Describe the different types of sexual reproduction seen in animals. How do the blue-headed wrasse and some oysters complicate the concepts of sexual reproduction? Be specific. . Why do both asexual and sexual species reproduce in cycles
Describe three reagents used and the three steps in the process of polymerase chain reaction. Explain the use of an antibiotic resistance gene on a vector.
Describe three reagents used and the three steps in the process of polymerase chain reaction. Explain the use of an antibiotic resistance gene on a vector.
One benefit of utilizing big data is the ability to drill down through large volumes of different types of data to determine patterns of care. With Medicare and Medicaid structuring their pay system upon quality, big data could be used as part of the quality improvement process.
While almost half of the healthcare organizations are using big data to support clinical decision-making, Wang et al. (2018) assert that utilizing this technology to determine patterns of care is another effective approach for healthcare organizations.
For instance, this approach could be used to determine the reason COPD patients are experiencing multiple emergency department visits in one year, improving patient care and reducing unnecessary hospital costs.
Since over ¾ of a healthcare organization’s information is unstructured data in the form of text files (McGonigle & Mastrian, 2022), use of big data systems to glean those patterns of care becomes an essential strategy.
Additionally, patterns of care obtained through big data analytics could further research and establish evidence-based practices. Use of big data analytics will allow researchers to forward an exponential growth in research through digging for patterns of care (Coatney, K., 2018).
Therefore, while not currently a significant use in medicine, I believe healthcare organizations will come to employ big data analytics to determine patterns of care for improved quality, provide better value, and deliver better results in significantly less time.
One challenge of relying on big data analytics to forward a healthcare organization is that data governance is still in its infancy.
While the Health Insurance Portability and Accountability Act of 1996 generally protects patient’s information from being unnecessarily disclosed (Centers for Disease Control and Prevention, 2022), limited legislation or regulatory requirements are given on how a healthcare system can used “stripped” data within their organization.
The most effective method of over coming this challenge is to be as transparent as possible with patients. According to McGonigle and Mastrian (2022), over 80 percent of genetics research companies’ users agreed to information from their individual results to be used for research purposes.
Therefore, if a healthcare provider wants to avoid any ethical or legal concerns regarding the use of an individual’s information in big data analytics projects, the organization should attempt to share as accurately as possible how their data may be used and ask if it may be included for these purposes.
Anticipating future projects specifically can be a challenge as well. Therefore, ethically, organizations may need additional consents when future uses are too far outside of an initial agreement.
This transparency not only protects patients’ rights, but it also allows for more fluid sharing of knowledge as McGonigle and Mastrian (2022) encouraged in their foundations of knowledge model.
References
Centers for Disease Control and Prevention. (2022). Health Insurance Portability and Accountability Act of 1996. https://www.cdc.gov/phlp/publications/topic/hipaa.html#:~:text=The%20Health%20Insurance%20Portability%20and,the%20patient’s%20consent%20or%20knowledge.
Coatney, K.(2018). Big data analytics capabilities, the business value of information technology, and healthcare organizations: The need for consensus in evidence-based medical practices. American Journal of Medical Research, 5(2), 28-33. https://doi.org/10.22381/AJMR5220183.
McGonigle, D. & Mastrian, K. (2022). Nursing Informatics and the Foundation of Knowledge (5th ed.). Jones & Bartlett Learning.
Wang, Y., Kung, L., & Byrd, T. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126, 3-13. https://doi.org/10.1016/j.techfore.2015.12.019
Mrs. A.H is 76 years old widow who lives at home with her grandson. Using an interdisciplinary team approach, identify 2 healthcare team members ,
She has a history of depression, hyperlipidemia, hypertension, and occasional forgetfulness, arthritis, left knee replacement.
She takes over-the-counter ibuprofen to manage her arthritis and she also has a prescription pain medication that she states her grandson takes it because she thinks he needs it more than she does.
she takes care of her finances, shopping, and laundry by herself.
The patient states that she has a retinal detachment to the right eye and a busted blood vessel to the left eye and that she now goes to see an optician every 6 months.
She also stated that she had a cataract removed and she wears contacts.
Using an interdisciplinary team approach, identify 2 healthcare team members (non-nurses) that you anticipate would be essential in caring for the patient. Provide the role name and title.
Be specific about the selected role, providing a rationale for the need and how that role incorporates with professional nursing practice in providing care for the patient.
Describe the role of the polycomb group proteins in maintaining gene repression.
Please be detailed and brief. Also, don’t just copy and paste from google please as I wouldn’t be here if I could understand it from their.
Apply the decision-making framework (McDonald & Then 2019) to this case study (Steps 1-3 only).
Huang is a registered nurse and has recently commenced employment in a regional South Australian town in a large nursing home.
During his shifts he is the only registered nurse in charge of 68 residents, 35 of whom have high care needs.
The majority of high care residents have been diagnosed with dementia or related disorders.
Most of his shift involves completing medication rounds through various wards and documenting records.
The nursing home is constantly plagued with understaffing issues. Huang has little time to attend to the individual needs of residents. Assistants in Nursing provide most of the care to the residents in both the low care and high care wards.
During his first week at the nursing home Huang has witnessed the following incidents in the 12-bed high care dementia ward:
• At any given time up to eight ‘mobile’ residents in the ward are restrained in chairs (the other four are restricted to bed) for lengthy periods of time.
Two of the more alert residents display signs of psychological distress as a result of the restraint. One of the patients continually asks to have the restraint removed.
Huang has been told the restraints are necessary to prevent falls as there is not enough staff to watch the residents and ensure their safety.
• One aggressive and noisy resident is restrained at all times and is often moved to a secured room for long periods of time, particularly during peak visiting hours.
