Tag: Clinical-Nursing

Question 1   Explain the purpose of an organization chart, and reference an organization chart related to health information management from the Internet.  Your response must be at least 200 words in length.

Question 2   List the HIM functions in a paper processing department and compare them with the functions required for processing in an EHR environment.  Your response must be at least 200 words in length.

Question 3   List three circumstances that will require planning in the HIM department.  Your response must be at least 200 words in length.

Question 4   What is the purpose of performance standards?  Your response must be at least 200 words in length

Leadership In Nursing And Healthcare

Post
 a description of the problem, including relevant indicator(s). Provide a synopsis of how you would proceed in locating evidence, including research literature you would consult, which professional organization standards may be relevant, and with whom you would communicate or network to ascertain community standards. Then, identify how you would adapt Lewin’s classic model of change based on chaos and complexity theory to address this evidence–based change.

Respond on the following…

Discuss current research that links patient safety outcomes to ADN and BSN nurses. Based on soe real-life experiences, do you agree or disagree with this research?

 

According to current research there has been continuing evidence linking the benefits of BSN degree nurses when comparing ADN prepared. According to a study by Linda Aiken it was found that hospitals who had a 60% of nurses BSN prepared there was a 30% less mortality rate. This was compared to  only 30% less mortality rate when only 30% of the nurses had BSN degrees (The Sentinal Watch, 2014). Healthcare has many issues that need to be addressed in the coming years such as CLABSI, hospital acquired infection and medication errors ( The Sentinal Watch, 2014). Nurses who have acquired their BSN are trained better to deal with these problems. The extra 2 years of training allows for the important teachings related to leadership and evidence based practice (The Sentinal Watch, 2014).

The Importance of getting your BSN cannot be underestimated, in my opinion the extra schooling gets nurses more acclimated with research, this helps them see the issues that face healthcare today. Nurses who have only their Associates degree lack the important aspects of research and leadership training. Todays healthcare system needs nurses who can overcome the many challenges they will be faced with. I believe we need at least 90% of nurses to have their BSN. With rising costs that are not associated with better outcomes trained nurses are our best option to fix the healthcare system.

 

References

The Sentinal Watch (2014). How Does Your Nursing Degree Affect Patient Outcome Mortality Rates. Retrieved from www.sentinalwatch.com

MOST SCIENTITICS BELIEVE THATWE HAVE MORE CANCER-CASES TODAY THAN BEFORE. WHY?

Choose a topic and objective of interest. Take a look at the data that was collected. Describe the graph that you viewed and include a link to the graph. What type of graph is it? What are the dependent and independent variables? Was the graph useful? Explain why or why no. Do you think there are any covariates? Why or Why not

Based on the knowledge you have achieved about improving team  effectiveness, team make-up, and team processes, compose a paper  detailing what you have learned, and describe how you will use this  knowledge with any future classes, your present/future career, and your  own personal life.

Requirements:

Discussion should be 2 pages in length.

Refer to the Kaplan University Writing Center for APA requirements  and utilize the Writing Center Resources found in Course Documents.

Non-Hispanic and Native American/Alaska Native Subcultures and US Healthcare

Learning Outcomes

1. Compare and contrast the various White (Non-Hispanic) subcultures health beliefs and traditions that may influence patient care.

2. Assess factors that influence the health of diverse groups within the community.

3. Apply the concepts of White (Non-Hispanic) and Native American/Alaska Native subcultures that affect health care decision-making in the United States.

Introduction

Welcome to Week Five. In our final week together, you will look at your community’s diverse population. You will consider how a person’s culture and/or ethnicity influence health-care decisions and how those decisions are based on the beliefs, traditions, and experiences of the culture. Whether a patient is of an African/Black American, Latino, Hispanic, Asian, Pacific Islander, Native American/Alaska Native, or White culture, health-care decisions are based on their experiences. As we have learned throughout previous weeks, it is our role as nurses to ensure we consider the impact of traditions and beliefs in the provision of care to patients.

Non-Hispanic and Native American/Alaska Native Subcultures and US Healthcare paper Required Resources

Text

Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.

