Nursing

Discussion: Racism and Privilege
Discussion: Racism and Privilege
Permalink:
In many societies certain groups possess more resources and hold more power than other groups. In some of these societies, racial discrimination and racial tension also exist. While members of the societies may openly acknowledge that unequal distribution of power and racism are present in their society, many fail to examine the complex relationships between privilege and racism. Social workers must understand this complex relationship so they can educate and empower their clients. Empowerment is the cornerstone of social work practice.
In the book Black Empowerment, the author,Barbara Solomon, writes, “Empowerment refers to a process whereby persons who belong to a stigmatized social category throughout their lives can be assisted to develop and increase skills in the exercise of interpersonal influence and the performance of valued social roles” (p. 6).
Empowerment practice is based on a collaborative relationship between worker and client, initiated to promote the client’s power through self-actualization, self-determination, and the fulfillment of personal goals (Gutierrez, Parsons, & Cox, 1998). Further, this process includes increasing your clients’ awareness of the structural oppression that exists and its impact on them. It is the role of social workers to empower clients and to bring about awareness of the inequalities that exist in society. This is done two fold—through work with clients on the micro and mezzo levels and on a macro level through work in organizations and communities.
Social workers cannot effectively empower clients without first understanding the mechanisms of oppression and how they impact their day-to-day work. Then social workers can recognize the impact on their clients’ lives and apply the appropriate skills.
To prepare: Review the case study “Working With Individuals: The Case of Mary.”

· Post an explanation of the relationship between racism and privilege.
· Furthermore, explain how the concepts of racism and privilege relate to “Working With Individuals: The Case of Mary.”

· Explain the impact of racism and privilege on social work practice.

· Provide recommendations for how you as a social worker might use an empowerment perspective when responding to Mary.
· Be specific and provide examples from the case. Also, identify specific skills social workers might employ.
References (use at least 2)
Adams, M., Blumenfeld, W. J., Castaneda, C., Hackman, H. W., Peters, M. L., & Zuniga, X. (Eds.). (2013). Readings for diversity and social justice. (3rd ed.). New York, NY: Routledge Press.
Chapter 11, (pp. 77–86)
Chapter 12, (pp. 86–92)
Chapter 14, (pp. 96–101)
Chapter 15, (pp. 102–109)
National Association of Social Workers. (2007). Institutional racism & the social work profession: A call to action. Retrieved from
InstanceEndEditable InstanceEndRepeatEntry InstanceBeginRepeatEntry InstanceBeginEditable name=”Required Reading Item 4 Edit”
Plummer, S.-B., Makris, S., & Brocksen S. M. (Eds.). (2014). Social work case studies: Foundation year. Baltimore, MD: Laureate International Universities Publishing. [Vital Source e-reader].
Working With Individuals: The Case of Mary”

Policy Brief Assignment
Policy Brief Assignment
Permalink:
Select a public health issue and write a 750-1,000 word policy brief that provides a brief summary of the issue, options to solve the issue, and the best way to solve this issue. Select a public health issue from one of the following American Public Health Association websites: Climate Change () or Topics and Issues ().
Follow this outline when writing the policy brief:
Identify issue.
Background information – (a) Population effected; (b) Local, state or national level; and (c) Evidence about the issues supported by resources
Problem statement.
Suggestions for addressing the issue (solutions) – (a) Including necessary stakeholders (government officials, administrator); and (b) Include budget or funding considerations, if applicable
Impact on the Health Care Delivery System
Include three peer-reviewed sources and two other sources to support the policy brief.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Select a public health issue and write a 750-1,000 word policy brief that provides a brief summary of the issue, options to solve the issue, and the best way to solve this issue. Select a public health issue from one of the following American Public Health Association websites: Climate Change () or Topics and Issues ().
Follow this outline when writing the policy brief:
Identify issue.
Background information – (a) Population effected; (b) Local, state or national level; and (c) Evidence about the issues supported by resources
Problem statement.
