How can hospitals use big data to improve on their policy and procedures

Body Pain:

Issue/Opportunity: Back pain caused by long durations of time bent on a computer.

Idea: Posture Corrector Write a power point presentation on Posture Corrector. Include its mission statement, opportunity, planning, give examples etc.

PLEASE TYPE THE ANSWERS and BE MORE SPECIFIC.

Read about the country context (Eastern Europe and Central Asia) and write about the laws/policies, stigma/discrimination, violence, expenditure, prevention of HIV/AIDS

1. Which of the following should be included when teaching a client newly diagnosed with diabetes about dietary management?

- Food intake should be decreased prior to exercise -

Consistency between food intake and exercise is important -

Carbohydrate are strictly limited before activity -

Sugar intake should be increased to prevent hypoglycemia

2. Significant risk factors for development of venous thrombosis include. Select all that apply?

- Altered blood coagulation

- Stasis of blood -

Vessel wall injury -

Arterial insufficiency

Good Samaritan laws, which protect the responder from financial liability, were developed to encourage people to help others in emergency situations. They assume a responder will do his or her best to save a life or prevent further injury. Good Samaritan laws require the responder to use common sense and a reasonable level of skill and to give only the type of emergency care for which he or she is trained. Good Samaritan laws usually protect responders who act the way a “reasonable and prudent person” would act if that person were in the same situation. For example, a reasonable and prudent person would:

■ Move a person only if the person’s life were in danger.

■ Ask a responsive person (or the parent or guardian of a minor) for permission to help (consent) before giving care.

■ Check the person for life-threatening conditions before giving further care.

■ Call 9-1-1 or the designated emergency number.

■ Continue to give care until more highly trained personnel take over. If a lay responder’s actions were grossly negligent or reckless, or if the responder abandoned the person after starting care, Good Samaritan laws may not protect the responder. For more information about your state’s Good Samaritan laws, conduct an Internet search or contact a legal professional.

Answer the following questions in your own words.

QUESTION:

1. What is the Good Samaritan Law?

Cleaning and Disinfecting Surfaces and Equipment Reusable

equipment and surfaces that have been contaminated by blood or other potentially infectious materials need to be properly cleaned and disinfected before the equipment is put back into service or the area is reopened. Clean and disinfect surfaces and equipment as soon as possible after the incident occurs. Remember to wear appropriate PPE. If blood or other potentially infectious materials have spilled on the floor or another surface, prevent others from accessing the area. If the spill contains a sharp object (e.g., shards of broken glass), do not pick the object up with your hands. Instead, use tongs, a disposable scoop and scraper, or two pieces of cardboard to remove and dispose of the object. Wipe up or absorb the spill using absorbent towels or a solidifier (a fluid-absorbing powder). After wiping up the spill, flood the area with a freshly mixed disinfectant solution of approximately 1½ cups of bleach to 1 gallon of water (1 part bleach to 9 parts water, or about a 10 percent solution). When using a bleach solution, always ensure good ventilation and wear gloves and eye protection. Let the bleach solution stand on the surface for at least 10 minutes. Then use clean absorbent materials (such as paper towels) to wipe up the disinfectant solution and dry the area. Dispose of all materials used to clean up the blood spill in a labeled biohazard container. If a biohazard container is not available, place the soiled materials in a sealable plastic bag or a plastic container with a lid, seal the container and dispose of it properly.

Answer the following questions in your own words

QUESTION:

How do you clean or disinfect a surface or equipment used in an emergency?

hio so im going to post a soap note that i want you to write a response to in regard of theses questions

formulate a substantive response to a minimum of two different students. Is objective and subjective data included in the right format? Please be specific to information related to the SOAP note format.

1. Does HPI have relevant information related to CC?
2. Medication listed with right timing, dosing, and number of tablets specified?
3. PMH, FH, and SH has all the appropriate information?
4. Does information in ROS correlate to CC?
5. Is there any information lacking in physical documentation of CC (Students often get confused between ROS and objective findings)?
6. Includes assessment, plan, follow up information, and patient education?

here is the soap note that i would like you to response to (its a discussion question )

Subjective)

CC: “I have pain in my chest for two days”

