Project 7  –  Jane Austen: Addison’s Disease

Prompt
You will choose a well-known individual from history or current popular literature, with instructor approval, who has a known physiological—as opposed to psychiatric or psychological—disease or illness, and, using a systematic approach, you will analyze that disease or illness. You will also develop a plan of care for that disease or illness.
 

In your analysis, you will describe the pathophysiology for your selected disease or illness, propose historical explanations for variations in findings (when applicable), and demonstrate use of nursing conceptual models to frame your discussion of adaptation and stressors collectively for system analysis.
 

Your plan of care should utilize the PIE (planning, intervention, and evaluation) format. The planning (P) section should include at least two short-term and two long-term goals that are most appropriate for your chosen case, and each goal should have measurable criteria and have a hypothetical target date or time. The intervention (I) section should include interventions or nursing actions that directly relate to the selected case’s goals and that are specific in action and frequency. The number of interventions should be appropriate for helping to meet individual goals. Finally, the evaluation (E) section of the plan of care should include proposed measures for determining success of the plan and an evaluation of the potential success of the plan, based on those measures. 

    

Specifically, the following critical elements must be addressed: 

1. Introduce your selected case
    
   1. a)  Identify the individual you selected and his or her disease or illness, and provide a brief explanation of why you selected this case.
       
   2. b)  Describe how normal physiology is changed by the disease state for your selected case.
       
   3. c)  Define the pathophysiology and clinical manifestations associated with your selected case and how they may be explained by altered physiology.
      Be sure to support your claims with scholarly evidence.
       
   4. d)  Assess the extent to which clinical manifestations of your selected case affect multiple body systems, using scholarly evidence to support your
      claims.
       
2. History of selected case
    
   1. a)  Describe historical variations (that is, examples of individuals with the selected disease or illness) of your selected case, using evidence from
      literature.
       
   2. b)  Identify physiological stressors that may affect the course of the disease or illness, and explain their impact.
       
   3. c)  Identify adaptive physiological mechanisms that may affect the course of the disease for your selected case.
       
   4. d)  Assess the historical impact of patient care technologies on patient outcomes for your selected case. Be sure to justify your claims with scholarly
      evidence.
       
3. Planning for care for your selected case
    
   1. a)  Write a goal statement that is patient-centered and contains at least one measurable criterion or target date/time. In order to address this
      element comprehensively, you should be sure to provide at least two short-term and two long-term goals for your selected case.
       
   2. b)  Analyze the critical nursing concerns associated with this disease state, and prioritize them from a treatment standpoint.
       
   3. c)  Identify patient care technologies that are appropriate for managing clinical manifestations of your selected case.
       
4. Intervention
    
   1. a)  Outline appropriate nursing interventions for your selected case. Be sure to substantiate your claims with scholarly evidence.
       
   2. b)  Outline common classes of medications used to manage the disease. Be sure to provide examples from scholarly evidence to support your
      claims.
       
   3. c)  Assess the extent to which current patient care technologies improve health promotion for your selected case, using scholarly evidence to
      support your claims.
       
   4. d)  Assess the extent to which current patient care technologies assist in decreasing medication errors and improving patient safety with regard to
      your selected case.
          

V. Evaluation 

1. a)  Identify the most appropriate measures for determining the success of your plan of care. In other words, what data will you need to collect to
   determine if your plan worked? Be sure to substantiate your claims with scholarly evidence.
    
2. b)  In terms of the outcome measures you identified, evaluate the potential success of your plan of care and proposed nursing interventions for
   your selected case. In other words, do you feel your proposed plan of care and interventions for your selected case will result in successful outcomes? Be sure to justify your rationale with evidence-based research.
       

Final Product Rubric
Guidelines for Submission: Your case analysis and plan of care paper should be between 6 and 10 pages, not including title page and reference list. It should be 

formatted with 12-point Times New Roman font and one-inch margins; all citations should follow proper APA guidelines. 

   

Resource: Ch. 1 and Ch. 2 of The Spirit Catches You and You Fall Down

Post a 260- to 350-word response to the following questions 

 

Materials

• Federal Policy Guidance (Can be Found on web)

Pick a proposed rule from the Federal Policy Guidance page on the Centers for Medicare and Medicaid Services website. 

