Requirements for privacy and confidentiality in EHRs

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Review HIPAA, protected health information (PHI), and requirements for privacy and confidentiality in EHRs. Discuss one ethical and one legal issue related to the use of EHRs that directly impact advanced registered nursing practice. Consider the emerging role of telehealth and the EHR in patient care delivery and compromise of patient data using telehealth applications and measures you can implement in your own practice to protect patient privacy and confidentiality.

Code allergy to ciprofloxacin

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I need a reflective journal about a patient that I take care of. My patient was a 74 years old female full code allergy to ciprofloxacin. She came to the hospital because her husband found her unconscious and unresponsive. He called the EMS right away. He also stated that she’s not alert and oriented to time, herself, events, days sometimes. But when I was taking care of her days after her admissions, he read her documentation.

Her nurse noted that she was getting better in reminding things, her name, she’s more alert. She have a past medical history of type 2 diabetes, hypertension which is being control by meds, hernia, asthma she was on a 2L nasal cannula. In my shift I took her blood glucose 3 time it was normal level, and vitals was normal expect for  her blood pressure didn’t improve at all. That’s pretty much about her.

Chromosome abnormalities

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Although many chromosome abnormalities occur due to abnormal cell division in the spenn or egg. the)r can also occasionally be inherited. Tl genetic basis for this baby’s anomalies can usually be determined by: a. analyzing the chromosomes in the baby’s cells b. analyzing the chromosomes in the mother’s cells c. analyzing the chromosomes in the father’s cells d. quantifying the number and severity of the baby’s physical abnormalities

Theoretical approach to the problem/decision

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Reflect upon a decision you have made or a problem you have solved in the past year.  Apply at least one theoretical approach to the problem/decision.  Use reflection to discuss the situation as well as the following;  What would you have done differently, if at all?  Identify if you were in a leadership or management position.  How would this situation be different if you were in the other position?

The solitary neoplasm on the face

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Patient Case Question 6. Other than the solitary neoplasm on the face, are there any other clinical findings in
the physical examination that should raise a concern?

Community education and behavioural interventions for adolescents

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Everyone has unique needs, and you addressed the care plan in detail. The Community Preventive Services Task Force (CPSTF) recommends community education and behavioural interventions for adolescents to improve the development of reducing STIs, HIV, and teen pregnancy.

Topics to address include interventions that focus on improving decision-making, communication skills, and positive bonding experiences between youth and their peers or non-parental role models to reduce poor sexual behaviors in this population.

Screening for STIs is vital in people having unprotected sex (Community Prevention Services Task Force [CPSTF], 2007).

During which stage of the health plan would you implement screenings for this population?

Please answer with references

Neck supple Significant cervical lymphadenopathy

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Patient Case Question 4. Based on this rather limited information, which subtype of melanoma is most likely? Neck/LN. Neck supple Significant cervical lymphadenopathy, bilateral, >2 cm No thyromegaly, carotid bruits, or JVD Patient Case Question 5. Why is the information directly above especially critical to the prognosis of this patient? Patient Case Question 6. Identify two possible pathophysiologic causes of lymph- lymphadenopathy in this patient.

The level of funding and resources

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There are different government and private sectors and charitable and voluntary organizations that provide varying levels of support depending on the level of funding and resources they have. Discuss some funding and support that is available to clients

Important assessment during the acute stage of an unconscious patient

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Situation: Mr Delmar, 70 years old, suddenly could not lift his spoon nor speak at breakfast. He was rushed to the hospital unconscious. His diagnosis is a cardiovascular accident (CVA).

  1. Which of the following is the most important assessment during the acute stage of an unconscious patient like Mr Delmar?           a. Level of awareness and response to pain b. Papillary re ilexes and response to sensory stimuli c. Coherence and sense of hearing d. Patency of airway and adequacy of respiration
  2. Considering Mr Delmar’s condition, which of the following is most important to include in preparing Mr Delmar’s bedside equipment?      a. Handbell and extra bed linen c. Footboard arid splint

c. Sandbag and trochanter roll d. Suction machine and gloves

8. What is the rationale for giving Mr Delmar frequent mouth care?

a. He will be thirsty considering that he is unable to take fluids

b. To remove dried blood when the tongue is bitten during seizure

c. The tactile stimulation during mouth care will hasten return to consciousness

d. Mouth breathing in the case of most comatose patients causes oral mucosa to be dry and cracked

  1. One of the complications of prolonged bed rest is decubitus ulcers. Which of the following can BEST prevent its occurrence? a. Massage reddened areas with oil/lotion b. Turn patient frequently every 2 hours c. Use a special water mattress d. keep skin clean and dry

Alzheimer’s disease

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You are assigned to care for Mr Andrasziuk, 85, who has Alzheimer’s disease. He often wanders from room to room and tries to open outside doors. He frequently displays increased agitation, confusion, and restlessness, especially in the evening. Most of the time, Mr Andrasziuk is unable to feed himself and he is often incontinent.

He keeps repeating, “Help me, help me”, all day long. Answer these questions about how you would care for a person who has dementia:

How do you feel about caring for a person with these behaviours? o Frightened? o Angry? o Impatient?

▪ How do you deal with your feelings so that you can give care to the person? o, Identify your feelings. o, Describe how you deal with or manage those feelings.

At what stage of Alzheimer’s disease is Mr Andrasziuk? o What signs and symptoms support your answer?

Why would it be ineffective to remind Mr Andrasziuk of the date and time during your shift? o, Relate your answer to your knowledge of Alzheimer’s disease.

Why is reminding a client of the date and time a good technique with some confused people and not with others? o, Relate your answer to your knowledge of Alzheimer’s disease.

▪ Why does Mr Andrasziuk’s behaviour become more agitated, confused, and restless toward evening? o What is this called? ▪ What methods could you use to make sure Mr Andrasziuk receives the care needed to maintain good personal hygiene? o How could you get him to cooperate or participate in his care?

What parts of Mr Andrasziuk’s behaviour would be most difficult for you to tolerate? o, Explain why.

▪ What would you do if you found yourself becoming irritated and angry with Mr Andrasziuk’s behaviour? o Describe several options. Read the questions carefully and take careful note of the verbs used e.g., feel, deal with, identify, describe, relate, why, what, how, and explain; these are key words in guiding your answer