Suggestions for addressing the issue (solutions) – (a) Including necessary stakeholders (government officials, administrator); and (b) Include budget or funding considerations, if applicable
Impact on the Health Care Delivery System
Include three peer-reviewed sources and two other sources to support the policy brief.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Case Study: Healthcare Data Standardization
Case Study: Healthcare Data Standardization
Permalink:
Case Study
Read the following case study:
A small community hospital in the Midwest has used a homegrown information system for years. The system began in the early 1970s with a financial module. Over time, additional modules were added. A limited number of departments selected a commercial system and interfaces were used to integrate these into the overall functionality of the hospital information system. Except for physicians, most in-house clinical or care-related documentation is online. However, about 15% to 20% of this documentation is done by free text and is not effectively searchable. In addition, the screens, including the drop-down and default values, were built using terms selected by the in-house development team in consultation with clinical staff; thus there is no data dictionary or specific standard language. In the last few years, the hospital has purchased two outpatient clinics (obstetrics and mental health) and a number of local doctor practices. The clinics and doctors’ offices are now being converted to the hospital administrative systems. A few of the clinical applications that are tied directly to the administrative systems such as order entry and results reporting are also being installed.
A major change is being planned. A new chief information officer (CIO) was hired last year and she has appointed a chief medical information officer (CMIO) and a chief nursing information officer (CNIO). No other significant staff changes were made. With her team in place, one of the CIO’s first activities was to complete an inventory of all applications. Rather than continue to build, a decision was made to switch to a commercial vendor and the hospital selected a commercial system.
As a member of the clinical staff with informatics education, the CIO has requested that you develop a training and information presentation for the clinical staff that will:
1· Identify two or more issues with the existing system
2· Provide staff with appropriate “work-around” for using the existing system
3· Provide an overview of two of the standard languages used within the new system including discipline or specialty, updating frequency, and available cross-maps
– One standard language should pertain only to nursing
– One standard language should be multidisciplinary.
4· Obtain clinical staff input, using a five-question survey, of specific methods to support transition to the new system; questions should be open-ended.
PowerPoint Presentation
Directions:
1. Review the case study.
2. Download the provided PowerPoint template to create a presentation that includes:
· Your name on the title slide of the presentation
· Identification of two or more issues with existing system
· Identification of “work-a-round” solutions when using existing system
· Overview of standard language used only in nursing
· Overview of multidisciplinary standard language
· Set of five (5) open-ended survey questions for staff input on transitioning to the new system

Assignment: Gynecologic Health
Assignment: Gynecologic Health
Permalink:
Select a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES :
Subjective: What details did the patient provide regarding her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.
Very Important: Reflection notes: What would you do differently in a similar patient evaluation?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.
Reference
Gagan, M. J. (2009). The SOAP format enhances communication. Kai Tiaki Nursing New Zealand, 15(5), 15.
Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.
Chapter 6, “Care of the Well Woman Across the Life Span” ,“Care of the Woman Interested in Barrier Methods of Birth Control” (pp. 275–278)
Chapter 7, “Care of the Woman with Reproductive Health Problems”
“Care of the Woman with Dysmenorrhea” (pp. 366–368)
“Care of the Woman with Premenstrual Symptoms, Syndrome (PMS), or Dysphoric Disorder (PMDD)” (pp. 414–418)

Assignment: health care organization
Assignment: health care organization
Review the performance dashboard for a health care organization, as well as relevant local, state, and federal laws and policies. Then, write a report for senior leaders in the organization that communicates your analysis and evaluation of the current state of organizational performance, including a recommended metric to target for improvement.
Maintaining standards and promoting quality in modern health care are crucial, not only for the care of patients, but also for the continuing success and financial viability of health care organizations. In the era of health care reform, health care leaders must understand what quality care entails and how quality in health care connects to the standards set by relevant federal, state, and local laws and policies. An understanding of relevant benchmarks that result from these laws and policies, and how they relate to quality care and regulatory standards, is also vitally important.