• Chapter 8: Native Americans/Alaska Natives

• Chapter 9: Whites (Non-Hispanic)

Article

Shah, V. O., Ghahate, D. M., Bobelu, J., Sandy, P., Newman, S., Helitzer, D. L., & … Zager, P. (2014). Identifying barriers to health care to reduce health disparity in Zuni Indians using focus group conducted by community health workers. CTS: Clinical & Translational Science, 7(1), 6-11. doi:10.1111/cts.12127

• The full text of this article is available in the EBSCOhost database in the Ashford University Library. This article relays information from a study on the Zuni Pueblo population to identify common themes related to barriers to health care as well as adhering to medical advice.

Multimedia

Practice Activity. (2015). Transcultural Nursing. Burlington, MA: Jones & Bartlett Learning Navigate.

• The practice activities provide an opportunity to reinforce the concepts presented in the textbook readings.

• Complete the following practice activities: 9.1, 9.2, 9.3, 9.4, 10.1, 10.2, 10.3, 10.4

Recommended Resources

Text

Dayer-Berenson, L. (2014). Cultural competencies for nurses: Impact on health and illness (2nd ed.). Burlington, MA, Jones & Bartlett Learning.

• Chapter 1: Birth of Transcultural Nursing to Current Theory and Conceptual Models for Cultural Diversity

• Chapter 2: Culture

• Chapter 5: Black Americans

• Chapter 6: Hispanics/Latinos

• Chapter 7: Asians/Pacific Islanders

Article

Gupta, V. B. (2010). Impact of culture on health care seeking behavior of Asian Indians. Journal Of Cultural Diversity, 17(1), 13-19. Retrieved from http://tuckerpub.com/jcd.htm

• The full-text version of this article can be accessed through the EBSCOhost database

This assignment will help you understand the disabilities that are caused due to Alzheimer’s disease.

Ellen is a 64-year-old Chinese American, who has recently been diagnosed with dementia of the Alzheimer’s type. She has been working steadily as a secretary but recently due to the disease has found it harder to perform her duties. She has worked for 34 years. She has recently become widowed and has two adult kids who live in the same area as her. But they rarely agree on how to provide care for her. Ellen has asked her children to help her navigate her decision to retire.

Based on the above scenario, create a 5- to 6-page report in a Microsoft Word document that describe the issues that Ellen and her children need to address regarding:

Ellen’s retirement

Ellen’s future health care plans

Ellen’s housing

Ellen’s financial situation

Ellen’s ability to perform her job effectively

The disease progression and its effect on her activities of daily living (ADL)

Advanced directives

Funeral plans

Social supports available to Ellen

Role her culture may play on her family’s decision

Support your answers with appropriate research and reasoning.

Cite any sources in APA format.

Submission Details

Name your document SU_HSC4000_W3_A2_LastName_FirstInitial.doc.

Submit your document to the 
W3 Assignment 2 Dropbox
 by 
Week 3, Day 6
.

Assignment 2 Grading CriteriaMaximum Points
Described the issues that Ellen and her children need to address regarding:

Ellen’s retirement

Ellen’s future health care plans

Cultural Case Study: Purnell’s Model for Cultural Competence domains

Cultural Case Study. Write a three- to four-page, APA-formatted Cultural Case Study: Purnell’s Model for Cultural Competence domains paper utilizing either Case Study #1 or #2 listed below.

Choose three of the domains conceptualized in Purnell’s Model for Cultural Competence that you feel could affect the case study chosen. Explain how these domains affect the patient’s health care. Next, address each of the following items in your Cultural Case Study: Purnell’s Model for Cultural Competence domains paper:

ORDER YOUR CASE STUDY OR ANY OTHER PAPER TODAY 

• Based on the chosen scenario, describe how the patient’s circumstances and cultural norms influenced their illness.

• Develop four questions specific to the patient’s history. Explain what information will be derived from each question and why the information is needed.

• Identify the special needs in caring for the patient in the scenario. Explain how you would address those needs.

• Identify the community services available to assist the patient with their needs.

• Evaluate the services to determine if they are adequate to meet the patient’s needs. Explain how the services do/do not meet the patient’s needs for improving their health care experience.

