QUESTION 5: Chapter 5, Adult Health and Nutritional Assessment
The registered nurse prepares to conduct a nutritional assessment on Mrs. Varner, a 52-year-old Caucasian female who describes herself as “overweight most of my adult life.” The client states that her health is good. She works part time as a receptionist and volunteers about 10 hours per week in her church. The nurse obtains Mrs. Varner’s height as 64 inches and her weight as 165 pounds. (Learning Objective 8). Nursing Questions & Answers .
a. What is the rationale for computing body mass index? What is Mrs. Varner’s BMI?
b. Calculate her ideal body weight. What is your assessment of her BMI and weight?
c. Based on Mrs. Varner’s BMI and weight, the nurse measures her waist circumference. Describe the proper procedure for this assessment.
d. Mrs. Varner’s waist circumference is 38 inches. What is your assessment?
e. What laboratory values would the nurse review to evaluate Mrs. Varner’s protein levels? Nursing Questions & Answers .

Nursing Questions & Answers
Complete each case study utilizing collegiate formatting (MLA or APA); typed in Cambria or New Times Roman 12 point font in ONE document.  Citations required.
Case studies are case specific. Your answers should reflect the assessment and your analysis of the information in the case study… no generalized answers of all matter regarding the content.
QUESTION 1: Healthcare Delivery and Evidenced –Based Nursing Practice
The registered nurse working in the cardiac care clinic is tasked with implementing quality improvement measures. To educate the clinic staff, the nurse plans an in-service program to introduce concepts of quality improvement and evidence-based practice. Additionally, the role of the case manager will be included in the presentation. The nurse plans on using care of the patient with Congestive Heart Failure as a template, and prepares sample clinical pathways, care maps, and multidisciplinary action plans. (Learning Objective 3)
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a. Describe how clinical pathways are used to coordinate care of caseloads of patients.
b. What is the role of the case manager in evaluating a patient’s progress?
c. What are examples of evidence-based practice tools used for planning patient care?

Nursing Questions & Answers
QUESTION 3: Case Study, Chapter 3, Critical Thinking, Ethical Decision Making, and the Nursing Process
1. Mrs. Elle, 80 years of age, is a female patient who is diagnosed with end-stage cancer of the small intestine. She is currently receiving comfort measures only in hospice. She has gangrene of her right foot and has a history of diabetes controlled with oral agents. She is confused and the physician has determined that she is unable to make her own informed decisions. The hospice nurse, not realizing that the weekly order for CBC and renal profile had been discontinued, obtained the labs and sent them to the nearby laboratory for processing. The abnormal lab results obtained later that day revealed that the patient needed a blood transfusion. The hospice nurse updated the patient’s medical power of attorney who was distressed at the report. The patient’s wishes were to die peacefully and to not have to undergo an amputation of her right foot. But if the patient receives the blood transfusion, she may live long enough to need the amputation. The patient’s physician had previously informed the medical power of attorney that the patient would most likely not be able to survive the amputation. The patient’s medical power of attorney had made the request to cease all labs so that the patient would receive comfort measures until she died. The patient has no complaint of shortness of breath or discomfort. (Learning Objective 4). Nursing Questions & Answers .
What dilemma exists?
Who are the stakeholders and what gains or losses do each have?
What strategies should the hospice nurse take to resolve the ethical dilemma?

NURS 6051 Nursing Informatics Essay Assignment Paper
Are there areas in your practice that you believe should be more fully explored? The central aims of nursing informatics are to manage and communicate data, information, knowledge, and wisdom. This continuum represents the overarching structure of nursing informatics. In this Assignment, you develop a research question relevant to your practice area and relate how you would work through the progression from data to information, knowledge, and wisdom. NURS 6051 Nursing Informatics Essay Assignment Paper.
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To prepare:

• Review the information in Figure 6–1 in Nursing Informatics and the Foundation of Knowledge.
• Develop a clinical question related to your area of practice that you would like to explore.
• Consider what you currently know about this topic. What additional information would you need to answer the question? NURS 6051 Nursing Informatics Essay Assignment Paper.
• Using the continuum of data, information, knowledge, and wisdom, determine how you would go about researching your question.
  • Explore the available databases in the Walden Library. Identify which of these databases you would use to find the information or data you need.
  • Once you have identified useful databases, how would you go about finding the most relevant articles and information?
  • Consider how you would extract the relevant information from the articles.
  • How would you take the information and organize it in a way that was useful? How could you take the step from simply having useful knowledge to gaining wisdom?

Write a 3- to 4-page paper that addresses the following:

• Summarize the question you developed, and then relate how you would work through the four steps of the data, information, knowledge, wisdom continuum. Be specific.
  • Identify the databases and search words you would use.
  • Relate how you would take the information gleaned and turn it into useable knowledge.
• Can informatics be used to gain wisdom? Describe how you would progress from simply having useful knowledge to the wisdom to make decisions about the information you have found during your database search. NURS 6051 Nursing Informatics Essay Assignment Paper.

Your paper must also include a title page, an introduction, a summary, and a reference page. NURS 6051 Nursing Informatics Essay Assignment Paper

NURS 6051 Nursing Informatics Essay Assignment Paper

Quality of Work Submitted: The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.–

Excellent 27 (27%) – 30 (30%)

Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics. NURS 6051 Nursing Informatics Essay Assignment Paper.

Good 24 (24%) – 26 (26%)

Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics. NURS 6051 Nursing Informatics Essay Assignment Paper.

Fair 21 (21%) – 23 (23%)

Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.