HPI: Mr. Tom Nguyen is a 56-year-old Asian male who presents to the clinic with a primary complaint of chest pain that started two days ago after lifting a heavy object at work. Pain is to left lateral chest, radiates to left side of neck, jaw, and mid back. He describes the pain as “Off and on” sharp tight 9/10 pain and is worse with activity. He took a nitroglycerine tab once yesterday evening that he thinks helped but made him dizzy, so he did not use it again. Shortly after the pain improved but returned this morning so he took another Nitro tab, but it did not help. He states similar chest pain has occurred once before. Three months ago, and he went to the Emergency Department and was kept overnight as observation. At discharge, he was prescribed Nitroglycerine but has not had to use until the current episode. He was also prescribed Plavix, Lipitor, and Metoprolol. He admits he does not take the medications regularly and only takes if he remembers. He does not check his blood pressure daily and never followed up with the cardiologist due to his busy work schedule. He works in San Jose for an electrical company and is a reliable historian.

Allergies: Aspirin (body rash)

PMH: high cholesterol, hypertension, angina

Surgical: No known surgery                          

Medications: Plavix 75 mg Daily, Lipitor 40 mg Daily, Metoprolol 25 mg BID.

immz: Flu Vaccine current, all other Vaccines up to date

screening tests: TB skin test negative within 6 months

FH:      Father died of stroke at age 63; Mother Alive DM age 73; Brother Alive age 52 DM

SH:      Graduated High School, immigrated from Vietnam at age 5. Married 30 years with 4

adult children who live on their own. Mother lives with him and wife.

            Exercise: Goes for walks in the evening with wife when weather permits.

            Diet: Eats a regular diet. Mostly traditional Vietnamese cooking that his mother and wife

make.

Tobacco: Prior ½ ppd smoker quit 20 years ago       

Alcohol/drugs: Family functions drinks up to 12 beers. Last time was 4 months ago at a    

friend’s wedding.

ROS:

General: Reports sweating this morning when chest pain restarted while he was laying in bed.

Denies recent weight changes, fevers, or chills

Derm: Denies rash or skin changes

HEENT: Denies vision changes, sinus pain, pressure, or discharge

Neck: reports pain to the left side of the neck but denies stiffness

Respiratory: Feels SOB with chest pain

C-V: See HPI current chest pain 8/10

GI: Denies n/v of abnormal bowel pattern

Peripheral Vascular: Denies swelling to extremities or changes in skin color.

Musculoskeletal: Pain to left ribs, denies pain to joints

Neurologic: Denies numbness tingling

Endocrine: Denies excessive thirst, hunger, or hx of diabetes

Psychiatric: Denies anxiety, depression or other mental health histories

Objective)

VS: BP 170/90 ; T 99.0 ; P 87 ; R: 22 O2 Sat 95% RA

            General: Mild distress and anxiety, cooperative                                           

            Skin: diaphoretic, pallor

            Neck: Good ROM, trachea midline

            Thorax & lungs: Struggling to breathe deeply, otherwise, lungs sound clear in all fields

            Heart/pulses: S1, S2 no murmur bruit or thrills. Radial,Ped/Tibial pulses +2

            Abdomen: Soft non-distended, no pain to palpation, bowel sounds x4

            Lower extremities: No edema noted, cool to touch

            Musculoskeletal: Pain to left ribs does not worsen with palpation, remains constant.

Active ROM all extremities

            Neurologic: Mental status: A/O x4, sensation and coordination intact

Differential Diagnosis:      

1. ACS
2. Unstable Angina

Assessment: Acute MI

Plan:

Dx: EKG, Nitro 0.4 mg SL, and call EMS to get him to ED for evaluation and need for percutaneous coronary intervention (PCI)

IF CHEST PAIN WERE STABLE:

Diagnostics and Labs

• Chest x-ray to r/o rib fracture or acute pulmonary issue. Can also get a good idea of cardiac size.
• CBC w/diff, Lipid panel, cardiac markers Troponin, CK, HA1C, D-dimer
• stress test
• Echo
• CT angiogram of chest.

MEDICATIONS:

• Nitro 0.4 mg SL Q5 min for chest pain, do not exceed 3 doses.
• Plavix 75 mg Daily
• Lipitor 40 mg Daily
• Metoprolol 25 mg BID

PATIENT EDUCATION:

            Medication compliance, side effects, when to hold medications.

            It is important to monitor blood pressure prior to taking BP medication and keep a log

            S&S to monitor for: Chest Pain that does not go away with rest, n/v, diaphoresis.

            If pain persists after 3 Nitros and resting call EMS.

