Describe the normal physiology and abnormal pathology of the disease and how the drug or drug class affects these processes.

Choose a pharmacotherapy to treat a disease process from a peer review journal article relevant to this module’s topics-
-This can be an individual drug or drug class.
-Submit a short annotated bibliography;
-please refer to http://owl.english.purdue.edu/owl/resource/614/03/ (Links to an external site.) for APA example.
-Describe the normal physiology and abnormal pathology of the disease and how the drug or drug class affects these processes.
-Point out how the drug or drug class relates to the prevention, restoration, and/or modification of genetics, environment, and/or life styles.
-Synthesize the information presented in a brief conclusion.

Discuss the literature review and provide a summary identifying at least 2 alternatives of the ethical issue as it relates to nursing informatics.

Elect an ethical issue related to/involving nursing informatics that you have observed, experienced, or researched.
Review the grading rubric BEFORE continuing with the assignment.
Follow these steps:
Refer to the the Ethical Model for Decision-Making on pages 89-91 (McGonigle & Mastrian, 2018).
Review the literature and cite a minimum of 3 peer-reviewed articles. Additional references may include your textbook and websites from the list of Informatics websites provided in the Resources.
Submit a written paper and include a cover page and a reference page (Use APA format)
Use headings noted below
Maximum 1000 words not including the cover page and reference page. Refer to the rubric for additional information.
The written assignment should include the following headings and content:
Examine the Ethical Dilemma: What is the purpose for choosing this topic? Describe the background for this ethical issue related to nursing informatics.
Literature Review: Thoroughly comprehend the possible alternatives. Discuss the literature review and provide a summary identifying at least 2 alternatives of the ethical issue as it relates to nursing informatics. Hypothesize ethical arguments
Implication to Nursing Practice and Informatics: Investigate, compare, and evaluate the arguments for each alternative. Discuss the implications of the ethical issue and the identified alternatives to nursing practice and informatics.
Application: Choose the alternative you would recommend. Discuss why this topic applies to your role as a nurse leader/nurse educator.
Formulate the Plan: Act on your chosen alternative. Describe the plan and how the plan would be implemented?
Conclusion

Write a 5-7-page paper in which you address the similarities and differences between cost shifting and cross-subsidization

Hospital Decision Making
Assignment Content
Search the University Library for academic scholarly articles on cost shifting and cross-subsidization in health care.
Write a 5-7-page paper in which you address the following:
· The similarities and differences between cost shifting and cross-subsidization
· The benefits and disadvantages of cost shifting and cross-subsidization
· The policies that use these methods
· The role Medicare and managed care play in hospitals using cost shifting and cross-subsidization
· Whether there is an alternate solution to address the financial loss hospitals incur when treating uninsured patients
Cite at least three scholarly sources, one of which can be Health Policy and Politics.
Note: Title/reference pages do not count toward the aforementioned page count requirement. Page requirement consists of content pages. **
Format your paper according to APA guidelines.

