Nursing

Case Study: Types of Disorder
Case Study: Types of Disorder
Week 6 Utilizing SNOWMED CT Website Activity and Reflection
Visit the website: http://browser.ihtsdotools.org/ Click for more options
Click on Local Extensions/United States.
In the database browser, search for a disorder, organism, procedure, or substance (e.g., naegleria > (disorder) > infection caused by naegleria).
Discuss the following:
What was your search item? (1–2 sentences)
How many search results did you get?
What is the purpose of SNOMED CT?
Write all the structures of your search item (e.g., “infection caused by naegleria”). It may be easier to use Microsoft Word or PowerPoint to draw this structure.
Compose a one-page paper in APA format, citing a minimum of one scholarly resource.
Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years. A title page is not necessary, but you do need to include a reference page.
Question 2
Week 5 LOINC and Interoperability Paper
In a one-page paper, discuss the background, functions, and format of LOINC. Include the fields included in the database, and the ways LOINC affects interoperability.
Include a minimum of two scholarly sources in addition to the course resources.
Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years. Compose your paper in APA format. A title page is not necessary, but you do need to include a reference page.
Week 5 LOINC and Interoperability Paper
In a one-page paper, discuss the background, functions, and format of LOINC. Include the fields included in the database, and the ways LOINC affects interoperability.
Include a minimum of two scholarly sources in addition to the course resources.
Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years. Compose your paper in APA format. A title page is not necessary, but you do need to include a reference page.

Healthcare Relational data model
Healthcare Relational data model
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

Discussion: External Data Collection Step
Discussion: External Data Collection Step
Discussion: External Data Collection Step
Question 1 What is the final step in the systems life cycle (SLC)? Evaluate Implement or go-live Plan Return to analyze Question 2 What is included when performing the initial internal and external data collection step in the system selection process? Signing the agreement and beginning the installation process Developing the initial system specifications Defining and prioritizing system requirements Using formal evaluation criteria to rate vendors Question 3 What priority information should be included when identifying system requirements for a new electronic health record? Work around being used Paper documents in use Current processes Future workflow Question 4 High-level project goals are identified and established during which phase of project management? Planning Purchase Evaluating Development Question 5 Which is a framework for understanding the process of developing or configuring, implementing, and using an information system? Open shift management Problem classification scheme Systems life cycle (SLC) Clinical decision support (CDS)
If an organization is considering whether to collect data on its own or get help from an external consultant, it will need to have enough information to make an informed decision about how to proceed.
This section outlines some of the key considerations that may arise during various steps in the data collection process. There is no requirement that these steps be followed or pursued in the order that they are written. The model presented is offered as a reference tool. How data is gathered and analyzed depends on many factors, including the context, the issue that needs to be monitored, the purpose of the data collection, and the nature and size of the organization.
The main consideration is to make sure that any information collected is done in a way and for a purpose that is consistent with the Code and complies with freedom of information and privacy protection legislation. In the interest of effectiveness and efficiency, it is recommended that efforts be made to collect data that will shed light on issues or opportunities. To protect the credibility and reliability of data, information should be gathered using accepted data collection techniques.
Step 1: Identify issues and/or opportunities for collecting data
The first step is to identify issues and/or opportunities for collecting data and to decide what next steps to take. To do this, it may be helpful to conduct an internal and external assessment to understand what is happening inside and outside of your organization.
Some organizations, like FCP and Legislated Employment Equity Plan (LEEP) employers, are given specific direction on what issues should be explored and how data must be collected. Other organizations may have more flexibility to decide when and how to collect information to achieve certain goals. Some of the non-exhaustive questions identified below may apply to a diverse range of organizations and audiences, including employees and service users. Depending on the organization, these questions may be considered at Step 1, or at different stages in a data collection process.
Conduct a review of all policies, practices and procedures applicable to employees, service users or another appropriate audience:
Does the organization have human resources and human rights policies, practices and procedures that are accessible to all employees or to the people they serve?
Does the organization have clear, transparent and fair complaint procedures in place to deal with allegations of discrimination, harassment or systemic barriers?
Have any claims, grievances or allegations been made or received relating to discrimination, harassment or systemic barriers?
Do any signal barriers to persons protected under the Code and/or other individuals/groups in society based on a non-Code ground?
Have any been dealt with appropriately and in accordance with existing polices, practices and procedures?
Explore organizational culture from a human rights, diversity and equity-inclusion lens:
What are the organization’s mandate, goals and core values?
What is the history of the organization?
Are equity, diversity and inclusiveness supported, reflected and promoted by senior leaders throughout the organization?
Are performance measures in place to motivate the achievement of an organization’s strategic human resources, human rights, equity and diversity goals?
Do employees feel that the organization is diverse, inclusive, and provides equal opportunity for learning and advancement?
How are decisions made?
How are employment, programming or service delivery opportunities advertised?
Does the organization have formal, transparent and fair processes in place to recruit, hire, promote, terminate and retire staff?
Does the organization have a clear system of discipline?
Is this system perceived to be applied fairly and consistently?
Do service users feel that they are welcome, valued, and able to use the services offered by the organization?
Assess external context:
Are there best practices in the industry/sector or among similar organizations that can be learned from?
Are there objective data or research studies showing that discrimination or systemic barriers exist or do not exist in the organization, industry/sector or similar organizations?
Is there evidence from other organizations or jurisdictions that a policy, program or practice, similar to one in place at the organization, has had a positive or negative impact on Code-protected persons or other marginalized persons in society?
How is the organization perceived by the community it operates in?
Have the media or advocacy groups complimented or criticized the organization about human rights, human resource or equity issues?
What are the demographics of the people the organization serves or the community it operates in?
Are the demographics changing or projected to change in the future?
Is the organization proactively looking at ways to make sure that it has the skills and knowledge to meet the potential needs and concerns of this changing demographic?

