The purpose of this assignment is to demonstrate your understanding of the concepts learned in this course by writing an assignment.

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DescriptionPurposeThe purpose of this assignment is to demonstrate your understanding of the concepts learned in this course by writing an assignment.Action ItemsAnswer the following questions-Marshall Healthcare System, a non-taxpaying entity, is planning to purchase imaging equipment, including an MRI equipment, for its new imaging center. This equipment is expecting to generate the following cash flows.Years 5Initial($ 15,000,000)InvestmentNet operatingcash flows$4,000,000, $5,000,000 $8,000,000 $16,000,0001.Determine the payback for the new MRI machine and should the project be accepted or(2.5 Marks)2.Compare the Strengths and Weakness of Pay back method and NPV (Net Present Value)(2.5 Marks)Submission InstructionsComplete and submit this assignment according to your professor’s instructions.The font should be 12 Times New RomanHeading should be BoldThe color should be BlackLine spacing should be 1.5Please use reliable references using APA format(at least two references for a credible source)AVOID PLAGIARISMGrading CriteriaAccuracy and completion of assignment: 0 – 05points.The following rubric will be used to assess this assignment. Please familiarize yourself with it and do not hesitate to refer back to it before, during, and after composing your response.CriteriaProficiencySome ProficiencyLimited ProficiencyNo Proficiency10.750.500.25PresentationThe purpose and focus are clear and consistentPunctuation, grammar, spelling, and mechanics are appropriateContentInformation and evidence are accurate, appropriate, and integrated effectivelyThinkingAnalysis/synthesis/evaluation/interpretation are effective and consistentConnections between and among ideas are madeTotal/ 05Instruction FilesPaperAssignment1PHC273.docx43.6 KBAssignment2.docx48.4 KBAssignment2-PaperforArticleCritique.pdf473.6 KBPHC231-assignment2.docx41.5 KB

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Patient-Centered Technologies

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Application: Patient-Centered Technologies

 

Although health care professionals play a significant role in health outcomes, the day-to-day management of a patient’s health is also a personal responsibility. Physicians and nurses can provide diagnoses, interventions, treatments, and prescriptions, but they will only have an impact if patients follow through with their health care provider’s recommendations.

The advent of diverse health-related technologies is providing unprecedented opportunities to assist patients in maintaining control of their health.  Consider for a moment health and fitness mobile apps, talking pill bottles, and smart apartments. New patient-centered technologies are being developed every day!

 

For this Assignment, you will select a health-related mobile app, personal health record, smart technology, or an interactive social media site that is helping patients to better manage their health.

 

Note: For the purposes of this assignment, a “mobile app” is defined as a technology application that can be viewed, played, and stored on smartphone devices and tablets.

 

To prepare:

 

  • Review Chapter 35, “Consumer/Patient Engagement and eHealth Resources”, in the course text, Essentials of Nursing Informatics, and consider how technological innovations are transforming the ways patients’ access health-related information.
  • Reflect on the various patient-centered technologies that you or others may use, as well as those gaining attention in the media.
  • Conduct research on patient-centered technologies that assist users in managing their own health.
  • Select one technology category such as apps, personal health records, smart technologies, or interactive social media sites to further explore. Examine the parameters of a specific patient-centered technology within this category. How does this technology put patients in control of their health?

 

To complete:

 

Submit a  5-page paper by Thursday 07/21/2016 that addresses the following:

 

  • Identify the patient-centered technology that you selected, as well as the population of patients for whom this technology is designed.
  • Describe how this technology is tailored toward patient use. Specifically, explain how the features, functions, and design can help patients manage their own health.
  • Explain the risks and benefits this technology might bring to users.
  • Predict the impact this technology might have on patient health outcomes. Be sure to support your work with specific citations from the Learning Resources and any additional sources.

 

Note: If you choose to select an interactive social media site, text- or article-based websites such as WebMD or Health.gov may not be selected. For the purposes of this course, interactive social media is defined as a digital technology that allows users to manipulate, interact with, and/or engage with other users. Ensure that if you choose an interactive social media site, it adheres to this rule.

 

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references.

 

 

Required Resources

 

Readings

 

  • Saba, V. K., & McCormick, K. A. (2015). Essentials of nursing informatics (6th ed.). New York, NY: McGraw-Hill.
    • Review Chapter 1, “Historical Perspectives of Nursing Informatics”

      In this chapter, the authors explain the transition from paper-based records to electronic records. The chapter provides an overview of the historical events that contributed to the rise of electronic health records.

