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Healthcare organizational structure essay assignment

Healthcare organizational structure assignment Overview

In 3–5 pages, analyze the current environment of a selected health care organization.

Note: The assessments in this course are presented in sequence and must be completed in order.

The essential reason for an environmental analysis is to develop the habit of scanning the environment to optimize organizational outcomes. An environmental analysis allows organizations to identify current challenges and opportunities in preparation for the future.

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By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

Competency 1: Analyze organizational structure, design, culture, and climate in relation to environmental forces. ◦Analyze the internal and external environment of a health care organization.

◦Identify key structural features of the health care industry that determine the forces governing competition.

◦Summarize findings related to the current challenges and opportunities facing a health care organization.

Competency 4: Communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration. ◦Write in a clear, concise, and well-organized manner, supporting conclusions with relevant evidence. Healthcare organizational structure essay assignment.

◦Follow current APA guidelines for format and style.

Context

Strategic management links strategic thinking and analysis to organizational action. Strategic management is a systems-based approach that simultaneously integrates external and internal environments, scanning for emerging issues and gaps, and provides leadership infrastructure.

Read the Assessment 1 Context document for more information about the following topics:

Impact of Change.

Analytical Techniques for Environmental Analyses.

Specific Goals of an Environmental Analysis.

Sustaining a Competitive Advantage.

Another key resource for examination of current issues in in health care environment is the American Hospital Association’s “Environmental Scan” documents. These documents are focused, concise scans of the current issues happening across the health care continuum and are updated regularly.

Reference

O’Dell, G. J. & Aspy, D. J. (2015). 2016 Environmental scan. American Hospital Association. Retrieved from http://www.hhnmag.com/ext/resources/inc-hhn/pdfs/2015/EnviroScan_2016.pdf

Questions to Consider

To deepen your understanding, you are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of the business community. Healthcare organizational structure essay assignment.

•How does the analytical model of strategic management compare with the emergent learning model in health care?

•What are some examples of analytical strategies in a small health care organization? How do they differ from large organizations?

•What is the analytical strategy within your own health care organization?

Suggested Resources

The following optional resources are provided to support you in completing the assessment or to provide a helpful context. For additional resources, refer to the Research Resources and Supplemental Resources in the left navigation menu of your courseroom. Healthcare organizational structure essay assignment.

HSV 400 quiz 2

Question 1

0 out of 1 points

Rhonda is a counselor at a drug and alcohol treatment center. She grew up in an alcoholic home and is not fully aware of the “unfinished business” she has with her parents. She is still angry and resents her parents for having to grow up in an alcoholic family system. It is most likely that Rhonda will:

.

Question 2

1 out of 1 points

Correct

Ronald directs his clients toward solutions instead of encouraging them to seek alternatives for themselves. He is likely to have a strong need:

Question 3

1 out of 1 points

Correct

________________ is the process whereby clients place past feelings or attitudes they had toward significant people in their lives onto their therapist.

Question 4

0 out of 1 points

Termination of the therapy process:

Question 5

1 out of 1 points

Correct

Which of the following therapist behaviors might be indicative of a countertransference reaction?

Question 6

1 out of 1 points

Correct

Joanne finds herself wanting to solve her client’s problems which are similar to the issues her daughter is going through. Joanne gives advice and feels frustrated when her client won’t follow through on her suggestions. Her emotional reactions to her client, which involve her own projections is based on:

Question 7

1 out of 1 points

Correct

When counselors become overly concerned with meeting their own needs or pushing their own personal agendas, their behavior becomes:

Question 8

1 out of 1 points

Correct

Sexual or romantic feelings toward a client:

.

HSV 400 quiz 2 Question 9

1 out of 1 points

Correct

Deutsch and Farber found surprisingly similar results in their surveys of therapists’ perceptions of stressful client behavior. In both studies therapists reported that the following clients’ behavior was most stressful for them:

Question 10

0 out of 1 points

The responsibility for addressing the assessment, remediation, and prevention of counselor impairment lies with:

Question 11

1 out of 1 points

Correct

___________________and ___________________ are the hallmarks of being able to make a difference in the helping professions.

Question 12

1 out of 1 points

Correct

Researchers point out that there is _________________________relationship between a practitioner’s personal life and his or her professional behavior.

Question 13

1 out of 1 points

Correct

The authors state that in many ways, therapeutic encounters serve as mirrors in which therapists can see their own lives reflected. As a consequence,

Question 14

1 out of 1 points

Correct

Tanya seems to meet some of her personal needs through counseling her clients. This is

Question 15

1 out of 1 points

Correct

When we are unaware of our needs and personal dynamics,

Question 16

1 out of 1 points

Correct

The NAADAC Code of Ethics (2008) states: “I shall not do for others what they can readily do for themselves but rather, facilitate and support the doing. Likewise, I shall not insist on doing what I perceive as good without reference to what the client perceives as good and necessary.” This statement speaks directly to the need for

Question 17

0 out of 1 points

Which of the following statements is true with regard to therapists experiencing personal problems and conflicts?

.

Question 18

0 out of 1 points

Cathy is an eating disorders specialist who has a past history of bulimia. Given her personal experiences with dysfunctional eating patterns, Cathy

Question 19

0 out of 1 points

Informing students prior to entering a training program that self-exploration will be part of their training

HSV 400 quiz 2 Question 20

1 out of 1 points

Correct

Some professionals believe that self-care is a ____________________________ for mental health practitioners.

Question 21

1 out of 1 points

Correct

Mary is seeking abortion counseling from a practitioner who has been actively involved in the pro-life movement. The therapist has extreme discomfort with Mary’s values and doesn’t think he could maintain objectivity. It would be best if he:

Question 22

1 out of 1 points

Correct

Thomas has full-blown AIDS and has decided to end his life rather than continue to suffer. The counselor he is working with does not condone rational suicide. In this case, the counselor needs to:

Question 23

1 out of 1 points

Correct

Which of the following statements is most accurate?

