As telehealth and telenursing continue to be integrated into healthcare, what are the advantages and disadvantages from a patient’s perspective?

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The purpose of the assignment is to explore the use of telehealth technology in nursing practice, understand telehealth pathways and protocols, and understand the clinical and non-clinical uses of telehealth in a practical manner.
Devleop a 750-1500 work (3-5 pages), following proper APA format, answering the questions below, and including a synopsis of the case study at the beginning of the assignment. You should also provide a minimum of three in-text citations and associated references when answering the questions, being mindful of the standards of care and scope of practice for nuring informatics, HIPAA, the Joint Commission, and other regulatory agencies. (Case study attached)
1. Discuss the possible outcomes for this patient had she not been on a home telemonitoring system.
2. Imagine that you are in the position of justifying home telemonitoring to an insurance provider. Using this case scenario, identify potential costs and costs savings for home telemonitoring.
3. As telehealth and telenursing continue to be integrated into healthcare, what are the advantages and disadvantages from a patient’s perspective?
4. As telehealth and telenursing continue to be integrated into healthcare, what are the advantages and disadvantages from a nurse’s perspective?

Discuss the advantages and disadvantages and advantages associated with implementing and using a regional and national EHR.

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Write a paper answering the following questions. Articles are attached and APA 7th edition used.
1. It is anticipated that EGR functionality will expand to allow consumers to enter data into the system along with direct input of other types of PGD. What are some benefits and challenges associated with this change from the perspective of consumers, providers, and healthcare organizations?
2. Historically, patient records maintained by healthcare institutions did not contain financial data such as charges or incident reports. Should this segregation of patient data be maintained with the implementation of EHRs?
3. Increasingly, patients expect full access to their EMRs and EHRs. What limitations, if any, would be in the best interest of patients? For example, should healthcare providers have access to new test results for 3 full business days before these are posted for patient viewing?
4. How does the introduction of a CPOE system affect communication between healthcare providers (e.g., between pharmacists and physicians or nurses, or between nurses and physicians)? What modifications, if any, should be made in the workflow of the different healthcare providers to adjust for this change in communication patterns?
5. Discuss the advantages and disadvantages and advantages associated with implementing and using a regional and national EHR.

Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles.

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Please use the resources provided to develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a posible solution in a 3-5 page paper.

Identify characteristics of professional behavior including emotional intelligence, communication, and conflict resolution.

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The purpose of this assignment is to explore a critical concept in nursing. The student will be able to demonstrate
application of information literacy and ability to utilize resources (library, writing center, Center for Academic Success
[CAS], APA resources, Turnitin, and others) through literature search and writing the paper.
Course outcomes: This assignment enables the student to meet the following course outcomes.
CO 2: Identify characteristics of professional behavior including emotional intelligence, communication, and conflict
resolution.
CO 3: Demonstrate information literacy and the ability to utilize resources.
Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to
this assignment.
Total points possible: 150 points
Preparing the assignment
Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.
1) Locating Evidence
a. Using the Chamberlain University library, search for a recent (published within the last five years) evidencebased article from a scholarly journal that addresses one of the topics listed.
• Safety
• Delegation
• Prioritization
• Caring
2) Include the following sections.
a. Introduction – 20 points/13%
• Clearly establishes the purpose of the paper
• Includes key points to be covered
• Captures the reader’s interest
b. Body of Paper – 60 points/40%
• Complete, well-developed discussion of key points
• Supports the purpose or main idea of the paper
• Logical development of ideas with clear and accurate information
• Ideas and statements are supported by three or more examples from personal and/or professional
experiences
• Provides own perspectives on the topic that is reflective, insightful, and original
c. Conclusion – 30 points/20%
• Clear and concise
• Summarizes key points discussed in the paper
• Leaves a strong impression, message, or idea on the reader
d. Writing Style – 15 point/10%
e. Correct use of standard English grammar, paragraph, and sentence structure
f. No spelling or typographical errors
g. Organized around required components
h. Information flows in a logical sequence that is easy for the reader to follow
i. APA Format, and References – 25 points/17%
• There is correct and appropriate use of margins, spacing, font, and headers
• Document setup includes title and reference pages in correct APA format
NR103 Transition to the Nursing Profession
Transitions Paper Guidelines
NR103_Transitions_Paper_Guidelines 2
• Citation of sources included in the body of the paper uses correct APA format for direct and indirect quotes
• All elements of each reference are included in the correct order
• All information taken from the source, even if summarized, is cited and listed on the Reference page
• All sources used are nursing journals published within the last five years
For writing assistance (APA, formatting, or grammar) visit the APA Citation and Writing page in the online library.
Please note that your instructor may provide you with additional assessments in any form to determine that you fully
understand the concepts learned.

Identify 3 specific community resources and 3 discount programs that could help your patient afford the 6 listed medications by creating a written plan in the nurse’s narrative/summary.

