see attachment
PANDEMIC OF THIS CENTURY: COVID-19
ASSAY ABOUT THE PANDEMIC OF THIS CENTURY: THE COVID-19, ITS CAUSATIVE AGENT; AS YOU KNOW IS : SARS-CoV-2, YOU SHOULD REVIEW THE STATISTIC FACTS, THE CLINICAL PRESENTATION OF COVID-19, AND MAINLY THE PHARMACOLOGICAL MANAGEMENT OF THIS PANDEMIC
nursing
Follow the guidelines – part B highlighted in yellow
Data Sharing and Bioinformatics
The exchange of data has many implications, some beneficial, but some risky. Consider the exchange of sensitive information, a dilemma that has a seemingly simple solution: That information should be protected. Yet, in a public health context, how does privacy complicate the possibility of improving outcomes across a population? For example, how can data drawn from genomic sequencing be protected and contribute to the body of knowledge? In this Discussion, you explore a similar question.
For this Discussion, consider the following scenario:
You are a nurse geneticist who is working for a teaching and research hospital. Your position is to promote the provider use of genetic testing for a specific drug trial. While most physicians are eager to participate in the research, a provider who primarily treats patients with HIV is reluctant to use the trial on their patients and feels utilizing the database system is a violation of HIPAA.
As a nurse leader, describe the recommendation you might make to this provider and explain why.
· Search the Walden Library for a peer-reviewed journal article that contains research related to precision medicine to support your recommendation to the provider.
· The Walden Library recommends the following:
o Navigate to the Nursing Research databases in the Walden Library.
o Select a database with which to start. You can try more than one.
o Perform a basic search: precision medicine. Do not select any limiters yet.
o Look at initial results, particularly if there are any recent books that might be helpful. Note that you can search within e-books for particular terms.
o Add a second concept in Box 2 to focus your search. It helps to keep concepts separate, especially when multiple boxes are provided.
o Example: HIPPA or Health Insurance Portability and Accountability Act
o At this point, look at the first page or two of results and refine depending on what you find. Notice any other relevant words or combinations of words that might focus your search further. Possible suggestions: privacy, security, confidentiality, ethics.
Mark A. Rothstein. Structural Challenges of Precision Medicine. The Journal of Law, Medicine & Ethics, 45 (2017): 274-279. doi: 10.1177/1073110517720655
Wolf, L. E., Hammack, C. M., Brown, E. F., Brelsford, K. M., Beskow, L. M., Wolf, S. M., Clayton, E. W., & Lawrenz, F. (2020). Protecting Participants in Genomic Research: Understanding the “Web of Protections” Afforded by Federal and State Law. Journal of Law, Medicine & Ethics, 48(1), 126–141. https://doi-org.ezp.waldenulibrary.org/10.1177/1073110520917000
o To apply limits, scroll down in the left column to limit by date (last 5 years) and limit the results to peer-reviewed scholarly journals only. It helps to do this after you know you have performed a successful search and identified possible synonyms and sub-topics.
o To retrieve the full text of individual items, click on the Find@Walden button and follow the prompts. Sometimes this step takes persistence, since there are many different publishers supplying content to these databases.
By Day 3 of Week 5
Post a response that addresses in general and the research trial described in the scenario specifically. Be specific. Your post should include your approach for facilitating the reluctant physician’s use of the trial drug and reporting the needed data. Justify your role as the nurse informaticist as it pertains to the genetics trial drug use and reporting described in the scenario.
McBride, S., & Tietze, M. (2019). Nursing informatics for the advanced practice nurse: Patient safety, quality, outcomes, and interprofessionalism (2nd ed.). New York, NY: Springer Publishing.
· Chapter 11, “Electronic Health Records and Health Information Exchanges Providing Value and Results for Patients, Providers, and Healthcare Systems” (pp. 248–271)
· Chapter 13, “Public Health Data to Support Healthy Communities in Health Assessment Planning” (pp. 296–331)
· Chapter 15, “Personal Health Records and Patient Portals” (pp. 354–375)
· Chapter 16, “Telehealth and Mobile Health” (pp. 376–397)
· Chapter 22, “National Prevention Strategy, Population Health, and Health Information Technology” (pp. 532–555)
· Chapter 25, “Genomics and Implications for Health Information Technology” (pp. 610–637)
Note: Chapters 11 and 13, which were assigned in the previous week, are also applicable this week and are listed here for review purposes.
Baseman, J. G., Revere, D., & Painter, I. (2017). Big data in the era of health information exchanges: Challenges and opportunities for public health. Informatics, 4(39), 1–10.
