Nursing

Cultural/Faith Leader Interview
Cultural/Faith Leader Interview
Individual Project (Cultural/Faith leader interview and PowerPoint)
You will be creating a PowerPoint presentation that will cover healthcare/nursing, spirituality, & ethics. This presentation will be based on a personal interview you will have with a spiritual leader that is a different faith than your own. You will need to post your choice within the discussion board titled “Cultural/Faith Leader Project”. In order to avoid duplicate presentations and provide a variety of cultures/faiths, you will all need to select a different choice. The interview must be done with a faith leader and not just a member of that faith. Plan for this assignment in advance since scheduling a personal interview will take time. Nearly every student has commented on how much they enjoyed and learned from this assignment.
Additional assignments: There are 2 shorter writing assignments one of which require interviewing/polling coworkers and one that requires some reflection about some of your own personal beliefs about ethical issues. Plan on looking at these assignments (especially the Professional Liability assignment) a few weeks in advance since research regarding your institutions legal coverage is required and a few students found that contacting the appropriate person in their workplace has been challenging.
Figure 1A. Nikoleta’s red blood cells Figure 1B. Normal red blood cells
The hematologist meets with the Stamos family in the exam room. “Mr. and Mrs. Stamos, there are some things that do not look normal in Nikoleta’s blood. I am not sure of the cause, but I do know that Nikoleta’s red blood cells aren’t shaped correctly and they are not the right color. The red blood cells should be very red under the microscope and her red blood cells are light pink.”
Mrs. Stamos asks, “Does it matter if her red blood cells aren’t red?”
The hematologist replies, “Yes, it does matter. Healthy red blood cells are very red and carry oxygen. Nikoleta’s red blood cells aren’t able to carry much oxygen to her tissues. I have an additional concern as well. Sometimes disorders like anemia can have a genetic basis. I would like to have both of you to give a sample of blood for a complete blood count.”
The findings from both parents are mild hypochromia and macrocytic (lightly colored and large cells) anemia. The hematologist gives a diagnosis of erythroblastic anemia for both Mr. and Mrs. Stamos.
Questions
5. Are the lab results of the CBC normal? Which values are normal and which are not?
6. Why are there different normal values for hemoglobin levels and RBC count in males and females?
7. Do red blood cells normally have nuclei?
8. Why was an analysis of Mr. and Mrs. Stamos’ blood ordered?
9. Would a picture of Mr. Stamos’ red blood cells look like Nikoleta’s red blood cells?
10. What is erythroblastic anemia?
Dr. Stephens receives a full report from the hematologist and digital images of Nikoleta’s skull.
Figure 2A. Nikoleta’s skull radiograph.
.jpg”>Figure 2B. Normal skull radiograph.
Question
11. Does the radiograph of Nikelta’s skull appear normal? How are the two radiographs different?
Part III – The Family Returns
Dr. Stephens calls Mr. and Mrs. Stamos and asks that they come in for a follow-up visit. This time the parents meet with Dr. Stephens in his office, not in the exam room. After they are seated, Dr. Stephens informs them that Nikoleta’s condition is very serious.
“I am sorry to give you bad news. Nikoleta does have anemia but, unfortunately, giving her a high iron formula was exactly the opposite of what should be done. Nikoleta’s disorder has a genetic basis.”
“But neither one of us has any of the problems Nikoleta has. We aren’t tired all the time. We work out every day,” replies Mr. Stamos.
“That’s a very good thing, and it has probably helped to keep you and your wife healthy. You both have a much milder form of anemia. Unfortunately, Nikoleta’s condition is more severe.”