Poor 0 (0%) – 20 (20%)

Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed. NURS 6051 Nursing Informatics Essay Assignment Paper.

Quality of Work Submitted: The purpose of the paper is clear.–

Excellent 5 (5%) – 5 (5%)

A clear and comprehensive purpose statement is provided which delineates all required criteria.

Good 4 (4%) – 4 (4%)

Purpose of the assignment is stated, yet is brief and not descriptive. NURS 6051 Nursing Informatics Essay Assignment Paper.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Purpose of the assignment is vague or off topic.

Poor 0 (0%) – 3 (3%)

No purpose statement was provided.

Assimilation and Synthesis of Ideas: The extend to which the work reflects the student’s ability to: Understand and interpret the assignment’s key concepts. NURS 6051 Nursing Informatics Essay Assignment Paper.

Excellent 9 (9%) – 10 (10%)

Demonstrates the ability to critically appraise and intellectually explore key concepts.

Good 8 (8%) – 8 (8%)

Demonstrates a clear understanding of key concepts.

Fair 7 (7%) – 7 (7%)

Shows some degree of understanding of key concepts.

Poor 0 (0%) – 6 (6%)

Shows a lack of understanding of key concepts, deviates from topics.

Assimilation and Synthesis of Ideas: The extend to which the work reflects the student’s ability to: Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources. NURS 6051 Nursing Informatics Essay Assignment Paper.

Excellent 18 (18%) – 20 (20%)

Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to suppport point of view. NURS 6051 Nursing Informatics Essay Assignment Paper.

Good 16 (16%) – 17 (17%)

Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view.

Fair 14 (14%) – 15 (15%)

Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.

Poor 0 (0%) – 13 (13%)

Includes and integrates specific information from 0 to 1 resoruce to support major points and point of view. NURS 6051 Nursing Informatics Essay Assignment Paper.

Assimilation and Synthesis of Ideas: The extend to which the work reflects the student’s ability to: Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, textbook) and outside, credible resources by comparing different points of view and highlighting similarities, differences, and connections.–

Excellent 18 (18%) – 20 (20%)

Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice. NURS 6051 Nursing Informatics Essay Assignment Paper.

Good 16 (16%) – 17 (17%)

Summarizes information gleaned from sources to support major points, but does not synthesize.

Fair 14 (14%) – 15 (15%)

Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.

Poor 0 (0%) – 13 (13%)

Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.

Written Expression and Formatting Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance. NURS 6051 Nursing Informatics Essay Assignment Paper.

Excellent 5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity

Good 4 (4%) – 4 (4%)

Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 80% of the time.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity 60%- 79% of the time. NURS 6051 Nursing Informatics Essay Assignment Paper.

Poor 0 (0%) – 3 (3%)

Paragraphs and sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time.

Written Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation–

Excellent 5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors. NURS 6051 Nursing Informatics Essay Assignment Paper.

Good 4 (4%) – 4 (4%)

Contains a few (1-2) grammar, spelling, and punctuation errors.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Contains several (3-4) grammar, spelling, and punctuation errors.

Poor 0 (0%) – 3 (3%)

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. NURS 6051 Nursing Informatics Essay Assignment Paper.

Written Expression and Formatting The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Excellent 5 (5%) – 5 (5%)

Uses correct APA format with no errors.

Good 4 (4%) – 4 (4%)

Contains a few (1-2) APA format errors. NURS 6051 Nursing Informatics Essay Assignment Paper.

Fair 3.5 (3.5%) – 3.5 (3.5%)

Contains several (3-4) APA format errors.

Poor 0 (0%) – 3 (3%)

Contains many (≥ 5) APA format errors.

Total Points: 100

NURS 6051 Nursing Informatics Essay Assignment Paper
According to Rutherford (2008, para. 15), “Improved communication with other nurses, health care professionals, and administrators of the institution in which nurses work is a key benefit of using a standardized nursing language.” In this Discussion you consider the reasoning behind and the value of standardized codification. NURS 6051 Nursing Informatics Essay Assignment Paper.
To prepare
· Review the information in Nursing Informatics: Scope and Standards of Practice. Determine which set of terminologies are appropriate for your specialty or area of expertise. NURS 6051 Nursing Informatics Essay Assignment Paper.
· Reflect on the importance of continuity in terminology and coding systems.
· In the article, “Standardized Nursing Language: What Does It Mean for Nursing Practice?” the author recounts a visit to a local hospital to view its implementation of a new coding system. One of the nurses commented to her, “We document our care using standardized nursing languages but we don’t fully understand why we do” (Rutherford, 2008, para. 1). Consider how you would inform this nurse (and others like her) of the importance of standardized nursing terminologies. NURS 6051 Nursing Informatics Essay Assignment Paper.
· Reflect on the value of using a standard language in nursing practice. Consider if standardization can be limited to a specialty area or if one standard language is needed across all nursing practice. Then, identify examples of standardization in your own specialty or area of expertise. Conduct additional research using the Walden Library that supports your thoughts on standardization of nursing terminology. NURS 6051 Nursing Informatics Essay Assignment Paper.
Post an explanation of why nurses need to document care using standardized nursing languages and whether this standardization can be limited to specialty areas or if it should be across all nursing practice. Support your response using specific examples from your own specialty or area of expertise and using at least one additional resource from the Walden Library. NURS 6051 Nursing Informatics Essay Assignment Paper.
Link to Article:
http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/vol132008/No1Jan08/ArticlePreviousTopic/StandardizedNursingLanguage.html. NURS 6051 Nursing Informatics Essay Assignment Paper.