Ways your organization uses technology to gather patient and health care information

Discuss ways your organization uses technology to gather patient and health care information, and how this information and data are used to direct patient care and outcomes.

Limited Mobility in the right arm

Sebastian, a slightly built 12-year-old child, presents to the emergency department of a major Brisbane hospital with his mother, Amy. Sebastian presents with limited mobility in the right arm, swelling, and an exposed, six-centimeter long cut on his right forearm that looks to be a number of days old. Amy informs staff that the injury was sustained while Sebastian was playing a few days ago and states she’s been too busy to come in with Sebastian any earlier.

Manuela is the registered nurse assigned to Sebastian, and she recognises Sebastian as a patient whom she had previously cared for on the paediatric oncology ward of the last hospital that she worked at. Manuela greets Sebastian and mentions that she remembers him from his many stays in the cancer ward where she had previously worked. She asks Sebastian if his cancer is in remission and he shyly tells her ‘Yes, for the last two years’.

Manuela notes that Sebastian seems very withdrawn and anxious compared to her previous memory of him. Manuela proceeds to clean and dress Sebastian’s cut and check his general health. While taking Sebastian’s blood pressure, Manuela observes some faint bruises on his upper arms and shoulders. Manuela also observes that Sebastian’s temperature is raised, and his skin is pale.

The treating team recommend an x-ray to check if there are any broken bones in Sebastian’s arm. Amy agrees to this. While waiting for the results, Manuela overhears Amy speaking to Sebastian in a stern voice saying, ‘Don’t you dare tell your father or anyone else what happened to you, or you will be very sorry, do you understand?’

The x-ray shows no fractured bones. However, the treating team determine that the cut on Sebastian’s arm is severely infected and advise Amy that Sebastian should begin a course of antibiotics immediately to ensure the infection is controlled.

It is unclear whether his infected cut is the single cause of Sebastian’s raised temperature or whether there is another underlying condition, so the treating team recommend that Sebastian be admitted to the short stay section of the hospital so that further tests can be carried out to determine the reason for his high temperature and the swelling and limited mobility in his right arm.

Amy refuses to consent to the admission for further tests saying that her son is just being a ‘big cry baby’ and that he will be fine in the morning. Amy also refuses to consent to Sebastian receiving antibiotics for his infected cut stating, “You doctors are always trying to shove drugs down my son’s throat.”

Sebastian remains silent throughout the consultation with treating team members, but Manuela notes that his expression changes to a slight smile when the option of hospital admission is raised. Manuela is worried that Sebastian’s health will suffer significantly if Amy does not consent to one or both, of the antibiotics and hospital admission.

 

Question 1

What are the five ICN codes of ethics for nursing 2021 for this case with explanation? 

 

Question 2

What are the five NMBA codes of conduct for nurses 2018 for this case explanation? 

Disease prevention teaching project

Recommend an appropriate disease prevention teaching project that your chosen agency could offer to the local community. Summarize the public health issues facing the selected agency = Diabetic

Select 1 issue and DRAW an outline of the problem or issue faced = Diabetic

Explain how your selected agency could address the issue = Diabetic

Determine an appropriate teaching project to develop and potentially implement.

SUMMARY of the disease prevention teaching project that the agency could offer.

Appropriate Disease prevention teaching project

Recommend an appropriate disease prevention teaching project that your chosen agency could offer to the local community. Summarize the public health issues facing the selected agency = Diabetic

Select 1 issue and DRAW an outline of the problem or issue faced = Diabetic

Explain how your selected agency could address the issue = Diabetic

Determine an appropriate teaching project to develop and potentially implement.

SUMMARY of the disease prevention teaching project that the agency could offer.

Administrative Simplification Compliance Act of 2001

The Administrative Simplification Compliance Act of 2001 requires that all Medicare claims be submitted electronically. Discuss at least two (2) vulnerabilities in the protection of electronic health information?

2. Identify and discuss specific resources or federal agencies that you will utilize to remain informed and current in public health trends and practices.

Diagnosed with Schizophrenia

Michael is a 40-year-old mathematician who lives in Brisbane. He has a full-time job, a partner, Kelly, and two daughters. Michael was diagnosed with schizophrenia as a 21-year-old university student, but has, with the care of his loving parents and partner, consistently managed his condition with the assistance of a regular medication regime under the ongoing care of a psychiatrist, Dr John Nash. Michael has not been hospitalized as a result of his condition for 19 years.