    • Chapter 25, “Care Delivery Across the Care Continuum: Hospital-Community-Home”

      Chapter 25 analyzes the impact of home health on the health care system. The chapter explains the current level of home health technology and how the Patient Protection and Affordable Care Act (PPACA) changes this aspect of health care.

    • Chapter 44, “Initiation and Management of Accessible, Effective Online Learning”

      This chapter explores the psat and present perspectives of distance education, important teractive electronic tools and essential strategies for the online learner.

    • Chapter 45, “Social Media in the Connected Age: Impact on Healthcare Education and Practice”

      The focus of this chapter is on the evolution of the Internet, mobile tools and the use of social media in healthcare education.

    • Chapter 35, “Consumer/Patient Engagement and eHealth Resources”

      As access to health care information increases, patients are becoming more informed about and engaged in their health. This chapter discusses current trends in health care, including patient empowerment, consumerism, and widespread use of computers and technologies for health.

  • Crilly, J. F., Keefe, R. H., & Volpe, F. (2011). Use of electronic technologies to promote community and personal health for individuals unconnected to health care systems. American Journal of Public Health, 101(7), 1163–1167.
    Retrieved from the Walden Library databases.

    The authors of this article describe technologies that have been used to increase access to health care for underserved populations. The authors present strategies, benefits, and challenges of addressing this issue, and they provide examples of successful programs.

  • Walker, J., Leveille, S. G., Ngo, L., Vodicka, E., Darer, J. D, Dhanireddy, S., … Delbanco, T. (2011). Inviting patients to read their doctors’ notes: Patients and doctors look ahead: Patient and physician surveys. Annals of Internal Medicine, 155(12), 811–819.
    Retrieved from the Walden Library databases.

    In this article, the authors discuss the results of their study on the outcomes of allowing patients to read their doctors’ notes. The study highlights the benefits of sharing notes with patients and how doing so can promote better outcomes.

  • Wynia, M., & Dunn, K. (2010). Dreams and nightmares: Practical and ethical issues for patients and physicians using personal health records. Journal of Law, Medicine & Ethics, 38(1), 64–73.
    Retrieved from the Walden Library databases.

    The authors of this article highlight the primary uses and benefits of personal health records (PHRs) as an electronic health record (EHR) tool. In addition, the article presents an overview of practical and ethical issues that may emerge from integrating PHR components into EHR systems.

    Media

 

  • Laureate Education, Inc. (Executive Producer). (2012f). Electronic health records and data ownership. Baltimore: Author.

    Note: The approximate length of this media piece is 9 minutes.

    In this media presentation, Dr. Roy Simpson discusses how the data derived from patient-centered technologies can be used to increase the quality of care given to patients. Dr. Simpson also highlights how patients can harness the power of these technologies to make more informed decisions about their health. Dr. Simpson concludes his segment by examining the ownership of patient information in EHR systems.

 

Optional Resources

 

  • Hertz, B. T. (2012). Physician-designed app empowers patients. Medical Economics, 89(1), 30, 32.
    Retrieved from the Walden Library databases.
  • Sands, D. (2010). Dr. Danny Sands: Knowledge is power [Video File]. Retrieved from http://www.youtube.com/watch?v=jgC6meGxQLQ

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Choose one disorder of the central or peripheral nervous system and discuss its clinical manifestations, prognosis, and pathophysiology.

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DescriptionDiscussion Question (master’s in education- Nursing)Discussion Question:Choose one disorder of the central or peripheral nervous system and discuss its clinical manifestations, prognosis, and pathophysiology.I work in cardiac stepdown and telemetry inpatient unit.For the references please add one or two of my text book and one or two scholarly article with intext citationReference text book below:McCance, K. A. & Huether, S.E. (2018). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). Mosby.cite at least one or two scholarly source when appropriate, and always use quality writing. Please use one article with in the 5 last years. So total reference is my textbook and one or two article and please do intext citation. Please write 350 words. Please provide DOI for the references.Instruction FilesDiscussionQuestion.docx18.9 KB

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Evaluation tool

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In this part of the Evaluation Project, you construct an evaluation plan by aggregating all of your work on the project thus far into one cohesive document. The document should contain your PICO question, literature review (with summary table), evaluation methodology, and evaluation tool.

To prepare:

Consider the issues or concerns you might have when developing an evaluation plan. Reflect on the ethical issues you and your colleagues identified in the Week 9 Discussion.

Reflect on potential limitations and opportunities (Note: This topic will be addressed in the Week 10 Discussion).