REPLY TO ELISE

Mr. Rodriquez is a 37-year-old male who is being for worsening upper abdominal pain that has became more persistent. Mr. Rodriquez reports that he quit smoking, consumes alcohol, and ibuprofen on a regular basis.
Mr. Rodriquez is a recent immigrant from the Dominican Republic who only speaks Spanish. Mr. Rodriquez reports being underinsured and not having money to seek medical care.
Mr. Rodriquez reports no chronic medical conditions, no hospitalizations, and no past surgeries. Mr. Rodriquez’s father has a history of high blood pressure, and his mother has a history of diabetes.
Temperature is 98.5 F, pulse 78 beats/minute, regular, resp 16 breaths/minute, BP 123/72 mmHg, BMI 24.8 kg/m2. HEENT: NC/AT, PERRLA, TM intact, negative for inflammation, negative for congestion, oropharynx WNL, no erythema. Cardiovascular HR normal rate and rhythm, negative for murmurs, rubs, or gallops, S1, S2. Respiration normal, clear, no wheezes, rales, or rhonchi. Abdominal normal bowel sounds in all four quadrants, soft non-tender, negative for hernia, or mass, epigastric tenderness.
Diagnostic tools include testing for H. pylori, endoscopy, and x-ray of the upper digestive system.
• Please list 3 differential diagnoses for Mr. Rodriguez and explain why you chose them. What was your final diagnosis and how did you make the determination?
Gastritis: Gastritis causes sharp epigastric pain. Food can increase or decrease pain. Can be caused by alcohol and medication consumption.
Gastroesophageal: Gastroesophageal causes epigastric pain that may worsen after meals. Gastroesophageal usually includes nausea, vomiting, hematochezia, and melena.
Peptic Ulcer Disease: Peptic ulcer disease causes epigastric pain that may improve with meals. NSAIDs can cause peptic ulcer disease.
The final diagnosis would be gastritis. The patient states that he is having abdominal pain. Food sometimes improves the pain and sometimes worsens the pain. The patient reports regular alcohol and ibuprofen consumption. Gastritis can be caused by alcohol and NSAID use which the patient reports regular use of. Food can improve pain or worsen the pain. The patient reported that sometimes food improves the pain and sometimes food worsens the pain.
Treatment includes lifestyle modifications such as eating smaller meals, avoiding foods that irritate it, avoiding alcohol, and stop taking NSAIDs. In acute causes, lifestyle modifications may be enough. In more chronic cases medication may be used. Medications include antibiotics to treat H.pylori if present, proton pump inhibitors, acid blockers, and antacids.
References:
Mayo Clinic. (n.d.). Gastritis. https://www.mayoclinic.org/diseases-conditions/gastritis/diagnosis-treatment/drc-20355813
Heidelbaugh, J. (n.d.). Family Medicine 19: 39-year-old male with epigastric pain. https://southu-nur.meduapp.com/document_set_document_relations/30239?section_uid=root

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REPLY TO TOYE

Gastrointestinal Disorder.

The condition should be treated as soon as it is realized through laboratory tests by medical practitioners. The condition grows in stages until it gets to the most critical condition which is always characterized by abdominal pain as well as other symptoms when left untreated.

According to Mr. Rodriguez, condition, his HPI clearly shows that he does not have any history of present illness, but he recently traveled from Dominica republic to America. The patient has no history of problem with the digestive system but has suffered stomach pain for at least a year. The chief complaint Mr. Rodriguez have during his clinic visit is associated with abdominal pains that radiates to the epigastric area.  He stated denies any hospitalization for stomach problems or having any operations. He also explains over the last year the pain did subside but recently has become constant. This is a major indication that the symptoms are the result of a condition that is chronic and has progressively gotten worst. Mr. Rodriguez social history consist of smoking but recently quit, use of NSAIDS for soreness and herbal teas. His father suffers from high blood pressure and his mother has diagnosis of diabetes. He denies and family history of gastrointestinal disorders.

For the medical examination for the gastrointestinal disorder, the patient must undergo auscultation which involves listening to all four quadrants, liver for bruits, and rubs as well as the abdominal walls for the bowel sounds (Couce, 2020). The provider may also ask to conduct a series imaging tests on the patient such as upper endoscopy, Lower (GI) Gastrointestinal series, Colonoscopy, and lab work that consist of CBC with differential.

In the clinic, there was three suspected diagnosis which included the gastrointestinal disorder, gastro esophageal reflux disease (GERD), Gastritis, and H. Pylori(ulcers). These conditions share some common symptoms and thus proper examination must be conducted to ascertain the actual disease which a patient is suffering from (Saps, 2017). After thorough laboratory tests, we were able to identify that the patient was suffering from gastrointestinal disorder due to the presence of an infection of the digestive systems, H. Pylori which was found right of the esophagus to the stomach into the duodenum. Gastrointestinal disorder such as H. Pylori (ulcers) is quite common especially in undeveloped countries like the country of Dominican Republic. This GI disorder is known to be asymptomatic for years before detection. The lab work for Mr. Rodriquez was positive for H. Pylori which confirmed the diagnosis.