Questions
12. What is the most likely diagnosis for Nikoleta?
13. What are the general features of this disease?
Part IV – The Doctor Continues
Dr. Stephens continues, “Nikoleta has what is known as beta-thalassemia, which is also called Cooley’s anemia. Do you remember when I spoke with you about hemoglobin and how it functions to carry oxygen? Well, there are two types of hemoglobin proteins involved in the process of carrying oxygen, alpha and beta. You need both of them in order to have properly working hemoglobin. Nikoleta’s beta proteins don’t function correctly. I have spoken to Dr. Jeff Williams, a hematologist who specializes in childhood disorders of the blood. Nikoleta’s condition is very grave and it has a high mortality rate. Her life span may be significantly shortened. Dr. Williams is the best specialist in this area and I believe he will give her the best care possible. He will keep me informed of Nikoleta’s progress. Meanwhile, Nikoleta will still need to see me for her regular checkups. Also, I don’t know what you are considering for the future of your family, but because of these findings, I suggest that you see a genetic counselor before deciding to have another baby. A genetic counselor will give you all the information about how beta-thalassemia is transmitted from parent to child so that you can make an informed decision about having more children naturally.”
Questions
14. What is the structure of hemoglobin and how is oxygen bound to it?
15. What are some possible treatments that Dr. Williams will suggest?
16. If you were the genetic counselor, what would you suggest to Mr. and Mrs. Stamos concerning having more children? Why?
References
Infant formulas.
http://www.medicinenet.com/infant_formulas.
Cooley’s Anemia Facts and Background.
http://www.cooleysanemia.org
Children’s Hospital Oakland, Northern California Comprehensive Thalassemia Center website.
http://www.thalassemia.com.
Cooley’s Anemia Foundation, Inc. website.
http://www.thalassemia.org/gohome.html.
Joint Center for Sickle Cell and Thalassemic Disorders website.
http://cancer.mgh.harvard.edu/medOnc/sickle.htm
Website describing main features and treatments of thalassemia.
http://www.wrongdiagnosis.com/b/beta_thalassemia
3D models of hemoglobin showing binding of heme and iron. http://www.umass.edu/molvis/tutorials/hemoglobin/heme.htm
Marengo-Rowe, A J.2006. Structure-function relations of human hemoglobins. Proc (Bayl Univ Med Cent) 19(3): 239–245.
Image Credits
Fig. 1A—Image reprinted with permission from Medscape.com, 2011. Available at: http://emedicine.medscape.com/ article/958850-overview.
Fig. 1B—Digitally altered version of a public domain image from CDC, ID#12104, http://phil.cdc.gov/phil/details.asp.
Fig. 2A—Radiograph from the “Film Teaching Collection” assembled by David J. Sartoris, used with permission of collection custodian, Tudor Hughes, http://bonepit.com/Cases/David%20Sartoris/David%20Sartoris%20Thalassemia.htm.
Fig. 2B—Image courtesy of Dr. Frank Gaillard, Radiopaedia.org (http://radiopaedia.org/), (original file at http:// radiopaedia.org/cases/normal-skull-x-ray), Creative Commons BY-SA-NC (http://radiopaedia.org/licence).
Case copyright held by the National Center for Case Study Teaching in Science, University at Buffalo, State University of New York. Originally published February 21, 2012. Please see our usage guidelines, which outline our policy concerning permissible reproduction of this work.

Assignment: The Intravenous Administration
Assignment: The Intravenous Administration
Week 1 quiz
Question 1
A patient has been prescribed several drugs and fluids to be given intravenously. Before the nurse starts the intravenous administration, a priority assessment of the patient will be to note the
Question 2
A nurse is caring for a postsurgical patient who has small tortuous veins and had a difficult IV insertion. The patient is now receiving IV medications on a regular basis. What is the best nursing intervention to minimize the adverse effects of this drug therapy?
Question 3
A nurse who is responsible for administering medications should understand that the goals of the MedWatch program are to (Select all that apply.)
Question 4
In response to a patient’s nausea, the nurse has mixed a dose of an antiemetic with 50 mL of sterile normal saline and will administer the dose by IV piggyback. What is the rationale for the use of IV piggyback?
Question 5
A home health nurse notes that there have been changes to a patient’s oral drug regimen. The nurse will closely monitor the new drug regimen to
Question 6
A patient who has been admitted to the hospital for a mastectomy has stated that she has experienced adverse drug effects at various times during her life. Which of the following strategies should the nurse prioritize in order to minimize the potential of adverse drug effects during the patient’s stay in the hospital?
