How can a normal liver cell unergo fatty degeneration caused by a change in diet with no direct injuries to the cell?

You have been appointed to a task force in your health agency to study the future of health information management with a specific emphasis on nursing. Your agency plans to make a change to a new clinical documentation system within the next year. After much discussion and a review of the literature, the task force decides to recommend that a new position be established to focus on nursing informatics. The responsibilities which would be part of this position have previously been delegated to a number of clinical, educational and leadership staff with support from IT. Based on your readings about this emerging nursing specialty, what information would you provide as a justification for the new role. Consider the following in your answer:

The role of the nurse informaticist in the selection,implementation, training and ongoing management of an electronic health record

Possible impact on patient outcomes

Possible impact on nursing decision support

Other factors that might result in a significant return on investment for the organization with role implementation

What Is Providing Culturally Sensitive Care for Lesbian, Gay,
Bisexual, and Transgender (LGBT) Patients?
› The term cultural sensitivity (also known as cultural responsiveness, cultural awareness,
and cultural competence) refers to a person’s ability to interact effectively with persons of
cultures different from his/her own. Respective to health care, cultural sensitivity is a set
of behaviors and attitudes held by clinicians that allows them to communicate effectively
with patients of various cultural and social backgrounds and to plan for and provide care
that is appropriate to the individual and their cultural and/or social background
• What: Culturally sensitive (CS) care for LGBT patients is holistic and incorporates
recognition of sexual orientation and/or gender identity (i.e., the gender that an
individual feels on the inside, which may be different than that which they were
born with or appear to be to the outside world), as well as social and cultural beliefs,
attitudes, and preferences when planning and providing care. CS care for LGBT patients
typically involves promoting patient comfort, providing LGBT-appropriate education
and resources, encouraging emotional support for the patient and family, inquiring about
patient preferences, using culturally-appropriate language, creating an environment that
is affirming and welcoming to LGBT patients and families, and promoting visitation by
the patient’s family and other members of his/her support network
• How: CS care for LGBT patients is provided based on information from patient/
family interviews, completed written questionnaires, if available, and facility protocols
regarding care for LGBT patients. Interventions can involve face-to-face interactions
with the patient and family members, communication with members of the healthcare
team regarding CS care for LGBT patients, and referral of the patient and/or family
members for assessment and treatment of presenting medical and psychosocial needs
• Where: CS care can be provided for LGBT patients in any healthcare setting, including
inpatient and outpatient settings, and in the home
• Who: CS care can be provided for LGBT patients by any appropriately trained
healthcare clinician. All members of the healthcare team should actively practice
CS care. Depending on the specific intervention, some duties may be delegated to
unlicensed clinical staff members (e.g., nurses’ aides). It is generally appropriate for
family members to be present during the provision of CS care for LGBT patients,
although care should be taken to respect the patient’s privacy at all times and to avoid
inadvertently “outing” the patient (i.e., communication that shares any aspect of the
patient’s sexual orientation and/or gender identity with individuals who may not be privy
to this information)

What Is the Desired Outcome of Providing Culturally Sensitive
Care for LGBT Patients?
› The desired outcome of providing CS care for LGBT patients is that the patient
• understands what to expect and becomes comfortable participating in and adhering to
the individualized CS plan of care.

• feels satisfied with the care received, and when asked, states that the care appropriately incorporated and respected his/her
gender identity and/or sexual orientation and cultural/social attitudes, beliefs, and preferences.

Why Is Providing Culturally Sensitive Care for LGBT Patients Important?
› Providing CS care for LGBT patients is important because it
• promotes clear communication and effective interaction between LGBT patients and members of the healthcare team
• allows for planning and delivery of appropriate, individualized, and effective care for the LGBT patient
• promotes the patient’s prompt treatment and rapid recovery from presenting medical concerns
• promotes social, emotional, and spiritual support for the patient concerning any personal stressors that he/she may be
experiencing
• creates a supportive and welcoming environment in which the LGBT patient can feel comfortable