· Health care is a dynamic, complex, and heavily regulated industry. For this reason, you will be expected to constantly scan the external environment for emerging laws, new regulations, and changing industry standards. You may discover that as new policies are enacted into law, ambiguity in interpretation of various facets of the law may occur. Sometimes, new laws conflict with preexisting laws and regulations, or unexpected implementation issues arise, which may warrant further clarification from lawmakers. Adding partisan politics and social media to the mix can further complicate understanding of the process and buy-in from stakeholders.
How many health care laws can you name that affect your practice in your current or future workplace? How do they impact your daily work? How many regulatory agencies oversee the types of services your health care organization provides? Which regulatory agencies apply to your workplace setting? Are you familiar with the process of complying with those agencies in order to maintain certification? You might be overwhelmed as you consider these broad questions.
· As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend or family member, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
What local, state, or federal health care policies or laws set benchmarks and standards reflected in performance dashboards common in your professional area of practice?
· What are the potential challenges or opportunities for health care organizations or interprofessional teams in meeting prescribed performance benchmarks and standards? Factors you might consider include the organization’s mission, its size and resources, operational policies and procedures, and the population the organization serves.
· Preparation
For this assessment, you may choose one of the following three options for a performance dashboard to use as the basis for your benchmark evaluation.
Option 1: Dashboard and Health Care Benchmark Evaluation Simulation
If you decide to use one of the simulation dashboards for your evaluation, review both dashboards, as well as the relevant local, state, and federal laws and policies linked in each dashboard. Choose one of the dashboards and consider the metrics within it that are falling short of the prescribed benchmarks.
Option 2: Actual Dashboard From a Professional Practice Setting
If you choose an actual dashboard from a professional practice setting for your evaluation, be sure to add a brief description of the organization and setting that includes:
· The size of the facility that the dashboard is reporting on.
· The specific type of care delivery.
· The population diversity and ethnicity demographics.
· The socioeconomic level of the population served by the organization.
Note: Ensure that your data is Health Insurance Portability and Accountability Act (HIPAA) compliant. Do not use any easily identifiable organization or patient information.
Option 3: Hypothetical Dashboard Based on a Professional Practice Setting
If you have a sophisticated understanding of dashboards that are relevant to your own practice, you may also construct a hypothetical dashboard for your evaluation, based on that setting. Your hypothetical dashboard must present at least four different metrics, at least two of which must be under-performing the relevant benchmark set forth by a federal, state, or local laws or policies. In addition, be sure to add a brief description of the organization and setting that includes:
· The size of the facility that the dashboard is reporting on.
· The specific type of care delivery.
· The population diversity and ethnicity demographics.
· The socioeconomic level of the population served by the organization.
Note: Ensure that your data is HIPAA compliant. Do not use any easily identifiable organization or patient information.
Report Requirements
Structure your report in such a way that it would be easy for a colleague or supervisor to locate the information they need. Be sure to cite relevant local, state, or federal health care laws or policies when evaluating metric performance against prescribed benchmarks. Cite an additional 2–4 credible sources to support your analysis and evaluation of the challenges in meeting the benchmarks, the potential for performance improvement, and your advocacy for ethical action.
Note: The tasks outlined below correspond to grading criteria in the scoring guide.
In your report, be sure to:
· Evaluate dashboard metrics against the benchmarks set by local, state, or federal health care laws or policies.
9. Which metrics are below the mandated benchmarks in the organization? Evaluate weaknesses within the entire set of benchmarks.
9. What are the local, state, or federal health care laws or policies that set these benchmarks?
. Analyze challenges that meeting prescribed benchmarks can pose for the organization or for an interprofessional team.
10. What are the specific challenges or opportunities that the organization or interprofessional team might have in meeting the benchmarks? For example, consider:
1. The strategic direction of the organization.
1. The organization’s mission.
1. Available resources:
3. Staffing.
3. Operational and capital funding.
3. Physical space.
3. Support services (any ancillary department that supports a specific care unit in the organization, such as a pharmacy, cleaning services, and dietary services).
1. Cultural diversity in the organization.
1. Cultural diversity in the community.
1. Organizational processes and procedures.
10. How might these challenges be contributing to benchmark underperformance?
. Evaluate a benchmark underperformance in the organization or interprofessional team that has the potential for greatly improving overall quality or performance.