Question 7
An older adult patient with a history of Alzheimer’s disease and numerous chronic health problems has been prescribed several medications during his current admission to hospital and recent declines in the patient’s cognition have impaired his ability to swallow pills. Which of the following medications may the nurse crush before administering them to this patient?
Question 8
A mother brings her 4-year-old child, who is vomiting and has a temperature of 103°F into the emergency department (ED). The ED physician orders acetaminophen (Tylenol) for the fever. The best form of Tylenol to give the child, considering her presentation, would be
Question 9 The nurse is caring for a patient receiving an aminoglycoside (antibiotic) that can be nephrotoxic. Which of the following will alert the nurse that the patient may be experiencing nephrotoxicity?
Question 10
For which of the following patients would a nasogastric tube most likely be considered to aid in the administration of medications?
Week 2 quiz
Question 1
A 46-year-old white American has been prescribed a drug that binds to acid glycoproteins. The nurse understands that white Americans usually receive
Question 2
A nurse is caring for a 46-year-old patient of Chinese origin who has bipolar disorder. The physician has prescribed lithium carbonate (Eskalith) to treat the disorder. The nurse is aware that the lithium dose will likely be given in a
Question 3
A physician has ordered subcutaneous injections of morphine, a narcotic, every 4 hours as needed for pain for a motor vehicle accident victim. The nurse is aware that there is a high abuse potential for this drug and that it is categorized as a
Question 4
A nurse is providing care for a 71-year-old woman who was sponsored to emigrate from Mexico to the United States 6 months ago. Earlier this week, the woman slipped while getting off a bus and fractured her hip. How should the woman’s nurse best exemplify cultural competence in the care of this patient?
Question 5
A patient will begin three new medications as part of her treatment plan. The nurse practitioner understands that proper disposal of medications is key when the nurse practitioner states

Discussion: Epidemiology Clinical Presentation
Discussion: Epidemiology Clinical Presentation
Discussion: Epidemiology Clinical Presentation
Week 3 Project To complete this week, after reading chapter two in Melnyk and reviewing the lectures you submit a 2-3 page paper that explores the background of your issue. For this paper #1 you will be defining this issue or disease using the literature. It will end with the PICOT question. The parts of your paper should include: Introduction Definition Epidemiology Clinical Presentation Complications Diagnosis Conclusion with PICOT Question If you are not on a clinical tract (NP) you will explore the issue extensively to define the problem or issue you are interested in. Submission Details: Submit your document to the Submissions Area by the due date assigned
The concept of chronic critical limb ischaemia (CLI) emerged late in the history of peripheral arterial occlusive disease (PAOD). The historical background and changing definitions of CLI over the last decades are important to know in order to understand why epidemiologic data are so difficult to compare between articles and over time. The prevalence of CLI is probably very high and largely underestimated, and significant differences exist between population studies and clinical series. The extremely high costs associated with management of these patients make CLI a real public health issue for the future. In the era of emerging vascular surgery in the 1950s, the initial classification of PAOD by Fontaine, with stages III and IV corresponding to CLI, was based only on clinical symptoms. Later, with increasing access to non-invasive haemodynamic measurements (ankle pressure, toe pressure), the need to prove a causal relationship between PAOD and clinical findings suggestive of CLI became a real concern, and the Rutherford classification published in 1986 included objective haemodynamic criteria. The first consensus document on CLI was published in 1991 and included clinical criteria associated with ankle and toe pressure and transcutaneous oxygen pressure (TcPO(2)) cut-off levels <50 mmHg, <30 mmHg and <10 mmHg respectively). This rigorous definition reflects an arterial insufficiency that is so severe as to cause microcirculatory changes and compromise tissue integrity, with a high rate of major amputation and mortality. The TASC I consensus document published in 2000 used less severe pressure cut-offs (? 50-70 mmHg, ? 30-50 mmHg and ? 30-50 mmHg respectively). The thresholds for toe pressure and especially TcPO(2) (which will be also included in TASC II consensus document) are however just below the lower limit of normality. It is therefore easy to infer that patients qualifying as CLI based on TASC criteria can suffer from far less severe disease than those qualifying as CLI in the initial 1991 consensus document. Furthermore, inclusion criteria of many recent interventional studies have even shifted further from the efforts of definition standardisation with objective criteria, by including patients as CLI based merely on Fontaine classification (stage III and IV) without haemodynamic criteria. The differences in the natural history of patients with CLI, including prognosis of the limb and the patient, are thus difficult to compare between studies in this context. Overall, CLI as defined by clinical and haemodynamic criteria remains a severe condition with poor prognosis, high medical costs and a major impact in terms of public health and patients’ loss of functional capacity. The major progresses in best medical therapy of arterial disease and revascularisation procedures will certainly improve the outcome of CLI patients. In the future, an effort to apply a standardised definition with clinical and objective haemodynamic criteria will be needed to better demonstrate and compare the advances in management of these patients.

