AG

Develop a wellness program with a holistic approach for the older adult you have identified, using resources available in your community. Discuss how this approach will prove an optimum level of well-being.

      Mrs. T>T. age 67 who is presently diagnosed with Diabetes Mellitus, and has a hx of obesity, and non-healing wounds/ulcers. Non-compliance with medication and dietary regimens has caused Mrs. T.T.’s blood sugars and wound healing to be compromised. Getting this patient on the right track to facilitate a healthier way of eating which in turn would help with the wound healing process, decrease her HGB A1 ,and  promote weight loss. Maintaining and conforming to a healthier eating plan and exercising at least three times a week should boost her wellness. Mrs. T>T’s efforts to conform to these lifestyle changes will not be in vain if the end result increases her longevity as well as her quality of life. First lab values should be obtained to get a baseline. Secondly, teaching her how to accurately and frequently obtain her blood glucose level and how and when to use her insulin is a fundamental part of this wellness process. Providing education as well as demonstrating healthier ways to prepare food is a vital component as it relates to wellness.  Mrs. T>T. should be taught how to dress her wounds as well as being able to detect, if any new wounds are present and when to contact the physician or wound nurse. Information on various exercise groups with individuals her age will hopefully make Mrs. T>t. look forward to the activity for social and health conscious reasons. An optimum level of wellness should be evident through maintaining health Hgb A1C levels, weight loss, and adherence to her medication regimen as it related to her Diabetes Mellitus diagnosis.

Health Care Reform and the Role of NP

Discussion #1

Frequently when the shortage of primary care providers is mentioned with regard to healthcare reform, insurance companies and other institutions forget to factor in the impact nurse practitioners can have on increasing access. How do you think we can improve this understanding of the nurse practitioner role?

Discussion Grading Criteria:

 Agreeing and disagreeing do not mean just voicing one’s opinion. The focus of the discussions should remain on the ideas posed in the readings. 

Agreeing and disagreeing mean making scholarly arguments from the literature that may support your own ideas. Faculty expects you to support your ideas from the readings or similar scholarly writing about the topic in nursing literature. Always cite your source(s) and reference in APA format. 

The initial post must be of at least one paragraph. The post requires include: your point supported by relevant, specific information to support your claim. Aim for three to five or more sentences per paragraph. The citations and references require on APA format.

xplore the technology systems offered by Nanthealth, a provider of “telehealth” and health management services via the following link:

http://nanthealth.com/

Prepare a brief (8-10 slides) PowerPoint presentation in which you do the following:

1. Identify at least two technology innovations to connect patients, providers, and insurers across the care continuum.
2. Describe how the technologies work to provide patients and providers with data necessary for health care decision making.
3. Discuss how the real-time data encourages outcome-focused planning.
4. Predict what impact the technology will have on future health care delivery. Provide rationale and examples.

Write a paper in which you analyze an information system for its effectiveness in improving patient care.

Preparation

Select an example of a current information system used in the delivery of patient care. Note:  Ideally, select a system from your workplace to examine. If you are not  currently working, select a system from an organization close to where  you live. This technology should be used for data management designed to  improve patient care.

Familiarize yourself with the technology. Do some personal research  to gain a deeper understanding about the technology. Visit the Web site  of the company who markets the technology to familiarize with how the  company positions the technology in the market. Read articles online and  in the library related to your chosen system. Remember to take notes to  keep track of what you discover. Examine the following aspects of the  technology:

1. How is the information system designed to contribute to safety and quality in the care of patients?
2. What types of data are tracked, monitored, stored, and trended in the system?
3. How well does it accomplish what it is designed to do in your chosen real-world setting?
4. How is this information system used to support research or action  by nurse researchers, leaders, and informaticists? If it is not  currently being used to support research, how could it be used in the  future?
5. What types of opportunities are available for nurses, in any  scope of practice, that gives them the chance to participate in the  design and testing of this system?
6. How might the technology be enhanced so it better meets the needs of the professionals currently using the system?

Compare what you learn with how your chosen technology is being  used in the workplace. Think about your own workplace and consider  speaking with other professionals who currently use the system.

Directions

Write an paper in which you discuss and apply what you have learned  about how your chosen information system is used in the delivery of  patient care and how it contributes (or does not contribute) to improved  patient care. Include the following categories:

• Describe your chosen information system used in nursing and how it contributes to evidence-based nursing practices.
• Describe the types of data that are tracked and how the data are monitored, stored, and trended.
• Describe how a nurse researcher, nurse leader, and nurse  informaticist use information technology to define patient safety within  the context of outcomes.
• Describe how nurses can enhance the technology through participation in design and testing of the system.

Additional Requirements

• Written communication: Ensure written communication is free of errors that detract from the overall message.
• APA formatting: Format resources and citations according to current APA style and formatting guidelines. Include the following:      
  • Title page.
  • Running head (a short title that appears on every page).
  • Title on the first page of text.
  • Level 1 headings for paper sections.
  • In-text parenthetical citations and a reference list.
• Number of resources: Cite a minimum of four peer-reviewed resources.
• Length: Submit 3–5 typed, double-spaced pages.
• Font and font size: Use Times New Roman, 12 point. 

Discussion Question 2

Identify at least two modes of communication you have used for the elderly in your clinical practice. State what modes of communication were effective and which modes were challenging. Explain why.

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below.