For this clinical visit, Mr. Rodriguez will be put on medication which will help improve his condition which may consist of a combination. The medicines for the treatment of this condition may be acquired over the counter and thus making it easily accessible to Mr. Rodriguez would be started on the standard dose PPI two times a day for acid reflux/ stomach discomfort, Amoxicillin 1 gram once a day, Clarithromycin 500 mg two times a day, for ten to fourteen days(Zammit, 2018). Patient will be educated on specific foods to refrain from that aggravate the GI system such as spicey food and caffeinated drinks or alcohol. Although certain foods and beverages can cause stomach upset, there is no good evidence that they cause or worsen ulcers. Still, eating a healthy diet with plenty of fruits, vegetables, and fiber may decrease the risk of ulcers.  Patient will also be educated on the use of NSAIDs and the contraindication of taking them with his diagnosis. Patient should follow-up in 2 weeks to assess how treatment has help and also follow-up before then if symptoms have worsened.

 

 

Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.

4040 Assessment 3 Instructions: Annotated Bibliography on Technology in Nursing

Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.

Before you begin to develop the assessment you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.

https://courserooma.capella.edu/webapps/blackboard/content/contentWrapper.jsp?content_id=_9091495_1&displayName=%5Bu03v1%5D+Annotative+Bibliography+Formative+Assessment&course_id=_267427_1&navItem=content&href=%2Fwebapps%2Fblackboard%2Fexecute%2Fblti%2FlaunchLink%3Fcourse_id%3D_267427_1%26content_id%3D_9091495_1

Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

  • Patient monitoring devices.
  • Electronic medical records.
  • Data management resources.
  • Ready access to current science.

Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.

This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well-prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology. A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
    • Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
    • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.
  • Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
    • Describe organizational factors influencing the selection of a technology in the health care setting.
    • Justify the implementation and use of a selected technology in a health care setting.
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Create a clear, well-organized, and professional annotated bibliography that is generally free from errors in grammar, punctuation, and spelling.
    • Follow APA style and formatting guidelines for all bibliographic entries.

Preparation

To successfully complete this assessment, perform the following preparatory activities:

  • Select a single direct or indirect patient care technology that is relevant to your current practice or that is of interest to you. Direct patient care technologies require an interaction, or direct contact, between the nurse and patient. Nurses use direct patient care technologies every day when delivering care to patients. Electronic thermometers or pulse oximeters are examples of direct patient care technologies. Indirectpatient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:
    • Delivery robots.
    • Electronic medication administration with barcoding.
    • Electronic clinical documentation with clinical decision support.
    • Patient sensor devices/wireless communication solutions.
    • Real-time location systems.
    • Workflow management systems.
  • Conduct a library search using the various electronic databases available through the Capella University Library.
    • Consult the BSN Program Library Research Guidefor help in identifying scholarly and/or authoritative sources.
    • Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.
  • Scan the search results related to your chosen technology.
  • Select fourpeer-reviewed publications focused on your selected topic that are the most interesting to you.
  • Evaluate the impact of patient care technologies on desired outcomes.
    • Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.
    • Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

Notes

  • Publications may be research studies or review articles from a professional source. Newspapers, magazines, and blogs are not considered professional sources.
  • Your selections need to be current—within the last five years.

Annotated Bibliography

Prepare a 4–6 page annotated bibliography in which you identify and describe peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography includes all of the following elements:

  • Introduction to the Selected Technology Topic
    • What is your rationale for selecting this particular technology topic? Why are you interested in this?
    • What research process did you employ?
      • What databases did you use?
      • What search terms did you use?
      • Note:In this section of your bibliography, you may use first person since you are asked to describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.
    • Annotation Elements
      • For each resource, include the full reference followed by the annotation.
      • Explain the focus of the research or review article you chose.
      • Provide a summary overview of the publication.
        • According to this source, what is the impact of this technology on patient safety and quality of care?
        • According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?
        • Why did you select this publication to write about out of the many possible options? In other words, make the case as to why this resource is important for health care practitioners to read.
      • Conclusion/Recommendation
        • How would you tie together the key learnings from each of the four publications you examined?
        • What organizational factors influence the selection of a technology in a health care setting? Consider such factors as organizational policies, resources, culture/social norms, commitment, training programs, and/or employee empowerment.
        • How would you justify the implementation and use of the technology in a health care setting? Consider the impact of the technology on the health care organization, patient care/satisfaction, and interdisciplinary team productivity, satisfaction, and retention.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

 

Additional Requirements

  • Written communication: Ensure written communication is free of errors that detract from the overall message.
  • Length:4–6-typed, double-spaced pages.
  • Number of resources:Cite a minimum of 4 peer-reviewed resources.
  • Font and font size:Use Times New Roman, 12 point.
  • APA: Follow APA style and formatting guidelines for all bibliographic entries.

