Respond to this post with a positive response :

Ask questions to help clarify the scenario and application of data, or offering additional/alternative ideas for the application of nursing informatics principles.

                                                                Main Post

Nurses rely on gathered information, statistics, and trends to help them in their day to day operations. Nurse managers rely on what is trending when it comes to Performance Improvement. The trending information helps the nurse manager pinpoint where the trouble lies and able to go to the source of the problem and educate the staff and fix the problem. For example, during chart audits, it has come to the attention of the auditor that the smoking cessation education check box has been missed in about 50% of the charts that were checked. This data that was collected was entered into a computer program to break down and pinpoint what area of the hospital it was coming from or from whom. This information was given to the nurse manager to share with the staff from which this trend had occurred. Education was able to be given to correct this problem. Information and information processing are central to the healthcare worker. A healthcare professional is also known as a knowledge worker because he or she deals with and processes information on a daily basis to make it meaningful and inform his or her practice (McGonigle & Mastrian, 2018, p. 21). Nurses have to have a knowledge base in order to do the basics of nursing. Most of the knowledge that a nurse will further acquire is on the job. Such as the scenario given above, nurses have to be trained in the policy and procedures of their facility. Gathering information to be able to educate nurses on what is missing in there charting or other paperwork that is required of them is helpful to create proficient nurses.

Healthcare informatics is defined as “the integration of healthcare sciences, computer sciences, information science, and cognitive science to assist management of healthcare information (Sweeney, 2017). By gathering the data, we were able to break it down and create a bar graph of each unit and how many unchecked boxes for the smoking education that did not get done correctly. We could see if any one nurse was trending and gave direction on how to proceed with the educating of the staff. This information came from our PI department to the nurse managers then down to the staff for correcting. According to N. L. Nagle et al., knowledge innovation and generation provides guidance and support to others (nurses, patients) in the application and use of emerging knowledge… (Nagle, Junger, & Bloomberg, 2017, p. 219).

 

References

McGonigle, D., & Mastrian, K. G. (2018). Nursing Informatics and the Foundation of Knowledge (4 ed.). Burlington, MA: Jones and Bartlett Learning.

Nagle, L. M., Junger, A., & Bloomberg, L. S. (2017). Evolving Role of the Nursing Informatics Specialist. Forecasting Informatics for Nurses in the Future of Connected Health, 212-221.

Sweeney, BSN, RN, J. (2017, Feb 2017). Healthcare Informatics. OJNI, 21.

Remember your project should include the following:

• A “criminal minds” individual will be your “patient” from the list below for your project.
• A brief history of the patient including diagnoses (documented or your thoughts if no diagnosis is recorded) and medications (if applicable). Not a lot of gory details about their crimes.
• Any substance abuse, addiction, or violence issues surrounding this mental health problem.
• List appropriate nursing interventions for your chosen patient. Include sources for evidence-based practice. What might have made the difference between functional mental illness to the progression to criminal behavior?
• Include 3 relevant Nursing Diagnoses for your patient.
• The paper should use APA formatting and be at least 3 pages in length.

Richard Speck

Aileen Wournos

Jeffrey Dahmer

John Wayne Gacey

H. H. Holmes

Ted Bundy

Jim Jones

Charles Cullen

Earl Nelson

Charles Manson

Genene Jones

Richart T. Chase

Ed Giehn

BTK Dennis Rader

R. Kuklinski

DC Sniper

Bob Yates

Albert Fish

Grim Sleeper

Son of Sam

Columbine Killers

Unabomber

Harpe Brothers

Menendez Bros

Michael Swango

Kristen Gilbert

Henry Lee Lucas

Ottis Toole

Gary Heidnik

Edmund Kemper

Valerie Solanas

Mark Chapman

Rodney Alcala

Charles Sobhraj

John Wayne Wilson

Craig List Killers

Nannie Doss

John Wilkes Booth

Darren Deon Vann

Gary Ridgway

Lucrezia Borgia

Adam Lanza

Rostov Ripper

Richard Beasley

Lisa Montgomery

Miranda Barbour

Amy Bishop

Marie Besnard

Patrick Sherrill

BACKGROUND

The client is a 34-year-old Pakistani female who moved to the United States in her late teens/early 20s. She is currently in an “arranged” marriage (her husband was selected for her since she was 9 years old). She presents to your office today following a 21 day hospitalization for what was diagnosed as “brief psychotic disorder.” She was given this diagnosis as her symptoms have persisted for less than 1 month. 