Question 24

0 out of 1 points

The idea that psychotherapy is value neutral is

HSV 400 quiz 2 Question 25

0 out of 1 points

Shania is seeking counseling to resolve her feelings about the ending of an extramarital affair. Her boyfriend who is married broke up with her and she is very angry about this. She informs her therapist that she plans to contact the wife in order to “ruin” their marriage. The therapist should

NR 704 Secondary Prevention Screening Calculations

NR 704 Week 5 Assignment: Secondary Prevention Screening Calculations

Secondary Prevention Screening Calculations Purpose:
 The purpose of this assignment is to help you to begin to understand and apply the important counts, ratios, and statistics presented in healthcare and epidemiological research. Remember to use the list of formulas presented prior to the problems and to carefully consider the purpose of each calculation and how it is interpreted.

Requirements: 
1) 
Complete the Risk Calculation Worksheet located at the end of this document. 
2) 
For each question, identify the correct answer. 
3) 
Submit the worksheet to the Dropbox by Week 5.

Prior to completing this worksheet, review the lessons, reading, and course text up to this point. Also review the tables of calculations. Each question is worth 10 points. Please show your work.

NR 704 Week 5 Assignment: Secondary Prevention Screening Calculations Guidelines and Worksheet

Biopsy Proven Breast Cancer

Biopsy Proven Breast Cancer

Physician Exam

Yes

No

Totals

Positive

900

400

1300

Negative

350

2,100

2,450

Totals

1,250

2,500

3,750

Sensitivity of the physical examination

Specificity of the physical examination

True negatives + false positives

Positive predictive value of the physical examination

True positives NR 704 Secondary Prevention Screening Calculations

Advanced Physiology and Pathophysiology – Disorders of Fluid and Electrolyte Balance Case Study

Case Study 3:  Disorders of Fluid and Electrolyte Balance

Amanda is an 18-year-old with anorexia nervosa. She was recently admitted to an eating disorders clinic with a BMI of 13.9, and although she was a voluntary patient, she was reluctant about the treatment. She was convinced she was overweight because her clothes felt tight on her. She complained that even her hands and feet “were fat.” One of her nurses explained that a protein in her blood was low. The nurse further explained that, as difficult as it may be to believe, eating a normal healthy diet would make the “fat hands and feet” go away. Advanced Physiology and Pathophysiology – Disorders of Fluid and Electrolyte Balance Case Study.

What protein do you suspect the nurse was referring to? How would a deficiency in this protein contribute to edema?

What is the difference between the physiology of pitting and nonpitting edema?

Because of her weakened condition, Amanda was moved around the ward in a wheelchair when she was not on bed rest. How does this affect her edematous tissues? Advanced Physiology and Pathophysiology – Disorders of Fluid and Electrolyte Balance Case Study.

Cervical cancer STI virus essay

Cervical cancer STI virus: Fifteen-year-old Dolores was embarrassed to talk with her mother about the pain she felt in her “private parts,” but she was worried she might have gotten a disease, despite Nick’s assurance that she was his “first.” Her mother insisted that Dolores see a doctor, who discovered cervical lesions caused by a virus associated with cancer.

What sexually transmitted virus is involved?

How should the physician treat the lesions?

How could Dolores have protected herself?

Cervical cancer STI virus essay

Human papiliomavirus (HPV) is involved in the infection. This virus causes benign papiliomas and premalignant lesions that will drive cancers of cervix, ulva, vagina, penis, oropharynx and anus. They are typically transmitted through sexual contact. Cervical cancer STI virus essay.

Nursing population’s cultural diversity Essay

Question description

Nursing population’s cultural diversity: For this written assessment we will focus on generational diversity in the nursing population. Review table 12.2 on p. 379 of your textbook and address the following:

Define and describe the four generations (veterans, baby boomers, generation x, and millennials) – name, timeframe, and a description of that group’s characteristics.

Choose the group to which you belong. Explain how you think that you fit with this assessment of that generation. (I am apart of the millennial group, born 1990)

Select any other group to which you do not belong. Explain how those from your group can learn from that group, and explain how that group could learn from yours. Nursing population’s cultural diversity Essay.

Nursing population’s cultural diversity requirement

B
ook: Transcultural concepts in nursing care, Andrews & Boyle, 7th ed
.

Minimum 600words, APA format, must have introduction and conclusion. Minimum of four (4) total references: two (2) references from required course materials and two (2) peer-reviewed references. All references must be no older than five years (unless making a specific point using a seminal piece of information) Nursing population’s cultural diversity Essay.

Peer-reviewed references include references from professional data bases such as PubMed or CINHAL applicable to population and practice area, along with evidence based clinical practice guidelines. Examples of unacceptable references are Wikipedia, UpToDate, Epocrates, Medscape, WebMD, hospital organizations, insurance recommendations, & secondary clinical databases. Nursing population’s cultural diversity Essay.

NURS 6512 Week 6: Assessment of the Abdomen and Gastrointestinal System

Week 6: Assessment of the Abdomen and Gastrointestinal System

On your way home from dinner, you start experiencing sharp pains in your abdomen. You ate seafood—could you have food poisoning? What else might be causing your pain? Appendicitis? Should you head to the emergency room, or should you wait and see how you feel in the morning?

Numerous ailments can affect the GI system and the abdomen. Because the organs are so close, it can be difficult to conduct an accurate assessment. Also, pain in another area of the body can affect the GI system. For example, patients with chronic migraines often report nausea.

This week, you will explore how to assess the abdomen and gastrointestinal system.

Learning Objectives – Week 6: Assessment of the Abdomen and Gastrointestinal System

Students will:

Evaluate abnormal abdomen and gastrointestinal findings

Apply concepts, theories, and principles relating to health assessment techniques and diagnoses for the abdomen and gastrointestinal system

Photo Credit: Hill Creek Pictures/UpperCut Images/Getty Images

Learning Resources – Week 6: Assessment of the Abdomen and Gastrointestinal System

Note:
 To access this week’s required library resources, please click on the link to the Course Readings List, found in the 
Course Materials
 section of your Syllabus.

Required Readings

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). 
Seidel’s guide to physical examination
 (8th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 4, “Vital Signs and Pain Assessment” (pp. 50-63)This chapter describes the experience of pain and its causes. The authors also describe the process of pain assessment. NURS 6512 Week 6: Assessment of the Abdomen and Gastrointestinal System.