Huang has been told that visitors have complained about the resident’s constant screaming and that his noise also upsets other residents in the ward and therefore the seclusion of this patient is necessary for the comfort of others.
Reference
Case is adapted from McDonald, F. & Then, S.-N. (2019). Ethics, Law & Health Care: A Guide for Nurses and Midwives (2nd ed.). Macmillan International; Red Globe Press
Decision-making framework (Steps 1 – 3)
For more information and examples of applying the framework, please see Chapter 2: Ethics
can you please identify the stakeholders in this case and role of the stake holders/
can you please identify the multiple view point of the inequality?
Explain different types of protein structures: primary secondary tertiary quaternary.
-give examples of each.
-compare them.
-explain their function
Diane J. is a 69 yr. old Caucasian female admitted earlier today to the inpatient psych unit on a voluntary admission after an attempted suicide and lavage in the ER. Ms. Jones became a resident of a local ALF/ANF 2 months ago for wound care following surgery for a broken hip from fall during pick ball.
“I was running late and got lost on the way there, so I was already frazzled, that is why I fell.” Prior to the fall she lived independently, when asked about her selfcare, she says “I can take care of myself, I stopped cooking, the recipes are too confusing, plus you can order out easily, are you hungry?
Chart indicates she was scheduled to be discharged from the ALF to home next week. Diane says, “no one told me that”
Diane endorses feeling sad most of the day nearly every day, for the last two months. She is speaking slowly “I am not sure why I am here… I mean. no one needs me”
She also reports no interest in the things she used to enjoy, “I just don’t care about anything, its all so hopeless.” She says that she has no energy and finds it difficult to both fall asleep and stay asleep, “it is so hard to sleep, all I do is think about how my life is over. “I can’t turn it off” She is out on FLMA from her job as a pharmaceutical representative for Alkermes Selling Lybalvi “but let’s be honest, I am never going back,
They made me be part time, they are pushing me out.” She is periodically crying and staring out the window during the interview. She endorses taking (swallowing) the things the… You know, the wacha-call-its…(pills) in my luggage, I mean briefcase”. I ingested an unknown number of samples of Lybalvi.
A few times during the interview she struggled to find a word or stopped talking midsentence. She denied any SI/HI now “I just wanted it all to stop and drift off to a peaceful place”. She is dressed in loose fitting clothes, somewhat disheveled, no body odor; she sighs frequently during the interview.
Chart indicates 15lb weight loss in the last 2 months: the food there is awful like it is dipped in the toilet” When asked about A/V he stated that “I think I saw my end, it wasn’t so nice” and then begins a long story about a green field where she grew up and her dad pushing her on a swing.
That is where I am from, salt of the earth, hard work.” Reports taking Amitriptyline twenty years ago for an episode during her divorce. When pressed she says “I was very sad, and it helped, if you are going to give me medicine, I would like to take Elavil again, it seems like the best one.
” Denies any previous psych hospitalization, says she feels restless a lot, but she thinks its just that place (the ALF), there is a lot of old smelly people there and its time the staff is trying to kill them” VS stable. Able to name the season but not day or month.
Personal History
Diana J is a registered nurse (AND), during nursing school she reports having to sit out a semester ” I was in a funk, I couldn’t think, I didn’t even care.” After receiving care and counselling she went back to finish her associates degree. She married in college and had three children.
Cannot recall middle child’s name she and her husband moved to Granbury, TX about twenty tears ago “I figured we could finish working there and just stay; but he met someone else and now I am stuck in that stupid town” She stated that her divorce was … all my fault. I should have stayed home and not worked so much”. She left nursing after the divorce and began working in pharmaceutical sales.
Her children live in Tyler, and “never visit, they’re too busy living life”. When asked what they do for work she said, “they do what they want to do”. Daily ETOH use “one beer to wind down at night, I have a prescription for it (at the ALF) Takes one Avalide 150 mg/12.5 mg daily; loratadine ODT daily; ad Synthroid daily “I cant remember the dose, it’s the orange pill.
What are the diagnosis
What is the treatment plan
Why would delirium be considered a medical emergency? What are some possible outcomes of untreated delirium?
a. Wernicke encephalopathy can cause severe brain damage, coma, or death
7. Identify nursing interventions that would be appropriate for a patient with delirium?
Providing a therapeutic environment: reduce noise, providing adequate light,
maintaining consistency and continuity of nursing staff, avoiding patient relocation or transfer if possible, providing a soothing atmosphere, promoting sleep by offering relaxation tapes or music before bedtime
Orienting the patient frequently
Anticipating the patient’s needs: reviewing prescribed medications for adverse effects,
assessing for pain and providing analgesia prn, monitoring vital signs, promoting
hydration, encouraging mobility
Ensuring that hearing aids and eyeglasses are available for patients who use them
Observing the patient’s response to medications
Checking laboratory tests
Teach family members about delirium: providing education about signs and symptoms,
causes of delirium, suggesting ways the family can work with the patient to reduce
symptoms, encouraging family visits
Administering medications such as antipsychotics, benzodiazepines, vitamins, and
hypnotic as doctor ordered
Assess level of anxiety and behaviors
Promote patient’s safety: remove all potentially dangerous objects from patient’s
environment
Observe suicide precautions
7. When
would you ask the patient or family to obtain relevant information? List 4 questions.
https://www.coursehero.com/file/50942070/Elderly-3docx/
reviewing the patient’s background and you are ready to collect data; what questions
Did you drink about 2L of fluid daily?
Do you currently have infection such as UTI?
Do you use drugs?
Are you in pain?
Have you ever had brain injury?
Are you trying to quick drinking alcohol?
Do you have diabetes?
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