Part I

A condition/medication template will be provided. Conditions will be given for each system. You will identify one drug/medication to treat each condition and give full details for that medication on the template provided here.

Conditions:

• Psoriasis
• Thrush
• Dystonia
• Gout

Part II

Answer the following questions.

1. Describe the risk factors for hypocalcemia.

2. Describe osteoporosis.

3. Describe the treatment for abnormal calcium levels.

4. Describe osteoarthritis and rheumatoid arthritis.

5. Describe the treatment for arthritis.

6. Describe gout, including its risk factors and treatment.

7. Describe the use of nonsteroidal anti-inflammatory drugs, cyclooxygenase-2 inhibitors, disease-modifying antirheumatic drugs, and corticosteroids for bone and joint inflammation.

8. Describe phantom limb pain and its treatmen

Part III

When I attended elementary school back in the late 80’s, it was not uncommon for the school nurse to visit classrooms and check children’s hair for head lice. If the nurse did detect head lice on an individual they would be sent home until successfully treated in order to not spread head lice to other children. It seems that in this day in age checks and restrictions for children with headlice have became much more relaxed. Please follow the link and read the article.

https://www.cbsnews.com/news/should-kids-with-head-lice-be-allowed-at-school/  

Now answer the question: Should kids with head lice be allowed at school?

 Explain the diagnostic criteria for your assigned sleep/wake disorder.

Explain the evidence-based psychotherapy and psychopharmacologic treatment for your assigned sleep/wake disorder.

Describe at what point you would refer the client to their primary care physician for an additional referral to a neurologist, pulmonologist, or physician specializing in sleep disorders and explain why.

4 paragraphs please, if you cant do it , don’t accept I will ask for money in full

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.
Chapter 8, “Legislative Aspects of Nursing Informatics: HITECH and HIPAA” (pp. 145–166)

American Association of Nurse Practitioners. (2018). MACRA/MIPS: The transition from fee-for-service to quality-based reimbursement. Retrieved from https://www.aanp.org/legislation-regulation/federal-legislation/macra-s-quality-payment-program

Centers for Medicare and Medicaid Services. (n.d.). MACRA. Retrieved January 18, 2019, from https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/value-based-programs/macra-mips-and-apms/macra-mips-and-apms.html

HealthIT.gov. (2018a). Health IT legislation. Retrieved from https://www.healthit.gov/topic/laws-regulation-and-policy/health-it-legislation

HealthIT.gov. (2018b). Meaningful use and MACRA. Retrieved from
https://www.healthit.gov/topic/meaningful-use-and-macra/meaningful-use-and-macra

U.S. Department of Health and Human Services. (n.d.). Laws & Regulations. Retrieved September 27, 2018, from https://www.hhs.gov/regulations/index.html

Assignment: Policy/Regulation Fact Sheet

As a professional nurse, you are expected to apply your expertise to patient care. On occasion, you will also be expected to share that expertise.

With evolving technology and continuous changes to regulations designed to keep up these changes, there is usually a need to share information and expertise to inform colleagues, leadership, patients, and other stakeholders.

In this Assignment, you will study a recent nursing informatics-related healthcare policy, and you will share the relevant details via a fact sheet designed to inform and educate.

To Prepare:

• Review the Resources on healthcare policy and regulatory/legislative topics related to health and nursing informatics.
• Consider the role of the nurse informaticist in relation to a healthcare organization’s compliance with various policies and regulations, such as the Medicare Access and CHIP Reauthorization Act (MACRA).
• Research and select one health or nursing informatics policy (within the past 5 years) or regulation for further study.

The Assignment: (1 page)

Create a 1-page fact sheet that your healthcare organization could hypothetically use to explain the health or nursing informatics policy/regulation you selected. Your fact sheet should address the following:

• Briefly and generally explain the policy or regulation you selected.
• Address the impact of the policy or regulation you selected on system implementation.
• Address the impact of the policy or regulation you selected on clinical care, patient/provider interactions, and workflow.
• Highlight organizational policies and procedures that are/will be in place at your healthcare organization to address the policy or regulation you selected. Be specific.

By Day 5 of Week 11

Submit your completed Policy/Regulation Fact Sheet.

    Generally speaking, Nursing has the largest representation within an acute hospital setting. Nursing is involved in the care of every patient that comes into the hospital. That being said, how nursing document their interactions with patients is a large part of their day. Integrating a new health information technology system should require the input of nursing. Nursing’s input is essential in understanding how the system could require additional workflow changes or updates. Poorly implemented systems can lead to unintended consequences that may have a negative impact on clinical processes and patient outcomes. (Piscotty, 2011)

            When integrating a new system, the System Development Life Cycle (SDLC) model is used. This cycle has five different stages: Planning, Analysis, Design, Implementation, and Maintenance. Each of these stages is essential as you integrate new systems. During the analysis phase, the requirements for the system are teased out from a detailed study of the business needs of the organization. As part of this analysis, workflows and business practices are examined. It may be necessary to consider options for changing the business process. (McGonigle, 2017)

            Nursing is especially crucial when you enter into the implementation stage. The system also was tested by three nurses before implementation. To ensure that the nurses could operate the CDSS correctly, a training manual was developed and provided to the nurses 3 weeks before the implementation date. (Lyerla, 2008) Once you have planned, analyzed, and implemented any new system, occasionally maintenance is required. We need to constantly be evaluating our systems to make sure that we are using it effectively and to its max potential.

            During my time at Homestead Hospital, the operating systems were changed. Nursing was not consulted at the hospital level. The decision to change these systems was made at the corporate level and rolled out to the different facilities in stages. Our hospital was the first and the rollout was rough. We had representatives from the OS company to help facilitate the roll-out 24/7 for 1 week. We needed to constantly refer to them whenever we needed to address a concern or be reminded of how to mitigate certain situations. I think that transition would have been a bit smoother if there were training sessions with the staff prior to roll out. Physicians and nursing could have been trained with time before “go live” and a few issues could have been avoided. Any time that changes are made within an existing system or a new one is implemented, there will be hang-ups. Involving those that would be the most significant users helps in finding any conflicts or adjusting workflows prior to them impacting patient care.

Lyerla F. (2008). Design and implementation of a nursing clinical decision support system to

promote guideline adherence. CIN: Computers, Informatics, Nursing, 26(4), 227–233.