week 2 milestone

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Purpose

The purpose of this assignment is to demonstrate the skills of the professional nurse as an educator. You are to prepare a patient scenario based on the 
required assigned topic (Diabetes). You will choose 
an already-developed and reliable mHealth app to educate your patient.

Preparing the Assignment

Select ONE of the 
Health Conditions or 
Health Behaviors for the focus of your assignment through the Healthy People 2030 link below:

https://health.gov/healthypeople/objectives-and-data/browse-objectivesLinks to an external site.

Note:  It is crucial to choose your Health Condition or Health Behavior first, then develop a short but detailed patient scenario (See the video tutorial, assignment directions, and rubric for details about the scenario.) Then, explore a mobile health app (mHealth app) that fits the patient and the topic.

Requirements and Guidelines

·
Write your own patient scenario using the 
Required Assignment Topic.

· Make sure to include a 
Healthy People 2030 Health Condition or 
Health Behavior in the scenario for a patient who desires to maintain or achieve good health and prevent illness and who could benefit from 
an already developed and reliable mHealth app from the internet.

· Choose a 
scholarly peer-reviewed journal article published within the last 5 years and related to your scenario's health condition or health behavior. This required article citation MUST appear in the 
Patient Scenario section of the paper and support your chosen health topic. You may use other citations/references in your paper; however, these would be optional. The Chamberlain Library is your best place to obtain this article. Cite this in APA 7th edition format in this section of the assignment.

·
Describe in detail the plan for teaching this patient in the scenario.

· Include the nurse's assessment of learning needs and readiness to learn.

·
Identify a mHealth app that could benefit the patient, considering the teaching/learning needs you identified.

· Tips for your internet search for an appropriate mHealth app:

· The iPhone App Store and Google Marketplace let you search for apps based on keywords such as “health” or more specific topics such as “weight loss,” “stress,” and “diabetes.” Look through the descriptions of apps that come up in your results. Does the app address the health concern you have identified? Does it do what you’re looking for with this specific patient? For example, if you’re interested in having your patient track their sleep habits, does the app do this? Please reach out to your instructor if you have questions about a particular mHealth app for this assignment.

· Describe the app, including the mHealth app name, purpose, intended audience, mobile device(s) upon which it will operate, and where to download or obtain it. Add any other information you believe would be pertinent to this situation.

· Include a working link if it is to be downloaded from a website in the area indicated on the template.   

· Make sure to add a citation for this mHealth app in APA format.  The directions and examples of how to cite a mobile app are located on page 340 of the APA Manual, 7th edition.

List your 2 references.  One will be the mHealth app reference, and the other will be your scholarly article reference.

PSYCHOTHERAPY FOR CLIENTS WITH ADDICTIVE DISORDERS

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See attachement for instructions 

questions

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[removed]

Replies week 4 MSN5300

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 Please include a 200 words in two answers to peers 

 

1.The economic and human costs associated with Alzheimer’s disease have prompted various research studies into the matter. A key topic of research and evaluation is the family’s role or obligation in caring for Alzheimer’s patients, especially parents. Such studies need to incorporate ethical considerations as they involve human beings, sensitive and vulnerable medical and care information, and contribute to knowledge development of the matter; thus, they should be done in the right way to improve the credibility and reliability of the information in the research. Ethical considerations are guidelines and principles that guide research and ensure the research process does not violate any human rights or academic regulations.

Martinez et al. (2022) conducted a qualitative study to understand the dynamics of caregiving of patients with Alzheimer’s within the Latino community because of their emphasis on familism. The study conducted interviews as its primary data collection method, which mandated various ethical considerations. Therefore, Martinez et al. obtained approval from their university’s Institutional Review Board, and informed consent was obtained before the interview. In another study to understand the caregiver’s perception of the unmet palliative care needs in Iranian Alzheimer’s patients, Ashrafizadeh et al. (2021) conducted a qualitative study. In this study, the authors mention that they incorporated various ethical considerations, including approval by the respective university’s Ethics committee. Additionally, they incorporated the voluntary nature of participation, obtained informed written consent forms and anonymity of the participants, and informed them of their right to withdraw from the study at any point. Further, they ensured the confidentiality of the information provided by the participants and guaranteed of using the said information for the sole purpose of the research.

