Healthcare Informatics in Primary Care Pediatrics

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The focus of this assignment is to increase your knowledge and understanding of how informatics, specifically the electronic medical record, improves the pediatric patient health outcomes. Caring for the pediatric patient has unique elements that are not applicable in the adult population. Examples are growth and development surveillance, vaccine records, transitional changes that affect “normal findings” by age group. For example, the normal respiratory rate of a newborn is significantly different from a 10-year-old. Additionally, pediatric healthcare providers are expected to educate parents with “anticipatory guidance” according to the age of the patient. For this assignment, you are expected to analyze the utilization of the EMR that you are using in your clinical practicum and evaluate how this particular EMR system is improving health outcomes. For example, does the EMR that you are using have mechanisms in place that track growth and development, which has led to early identification of abnormals?

This assignment has three parts. The first part is identifying the recommended pediatric-specific functionalities of the EMR system you are using. The template will guide you through the first part of the assignment by addressing a sample of key functionalities.

Part 2 addresses some basic functions that would be recommended in any non-specific EMR.

Part 3 asks you to discuss how your system is addressing certain outcomes such as safety, collaboration, and the prevention of medication errors.

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Healthcare Informatics in Primary Care Pediatrics

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The focus of this assignment is to increase your knowledge and understanding of how informatics, specifically the electronic medical record, improves the pediatric patient health outcomes. Caring for the pediatric patient has unique elements that are not applicable in the adult population. Examples are growth and development surveillance, vaccine records, transitional changes that affect “normal findings” by age group. For example, the normal respiratory rate of a newborn is significantly different from a 10-year-old. Additionally, pediatric healthcare providers are expected to educate parents with “anticipatory guidance” according to the age of the patient. For this assignment, you are expected to analyze the utilization of the EMR that you are using in your clinical practicum and evaluate how this particular EMR system is improving health outcomes. For example, does the EMR that you are using have mechanisms in place that track growth and development, which has led to early identification of abnormals?

This assignment has three parts. The first part is identifying the recommended pediatric-specific functionalities of the EMR system you are using. The template will guide you through the first part of the assignment by addressing a sample of key functionalities.

Part 2 addresses some basic functions that would be recommended in any non-specific EMR.

Part 3 asks you to discuss how your system is addressing certain outcomes such as safety, collaboration, and the prevention of medication errors.

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WEEK 8 Discussion 1 Clinical concepts

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  • There are many roles that a nurse leader must take on in order to be a good change agent. Discuss these different roles and their effect on the change process.

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WEEK 8 Discussion 1 Assessment

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A 28-year-old female presents with a “severe headache” for the past 9 hours. She states the pain is over the left temporal area and is “throbbing” in nature. These symptoms have occurred before but not as bad.

  • What are some clinical assessment tools or techniques that you could use to help diagnose this patient’s condition?
  • In order of importance, describe three (3) questions that you would like to ask this patient and give a brief explanation of why?

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Week 8 SOAP Note Assignment

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 This week, you will submit a SOAP note.

  1. Select a “patient” (friend or family member) on whom to perform a complete H&P.
  2. NOTE: DO NOT USE REAL NAMES OR INITIALS OR OTHERWISE IDENTIFY YOUR “PATIENT.” FAILURE TO MAINTAIN PRIVACY WILL RESULT IN A FAILING SCORE.
  3. Using the format specified below, write a 1 to 2 page SOAP note on your “patient.” The HPI should be presented in a paragraph, and the rest of the data including the ROS should be presented in a list format.
  4. Collect only the information that is pertinent to the chief complaint of the patient to include in your SOAP note. Aim for a single page using normal margins and format.
  5. The SOAP Note must contain all required elements as outlined in the rubric below.
  6. You must self-score your SOAP note using the rubric and attach it to the assignment.

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Experiential Versus Narrative Family Therapies

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PLEASE FOLLOW THE INSTRUCTIONS BELOW

4 REFERENCES

ZERO PLAGIARISM

Although experiential therapy and narrative  therapy are both used in family therapy, these therapeutic approaches have many differences in theory and application. As you assess families and develop treatment plans, you must consider these differences and their potential impact on clients. For this Assignment, you compare Experiential and Narrative Family Therapy.

