Infographic Telehealth

Assignment PromptInfographics are visual representations of information. They can include numbers, text, images, or any combination of the three. Just as in traditional writing assignments, an infographic can take on any of the various rhetorical modes — informative, instructive, descriptive, persuasive, etc. Infographics provide quick way to convey a lot of information. For example, this infographic on Integrating Virtual Clinics conveys interesting data much more concisely than another paragraph inserted here could have:Students will create an Infographic on the topic of Telehealth. Students should create an infographic that is easily understood by the lay public or general population. The infographic should provide information useful to communicating the “What, Why, When and How” of Telehealth. Students may choose to focus on one or more the following suggested topic areas, however, students may choose their own relevant telehealth topic areas of:Telehealth Versus TelemedicineEnvironments or SystemsPopulation HealthHealth Promotion and Illness PreventionIntegrative HealthTechnologies and InnovationProvider AccessPatient AccessPolicy ImplicationsLegal ImplicationsClinical Practice IssuesEducation/Training NeedsResearch ImplicationsQuality of CareOutcome ManagementDirections:Students will select a platform (tool) for building their infographic. There are a number of great infographic platforms available online. Many are free, but most require that you do set up an account. Check out Infogr.am, Easelly, Piktochart, and Visme.Create the Infographic using one of the above platforms.Post completed infographic in PDF format to the D2L week four assignment link.Deadline Monday 11/16/2020

 
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Lab Assignment: Assessing the Abdomen

PLEASE PAY ATTENTION TO THE CASE STUDYZERO PLAGIARISMFIVE REFERENCESABDOMINAL ASSESSMENTSubjective: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 agoMedications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhsAllergies: NKDAFH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERDSocial: 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 248lbsHeart: RRR, no murmursLungs: CTA, chest wall symmetricalSkin: Intact without lesions, no urticariaAbd: soft, hyperactive bowel sounds, pos pain in the LLQDiagnostics: NoneAssessment:Left lower quadrant painGastroenteritis

 
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Measures of Quality

Measures of QualityHealth care quality is a nationally recognized topic that is addressed through public policies, licensure, and accreditation standards for health care professionals and organizations. Throughout history, numerous organizations have been involved in developing health care quality and safety initiatives.The Joint Commission and Centers for Medicare and Medicaid Services (CMS) developed quality and safety indicators for various health care systems. These indicators seek to establish accountability for health care organizations through a reporting system, which is available to the public. For this Discussion, explore various accrediting organizations and specific measures that pertain to quality. In your research on accrediting organizations, consider how these quality measures affect quality outcomes, support ethical principles, and influence the delivery of clinical services.To prepare:Select one specific quality indicator      from the Week 2 Discussion and compare it with those outlined in this      week’s Learning Resources (In week 2 discussion, I spoke about nosocomial      infections and pain management as quality indicators).Review the accrediting body standards      that pertain to your organization focusing on those standards that require      your organization to define its quality management program.Consider regulatory requirements at      the state or national level that affect quality outcomes in your      organization.Ask yourself: How do the Centers for      Medicare and Medicaid Services (CMS) restricted reimbursements affect      quality management or improvement efforts at my organization? How do these      standards and regulations influence or support ethical principles and      influence patient care and nursing practice?By tomorrow Wednesday 12/13/17, write a minimum of 550 words in APA format with at least 3 references from the list below that addresses the level one & two headings as numbered and lettered below:post a cohesive scholarly response that addresses the following:1) Choose any measurement and explain the extent to which your chosen measure is affected by CMS driven incentives and disincentives.2) From a systems perspective, discuss how this measure affects:a. Quality outcomesb. Supports ethical principlesc. Influences patient care and nursing practice.Required ReadingsJoshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press.Chapter 5: “Data Collection”Chapter 6: “Statistical Tools for QI”Park, J., Konetzka, R. T., & Werner, R. M. (2011). Performing well on nursing home report cards: Does it pay off? Health Services Research, 46(2), 531–554. doi:10.1111/j.1475-6773.2010.01197.xThe study in this article evaluates whether or not nursing homes benefit from improvements in quality measures. Four financial outcomes are measured before and after the improvements are enacted. The study shows that the nursing homes that improved quality measures benefitted financially.Suchy, K. (2010). A lack of standardization: The basis for the ethical issues surrounding quality and performance reports. Journal of Healthcare Management, 55(4), 241–251.Because performance reports are easily found online, this article supports creating ethical guidelines for the performance reports of the health care industry. It compares nearly ten different organizations that provide performance reporting, and then it proposes an ethical framework and principles for public quality reporting.Wachter, R. M., & Pronovost, P. J. (2009). Balancing “no blame” with accountability in patient safety. New England Journal of Medicine, 361(14), 1401–1406.This article addresses the issue of individual accountability in health care organizations. It suggests moving from a culture within health care that does not place blame on individuals to a culture where individuals become more accountable.Centers for Medicare & Medicaid Services. (n.d.). Quality initiatives: Overview. Retrieved from http://www.cms.gov/QualityInitiativesGenInfo/Created by the U.S. Department of Health & Human Services, this website overviews quality initiatives that affect the health care industry. It also provides information and downloadable PDFs on the Post-Acute Care Reform Plan and Development of Quality Indicators for Impatient Rehabilitation Facilities (IRF).Required MediaVideo: Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: External quality improvement. Baltimore: Author.Note: The approximate length of this media piece is 10 minutes.The presenters in this video discuss various external organizations involved in quality, and examine the enforcement of standards by governmental agencies versus voluntary organizations. This program also addresses the publication of quality information and why organizations should do their own reporting in addition to mandated reporting. Licensing, credentialing, and certification are discussed as they relate to the social compact that health care providers have for quality and safety.