• Review the three domains of Purnell’s model that you chose. Reflect on the patient’s circumstances as well as variations in values, beliefs, and practices based on her/his cultural heritage. Discuss why the patient might have chosen different domains. Why might health care facilities, health care professionals, and patients manage things differently in practice as compared to theory? Based on your experience, what explains the difference? Discuss how this may influence your choices in the future.

Choose one of the following case studies as the focus of your Cultural Case Study: Purnell’s Model for Cultural Competence domains paper:

Case Study #1:

You are a nurse in the emergency room. The EMTs bring in a Caucasian (non-Hispanic) female who was found unconscious two blocks from the hospital. Patient’s initial assessment included blood sugar of 55. After the EMT’s initial treatment, she became responsive. She stated she is a 32-year old military veteran with a history of mental illness due to post traumatic stress disorder (PTSD) and suffers from Diabetes.

She is homeless and reports she has not eaten in 48 hours. The patient appears emaciated. It is apparent she has not bathed in some time and her clothes are showing significant wear and tear. Her shoes have holes in them and she is not wearing socks. She carries a backpack with her and states it contains everything she owns. She will not allow anyone to touch the backpack and will not let it out of her sight. When asked, the patient tells you she moved to the Midwest in the hopes of finding work two years ago after a medical discharge from the military. She states she had a job waiting for her when she arrived, but was quickly let go when the company closed due to financial mismanagement. She has not found another job. She has not sought care from the Veteran’s Administration, though she does qualify for care under their provisions. However, she has no mode of transportation to reach the hospital and it is a two-hour drive away.

Case Study #2:

You are a hospital nurse on the 24-observation unit. Your patient is a 52-year old male Asian/Pacific Islander, specifically a Chinese immigrant who is being admitted to rule out cerebrovascular accident CVA) and other neurological disease. The patient is accompanied by his elderly mother and wife. The patient and family speak some English but are not fluent. The patient’s symptoms include difficulty walking, abrasions/contusions on upper and lower right extremities, and mild confusion to place.

The mother states that the patient has been showing signs of difficulty walking for the past month. She has given him herbal teas and controlled his diet to balance his energy. The patient’s wife states the he has received acupuncture treatments in the last week and has been practicing moxibustion. During discussion with the patient and family, it was noted that the patient was not verbalizing any complaints but was smiling and agreeing with the family’s statements. No further information was shared.

Your Cultural Case Study: Purnell’s Model for Cultural Competence domains paper

• Must be between three to four pages in length (not including title and reference pages), double-spaced, and formatted according to APA style.

• Must include a separate title page with the following:

o Title of paper

o Student’s name

o Course name and number

o Instructor’s name

o Date submitted

• Must use at least four scholarly sources in addition to the course text.

• Must cite all sources in the body of the assignment. The citations must be in APA style as outlined in the Writing Center.

• Your cultural Case Study: Purnell’s Model for Cultural Competence domains must include a separate reference page that is formatted according to APA style.

This assignment will help you understand the disabilities that are caused due to Alzheimer’s disease.

Ellen is a 64-year-old Chinese American, who has recently been diagnosed with dementia of the Alzheimer’s type. She has been working steadily as a secretary but recently due to the disease has found it harder to perform her duties. She has worked for 34 years. She has recently become widowed and has two adult kids who live in the same area as her. But they rarely agree on how to provide care for her. Ellen has asked her children to help her navigate her decision to retire.

Based on the above scenario, create a 5- to 6-page report in a Microsoft Word document that describe the issues that Ellen and her children need to address regarding:

Ellen’s retirement

Ellen’s future health care plans

Ellen’s housing

Ellen’s financial situation

Ellen’s ability to perform her job effectively

The disease progression and its effect on her activities of daily living (ADL)

Advanced directives

Funeral plans

Social supports available to Ellen

Role her culture may play on her family’s decision

Support your answers with appropriate research and reasoning.

Cite any sources in APA format.

Submission Details

Name your document SU_HSC4000_W3_A2_LastName_FirstInitial.doc.

Submit your document to the 
W3 Assignment 2 Dropbox
 by 
Week 3, Day 6
.

Assignment 2 Grading CriteriaMaximum Points
Described the issues that Ellen and her children need to address regarding:

Ellen’s retirement

Ellen’s future health care plans

Elle