Case Study 3:

 

Maya is a 5-year-old who presents for a well-child visit. She is a healthy child with no complaints. Physical examination is normal. Routine urinalysis indicates 2+ proteinuria; specific gravity 1.020; negative for glucose, blood, leukocytes, and nitrites. Her blood pressure is normal, and she is at the 60th percentile for height and weight.

 

 

 

To prepare:

 

•Review “Genitourinary Disorders” in the Burns et al. text.

 

•Review and select one of the three provided case studies. Analyze the patient information.

 

•Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

 

•Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.

 

•Consider strategies for educating patients and families on the treatment and management of the genitourinary disorder.

 

 

 

POST 1 TO 2 PAGES PAPER ON :An explanation of the differential diagnosis for the patient in the case study you selected.

 

Explain which is the most likely diagnosis for the patient and why.

 

Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments.

 

Finally, explain strategies for educating patients and families on the treatment and management of the genitourinary disorder.

 

 

 

REFERENCE:

 

Readings

 

•Burns, C. E., Dunn, A. M., Brady, M. A., Starr, N. B., & Blosser, C. G. (2013). Pediatric primary care (5th ed.). Philadelphia, PA: Elsevier.

 

◦Chapter 34, “Genitourinary Disorders” (pp. 809–843)

 

◦Chapter 35, “Gynecologic Disorders” (pp. 844–876)

 

 

 

American Academy of Pediatrics, Subcommittee on Urinary Tract Infection, Steering Committee on Quality Improvement and Management. (2011). Urinary tract infection: Clinical practice guideline for the diagnosis and management of the initial UTI in febrile infants and children 2 to 24 months. Pediatrics, 128(3), 595–610. Retrieved from http://pediatrics.aappublications.org/content/128/3/595.full?sid=cc35023c-502d-474a-9856-bfb5e38eed54

 

•Cox, A. M., Patel, H., & Gelister, J. (2012). Testicular torsion. British Journal of Hospital Medicine, 73(3), C34–C36. Retrieved from the Walden Library Databases.

 

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Week 1: NIH Protecting Human Research Participants Reflection

 

Protecting human research participants is of utmost importance. Even though your

change project will not be implemented in the field, and you will not be engaging with

human subjects in this context, it is still critical that all healthcare professionals have a

solid foundation in patient rights and protections within the realm of research.

It is essential that all healthcare professionals, whether or not they are currently

involved in research studies, remain aware of regulatory policies and updates such as

the Federal Policy for the Protection of Human SubjectsLinks to an external site.

https://www.federalregister.gov/documents/2017/01/19/2017-01058/federal-policy-for-

the-protection-of-human-subjects, or Common Rule, that will take effect January 2019.

Review the Frequently Asked Questions on Requirements for Education at the National

Institutes of Health (NIH) link here: https://humansubjects.nih.gov/requirement-

educationLinks to an external site.

Download the PDF documents listed below. Read the detailed document by the NIH

and then take the self-check quiz to check your understanding before completing this

week’s assignment.

Protecting Human Research Participants

NIH Office of Extramural Research

Introduction

Research with human subjects can occasionally result in a dilemma for investigators. When the

goals of the research are designed to make major contributions to a field, such as improving the

understanding of a disease process or determining the efficacy of an intervention, investigators

may perceive the outcomes of their studies to be more important than providing protections

for individual participants in the research. Although it is understandable to focus on goals, our society values the rights and welfare of

individuals. It is not considered ethical behavior to use individuals solely as means to an end. The importance of demonstrating respect for research participants is reflected in the principles

used to define ethical research and the regulations, policies, and guidance that describe the

implementation of those principles. Who?

This course is intended for use by individuals involved in the design and/or conduct of National Institutes of Health (NIH) funded human subjects research. What?

 

https://www.federalregister.gov/documents/2017/01/19/2017-01058/federal-policy-for-the-protection-of-human-subjects

https://humansubjects.nih.gov/requirement-education

https://humansubjects.nih.gov/requirement-education

 

This course is designed to prepare investigators involved in the design and/or conduct of

research involving human subjects to understand their obligations to protect the rights and

welfare of subjects in research. The course material presents basic concepts, principles, and

issues related to the protection of research participants. Why?

As a part of NIH’s commitment to the protection of human subjects and its response to Federal mandates for increased emphasis on protection for human subjects in research, the NIH Office

of Extramural Research released a policy on Required Education in the Protection of Human

Research Participants in June 2000. This course is specifically designed for extramural investigators and is one (of many) possibilities for meeting the policy requirement. Because this course is intended to allow investigators to fulfill the Required Education in the

Protection of Human Research Subjects, it assumes that the investigators’ research will be

funded by NIH and is therefore subject to all U.S. Department of Health and Human Services

(HHS) regulatory and NIH policy requirements. Archived Content: Last maintained 9/26/2018

 

Assignment

This week, reflect on what you learned from the NIH materials about protecting the

rights of human research participants.

Discuss at least two of the following in your paper:

• Describe the circumstances that influenced the need for a policy to protect

human research subjects. Give examples of specific ways human research

subjects can be harmed by researchers.