 
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Ques/5 R

Describe situations of ethical dilemma in nursing practice and how they can be resolved.Response must be at least 500 words, in current  7th edition APA format with at least two academic references cited. Must be grammatically correct.

 
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Assessing a Healthcare Program/Policy Evaluation

Program/policy evaluation is a valuable tool that can help strengthen the quality of programs/policies and improve outcomes for the populations they serve. Program/policy evaluation answers basic questions about program/policy effectiveness. It involves collecting and analyzing information about program/policy activities, characteristics, and outcomes. This information can be used to ultimately improve program services or policy initiatives.Nurses can play a very important role assessing program/policy evaluation for the same reasons that they can be so important to program/policy design. Nurses bring expertise and patient advocacy that can add significant insight and impact. In this Assignment, you will practice applying this expertise and insight by selecting an existing healthcare program or policy evaluation and reflecting on the criteria used to measure the effectiveness of the program/policy.To Prepare:Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.Select an existing healthcare program or policy evaluation or choose one of interest to you.Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.The Assignment: (2–3 pages)Based on the program or policy evaluation you selected, complete the Healthcare Program/Policy Evaluation Analysis Template. Be sure to address the following:Describe the healthcare program or policy outcomes.How was the success of the program or policy measured?How many people were reached by the program or policy selected?How much of an impact was realized with the program or policy selected?At what point in program implementation was the program or policy evaluation conducted?What data was used to conduct the program or policy evaluation?What specific information on unintended consequences was identified?What stakeholders were identified in the evaluation of the program or policy? Who would benefit most from the results and reporting of the program or policy evaluation? Be specific and provide examples.Did the program or policy meet the original intent and objectives? Why or why not?Would you recommend implementing this program or policy in your place of work? Why or why not?Identify at least two ways that you, as a nurse advocate, could become involved in evaluating a program or policy after 1 year of implementation.

 
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Benchmark – Human Experience Across the Health-Illness Continuum

Research the health-illness continuum and its relevance to patient care. In a 750-1,000 word paper, discuss the relevance of the continuum to patient care and present a perspective of your current state of health in relation to the wellness spectrum. Include the following:Examine the health-illness continuum and discuss why this perspective is important to consider in relation to health and the human experience when caring for patients.Explain how understanding the health-illness continuum enables you, as a health care provider, to better promote the value and dignity of individuals or groups and to serve others in ways that promote human flourishing.Reflect on your overall state of health. Discuss what behaviors support or detract from your health and well-being. Explain where you currently fall on the health-illness continuum.Discuss the options and resources available to you to help you move toward wellness on the health-illness spectrum. Describe how these would assist in moving you toward wellness (managing a chronic disease, recovering from an illness, self-actualization, etc.).Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not require

 
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Unit 7 Assessment – Interview Improvement Plan

Complete the Unit 7 interview worksheet.

