Analyze the healthcare delivery system as illustrated in this case. What problems did you notice? Would some people find it difficult to pay for treatment? Are there areas where treatment for this illness is unavailable or unaffordable to the common person?

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  • Write an imaginary case study for your hypothetical patient.
    • Explain how the patient moved through the healthcare delivery system.
    • With respect to the costs you calculated last week, describe how the patient will pay for the cost of treatment.
  • Analyze the healthcare delivery system as illustrated in this case. What problems did you notice? Would some people find it difficult to pay for treatment? Are there areas where treatment for this illness is unavailable or unaffordable to the common person?

 

  • Your answers for should be about two pages.

Describe how demographics and age affect your local health care market. Identify the major health needs of the community.

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The local health department is considering a new program for the county. Your supervisor has reminded you that it is important to know your consumers in order to effectively market to them. You have been tasked with creating a proposal for the new program based on research of the area.

Research and identify your local community.

Select 1 of the following programs:

  • Smoking cessation
  • Weight loss or nutrition
  • Senior-themed programs
  • Community health improvement plans

Create a 2-page proposal and include the following:

  • Describe the program you selected.
    • Address why you selected the program.
  • Describe the cultural demographics of your community.
  • Explain the age breakdown of your community.
  • Describe how demographics and age affect your local health care market.
  • Identify the major health needs of the community.
  • Include a comparison of your community to the national health care market.
  • Identify the local wellness programs and their effect on health care costs.
  • Identify recommendations for how you might market to your local community.

Format your assignment according to APA guidelines.

Cite 2 peer-reviewed, scholarly, or similar references.

Click the Assignment Files tab to submit your assignment.

1) A brief scholarly commentary that describes your stance on issues related to HITECH and meaningful use.

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HITECH and Meaningful Use—A Real-World Debate

 

Though electronic health records (EHRs) may provide an abundance of information at faster speeds than paper-based records ever could, the cost and challenges related to implementation have prevented many organizations from adopting EHRs. The Health Information Technology for Economic and Clinical Health (HITECH) Act aims to increase the adoption rate by providing financial incentives for health care organizations that demonstrate “ meaningful use” of EHRs. In order to receive these funds, settings must meet a specific set of requirements identified by the HITECH legislation.

 

The adoption of an EHR can often be a frenzied process because of the incentives provided by the HITECH Act. In addition, the saturation of the technology market provides settings with an overwhelming amount of options from which to choose.

 

In this Discussion, you debate the effectiveness of the HITECH Act and Meaningful Use mandates.

 

To prepare:

 

  • Consider the ways HITECH and Meaningful Use mandates have impacted a health care setting with which you are familiar.
  • Conduct research in the Walden Library and through credible nursing organizations to assess how the nursing informatics community is addressing these mandates.
  • Create a list that documents the pros and cons that mandates such as these have on health care settings. Reflect upon your list, and determine whether you believe these mandates are beneficial or harmful to health care organizations and nursing practice.

 

Post tomorrow 6/27/2016 550 words in APA format with a minimum of 3 references

 

1) A brief scholarly commentary that describes your stance on issues related to HITECH and meaningful use.

 

2) Include in your commentary your personal beliefs on the issue, your experiences in a health care organization, and/or the pros and cons surrounding these initiatives.

 

3)Select at least one of the following to underscore your stance:

 

  • Mandating change. Do the HITECH Act and Meaningful Use mandates help to drive and equalize change across all health care settings, or do they lead to rapid and sloppy implementations?
  • The benefits or ramifications that stem from the use of incentives and disincentives.
  • The influence of across-the-board mandates on patient safety, ethics, and quality of care.
  • The allocation of funds specifically earmarked for HITECH and Meaningful Use. Is it worth it or wasted?

 

Required Resources

 

Readings

 

  • Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.
    • Chapter 5, “Open Source and Free Software”

      This chapter introduces the role that open source and free software plays in informatics. The disruptive and beneficial effects of such software are also described.

    • Chapter 16, “Nursing Informatics and Healthcare Policy”

      Much debate has revolved around the health care policies of the Obama administration. This chapter highlights the impact these policies could have on health care and the nursing informatics discipline in particular.

    • Chapter 18, “Establishing Nursing Informatics in Public Policy”

      Chapter 18 emphasizes the responsibility that nurse informaticists have in voicing their needs and concerns to public health care policy drivers. The chapter also stresses why informatics leaders need equal parts education, advisement, competencies, and support.