            Must keep all appointments made. Attend cardiologist appointment. F/U with Clinic x1

week for lab review.

You have been asked, as a digital health professional, to attend a team meeting at your hospital to discuss discharge plans for Mildred Mason. She is a 68 year old widow, hospitalized for a fractured wrist and ankle and a head injury resulting from a fall at home.   She is almost ready for discharge from acute care, but the team is concerned that she will need care in the short term. Because of some problems that may have led to the fall and may cause more difficulties in the future, the team also foresees she will have increasing needs in the future. While a short term admission to a senior care facility until she can function independently has been suggested, Mildred is adamant that she will not go to a long term care facility, even on a short term basis. She fears she will be “warehoused” and never go home again. The team hopes they can integrate digital devices into her care to help her to stay at home safely.

Mildred is a retired school teacher. Her husband died 4 years ago of a heart attack. She lives alone in a 2 bedroom condominium apartment with laundry facilities in the unit. Sandra, who lives down the street, has been a good friend to Ms. Mason for many years and visits daily. Ms. Mason is very active in the community, helping raise money for United Way, organizing her church’s Christmas craft sale, belonging to a book club, and going to exercise classes twice a week. At the exercise class, she had complained to the instructor that she found she was having increasing problems with balance. She has a pension that allows her to live comfortably and take a trip each summer to visit her two sons and their children in BC and the Yukon. She uses weekly Skype calls to keep in touch between visits.

She has had Type 1 diabetes since she was 10 years old. Her diabetes has been well controlled until recently, but the diabetes educator at the hospital clinic she visits regularly is concerned that she sometimes seems to be forgetting to monitor her blood sugar or to refill her insulin pump completely.   Last week, Ms. Mason slipped in the bathroom, fracturing her right wrist and left ankle, and sustaining a head injury that caused her to lose consciousness for a few minutes. She had her cell phone with her and was able to call 911 when she regained consciousness. She now has a cast on her right wrist that will be on for 6 weeks. She had surgery to insert pins in her left ankle and will not be able to weight-bear for several weeks. She still complains of pains in her head from the concussion. She has been going to Rehabilitation in the hospital for physiotherapy, but her mobility is hampered by the cast and weight bearing restrictions.

Her neighbour Sandra has told staff she would be willing to help with things like groceries, but since she has two small children at home and a full-time job, she can only make brief visits. Sandra also expressed concern that Mildred has seemed “vague” lately, forgetting things and not taking as good care of the apartment as she used to. Mildred has also had many visits from friends who have reported they are planning to provide meals and regular visits when she goes home. The Home Care liaison in the hospital has been involved, but has indicated that only 3 hours a week of support for bathing, laundry and other tasks are likely to be approved. The nurses report that Mildred is adamant that she wants to return home. Because of concerns about how Ms. Mason can manage after discharge from the hospital, a team meeting has been called to plan for the future. As the team discusses options, they turn to you to find out if there are digital solutions to help Mildred return home on discharge and stay there as long as possible.

Questions to be answered in the assignment:

1. What do you see as the main problem(s) faced by the patient & significant others, and the interprofessional team in this situation?
2. Which professionals should be involved in planning the discharge of this patient? Why?
3. Which health care providers should be involved in the on-going care of this patient? What should their roles be?
4. What other resources might be needed for discharge plans to be successful?
5. What role can a digital health professional play in this scenario?
6. What digital resources would you recommend?
7. How would you explain your role and recommendations to the team and to the patient?

(nutrition)choose a food or drink that you believe is not heart healthy. choose a substitute that you believe is heart healthy. list at least three of the substances in both foods or drinks to show the contrast, be specific, listing actual amount in grams, milligrams or kcals. be sure to include serving size as well?

This is a ane page assignment in which you will complete an SBAR (Situation, Background, Assessment, and Recommendation) on a chosen patient. in this case study

Case Study Unplanned Pregnancy: Options and Counseling

Difficulty: Beginning
Setting: Office or clinic
Index Words: pregnancy, pregnancy counseling, abortion, adoption Giddens Concepts: Coping, Patient Education, Reproduction
HESI Concepts: Patient Education, Sexuality/Reproduction, Stress & Coping

Case Study Unplanned Pregnancy: Options and Counseling

u Scenario
L.W., a 20-year-old college student, comes to the university health clinic for a pregnancy test. She has been sexually active with her boyfriend of 6 months, and her menstrual period is now “a few” weeks late. The pregnancy test result is positive. The patient begins to cry, saying, “I don't know what to do.”

