Health Care

Case study presentation

Case study presentation

Case Study Presentation


Goal:

To conduct an assessment of health promotion while applying the nursing process and evidence based research to disseminate findings to course colleagues.

Case:

Jessica is a 32 y/old math teacher who presents to the ER with a friend for evaluation of sudden decrease of vision in the left eye. She denies any trauma or injury. It started this morning when she woke up and has progressively worsened over the past few hours. She had some blurring of her vision 1 month ago and thinks that may have been related to getting overheated, since it improved when she was able to get in a cool, air-conditioned environment. She has some pain if she tries to move her eye, but none when she just rests. She is also unable to determine colors. She denies tearing or redness or exposure to any chemicals. Nothing has made it better or worse.

She denies fever, chills, night sweats, weight loss, fatigue, headache, changes in hearing, sore throat, nasal or sinus congestion, neck pain or stiffness, chest pain or palpitations, shortness of breath or cough, abdominal pain, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia.

Patient is alert; she appears anxious. BP 135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white, conjunctivae clear. Unable to assess visual fields in the left side; visual fields on the right eye are intact. Pupil response to light is diminished in the left eye and brisk in the right eye. The optic disc is swollen. Full range of motions; no swelling or deformity. Mental status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus is present. Muscles with normal bulk and tone; Normal finger to nose, negative Romberg. Intact to temperature, vibration, and two-point discrimination in upper and lower extremities. Reflexes: 2+ and symmetric in biceps, triceps, brachioradialis, patellar, and Achiles tendons; no Babinski.

Submission Instructions:

  • Complete a comprehensive history and Physical Examination.
  • What physical findings are you looking for to help determine a presumptive nursing diagnosis?
  • Support your findings with peer reviewed articles.
  • Presentation is original work and logically organized in current APA style. Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • Power point presentation with 9 -11 slides, excluding the tile slide and the reference slide.
    The presentation is clear and concise and students will lose points for improper grammar, punctuation, APA and misspelling.
  • Speaker notes expanded upon and clarified content on the slides.

Requirements: as instructed

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Discussion-Safety Net Providers/Services

Discussion-Safety Net Providers/Services

After reading the materials for this module, do some more research (i.e., Internet, journals, community services databases) about Safety Net services and providers. Discuss in a post of 150 – 200 words the following:

What are safety net services/providers; who is served by safety net providers; what safety net services (you should include oral health services as well) exist in your own community; what are the gaps in safety net services in your community; how are the services typically funded; what factors influence the capacity of safety net services (i.e., public policy, funding, etc.). Do you think that the safety net services are adequate in your community (why/why not)?

Required Reading:

Lavisso-Mourey, R. (2014). Building a culture of health. Robert Wood Johnson Foundation. Retrieved from, http://www.rwjf.org/content/dam/files/rwjf-web-files/Annual_Message/2014_RWJF_AnnualMessage_final.pdf

Shortell, S. (2012, November 1). Safety net challenges in delivering accountable care. [Web log post] HealthAffairsBlog. Retrieved from, http://healthaffairs.org/blog/2012/11/01/safety-ne…

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Discussion- CultureofHealth

Discussion- CultureofHealth

After you have completed the readings for this week, take some time to reflect on your vision of a “Culture of Health”. Think back through all the other reading you have done in this course, and perhaps others. Think about your own experiences and your observations of people around you, in your family, your community, your work environment, etc. Think about what you know about social inequality, health inequities and vulnerable populations. Jot down your thoughts, experiences, and discussion points as you are thinking through them to help you form sort of an outline or list of important points to include in your reflection. Then do the following:

In a post of at least 175 words, discuss the following:

What does “Culture of Health” mean to me? This is to be your own personal thoughts and reflections (you may cite source material, but only to support your points where needed; I do not want a restatement of the readings).

Required Reading:

Lavisso-Mourey, R. (2014). Building a culture of health. Robert Wood Johnson Foundation. Retrieved from, http://www.rwjf.org/content/dam/files/rwjf-web-files/Annual_Message/2014_RWJF_AnnualMessage_final.pdf

Shortell, S. (2012, November 1). Safety net challenges in delivering accountable care. [Web log post] HealthAffairsBlog. Retrieved from, http://healthaffairs.org/blog/2012/11/01/safety-ne…

Requirements: 175   |

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As a FNP how to deal with drug to drug interactions with HIV patients.

As a FNP how to deal with drug to drug interactions with HIV patients.

In this course, each of you will be developing a research proposal. Our focus this week is to identify a problem specific to your role option that is amenable to an innovative solution.

Based on your specialty role option (i.e., Nurse Practitioner, Nurse Educator, Nurse Informaticist, Nurse Administrator), identify a potential problem (topic) that you would like to investigate through nursing research. Begin by reading the American Association of Colleges of Nursing’s (AACN) position statement on nursing research (Nursing Research).