In a cross-sectional study that involved fifty formal caregivers and fifty informal caregivers of Alzheimer’s disease patients, Sołtys & Tyburski (2020) sought to understand the predictors of mental health problems among these caregivers. The authors ensured that all surveyed caregivers willingly agreed to participate, and an ethics committee approved the study. Also, participants provided informed consent. Ashrafizadeh et al. (2021) ethical approach was relatively different, as the key ethical considerations were approval and the participant’s rights. This is seen in how the study guaranteed anonymity by providing nicknames for the participants that also assured confidentiality of the information provided. The participants were also assured of the publication of the results. At the same time, the authors obtained both oral and written consent to ensure the participants understood their involvement, including their right to withdraw from the study. Ethical considerations are similar as long as they involve human participants, even through virtual communication. Rodríguez-Mora et al conducted their interviews virtually but also had to seek informed consent and approval, and in this case, ensure no harm came to the participants by upholding the containment measures as the study was conducted during the recent pandemic.

2. Ethical approaches in research studies entail setting principles that help achieve the goal of research designs and practices. The approaches help the researchers to achieve a code of conduct when interacting with people to collect data. The primary goals of any short or comprehensive research entail enhancing the research validity, maintaining scientific or academic integrity, and acknowledging researchers who performed various research earlier. These practices are mainly for the research conducted using printed or recorded data sources.

Human research entails comprehensive ethical considerations, with voluntary participation being one of them. There is no pressure or compulsion used on any research participants to participate. Everyone enrolled in the study can stop at any time without feeling obligated to continue (Newman et al., 2021). Participants cannot be coerced into justifying leaving the study. As a result, it is critical to make it evident to participants that declining to participate will not have any detrimental effects.

Another consideration is whether participants provided informed consent and where the data was collected. The prospective participants should be provided with and comprehend the information necessary for making a participation decision (Newman et al., 2021). This includes information about the study’s advantages, hazards, funding, and institutional endorsement. Participants should be given a text to read and asked if they have any questions before proceeding. They can initial or sign the consent form if they are willing to participate. When working with particularly vulnerable groups of people, remember that this might not be enough to obtain informed consent.

Further confidentiality must be integrated into research by granting all participants the right to privacy. The researchers must protect participants’ data for a long provided they hold it (Horton & Lucassen, 2023). this consideration should be maintained when the data is collected anonymously. Assumptions such as research process grant confidentiality automatically grants confidentiality should not be taken (Horton & Lucassen, 2023). Some research designs are not conducive to confidentiality, but it is essential to make all attempts and inform participants of the risks involved. Therefore, achieving confidentiality should be explicitly planned for and met by the researchers.

In conclusion, ethical approaches to conducting research should entail observing a code of conduct that enhances research validity when collecting, storing, and interpreting data. Academic integrity should be considered when dealing with records. In human research, participants should be allowed to provide data voluntarily. They should be informed of the research details before being subjected to the research participation. Confidentiality of personal information should be significantly upheld even when research designs do not appear to favor confidentiality. Thus, researchers must ensure that research validity is enhanced by taking the ideal measures of research ethics.

political

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Kimberly Moken

Option 1:

Contemporary presidential campaigns are using social media as a campaign tool by posting on media outlets such as Twitter and Facebook. Social media could be a successful tool to use for a presidential campaign because you can reach more people and you can reach people who do not follow politics. “Social media and its highly visible environment provides presidential candidates the ideal platform to promote themselves, articulate their policy goals, and interact with voters – directly and without the filter of the mainstream media.” (Hwang, 2016) It’s also a way for them to get their message out there without spending a significant amount of money. Messages are posted on a feed or recorded and posted to their social media account for voters to go back and read or watch the videos at a time that is convenient for them. “Some have argued that Donald Trump’s success in the 2016 Republican primaries and caucuses was, in part, a product of his ability to take advantage of media outlets’ insatiable desire to attract viewers, listeners, and readers.” (Greenberg, 2018, p.143) Before social media, voters had to catch it live on television or read about it in the newspaper. Social media has made it easier for Americans to access information about the political candidates.