To complete Part 6 of the Evaluation Project:

In no more than 10 pages, aggregate all of your work on the Evaluation Project so far into a single document. This document should contain:

Your PICO question

An explanation of the goals of your evaluation plan

Literature review (with summary table as an appendix)

Evaluation methodology (including research design)

Evaluation tool

A description of any ethical issues or concerns you may have with implementing your plan and how you could handle them if they arose

A summary of the criteria you will use to define the success of your plan and how you will disseminate findings

An outline of limitations to the scope of the plan and opportunities resulting from your evaluation plan

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What compensatory measures does the body employ in an attempt to restore cardiac output?

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DescriptionAssignment:Create a presentation addressing all of the following topics:Create a table differentiating the types of anemia, their clinical presentations, causes, and diagnostic testsWhat compensatory measures does the body employ in an attempt to restore cardiac output? What are the effect of these compensatory measures?Discuss the difference between right-sided and left-sided HF, their causes, clinical presentations, and diagnostic tests.How do the clinical presentations, prognosis, and management of acute and chronic leukemia differ?This PowerPoint® (Microsoft Office) or Impress® (Open Office) presentation should be a minimum of 15 slides (maximum of 17 slides), including a title, introduction, conclusion and reference slide, with detailed speaker notes and recorded audio comments for all content slides. Use the audio recording feature with the presentation software. Use at least five scholarly sources and make certain to review the module’s Signature Assignment Rubric before starting your presentation.Assignment ExpectationsLength: 15-17 slides; answers must thoroughly address the questions in a clear, concise mannerStructure:Title slide and reference slides in APA style. (at least 2 slides)Objective: 1 slideAnemia: at least 3 slidesCardiac Output: at least 3 slidesHeart Failure: at least 3 slidesLeukemia: at least 3 slidesAdditionally, because a good presentation has few words on the slides include a script with the verbiage you would say when presenting; script should be a minimum of 50 words per slide.References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least five scholarly sources to support your claims.Instruction FilesAssignmnetInstructions.docx19.7 KB

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Advanced Practice Registered Nurse for Advocacy for childhood obesity

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DescriptionAdvanced Practice Registered Nurse for Advocacy for childhood obesityAdvocacy is a critical skill for APNs to have for promoting solutions to health concerns within a community. Identify a health issue in your community or state. Discuss a systems-level advocacy strategy to address the concern. In the strategy, students should identify specific groups or individuals that they would target aswell as how they would target these individuals. For example, a student may choose to contact a legislator with a letter-writing campaign and would describe strategies for implementing that campaign.Length: A minimum of 250 words, not including referencesCitations: At least one high-level scholarly reference in APA from within the last 5 years

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Nursing homework help

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How are patient outcomes with access to this expertise?  How do they track revenue, is there a discount or full Charge Master Invoice?

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Clinical Decision Support Systems

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Decision support systems were first designed and implemented in the corporate world to support business management. The integration of support systems into health care organizations brings a sharpened analysis capacity to data warehousing and data mining. This refined data analysis capability can lead to improved patient care and diagnoses through evaluation of various symptoms, prediction of certain drug interaction outcomes, and much more.

 

In this Discussion, you explore the use of clinical decision support systems and consider their value in assisting advanced practice nurses in making informed decisions and providing quality health care.

 

To prepare:

 

  • Review the information in the Learning Resources focusing on the use of clinical decision support systems.

 

  • Consider where you seek support for clinical decisions. Do you seek advice from other health care professionals in your organization? Do you use computerized clinical decision support systems? Do you perform your own research? Assess the advantages and disadvantages of each approach.

 

  • Reflect on how decision support technologies, including databases, might assist nurses in clinical practice.
  • Consider how you can validate the integrity of the data you are using in a clinical decision support system.
  • Peruse the information presented at the Open Clinical website presented in this week’s Learning Resources. Locate an article that focuses on how clinical decision support systems can be used to support or improve patient care. How does the information in the article align with or differ from your own experiences?

    Post by tomorrow 8/2/16 550 words in APA format and 3 references from the list below. Include the level one heading below:

    1)  a description of how you currently seek support for clinical decision making and how you determine the integrity of the information you gather.

    2) Analyze the advantages and disadvantages of using computerized clinical decision support systems in clinical practice. Justify your response.

    3) Finally, summarize the article you selected from the Open Clinical website and include an evaluation of how computerized clinical decision support systems can be used to improve care.