Case Study: Affordable Care Act
Case Study: Affordable Care Act
Week 7 XML Document
Create an XML document that contains a patient’s name, date of birth, address, phone number, name of contact person, one allergy, an adverse reaction, the severity, and the onset date (assume any calendar date).
Utilize the course and a minimum of two outside scholarly resources.
Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.
Week 8 Signature Assignment: The Complexities of Interoperability Paper and Presentation
Since the start of the Affordable Care Act, many hospital systems have chosen to merge and form strategic partnerships to help reduce cost and expand resources. You will be examining the effect of mergers on informatics, EHR’s, and interoperability.
Complete the three-system merger interactive scenario to get started.
Remember this important background information from the scenario: Three healthcare systems have decided to merge.
System A consists of one large acute care hospital with 450 beds. Services range from outpatient surgery to inpatient services for cardiology, obstetrics, pediatrics, and chemical dependency. They have medical surgical floors, an extensive ER, and several intensive care units. They have a range of radiology and laboratory services.
System B consists of two acute care hospitals: one in the same city as System A’s acute care hospital and one in the same city as System C’s hospital. Both hospitals have approximately 150 beds. In addition to the acute care hospitals, the system also has a rehabilitation center, a cancer treatment center, 3 nursing homes, and 5 primary care offices.
System C has a 125-bed acute care facility in the same city as one of System B’s acute care hospitals. They also have approximately 10 primary care offices.
Part 1 Paper:
Compose a 7- to 8-page paper that covers information listed in the bullets below in APA format, citing a minimum of three scholarly resources in addition to course readings. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations, published within the last five years.
Discuss health information exchange (HIE), its importance, and the challenges faced when using it. Explore how HIE will affect this organization.
The three systems use two different electronic health records; they have decided to adopt a new EHR at all three systems after the merger. Describe interoperability and the ways this decision will affect interoperability between the facilities.
Describe the standards for communication, messaging, clinical documents, and imaging discussed throughout the course and what effect these may have on the organization.
Discuss the coding systems and considerations presented in this course and the components the organization should ensure are included when selecting or building a single EHR.
Considering this information, discuss meaningful use and in what ways you feel the organization’s decision will affect its financial stability.
Part 2 Presentation:
Prepare and present a two- to five-minute class presentation covering the material in your paper using the Kaltura recording tool. Please include a voice-over or video recording of yourself presenting your slides. See the Getting Started with Kaltura link in your main menu if you need to review how to use the tool.