 

Hwang, A. S. (2016).
Social Media and the Future of U.S. Presidential Campaigning. Google Scholar. Retrieved September 25, 2023, from

https://scholarship.claremont.edu/cgi/viewcontent.cgi?article=2328&context=cmc_theses

Greenberg, E. S., & Page, B. I. (2018). 
The Struggle for Democracy, 2018 Elections and Updates Edition (12th ed.). Pearson Education (US). 

https://ambassadored.vitalsource.com/books/9780135246849


Links to an external site.


Reply

DUE REAL 1

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Name: Linda McCarthy
Age: 86 years
Provider: K. Townsend MD
Codestatus: DNI
BMI: 24.1
Allergies: penicillin, atorvastatin, red dye, latex
Admitweight: 145 lbs (65.8kg)

Linda McCartchy had a rough night. She was pretty restless and only slept two hours.
This morning she was having an issue with her hearing aids not working. They kept
whistling. I went to change the batteries, but she was out of them. Her family will be
bringing them in later today.

Nursing Assessments and notes

11/1
0700

Neuro/Cognitive: Alert and oriented to person and place. She intermittently
confused and called staff by the names of her children. Speech raspy. 4/5
strength in all extremities.
Cardiovascular: S1 and S2 heart sound present. Heart rate regular and even.
No edema was noted. Pedal pulses +2, radial pulses +3. Capillary refill less
than 3 seconds.

Respiratory: Even, regular, unlabored. Lung sounds wheezing through all
lung fields. Chronic dry cough. Wears 2 L via nasal cannula chronically.

Gastrointestinal: BS present x 4 quadrants. Abdomen soft, non-distended,
non-tender. Last bowel movement 2 days ago.

Genitourinary: Occasional stress incontinence.

Integumentary: Scattered bruising. Various stages of healing.

Sensory: Hard of hearing. Wears hearing aids and glasses.

11/1
0730

ADLs: Independent with utensil holders
Activity: Ambulated 100 feet with a roller walker

11/1
0830

Nursing Note: Client resting quietly in bed. Looking out the window, not
responding to staff prompts for verbal interaction. Moves all extremities
appropriately. Morning medications were administered without difficulty. Able
to state name but unsure of her birthday. Up in the hall with physical therapy.
Shuffling gait with use of a rolling walker.

11/1
1100

Nursing Note: RN called to bedside. The client stated that the staff took her
favorite earrings. Earrings were found in the client’s tissue box at the bedside.

11/1
2015

Nursing Note: Client evening hygiene offered. The client begins yelling, “No!
No! No!” as staff offer to assist with teeth brushing and denture care. Attempts
were made to deescalate the client and place her hearing aids so that she
could hear the conversation. The client begins attempting to hit and bite staff.
Client sitting in bed. Staff leave room to reduce stimulation.

11/1
2015

Neuro/Cognitive: Alert, oriented to self only. She believes it is 1965 and that
there are strangers in her house. Client calling out for her mother. Extremely
hard of hearing with hearing aids in place.

11/2
0700

Nursing Note: The client is awake in bed, staring around her room, rubbing
her eyes, and frequently yawning. Noted to have redness and purulent
drainage from right eye. Provider notified; prescriptions received.

11/2
0900

Nursing Note: Appetite poor, ate 5 small bites only, Drank a cup of juice.
Weight down. Will encourage protein supplement drinks between meals.

Date Intake Source & Amount

11/1 0700 Oral 240 mL

11/1
0900

Client Information:
Medical History: Presbyopia, bilateral cataracts, Alzheimer’s dementia,
hearing loss, hypertension, hyperlipidemia, osteoarthritis, ambulatory
dysfunction, chronic obstructive pulmonary disease

Medications:
● Rivastigmine 6 mg by mouth twice daily
● Lisinopril 20 mg by mouth daily
● Ezetimibe 10 mg by mouth daily
● Simvastatin 40 mg by mouth daily
● Docusate sodium 100 mg by mouth daily
● Polyethylene glycol 17 g by mouth daily – diluted in 8 oz of beverage
● Duloxetine 60 mg by mouth daily
● Artificial tears 1-2 drops into eyes PRN for dry eyes
● Oxygen 2L/NC PRN for difficulty breathing

11/2 0730 Prescriptions:
● Ciprofloxacin ocular ointment 0.5-inch right eye three times

daily

discussion reply 3

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provide further suggestions on how their database search might be improved. use 2 sources 

