Mrs. B, a 73-year-old old Caucasian female, comes to the clinic for a follow-up visit for her blood pressure “which is out of control”. She lives alone and has been retired since age 65 from a teaching job. She states that her husband died 3 months ago, and her two children ages 45 and 39 live out of the state. You notice that Mrs. B. is withdrawn and does not respond to your questions appropriately. She appears frail, thin and is disoriented about time. Mrs. B states: “I don’t want to live anymore”.

1. Based on her presenting signs, what other questions would you elicit?
2. How would you demonstrate knowledge of cultural sensitivity/humility in approach to this patient?
3. What would you assess?
4. What could be the problem?

 Hello Class,
I obtained an associate’s degree in nursing from William Rainey Harper College (https://www.harpercollege.edu/Links to an external site.). It is a community college located in Palatine Illinois. In 1967, the doors opened at William Rainey Harper College and they began nursing classes that same year. The two-year program served as a bridge for those students who previously became a Licensed Practical Nurse. It provided me with a sound clinical foundation and laid the framework for my continuing education. Going forward I will be curious how they will maintain enrollment in the program because of the national strategy to have entry-level nurses obtain a bachelor’s degree.
I am looking forward to hearing about the nursing school you previously attended. How did it affect you and nursing in the present and future?
Roma 

Informatics in the Clinical Setting

Conduct an interview with someone in an informatics role in a clinical setting. Then, compose a 4-5 pages paper discussing the following components:

• Role description and education level required for the role.
• Describe their views on how their role impacts patient safety and improves the quality of patient care.
• Describe the Human Factors faced in the role and other challenges.
• Express insights gained from the interview.
• Research and discuss the impact of the Agency for Healthcare Research and Quality (AHRQ) Patient Safety Indicators and The Joint Commission Patient Safety Goals in your clinical setting. Describe how these governing agencies impact delivery of direct patient care.
• Research, discuss, and identify the Technology Informatics Guiding Education Reform (TIGER) utilized in your clinical setting. Be sure to get the perspective of your selected informatics professional during your interview.
• On a separate page, cite all sources using APA format.

 Create a possible ethical dilemma relating to your chosen field. (which is Healthcare Administration) For example: You are a Medical Assistant and your supervising physician consistently asks you to perform procedures that you are not trained for. Or, you are a Medical Biller and your supervisor has asked you to overbill certain procedures because the clinic that you work for is in financial trouble. Using the 7 Step Decision Making Model, apply the facts of your dilemma. 

According to the American Diabetes Association (2011), 25.8 million children and adults have been diagnosed with diabetes in the United States. Approximately 2 million more are diagnosed every year, with another 79 million people considered to be in a pre-diabetes state. These millions of people are at risk of several alterations, including heart disease, stroke, kidney failure, neuropathy, and blindness. Since diabetes has a major impact on the health of millions of people around the world, it is essential for nurses to understand the pathophysiology and associated alterations of this disorder. In this Discussion, you compare two types of diabetes—diabetes mellitus and diabetes insipidus.

To Prepare

• Identify the pathophysiology of diabetes mellitus and diabetes insipidus. Consider the similarities and differences between resulting alterations of hormonal regulation.
• Select two of the following patient factors: genetics, gender, ethnicity, age, or behavior. Think about how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

Post an explanation of the pathophysiology of diabetes mellitus and diabetes insipidus. Describe the differences and similarities between resulting alterations of hormonal regulation. Then explain how the factors you selected might impact the diagnosis and prescription of treatment for these two types of diabetes.

APA Citation 3 to 4 References within 5 years