect one’s health (Mcgrail, 2019). One example of the use of RPM is the Fitbit study conducted in 2018, which allowed researchers to track multiple variables that contribute to heart disease, thereby allowing providers to determine appropriate interventions (Mcgrail, 2019). Another example of RPM is the use of a remote glucose monitoring device, which provides real-time glucose readings and tracks the patient’s glucose level patterns for proper management with insulin. RPM is a beneficial tool in the management of chronic conditions. These devices allow providers to collect data about the patients’ health-related patterns in their everyday settings and modify the plan of care for improved patient outcomes.

These are the sources you used for my post this. You can use these or any others you want. I trust your judgement

Baniasadi, T., Kalhori, S.R., Ayyoubzadeh, S.M., Zakerabasali, S., & Pourmohamadkhan, M. (2018). Study of challenges to utilize mobile-based health care monitoring systems: A descriptive literature review. Journal of 

Telemedicine and Telecare, 24(10), 661–668. DOI: 10.1177/1357633X18804747

Naseribooriabadi, T., & Sheikhtaheri, A. (2015). Social media and health care: Necessity of facing their challenges. Iranian Journal of Public Health, 44(4), 596–597. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441977/

University of Saint Mary. (n.d.). Five exciting technologies that are changing nursing practice. Retrieved from https://online.stmary.edu/msn/resources/five-technologies-changing-nursing-practice

Skiba, D. (2017). Evaluation tools to appraise social media and mobile applications. Informatics, 4(3), 32. doi:10.3390/informatics4030032

db1

  Evaluating Patients Instructions

It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format (6th Ed.). Classroom Participation

Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation. Discussion Prompt [Due Wednesday]

Case study:

Bana is a 24-year-old Muslim woman who was recently relocated to the United States as a refugee from Syria, along with her husband and three young children. She arrives at your office today for a physical with her children and a case manager. Her English is limited, and she relies on her case manager to explain the details of her situation, although the case manager does not speak Arabic and thus cannot interpret for her.

In interviewing Bana with the help of the case manager, you learn that her husband is currently looking for a job and that she works at night cleaning office buildings. Her last menstrual period was about 8 weeks ago, and she has been experiencing nausea and vomiting in the mornings recently. A pregnancy test proves positive, and you provide some prenatal education to the client.

During the physical, you notice recent bruises around her throat. She is embarrassed by them and indicates that she was assaulted in Syria before flying to the United States several weeks ago. On questioning further about the assault, Bana appears not to understand and looks at her case manager for help. What is the biggest barrier you face in providing care to Bana at this point? What is the priority action for you to take at this time? What action is most important for you to take to ensure the health and safety of the fetus? Given Bana’s financial situation, you are concerned about her and her family having adequate nutrition. Which intervention would best address this concern?

Online discussions are intended to be thoughtful exchanges among students that focus on the weekly readings and translating theory to practice. Initial postings are expected to be completed by Wednesday of each week. Response posts are due by Sunday of each week. Minimum expectations are to complete the initial posting and provide a substantive response to the initial posting of one other classmate who posted to a different question. Students earn points weekly for posts which meet (or exceed) minimum posting requirements. Points are deducted daily for late initial posts. Late response posts will not be accepted.

Estimated time to complete: 3 hours

15dr3

 In responding to two of your peers, discuss other potential therapies available for this individual. Explain the pathophysiology behind the development of this type of anemia. 

Peers response attached below. Please respond individually.

Advance Nursing Research (Literature Review Section of the EBP Project Proposal)

You will write your Literature Review Section of your EBP Project Proposal. Here is a Review of Literature Example (Word) (See Attachment to use as a model or guide). To conduct your literature review, you begin with the search strategy, gather your resources, then start writing your literature review and gap analysis.

Search Strategy

In the literature review section, you are to identify your search strategy, which can include the following:

– the databases and internet sites or search engines used to explore the literature (CINAHL, Medline, Google, Yahoo, etc.)

– the search terms you used

– the beginning and ending dates of the period covered in this study

– the time period when the search was conducted (e.g., Fall 2008)

– any special journals hand-searched and any relevant sources used in performing the literature search

Description of Literature or Gaps in the Literature

The literature review section is a review of studies that are related to your phenomenon. It should take up about eight to ten pages. The purpose is to tell the reader what is known about your phenomenon and lead the reader to what is not known about your phenomenon (your research problem). You should have sub-headings throughout this section of the paper.

The literature section discusses the relevant research related to your study. Do not discuss each study individually; instead, synthesize the literature based on your literature matrix. You can discuss individual findings of studies (include all eight studies that you described in your literature matrix in Weeks #4 (See attachment with 2 studies from week #4) and include the one you are creating this week with the other 6 studies) as appropriate including the statistical findings and study samples. This section needs to tell the reader what is known about your clinical area of interest. (My clinical area of interest: Behavioral / Mental Health. You will also summarize your review of the literature and discuss the gaps you have identified.

Assignment Instructions

Your assignment should be:

– Eight to ten pages, no cover page required, and the page count doesn’t include the references list.

– Your search strategy

– Description of articles (who, population, sample, what was done, statistical findings, limitations, and so on)

– Gaps section: the gaps you have identified from your literature search.