 

Chapter 17, “Abdomen” (pp. 370-415)In this chapter, the authors summarize the anatomy and physiology of the abdomen. The authors also explain how to conduct an assessment on the abdomen.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). 
Advanced health assessment and clinical diagnosis in primary care
 (5th ed.). St. Louis, MO: Elsevier Mosby.

Chapter 3, “Abdominal Pain” (pp. 11-32)This chapter outlines how to collect a focused history on abdominal pain. This is followed by what to look for in a physical examination in order to make an accurate diagnosis.

Chapter 10, “Constipation” (pp. 110-117)The focus of this chapter is on identifying the causes of constipation through taking a focused history, conducting physical examinations, and performing laboratory tests.

Chapter 12, “Diarrhea” (pp. 133-147)In this chapter, the authors focus on diagnosing the cause of diarrhea. The chapter includes questions to ask patients about the condition, things to look for in a physical exam, and suggested laboratory or diagnostic studies to perform.

Chapter 29, “Rectal Pain, Itching, and Bleeding” (pp. 344-356)This chapter focuses on how to diagnose rectal bleeding and pain. It includes a table containing possible diagnoses, the accompanying physical signs, and suggested diagnostic studies.

Sullivan, D. D. (2019). 
Guide to clinical documentation
 (3rd ed.). Philadelphia, PA: F. A. Davis.

Chapter 10, “Admitting a Patient to the Hospital” (pp. 217-238)

Note:
 Download this Adult Examination Checklist and Abdomen Physical Exam Summary to use during your practice abdominal examination.

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Adult examination checklist: Guide for abdominal assessment. In 
Mosby’s guide to physical examination
 (7th ed.). St. Louis, MO: Elsevier Mosby.

This Adult Examination Checklist: Guide for Abdominal Assessment was published as a companion to 
Seidel’s guide to physical examination
 (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Physical exam summary: Abdomen. In 
Mosby’s guide to physical examination
 (7th ed.). St. Louis, MO: Elsevier Mosby.

This Abdomen Physical Exam Summary was published as a companion to 
Seidel’s guide to physical examination
 (8th ed.), by Ball, J. W., Dains, J. E., & Flynn, J. A. Copyright Elsevier (2015). From https://evolve.elsevier.com/

University of Virginia. (n.d.). 
Introduction to radiology: An online interactive tutorial
. Retrieved from http://www.med-ed.virginia.edu/courses/rad/index.html. This website provides an introduction to radiology and imaging. For this week, focus on gastrointestinal radiology.

Required Media

Online media for 
Seidel’s Guide to Physical Examination

 

It is highly recommended that you access and view the resources included with the course text, 
Seidel’s Guide to Physical Examination
. Focus on the videos and animations in Chapters 7, and 17 that relate to the assessment of the abdomen and gastrointestinal system. Refer to Week 4 for access instructions on https://evolve.elsevier.com/. NURS 6512 Week 6: Assessment of the Abdomen and Gastrointestinal System.

Optional Resources- Week 6: Assessment of the Abdomen and Gastrointestinal System

LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). 
DeGowin’s diagnostic examination
 (10th ed.). New York, NY: McGraw Hill Medical.

Chapter 9, “The Abdomen, Perineum, Anus, and Rectosigmoid” (pp. 445–527)This chapter explores the health assessment processes for the abdomen, perineum, anus, and rectosigmoid. This chapter also examines the symptoms of many conditions in these areas.

Chapter 10, “The Urinary System” (pp. 528–540)In this chapter, the authors provide an overview of the physiology of the urinary system. The chapter also lists symptoms and conditions of the urinary system. NURS 6512 Week 6: Assessment of the Abdomen and Gastrointestinal System.

NURS 6512 Assesment 1: Assessing the Abdomen

A woman went to the emergency room for severe abdominal cramping. She was diagnosed with diverticulitis; however, as a precaution, the doctor ordered a CAT scan. The CAT scan revealed a growth on the pancreas, which turned out to be pancreatic cancer—the real cause of the cramping.

Because of a high potential for misdiagnosis, determining the precise cause of abdominal pain can be time-consuming and challenging. By analyzing case studies of abnormal abdominal findings, nurses can prepare themselves to better diagnose conditions in the abdomen.

In this assignment, you will analyze a SOAP note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions.

Abdominal Assessment

SUBJECTIVE:

CC: “My stomach hurts, I have diarrhea and nothing seems to help.”

HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.

PMH: HTN, Diabetes, hx of GI bleed 4 years ago

Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs

Allergies: NKDA

FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD

Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

OBJECTIVE:

VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs

Heart: RRR, no murmurs

Lungs: CTA, chest wall symmetrical

Skin: Intact without lesions, no urticaria

Abd: soft, hyperctive bowel sounds, pos pain in the LLQ

Diagnostics: None

NURS 6512 Week 6: Assessment of the Abdomen and Gastrointestinal System

ASSESSMENT:

Left lower quadrant pain

Gastroenteritis

PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

To prepare:

With regard to the SOAP note case study provided:

Review this week’s Learning Resources, and consider the insights they provide about the case study.

Consider what history would be necessary to collect from the patient in the case study.

Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?

Identify 
at least five
 possible conditions that may be considered in a differential diagnosis for the patient.

To complete:

Analyze the subjective portion of the note. List additional information that should be included in the documentation.

Analyze the objective portion of the note. List additional information that should be included in the documentation.

Is the assessment supported by the subjective and objective information? Why or Why not?

What diagnostic tests would be appropriate for this case and how would the results be used to make a diagnosis?

Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least 3 different references from current evidence based literature.

By Day 7

This assignment is due.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 6 Assignment Rubric

Check Your Assignment Draft for Authenticity

To check your Assignment draft for authenticity:

Submit your Week 6 Assignment draft and review the originality report.