 

Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.

  • Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
    • Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.
  • Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
    • Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.
  • Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
    • Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.
  • Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
    • Deliver a professional and effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
    • Follow APA style and formatting guidelines for citations and references.

What are some differential diagnoses you would give – identify one medical differential diagnosis and two psychiatric differential diagnoses?

Case Study: Natalee Williams
Directions
Review the case study and then answer the questions that follow.
Case Study
Natalee Williams, a 10-year-old African American girl, comes to your psychiatric nurse practitioner office for evaluation. She has been sad and withdrawn, complaining about headaches and “tummy aches.”
Her mother, Trina, accompanies her to the appointment. Trina notes that Natalee has seemed depressed and presents as irritable. The mother notes her daughter’s mood change occurred about two months ago. Natalee’s school performance has fallen, and she is now doing C work. Last term, she earned all As. She wants to sleep more, and her appetite has decreased. She rarely wants to play with friends and spends a lot of time in her room alone. Her height and weight are normal for her age, but she has lost 2 pounds over the last two months.
There is a history of depression in the family, as Natalee’s maternal grandmother and maternal aunt both have had major depression. Her maternal grandmother was hospitalized for psychiatric care 20 years ago for depression and a suicide attempt by an overdose of Tylenol.
Questions
From your perspective as Natalee’s psychiatric nurse practitioner, answer the following questions in a paper in APA format. Include at least three peer-reviewed, evidence-based references.
1. What are some differential diagnoses you would give – identify one medical differential diagnosis and two psychiatric differential diagnoses?
2. What diagnosis would you give Natalee? On what evidence/symptoms do you base your diagnosis?
3. What medication(s) would you prescribe for Natalee and why? Please note the medication, initial dose, and dosing schedule.
4. Fill out a prescription (PDF) (Links to an external site.) for this medication. Print the template, fill it out, and scan it or take a photo. Insert the image at the end of your Microsoft Word document.
5. How will you educate and inform Trina (Natalee’s mother) about how this medication will work?
6. How will you discuss with Trina the commonly expected side effects and potentially serious adverse effects and risks for a child of this age with taking this medication?

What is the difference between PTSD avoidance symptom severity post scores of critical illness survivors who receive nurse-initiated diaries during hospitalization and critical illness survivors who do not receive nurse-initiated diaries during hospitalization

What is the difference between PTSD avoidance symptom severity post scores of critical illness survivors who receive nurse-initiated diaries during hospitalization and critical illness survivors who do not receive nurse-initiated diaries during hospitalization at a large military medical center in the Pacific Region?

Critically evaluate nursing care innovations and specialist nursing roles taking into account contemporary local, national and international influences affecting your chosen area.

Choose one area of specialist adult nursing practice. Critically evaluate nursing care innovations and specialist nursing roles taking into account contemporary local, national and international influences affecting your chosen area. Assessing the 3 Learning Outcomes showed on the paper and followed the Guidelines.

Discuss how it aligns with one of the nursing theories you have studied this term (

Assignment #3: about 5 pages NOT counting the title page and reference page. You do NOT need an abstract with this assignment
Present a personal reflection paper about your personal nursing philosophy (often this philosophy aligns with your personal beliefs and values and where they were developed [family, friends, school, etc]). You can use first person in this paper
you will need a reference page
Once you have presented your nursing philosophy, discuss how it aligns with one of the nursing theories you have studied this term (or before)
Then discuss how your chosen theory might not be the right fit in an identified clinical situation
Lastly, have a closing paragraph that ties everything together
since this is a personal paper, it is OK to use first person. REMEMBER – what is your nursing value system and where did you first learn about values