Assignment: Assessing the Genitalia and Rectum
Assignment: Assessing the Genitalia and Rectum
Week 10 assignment
Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.
In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.
In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.
GENITALIA ASSESSMENT
Subjective:
CC: “I have bumps on my bottom that I want to have checked out.”
HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
PMH: Asthma
Medications: Symbicort 160/4.5mcg
Allergies: NKDA
FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
Objective:
VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
Heart: RRR, no murmurs
Lungs: CTA, chest wall symmetrical
Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia
Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
Diagnostics: HSV specimen obtained
Assessment:
Chancre
PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.
To prepare:
With regard to the SOAP note case study provided:
Review this week’s Learning Resources, and consider the insights they provide about the case study.
Consider what history would be necessary to collect from the patient in the case study.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
To complete:
Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study. Using evidence based resources, answer the following questions and support your answers using current evidence from the literature.
Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or Why not?
Would diagnostics be appropriate for this case and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

Assignment: Advantages of Personal Philosophy
Assignment: Advantages of Personal Philosophy
Week 1 discussion
Topic 1
Personal Philosophy: From your readings about teaching and learning theories, develop and discuss your personal philosophy of teaching in nursing.
Or
Topic 2
Recall a clinical learning experience you enjoyed. Describe the experience and identify specific aspects such as educational setting, motivational strategy, learning theory, and delivery of content (how was the material presented).
Question 2
Question 13
A nurse is doing an admission assessment on a patient who states her illness is a result from a “spell”. The nurse understands that:
convincing the patient that a medical doctor will be able to treat and cure her will be challenging.
discovering pharmaceutical equivalents of the herbal remedies the patient normally uses is not readily available on formulary.
finding a Catholic priest on short notice who is willing to counteract the “hex” will be difficult to find.
determining the correct diagnostic code for “hex” to enter into the CDC paperwork will be difficult to obtain.
Question 14
Many in the Black American community believe in the use of folk medicine practitioners instead of Western medicine practitioners because:
folk medicine clinics are more accessible and are cheaper.
there is a perceived increased level of trust and fairness.
it is required by their religious beliefs.
it is recommended by most insurance companies.
Question 15
The Black American culture has a long tradition for the promotion of health and prevention of illness, which relies on their folk medicine. As a result, this can lead to a negative consequences including:
Not enough money contributed to the modern healthcare system.
A delay in seeking treatment with increased severity at diagnosis
Insufficient disease prevention care
B and C only
Question 16
The number of people living in the U.S. has grown from about 5 million to more than 300 million since the 1800s. At that time Blacks made up 20 percent of the U.S. population however today they make up approximately 13 percent of the total population. From this information we can determine that the black population:
has stayed the same relative to the overall population but decreased overall.
has decreased as a percentage of the population but increased overall.
has increased as a percentage of the population but decreased overall.
stayed relatively the same as the population has grown.