11. Which metric is underperforming its benchmark by the greatest degree?
11. Which benchmark underperformance is the most widespread throughout the organization or interprofessional team?
11. Which benchmark affects the greatest number of patients?
11. Which benchmark affects the greatest number of staff?
11. How does this underperformance affect the community the organization serves?
11. Where is the greatest opportunity for improvement in the overall quality or performance of the organization or interpersonal team—and ultimately in patient outcomes?
. Advocate for ethical action in addressing the benchmark underperformance that has the potential for greatly improving overall quality or performance.
12. At which group of stakeholders should your advocacy be directed? Which group could be expected to take the appropriate action to improve the benchmark metric?
12. What are some ethical actions that the stakeholder group could take that support improved benchmark performance?
12. Why should the stakeholder group take action?
. Communicate your findings and recommendations in a professional and effective manner.
13. Ensure that your report is well organized and easy to read.
13. Write clearly and logically, using correct grammar, punctuation, and mechanics.
. Integrate relevant sources to support your arguments, correctly formatting source citations and references using current APA style.
14. Did you cite relevant local, state, or federal health care laws or policies when discussing the mandated benchmarks?
14. Did you cite an additional 2–4 credible sources to support your analysis, evaluation, and advocacy?

Assignment: access to health care
Assignment: access to health care
Permalink:
Question 1 Statistics for 2008 to 2009 indicated that 207% of children lived in poverty What health implications can be drawn from this statistic?
Select all that apply
1. These children run a higher risk of poor overall health status.
2. Public health clinics can provide preventive care.
3. Medicaid assistance can enable these children to receive health care.
4. Increased funding for children’s health has resulted from these statistics.
Question 2 Which criterion limits access to health care?
1. No public transportation
2. Employment opportunities
3. Transition programs for newly arrived legal residents
4. Advocacy groups for immigrants
Question 3 A patient in the Emergency Department is concerned about the cost of treatment because of no financial income What areas would the nurse include when assessing this patient?
Select all that apply
1. Preventive care
2. Nutritional status
3. Number of accidents
4. Shelter
5. Status of current immunizations
Question 4 While taking the health history, a Black Hispanic patient tells the nurse about having difficulty finding employment The nurse realizes that which is a factor that causes income disparity within this segment of the population?
1. Shift to labor requiring higher technological skills
2. Increase in the real minimum wage potential
3. Increase in traditional labor skills for these groups
4. Shift of skilled jobs to unskilled labor
Question 5 The nurse notes that a larger number of foreign-born patients are being seen in the hospital From which countries are the majority of foreign-born legal permanent residents?
Select all that apply
1. Mexico
2. China
3. India
4. Europe
5. South America
Question 6 A patient explains how a former job has been outsourced to another country What impact has globalization had on the economy?
1. Increased income inequality for some groups in the United States
2. Improved income for all minority groups in the United States
3. Increased membership in labor unions
4. Decreased immigration
Question 7 Legal permanent residents tend to initially settle in urban areas What can be inferred from this?
1. Employment may be found but will probably be in lesser-paying jobs.
2. Unemployment will not be a concern.
3. Employment is easy to obtain in urban areas.
4. Income earning potential is higher.
Question 8 A foreign-born patient tells the nurse about preparing for the naturalization exam What kinds of questions will be on this exam?
Select all that apply
1. Questions about the Constitution
2. Parts of the US government
3. Who makes federal laws
4. The number of justices on the Supreme Court
5. Words of the US national anthem
Question 9 While shifts in the population profile are occurring, what is an important consideration to address in health care?
1. Cultural health needs of varying groups must be considered.
2. Health care needs to be streamlined for consistent care delivery.
3. More physicians need to be trained to deliver health care.
4. Health care providers need to be younger to care for an aging population.
Question 10 According to the 2010 Census, the percentage of the 65+ population of White non-Hispanics is at 13% How will health planning needs be affected by this percentage?