 

Required Resources

 

 

Readings

 

  • Coronel, C. & Morris, S. (2015). Database systems: Design, implementation, and management (11th ed.). Stamford, CT: Cengage Learning.
    • Chapter 13, “Business Intelligence and Data Warehouses” (review) (pp. 559–623)
  • Wright, A., Sittig, D. F., Ash, J. S., Feblowitz, J., Meltzer, S., McMullen, C., …& Middleton, B. (2011). Development and evaluation of a comprehensive clinical decision support taxonomy: Comparison of front-end tools in commercial and internally developed electronic health record systems. Journal of American Medical Informatics Association, 18(3), 232–242.
    Retrieved from the Walden Library databases.

    The authors of this article compare front-end and back-end clinical decision support (CDS) tools. They also evaluate the efficiency and accuracy of taxonomies in the design and implementation of EHR system features.

 

  • Souza, N. M., Sebaldt, R. J., Mackay, J. A., Prorok, J. C., Weise-Kelly, L., Navarro, …& Haynes, R. B. (2011). Computerized clinical decision support systems for primary preventive care: A decision-maker-researcher partnership systematic review of effects on process of care and patient outcomes. Implementation Science, 6(1), 87–100.
    Retrieved from the Walden Library databases.

    In this article, the authors explore applied computerized clinical decision support systems (CCDSSs). In addition, they evaluate how much these systems improved drug prescription processes and patient care outcomes.

 

  • Roshanov, P. S., Misra, S., Gerstein, H. C., Garg, A. X., Sebaldt, R. J., Mackay, J. A., …& Haynes, R. B. (2011). Can computerized clinical decision support systems improve practitioners’ diagnostic test ordering behavior? A decision-maker-researcher partnership systematic review. Implementation Science, 6(88), 1–12.
    Retrieved from the Walden Library databases.

    The authors of this article explore the relationship between CCDSSs and effective diagnostic testing. Through their decision-maker-researcher partnership systemic review, they evaluate efforts to improve diagnostic testing through data collection and assessment requirement procedure and EHRs.

 

  • Frisher, M., Short, D., & Bashford, J. (2010). Determining patient characteristics for decision analysis support systems using anonymized electronic patient records. Health Informatics Journal, 16(1), 49–57.
    Retrieved from the Walden Library databases.

    This article reports on a study conducted with stroke patients that examined how decision analysis support systems can be applied. The authors discuss how evidence-based consultations of patients and data analysis can improve decision making.

 

  • Huryk, L. A. (2012). Information systems and decision support systems. American Journal of Nursing, 112(1), 62–65.
    Retrieved from the Walden Library databases.

    The Health Information Technology for Economic and Clinical Health (HITECH) Act has encouraged the implementation of technologies in evidence-based practice, diagnostics, and research. One result of this is the growing reliance on decision support systems in patient care. The author of this article examines how the nursing field and curricula are adapting to meet this change in practice.

 

  • Ensuring data integrity. (2009). Nature Neuroscience,12(10), 1205.
    Retrieved from the Walden Library databases.

    This article explores methods that health care organizations can employ to ensure the integrity of collected and stored data.

 

  • Open Clinical: Knowledge Management for Medical Care. (2011). Decision support systems. Retrieved from http://www.openclinical.org/dss.html

    This site explores decision support systems and their functions in health care. It also explores how each organization can integrate decision support systems to their own task sets.

 

Media

 

  • Laureate Education, Inc. (Executive Producer). (2012). Clinical decision support systems. Baltimore, MD: Author.

    Note: The approximate length of this media piece is 11 minutes.

    Dr. Patricia Abbott, a highly experienced nurse, nurse educator, and informatics researcher, describes decision support systems and provides health care-based examples. She also explains how critical it is to involve nurses in the development of health care standards.

 

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Advanced Practice Registered Nurse for Advocacy for childhood obesity

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DescriptionAdvanced Practice Registered Nurse for Advocacy for childhood obesityAdvocacy is a critical skill for APNs to have for promoting solutions to health concerns within a community. Identify a health issue in your community or state. Discuss a systems-level advocacy strategy to address the concern. In the strategy, students should identify specific groups or individuals that they would target aswell as how they would target these individuals. For example, a student may choose to contact a legislator with a letter-writing campaign and would describe strategies for implementing that campaign.Length: A minimum of 250 words, not including referencesCitations: At least one high-level scholarly reference in APA from within the last 5 years

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sci 220 week 1 quiz

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Description / Instructions: Complete the Week 1 Quiz.

 

 

Question 1

Which of the following nutrients does not provide energy to the body?

 

Carbohydrates

 

Protein

 

Vitamins

 

Lipids

 

 

 

 

Question 2

Why is variety an important component of a healthy diet?