Question 17
A patient from the Hispanic/Latino culture is anxious and fearful of upcoming surgery and a possible cancer diagnosis. Applying what you know about the Hispanic/Latino culture, what nursing considerations do you recognize for this culture group when implementing a plan of care?
Ask the patient about his/her spiritual or religious beliefs and incorporate beliefs in plan of care (if not contraindicated).
Avoid family inclusion in the treatment plan, as it will promote noncompliance of treatment.
Assess the need for pain medication less frequently as Hispanic/Latinos have a higher pain threshold.
A & C only
Question 18
The largest population of undocumented aliens from Hispanic/Latinos origin currently living in the United States originate from:
Puerto Rico
Peru
Guatemala
Mexico
Question 19
Which of the following cultures views health and illness with a synergistic point of view through the continuum of the mind, body and spirit?
African American
Hispanic/Latino
White American
Eastern European
Question 20
The largest minority group in the United States is:
Asian
Mexican
Latino/Hispanic
African American

Discussion: Two-word Topic Assignment
Discussion: Two-word Topic Assignment
Discussion: Two-word Topic Assignment
Week 1 discussion To complete this week, after reading chapter one in Melnyk and reviewing the lectures you need to consider the topic of interest to you. List a ONE to two-word topic that you want to explore further and why you are interested in this topic. This topic encompasses the question that you have been generating throughout your program. As an example I may choose the topic of depression, as I am interested in all of the depression I am seeing in the primary care office. Next week I will explore the background of this topic and this will lead to my PICOT question. As you work on your capstone project proposal, you will want to share your progress with your peers and instructor and seek or provide guidance or share insights. By the due date assigned, go to the Discussion Area and post responses to the discussion question. All responses should be posted to the appropriate topic in this Discussion Area. It is important to support what you say with relevant citations in the APA format from both the course materials and outside resources. Include the South University online library in your research activities utilizing not only the nursing resource database, but also those pertaining to education, business, and human resources. Supporting one—Challenging one. By the end of the week, comment on the responses of at least two other students by supporting a minimum of one post and challenging a minimum of one post. You will want to focus on their point of view, asking pertinent questions, adding to the responses by including information from other sources, and respectfully challenging a point of view, supported by references to other sources. Be objective, clear, and concise. Always use constructive language. All comments should be posted to the appropriate topic in this Discussion Area. Please only start a new thread with your original post. Hit reply to respond to a peer.

Assignment: Epidemiological Problem Evaluation
Assignment: Epidemiological Problem Evaluation
Assignment: Epidemiological Problem Evaluation
Week 6 assignment Evaluation of Epidemiological Problem PURPOSE The purpose of this assignment is to • Provide learners with the opportunity to integrate knowledge and skills learned throughout this course • Directly apply principles and knowledge learned in the course to problem solving of population health problems in their own geographic areas. COURSE OUTCOMES This assignment enables the student to meet the following course outcomes: 1. Define key terms in epidemiology, community health, and population-based research. 2. Compare study designs used for obtaining population health information from surveillance, observation, community, and control trial based research. 3. Identify appropriate outcome measures and study designs applicable to epidemiological subfields such as infectious disease, chronic disease, environmental exposures, reproductive health, and genetics. 4. Apply commonly used measures of health risk. 5. Examine current ethical/legal issues in epidemiology. 6. Identify important sources of epidemiological data. 7. Evaluate a public health problem in terms of magnitude, person, time, and place. REQUIREMENTS This paper should clearly and comprehensively identify the disease or population health problem chosen. The problem must be an issue in your geographic area and a concern for the population you will serve upon graduation with your degree. The paper should be organized into the following sections: 1. Introduction with a clear presentation of the problem as well as significance and a scholarly overview of the paper. 2. Background of the disease including definition, description, signs and symptoms, and current incidence and/or prevalence statistics current state, local, and national statistics pertaining to the disease. (Include a table of incidence or prevalence rates by your geographic county, state, and national statistics.) 3. A review of current surveillance methods and any mandated reporting or methods for reporting the disease for providers. 4. Conduct descriptive epidemiology analysis of the disease including who is more frequently affected and characteristics of the population that might help in creating a prevention plan. Include costs (both financial and social) associated with the disease or problem. 5. Review how the disease is diagnosed, current national standards for screening or prevention, and pick one screening test and review its sensitivity, specificity, positive predictive value, cost and any current national guidelines for conducting which patients to conduct this test on. 6. Provide a brief plan of how you will address this epidemiological disease in your practice once you are finished with school. Provide three actions you will take along with how you will measure outcomes of your actions. 7. Conclude in a clear manner with a brief overview of key points of the entire disease, PREPARING THE PAPER • Page length: 7-10 pages, excluding title/cover page • APA format 6th edition • Include references when necessary. • Include at least one table to present information somewhere in the paper

How to Treat Pediatric Clients
How to Treat Pediatric Clients
To prepare for this Assignment:
Review this week’s Learning Resources. Consider how to assess and treat pediatric clients requiring antidepressant therapy.
