: 5 pages

Examine Case Study: A Young Caucasian Girl with ADHD. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

• Briefly      explain and summarize the case for this Assignment. Be sure to include the      specific patient factors that may impact your decision making when      prescribing medication for this patient.

Decision #1 (1 page)

• Which      decision did you select?
• Why did you      select this decision? Be specific and support your response with      clinically relevant and patient-specific resources, including the primary      literature.
• Why did you      not select the other two options provided in the exercise? Be specific and      support your response with clinically relevant and patient-specific      resources, including the primary literature.
• What were you      hoping to achieve by making this decision? Support your response with      evidence and references to the Learning Resources (including the primary      literature).
• Explain how      ethical considerations may impact your treatment plan and communication      with patients. Be specific and provide examples.

Decision #2 (1 page)

• Why did you      select this decision? Be specific and support your response with      clinically relevant and patient-specific resources, including the primary      literature.
• Why did you      not select the other two options provided in the exercise? Be specific and      support your response with clinically relevant and patient-specific      resources, including the primary literature.
• What were you      hoping to achieve by making this decision? Support your response with      evidence and references to the Learning Resources (including the primary      literature).
• Explain how      ethical considerations may impact your treatment plan and communication      with patients. Be specific and provide examples.

Decision #3 (1 page)

• Why did you      select this decision? Be specific and support your response with      clinically relevant and patient-specific resources, including the primary      literature.
• Why did you      not select the other two options provided in the exercise? Be specific and      support your response with clinically relevant and patient-specific      resources, including the primary literature.
• What were you      hoping to achieve by making this decision? Support your response with      evidence and references to the Learning Resources (including the primary      literature).
• Explain how      ethical considerations may impact your treatment plan and communication      with patients. Be specific and provide examples.

Conclusion (1 page)

• Summarize      your recommendations on the treatment options you selected for this      patient. Be sure to justify your recommendations and support your response      with clinically relevant and patient-specific resources, including the      primary literature.

Note: Support your rationale with a minimum of five academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement. You should be utilizing the primary and secondary literature.

Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

As you begin to prepare this assessment, you are encouraged to complete the Team Perspectives of the Nurse Informaticist activity. Completion of this will help you succeed with the assessment as you explore the nurse informaticist’s role from the different perspectives of the health care team. Completing activities is also a way to demonstrate engagement.

Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

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 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.
  • Define nursing informatics and the role of the nurse informaticist.
  • Explain how the nurse collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care.
  • Justify the need for a nurse informaticist in a health care organization.
• Competency 2: Implement evidence-based strategies to effectively manage protected health information.
  • Explain evidence-based strategies that the nurse and interdisciplinary team can use to effectively manage patients’ protected health information (privacy, security, and confidentiality).
• Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
  • Follow APA style and formatting guidelines for citations and references.
  • Create a clear, well-organized, and professional proposal that is generally free from errors in grammar, punctuation, and spelling.

Scenario

For this assessment, assume you are a nurse attending a meeting of your state’s nurses’ association. A nurse informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in her workplace. You realize that your organization is undergoing many technological changes. You believe this type of role could provide many benefits to your organization.

You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing officer (CNO) and human resources (HR) manager. These individuals ask you to prepare a 4–5 page evidence-based proposal to support the new role. In this way, they can make an informed decision as to whether the addition of such a role could justify the return on investment (ROI).  They need your proposal before an upcoming fiscal meeting.​

Preparation

To successfully prepare for this assessment, you will need to complete these preparatory activities:

• Review assessment resources and activities.
• Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.
  • Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wiki pages, job boards, et cetera.
  • Consult the BSN Program Library Research Guide for help in identifying scholarly and authoritative sources. 
• Interview peers in your network who are considered information technology experts.
  • Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.

Proposal Format

The Chief Nursing Officer (CNO) and Human Resources (HR) manager have asked you to include the following headings in your proposal and to be sure to address the bullets underneath each heading: 

Nursing Informatics and the Nurse Informaticist

• What is nursing informatics?
• What is the role of the nurse informaticist?

Nurse Informaticists and Other Health Care Organizations

• What is the experience of other health care organizations with nurse informaticists?
• How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?

Impact of Full Nurse Engagement in Health Care Technology

• How does fully engaging nurses in health care technology impact:
  • Patient care?
  • Protected health information (security, privacy, and confidentiality)?
  • Workflow?
  • Costs and return on investment?

Opportunities and Challenges

• What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a nurse informaticist role?
  • How can the interdisciplinary team collaborate to improve quality care outcomes through technology?

Summary of Recommendations

• What are 3–4 key takeaways from your proposal about the recommended nurse informaticist role that you want the CNO and the HR manager to remember?

Additional Requirements

• Written communication: Ensure written communication is free of errors that detract from the overall message.
• Submission length: 4–5 double-spaced pages, in addition to a title page and references page.
• Font: Times New Roman, 12 point.
• Citations and References: Cite a minimum of 3 current scholarly and/or authoritative sources to support your ideas. In addition, cite a minimum of 1 current professional blog or website to support your central ideas. Current means no more than five years old. 
• APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the Evidence and APA page on Campus.

Portfolio Prompt: Save your presentation to your ePortfolio. Submissions to the ePortfolio will be part of your final capstone course.

Some sample interview questions might be (but are not limited to) the following:

• How do you establish a healing relationship with your patients?
• How has the healing relationship (counseling, coaching) been a part of your practice? How much counseling and what type of counseling?
• What are some of the challenges that you have had communicating with your patients? And how did you resolve them?
• How has miscommunication been an issue?
• How is communication important with other health care professionals in your practice?

Martha 40yrs female with no medication history, HX of psychiatric, depression. On Lexapro 20mg daily for 10yrs. On Wellbutrin for worsened anxiety. On Zoloft. Has been seeing therapist for 10 yrs  ago.

Broken heart from recent dating with George last week. Denies smoking, drinking and drug use. 

Having suicidal thoughts with plans but afraid to execute it. unable to keep a job. Out of character, inappropriate at the Doctors clinic, not serious, crying, emotional, lonely not happy at all. Grandiose thinking, psychotic behavior, mood swings. Cannot keep a friend. 

practice assessing and diagnosing personality and paraphilic disorders by analyzing a case study and completing assessment documentation on the patient.

• Consider what history would be necessary to collect      from this patient.
• Consider what interview questions you would need to ask      this patient.
• Identify at least three possible differential diagnoses      for the patient.

Complete Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.

Incorporate the following into your responses in the template:

• Subjective: What      details did the patient provide regarding their chief complaint and      symptomology to derive your differential diagnosis? What is the duration      and severity of their symptoms? How are their symptoms impacting their      functioning in life? 
• Objective: What      observations did you make during the psychiatric assessment?  
• Assessment: Discuss      the patient’s mental status examination results. What were your      differential diagnoses? Provide a minimum of three possible diagnoses with      supporting evidence, listed in order from highest priority to lowest      priority. Compare the DSM-5 diagnostic criteria for each differential      diagnosis and explain what DSM-5 criteria rules out the differential      diagnosis to find an accurate diagnosis. Explain the critical-thinking      process that led you to the primary diagnosis you selected. Include      pertinent positives and pertinent negatives for the specific patient case.
• Reflection notes: What      would you do differently with this client if you could conduct the session      over? Also include in your reflection a discussion related to      legal/ethical considerations (demonstrate critical thinking beyond      confidentiality and consent for treatment!), health promotion and disease      prevention taking into consideration patient factors (such as age, ethnic      group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural      background, etc.).