Read chapter 31 of the class textbook and review the attached PowerPoint presentation.  Once done answer the following questions; 

1.What types of differences in health care and maintenance have you noticed between men and women in the clinical setting? How do women’s approaches and behaviors seem to differ from men’s, if at all? When female family members are present, how does their involvement or behavior seem to differ from male family members’ involvement, if at all? 

2.Mention and discuss the pros and cons of various contraceptives methods.   For example artificial reproductive technology, parental consent for abortion, adolescent reproductive rights, public funding for female cancer screening, reporting of partner abuse, female circumcision (in countries where it is the cultural norm), etc. 

3.Why do you think that women tend to go their providers more than men do? Why might women be more comfortable with doctors and healthcare? Is this something you notice in your own family and friends?  

As stated in the syllabus the assignment must be presented in an APA format word document, Arial 12 font attached to the forum on the discussion board.  A minimum of 3 evidenced-based references must be used and 2 replies to any of your peers sustained with the appropriate references must be posted.  Only the assignment must be attached in a word document in the forum, replies do not.  References must be no older than 5 years.  A minimum of 700 words is required.  Please follow the instructions on how to present the first page and the name of the assignment when you post should be Week 10 discussion questions, not my name or blackboard posting.

Healthcare ethics, also referred to as medical ethics or bioethics, is a set of moral principles, beliefs, and values that guide us in making choices about medical care. In the United States, there are four main principles that define the ethical duties healthcare professionals owe to patients: (1) Autonomy, (2) Beneficence, (3) Nonmaleficence, and (4) Justice.

Define and discuss these four principles. In your discussion, provide a healthcare related example of each principle (you can provide an example of either preserving or neglecting).

250 words

Select one of the following special populations for focus this week 

Care of Lesbian, Bisexual Gay, Transgender Populations.

Care of Poor and Homeless Populations

Care of School Populations

Care of Employee Populations

Care of Correctional Populations

Care of Populations Affected by Disaster

identify and describe:

-Key determinants affecting the health of your chosen special population.

-At least five health promotion and five illness/injury prevention interventions that might be appropriate for the special population that you selected.

 -At least 2 restorative health care considerations for your chosen special population and analyze the role of the community health nurse in each.

Must include at least 2 nursing, peer-reviewed journal articles. 

Must be in APA 

The case scenario provided will be used to answer the discussion questions that follow.

Case Scenario

Mr. C., a 32-year-old single man, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He reports that he has always been heavy, even as a small child, but he has gained about 100 pounds in the last 2–3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control with sodium restriction. He current works at a catalog telephone center.

Objective Data

1. Height: 68 inches; Weight 134.5 kg
2. BP: 172/96, HR 88, RR 26
3. Fasting Blood Glucose: 146/mg/dL
4. Total Cholesterol: 250mg/dL
5. Triglycerides: 312 mg/dL
6. HDL: 30 mg/dL

Critical Thinking Questions

What health risks associated with obesity does Mr. C. have? Is bariatric surgery an appropriate intervention? Why or why not?

Mr. C. has been diagnosed with peptic ulcer disease and the following medications have been ordered:

1. Magnesium hydroxide/aluminum hydroxide (Mylanta) 15 mL      PO 1 hour before bedtime and 3 hours after mealtime and at bedtime.
2. Ranitidine (Zantac) 300 mg PO at bedtime.
3. Sucralfate/Carafate 1 g or 10ml suspension (500mg /      5mL) 1 hour before meals and at bedtime.

The patient reports eating meals at 7 a.m., noon, and 6 p.m., and a bedtime snack at 10 p.m. Plan an administration schedule that will be most therapeutic and acceptable to the patient.

1. Assess each of Mr. C.’s functional health patterns      using the information given. (Hint: Functional health patterns include      health-perception – health management, nutritional – metabolic,      elimination, activity-exercise, sleep-rest, cognitive-perceptual,      self-perception – self-concept, role-relationship, sexuality – reproductive,      coping – stress tolerance.)
2. What actual or potential problems can you identify?      Describe at least five problems and provide the rationale for each.

 1 PAGE REPONSE NEEDED APA STYLE REFERENCE MUST BE LESS THAN 5 YEARS OLD  FOR ADVANCE NURSING INFORMATICS CLASS

Without the various roles and expertise of professional nurses in the development of nursing informatics, clinical information systems would not be able to have a foundation based on evidence-based practice. Evidence based practice is essential to developing clinical information systems in order to further the generation of nursing knowledge. Evidenced based practice is a process that uses the current best evidence in the care of patients as an approach to problem solving (McEwen & Wills, 2017). By nature, nurses gather data and record and collect clinical data that is objective on a daily basis. Professional nurses will gather this clinical data and identify trends seen across groups of patients (McGonigal & Mastrian, 2017). A solution to a problematic trend may be identified, implemented and seen to improve or make a positive impact on such trend which would be an example of evidence-based practice.

            The use of nursing informatics through the electronic medical record, which is one of the most widely used clinical information systems in nursing today, has been heavily dependent on evidence-based practice. The EMR can be broken down to professional nurses chronicling their daily clinical challenges and queries (McGonigal & Mastrian, 2017). Documenting in an EMR includes using clinical practice guidelines which have been generated through evidence-based practice. For example, a patient can be identified as a fall risk using a basic fall risk assessment that has been previously synthesized to tailor specific criteria in identifying fall risks through daily nursing practice. This will usually would include age, previous fall incidence, medication, mobility and cognition. Once this fall risk has been identified, the nurse would open a clinical practice guideline parameter to document implemented patient centered care and focused interventions in the real-world setting (Vance, 2012). This is merely one example of knowledge brought into the CIS through research conducted by nurses. Evidence based practice was founded only to be useful in integrating into clinical information systems when is it used in clinical workflow (Bakken, Currie, Lee, Roberts, Collins & Cimino, 2008).  Hence, the implementation of the CPG driven support system. Every clinical practice guideline has been developed through the use of evidence-based practice and then brought into the clinical information system of EMR.

            The use of an info button is another example of evidence-based practice incorporated into CIS. The primary advantage of the info button approach from the clinician perspective is that the information provided is context-specific (Darvish, Bahramnezhad, Keyhanian & Navidhamidi, 2014). Info buttons actually serve as an additional source of evidence-based practice which can be accessed within another clinical information system, such as an EMR. They can be used to determine critical lab results and possibly their perspective treatments or they can be used to gain access to medication inquisitions. In both instances, the use of evidence-based practice is the foundation of the knowledge and information used.

           Incorporating the use of informatics through clinical information systems such as electronic health records and info buttons allows for information to be computed on a daily basis. Through research, nurses become experts on analyzing and synthesizing knowledge and furthermore put the knowledge to practice with patients and family members. Clinical information systems are a vessel of nursing evidenced based practice put into clinical workflow which allows the continuous and further generation of nursing knowledge. Since clinical information systems are used widely throughout the nursing practice from bedside nurses, nurse practitioners to nurse researchers, it is imperative that the information being provided by such systems stay evident and factual, through evidence based practice.