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A. An Older Adult Assessment will be conducted on a “mock patient” and will be referred to as a client, 62 years or older for the clinical learning experience and a summary of the assessment and medication-pricing analysis will be posted in the Assignments as an attachment.
Your “mock patient” should be a volunteer, such as a friend, neighbor, or relative. The assessment should be conducted in the home of the volunteer “mock patient,” and the safety aspects of the home should be assessed as well. The mock client must state his/her name and age.
• The assessment of the “mock patient” will be recorded and loaded to YouTube. It is essential to have a laptop computer with a camera or a smartphone for the older adult assessment video recording, as well as having a consent form signed.
• The Tinetti assessment will be conducted along with the basic assessment.
• Tinetti Assessment Tool – see attached forms on Module C; do not include the Tinetti forms when you upload.
• Provide an overall impression of the clinet’s rish for falls with the scores as follows:
Balance Score: __________ + Gait Score: ___________= Tinetti Score: _________
• The Tinetti Assessment tool indicates it should take approximately 10-15 minutes. However, for purposes of this assignment, you will be able to complete this assignment in 10 minutes or less.
B. Have the client complete the consent form signed/scanned and uploaded in the course. Note: All boxes within the consent form must be addressed.
C. Complete a brief nurse’s note/narrative with summary. The summary includes scores of both tests, the total score, and overall impression of the patient and the home, which will include the safety of the home, medications, locked up, etc. as well as the hypothetical medication pricing. You will also identify 3 specific community resources and 3 discount programs that could help your patient afford the 6 listed medications by creating a written plan in the nurse’s narrative/summary.
D. Medication Assistance
Consider in the event your client was on a fixed income and has no health or pharmaceutical insurance, no internet access AND can only afford $30 per month for medications. Explore three pricing options in order to provide the most cost-effective option for this client. The medications this client is on includes:
• Metformin 1,000 mg BID (diabetes)
• Atorvastatin 20 mg daily (CAD – cholesterol)
• Lisinopril-HCTZ 20/12.5 mg daily in the morning (CAD – hypertension)
• Multi-Vitamin
• Calcium 500mg daily
• Baby ASA 81 mg every other day
1. Medication Pricing: How much does each medication cost? Which pharmacy is in or near your community that your client can use?
2. Medication Assistance:
1. If the cost of a 30 day supply for these medications exceeds the client’s monthly spending limit, who will you refer her to in your community/neighborhood to help pay for these prescriptions?
2. Is your client on Medicare?
3. If your client does not qualify for drug assistance, what else could you do to assist her in obtaining the medications?
*Please indicate the source(s) where you obtained your pricing and create a table format.
Note: This is not your mock client’s real medications or financial information. Use this scenario above to complete this part of the assignment.
E. The nursing assessment summary and medication assistance pricing will be required to be uploaded to Canvas as a word document in addition to the signed consent form and link to the video.
Nursing Assessment Summary:
Electronic medical records (EMR) may not always be available in your workplace setting.
*You need to continue your nursing narrative charting you learned while in school and know how to document in a narrative form in the event the EMR was not available. You need to include the physical assessment (do not use a table) and be specific to include your findings for each step on the rubric such as LOC, heart and lung sounds, etc. (Please write in the order you performed your assessment). You also need to include the safety of the home and be more specific than no rugs or extension cords noted. Vague statements such as physical assessment completed or environment is safe is not sufficient.
This should be double space, Times Roman size 12.
A Title Page with References will not be required.

What are some concerns you have with this case and what do you anticipate would happen? Support your answer.

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Place in drop box prior to the start of class
No single word responses (at least 100+ words in each response)
Give the questions some thought and answer honestly
Give examples if you have them
Cite resources
Number your answers to correspond with the question
Worth 12 points / 5%
Scenario:

Mrs. Thomas is a 54, year old African American widow, mother and grandmother, who lives with her daughter and four grandchildren (ages 12, 10, 7 and 5) in a 4 story walk up apartment. She is an active member of her church community and friends, comments that she had so much energy that she exhausted all of them just being around her. At age 51, she was diagnosed with non-Hodgkin’s lymphoma. Busy with raising her grandchildren, a little more than 3 years went by before she sought attention for her symptoms and was diagnosed. Despite aggressive treatments with chemotherapy and radiation, her diseased progressed and she was considering undergoing a bone marrow transplant. Climbing the stairs to the apartment one afternoon she became very short of breath and collapsed. Her twelve, year old granddaughter called 911. At the hospital she was minimally responsive and in severe respiratory distress. She was intubated and transferred to the

Place in drop box prior to the start of class
No single word responses (at least 100+ words in each response)
Give the questions some thought and answer honestly
Give examples if you have them
Cite resources
Number your answers to correspond with the question
Worth 12 points / 5%
Scenario:

Mrs. Thomas is a 54, year old African American widow, mother and grandmother, who lives with her daughter and four grandchildren (ages 12, 10, 7 and 5) in a 4 story walk up apartment. She is an active member of her church community and friends, comments that she had so much energy that she exhausted all of them just being around her. At age 51, she was diagnosed with non-Hodgkin’s lymphoma. Busy with raising her grandchildren, a little more than 3 years went by before she sought attention for her symptoms and was diagnosed. Despite aggressive treatments with chemotherapy and radiation, her diseased progressed and she was considering undergoing a bone marrow transplant. Climbing the stairs to the apartment one afternoon she became very short of breath and collapsed. Her twelve, year old granddaughter called 911. At the hospital she was minimally responsive and in severe respiratory distress. She was intubated and transferred to the ICU. A family meeting with the oncology and ICU team was called to discuss Mrs. Thomas’s advanced condition, the fact that she would probably not survive further treatment of the lymphoma and to decide on goals of care. Fifteen family members arrived, including her daughter, pre-teen granddaughters and grandson, three nieces, four nephews, several friends from her church and the minister. On being asked that only the immediate family participate in the meeting, the family and friends became angry and insisted that all of them be involved in this discussion.