1. This population will have greater demands on the health care system as it ages.
2. Planning needs for other segments of the population can be revised downwards.
3. There is no need to increase manufacture of childhood immunizations.
4. Cultural accommodations for other minority groups can be decreased.
Question 11 A patient tells the nurse that she lives in Section 8 housing The nurse realizes that eligibility for this program is determined by:
1. Low-income guidelines
2. Family size
3. Geographic address
4. Employment history
Question 12 A patient, an immigrant from another country, is waiting to be seen in the Emergency Department What difficulties is this patient dealing with since coming to a new country?
Select all that apply
1. Learning a new language
2. Adapting to a new climate
3. Eating new foods
4. Fitting in with the new culture
5. Rejecting old customs in favor of new ones
Question 13 The nurse is comparing the patient population at a health care organization with the US Bureau of the Census population statistics Which statement would the nurse use to make this comparison?
1. The percentage of US citizens who were people of color in 2010 was 36.3% of the population.
2. The percentage of Black Americans dropped considerably between 2000 and 2010.
3. People of color are the majority population within the United States.
4. People of color as a percentage of the overall US population are decreasing.
Question 14 Prior to completing an admission assessment, a foreign-born patient provides the nurse with a green card What does this green card represent?
Select all that apply
1. Proof of legal permanent residency
2. All rights of a US citizen with exceptions
3. Inability to vote
4. Restrictions to become a citizen
5. Automatic US citizenship
Question 15 When determining health care needs for a patient population, the health care organization analyzes the percentage of races represented within the organization with those of the US Census What was the change in the White population between the 2000 and 2010 censuses?
1. 2.7%
2. 1.2%
3. 0.3%
4. 3.8%
Question 16 While completing demographics for a new admission, the nurse notes that there are separate categories for race and Hispanic originWhat influenced this change to occur in demographic data reporting?
1. Federal guidelines written in 1997 separated race and Hispanic origin as two separate concepts.
2. The number of people identified as non-White was increasing out of proportion to the population.
3. Identifies which health plans the patient is eligible to enroll in
4. Better differentiates categories within the African-American group
Question 17 How might immigration contribute to income inequality in the United States?
1. Many immigrants’ willingness to do jobs for less money than native-born residents
2. Being the primary income earners in the family
3. Advocating for higher minimum wages
4. A willingness to join labor unions as in previous immigrant trends
Question 18 Which characteristic would the nurse assess in a family experiencing multi-generational poverty?
1. Repeated cycles of decreased educational opportunities leading to poorer income potential and poorer health outcomes
2. Members not wishing to improve their life circumstances
3. Decreased interest by lawmakers in reducing poverty circumstances
4. Increased government efforts to provide money to improve incomes
Question 19 The health care administrator is comparing the 2000 Census Bureau data with patient demographic data Which cultural group represented 125% of the population in 2000?
1. Hispanic or Latino
2. Asian
3. African American
4. American Indian and Alaskan Native
Question 20 What does the nurse identify as reasons why income influences health?
Select all that apply
1. Increases access to health care
2. Enables people to live in better neighborhoods
3. Enables people to afford better housing
4. Enables people to live in areas without environmental hazards
5. Reduces despair

Assignment: Communications satellites
Assignment: Communications satellites
Permalink:
English Bravo
Background information- use below site for reference
Put the following syllogisms into standard form using letters to represent the terms, and name the mood and figure. Then use the two lists of valid syllogistic forms to determine whether each is valid from the Boolean standpoint, valid from the Aristotelian standpoint, or invalid. answers) Shade the venn diagrams Assignment: Communications satellites
6. Some African American nations are countries deserving military aid, because some African American nations are not upholders of human rights, and all countries deserving military air are upholders of human rights.
7.All pranksters are exasperating individuals, consequently some leprechauns
are exasperating individuals, since all leprechauns are pranksters.
All P are E
All L are P
Some L are E
AAI-
invalid
8. Some racists are not people suited to be immigration officials, given that
some humanitarians are not people suited to be immigration officials, and no
humanitarians are racists.
9. No people who respect human life are terrorists, and all airline hijackers
are terrorists. Hence, no airline hijackers are people who respect human
life.