The PICO(T) question is, “Among hospitalized patients, does using two identifiers compared to one reduce medical errors?” My clinical issue of interest is the reduction of medical errors. Medical errors are gaps in care that bear potential or actual capacity to harm the patient, such as inaccurate diagnosis and incomplete diagnosis (Aljabari & Kadhim, 2021). These have the ripple effect of inappropriate investigations and treatment, then adverse care outcomes (Aljabari & Kadhim, 2021). Some solutions to medical errors include proper identification of patients, thorough history taking, and comprehensive physical examination. One evidence-based method for patient identification is using two identifiers rather than one (Mroz et al., 2019). Therefore, I am prompted to investigate whether using two identifiers compared to one among hospitalized patients reduces medical errors.

Search results discussion 

Regarding my search results, 19,600 articles appeared on the initial original search. As I added search terms such as two identifiers, one identifier, medical errors, and hospitalized patients using Boolean operators such as AND, NOT, and AND NOT, the number of articles appearing kept reducing. At first, they declined to 18,500, then to 17,200, and so on, in a declining trend.

Strategies to optimize database search on my PICO(T) question 

There are several strategies I can apply to optimize how effective a database search is while searching my PICO(T) question. These include having a specific search question, using Boolean operators, using more specific keywords, and using fewer synonyms (Degbelo & Teka, 2019). An example of a particular question is a PICO(T) question, which narrows down to a particular population, intervention, control, outcome, and timing. A more specific example is my PICO(T) question that reads, “Among hospitalized patients, does the use of two identifiers compared to one identifier reduce medical errors?” Besides, examples of Boolean operators are OR, AND, NOT, and AND NOT (Degbelo & Teka, 2019). Specific keywords, like particular search questions, direct the search further, optimizing it to give the best results. An example of keywords in my case includes “hospitalized patients,” “two identifiers,” “one identifier,” and “reduce medical errors.” Lastly, using fewer synonyms helps fetch more search results, broadening your search outcome and choosing relevant resources (Degbelo & Teka, 2019). Applying such strategies helps to make the search process more effective and thorough.

References

Aljabari, S., & Kadhim, Z. (2021). Common barriers to reporting medical errors. The Scientific World Journal, 2021, 1–8. https://doi.org/10.1155/2021/6494889Links to an external site.

Degbelo, A., & Teka, B. B. (2019). Spatial search strategies for Open Government Data. Proceedings of the 13th Workshop on Geographic Information Retrieval. https://doi.org/10.1145/3371140.3371142Links to an external site.

Mroz, J. E., Borkowski, N., Keiser, N., Kennel, V., Payne, S., & Shuffler, M. (2019). Learning from medical error: Current directions in research and practice on medical error prevention. Academy of Management Proceedings, 2019(1), 18084. https://doi.org/10.5465/ambpp.2019.18084symposiumLinks to an external site.  

CASE STUDY #1

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Please help me with this assignment. The case study has been attached. 

The Role of Competition in Healthcare

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Competition is prevalent in every industry, and healthcare is no exception. You see healthcare competition on a daily basis in the field of healthcare as providers and organizations compete to increase patient volumes and revenue. Review this link regarding healthcare competition from the point of view of the Federal Trade Commission (FTC), the government agency charged with regulating and monitoring competition.

Find an example of healthcare competition in your local region. This can include things such as competing provider groups, hospitals, or other services.

  • Discuss what these organizations do to help compete with their competitors and draw in more patients, increase visits, and ultimately increase growth.
  • Describe how this competition benefits the consumer.

Interdisciplinary teams

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We have now learned about a number of different careers in Health Professions. What should be evident is that no one in health works alone. Interdisciplinary teams are key to providing good care for patients. An interdisciplinary team is ” a group of healthcare providers from different fields who work together or toward the same goal to provide the best care or best outcome for a patient or group of patients.” 

In 2 paragraphs (3-5 sentences each) please describe an interdisciplinary healthcare team as you envision it. Be specific, list 4 different healthcare professionals you would see treating a patient in the hospital. (You can decide the illness the patient has to give you freedom to be creative with your team. ) Then describe their role on the team and how they work together.