Topic 3 DQ1
Discuss the correlation between nursing education and positive patient outcomes. Include current research that links patient safety outcomes to advanced degrees in nursing. Based on some real-life experiences, explain whether you agree or disagree with this research.
Describe a national health-care issue/stressor and explain how the health-care issue/stressor may impact your work setting.
Then, describe how your health system work setting has responded to the health-care issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.
Personal Nursing Philosophy Paper
The purpose of this paper is to define, describe, and explain your thoughts, beliefs, and feelings about the four concepts of the nursing metaparadigm and their interrelationship to one another as they guide your current practice as a nurse. These are your philosophical beliefs, so there are no right or wrong answers.
This paper should be no more than 5 pages, not including the title page or references.
Introduction
Points:5 (5.00%)
Identify the purpose of the paper
Influential Factors
Points:5 (5.00%)
Description of factors influencing the development of the personal nursing philosophy
Personal Thoughts
Points:25 (25.00%)
Definition, description, and explanation of personal thoughts, feelings, and beliefs about the concepts of the nursing metaparadigm: 1. Person/Client 2. Environment 3. Health 4. Nursing 5. Summarized interrelationship of the concepts
Nursing Theory
Points:25 (25.00%)
Identification and brief description of the nursing theory (theories) found to be the most compatible with the student’s personal philosophy
Compatibility of Personal Philosophy and Nursing Theory
Points:25 (25.00%)
Explanation, with documentation, that demonstrated compatibility of personal philosophy with the nursing theory (theories) identified previously according to: 1. Person/Client 2. Environment 3. Health 4. Nursing 5. Summarized interrelationship of concepts
Summary
Points:5 (5.00%)
Summary and Conclusion
Writing
Points:10 (10.00%)
Organization, documentation, references, APA formatting
Adolescence: Contemporary Issues and Resources
Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission:
- Describe the contemporary issue and explain what external stressors are associated with this issue.
- Outline assessment strategies to screen for this issue and external stressors during an assessment for an adolescent patient. Describe what additional assessment questions you would need to ask and define the ethical parameters regarding what you can and cannot share with the parent or guardian.
- Discuss support options for adolescents encountering external stressors. Include specific support options for the contemporary issue you presented.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
SOAP NOTE : HERROMOIDS DISEASE
SOAP NOTE TEMPLATE SAMPLE
(Student Name)
Miami Regional University
Date of Encounter:
Preceptor/Clinical Site:
Clinical Instructor: Dr. David Trabanco DNP, APRN, AGNP-C, FNP-C
Soap Note # ____ Main Diagnosis ______________
PATIENT INFORMATION
Name:
Age:
Gender at Birth:
Gender Identity:
Source:
Allergies:
Current Medications:
·
PMH:
Immunizations:
Preventive Care:
Surgical History:
Family History:
Social History:
Sexual Orientation:
Nutrition History:
Subjective Data:
Chief Complaint:
Symptom analysis/HPI:
The patient is …
Review of Systems (ROS)
CONSTITUTIONAL:
NEUROLOGIC:
HEENT:
RESPIRATORY:
CARDIOVASCULAR:
GASTROINTESTINAL:
GENITOURINARY:
MUSCULOSKELETAL:
SKIN:
Objective Data:
VITAL SIGNS:
GENERAL APPREARANCE:
NEUROLOGIC:
HEENT:
CARDIOVASCULAR:
RESPIRATORY:
GASTROINTESTINAL:
MUSKULOSKELETAL:
INTEGUMENTARY:
ASSESSMENT:
Main Diagnosis
(Include the name of your Main Diagnosis along with its ICD10 I10. (Look at PDF example provided) Include the in-text reference/s as per APA style 6th or 7th Edition.
Differential diagnosis (minimum 3)
–
–
–
PLAN:
Labs and Diagnostic Test to be ordered (if applicable)
· –
· –
Pharmacological treatment:
–
Non-Pharmacologic treatment:
Education (provide the most relevant ones tailored to your patient)
Follow-ups/Referrals
References (in APA Style)
Examples
Codina Leik, M. T. (2014). Family Nurse Practitioner Certification Intensive Review (2nd ed.).
ISBN 978-0-8261-3424-0
Domino, F., Baldor, R., Golding, J., Stephens, M. (2010). The 5-Minute Clinical Consult 2010
(25th ed.). Print (The 5-Minute Consult Series).
Gerontology
Scenario: Family
A 78, year old man is a retired banker whose wife died several years ago. He is able to perform all ADLs but needs help with meal preparation and transportation. He lives in a deteriorating neighborhood and no longer feels safe. He does not want to live with family members or completely give up his independence.
• What housing options would be appropriate for him? Why?
• What advantages would such housing options offer over living alone?