 
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Complex Regional Pain Disorder

BACKGROUNDThis week, a 43-year-old white male presents at the office with a chief complaint of pain. He is assisted in his ambulation with a set of crutches. At the beginning of the clinical interview, the client reports that his family doctor sent him for psychiatric assessment because the doctor felt that the pain was “all in his head.” He further reports that his physician believes he is just making stuff up to get “narcotics to get high.”SUBJECTIVEThe client reports that his pain began about 7 years ago when he sustained a fall at work. He states that he landed on his right hip. Over the years, he has had numerous diagnostic tests done (x-rays, CT scans, and MRIs). He reports that about 4 years ago, it was discovered that the cartilage surrounding his right hip joint was 75% torn (from the 3 o’clock to 12 o’clock position). He reports that none of the surgeons he saw would operate because they felt him too young for a total hip replacement and believed that the tissue would repair with the passage of time. Since then, he reported development of a strange constellation of symptoms including cooling of the extremity (measured by electromyogram). He also reports that he experiences severe cramping of the extremity. He reports that one of the neurologists diagnosed him with complex regional pain syndrome (CRPS), also known as reflex sympathetic dystrophy (RSD). However, the neurologist referred him back to his family doctor for treatment of this condition. He reports that his family doctor said “there is no such thing as RSD, it comes from depression” and this was what prompted the referral to psychiatry. He reports that one specialist he saw a few years ago suggested that he use a wheelchair, to which the client states “I said ‘no,’ there is no need for a wheelchair, I can beat this!”The client reports that he used to be a machinist where he made “pretty good money.” He was engaged to be married, but his fiancé got “sick and tired of putting up with me and my pain, she thought I was just turning into a junkie.”He reports that he does get “down in the dumps” from time to time when he sees how his life has turned out, but emphatically denies depression. He states “you can’t let yourself get depressed… you can drive yourself crazy if you do. I’m not really sure what’s wrong with me, but I know I can beat it.”During the client interview, the client states “oh! It’s happening, let me show you!” this prompts him to stand with the assistance of the corner of your desk, he pulls off his shoe and shows you his right leg. His leg is turning purple from the knee down, and his foot is clearly in a visible cramp as the toes are curled inward and his foot looks like it is folding in on itself. “It will last about a minute or two, then it will let up” he reports. Sure enough, after about two minutes, the color begins to return and the cramping in the foot/toes appears to be releasing. The client states “if there is anything you can do to help me with this pain, I would really appreciate it.” He does report that his family doctor has been giving him hydrocodone, but he states that he uses is “sparingly” because he does not like the side effects of feeling “sleepy” and constipation. He also reports that the medication makes him “loopy” and doesn’t really do anything for the pain.MENTAL STATUS EXAMThe client is alert, oriented to person, place, time, and event. He is dressed appropriately for the weather and time of year. He makes good eye contact. Speech is clear, coherent, goal directed, and spontaneous. His self-reported mood is euthymic. Affect consistent to self-reported mood and content of conversation. He denies visual/auditory hallucinations. No overt delusional or paranoid thought processes appreciated. Judgment, insight, and reality contact are all intact. He denies suicidal/homicidal ideation, and is future oriented.Diagnosis: Complex regional pain disorder (reflex sympathetic dystrophy)The AssignmentExamine Case Study: A Caucasian Man With Hip Pain. You will be asked to make three decisions concerning the medication to prescribe to this client. Be sure to consider factors that might impact the client’s pharmacokinetic and pharmacodynamic processes.At each decision point stop to complete the following:Decision #1Which decision did you select?Why did you select this decision? Support your response with evidence and references to the Learning Resources.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?Decision #2Why did you select this decision? Support your response with evidence and references to the Learning Resources.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?Decision #3Why did you select this decision? Support your response with evidence and references to the Learning Resources.What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?Also include how ethical considerations might impact your treatment plan and communication with clients.

 
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OB Concept Map

Have to complete a concept map for an OB/maternal patient. Concept map template is attached.

 
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Week Discussion!

Conduct an online search for two different EHR Software Solutions (e.g., eClinicalWorks, McKesson, Cerner, Allscripts, Athena Health, GE Healthcare, Epic, Care360, practice fusion, OPTUMInsight, NEXTGEN, etc.).Briefly describe the selected EHR software solutions. Include three features of each software in the description.Compare and contrast the benefits of the two selected EHR software solutions.Select an EHR software solution that is best suited for your workplace environment. Identify the workplace environment (hospital, stand-alone private practice, etc.) and provide your rationale for the selected software.

 
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