Learning Objectives

Students will:
  • Compare experiential family therapy to narrative family therapy
  • Justify recommendations for family therapy
To prepare:
  • Review this week’s Learning Resources and reflect on the insights they provide on experiential and family therapies.

The Assignment

In a 2- to 3-page paper, address the following: 

  • Summarize the key points of both experiential family therapy and narrative family therapy. 
  • Compare experiential family therapy to narrative family therapy, noting the strengths and weakness of each.
  • Provide a description of a family that you think experiential family therapy would be appropriate, explain why, and justify your response using the Learning Resources. 

Note: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The sample paper provided by the Walden Writing Center provides examples of those required elements (available at  http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Part 2: Family Genogram

Develop a genogram for the client family you selected. The genogram should extend back at least three generations (parents, grandparents, and great grandparents).

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Hospice Care

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Support your argument for and against hospice. As well as further discussing the laws/policies related to hospice.

Write two argumentative paragraphs a pro and con on the subject. As well as defining or discussing the topic and issue, as well as public policies related to the issue.

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week 4 assign patho 6501

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Module 2 Assignment: Case Study Analysis

An understanding of the cardiovascular and respiratory systems is a critically important component of disease diagnosis and treatment. This importance is magnified by the fact that these two systems work so closely together. A variety of factors and circumstances that impact the emergence and severity of issues in one system can have a role in the performance of the other.

Effective disease analysis often requires an understanding that goes beyond these systems and their capacity to work together. The impact of patient characteristics, as well as racial and ethnic variables, can also have an important impact.

Photo Credit: yodiyim – stock.adobe.com

An understanding of the symptoms of alterations in cardiovascular and respiratory systems is a critical step in diagnosis and treatment of many diseases. For APRNs this understanding can also help educate patients and guide them through their treatment plans.

In this Assignment, you examine a case study and analyze the symptoms presented. You identify the elements that may be factors in the diagnosis, and you explain the implications to patient health.

To prepare:

By Day 1 of this week, you will be assigned to a specific case study scenario for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following

  • The cardiovascular and cardiopulmonary pathophysiologic processes that result in the patient presenting these symptoms.
  • Any racial/ethnic variables that may impact physiological functioning.
  • How these processes interact to affect the patient.

Learning Resources

Required Readings (click to expand/reduce)

McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.
Chapter 32: Structure and Function of the Cardiovascular and Lymphatic Systems; Summary Review
Chapter 33: Alterations of Cardiovascular Function (stop at Dysrhythmias); Summary Review
Chapter 35: Structure and Function of the Pulmonary System; Summary Review
Chapter 36: Alterations of Pulmonary Function (stop at Disorders of the chest wall and pleura); (obstructive pulmonary diseases) (stop at Pulmonary artery hypertension); Summary ReviewNote: The above chapters were first presented in the Week 3 resources. If you read them previously you are encouraged to review them this week.
 

Inamdar, A. A. & Inamdar, A. C. (2016). Heart failure: Diagnosis, management, and utilization, 5(7). doi:10.3390/jcm5070062

wk4

  • Posted on: Sunday, December 20, 2020 12:00:00 AM EST

    Scenario 4: 45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields. Posted by: Tanya Ausburn
    Posted to: NURS-6501C-22/NURS-6501N-22-Advanced Pathophysiology2020 Winter Qtr 11/30-02/21-PT27

  • WEEK #4
    Posted on: Sunday, December 20, 2020 12:00:00 AM EST

    This week, you examine alterations in the cardiovascular and respiratory systems and the resultant disease processes. You also consider patient characteristics, including racial and ethnic variables, and the impact they have on altered physiology.

    Learning Objectives

    Students will:

    • Analyze processes related to cardiovascular and respiratory disorders
    • Analyze alterations in the cardiovascular and respiratory systems and the resultant disease processes
    • Analyze racial/ethnic variables that may impact physiological functioning
    • Evaluate the impact of patient characteristics on disorders and altered physiology 

Note: The above article was first presented in the Week 3 resources. If you read it previously you are encouraged to review it this week.