    • Chapter 27, “Computerized Provider Order Entry”

      In this chapter, the authors explore the intricacies of electronic health record vendor applications. The chapter examines integration of electronic health records (EHRs) in the practice setting, the possible impacts EHRs can have on medical errors, and how nurses can support successful EHR adoption.

    • Chapter 43, “The TIGER Initiative”

      This chapter assesses the TIGER initiative and its impact in the clinical setting. The chapter details how TIGER aims to integrate evidence and technology informatics into daily use to make health care safer and more effective.

  • Bolla, Y. (2011). Meaningful use 101. Nursing Management, 42(8), 18–22.
    Retrieved from the Walden Library databases.

    Meaningful use has the potential to impact all facets of the health care setting. This article defines meaningful use in its most basic terms and describes its stages in detail.

  • Hersh, W., Jacko, J. A., Greenes, R., Tan, J., Janies, D., Embiand, P. J., & Payne, P. R. O. (2011). Health-care hit or miss? Nature (London), 470(7334), 327–329.
    Retrieved from the Walden Library databases.

    This article explains the HITECH Act and its origins and benefits. The article also details how the HITECH Act presents an opportunity to expedite the adoption of EHRs in the United States.

 

Discuss a brief example of a conceptual model that could be used in your own organization and list at least one business rule and two cardinalities that apply to that model.

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When embarking on any new project or learning experience, it is essential that you have a strong foundation of understanding constructed from key concepts and parameters. As you begin your work with databases and database design, you should develop a firm understanding of key concepts and parameters that are critical to the foundation of all database design.

 

In this Discussion, you examine these key fundamental principles of database design.

 

To prepare:

 

  • Review the information in this week’s Learning Resources concerning relational and entity relational databases. Focus on how the two are interconnected.
  • Review information concerning cardinalities and consider what they are, how they are developed, and their role in database design.
  • Review information concerning business rules, what they represent, and how they are reflected in the entity relationship diagrams.
  • Review the conceptual model (Figure Q4.5) on page 150 of your text,  Coronel, C. & Morris, S. (2015). Database systems: Design, implementation, and management (11th ed.). Stamford, CT: Cengage Learning. Think of a similar example of how each of these concepts would be reflected in a database design for your own organization.

    Post by tomorrow 6/28/2016 550 words in APA format with 3 references

    1) A brief analysis of the connection between entity relational modeling and relational databases.

    2) Discuss a brief example of a conceptual model that could be used in your own organization and list at least one business rule and two cardinalities that apply to that model.

    Required Resources

 

  • Coronel, C. & Morris, S. (2015). Database systems: Design, implementation, and management (11th ed.). Stamford, CT: Cengage Learning.

 

    • Chapter 3, “The Relational Database Model” (review) (pp. 70–113)
    • Chapter 4, “The Entity Relationship Model (ERM)” (review) (pp. 115–160)
  • Cox, J. & Lambert, J. (2013). Step by step: Microsoft Access 2013. Richland, WA: Microsoft Press..

 

    • Chapter 2, “Creating Databases and Simple Tables” (pp. 53–90)

      In this chapter, the authors demonstrate how to create databases both from templates and manually, how to construct a table structure, and how to define the relationship between tables.

    • Chapter 3, “Create Simple Forms” (pp. 91–114)

      The focus of this chapter is creating forms, which enables standardized data to be entered into a database. The authors demonstrate how to create, format and customize the layout of forms.

    • Chapter 4, “Display Data” (pp. 115–134)

      This chapter concentrates on sorting and filtering information within a database in order to locate and display desired information. It begins with simple sorts and progresses through displaying information that matches specific, multiple criteria.

 

Optional Resources

 

There are a wide variety of online tutorials available to assist with using Microsoft Access. Below are several you might consider, as needed:

 

  • Goodwill Community Foundation, Inc. (2010). Access 2010. Retrieved from http://www.gcflearnfree.org/office

    This free resource provides a series of lessons, interactives, and video tutorials to assist in learning how to in the use Access 2010.

 

 

 

 

 

Identify and describe the problem, purpose, and hypothesis or research of each study.

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Identifying Research Components

The focus of this week’s assignment is identifying research components. You will be responsible for reviewing two articles (listed below) and completing the following tasks for each one:

  • Summarize each article utilizing the Week 2 research template.
  • Identify and describe the problem, purpose, and hypothesis or research of each study.
  • Analyze and state if and how the study is significant to nursing.
  • Cite all sources in APA format.