10. Some silicates are crystalline substances, because all silicates are oxygen
compounds, and some oxygen compounds are not crystalline substances.
III. Reconstruct the syllogistic forms from the following combinations of mood and
Some O are not C
All S are O
Some S are O
OAI-1
invalid
Reconstruct the syllogistic forms from the following combinations of moods and figure.
6. EAO-4
E No M are P
A All M are S
O Some S are not P
7. AAA-1
A
A
A
8. EAO-2
E
A
O
9. OEI-3
O
E
I
10. OEA-4
O Some P are not M
E No M are S
A All S are P
For the following- Use Venn diagrams to determine whether the following standard form categorical syllogism are valid from the Boolean standpoint, valid from the Aristotelian standpoint, or invalid. The identify the mood and figure
15. Some communications satellites are rocket-launched failures.
All communications satellites are devices with antennas.
Therefore, some devices with antennas are rocket-launched failures.
16. All currently living dinosaurs are giant reptiles.
All giant reptiles are ectothermic animals.
Therefore, some ectothermic animals are currently living dinosaurs.
All C are G
All G are E
Some E are C
AAI-4
invalid
17. All survivalists are people who enjoy simulated war games.
No people who enjoy simulated war games are soldiers who have tasted the
agony of real war.
Therefore, all soldiers who have tasted the agony of real war are survivalists.
18. No spurned lovers are Valentine’s Day fanatics.
Some moonstruck romantics are Valentine’s Day fanatics.
Therefore, some moonstruck romantics are not spurned lovers.
19. No theocracies are regimes open to change.
All theocracies are governments that rule by force.
Therefore, some governments that rule by force are not regimes open to
change.
No S are I
All S are N
Some N are not I
EAO-3
Invalid, Boolean,
Valid Aristotelian
20. Some snowflakes are not uniform solids.
All snowfl akes are six-pointed crystals.
Therefore, some six-pointed crystals are not uniform solids
6-10 Use a VENN diagram to obtain the conclusion that is validly implied by each of the following sets f premises. If no conclusion can be validly dram, “no conclusion”
6
. No M are P.
Some S are not M.
Conclusion
7
. All M are P.
All S are M.
Conclusion All S are P
8
. All P are M.
All S are M.
Conclusion All S are P
9
. No P are M.
Some M are S.
Conclusion No P are S
10. No P are M.
No M are S.
Conclusion : NONE
15-20 Reconstruct the following syllogistic forms and use the five rules for syllogisms to determine is they are valid from the Boolean standpoint, conditionally valid from the Aristotelian standpoint, or invalid. For those that are conditionally valid, identify the condition that must be fulfilled.
15. EAO-3
16 EEE-1 No M are P
No S are M
No S are P
Invalid;
Exclusive premises
17 EAE -1
18 OAI -3
19 AOO 2
All P are M
Some S are nt M
Some S are not P
Valid; Boo ean No rules broken
20 EAO 1

Assignment: Theory in Healthcare Informatics
Assignment: Theory in Healthcare Informatics
Permalink:
Part one:
Discuss your current practice setting (I work on a cardiac unit) and how informatics is involved in your practice. Include what work-related tasks you complete using healthcare informatics and what server your facility uses (We use epic) . Lastly, think of one or two topics for the Signature Assignment project (look ahead to Module 8 for details) you will complete during this course and provide a brief description.
Please provide a brief description of Electronic Health Records: as this would be the topic for my project
Part two:
Assignment:
Introduction to Theory in Healthcare Informatics
Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.
Write an essay addressing the following prompts:
Electronic health records (EHRs) are easier to read than the paper charts of the past, but many complain that healthcare providers are focusing too much on the computer screen instead of the patient.
Is this due to lack of skill or training, poor computer system design, or just the nature of computer charting?
Is patient care suffering from the implementation of EHRs?
Charting in an EHR consist of clicking boxes, do you feel this provides enough detail about the patient, condition, and events if there was a law suit?
Hebda, Hunter and Czar (2019) identify three types of data that is currently being tracked by organizations (p. 46).
