In clinical settings, patients often present with various respiratory symptoms such as congestion, coughing, and wheezing. While identifying a symptom’s underlying illness can be challenging, it is essential because even basic symptoms such as persistent coughing can be a sign of a more severe disorder. Advanced practice nurses must be able to differentiate between moderate and severe respiratory disorders, as well as properly diagnose and prescribe treatment for their patients. For this reason, you must have an understanding of the pathophysiology of respiratory disorders.

Consider the following three scenarios:

Scenario 1:

Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that the baby might have respiratory syncytial virus (RSV) because she seems to be coughing a lot, and Ms. Teel heard that RSV is a common condition for infants. A detailed patient history reveals that the infant has been coughing consistently for several months. It’s never seemed all that bad. Ms. Teel thought it was just a normal thing, but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and, in fact, most nights the baby coughs to some extent. Additionally, Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination reveals an apparently healthy age- and weight-appropriate, 7-month-old infant with breath sounds that are clear to auscultation. The infant’s medical history is significant only for eczema that was actually quite bad a few months back. Otherwise, the only remarkable history is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection.

 Child abuse and maltreatment is not limited to a particular age and can occur in the infant, toddler, preschool, and school-age years. Choose one of the four age groups (infant, toddler, preschool, or school age) and discuss the types of abuse that are most often seen in this age. Discuss warning signs and physical and emotional assessment findings the nurse may see that could indicate child abuse. Discuss cultural variations of health practices that can be misidentified as child abuse. Describe the reporting mechanism in your state and nurse responsibilities related to the reporting of suspected child abuse. 

  

Consumer Health Information

 

“Better Information. Better Health.” —WebMD

 
 

“Trusted Health Information for You.” —MedlinePlus

 
 

Popular health information websites (such as the ones noted above) have consumers logging on to acquire health information. Yet, research shows that many of today’s consumers need assistance searching for information as well as understanding and applying it. Lack of technological expertise, low levels of health literacy, and an inability to distinguish relevant facts are just some of the documented challenges.
 

As you work through this Discussion, keep in mind that health literacy does not merely imply access to information, but also the capacity to process that information to make informed decisions. In this Discussion, be sure to conceptualize nursing’s roles and responsibilities in assisting patients with web-based information.
 

References:

 WebMD. (2011). Retrieved from http://www.webmd.com/
 

MedlinePlus. (2011). Retrieved from http://www.nlm.nih.gov/medlineplus/
 

To prepare:

• With      the information from the Learning Resources in mind (see below), consider      the amount and types of health information available to consumers online.
• Reflect      on the patients you have encountered in your practice, and consider their      health literacy and use of online information.
• Evaluate      strategies you could use to educate and assist your patients to      appropriately use health information found on the web.

By tomorrow Wednesday 10/18/17 by 5pm, write a minimum of 550 words in APA format with at least 3 references from the list of Required Readings below. Include the level one headings as numbered (1 & 2) below:

 

post a cohesive response that addresses the following:

1) Synthesize your previous experiences with consumer health literacy in your practice setting.

2) Formulate strategies that you could use to assist patients in interpreting and applying online health information going forward. Include strategies for those patients that overuse medical websites or regularly misinterpret medical information found online.

Required Readings

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

Chapter 16, “Personal Health Record: Managing Personal Health”

This chapter provides an in-depth look at consumer expectations, as well as barriers and innovations that are driving the policies of electronic personal health records.

Adams, S. A. (2010). Blog-based applications and health information: Two case studies that illustrate important questions for Consumer Health Informatics (CHI) research. International Journal of Medical Informatics, 79(6), e89–e96./p>

The author examines existing literature to evaluate the impact that Web 2.0 technologies have on health management.

Keselman, A., Logan, R., Arnott Smith, C., Leroy, G., & Zeng-Treitler, Q. (2008). Developing informatics tools and strategies for consumer-centered health communication. Journal of the American Medical Informatics Association, 15(4), 473–483.

A detailed analysis of present and future barriers found in managing e-health informational resources and consumer communications is given in this article.

Lewis, D. (2007). Evolution of consumer health informatics [Editorial]. CIN: Computers, Informatics, Nursing, 25(6), 316.

This article gives a brief overview of the Internet’s role in expanding health care’s consumer network.

Misra, R., Mark, J. H., Khan, S., & Kukafka, R. (2010). Using design principles to foster understanding of complex health concepts in consumer informatics tools. AMIA 2010 Symposium Proceedings, 492-496./p>

The researchers in this qualitative study examine the effectiveness that a decision support tool, Tailored Lifestyle Conversations (TLC), has on patients’ ability to comprehend presented information.

Pak, R., Price, M. M., & Thatcher, J. (2009). Age-sensitive design of online health information: Comparative usability study. Journal of Medical Internet Research, 11(4), e45.

The authors of this study analyze the usability results of tag-based systems vs. hierarchal informational systems on two different age groups to determine which design allows for more efficient means of information assembly.

Powell, J., Inglis, N., Ronnie, J., & Large, S. (2011). The characteristics and motivations of online health information seekers: Cross-sectional survey and qualitative interview study. Journal of Medical Internet Research, 13(1), e20.

View excerpts from the online questionnaires and follow-up interviews used in this study to identify common themes around motivation, challenges, strategies, and benefits regarding individuals’ use of the Internet to gather health information.

Health on the Net Foundation. (2011).

Retrieved from http://www.hon.ch/ 

Health on the Net Foundation provides consumers with navigation safety tips and the ability to search only those websites that adhere to the credibility standards of the HONcode.

The PEW Charitable Trusts. (2011). Health.

Retrieved from http://www.pewtrusts.org/our_work_category.aspx?id=184 

At this website you can find information about the consumer-centered health initiatives that the PEW group is working to challenge and improve.

Robert Wood Johnson Foundation. (2011). Publications and research. Retrieved from http://www.rwjf.org/en/research-publications.html 

Use this website to view a wide variety of research-driven publications with topics ranging from obesity to medical malpractice.

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

• Review the concepts of technology application as presented in the Resources.
• Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

• Describe the project you propose.
• Identify the stakeholders impacted by this project.
• Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.
• Identify the technologies required to implement this project and explain why.
• Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.
• Use APA format and include a title page and reference page.
• Use the Safe Assign Drafts to check your match percentage before submitting your work.

By Day 7 of Week 4

Submit your completed Project Proposal.

APA 7 FORMAT

RUBRIC

n a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient care efficiency. Your project proposal should include the following:

·   Describe the project you propose.

·   Identify the stakeholders impacted by this project.

·   Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving, and explain how this improvement would occur. Be specific and provide examples.

·   Identify the technologies required to implement this project and explain why.

·   Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.–

Excellent 77 (77%) – 85 (85%)Good 68 (68%) – 76 (76%)Fair 60 (60%) – 67 (67%)Poor 0 (0%) – 59 (59%)

Written Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.–

Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%)

Written Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation–

Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%)

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.–

Excellent 5 (5%) – 5 (5%)Good 4 (4%) – 4 (4%)Fair 3.5 (3.5%) – 3.5 (3.5%)Poor 0 (0%) – 3 (3%)Total Points: 100