Assignment: Health Informatics Technology
Assignment: Health Informatics Technology
Assignment: Health Informatics Technology
Week 2 HIT Gap Analysis Presentation The purpose of this assignment is to analyze an issue or topic addressed through a critical gap analysis and further literature review within health informatics technology (HIT) . Instructions Looking at the same literature/HIT project that you used last week to generate your HIT paper, define at least one major gap surrounding your informatics topic. Sources for this gap analysis may include the general media, online literature searches using the university library and/or Google Scholar, interviews of health practitioners, and interviews of the general public. Summarize the gap(s) regarding this topic in an online presentation. Use Kaltura to create the presentation. It should be between seven and ten narrated slides (including a reference slide) or an approximate equivalent for video. Review the Getting Started with Kaltura link in your main menu if you need a refresher on using the tool. Make sure to provide a list of references in current APA style.
Health information technology (HIT) is applied to and . It supports across computerized systems and the between , , , and monitors. Based on an often-cited 2008 report on a small series of studies conducted at four sites that provide ambulatory care – three U.S. medical centers and one in the Netherlands – the use of (EHRs) was viewed as the most promising tool for improving the overall quality, safety and efficiency of the health delivery system. According to a 2006 report by the , broad and consistent utilization of HIT will:[]
improve health care quality or effectiveness
increase health care productivity or
prevent and increase health care accuracy and procedural correctness
reduce
increase administrative efficiencies and healthcare work processes
decrease paperwork and unproductive or idle work time
extend real-time communications of health informatics among health care professionals
expand access to affordable care

Assignment: Oropharynx Eye Discussion
Assignment: Oropharynx Eye Discussion
Assignment: Oropharynx Eye Discussion
Week 2 discussion Causes, Symptoms, and Treatments Using the South University Online Library or the Internet, research the causes, symptoms, recommended tests, possible treatments, and expectations for the following: Head and neck Oropharynx Eye and the visual system Based on your research and understanding, read and respond to one of the following scenarios: A 50-year-old woman is admitted with chief complaints of headache and decreased range of motion in her neck. She also complains of vertigo, hearing loss in one ear, profuse sweating, and uncontrollable eye movements. Her past medical history indicates that she was in a motor vehicle accident three days before her admission. What specific diagnostic examinations would you recommend? Why? What conditions should be ruled out? Why? How would you distinguish between these conditions? What are the possible causes of these symptoms? While interviewing and examining a 17-year-old male, you discover a white patch on his buccal mucosa and slanting palpebral fissures in his eyes. He also states during the interview that he plays baseball and is hoping to earn an athletic scholarship to college. What do you suspect? What kind of client teaching is appropriate in this situation? Discuss appropriate educational materials for health promotion and disease prevention When would slanting palpebral fissures be normal? While performing a retinal examination on this patient, you discover that the margins of the optic disc become blurred and indistinct. What further testing would be required? Why? What is the foremost cause of this clinical finding? 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.

Assignment: Healthy People 2020
Assignment: Healthy People 2020
Assignment: Healthy People 2020
Week 1 assignment Healthy People 2020 Impact Paper PURPOSE The concepts of epidemiology provide the framework for the study of infectious and chronic diseases, which provides a rich source of data for the analysis of trends in disease and health. Thisassignment will offer the opportunity to explore the areas in need of preventative measures such as emerging infectious diseases, common chronic disease, environmental exposures, and emergency preparedness. COURSE OUTCOMES Through this assignment, the student will demonstrate the ability to: CO 3: Identify appropriate outcome measures and study designs applicable to epidemiological subfields such as infectious disease, chronic disease, environmental exposures, reproductive health, and genetics. CO 6:Identify important sources of epidemiological data. TOTAL POINTS POSSIBLE: 100 POINTS DUE DATE: SUBMIT YOUR FILE(S) BY SUNDAY, 11:59 P.M. MT AT THE END OF WEEK 1 REQUIREMENTS Criteria for Content Select a topic of interest from Healthy People 2020. Provide an overview of the topic along with the Healthy People 2020 goal for the problem. Identify a program aimed at reducing morbidity and mortality for that problem on a city, county, or statewide level. In a one to two page summary, address the following. a. Identify the problem b. Provide an overview of the problem c. Review of epidemiologic and demographic data on mortality/morbidity and risk d. Present the goals and objectives of Healthy People 2020 e. Discuss identified program plan including activities and implementation strategies PREPARING THE PAPER Submission Requirements 1. Application: Use Microsoft Word 2013™ to create the written assessment. 2. Length: The paper (excluding the title page and reference page) is a maximum two pages. 3. A minimum of three (3) scholarly literature references must be used. Best Practices in Preparing the Project The following are best practices in preparing this project. 1. Review directions thoroughly. 2. Follow submission requirements. 3. Make sure all elements on the grading rubric are included. 4. Rules of grammar, spelling, word usage, and punctuation are followed and consistent with formal, scientific writing. 5. Title page, running head, body of paper, and reference page must follow APA guidelines as found in the 6th edition of the manual. This includes the use of headings for each section of the paper except for the introduction where no heading is used. 6. Ideas and information that come from scholarly literature must be cited and referenced correctly. 7. A minimum of three (3)scholarly literature references must be used. 8. Abide by CCN academic integrity policy.