• Identify three vulnerable populations and the special restrictions associated with

human research among these groups. Evaluate the requirements and

restrictions. Do you think they are adequate? Why or why not?

• The Belmont Report summarizes the ethical principles and guidelines for

research involving human subjects. Three core principles are identified: respect

for persons, beneficence, and justice. Even though these principles are

considered equal, prioritize them in order of importance to you. Explain your decisions.

• Although you are not implementing a change project at this time, and you may

not be directly involved in research as part of your professional responsibilities,

explain the reasons why it is important for you to know about these rights and

protections.

Your reflective paper should be two pages and written in current APA Style. Refer to the

rubric for more information.

NURS_691A_DE – NIH assignment rubric

NURS_691A_DE – NIH assignment rubric

 

 

Criteria Ratings Pts

This criterion is linked to a

Learning Outcome Content

21 to >19.32 pts

Accomplished

The responses fully address all elements of at least

two writing prompts. The responses provide detail

and/or quality examples for each prompt. The

responses present insightful, clear, and accurate

connections to NIH policies, procedures, and

history. The responses present personal reflection

and/or a willingness to consider multiple

possibilities.

21 pts

 

This criterion is linked to a

Learning Outcome

Organization and Writing

10.5 to >9.66 pts

Accomplished

There is a well-written, clear introduction, body,

and conclusion. The introduction provides an

overview of the topic. The information in the body

is relevant and presented in a logical order. The

conclusion summarizes the topic and includes the

writer’s thoughts on the subject. The writing is fluid

and concise, and the word choice is excellent.

10.5 pts

 

 

 

This criterion is linked to a

Learning Outcome Mechanics

and APA Format

3.5 to >3.22 pts

Accomplished

The answers are well written throughout.

Information is well organized and clearly

communicated. The assignment is mostly free of

spelling and grammatical errors. Information from

sources is paraphrased appropriately and

accurately referenced and cited in APA Style when

applicable. The paper meets assignment length

requirements.

3.5 pts

 

Total Points: 35

 

 

 

 

 

 

 

 

• Week 1: NIH Protecting Human Research Participants Reflection

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Purpose

The purpose of this assignment is to investigate informatics in healthcare and to apply professional, ethical, and legal principles to its appropriate use in healthcare technology.

Course outcomes: This assignment enables the student to meet the following course outcomes:

CO 4: Investigate safeguards and decision‐making support tools embedded in patient care technologies and information systems to support a safe practice environment for both patients and healthcare workers. (PO 4)

CO 6: Discuss the principles of data integrity, professional ethics, and legal requirements related to data security, regulatory requirements, confidentiality, and client’s right to privacy. (PO 6)

CO 8: Discuss the value of best evidence as a driving force to institute change in the delivery of nursing care. (PO 8)

 

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 200 points

 

Preparing the assignment

Your faculty member will provide a scenario for you to address in your paper. Choose an ending to the scenario, and construct your paper based on those reflections. Choose one of the following outcomes for the end of the scenario:

1. A HIPAA violation occurs, and client data is exposed to the media.

2. A medication error has harmed a client.

3. A technology downtime that impacts patient care occurs, and an error is made.

4. A ransomware attack has occurred, and the organization must contemplate paying the ransom or lose access to patient data.

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions. Include the following sections:

a. Introduction – 20 points/10%

· Presents a clearly designed thesis statement or argument.

· Provides a clear and concise overview of the content.

· Offers a compelling argument to elicit the readers attention and generate interest.

b. HIPAA, Legal, and Regulatory Discussion – 20 points/10%

· Identify client privacy and HIPPAA standards as they relate to the impact of technology on nursing care.

· Review healthcare regulations as they relate to the impact of technology on nursing care.

· Describe legal guidelines on appropriate use of technology.

c. Scenario Ending and Recommendations – 50 points/25%

· Presents the selected or assigned scenario ending as the focus of the assignment.

· Evaluates the actions taken by healthcare providers selected or assigned scenario evolves.

· Recommends actions to mitigate the injury sustained in the selected scenario ending.

· Supports recommendations with evidence from recent scholarly publications.

d. Advantages and Disadvantages – 50 points/25%

· Presents at least two advantages of using the specified technology in healthcare.

· Presents at least two risks of using the specified technology in healthcare.

· Describes professional and ethical principles guiding the appropriate use of technology in healthcare.

· Support advantages and risks with evidence from recent scholarly publications.

e. Conclusion and Reflections – 40 points/20%

· Summarizes the selected or assigned scenarios ending including the recommendations.

· Establishes a clear link between the discussion and the thesis statement or argument.

· Discusses thoughtful insights and implications based on the outcomes.

· Describes how new insights will impact future behavior as a healthcare professional.

f. APA Style and Organization – 20 points/10%

· References are submitted with assignment.

· Uses current APA format and is free of errors.

· Grammar and mechanics are free of errors.

· Paper is 4-5 pages, excluding title and reference pages.

· At least three (3) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.

