observe the simulated “Home Visit With Sallie Mae Fisher” video (http://lc.gcumedia.com/zwebassets/courseMaterialPages/nrs410v_vp01Alt.php).

Refer to “Sallie Mae Fisher’s Health History and Discharge Orders” for specifics related to the case study used to inform the assignment.

Using “Home Visit With Sallie Mae Fisher” and “Sallie Mae Fisher’s Health History and Discharge Orders,” complete the following components of this assignment:

Essay Portion

After viewing the home visit, write an essay of 500-750-words in which you do the following:

1. Identify,      prioritize, and describe at least four problems.( problems identify are as follows

Mrs. Fisher’s number one problem is dehydration. In the video her vital signs are: Heart rate 58, blood pressure 90/56, respiratory rate 24 and temperature 97.8F (GCU, 2017). Her physical assessment reveals poor skin turgor, tenting, dry mucus membranes, hypoactive bowel sounds, no bowel movement for three days and a 14 pound weight loss in one week (GCU, 2017). She admits to “not having an appetite.” She is taking Lasix, a diuretic further contributing to her fluid loss.  All of these finding are consistent with dehydration. Dehydration can lead to a kidney injury, seizures and hypovolemic shock (Mayo Clinic, 2017).

The next problem is an unsafe living environment. In in video we see a loose rug on the floor, prescriptions on the table and mail on the couch. This lack of organization and Mrs. Fisher’s age put at risk for a fall. The Center for Disease Control and Prevention (CDC) states, “One out of five falls in an older adult causes a serious injury such as broken bones or a head injury” (CDC, 2017).

Then we look at her lack of understanding surround her discharge. She is supposed to be on home oxygen but didn’t have it delivered because she thinks she will, “Be in the poor house” due to cost of her medications and medical supplies. The final problem is her depression. Mrs. Fisher explains her husband died. She now lives alone and, “doesn’t even care, is so lonesome and misses him so” (GCU, 2017).

1. Provide      substantiating evidence (assessment data) for each problem identified.
2. Identify      and describe at least four medical and/or nursing interventions.
3. Discuss      your rationale for the interventions identified.

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

Scripted Dialogue Portion

Utilizing the information learned from the home visit, health histories, and discharge orders, write a scripted dialogue in which you provide Sallie Mae with education that describes her problems and the interventions identified to improve her condition. Consider Sallie Mae’s physiological, psychosocial, educational, and spiritual needs when developing your dialogue.

Your dialogue should resemble a script. The following is an example of a few sentences from a scripted dialogue:

Nurse: “Good morning, Salle Mae, my name is ______ and I will be your nurse today. I understand you are experiencing problems with ________.”

APA format is not required for this part of the assignment, but solid academic writing is expected.

Refer to “Home Visit With Sallie Mae Fisher Grading Criteria.”

Entire Assignment

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

NRS410V.R.SallieMaeFishersHealthHistoryandDischargeOrders_Student_02-11-13.docxNRS410V.R.HomeVisitWithSallieMaeFisherGradingCriteria_Student_02-11-13.docx

Assignment 3: Presentation Of Assignment 2

In this assignment, you will condense information from Assignment 2 to create a PowerPoint presentation.

Create a seven to nine (7-9) slide PowerPoint Presentation in which you:

1. Provide a title slide (as indicated in the format requirements below), followed by a slide with an executive summary containing a brief statement of your proposal, as covered within Assignment 2.

2. Summarize your response to each of the criteria in Assignment 2—one (1) slide per criterion, for a total of six (6) slides.

3. Provide a summary slide which addresses your key points from Assignment 2.

4. Narrate each slide, using a microphone, indicating what you would say if you were actually presenting in front of an audience.

Your assignment must follow these formatting requirements:

· Format the PowerPoint presentation with headings on each slide and three to four (3-4) relevant graphics (photographs, graphs, clip art, etc.), ensuring that the presentation is visually appealing and readable from 18 feet away. Check with your professor for any additional instructions.

· Include a title slide containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The title slide is not included in the required slide length.

The specific course learning outcomes associated with this assignment are:

· Examine the impact technologies have on health care information systems.

· Describe the basic components of a strategic information system plan.

· Describe the major types and classifications of health care information standards and the specific organizations that develop and regulate these standards.

· Discuss the need for, and identify methods of, accomplishing the security of information systems.

· Evaluate the impact of strategic information system plans on organizational competiveness and performance.

· Use technology and information resources to research issues in health information systems.

· Write clearly and concisely about health information systems using proper writing mechanics.

Assignment 2: Competiveness and Performance Effectiveness for Health Care IT Systems

Write a six to eight (6-8) page paper in which you:

1.Define the fundamental responsibilities and key characteristics of the Chief Information Officer (CIO) and Chief Technology Officer (CTO) within health care organizations. Make one (1) recommendation where they can utilize their expertise to assist with employee and patient satisfaction. Support your response with related examples of such expertise in use.

2.Suggest two (2) developing technologies that health care systems should use in order to improve health care processes and thus increase the quality and lower the cost of health services. Provide a rationale to support your response.

3.Determine two (2) significant methods that health care systems should use in order to prevent misuse of information and protect data privacy and thus achieve a high level of security of health information. Provide a rationale to support your response.

4.Suggest one (1) strategy for health care organizations to train providers in using technology in health care. Provide a rationale to support your response.

5.Provide three (3) best practices for effective IT alignment and strategic planning initiatives. Justify your response.

6.Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and similar type Websites do not qualify as academic resources.

Your assignment must follow these formatting guidelines: •Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions. •Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length.

The specific course learning outcomes associated with this assignment are: •Examine the impact technologies have on health care information systems. •Describe the basic components of a strategic information system plan. •Describe the major types and classifications of health care information standards and the specific organizations that develop and regulate these standards. •Discuss the need for, and identify methods of, accomplishing the security of information systems. •Evaluate the impact of strategic information system plans on organizational competiveness and performance. •Use technology and information resources to research issues in health information systems. •Write clearly and concisely about health information systems using proper writing mechanics.