Required Media (click to expand/reduce)

Alterations in the Cardiovascular and Respiratory Systems – Week 4 (15m)
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript

Pneumonia

MedCram. (2015, September 14). Pneumonia explained clearly by MedCram [Video file]. Retrieved from https://www.youtube.com/watch?v=nqyPECmkSeo
Note: The approximate length of the media program is 13 minutes.
(Previously reviewed in Week 3)

Online Media from Pathophysiology: The Biologic Basis for Disease in Adults and Children

In addition to this week’s media, it is highly recommended that you access and view the resources included with the course text, Pathophysiology: The Biologic Basis for Disease in Adults and Children. Focus on the videos and animations in Chapters 32, 33, 35, and 36 that relate to cardiorespiratory systems and alteration in cardiorespiratory systems. Refer to the Learning Resources in Week 1 for registration instructions. If you have already registered, you may access the resources at https://evolve.elsevier.com/

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week 4 assign pharma

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Assignment: Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders

Photo Credit: Getty Images/iStockphoto

Gastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.  

Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.

To Prepare
  • Review the case study assigned by your Instructor for this Assignment
  • Reflect on the patient’s symptoms, medical history, and drugs currently prescribed.
  • Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.
  • Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
By Day 7 of Week 4

Write a 1-page paper that addresses the following:

  • Explain your diagnosis for the patient, including your rationale for the diagnosis.
  • Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.
  • Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

Week 4: Gastrointestinal and Hepatobiliary Disorders

As an advanced practice nurse, you will likely encounter patients who will present with symptoms affecting the gastrointestinal (GI) tract. Of special note, is the consideration that most symptoms concerning the GI tract are non-specific and therefore, diagnosing diagnoses of the GI tract require thoughtful and careful investigation. Similarly, hepatobiliary disorders may also mirror many of the signs and symptoms that patients present when suffering from GI disorders.

How might you tease out the specific signs and symptoms between these potential disorders and body systems? What drug therapy plans will best address these disorders for your patients?

This week, you examine GI and hepatobiliary disorders. You will review a patient case study and consider those factors in recommending and prescribing a drug therapy plan fo your patient.

Learning Objectives

Students will:

  • Evaluate diagnoses for patients with gastrointestinal and hepatobiliary disorders
  • Justify drug therapy plans based on patient history and diagnosis

Learning Resources

Required Readings (click to expand/reduce)

Rosenthal, L. D., & Burchum, J. R. (2021). Lehne’s pharmacotherapeutics for advanced practice nurses and physician assistants (2nd ed.) St. Louis, MO: Elsevier.
Chapter 64, “Drugs for Peptic Ulcer Disease” (pp. 589–597)
Chapter 65, “Laxatives” (pp. 598–604)
Chapter 66, “Other Gastrointestinal Drugs” (pp. 605–616)
Chapter 80, “Antiviral Agents I: Drugs for Non-HIV Viral Infections” (pp. 723–743)

Chalasani, N., Younossi, Z., Lavine, J. E., Charlton, M., Cusi, K., Rinella, M., . . . Sanya, A. J. (2018). The diagnosis and management of nonalcoholic fatty liver disease: Practice guidance from the American Association for the Study of Liver Diseases. Hepatology, 67(1), 328–357. Retrieved from https://aasldpubs.onlinelibrary.wiley.com/doi/pdf/10.1002/hep.29367

This article details the diagnosis and management of nonalcoholic fatty liver disease. Review this article to gain an understanding of the underlying pathophysiology as well as the suggested pharmacotherapeutics that might be recommended to treat this disorder.

For this week’s assignment.   

  • To Prepare 

Review the case study:  

Patient HL comes into the clinic with the following symptoms: nausea, vomiting, and diarrhea. The patient has a history of drug abuse and possible Hepatitis C. HL is currently taking the following prescription drugs: 

  • Synthroid 100 mcg daily 
  • Nifedipine 30 mg daily 
  • Prednisone 10 mg daily 

Reflect on the patient’s symptoms, medical history, and drugs currently prescribed. 

Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder. 

Consider an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. 

By Day 7 of Week 4 

Write a 1-page paper that addresses the following: 

  • Explain your diagnosis for the patient, including your rationale for the diagnosis. 
  • Describe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed. 
  • Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples. 

Have a great week!  

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Discussion 1: Leadership Theories in Practice

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Discussion 1: Leadership Theories in Practice ( APA 7 format and at least 3-4 references)

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject.

However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations.

Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

To Prepare:

  • Review the Resources and examine the leadership theories and behaviors introduced.
  • Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.
  • Reflect on the leadership behaviors presented in the three resources that you selected for review.
By Day 3 of Week 4

Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

By Day 6 of Week 4

Respond to at least two of your colleagues on two different days by explaining how the leadership skills they described may impact your organization or your personal leadership, or by identifying challenges you see in applying the skills described.

 Rebecca RE: Discussion – Week 4 (2-3 references at least and APA 7 format)

  Main Discussion Post                                                                                       

Leadership Theories in Practice 

Key Insights 

  Leadership has been defined over the years by many different people in many different ways (Broome & Marshall, 2021).  It is likely that most of us have

identified a leadership style that we admire or seek to emulate.  From my review of scholarly resources, I gained two key insights.  The first is that I truly

relate more to the transformational leadership style than to other leadership styles. The second is that I value a clan culture. Transformation leadership is

a “people-oriented approach in which leaders inspire and motivate their teams by creating a vision and guiding change” (Nightingale, 2020, para. 9). The

leader creates a positive work environment, develops valuable working relationships with the members of the team, and is able to motivate the team to

produce a higher level of care. The end results are greater job satisfaction, increased loyalty to the organization, and better patient outcomes.  Clan culture

was a new term for me.  Essentially it means that while a leader of the group exists, the relationship and the communication between employees and the

leader is close-knit and family-like with a focus on mentoring and nurturing. There is an emphasis on collaboration, teamwork, and shared values and goals

(Xie et al., 2020). Everyone is involved and the individual is valued.  The reason I value this type of work environment is because I believe it promotes

longevity, inhibits burn out, and leads to greater work-life balance.

Leadership in Practice 

        I spent the first five years of my nursing career in the Army Nurse Corps. As we all know, the military follows a vertical type of leadership where

decisions are made at the top and passed down for subordinates to follow. However, the nurse manager on my pediatric unit was able to incorporate some

transformational leadership practices into this otherwise fairly rigid hierarchy.  First and foremost, she led by example. She was an exceptional pediatric

nurse, not only in her clinical expertise but with her ability to be compassionate and communicate effectively with parents and young patients. Despite her

managerial duties, she was always willing to jump in and help calm a crying child or assist a nurse struggling to place an IV. Most of the nurses assigned to

her unit were newly commissioned and fresh out of college.  We were a small team which lends itself more easily to this type of leadership style.  She would

notice if we were struggling and offer words of wisdom and encouragement. She motived us to be a team and to do what we had set out to do, which was to

become compassionate, competent nurses who were always advocating for our patients. She was an incredible mentor and was nurturing at a time when

we all needed a little TLC. She was slightly intimidating and insisted on professionalism but would always listen to suggestions and encourage feedback. She

occasionally held get-togethers at her house where her husband and children were in attendance and ours were welcome as well.   I think she was often

challenged by the stiffness of the vertical leadership style and tried to gently incorporate her own leadership values and skills into her daily practice. 

        These transformation leadership skills were very effective on that unit at that time. I recognize that a more experienced set of nurses may not have

needed this nurturing environment, but I believe this manager would have adapted her style to the needs of her staff which to me identifies a true leader. 

Her positive attitude, kind heart, and desire to provide the best outcomes for our patients motivated us all to perform at our best and be accountable for

our work.  We felt valued as individuals and as part of the team.  We shared the same goals and developed a sense of loyalty to the team and the facility.  I

believe that in the end that is what each of us truly want.   

References 
 

Broome, M., & Marshall, E.S. (2021). Transformational leadership in nursing: From expert clinician to influential leader (3rd ed.). New York, NY: Springer.  

Nightingale, A. (2020) Implementing collective leadership in healthcare organizations. Nursing Standard (Royal College of Nursing (Great Britain): 1987), 35(5),

        53-57.  https://doi-org.ezp.waldenulibrary.org/10.7748/ns/2020.e11448.  