Discussion: Implementation Plan and Evaluation
Discussion: Implementation Plan and Evaluation
Discussion: Implementation Plan and Evaluation
Week 9 Project Submit EBP project with Implementation Plan and Evaluation Plan. Note EBP plan should resemble plan on page 248 of the Melnyx text.
An evaluation plan will:
Identify the purpose, users, resources and timelines of the evaluation
Select the key evaluation questions and indicators and the best design to measure intended results
Sequence evaluation activities (such as completing baseline documentation, conducting participant follow-ups, materials pre-tests, project reviews and special studies)
Prepare data collection and data analysis plans, including cost as well as results or program data
Plan for communication, dissemination and use of evaluation results
Identify the technical competencies needed on the evaluation team(s).
This step includes:
Gathering and organizing data in a systematic way to reduce sources of bias and increase validity
Discerning patterns, trends and comparisons from qualitative and quantitative data
Linking cost and results data to have a retrospective Cost and Results Analysis (CRA)
Involving client and stakeholders in interpreting data
Employing standards to arrive at conclusions.
For the evaluation of effects, the evaluation team will typically conduct a data-gathering exercise similar to the collection of baseline data to describe actual performance. The consistency of sampling tools and indicators will help contrast the levels of performance before and after the interventions and determine whether there have been demonstrable changes. If the evaluation design uses a control group, the team will compare changes in the intervention group with changes (if any) in the control group to arrive at net effects (i.e., changes in the intervention group minus changes in the control group over a similar period of time).