The Assignment
Examine Case Study: An African American Child Suffering From Depression. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.
At each decision point stop to complete the following:
Decision #1
Which decision did you select?
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
Decision #2
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
Decision #3
Why did you select this decision? Support your response with evidence and references to the Learning Resources.
What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
Also include how ethical considerations might impact your treatment plan and communication with clients.
Question 2
Question 1
What is included in the mandated core elements of the continuity of care record? (Select all that apply.)
Extension
Institution specific information
Care plan recommendation
Payer specific information
Section
Question 2
According to the continuity of care record standard, what information should be included in the care documentation?
The health status of the patient
The recommended treatment description
Links to previous encounters
Patient identifying information
Question 3
The purpose of Digital Imaging in Communications in Medicine (DICOM) is to:
Enable interoperability when viewing or retrieving digital imaging in communications
Share information among healthcare practitioners at times of transfer or discharge
Provide codes to assist in analyzing mortality rates across the world
Coordinate medical records in a way that practitioners can understand and machines can process
Question 4
The purpose of the continuity of care record (CCR) is to:
Provide a structure for export and import of relevant data from electronic health record systems in the form of a patient health summary
Provide codes to assist in analyzing mortality rates across the world
Share information among healthcare practitioners at times of transfer or discharge
Enable interoperability when viewing or retrieving digital imaging in communications
Question 5
What component of the Digital Imaging and Communications in Medicine standard represents the workflow that would include the following steps: a doctor advising a patient they need a CT scan, scheduling the CT scan, the patient receiving the time of the test, having the test and then the doctor retrieving it?
Information model
Radiology specific hierarchal model
Critical process model
Message exchange model

Assignment: Relational Database Query
Assignment: Relational Database Query
Week 2 MS Access (or OpenOffice Base for MAC Users): Relational Database Query
PC Users:
Complete the related MS Access query training tutorials located in the Assignment Resources below.
Using the relational database created during the first week, run a query to receive meaningful data output (e.g., running a query to filter patients with a specific diagnosis).
Submit a screenshot and your query results for grading.
Mac Users:
Watch the OpenOffice Base Creating Queries video located in the Assignment Resources below.
Using the relational database created during the first week, run a query to receive meaningful data output (e.g., running a query to filter patients with a specific diagnosis).
Submit a screenshot and your query results for grading.
Question 2
Week 1 discussion
DQ1
Use examples to compare and contrast unstructured and structured data. Which type is more prevalent in a typical business environment? Why?
DQ2
Describe the basic features of the relational data model and discuss their importance to the end user.
Week 2 discussion
DQ1
Is data more protected in a cloud-based database management system (DBMS) or stored locally? Why?
DQ2
List the common sources of database failures and discuss how the risk of database failure can be mitigated for one of the sources.
Week 3 discussion
DQ1
What are decision support systems, and what role do they play in the business environment? Give an example of decision support systems used in health care.
DQ2
Discuss how one of the two listed data analytics tools in the readings (explanatory and predictive) can be applied in health care. Give a specific use example.