 

It ensures you will eat the proper amount of calories each day.

 

It ensures you will eat meat every day.

 

It ensures you will get all the nutrients you need for optimal health.

 

It ensures you will not become dehydrated throughout the day.

 

 

 

 

Question 3

Which is the best way to balance your dietary choices?

 

If you overeat at lunch, you should skip dinner.

 

If you eat two slices of pizza at lunch, you should walk an extra mile after dinner.

 

If your dinner has no vegetables, you should eat a cereal containing fiber at breakfast.

 

If you eat two slices of pizza at lunch, you should walk an extra mile after dinner and if your dinner has no vegetables, you should eat a cereal containing fiber at breakfast.

 

 

 

 

Question 4

You have two relatives both 55 years old and both have always eaten a diet of primarily fast food. One of these relatives has severe heart disease and the other has low cholesterol levels and no sign of heart disease. What is the best explanation for this?

 

these relatives have the same genetic predisposition for heart disease

 

these relatives do not share the same genetic predisposition for heart disease

 

the fast food consumed is not bad for their heart health

 

the fast food consumed is good for their heart health

 

 

 

 

Question 5

Which of the following is an example of variety in the diet?

 

Selecting foods from all the foods groups

 

Selecting different foods within food groups

 

Selecting foods from all the foods groups and different foods within food groups

 

Selecting appropriate portion sizes of foods

 

 

 

 

Question 6

Using a smaller plate for dinner may help you practice:

 

variety

 

balance

 

moderation

 

nutrient density

 

 

 

 

Question 7

A glass of milk is more nutrient dense than a can of soda because:

 

a glass of milk contains calories.

 

a glass of milk contains calcium.

 

a glass of milk has fewer calories than a soda.

 

a glass of milk is not nutrient dense.

 

 

 

 

Question 8

Ethan achieves his recommended intake of vegetables by eating a large baked potato every day. Which principle is he not achieving?

 

balance

 

moderation

 

nutrient density

 

variety

 

 

 

 

Question 9

The Acceptable Macronutrient Distribution Range for protein is:

 

10 to 35% of calories.

 

45 to 65% of calories.

 

50 to 70% of calories.

 

more than 65%.

 

 

 

 

Question 10

Government nutrition recommendations translate:

 

nutrient needs into food choices.

 

food choices into nutrient needs.

 

nutrient needs into daily nutrient requirements.

 

food choices into daily nutrient requirements.

 

 

 

 

Question 11

Evaluating a person’s food intake using food records is one of the ways nutritionists determine what people eat and their nutrient intake. This allows the nutritionist to assess the person’s:

 

blood lipids

 

likelihood of getting heart disease or diabetes

 

fasting blood glucose

 

nutritional status

 

 

 

 

Question 12

According to the AMDR, the majority of calories you eat should come from:

 

carbohydrates.

 

fat.

 

protein.

 

vitamins.

 

 

 

 

Question 13

The Dietary Guidelines for Americans promote a minimum of _____ minutes of moderate exercise weekly.

 

40

 

80

 

120

 

150

 

 

 

 

Question 14

Discretionary calories come from:

 

alcohol and added sugars.

 

added sugars and solid fats.

 

alcohol and solid fats.

 

Alcohol, added sugars, and solid fats.

 

 

 

 

Question 15

Where would you look on the food label to determine if sugar was added to the product?

 

Ingredients list

 

Front of the label

 

Nutrition Facts panel

 

Serving size information

 

 

 

 

Question 16

Which of the following nutrients are NOT broken down into smaller pieces during by metabolism?

 

Water, vitamins, minerals

 

Vitamins, carbohydrates, proteins

 

Lipids, carbohydrates, vitamins

 

Proteins, carbohydrates, lipids

 

 

 

 

Question 17

In which organ does the digestion of protein begin?

 

Mouth

 

Pancreas

 

Stomach

 

Small intestine

 

 

 

 

Question 18

Which of the following is NOT an accessory organ of the digestive system?

 

Gallbladder

 

Liver

 

Pancreas

 

Spleen

 

 

 

 

Question 19

Which of the following is one of the ways that the endocrine system interacts with the digestive system?

 

Eliminates wastes generated in the body

 

Transports nutrient to cells

 

Controls the passage of food in the blood stream

 

Secretes hormones that regulate how much we eat

 

 

 

 

Question 20

Proteins are broken down into _____ whereas fats are digested mostly into _____.

 

amino acids, sugars

 

amino acids, fatty acids

 

fatty acids, sugars

 

glucose, vitamins

 

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