Kelly and Michael were at a Laserforce game venue two days ago, playing with their daughters, when Kelly noticed that Michael was acting very anxious and agitated. Michael told Kelly that the employees of the Laserforce venue were foreign intelligence agents who were trying to control his thoughts by playing music in the venue at exceedingly high volume. Michael had been working on a very politically sensitive coding project for the government and told Kelly that the employees were trying to steal the coding algorithm which Michael had developed and memorised as part of his work.

Michael abruptly exited the venue and ran across a busy highway where he started to flag down cars to help him leave the area urgently. After searching for Michael for a few hours, and alerting Michael’s parents, Kelly returned home with their daughters and checked Michael’s pill organiser. It appeared that Michael had not taken his medication for the previous three days. Kelly has not seen Michael since he left the Laserforce venue.

Earlier today, Michael arrived at his psychiatrist’s office unannounced. Dr Nash had been alerted to Michael’s behaviour by Kelly. Michael appears very unkempt and is carrying a baseball bat underneath his hoodie. He tells Dr Nash that he is being followed and asks Dr Nash if he too is trying to steal the coding algorithm from Michael’s brain.

Dr Nash’s consulting rooms are based at the Royal Brisbane Hospital, and he discreetly asks his receptionist to alert security while he escorts Michael into his office. Dr Nash asks Michael about his medication and Michael explains it is poisoning his mind, so he has stopped it. Michael pulls the baseball bat from under his hoodie and starts brandishing it at Dr Nash. Security arrive and forcibly restrain Michael.

Dr Nash authorises a treatment authority for Michael under Section 12 of the Mental Health Act 2016 (Qld). The treatment authority permits the chemical restraint of Michael through the prescribing of Clozapine (a strong anti-psychotic medication with sedative effects) and his seclusion in a locked room for four hours until the medication has taken effect.

Michael screams at Dr Nash and the registered nurse in charge of the mental health facility that he does not consent to this treatment.

Raj is the registered nurse in charge of the mental health facility. Michael tells Raj that he is being held against his will. Kelly arrives at the mental health facility 45 minutes later and is distressed to hear that her partner has been locked up and sedated. Kelly demands to see Michael and for his immediate release from the facility into her care at home.

 

Question 1

What are the five ICN codes of ethics for nursing 2012 for this case with explanation? 

 

Question 2

What are the five NMBA codes of conduct for nurses 2018 for this case explanation? 

How policies influence the Structure and financing of health care

Please respond to the following questions based upon these course objectives: Analyze how policies influence the structure and financing of health care, practice, and health outcomes. Develop institutional, local, state, and/or federal policy initiatives.

  • Consider the role of government and various professional organizations in the process of planning and implementing policies at management levels for diverse healthcare environments.
  • Examine the effect of legal, ethical, and regulatory processes on nursing practice (and/or change to providers), healthcare delivery, and outcomes while maintaining balance with administrative and fiscal responsibilities.
  • Interpret research, bringing the nursing perspective, alongside perspectives of their administrative colleagues, for policy makers and stakeholders.
  • Advocate for policies that improve the health of the public and the profession of nursing and health care administration.

Please answer the following questions with supporting examples and full explanations.

  • For each of the learning objectives, provide an analysis of how the course supported each objective.
  • Explain how the material learned in this course, based upon the objectives, will be applicable to professional application.

Reflect back on your journey through this course and answer the following:

  • What was the most valuable thing you learned in this course?

Self-Care Deficit Theory

Describe Self-Care Deficit Theory. Describe Kurt Lewin’s change theory Describe The Conservation of Resources Theory (COR)

Cough productive of purulent sputum

A 45- year-old man presents to the clinic with a cough productive of purulent sputum of 3-week duration.  He says that he had just gotten over a cold a few weeks prior to this episode.  He occasionally has fevers and he coughs so much that he has chest pain.  He reports that he also has a mild sore throat and runny nose.

 

He has no history of asthma and no history of any type of lung disease.

 

He denied N/V/D and any recent travel.  He denies any smoking history.

 

PE: Temp 98.6, AP 96, BP 124/80, resp 18 and oxygen sats 99% on RA.  Lung sounds have expiratory wheezing in the upper lobes, no crackles.

 

  1. Would you order a chest x ray on this patient?  Why or why not- support your decisions with how this patient fits or does not fit criteria according to the guidelines.

2. What medication regimen would you order for this patient (include dose) and why?  Provide supporting evidence for your pharmacological interventions.

 

Dissemination of EBP and research

Dissemination of EBP and research, such as presenting results at a conference or writing an article for a journal, is an important part of professional practice. Identify one professional journal and one nursing or health care conference where you might present your project. Discuss why each of your choices is the best option for you to disseminate your new knowledge.