1. You are the health information manager at a local hospital. A physician on the medical staff does not understand how to add H&P notes to a patient’s EHR. He explains that he “always used to handwrite the H&P.” You explain to the physician that he can no longer handwrite his H&P notes, and you give him two options of how he can add his H&P notes to the EHR. Describe these two options.
2. You are a laboratory manager at a local hospital. Your laboratory systems can interface with the hospital’s EHR system to automatically provide test results. However, there are times when this process does not function properly and results have to be entered manually. As the laboratory manager, you want to develop a procedure for doing this. What steps might you include in this procedure? Write a one-page procedure for manually entering laboratory results into the hospital’s EHR system when the laboratory computer cannot automatically transfer the laboratory results to the hospital’s EHR system.
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subject is Nursing. How do you interpret the world you inherited? In what ways are we heading in the right direction? In what ways are we heading off track?
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2. Did the review rely mainly on research reports, using primary sources?
artical of
Swenson and colleagues’ (2016) study (“Parents’
use of praise and criticism in a sample of young children seeking mental
health services”)
Swenson and colleagues’ (2016) study (“Parents’
use of praise and criticism in a sample of young children seeking mental
health services”)
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1Mr M. is a 50 years old male patient who came in to the emergency department with complaint of chest paln while mowing his lawn. He is accompained by his lawn. He is accompained byhis wife, who says that he was working in the yard and had to call for help because of his discomfort. He complains of chest pain, rated at a 7 on a 0 to 10 scale and describes it as a feeling of pressure in the center of his chest. the pain does not radiate to any other location. He has nausea that developed 2 hours ago and he vomited once.
1.Explain the nurse's role while in care of a patient undergoing PCL.
2. Describe how PCL would be used to manage this patient condition.
3.What informatiom\n wuld the nurse give to this patient that would best teach him about what to expect when receiving PCL
4.Explain the difference between a STEMI and a NSTEM and how these two condition would be treated.
5 How should the nurse explain the relationship between a patient's lack of history of angina and acute MI.
6. Describe the factors that would determine the severity of this patient's MI.
7.What nursing interventions would the nurse employ first after learning of the diagnosis of a STEMI?
8.Describe the changes in cardiac enzymes that would most likely develop because this patient is having an MI.
9.Based on the fact that the patient has a STEMI as seen on ECG, would the physician wait to find out the cardiac enzyme results before providing treatment? why or why not?
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Martha Moore is an 87-year-old woman with a history of osteoporosis and hypertension. She had an exploratory laparotomy for a small-bowel obstruction 2 days ago. Before assessing this patient you notice her hemoglobin level is 9 mg and her SaO2 is 90%. You do her morning assessment and she reports her cough kept her awake last night. Currently her temperature is 101⁰ F, her BP is 150/78, her heart rate is 100, and her respiratory rate is 24 breaths/min. On auscultation you hear crackles in both lungs. The patient reports a sharp pain in her chest when she takes a deep breath. After the deep breath, she has a productive cough and you notice the sputum is green with rust-colored tinting. Mrs. Moore reports she tries not to cough because it causes abdominal pain at her incision site.
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Three patients in your ward are due to receive a single oral dose of the same drug. The first patient is getting a 60mg dose, the second patient is getting a 120mg dose, and the third patient is getting a 180mg dose.
Assuming that all else is equal in these patients and that there is no unusual pharmacokinetics going on:
Predict what will happen (increase/decrease/no change) to half-life, Cmax and Tmax with these increasing oral doses if all other factors remain constant.
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the act of carrying out the planned
interventions
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Ruby lives in the community. She is very independent at 89. Ruby has had a hip replacement, and has difficulties walking long distances, but she prefers to walk when she can. She is about a ten minute walk from the shops and often walks into town for a coffee, or to buy her groceries.
Walking home one day, Ruby trips on a broken paver and falls. She cannot get up. A neighbour runs to help and calls an ambulance. Ruby spends four nights in the hospital. She wants to go home, but the health professionals want to make sure Ruby is stable and safe before any decisions are made
1.You are providing support services to Ruby and have identified with her that her goal is to continue living independently in the community. When planning service delivery, what types of resources would you look at in order to deliver identified services that will allow her to do this?
2.Explain three ways in which you would support Ruby to access and negotiate resources
3.What are two actions that should be taken if one of the services Ruby requires is no longer able to provide the level of support required?
4. How could you ensure that the action you take to minimise disruption to service delivery if a service is no longer able to provide the level of support Ruby requires? Identify two methods you would use.
5.Who could you consult when making decisions about Ruby’s new service delivery plan? approx 25 words
6.
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Drugs A & B are used to treat a specific type of cancer. Clinicians sometimes prescribe both. They observe that patients on the 2-drug regimen survive, on average, one year longer than patients on either Drug A or Drug B.
What is the phenomenon they are observing?
In this scenario, is it a positive phenomenon, or a negative phenomenon?
If you were the analyst, what are the calculations you would perform?
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Confounding is an important, but often confusing, concept. Choose one of these scenarios to state the confounder and briefly say why it is the confounder: 1) smoking and cancer, or 2) a causative gene allele and a nearby genetic marker
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Answer the following questions Separately
Discuss how the rapid advancements of e-commerce and managed care placed new demands on the healthcare industry in the 1990s. How did this lead to the establishment of information infrastructures that facilitated timely, accurate, secure and interoperable patient information across the continuum of care?
Why might it be important to link EHR to CPOE and/or CDSS? What about linking it to a physician’s smart phone or tablet? What challenges are organizations faced with when it comes to advancing technology while being mindful of HIPAA and patient confidentiality?
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Answer the following questions Separately
Part 1: discusses four major factors that influence the adoption of e-Health:
1. Perceived usefulness
2. Perceived ease of use
3. Individual attitudes towards e-Health application
4. Social normative pressures and perceived behavioral control
Choose one of these four factors and discuss why you feel it is most important.
Part 2: We all understand that the future of healthcare delivery can only be improved with the use of technology and the amazing advancements in tele-health and E-Health delivery. Unfortunately, with these great advancements we must overcome the challenges associated with adopting E-Health.
There are 11 barriers to E-Health adoption discussed in our text. Four of these major barriers include financial, technological, social/cultural, and physicians/clinical providers. Choose two barriers and discuss why you believe these are the most important. Thinking outside the box, come up with at least two methods that could be used to overcome these barriers.
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Case study: Mrs X is 35 and is in need of dialysis. She is refusing treatment because she is scared of the treatment which she believes is invasive. She has been counseled about the nature of the treatment - there are no alternatives that would be of practical benefit. She is competent to make treatment decisions. She understands that if she refuses dialysis she will die. She has a daughter of 15 years who lives at home. The clinician feels very strongly that she should receive dialysis but despite numerous attempts to persuade her she refuses.
1. Identify the major ethical principles.
2. Propose an ethical decision making process that best represents the patient’s wishes.
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Is “retrospective” a type of study design? Why or why not?
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