What You Need to Know Before Providing Culturally Sensitive Care to LGBT Patients
› Cultural sensitivity is a key aspect of nursing practice because nurses care for patients and families of many different cultural
and social backgrounds. Nurses should have knowledge of cultural/social beliefs, attitudes, and preferences of the patients
and families they serve so that they can communicate effectively and provide appropriate, individualized patient care. In
addition to verbally asking the patient/family about their preferences, relevant information may be obtained by asking the
patient/family to complete a written questionnaire, if available
• Self-reported information (i.e., information given directly by patients and/or family) is more reliable and accurate than
information based on assumptions by clinicians
• Questionnaires administered to LGBT populations should incorporate non-biased, gender neutral language (e.g., “partner”
in lieu of “husband” or “wife”)
› After information about sexual orientation and/or gender identity and cultural beliefs, attitudes, and preferences is obtained,
clinicians can use this information as a basis for planning culturally-appropriate patient care strategies. The following
characteristics related to healthcare are common among LGBT patients, and may be helpful to keep in mind when planning
and executing nursing care:
• In addition to biological family members, many LGBT persons have a “chosen family” of close friends and neighbors
• Currently, child-rearing is as common among lesbian women as it is among non-LGBT women; about a third of both
groups are raising children under the age of 18 in the home
–However, current LGBT older adults are less likely to have children and more likely to live alone than heterosexual older
adults; therefore, the need for elder care and support services is greater among this population
–LGBT older adults are also more likely than non-LGBT older adults to serve as caregivers for relatives and family friends
• Due to concerns about stigma and discrimination, LGBT patients may be reluctant to disclose their gender minority status
to healthcare providers
› Necessary nursing knowledge prior to providing CS care for an LGBT patient includes the following:
• Principles of effective and appropriate communication with LGBT patients/family members
• Principles of standard care for the patient’s presenting medical concern(s)
• Knowledge of LGBT issues and LGBT-relevant educational and community resources
› Preliminary steps that should be performed before providing CS care for the LGBT patient include the following:
• Review the facility-wide and/or unit-specific protocol for providing CS care for LGBT patients, if available
• Review the treating clinician’s orders related to providing CS care for LGBT patients
• Verify completion of facility informed consent documents
› Typically, the general consent for treatment executed by patients upon admission to a healthcare facility includes standard
provisions that encompass providing CS care for LGBT patients
› Review the patient’s medical history/medical record for information about
• any allergies (e.g., to latex, medications, or other substances); use alternative materials, as appropriate
• the patient’s gender identity and/or sexual orientation and any social/cultural beliefs, attitudes, and preferences related to
treatment

Write two paragraphs summarizing this case study.

How should faculty respond to a student's unpreparedness for class and/or clinical experiences???

Tuberculosis is seen in much higher levels in developing countries versus developed countries. Why and Which risk factors have the greatest impact on this  phenomena occurring?

James is a 51-year-old male Hispanic truck driver with a long history of diabetes and hypertension. His current medication regimen is Lisinopril 20mg QD, metformin 1000mg QD, Lipitor 40mg QHS, and ASA 81mg QD. His A1C is 7, BP is 144/80, total cholesterol is 266, HDL 44, LDL 177, and Trig 199.

What other information should you know about this patient to feel confident that his care is fairly well optimized?

What parameters would you like to see improved?

What clinical guidelines should you adhere to when managing this patient?

Are there any changes to treatment you should consider? Support your decisions with evidence.

Why should you, as a nurse, care about national and global political and economic disparities?

·How do those disparities affect patient care?

what are ways to maintain the quality of safe work practices in the omni

QUESTION 17

1. Most American households are considered to be _________, which means they have adequate access to food and consume enough nutrients to achieve a healthy lifestyle.

   		malnourished
   		healthy
   		food insecure
   		food secure

0.5 points   

QUESTION 18

1. Dieters using the low carb approach tend to consume twice as many ____________ as people on a diet high in healthy carbohydrates.

   		saturated fats
   		processed foods
   		proteins
   		vegetables

0.5 points   

QUESTION 19

1. ______ do not eat dairy, eggs, or other animal products and some do not eat honey.

   		Pescatarians
   		Fruitarians
   		Vegetarians
   		Vegans

0.5 points   

QUESTION 20

1. People with _________ will periodically overeat to the extreme, but their loss of control over eating is not followed by fasting, purging, or compulsive exercise.

   		Diabetes
   		Bulimia
   		Binge Eating Disorder
   		Anorexia

1. As a Human Resources Executive discuss the concept of online patient care with stakeholders such as administrators, physicians, nurses, or payers

2. What are the benefits of online visits?

3. What are the concerns?