• Are there any cultural sensitivities that need to be considered because of the notice, rule, or proposed rule?
• Should all cultures be given equal consideration in health care policies?
• What aspects of culture should be given consideration in the health care industry?

Cite at least 2 peer-reviewed, scholarly, or similar references.

Format your citations according to APA guidelines.

 

Throughout your practicum experience, you have been designing and implementing a project. You will now assess that experience. Prior to beginning this paper, discuss the topics below with your preceptor. Include their feedback as well as your own. In a 1,250-1,500 word document, discuss the following topics:

1. What was the focus of your leadership project, the goals you set for yourself, and the AONE competencies you hoped to achieve?
2. How did you discover the need for this project, and how did it fit into the organization’s philosophy and mission?
3. Did you encounter any real or potential barriers during your practicum experience related to your project?
4. Discuss how the outcomes of your project will be measured? Is your project one that is sustainable or is it designed to be a single occurrence?
5. Evaluate the success of your project. If you were not able to implement your project, discuss why. What are the next steps for the project?

Use a minimum of two peer-reviewed resources (published within the last 5 years) as evidence to support your views.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

  Security of Health Care Records

With the increase of health information technology used to store and access patient information, the likelihood of security breaches has also risen. In fact, according to the Canadian Medical Association Journal (CMAJ):

In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services. 

A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215). 

Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information.

To prepare

· Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.

· Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?

· Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.

· Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety.

Required Readings

McGonigle, D., & Mastrian, K. G. (2015). Nursing informatics and the foundation of knowledge (3rd ed.). Burlington, MA: Jones and Bartlett Learning. 

• Chapter 5, “Ethical Applications of Informatics”

This chapter examines the ethical dilemmas that arise in nursing informatics. The authors explore the responsibilities for the ethical use of health information technology.

• Review Chapter 23 “Research: Data Collection,      Processing, and Analytics” (pp. 415–416)

In this section, the author explains information fair use and copyright restrictions. The section describes processes for ensuring the security of a computer network.

Brown, B. (2009a). Improving the privacy and security of personal health records. 

Journal of Health Care Compliance, 11(2), 39–40, 68.

The author of this article examines the use of the document titled “Nationwide Privacy and Security Framework for Electronic Exchange of Individually Identified Health Information.” The article describes how the framework aims to construct an approach to address the privacy and security challenges that come with health information exchanges and personal health records.

Dimitropoulos, L., Patel, V., Scheffler, S. A., & Posnack, S. (2011). Public attitudes toward health information exchange: Perceived benefits and concerns. 

American Journal of Managed Care, 17, SP111–SP116.

This article describes a study that sought to determine the attitude of consumers toward electronic health information exchanges (HIE), HIE privacy and security concerns, and the relationship between these concerns and the perceived benefits of HIE. The authors recommend solutions to some of the privacy challenges stimulated by HIE. 

Goodman, K. W. (2010). Ethics, information technology, and public health: New challenges for the clinician-patient relationship. Journal of Law, Medicine & Ethics, 38(1), 58–63. 

In this article, the authors focus on how nurses can use health information technology to help transform health care using the recommendations included in the 2010 Institute of Medicine report “The Future of Nursing, Leading Change, Advancing Health.” The author also discusses the 2011 National Strategy for Quality Improvement in Health Care.

Hoffman, S., & Podgurski, A. (2011). Meaningful use and certification of health information technology: What about safety? Journal of Law, Medicine & Ethics, 39(3), 425–436. 

This article stresses the necessity of sufficient safeguards for EHR systems. The author explores current safety regulations for EHR system design and deployment. The author makes additional recommendations for protecting public health in the digital area.

 

Rothstein, M. A. (2010). The Hippocratic bargain and health information technology. Journal of Law, Medicine & Ethics, 38(1), 7–13. 

The increasing availability of sensitive patient information granted by electronic health records has generated significant debate about patient privacy. This article examines the potential ethical and legal consequences of patient-directed sequestering of sensitive health information.

Optional Resources

Brown, B. (2009b). Privacy provisions of the American Recovery and Reinvestment Act. Journal of Health Care Compliance, 11(3), 37–38, 72–73. 

Retrieved from the Walden Library databases.