Xie, Y., Gu, D., Liang, C., Zhao, S., & Ma, Y. (2020).  How transformational leadership and clan culture influence nursing staff’s willingness to stay. Journal of

Nursing Management  (JohnWiley & Sons, Inc.), 28(7), 1515-1524.  https://doiorg.ezp.waldenulibrary.org/10.1111/jonm.13092 

Amy RE: Discussion – Week 4 (2-3 references at least and APA 7 format)

Week 4 Discussion: Leadership Theories in Practice

            Our current healthcare systems are complex organizations that need influential leaders that are knowledgeable, trustworthy, and have a vision to make changes to improve health practices and patient outcomes (Broome & Marshall, 2021). Past leaders were mainly focused on the education of their providers and treatment of diseases. This type of leadership has given us highly specialized healthcare to meet the needs of our patients, but as time advances, technology has changed the way that we deliver healthcare, patients have multiple comorbidities, and healthcare organizations are more diverse than ever before. Healthcare systems need leaders that can use past experiences to collaborate with multidisciplinary teams to devise new and innovative ways to deliver healthcare. The outcomes of leadership decisions in today’s healthcare settings will guide future leaders in their practice (Broome & Marshall, 2021).  

            Every individual has their own personality. Personality and behavioral characteristics of a person will affect the leadership style of the individual (Alan & Baykal, 2017). In an article written by Alan & Baykal (2017), they state that if similar organizations are led by individuals with different leadership styles, the successes and outcomes of each facility will be different compared to each other due to the personality differences of their leaders. The characteristics that were found to be beneficial in all types of leadership styles were good organizational skills, effective communication, ability to make decisions and take risks, and being open and flexible to support change (Alan & Baykal, 2017).

            Evidence-based practice has become the foundation of healthcare and positive patient outcomes (Sfantou et al., 2017). Even though this is true, effective leadership is necessary to guide a group of individuals towards a common goal. Effective leadership is also vital to improving quality and the integration of healthcare services. There are many different styles of leadership, such as transformational, transactional, autocratic, laissez-faire, task-oriented, and relationship-oriented styles. In a report written by Sfantou et al. (2017), they discussed findings of research that correlated different leadership styles with the quality of healthcare and patient outcomes. Transformational leadership in nursing is a priority in today’s healthcare. This study showed that transformational leadership supports high quality healthcare, but other styles of leadership exhibit qualities that are also beneficial in certain situations. The authors suggested a necessary balance between leadership influences and provider skills to create a culturally competent environment that can meet the diverse needs of healthcare organizations (Sfantou et al., 2017).

            During my nursing career, one of the most influential leaders that I had an opportunity to work with was a female CEO of a rural Iowa hospital. She had started her career as a nurse and advanced her skills through various nursing roles over many years until she accepted the CEO position. This specific hospital administration is made up of all women executives. The hospital is very productive with high staff and patient satisfaction rates. I believe that the success of this small hospital is due to the leadership of the CEO. She has many transformational leadership traits, such as being highly educated, experienced, confident, trustworthy, and the ability to empower others. She is not afraid of change and always has a vision of improvement. This CEO respects her colleagues and staff and always allows them to participate in decision-making processes. She takes charge when necessary and motivates her team to move forward. Even though she was the CEO, she was a mentor to me and someone that was approachable to discuss any ideas or concerns. I will always value the time that I had working in her hospital.

Conclusion

            The complexity of healthcare systems today needs strong leaders to develop positive relationships with their staff and patients. Successful organizations have teams of professionals that can collaborate with one another and embrace change to improve patient care (Broome & Marshall, 2021). Leadership styles affect the relationships of people within the teams and the outcomes that are produced. Transformational leaders are innovative, committed, knowledgeable, and communicate effectively with everyone. They value multidisciplinary teams and empower individuals to make improvements with a vision that is shared by all (Broome & Marshall, 2021).

References

Alan, H., & Baykal, U. (2018). Personality characteristics of nurse managers: The personal and

professional factors that affect their performance. Journal of Psychiatric Nursing, 9(2), 119-128. https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=1&sid=7d6f2883-a27d-4682-a6c5-4b0d3c047d54%40sessionmgr4007

Broome, M. E., & Marshall, E. S. (2021). Transformation leadership in nursing: From expert

clinician to influential leader (3rd ed.). Springer.

Sfantou, D. F., Laliotis, A., Patelarou, A. E., Sifaki-Pistolla, D., Matalliotakis, M., & Patelarou,

E. (2017). Importance of leadership style towards quality of care measures in healthcare settings: A systematic review. Healthcare (Basel, Switzerland), 5(4), 73. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5746707/

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