Week 4 discussion
DQ1
Discuss a health care data security breach that occurred within the last five years. Discuss the causes, what measures could have been in place to prevent it, and the implications of the data security breach.
DQ2
Discuss the differences between cloud-based storage and local server storage. Which offers the best solution? Why?
Week 5 discussion
DQ1
Discuss the challenges associated with “free-text” clinical information (e.g., Nursing Progress Notes).
DQ2
Compare and contrast supervised and unsupervised learning as discussed in your readings. Give specific examples to explain both.
Week 6 discussion
DQ1
Describe social media analytics and give one example of its application in health care.
DQ2
Examine one major challenge faced by researchers and practitioners with temporal healthcare data mining and propose a future research direction.
Week 7 discussion
DQ1
Discuss how clinical decision support systems (CDSS) can be used to improve patient outcomes in health care. Provide a specific example.
DQ2
Discuss how clinical decision support systems (CDSS) can be used to improve patient outcomes in health care. Provide a specific example.
Week 8 discussion
DQ1
Discuss one future trend of data analytics and its implication in health care. Provide specific examples.
DQ2
How can data visualization evolve to better facilitate decision-making in health care

Assignment: Musculoskeletal System Discussion
Assignment: Musculoskeletal System Discussion
Assignment: Musculoskeletal System Discussion
Week 5 discussion The discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Discussion Area by the due date assigned. To support your work, use your course and text readings and also use outside sources. As in all assignments, cite your sources in your work and provide references for the citations in APA format. Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Complete your participation for this assignment by the end of the week. Musculoskeletal and Neurologic System Using the South University Online Library or the Internet, research the conditions affecting the musculoskeletal and the neurologic systems. Based on your research and understanding, respond to one of the following scenarios: A 58-year-old female is admitted for a work up for a complaint of neck and low back pain. During admission, you discover that she underwent a renal transplant six years ago. The patient also had blood work collected. When you review the findings, you notice that her serum calcium is elevated at 13.9 (Normal values range from 8.5 to 10.2 mg/dl), her CBC shows a hematocrit of 33%, and hemoglobin of 11.1 g/dl (normal adult female hematocrit Range: 37-47%, normal adult female hemoglobin range: 12-16 g/dl). What does this mean and what could be the underlying cause of her pain and her abnormal lab values? What other assessments would be helpful? A 12-year-old female is admitted with severe pain in her spine. While checking history, the patient and her mother state that several weeks ago the patient was treated for an upper respiratory infection. The infection subsided after several days of taking antibiotics. However, several days later, the child complained of joint swelling and pain in her right elbow, which subsided, but then seemed to migrate to her left knee. A week later, today, the child began to complain of worsening back pain. The mother has been treating the pain with over the counter pain medication and heat and ice packs, but this did not seem to help. What are the possible causes of the pain and how you would proceed? A 33-year-old Hispanic male is admitted and complains of a tingling sensation in his left leg, vertigo, and loss of balance. When you begin to perform intake history, you notice that his speech is slurred, his teeth are in need of repair, and he seems to be very drowsy. What other findings may you find in this individual? What would you think is the underlying cause of this patient’s complaint? How would you proceed with your assessment specifically for this patient? A patient is admitted to the unit. He is a diabetic on chronic hemodialysis. He has an Arteriovenous (A-V) graft, which is annulated each time he undergoes dialysis treatments. You notice an area on his graft arm that is red and warm to the touch. He states that he has had this on his arm for several weeks. He asked the dialysis staff about the area, but they told him to apply warm compresses to the site. The staff at the dialysis center continues to use the graft, but they are careful to avoid the area when they cannulate for his treatments. Now the patient presents with extreme low back pain, fever, nausea, and swelling of his lower extremities. On checking his fasting serum glucose, you notice that the reading is 159 (Normal fasting blood glucose range 64 to 110 mg/dl), and his white blood cell count is 36,000 (normal range is 4,500-10,000 white blood cells/mcl). He states that his sugars were normally well controlled, but in the past ten days he seems to be requiring more insulin. How would you proceed with this patient? What could be the underlying problem? Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.