– FREE OF PLAGIARISM (TURNITIN ASSIGNMENT)

His wk5 cs

Option 3: World War I
Review the following resources: Link (video): A War to End All Wars: Part 2 (Links to an external site.) (6:56) Link (library article): The Treaty of Versailles and the Rise of Nazism (Links to an external site.)

Then, address the following: Trace the origins of World War I, and assess if the world war was inevitable in 1914? Explain if it was possible for the United States to maintain neutrality in World War I. If yes, explain how. If no, explain why not. Analyze if the United States should have entered World War I to make the world safe for democracy. Analyze if the Treaty of Versailles was a fair and effective settlement for lasting world peace. Explain if the United States Senate should have approved of the Treaty of Versailles.

Writing Requirements (APA format) Length: 4 pages (not including title page or references page) 1-inch margins Double spaced 12-point Times New Roman font Title page References page Minimum of 3 scholarly sources In-text citations that correspond with your end references

Federal Court

minimum of 75 words per question! !.) Analyze the Federal court decisions in regards to the Affordable Health Care Act. Debate the extent to which the Supreme Court’s decisions have affected healthcare policy in your community. Provide two (2) specific examples to support your rationale. NOTE:  You Must answer all parts of the thread.
2.) Analyze the concepts of stare decisis and their effect on health care related judicial decisions. Interpret this legal term in relationship to two (2) health care related cases. Support your response with specific examples.  NOTE:  You must answer all parts of the thread.  Please return Jan 13

response to vivian

 

Dilemma is the word I have chosen to describe this situation. Unfortunately, I think this is a very common occurrence within this setting for nurse practitioners. The practitioner in this scenario is faced with having integrity in treating the patient properly and seeing other patients and maintaining volume in order to be compensated financially. When it comes to nurse staffing to patient ratio, one article says that it is important to have a balance in order to provide the best patient outcomes (Clarke & Donaldson, 2008). Another article talked about how healthcare has incongruent goals. These goals include improving patient outcomes while providing patient-centered care and keeping costs down (Judge-Ellis & Wilson, 2017). This is exactly what this scenario shows.

My Experience with this Situation

       I have felt in a similar situation on a smaller scale. When our unit became increasingly busy and our staffing was down I had to take on an additional patient and,at the time, I was not comfortable with the load. I felt that I was not equipped to give the patients the best care and safety required. Unfortunately, our unit was not in a position to get additional help, especially so quickly, and I had to figure it out. I was able to care for the patients as needed and got some help. The amount of stress and even fear this added to my work was worrisome. This is not a position that was comfortable and I would think being in this given scenario would be worse. I would hate to have my work integrity and my finances go head to head. I would like to think I would care for the patients and I am sure at times I would and at others the financial aspect would guide my decision making.

Reference

Clarke, S. & Donaldson, N. (2008). Nurse staffing and patient care quality and safety. Retrieved from https://www.ncbi.nlm.nih.gov/books/NBK2676/ (Links to an external site.)Links to an external site.

Judge-Ellis, T. & Wilson, T. (2017). Time and NP practice: naming, claiming, and explaining the role of nurse practitioners. Retrieved from https://www.npjournal.org/article/S1555-4155(17)30602-5/pdf

Leadership Philosophy: Reflection

Leadership Philosophy: Reflection

To prepare for this Discussion: Review the week’s Learning Resources. Review the Leadership Skills and Emotional Intelligence assessment templates you completed in Weeks 1 and 2. Reflect on what you have learned throughout this course and how it has improved your leadership and emotional intelligence skills. Develop a brief personal leadership philosophy based on the results of these assessments. Consider the field you would like to work in and challenges you may encounter based on your leadership style or EI quotient. Choose from the following fields: Healthcare economics and finance Quality and safety Healthcare management Direct care professional By Day 4

Post a comprehensive response to the following: Describe your personal leadership philosophy based on your leadership skills and emotional intelligence assessment results. Based on your leadership philosophy, explain how you would address healthcare management workforce challenges in the field you selected above.

Health policy, politics and perspectives

Watch the following videos and read the assignments in preparation for this discussion.

Medicare Parts A & B

1. https://youtu.be/0hERCpthpUE 

2. https://youtu.be/qV155vnVNBY 

3. https://youtu.be/JfH7D81IgRw  (4 minutes video)

4. https://youtu.be/hUGXP4omhRo (5 mins video)

5. https://youtu.be/lbAL4g3cOb8 

 

Republicans have been undermining the ACA and oppose various Medicare-for-all proposals. In addition to party politics and differences, sections of the healthcare industry oppose certain changes in the Medicare-for-all options.

– Using 500-750 words, write a post that describes the political alliances and positions by party and in the industry. In your analysis, include the financial arguments and the political/ideological arguments about the role of government versus the private sector changes that are intended to increase coverage. You must reference the KFF comparison of proposals!

FREE OF PLAGIARISM (TURNITIN ASSIGNMENT) 

Adolescence pregnancy

Adolescent pregnancy is viewed as a high-risk situation because it poses serious health risks for the mother and the baby. Describe various risk factors or precursors to adolescent pregnancy. 

Research community and Maryland state resources devoted in adolescent pregnancy and describe at least two of these resources. 

Research the teen pregnancy rates for the last 10 years for Maryland state and community. Has this rate increased or decreased? Discuss possible reasons for an increase or decrease.

3 APA reference , 500 words, NO PLAGIARISM