Discussion: Pharmacotherapy for Cardiovascular Disorders
Discussion: Pharmacotherapy for Cardiovascular Disorders
As the leading cause of death in the United States for both men and women, cardiovascular disorders account for 7 million hospitalizations per year (NCSL, 2012). This is the result of the extensive treatment and care that is often required for patients with these disorders. While the incidences of hospitalizations and death are still high, the mortality rate of cardiovascular disorders has been declining since the 1960s (CDC, 2011). Improved treatment options have contributed to this decline, as well as more knowledge on patient risk factors. As an advanced practice nurse, it is your responsibility to recommend appropriate treatment options for patients with cardiovascular disorders. To ensure the safety and effectiveness of drug therapy, advanced practice nurses must consider aspects that might influence pharmacokinetic and pharmacodynamic processes such as medical history, other drugs currently prescribed, and individual patient factors.
Consider the following case studies:
Case Study 1:
Patient AO has a history of obesity and has recently gained 9 pounds. The patient has been diagnosed with hypertension and hyperlipidemia. Drugs currently prescribed include the following:
Atenolol 12.5 mg daily
Doxazosin 8 mg daily
Hydralazine 10 mg qid
Sertraline 25 mg daily
Simvastatin 80 mg daily
Case Study 2:
Patient HM has a history of atrial fibrillation and a transient ischemic attack (TIA). The patient has been diagnosed with type 2 diabetes, hypertension, hyperlipidemia and ischemic heart disease. Drugs currently prescribed include the following:
Warfarin 5 mg daily MWF and 2.5 mg daily T, TH, Sat, Sun
Aspirin 81 mg daily
Metformin 1000 mg po bid
Glyburide 10 mg bid
Atenolol 100 mg po daily
Motrin 200 mg 1–3 tablets every 6 hours as needed for pain
Case Study 3:
Patient CB has a history of strokes. The patient has been diagnosed with type 2 diabetes, hypertension, and hyperlipidemia. Drugs currently prescribed include the following:
Glipizide 10 mg po daily
HCTZ 25 mg daily
Atenolol 25 mg po daily
Hydralazine 25 mg qid
Simvastatin 80 mg daily
Verapamil 180 mg CD daily
To prepare:
Review this week’s media presentation on hypertension and hyperlipidemia, as well as Chapters 19 and 20 of the Arcangelo and Peterson text.
Select one of the three case studies, as well as one the following factors: genetics, gender, ethnicity, age, or behavior factors.
Reflect on how the factor you selected might influence the patient’s pharmacokinetic and pharmacodynamic processes.
Consider how changes in the pharmacokinetic and pharmacodynamic processes might impact the patient’s recommended drug therapy.
Think about how you might improve the patient’s drug therapy plan based on the pharmacokinetic and pharmacodynamic changes. Reflect on whether you would modify the current drug treatment or provide an alternative treatment option for the patient.
With these thoughts in mind:
By Day 3
Post an explanation of how the factor you selected might influence the pharmacokinetic and pharmacodynamic processes in the patient from the case study you selected. Then, describe how changes in the processes might impact the patient’s recommended drug therapy. Finally, explain how you might improve the patient’s drug therapy plan.
By Day 6
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different case study than you did, in one or more of the following ways:
Provide alternative recommendations for drug treatments.
Offer and support an alternative perspective using readings from the classroom or from your own research in the Walden Library.
Validate an idea with your own experience and additional research.
Week 4 discussion
Discussion: Pharmacotherapy for Respiratory Disorders
To the untrained ear, most coughs sound the same. However, as you might recall from past clinical experiences, a simple cough can lead to a patient diagnosis of a common cold, pneumonia, or even a chronic obstructive pulmonary disease (COPD). Although it can sometimes be challenging to diagnose a patient based on common respiratory symptoms such as congestion, coughing, and wheezing, it is important to be able to distinguish minor differences as even mild symptoms might require intervention with drug treatments. When recommending potential treatment options, advanced practice nurses must consider how individual patient factors might impact the effects of prescribed drugs.
To prepare:
Review Chapter 26 and Chapter 27 of the Arcangelo and Peterson text.
Select and research one of the following respiratory disorders: the common cold, pneumonia, or a chronic obstructive pulmonary disease (COPD) such as emphysema or chronic bronchitis. Consider types of drugs that would be prescribed to patients to treat symptoms associated with this disorder.
Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.
With these thoughts in mind:
By Day 3
Post a description of the respiratory disorder you selected including types of drugs that would be prescribed to patients to treat associated symptoms. Then, explain how the factor you selected might impact effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects.
By Day 6
Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different respiratory disorder than you did. If the disorder you selected is primarily associated with the upper respiratory system, respond to colleagues who selected disorders primarily associated with the lower respiratory system. Provide alternative recommendations for drug treatments.
850 × 1118

Assignment: Scheduling Tool
Assignment: Scheduling Tool
Assignment: Scheduling Tool
Week 7 Gantt Chart The Gantt chart is a scheduling tool that uses bars to represent project activities and to show when the project, and each activity within the project, starts and ends against a horizontal time scale. Having a Gantt chart ensures that your project participants have the necessary time allocated on their calendars and are available to perform their activities. Instructions Based on your informatics problem statement identified in week 1: Create a Gantt chart for your project plan using a template created in Excel. Make sure to include specific and appropriate performance outcome measures in your Gantt chart. Reference Chapter 6 in Martinelli and the required resources located in this week for guidance. Separately summarize how the selected performance measure will assure proper measurement, data collection, monitoring, and analyzing in your project. Create a PowerPoint presentation using four slides. Slide 1: Introduction slide of the healthcare informatics project Slide 2: Copy your Gantt chart (created in Excel) to a PowerPoint slide Slide 3: Bulleted summary supporting your selection of Performance Measurements included in the Gantt chart Slide 4: References You will submit three separate documents this week: Executive Dashboard, Work Breakdown Schedule, and PowerPoint Summary of WBS, including Gantt Chart
A tool that provides component names, definitions, structural relationships and formats that support the application of a scheduling method is referred to as scheduling tool. Distinguishing the project schedule presentation from the and calculations that produce the project schedule by referring to the scheduling tool populated with project data as the .
Project management provides the scheduling tool and alternative possibilities for managing the . Scheduling tool is one of the factors that influence the sequence activities process. It is part of the enterprise environmental factors to be used in developing the . Automated scheduling tools contain the schedule model and expedite the scheduling process by generating start and finish dates based on the inputs of activities, network diagrams, resources and activity durations using .