Prior to admission, she was reporting visions of Allah, and over the course of a week, she believed that she was the prophet Mohammad. She believed that she would deliver the world from sin. Her husband became concerned about her behavior to the point that he was afraid of leaving their 4 children with her. One evening, she was “out of control” which resulted in his calling the police and her subsequent admission to an inpatient psych unit.

During today’s assessment, she appears quite calm, and insists that the entire incident was “blown out of proportion.” She denies that she believed herself to be the prophet Mohammad and states that her husband was just out to get her because he never loved her and wanted an “American wife” instead of her. She tells you that she knows this because the television is telling her so. 

She currently weighs 140 lbs, and is 5’ 5”

SUBJECTIVE

Client reports that her mood is “good.” She denies auditory/visual hallucinations, but believes that the television does talk to her. She believes that Allah sends her messages through the TV. At times throughout the clinical interview, she becomes hostile towards the PMHNP, but then calms down.

You reviewed her hospital records and find that she has been medically worked up by a physician who reported her to be in overall good health. Lab studies were all within normal limits. 

Client admits that she stopped taking her Risperdal about a week after she got out of the hospital because she thinks her husband is going to poison her so that he can marry an American woman. 

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Her speech is slow and at times, interrupted by periods of silence. Self-reported mood is euthymic. Affect constricted. Although the client denies visual or auditory hallucinations, she appears to be “listening” to something. Delusional and paranoid thought processes as described, above. Insight and judgment are impaired. She is currently denying suicidal or homicidal ideation.

The PMHNP administers the PANSS which reveals the following scores:

-40 for the positive symptoms scale

-20 for the negative symptom scale

-60 for general psychopathology scale

Diagnosis: Schizophrenia, paranoid type

At each decision point stop to complete the following:

• Decision #1
  • Which decision did you select?
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #1 and the results of the decision. Why were they different?
• Decision #2
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the decision. Why were they different?
• Decision #3
  • Why did you select this decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

 This course is designed to provide you the knowledge and skills in application, evaluation, analysis, and interpretation of biostatistical data used to inform public health programs, policy, and practice. Elizabeth Pisani is an epidemiologist in public health and has a message about the role that politics has on the use of the data. View “Elizabeth Pisani: Sex, Drugs and HIV – Let’s Get Rational.” Do you agree or disagree with Pisani’s message about the role of politics in public health? 

QUESTION 1: After  viewing the video by Fr. Spitzer on the spiritual (trans-physical) soul of the human person, name and discuss 3 key truths that you found insightful, helpful or altogether new to you. 

QUESTION 2: What questions were raised for you by this video?

QUESTION 3:  In light of Fr. Spitzer’s primary point, namely that each person has a trans-physical (aka spiritual) soul that survives the death of the body, why do you think it is important for those of us working in healthcare to take into account the fact that each of our patients has a spiritual soul, which will endure beyond the death of the body?  If you are currently working in a healthcare setting with patients, do you have any examples you can share with the class regarding why this consideration is important?

QUESTION 4:  In our assigned reading from our course text, Spirituality of Nursing, it is mentioned that in order to understand another person’s spirituality, each nurse or health care practitioner needs to understand her or his own spirituality, as the basis from which one views the world.  Why is this?  Namely, the more we are in touch with our own spiritual journey, the better-able we are to accompany another person in her or his journey.  

In our assigned reading from chapter 1 of our course text, Spirituality in Nursing, Dr. O’Brien offers 4 aspects of what the spirituality of each human person refers to, when this term is used. These can be summarized as follows:

1) A relationship with the Supreme Being, God, that directs one’s beliefs, choices, and actions in a harmonious way, including one’s relationships with others.
2) The dimension of a person that is concerned with ultimate ends and the greater purpose of one’s life and existence.
3) An inner desire to transcend the material dimensions of this life and orient/understand one’s experiences in this life in terms of the Supreme Being Who transcends all.
4) Source of “inner-strength” and “sense of the sacred” derived from one’s relationship with the Supreme Being.

Which of these 4 aspects of spirituality stands out and offers meaning to you, personally speaking, as you reflect on your own spirituality? Tell us why – giving us some real “beef” in your answer.  Really give this question some real and deep thought — before writing your answer.