Submit Your Assignment by Day 7

To submit your Assignment:

Week 6 Assignment

Week 6 Midterm Exam

This exam is a test of your knowledge in preparation for your certification exam. 
No outside resources
 including books, notes, websites, or any other type of resource are to be used to complete this exam. You are expected to 
comply with Walden University’s Code of Conduct
.

This exam will be on topics covered in weeks 1, 2, 3, 4, 5, and 6. Prior to starting the exam, you should review all of your materials. This exam is timed with a limit of two hours for completion. When time is up, your exam will automatically submit.

Assignment 2 (Optional) Practice Assessment: Abdominal Examination

The causes of abdominal pain can be extremely varied due to the sheer number of structures, organs, and functions within the abdomen. If abdominal pain is caused by a life-threatening condition, then swift and accurate assessment is essential.

In preparation for the Head-to-Toe Physical Assessment Video due in Week 10, it is recommended that you practice performing an abdominal examination this week.

Note:
 This is an optional practice physical assessment. You do not have to capture a video of this assessment, as no submission is required.

To prepare:

Arrange an appropriate time and setting with your volunteer “patient” to perform an abdominal examination.

Download and review Adult Examination Checklist: Guide for Abdominal Assessment provided in this week’s Learning Resources.

To perform the examination, ensure that you have a stethoscope, a centimeter ruler, measuring tape, and marking pens to mark the areas of measurement for consistency in measuring. NURS 6512 Week 6: Assessment of the Abdomen and Gastrointestinal System.

To complete:

Perform the abdominal examination. Be sure to cover all of the areas listed in the checklist and to use the equipment appropriately.

Rubric Detail

 

Select 
Grid View
 or 
List View
 to change the rubric’s layout.

Content

Name: NURS_6512_Week_6_Assignment1_Rubric

Excellent

Good

Fair

Poor

Quality of Work Submitted:

The extent of which work meets the assigned criteria and work reflects graduate level critical and analytic thinking.

Points Range:
 27 
(27%)
 – 30 
(30%)

Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics.

Points Range:
 24 
(24%)
 – 26 
(26%)

Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.

Points Range:
 21 
(21%)
 – 23 
(23%)

Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.

Points Range:
 0 
(0%)
– 20 
(20%)

Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.

Assimilation and Synthesis of Ideas:

The extent to which the work reflects the student’s ability to:Understand and interpret the assignment’s key concepts.

Points Range:
 27 
(27%)
 – 30 
(30%)

Demonstrates the ability to critically appraise and intellectually explore key concepts.

Points Range:
 24 
(24%)
 – 26 
(26%)

Demonstrates a clear understanding of key concepts.

Points Range:
 21 
(21%)
 – 23 
(23%)

Shows some degree of understanding of key concepts.

Points Range:
 0 
(0%)
– 20 
(20%)

Shows a lack of understanding of key concepts, deviates from topics.

Assimilation and Synthesis of Ideas:

The extent to which the work reflects the student’s ability to:Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources.

NURS 6512 Week 6: Assessment of the Abdomen and Gastrointestinal System

Points Range:
 18 
(18%)
 – 20 
(20%)

Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 2-3 course resources to support point of view.

Points Range:
 16 
(16%)
 – 17 
(17%)

Integrates specific information from 1 credible outside resource and 2-3 course resources to support major points and point of view.

Points Range:
 14 
(14%)
 – 15 
(15%)

Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.

Points Range:
 0 
(0%)
– 13 
(13%)

Includes and integrates specific information from 0 to 1 resource to support major points and point of view.

Written Expression and FormattingParagraph/Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance.

Points Range:
 9 
(9%)
 – 10 
(10%)

Paragraphs/Sentences follow writing standards for structure, flow, continuity and clarity

Points Range:
 8 
(8%)
– 8 
(8%)

Paragraphs/sentences follow writing standards for structure, flow, continuity and clarity 80% of the time.

Points Range:
 7 
(7%)
– 7 
(7%)

Paragraphs/sentences follow writing standards for structure, flow, continuity and clarity 60%- 79% of the time.

Points Range:
 0 
(0%)
– 6 
(6%)

Paragraphs/sentences follow writing standards for structure, flow, continuity and clarity < 60% of the time. Written Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuation. Points Range:  5  (5%)  – 5  (5%) Uses correct grammar, spelling, and punctuation with no errors. Points Range:  3  (3%) – 4  (4%) Contains a few (1-2) grammar, spelling, and punctuation errors. Points Range:  2  (2%) – 2  (2%) Contains several (3-4) grammar, spelling, and punctuation errors. Points Range:  0  (0%) – 1  (1%) Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. Written Expression and FormattingThe assignment follows parenthetical/in-text citations, and at least 3 evidenced based references are listed. Points Range:  5  (5%)  – 5  (5%) Contains parenthetical/in-text citations and at least 3 evidenced based references are listed. Points Range:  3  (3%) – 4  (4%) Contains parenthetical/in-text citations and at least 2 evidenced based references are listed Points Range:  2  (2%) – 2  (2%) Contains parenthetical/in-text citations and at least 1 evidenced based reference is listed Points Range:  0  (0%) – 1  (1%) Contains no parenthetical/in-text citations and 0 evidenced based references listed. Total Points: 100 Name: NURS_6512_Week_6_Assignment1_Rubric NURS 6512 Week 6: Assessment of the Abdomen and Gastrointestinal System

NR 601 Week 5 Case Study Discussion

NR 601 Week 5 Case Study Discussion – Part One

NR 601 Week 5 Case Study Discussion – Part One – C.W. is a tall, thin 78-year-old African American male brought into the office by his son who states that the patient is restless, angry, and has been unable to sleep for the last week. The son indicates that he is very concerned about his father because he lives alone. Also, he is concerned about the “strange” symptoms that his father has presented with recently.

 Background: 

C.W. presents as restless, hyperverbal, obnoxious and angry. He expresses himself byperiodic yelling. He is unkempt and smells strongly of urine, alcohol and body odor. ………… has an unsteady gait and sways while standing. As you converse with the son, you determine that C.W. was medically separated from military service due to mental health issues after 2 years of active duty that ended in 1947. He has been married and divorced three times over the years. He typically seeks no acute or preventative medical care. ___ was treated by a psychiatrist previously, but he did not like taking the prescribed medications so he stopped taking them and did not keep any further psychiatric appointments. NR 601 Week 5 Case Study Discussion.