Identify and explain another type of data, specific to your practice, that is being tracked by an organization.
Why do you feel this data is important to track?
Identify and discuss the organization that is tracking the data.
Are there any ethical concerns with an outside organization tracking this data, explain and give examples?
In this week’s discussion post, you identified and explain the topic selected for the project.
Provide a description of your selected topic based on input from the discussion forum. What is your project, why is it relevant to this class, and why is it important to you?
Identify an informatics/healthcare theory from pages 29-30 of the textbook that aligns with the project and explain why.

Discussion: Assessing Genitalia and Rectum
Discussion: Assessing Genitalia and Rectum
Permalink:
IT IS A SOAP NOTE, PROFESSOR ONLY ACCEPTED CLASS RESOURCES.
Patients are frequently uncomfortable discussing with health care professional’s issues that involve the genitalia and rectum; however, gathering an adequate history and properly conducting a physical exam are vital. Examining case studies of genital and rectal abnormalities can help prepare advanced practice nurses to accurately assess patients with problems in these areas.
In this assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.
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.
GENITALIA ASSESSMENT
Subjective:
CC: “I have bumps on my bottom that I want to have checked out.”
HPI: AB, a 21-year-old WF college student reports to your clinic with external bumps on her genital area. She states the bumps are painless and feel rough. She states she is sexually active and has had more than one partner over the past year. Her initial sexual contact occurred at age 18. She reports no abnormal vaginal discharge. She is unsure how long the bumps have been there but noticed them about a week ago. Her last Pap smear exam was 3 years ago, and no dysplasia was found; the exam results were normal. She reports one sexually transmitted infection (chlamydia) about 2 years ago. She completed the treatment for chlamydia as prescribed.
PMH: Asthma
Medications: Symbicort 160/4.5mcg
Allergies: NKDA
FH: No hx of breast or cervical cancer, Father hx HTN, Mother hx HTN, GERD
Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
Objective:
VS: Temp 98.6; BP 120/86; RR 16; P 92; HT 5’10”; WT 169lbs
Heart: RRR, no murmurs
Lungs: CTA, chest wall symmetrical
Genital: Normal female hair pattern distribution; no masses or swelling. Urethral meatus intact without erythema or discharge. Perineum intact with a healed episiotomy scar present. Vaginal mucosa pink and moist with rugae present, pos for firm, round, small, painless ulcer noted on external labia
Abd: soft, normoactive bowel sounds, neg rebound, neg murphy’s, neg McBurney
Diagnostics: HSV specimen obtained
Assessment:
Chancre
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:
Refer to Chapter 5 of the Sullivan text. Analyze the SOAP note case study. Using evidence based resources, answer the following questions and support your answers using current evidence from the literature.
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?
Would diagnostics 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.
CALSS RESOURCES
Learning Resources
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 16, “Breasts and Axillae” (pp. 350-369)
This chapter focuses on examining the breasts and axillae. The authors describe the examination procedures and the anatomy and physiology of breasts.
Chapter 18, “Female Genitalia” (pp. 416-465)
In this chapter, the authors explain how to conduct an examination of female genitalia. The chapter also describes the form and function of female genitalia.
Chapter 19, “Male Genitalia” (pp. 466-484)
The authors explain the biology of the penis, testicles, epididymides, scrotum, prostate gland, and seminal vesicles. Additionally, the chapter explains how to perform an exam of these areas.
Chapter 20, “Anus, Rectum, and Prostate” (pp. 485-500)
This chapter focuses on performing an exam of the anus, rectum, and prostate. The authors also explain the anatomy and physiology of the anus, rectum, and prostate.
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 5, “Amenorrhea” (pp. 47-60)
Amenorrhea, or the absence of menstruation, is the focus of this chapter. The authors include key questions to ask patients when taking histories and explain what to look for in the physical exam.
Chapter 6, “Breast Lumps and Nipple Discharge” (pp. 61-72)
This chapter focuses on the important topic of breast lumps and nipple discharge. Because breast cancer is the most common type of cancer in women, it is important to get an accurate diagnosis. Information in the chapter includes key questions to ask and what to look for in the physical exam.