1. How will you begin to counsel L.W.?

2. What information do you need to obtain from L.W. and why?

3. What options does a woman experiencing a pregnancy have?

4. If your role is to assist her in making a choice, what information will you want L.W. to

   provide?

5. What are the nurse's moral and ethical obligations in this situation?

Difficulty: Beginning
Setting: Office or clinic
Index Words: pregnancy, pregnancy counseling, abortion, adoption Giddens Concepts: Coping, Patient Education, Reproduction
HESI Concepts: Patient Education, Sexuality/Reproduction, Stress & Coping

1. Explain the importance of developing a strong introduction to your speeches?
2. Explain the importance of developing a strong conclusion to your speeches?
3. Name 3 things you can put into your introduction and 3 things you can put into your conclusion to make your speech great?

Box 1-6. Bloodborne and Airborne Illnesses Although the risk of catching a disease when giving first aid care is very low, whenever you give care, there is the potential to be exposed to an infectious disease. Of particular concern are diseases that are not easily treated and can have long-term effects on your health, should you become infected. Using personal protective equipment (PPE) reduces your risk for catching an infectious disease significantly. Bloodborne Illnesses

■ HIV is a virus that invades and destroys the cells that help us to fight off infections. A person who is infected with HIV may look and feel healthy for many years. However, during this time, the virus is breaking down the person’s immune system. Eventually, a person who is infected with HIV may develop acquired immunodeficiency syndrome (AIDS). A person with AIDS is unable to fight off infections that a healthy person would be able to resist or control. The person dies from one of these infections. Although medications have been developed to help slow the progression of HIV infection, currently there is no cure.

■ Hepatitis is inflammation of the liver, an organ that performs many vital functions for the body. There are many different types and causes of hepatitis. Hepatitis B, hepatitis C and hepatitis D are caused by infection with bloodborne viruses. Chronic infection with the viruses that cause hepatitis B, C or D can lead to liver failure, liver cancer and other serious conditions. Airborne Illnesses

■ Tuberculosis is a bacterial infection of the lungs that is spread through the air from one person to another. Although tuberculosis primarily affects the lungs, it can also affect the bones, brain, kidneys and other organs. If not treated, tuberculosis can be fatal. Treatment is complex and involves taking many different medications over an extended period of time

Answer the following questions in your own words.

QUESTION:

. Describe what bloodborne and airborne illnesses are, and the different types of disease associated with them?

1. Is the Epidemiological Triangle being used appropriately?

b. What reactions do you have to the approach to "contact-tracing" being employed in this outbreak?

c. Do you have suggestions as to other tools that these public health workers might use to trace their patients and convince them to enter treatment?

d. Should more aggressive public-safety measures be employed, perhaps even quarantine?

e. Consider COVID-19. Comment on how contact tracing is being employed in our current health crisis.

Cleaning and Disinfecting Surfaces and Equipment Reusable equipment and surfaces that have been contaminated by blood or other potentially infectious materials need to be properly cleaned and disinfected before the equipment is put back into service or the area is reopened. Clean and disinfect surfaces and equipment as soon as possible after the incident occurs. Remember to wear appropriate PPE. If blood or other potentially infectious materials have spilled on the floor or another surface, prevent others from accessing the area. If the spill contains a sharp object (e.g., shards of broken glass), do not pick the object up with your hands. Instead, use tongs, a disposable scoop and scraper, or two pieces of cardboard to remove and dispose of the object. Wipe up or absorb the spill using absorbent towels or a solidifier (a fluid-absorbing powder). After wiping up the spill, flood the area with a freshly mixed disinfectant solution of approximately 1½ cups of bleach to 1 gallon of water (1 part bleach to 9 parts water, or about a 10 percent solution). When using a bleach solution, always ensure good ventilation and wear gloves and eye protection. Let the bleach solution stand on the surface for at least 10 minutes. Then use clean absorbent materials (such as paper towels) to wipe up the disinfectant solution and dry the area. Dispose of all materials used to clean up the blood spill in a labeled biohazard container. If a biohazard container is not available, place the soiled materials in a sealable plastic bag or a plastic container with a lid, seal the container and dispose of it properly.

Answer the following questions in your own words

QUESTION:

How do you clean or disinfect a surface or equipment used in an emergency?