 PMH:

Patient denies any previous diagnoses. However, when asked why he saw a psychiatrist in the past, he tells you that the psychiatrist diagnosed paranoid schizophrenia, but that he does not have any psychiatric diagnoses or problems. He states: “It was just a way for him to make money off me coming in and seeing him and paying the drug companies for me to take all those meds!”

Current medications: 

Denies prescription medications, over the counter medication, herbal therapies or vitamins.

Surgeries:

Denies surgeries

Allergies: NKA

Vaccination History:

Flu vaccine: never given

Pneumovax: never given

Tetanus: never given

Herpes zoster: never given

Screening History:

Last Colonoscopy was 2012-normal

Last dilated retinal and glaucoma exam was 2013

 Social history and Risk Factors:

Patient admits to smoking cigarettes and cigars. …… estimates that he smokes about 1 pack of cigarettes daily for the last 40 years, and 2 cigars each week for the last 30 years.

He states that he drinks a 24 ounce bottle of beer 4-6 times a week. … denies drinking wine or hard liquor. …….. does admit to smoking marijuana on occasion but does not use other recreational drugs. NR 601 Week 5 Case Study Discussion.

Patient denies falling. You notice some scrapes on his forearms, and when asked, he tells you that he fell yesterday: “I got pretty drunk out fishin’ with friends and fell off my bike trying to ride home”. He does not use any assistive devices for ambulation or balance.

Significant ROS:

Productive cough with white sputum. Denies hemoptysis.

He answers “No” to the PHQ-2 screening questions.

Family history:

Reports no significant family history

Discussion Part One:

Provide differential diagnoses (DD) with rationale.

Further ROS questions needed to develop DD.

Based on the patient data provided, choose geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools.

NR 601 Week 5 Case Study Discussion Part Two (graded)

Physical examination:

Vital Signs:

Height:  5’8”   Weight: 154 pounds BMI: 23.4   BP: 132/76    P: 76

regular    R: 16

HEENT: Normocephalic, symmetric. PERRLA, EOMI, no cataracts noted; poor dentition.

NECK: Neck supple; non-palpable lymph nodes; no carotid bruits. NR 601 Week 5 Case Study Discussion.

LUNGS: Respirations are unlabored, decreased breath sounds and crackles at the bases bilaterally. Prolonged expiratory phase throughout lung fields, inspiratory wheezes and a productive cough of cloudy white sputum.

HEART: RRR with regular without S3, S4, murmurs or rubs.

ABDOMEN: Round, firm abdomen; active bowel sounds;  non-tender.

NEUROLOGIC: Unsteady gait, swaying while standing during periods of agitation. Achilles reflexes are present bilaterally. Strength is equal but decreased in the upper and lower extremities bilaterally.

GENITOURINARY:  Urinary incontinence with strong odor of urine. NO CVA tenderness.

MUSCULOSKELETAL: Mild kyphosis. Heberden’s nodes at the distal interphalangeal joints (DIP) of all fingers, and marked crepitus of the bilateral knees on flexion and extension. Pedal pulses palpable. No edema noted in lower extremities. NR 601 Week 5 Case Study Discussion.

PSYCH: Manic, restless, angry and hyperverbal

SKIN: Right forearm with 3 cm x 5 cm x 0 cm dry, scabbed abrasion. Left forearm with 4 cm x 5 cm x 0 cm dry, scabbed abrasion. NR 601 Week 5 Case Study Discussion.

NR 601 Week 5 Case Study Assignment Self Check Spring 2018

Purpose

The purpose of this case study assignment is to

Analyze provided subjective and objective information to diagnose and develop a management plan for the case study patient.

Apply national diabetes guidelines to case study patient management plan.

Demonstrate mastery of SOAP note writing.

Preparing The Assignment

The assignment is a paper which is to be written in APA format. This includes a title page and reference page. The paper shall not exceed 20 pages. Review the attached patient visit information. The patient has presented for an acute care visit. You are provided with the subjective and objective exam findings. As the provider, you are to diagnose and develop the management plan for this case study patient. Use the categories below to create section headings for your paper. Review the APA manual for paper format instructions.

Introduction: Briefly discuss the purpose of this paper.

Assessment: Review the provided case study information.

Identify the primary, secondary and differential diagnoses for the patient. Use the 601 SOAP note format as a guide to develop your diagnoses. Each diagnosis will include the following information:

ICD 10 code.2.A brief pathophysiology statement which his no longer that

Sentences, paraphrased and includes common signs and symptoms of the diagnosis.

The patient’s pertinent positive and negative findings, including a brief 1-2 sentence statement which links the subjective and objective findings (including lab data and interpretation). NR 601 Week 5 Case Study Discussion.

A rationale statement which summarizes why the diagnosis was chosen.

Do not include quotes, paraphrase all scholarly information and provide an intext citation to your scholarly reference. Use the Reference Guidelines document for information on scholarly references.

NR 601 Week 5 Case Study Discussions Physical Examination​ (Part-1) NEW

Discussion Part One (graded)

C.W. is a tall, thin 78-year-old African American male brought into the office by his son who states that the patient is restless, angry, and has been unable to sleep for the last week. The son indicates that he is very concerned about his father because he lives alone. Also, he is concerned about the “strange” symptoms that his father has presented with recently. NR 601 Week 5 Case Study Discussion.

Background: 

C.W. presents as restless, hyperverbal, obnoxious and angry. He expresses himself by periodic yelling. He is unkempt and smells strongly of urine, alcohol and body odor. ………… has an unsteady gait and sways while standing. As you converse with the son, you determine that C.W. was medically separated from military service due to mental health issues after 2 years of active duty that ended in 1947. He has been married and divorced three times over the years. He typically seeks no acute or preventative medical care. ___ was treated by a psychiatrist previously, but he did not like taking the prescribed medications so he stopped taking them and did not keep any further psychiatric appointments.