Next explore and conduct a search to locate a minimum of three nursing research articles that have addressed the problem you have identified. The literature may not be older than 5 years.( here are the three research studies I picked)

Polypharmacy and potential drug–drug interactions for people with HIV in th…: Discovery Service for South University (oclc.org),

Use of comedications and potential drug-drug interactions in people living with HIV in China – ScienceDirect (oclc.org),

Getting to the Heart of the Matter: A Review of Drug Interactions Between HIV Antiretrovirals and Cardiology Medications – ScienceDirect (oclc.org)

After reading the literature respond to the following:

  1. Note your role specialization and briefly describe the problem you are interested in researching and why this is of interest to you.
  2. Discuss your library search strategies and briefly summarize the literature you reviewed. Focus your discussion on the “problem” and how the literature you identified provides evidence of the existence of the problem.
  3. Include in your discussion a potential innovation that you might consider as a solution to the problem identified.
  4. Include citations/references in APA style format, using citations where appropriate. use 3 references less than 5 years, 700 words. USE RUBRIC. APA FORMAT.

Requirements: 700

I sent you the link for the three research articles, please follow the rubric.

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Assessment 3 Instructions: Patient Discharge Care Planning

Assessment 3 Instructions: Patient Discharge Care Planning

Prepare a writtenanalysis of keyissues, 6-7pages in length, patientdischargecareplan.

Assessment 3 Instructions: Patient Discharge Care Planning

  •  
  • Prepare a written analysis of key issues, 6-7 pages in length, applicable to the development of an effective patient discharge care plan.

    Introduction

    The Institute of Medicine’s 2000 report To Err Is Human: Building a Safer Health System identified health information technology (HIT) as one avenue to explore to reduce avoidable medical errors. As a result of the IOM report and suggestions for patient advocacy groups, health care organizations are encouraged to act by utilizing HIT to improve patient quality and safety.Health care organizations determine outcomes by how patient information is collected, analyzed, and presented, and nurse leaders are taking the lead in using HIT to bridge the gaps in care coordination. This assessment provides an opportunity for you to analyze the effects of HIT support, data reporting, and EHR data collection on effective care planning.

    Reference

    Institute of Medicine. (2000). To err is human: Building a safer health system. National Academies Press.

    Preparation

    Marta Rodriguez, a student, recently moved from New Mexico to Nevada to live with her aunt and uncle and was enrolled as a freshman in college. While attending her first semester, Marta was involved in a hit-and-run car accident. She was transported to the nearest shock trauma center where she spent the next four weeks undergoing multiple surgeries and antibiotic treatment for a systemic infection. Spanish is Marta’s first language and English is her second. Marta has a student health insurance plan.You are the senior care coordinator overseeing Marta’s care. You will be presenting her case to the interdisciplinary team members who are caring for Marta at an upcoming meeting to consider key aspects of a successful and safe discharge care plan for her. You are expected to lead the discussion, focusing on the role of informatics in effective discharge care planning, and have decided to prepare an analysis of key issues for team members to consider, which you will distribute to the attendees for review prior to the meeting.Note: Remember that you can submit all or a portion of your draft to Smarthinking for feedback before you submit the final version of this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback.

    Instructions

    Analyze key issues for consideration at the discharge planning meeting. Determine the effects of HIT support, data reporting, and EHR data collection on effective care planning.Use the following template for your written analysis:

    Analyzing Key Issues

    The requirements outlined below correspond to the grading criteria in the scoring guide. Be sure that your analysis addresses each point, at a minimum. You may also want to read the Patient Discharge Care Planning Scoring Guide to better understand how each criterion will be assessed.

    • Explain how the interprofessional team will use HIT to provide a longitudinal, patient-centered care plan across the continuum of care that supports Marta in the discharge planning process.
      • What HIT elements will the team members use and why?
      • How can the interprofessional team members utilize the HIT elements to prevent a readmission of this patient 48 hours after being discharged?
      • How will the use of these elements support the coordination of care for this patient?
    • Describe at least three ways in which data reporting specific to client behaviors can shape care coordination, care management, clinical efficiency, and interprofessional innovation in care.
      • How would you evaluate the quality of the data?
    • Explain how information collected from client records can be used to positively influence health outcomes.
      • How will the interprofessional team members coordinate their individual findings in the collaborative use of HIT?
    • Write clearly and concisely, using correct grammar and mechanics.
      • Express your main points and conclusions coherently.
      • Proofread your writing to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your analysis.
    • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.
      • Is your supporting evidence clear and explicit?
      • How or why does particular evidence support a claim?
      • Will your audience see the connection?

    Additional Requirements

    Written Analysis Format and Length

    Format your written analysis using APA style:

    • Use the APA Style Paper Template [DOCX] provided. Be sure to include:
      • A title page and references page. An abstract is not required.
      • A running head on all pages.
      • Appropriate section headings.
    • See also the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your analysis.
    • Your analysis should be 6–7 pages in length, not including the title page and references page.
    Supporting Evidence
    • Cite at least eight sources of credible scholarly or professional evidence to support your analysis.
    • Apply APA formatting to all in-text citations and references.

    Competencies Measured

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

    • Competency 1: Apply care coordination models to improve the patient experience, promote population health, and reduce costs.
      • Explain how HIT can be used to provide a longitudinal, patient-centered care plan across the continuum of care.
    • Competency 2: Explain the relationship between care coordination and evidence-based data.
      • Describe ways in which data reporting specific to client behaviors can shape care coordination, care management, clinical efficiency, and interprofessional idea development.
    • Competency 3: Use health information technology to guide care coordination and organizational practice.
      • Explain how information collected from client records can be used to positively influence health outcomes.
    • Competency 4: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with applicable organizational, professional, and scholarly standards.
      • Write clearly and concisely, using correct grammar and mechanics.
      • Support main points, claims, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style.

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