Discussion questions:

1. What is your impression regarding this scenario? What are some concerns you have with this case and what do you anticipate would happen? Support your answer.
2. Have you thought about what kind of care you would want if you could no longer speak for yourself at the End of Life? Give examples.
3.How would you handle all the family members and friends wanting to be included in the discussion?

. A family meeting with the oncology and ICU team was called to discuss Mrs. Thomas’s advanced condition, the fact that she would probably not survive further treatment of the lymphoma and to decide on goals of care. Fifteen family members arrived, including her daughter, pre-teen granddaughters and grandson, three nieces, four nephews, several friends from her church and the minister. On being asked that only the immediate family participate in the meeting, the family and friends became angry and insisted that all of them be involved in this discussion.

Discussion questions:

1. What is your impression regarding this scenario? What are some concerns you have with this case and what do you anticipate would happen? Support your answer.
2. Have you thought about what kind of care you would want if you could no longer speak for yourself at the End of Life? Give examples.
3.How would you handle all the family members and friends wanting to be included in the discussion?

Clearly explain & illustrate by example how the theory will guide your practice as an Advanced Practice Registered Nurse (APRN)

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Choose a non-nursing theory that aligns closely with your philosophy of nursing. Clearly explain & illustrate by example how the theory will guide your practice as an Advanced Practice Registered Nurse (APRN)

Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.

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Social media plays a significant role in the lives of nurses in both their professional and personal lives. Additionally, social media is now considered a mainstream part of the process for recruiting and hiring candidates. Inappropriate or unethical conduct on social media can create legal problems for nurses as well as the field of nursing.
Login to all social media sites in which you engage. Review your profile, pictures and posts. Based on the professional standards of nursing, identify items that would be considered unprofessional and potentially detrimental to your career and that negatively impact the reputation of the nursing field.

In 500-750 words, summarize the findings of your review. Include the following:
1. Describe the posts or conversations in which you have engaged that might be considered inappropriate based on the professional standards of nursing.
2. Discuss why nurses have a responsibility to uphold a standard of conduct consistent with the standards governing the profession of nursing at work and in their personal lives. Include discussion of how personal conduct can violate HIPAA or be considered unethical or unprofessional. Provide an example of each to support your answer.
3. Based on the analysis of your social media, discuss what areas of your social media activity reflect Christian values as they relate to respecting human value and dignity for all individuals. Describe areas of your social media activity that could be improved.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is NOT required.

Create a pamphlet using any type of publisher software you choose to educate clients on a current patient safety issue;

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Create a pamphlet using any type of publisher software you choose to educate clients on a current patient safety issue; for example, a currently aging adult and how to care for his/herself at home, medication-polypharmacy and how a patient can not make a self medication error, or other appropriate safety issues. If you have a question about a specific topic, check with your instructor.

Your pamphlet must include the following items:

Include at least 5 tips for preventive care for the patient.
Include information that should be shared with family or caregivers.
Include local resources in the community that might be available for this type of safety concern.
Include at least 3 current (published less than 5 years ago) references, in APA format. I am attaching an EXACTLY EXAMPLE OF THE PAPER I NEED. MAKE THE SAME THING, USE DIFFERENT REFERENCES AND DIFFERENT PICTURES. WHEN USING A PICTURE, PROVIDE THE REFERENCE BELLOW THE PICTURE AS WELL.

Describe how you would address the opponent to your position. Be specific and provide examples.

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Assignment: Legislation Comparison Grid and Testimony/Advocacy Statement

As a nurse, how often have you thought to yourself, If I had anything to do about it, things would work a little differently? Increasingly, nurses are beginning to realize that they do, in fact, have a role and a voice.

Many nurses encounter daily experiences that motivate them to take on an advocacy role in hopes of impacting policies, laws, or regulations that impact healthcare issues of interest. Of course, doing so means entering the less familiar world of policy and politics. While many nurses do not initially feel prepared to operate in this space effectively, the reward is the opportunity to shape and influence future health policy.

To Prepare:

Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

The Assignment: (1- to 2-page Comparison Grid; 1-page Legislation Testimony/Advocacy Statement)

Part 1: Legislation Comparison Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:

1).Determine the legislative intent of the bill you have reviewed.
2).Identify the proponents/opponents of the bill.
3).Identify the target populations addressed by the bill.
4).Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

1).Advocate a position for the bill you selected and write testimony in support of your position.
2).Describe how you would address the opponent to your position. Be specific and provide examples.