PMH:

Patient denies any previous diagnoses. However, when asked why he saw a psychiatrist in the past, he tells you that the psychiatrist diagnosed paranoid schizophrenia, but that he does not have any psychiatric diagnoses or problems. He states: “It was just a way for him to make money off me coming in and seeing him and paying the drug companies for me to take all those meds!” NR 601 Week 5 Case Study Discussion.

Current medications: 

Denies prescription medications, over the counter medication, herbal therapies or vitamins.

Surgeries:

Denies surgeries

Allergies: 
NKA

Vaccination History:

Flu vaccine: never given

Pneumovax: never given

Tetanus: never given

Herpes zoster: never given

Screening History:

Last Colonoscopy was 2012-normal

Last dilated retinal and glaucoma exam was 2013 

Social history and Risk Factors:

Patient admits to smoking cigarettes and cigars. …… estimates that he smokes about 1 pack of cigarettes daily for the last 40 years, and 2 cigars each week for the last 30 years.

He states that he drinks a 24 ounce bottle of beer 4-6 times a week. … denies drinking wine or hard liquor. …….. does admit to smoking marijuana on occasion but does not use other recreational drugs.

Patient denies falling. You notice some scrapes on his forearms, and when asked, he tells you that he fell yesterday: “I got pretty drunk out fishin’ with friends and fell off my bike trying to ride home”. He does not use any assistive devices for ambulation or balance. NR 601 Week 5 Case Study Discussion. NR 601 Week 5 Case Study Discussion.

Significant ROS:

Productive cough with white sputum. Denies hemoptysis.

He answers “No” to the PHQ-2 screening questions.

Family history:

Reports no significant family history

Discussion Part One:

Provide differential diagnoses (DD) with rationale.

Further ROS questions needed to develop DD.

Based on the patient data provided, choose geriatric assessment tools that would be appropriate to use in conducting a thorough geriatric assessment. Provide a rationale on why you are choosing these particular tools.

Introduction

The purpose of this paper is to review the patient’s subjective and objective information from the visit, and analyze the information to formulate an appropriate diagnosis; then develop an evidence based plan of care for the patient, by applying the National Diabetes Guidelines to the care for mature and aging families…………….. I will demonstrate comprehensive knowledge and proficiency on my ability to correctly write a SOAP note.

Assessment

Primary Diagnosis:
 Diabetes (E10.9) Pathophysiology of diabetes type I is insulin dependent, this is the inability of the pancreatic beta cells to produce insulin due to autoimmune destruction; type II, the pancreas does not produce enough insulin needed by the body, or the body is unable to use insulin properly (American Diabetes Association, 2017). Symptoms: fatigue, excessive thirst, hunger, and frequent urination.

Secondary Diagnosis:
 Hyperlipidemia (E78.5) Pathophysiology of hyperlipidemia is the increase in the plasma lipid levels by the over production of TG-rich lipoproteins in the liver (Shattat, 2014). Symptoms: Typically does not have any symptoms.

Hypertension (I15.2) Pathophysiology of hypertension is the increase in the vascular resistance, stiffness, and the vascular system to respond to stimuli (Delacroix, Chokka & Worthley, 2014). Symptoms: Typically have no symptoms………………………., back and joint aches, and overweight.

Left knee arthritis (M19.072) Pathophysiology of osteoarthritis-cartilage loss and the thickening of the subchondral plate, and production of new bone in the joint spaces (Ashkavand, Malekinejad & Vishwanath, 2013). Symptoms: Joint pain, stiffness, swelling, and tenderness. NR 601 Week 5 Case Study Discussion.

Differential Diagnosis: 
Proteinuria (R80.9) Pathophysiology of proteinuria is structural damage to the kidneys, glomerular membrane, and tubulointerstitial tissue from an alteration in of metabolic changes such as hyperglycemia, hyperlipidemia, and hypertension, causing an increase in the urinary albumin (Shen, Fang, Xing & Wang, 2017). Symptoms: Protein in urine, hypertension, and increase need to urinate, fatigue, weight gain from fluid retention, foamy urine, and swelling in the face and extremity.

            I chose each diagnosis based of the CC and labs that were both subjective and objective findings. The patient has an Hgb A1C of 7.7 and glucose in her urine which indicate diabetes, according to the (American Diabetes Association, 2016) an A1C of 6.5 or greater meets the criteria for diabetes, to confirm the patient’s diagnosis she will need to repeat the A1C. She also has symptom of diabetes such as fatigue, excessive thirst, hunger, and frequent urination. Mrs. G blood pressure is 130/82, which is considered stage I hypertension according to the (American College of Cardiology, 2017); systolic pressure 130-139 or diastolic 80-89. Her triglycerides are 232, LDL 143, HDL 37, TC 228; the normal for triglycerides should be between 50-150, LDL should be less than 100, and HDL should be greater than 40, and the TC should be less than 200, this would indicate hyperlipidemia (American Diabetes Association, 2017). The patient is 5’2 and weighs 190 pounds which gives her a BMI of 34.8, a BMI of 30-35 or greater is classified as Obesity (Nuttall, 2015). The patient has protein in her urine which could be an indicator of proteinuria or kidney disease; she also has symptoms of proteinuria which includes protein in urine, hypertension, and increase need to urinate, fatigue, weight gain (Shen, Fang, Xing & Wang, 2017). The patient has a history of arthritis, as well as obesity; some contributing factors to osteoarthritis are obesity, age, women are more at risk, and a sedentary lifestyle (Ashkavand, Malekinejad & Vishwanath, 2013) NR 601 Week 5 Case Study Discussion.

NR 508 Week 5: Thyroid Disorders and Diabetes Essay

NR 508 Week 5: Thyroid Disorders and Diabetes

NR 508 Week 5: Discussion – Maria is a 46-year-old woman who presents for her yearly physical examination. Her medical history is notable for borderline hypertension and moderate obesity. Six months ago her fasting lipid profile was normal. Maria report that her mother and brother have diabetes and hypertension. She reports that she knows she should be on a low calorie, low fat diet and exercising but with her full time job and four children, she finds it difficult to exercise, and she eats out most of the time. She is 66″ tall and weighs 219lbs today, no current medication. She does report taking a multivitamin, biotin Vit-C when she remembers. She is a nonsmoker, only drinks sweet tea with each meal, 3-4 cups of coffee per day. NR 508 Week 5: Thyroid Disorders and Diabetes Essay.