Bortz, A., Ashkenazi, T., & Melnikov, S. (2015). Spirituality as a predictive factor for signing an organ donor card. Journal of Nursing Scholarship, 47(1), 25-33. doi: 10.1111/jnu.12107

 

Dinkel, S., & Schmidt, K. (2015). Health education needs of incarcerated women.Journal of Nursing Scholarship, 46(4), 229-234. doi: 10.1111/jnu.12079

 

 

RESEARCH TEMPLATE

NSG3029 W2A2

Research Template

Use APA format and complete sentences.

 

Week 2 Template Quantitative Article Qualitative Article
Summarize the two assigned articles

 

 

 

 

 

    
Identify and describe the problem

 

 

 

 

 

    
Purpose statement

 

 

 

 

 

    
Hypothesis or

Research questions

 

 

 

 

 

    
Significance to nursing

 

 

 

 

 

    
Two details to support the study being Quantitative or Qualitative

 

 

 

 

 

 

    

 

 

Assignment 2 Grading Criteria
Maximum Points
Summarized the two assigned research articles.
32
Identified and described the problem of each article.
16
Identified the purpose statement of each article.
12
Identified the hypothesis or research question for each article.
20
Discussed the articles’ significance to nursing.
20
Written component.
20
Total:
120
 

Consider a differential diagnosis for the skin disorder in the case study you selected. Determine the most likely diagnosis for the patient.

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Diagnosis and Management of Skin Disorders:

 

Case Study 2: Address this case as your patient and you are the nurse practitioner seeing the patient:

 

An 8-month-old presents to your office with a rash on both cheeks that has progressively worsened over the last week. Mom first noticed the rash after his 6-month checkup. He has generalized dry skin and rubs at his cheeks often

 

To prepare:

 

•Review the DermNet NZ and Dermnet Skin Disease Atlas websites in this week’s Learning Resources.

 

•Select one of the four case studies of skin disorders. Analyze the skin disorder in the case you selected including lesion type, lesion distribution, color, and any ancillary findings.

 

•Consider a differential diagnosis for the skin disorder in the case study you selected. Determine the most likely diagnosis for the patient.

 

•Think about a treatment and management plan for this disorder. Consider appropriate dosages for any recommended treatments.

 

POST  1 TO 2 PAGES  DISCUSSION PAPER ON  : An explanation of the skin disorder in the case study you selected.

 

Include in your explanation the lesion type, lesion distribution, color, and any ancillary findings.

 

Then, present a differential diagnosis and explain which is the most likely diagnosis for the patient and why.

 

Finally, explain a treatment and management plan for the patient’s skin disorder, including appropriate dosages for any recommended treatments.

 

 

 

References

 

Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

Chapter 36, “Dermatologic Disorders” (pp. 877–927)

 

DermNet New Zealand Trust. (2014). DermNet NZ. Retrieved from http://www.dermnetnz.org/

 

 

 

•Dermnet.com. (2011). Dermnet Skin Disease Atlas. Retrieved from http://www.dermnet.com/

 

Practice Guidelines for the Diagnosis and Management of Skin and Soft Tissue Infections: 2014 Update by the Infectious Diseases Society of America by  Stevens, D.L.,  Bisno, A.L., Chambers, H.F., Dellinger, E.P.,  Goldstein,  E.J.C., Gorbach, S.L., Hirschmann, J.V., Kaplan, S.L., Montoya, J.G., & Wade, J.C. in Clinical Infectious Diseases , 59(2), 10-52.

 

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?

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In this Discussion, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions. Your Discussion post should be in the SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in the Week 4 Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Case 1: Nose Focused Exam Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 5 days. As you check his ears and throat for redness and inflammation, you notice him touch his fingers to the bridge of his nose to press and rub there. He says he’s taken Mucinex OTC the past two nights to help him breathe while he sleeps. When you ask if the Mucinex has helped at all, he sneers slightly and gestures that the improvement is only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs are clear. His tonsils are not enlarged but his throat is mildly erythematous. To prepare: With regard to the case study you were assigned:
  • Review this week’s Learning Resources and consider the insights they provide.
  • Consider what history would be necessary to collect from the patient.
  • 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 10 possible conditions that may be considered in a differential diagnosis for the patient.
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