Chapter 7, “Breast Pain” (pp. 73-80)
Determining the cause of breast pain can be difficult. This chapter examines how to determine the likely cause of the pain through diagnostic tests, physical examination, and careful analysis of a patient’s health history.
Chapter 27, “Penile Discharge” (pp. 318-324)
The focus of this chapter is on how to diagnose the causes of penile discharge. The authors include specific questions to ask when gathering a patient’s history to narrow down the likely diagnosis. They also give advice on performing a focused physical exam.
Chapter 36, “Vaginal Bleeding” (pp. 419-433)
In this chapter, the causes of vaginal bleeding are explored. The authors focus on symptoms outside the regular menstrual cycle. The authors discuss key questions to ask the patient, as well as specific physical examination procedures and laboratory studies that may be useful in reaching a diagnosis.
Chapter 37, “Vaginal Discharge and Itching” (pp. 434-445)
This chapter examines the process of identifying causes of vaginal discharge and itching. The authors include questions on the characteristics of the discharge, the possibility of the issues being the result of a sexually transmitted infection, and how often the discharge occurs. A chart highlights potential diagnoses based on patient history, physical findings, and diagnostic studies.
Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F. A. Davis.
Chapter 3, “Adult Preventative Care Visits” (“Gender Specific Screenings”; pp. 48–49)Note: Download the Physical Examination Objective Data Checklist to use as you complete the Head-to-Toe Physical Assessment Video assignment.
Sabbagh, C., Mauvis, F., Vecten, A., Ainseba, N., Cosse, C., Diouf, M., & Regimbeau, J. M. (2014). What is the best position for analyzing the lower and middle rectum and sphincter function in a digital rectal examination? A randomized, controlled study in men. Digestive and Liver Disease, 46(12), 1082–1085. doi:10.1016/j.dld.2014.08.045
Retrieved from the Walden Library Databases.
Westhoff, C. L., Jones, H. E., & Guiahi, M. (2011). Do new guidelines and technology make the routine pelvic examination obsolete? Journal of Women’s Health, 20(1), 5–10.
Retrieved from the Walden Library databases.
This article describes the benefits of new technology and guidelines for pelvic exams. The authors also detail which guidelines and technology may become obsolete.
Required Media
Optional Resources
LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical.
Chapter 8, “The Chest: Chest Wall, Pulmonary, and Cardiovascular Systems; The Breasts” (Section 2, “The Breasts,” pp. 434–444)
Section 2 of this chapter focuses on the anatomy and physiology of breasts. The section provides descriptions of breast examinations and common breast conditions.
Chapter 11, “The Female Genitalia and Reproductive System” (pp. 541–562)
In this chapter, the authors provide an overview of the female reproductive system. The authors also describe symptoms of disorders in the reproductive system.
Chapter 12, “The Male Genitalia and Reproductive System” (pp. 563–584)
The authors of this chapter detail the anatomy of the male reproductive system. Additionally, the authors describe how to conduct an exam of the male reproductive system.
Review of Chapter 9, “The Abdomen, Perineum, Anus, and Rectosigmoid” (pp. 445–527)

Case Assignment: Healing And Autonomy
Case Assignment: Healing And Autonomy
Permalink:
Write a 1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:
Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?
Prepare this assignment according to the guidelines found in the APA Style Guide.
Write a 1,500 word analysis of “Case Study: Healing and Autonomy.” In light of the readings, be sure to address the following questions:
Under the Christian narrative and Christian vision, what sorts of issues are most pressing in this case study?
Should the physician allow Mike to continue making decisions that seem to him to be irrational and harmful to James?
According to the Christian narrative and the discussion of the issues of treatment refusal, patient autonomy, and organ donation in the topic readings, how might one analyze this case?
According to the topic readings and lecture, how ought the Christian think about sickness and health? What should Mike as a Christian do? How should he reason about trusting God and treating James?
Prepare this assignment according to the guidelines found in the APA Style Guide.