Today: BP 120/70 mm Hg, pulse 76, temperature 98.7, respirations 18, weight 219 pounds. Urine dip + glucose, fasting plasma glucose 179 mg/dl, HgbA1C is 7.4%. Physical Exam reveals notable for acanthosis nigricans at the neck but otherwise is normal.

What are your treatment goals for Maria?

What is your plan for drug therapy? What is the mechanism of action for each drug?

Please give five teaching points for each drug prescribed.

How would you change the plan if her initial HbgA1C was 10.2mg/dL and her fasting blood glucose was 305mg/dL? Provide a detailed alternative plan with the rationale.

What are your treatment goals for Maria?

Treatment goals for Maria include oral medication implementation to treat the new onset diabetes type II and to educate Maria on the lifestyle changes that need to occur to manage this disease. It is essential that she understands the diet parameters as well as the need to incorporate exercise. Many support groups are available for newly diagnosed diabetes patients to help in the transition needed for the lifestyle changes as well as the ability to converse with professionals when questions arise. Maria will need to be educate on the use of operating a blood glucose machine and signs and symptoms to be aware of for both hypoglycemia and hyperglycemia. According to Melmer, Kempf, and Laimer (2018), studies showed that a diet program in combination with resistance training for 6 moths revealed a significant decrease in the HbA1c levels and after just 4 months many of the participants reduced the need for medications to control blood glucose levels. It is important to educate Maria that this disease can be controlled and possibly even eliminated with the proper lifestyle changes. According to the lab results both the fasting blood glucose level as well as the HbA1c were elevated but are manageable if changes and proper medication is applied.

What is your plan for drug therapy? What is the mechanism of action for each drug?

The drug that I have chosen to start Maria on as treatment for diabetes is metformin. According to Inzucchi, et al., (2015), Metformin is the chosen drug for monotherapy at this time. Metformin works by lowering hepatic glucose production as well as intestinal glucose absorption. When this occurs, it results in increased insulin sensitivity ultimately lowering the blood glucose level. For Maria I would choose to give the extended- release form of metformin and begin with a dose of 500 mg per day for 1 week and increase dose weekly as tolerated by 500mg until with the maximum dose being 2000mg per day (Epocrates). It is essential that Maria is monitoring her blood glucose levels and keeping a log in order to monitor effectiveness. I will follow up weekly until a 3-month scheduled visit when her HbA1c level will be reassessed and the need for further treatment options such as additional medications. I chose a one daily oral medication as the first treatment choice because this will hopefully increase the risk for compliance and management of the disease. In addition to medication treatment Maria will need to incorporate proper diet and exercise to avoid worsening symptoms and progression of diabetes. Metformin has also been shown to cause weight loss which is also beneficial in the management of diabetes.

Please give five teaching points for each drug prescribed.

Monitor and document blood glucose levels upon waking and before meals to monitor efficacy of medication. If blood glucose level less than 70 hold dose and contact our provider.

Take Metformin at the same time each day, preferably in the morning to avoid hypoglycemic episodes throughout the day. NR 508 Week 5: Thyroid Disorders and Diabetes Essay.

Do not cut, crush, or chew metformin extended release. Performing these actions will change the efficacy of medication and possibly result in hypoglycemia.

Common side effects of this medication include: diarrhea, nausea, vomiting, abdominal pain, headache, rash, metallic taste, indigestion, and ovulation induction. Signs of hypoglycemia symptoms include: excessive sweating, light headiness, fainting, blurred vision, fatigue, and confusion.

If you experience severe fatigue, yellowing of the skin or eyes, persistent muscle cramps, loss of appetite, or altered mental status contact an MD immediately to be assessed for serious conditions.

(Epocrates)

 

How would you change the plan if her initial HbgA1C was 10.2mg/dL and her fasting blood glucose was 305mg/dL? Provide a detailed alternative plan with the rationale.

If Maria had presented with the above lab results I would change her treatment plan to subcutaneous insulin rather than a oral medication. I would choose to place Maria Humulin N (NPH). This insulin in intermediate- acting insulin and would allow for one once daily administration subcutaneous injection. NR 508 Week 5: Thyroid Disorders and Diabetes Essay. This particular medication works by “stimulating peripheral glucose uptake, inhibits hepatic glucose production, inhibits lipolysis and proteolysis, regulating glucose metabolism” (Epocrates). I would begin by prescribing 0.1 units/ kg/ day resulting in a dose of 10 units of NPH subcutaneous injection daily. According to Woo (2016), when a patient presents with blood glucose levels above 300 and a HbA1c over 10 insulin should be started rather than oral medications. According to Inzucchi, et al., (2015), it might also be reasonable to use combination therapy such as insulin and metformin as the beginning treatment for a HbA1c greater than 9. This is another option to discuss with the patient based on lifestyle, weight, and lab results. The patient will need follow up in three months to assess updated lab values and evaluate need for changes in the treatment plan.

NR 508 Week 5: Discussion References

Epocrates an athenahealth service. [Mobile Application Software].  Retrieved from 
https://services.epocrates.com
Links to an external site.

Inzucchi, S. E., Bergenstal, R. M., Buse, J. B., Diamant, M., Ferrannini, E., Nauck, M., … Matthews, D. R. (2015). Management of hyperglycemia in type 2 diabetes, 2015: a patient-centered approach: update to a position statement of the American Diabetes Association and the European Association for the Study of Diabetes. 
Diabetes Care
, 
38
(1), 140–149. 
https://doi-org.chamberlainuniversity.idm.oclc.org/10.2337/dc14-2441
Links to an external site.

Melmer, A., Kempf, P., & Laimer, M. (2018). The Role of Physical Exercise in Obesity and Diabetes. 
Praxis (16618157)
, 
107
(17/18), 971. Retrieved NR 508 Week 5: Thyroid Disorders and Diabetes Essay from
https://chamberlainuniversity.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=edb&AN=131542645&site=eds-live&scope=site
Links to an external site.