 

For writing assistance, visit the Writing Center.

 

Please note that your instructor may provide you with additional assessments in any form to determine that you fully understand the concepts learned in the review module.

 

 

 

· A scenario is to be used to complete the RUA: We Can But Dare We paper that is due at the end of week 4. Below is the scenario; please do not use any other scenario for this assignment. Logistics and details, including scenario ending choices, regarding the paper can be found in the RUA: We Can But Dare We grading rubric found in the Unit 4 module.

Scenario: You are an emergency department nurse responding to a severe freeway accident. As a triage registered nurse determining the severity of each case and maintaining proper flow, it is your duty to review all patients impacted by this event. While reviewing patients coming in, you stumble across a familiar name, which happens to be the name of a famous actor, Governor Gru. Upon determining this, you happen to take a photo of the data and post about the finding on your social media account.

To complete this paper, please choose an appropriate scenario ending listed in the RUA We Can But Dare We rubric (which is also attached to this announcement).

 

THIS IS AN INDIVIDUAL ASSIGNMENT. Each of you will write your own paper.

This assignment will be submitted to Turn It In and will be screened for integrity violations. TRY NOT use quotes of any kind. (1 is acceptable). If you paraphrase and cite all content you will significantly reduce your similarity score.

FOLLOW THE RUBRIC to receive full points!

Please reach out to your assigned faculty member with questions!

 

 

NR360 Information Systems in Healthcare

We Can, But Dare We? Guidelines

 

 

 

© 2023 Chamberlain University. All Rights Reserved.

NR360_ RUA_We_Can_But_Dare_We_Guidelines_SEP23 1

 

Grading Rubric Criteria are met when the student’s application of knowledge demonstrates achievement of the outcomes for this assignment.

Assignment Section and Required Criteria (Points possible/% of total points available)	Highest Level of Performance	High Level of Performance	Satisfactory Level of Performance	Unsatisfactory Level of Performance	Section not present
Introduction (20 points/10%)	20 points	10 points	5 points	0 points
Required criteria 1. Presents a clearly designed thesis statement or argument. 2. Provides a clear and concise overview of the content. 3. Offers a compelling argument to elicit the reader’s attention and generate interest.	Meets all requirements for section.	Includes no fewer than 2 requirements for section.	Includes no fewer than 1 requirement for section.	No requirements for this section presented.
HIPAA, Legal, and Regulatory Discussion (20 points/10%)	20 points	10 points	5 points	0 points
Required criteria 1. Identify client privacy and HIPPAA standards as they relate to the impact of technology on nursing care. 2. Review healthcare regulations as they relate to the impact of technology on nursing care. 3. Describe legal guidelines on appropriate use of technology.	Meets all requirements for section.	Includes no fewer than 2 requirements for section.	Includes no fewer than 1 requirement for section.	No requirements for this section presented.
Scenario Ending and Recommendations (50 points/25%)	50 points	43 points	38 points	19 points	0 points
Required criteria 1. Presents the selected or assigned scenario ending as the focus of the assignment. 2. Evaluates the actions taken by healthcare providers selected or assigned scenario evolves. 3. Recommends actions to mitigate the injury sustained in the selected scenario ending. 4. Supports recommendations with evidence from recent scholarly publications.	Meets all requirements for section.	Includes no fewer than 3 requirements for section.	Includes 2 requirements for section.	Includes 1 requirements for section.	No requirements for this section presented.
Advantages and Disadvantages (50 points/25%)	50 points	43 points	38 points	19 points	0 points
Required criteria 1. Presents at least two advantages of using the specified technology in healthcare. 2. Presents at least two risks of using the specified technology in healthcare. 3. Describes professional and ethical principles guiding the appropriate use of technology in healthcare. 4. Support advantages and risks with evidence from recent scholarly publications.	Meets all requirements for section.	Includes no fewer than 3 requirements for section.	Includes 2 requirements for section.	Includes 1 requirements for section.	No requirements for this section presented.
Conclusion and Reflections (40 points/20%)	40 points	34 points	30 points	15 points	0 points
Required criteria 1. Summarizes the selected or assigned scenarios ending including the recommendations. 2. Establishes a clear link between the discussion and the thesis statement or argument. 3. Discusses thoughtful insights and implications based on the outcomes. 4. Describes how new insights will impact future behavior as a healthcare professional.	Meets all requirements for section.	Includes no fewer than 3 requirements for section.	Includes 2 requirements for section.	Includes 1 requirements for section.	No requirements for this section presented.
APA Style and Organization (20 points/10%)	20 points	18 points	16 points	8 points	0 points
Required criteria 1. References are submitted with assignment. 2. Uses current APA format and is free of errors. 3. Grammar and mechanics are free of errors. 4. Paper is 4-5 pages, excluding title and reference pages. 5. At least three (3) scholarly, primary sources from the last 5 years, excluding the textbook, are provided.	Includes all requirements for section.	Includes 4 requirements for section.	Includes 3 requirements for section.	Includes 1-2 requirements for section.	No requirements for this section presented.
Total Points Possible = 200 points

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