Woo, T. M., & Robinson, M. V. (2016). 
Pharmacotherapeutics for Advance Practice Nurse prescribers
 (4th ed.).  Philadelphia, PA: F. A. Davis Company. Chapter 33.

HSM 330 Electronic Health Records Essay Assignment

HSM 330 Course Project Outline Week 3

Electronic Health Records Assignment Paper: Course Project Outline is due this week.

• Submit a 1 to 2 page outline with the researched references you will be using to write the Course Project.

Preview:

Purpose: To define what an electronic health record is and specify an actual solutions package that best represents an effective and efficient electronic health record, including its key features and software functions….. HSM 330 Electronic Health Records Essay Assignment

HSM 330 Application Paper Week 5

Topic: Research electronic health record functionality standards or certification. Write a paper describing how you would incorporate your findings into the EHR selection and decision-making process. Sources include the HL7 EHR Functional Model, ONC certification criteria and other organizations offering EHR certification.

Preview:

…There are also some hospitals that use electronic health records, but because of using different standards in record keeping, the same problems occur. At the same time, there are hospital units that do not readily share patient information as they consider these data as proprietary information, thus, there is no need for them to share their patient data. But considering the Health Insurance Portability and Accountability Act of 1996 (HIPAA), the government has…

Electronic Health Records Assignment Paper

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HSM 330 Application Paper Week 6

Topic: Research the HIMSS Davies Award winners. Review the case study for one of them. Compare their experience with the learning from this course.

Preview:

…The vision of HIMSS is the promotion and advancement of the “best use of information and management systems for the betterment of health care” (Collins, 2010, p. 3), while the mission is “to lead change in the healthcare information and management systems field through knowledge sharing, advocacy, collaboration, innovation, and community affiliations” (Collins, 2010, p. 3). The Davies Awards was named in honor of…

Electronic Health Records Assignment Paper

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HSM 330 Course Project Week 7

This longer written project is designed to give you the opportunity to select an electronic health record, identifying and discussing its key features. As part of this project, you will research your chosen software’s functions and how it works. The paper should critically analyze your findings. Specifically, the paper should offer the following information and address the following issues.

• Name of the product

• Uses of the product

• Integration with other information systems

• User friendliness of data entry and data retrieval

HSM 330 Electronic Health Records Essay Assignment

• Benefits of this particular software over similar types of software

• The implementation process you would use to implement the EHR

• Other issues as identified by your instructor

Electronic Health Records Assignment Paper Milestones

The name of the software you’ve chosen as the course project topic must be submitted in Week 1. (required)

A content outline for your paper is due by Week 3, indicating how you plan to address the above criteria, and the primary sources of information you will use. (required)

Feedback on your topic selection and project outline will be provided by the instructor.

The completed project is due by the end of Week 7. (required)

Preview:

Electronic health records[1], or EHRs, are digital versions of a patient’s hospital and medical records. They contain specific information pertaining a patient’s medical history, including laboratory results, diagnoses, and medication, among others. These secure information are shared among other EHRs, thus, are updated on real-time, making data…

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HSM 330 Midterm Exam: Electronic Health Records Assignment Paper

(TCO 1) Which statement best describes the acronym EHR? (Points : 10)

Chosen by the IOM, carried forward by HL7 and CCHIT; most comprehensive term

Used to describe systems based on document imaging or systems implemented in physicians’ offices HSM 330 Electronic Health Records Essay Assignment

A standalone system that analyzes a large volume of aggregated data

Coined by the IOM; designed to support users by providing accessibility to complete links to medical knowledge and other aids

(TCO 2) Which statement listed below is incorrect? (Points : 10)

Comprehensive EHRs enable full generation of a printable chart negating need for EDMS

EDMS implementations require process improvement and change management

Hybrid record issues largely can be overcome by EDMS

Paper and other digital documents can be accommodated in an ED/CM system

(TCO 3) EDMS would enable which of the following change to occur in an HIM department: (Points : 10)

Change record retention schedule to one year

Eliminate transcription

Reduce coding errors

Shift release of information to point of service

(TCO 4) Which law called for the standards to support e-prescribing?. (Points : 10)

HIPAA (1996)

TEFRA (1982)

MMA (2003)

There is no law but several state statutes cover this.

(TCO 5) Who is most responsible for ensuring physician adoption of an EHR in a hospital? (Points : 10)

EHR project manager

Executive leadership

Nurses

Physician champion

(TCO 6) What is the primary difference between a closed and an open system? (Points : 10)

Closed systems are designed for use in secure environments whereas the open system can operate in any environment

Closed systems do not interact with the environment while open systems are influenced by the environment.

A closed system is for internal use only while the open system works with the Internet.

A closed system costs money whereas the open system is free.

(TCO 7) An EHR is more like a program than a project because the EHR: (Points : 10)

Has a high cost HSM 330 Electronic Health Records Essay Assignment

Has no clear beginning and end

Represents a change

Requires great attention to detail

(TCO 1) As discussed in the textbook, describe some of the consumer awareness and perceptions of the EHR? (Points : 20)

In this case, the term “consumers” pertains to both healthcare consumers and clinicians who will be using the EHR systems. Initially, there was hesitation on the veracity of EHR systems primarily because of…

(TCO 2) Not every vendor that supports HIS has developed a repository structure that is sufficiently robust to integrate both discrete data and images. What alternatives do hospitals have in this situation? Please Explain? (Points : 20)

In this case, use of a presentation layer will prove to be a useful tool for hospitals. A presentation layer is “software that provides screen layout, data capture, and retrieval functionality, and operates on the…

(TCO 3) What is a template-based entry? Describe the pros and cons of a template-based entry? (Points : 20)

Template-based entry is a combination of “free text and structured data entry” (p. 397) because on the clinician’s part, before he or she..

(TCO 4) Describe the following abbreviations: EDMS, RFID, HL7? (Points : 20)

EDMS

Electronic document management systems, or EDMS, is a software system that is used to… HSM 330 Electronic Health Records Essay Assignment