Describe someone from previous experience who experienced depression or mania. Include a brief history and 3-5 most pertinent medications to that disorder. Nursing Mental Health Homework

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• Identify one problem that was not resolved with the treatment regimen. What are the reasons it may not have been successful? Include nursing as well as other team members.
• Identify one effective nursing intervention and why you feel it worked.
• Overall, do you feel this client was kept safe? Why or why not?
• Please provide supporting evidence for your answers. Nursing Mental Health Homework

Assignment Overview

This assignment is intended to demonstrate your comprehension of the main principles of health informatics, as well as the primary applications of health informatics in healthcare organizations.

For this assignment, you will read a case study that presents difficulties associated with implementing a new computer system in a professional setting. Based on the scenario described in the case study and assignment details, you will create a short PowerPoint presentation. Health Informatics in Healthcare Organizations Assignment

Assignment Details:

Perform the following tasks:

· Complete the reading assignment and the interactive lesson before attempting this assignment.

· To complete this assignment:

o Review the case study and select one of the committee roles.

o Download the provided PowerPoint template to create a presentation that includes:

§ Your selection as a member on the committee

§ Identification one or more issues, related to your role on the committee

§ Identification of probable cause(s) of identified issue(s)

§ Proposed recommendations to resolve the identified issues

§ Reference slide – list of academic references, using APA style

o Ensure to support the content of your slides with research from your text or the LRC. Health Informatics in Healthcare Organizations Assignment

·

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Ø Case Study

Read the following case study

A good friend of yours is director of nursing at a 220-bed community hospital. Last year the hospital merged with a much larger medical center. One of the upsides, as well as one of the challenges, resulting from this change has been the rapid introduction of new computer systems. The goal is to bring the hospital “up to speed” within 3 years. At present, the Computerized Physician Order Entry (CPOE) is being implemented. The general medical and surgical units went live last month. The ICU, pediatrics, and obstetrics units are scheduled to go live next month. The plan is to work out any kinks or problems on the general units and then go live in the specialty units. Most of the physicians, nurse practitioners, and physician assistants initially complained but are now becoming more comfortable with the computers and are beginning to integrate the CPOE process into their daily routines. Several physicians are now requesting the ability to enter orders from their offices and others are looking into this option.  Health Informatics in Healthcare Organizations Assignment.However, three physicians have not commented during this process but are clearly resisting. For example, after performing rounds and returning to their offices they called the unit with verbal orders. After being counseled on this behavior, they began to write the orders on scraps of paper and put these in the patient’s charts or leave them at the nurses’ station. When they were informed that these were not “legal orders,” they began smuggling in order sheets from the non-activated units. In addition, they have been coercing the staff nurses on the units to enter the orders for them. This has taken two forms. Sometimes they sign in and then ask the nurses to enter the orders. Other times they ask the nurses to put the orders in verbally and then they confirm the orders. The nurses feel caught between the hospital’s goals and the need to maintain a good working relationship with these physicians. 

You suggest to your friend (director of nursing) to create an informal committee to review the issues surrounding the CPOE implementation. The committee would determine methods to address these issues, prior to implementing CPOE within the ICU, pediatrics, and obstetrics units. Your friend appreciates the suggestion and forms a small committee with the following members:

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system

The director of nursing asks each committee member to create a short PowerPoint presentation for the committee. The presentation would identify issues that occurred during CPOE implementation, identify potential causes of such issues, and list specific recommendations, based on strong rationale and research, to resolve the identified issues prior to the next CPOE implementation. Each committee member will have a unique perspective, based on their position (i.e., nurse, physician). Health Informatics in Healthcare Organizations Assignment

 

PowerPoint Presentation

Directions:

1. Review the case study and select one of the committee roles.

2. Download the PowerPoint template (Week 2 Assignment Template).

· The link to this template can be found in your Blackboard course in Week 2.

3. Select one of the following roles on the committee

· Taylor Terrific, RN – a nurse practitioner

· Dr. Dudley Do-Right – a physician who uses the CPOE system routinely and correctly

· Dr. Frank Burns – a physician who rarely, if ever, uses the CPOE system. Health Informatics in Healthcare Organizations Assignment

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4. Use the PowerPoint template to create slides that:

· Identify one or more issues, related to your role on the committee

· Identifies probable cause(s) of identified issue(s)

· States proposed solutions or processes to address the identified issues

§ Solutions are supported by specific rational and research.

· Includes a reference slide – a list of academic references, using APA style

5. Ensure to support the content of your slides by the case study, research from your text, or the LRC. Health Informatics in Healthcare Organizations Assignment

Response to peer discussion board-150 words-1 reference within 5 years-NURSING JOURNALS ONLY.

 

There is a large push for evidence-based practice to become the main foundation of all clinical

practices and clinical decision making. In order to provide the best up to date quality care

evidence-based practice must be used. “By the year 2020, 90% of clinical decisions will be

supported by accurate, timely, and up-to-date clinical information and will reflect the best

available evidence” (Boswell& Cannon, 2017). Response to nursing discussion board-peer repsonses.Though it is ideal to have evidence-base practice

driving health care practices there are many obstacles in the way of changing the culture of

health care practices. There are many obstacles to change such as resistance to change from

staff, available resources to support changes, lack of support and training from mentors, and

“research findings incompatible with the realities of their practice” (Johnston, Coole, Feakes,

Whitworth, Tyrell, & Hardy, 2016, p. 392).

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Working at Shands Hospital in Gainesville Florida there is most definitely a strong push for

the best quality of care through evidence-based practice. Each unit throughout the hospital has

a clinical leader. The unit’s clinical leader’s main job description is to assure the unit is clinically

using practices that are evidence-based.  Response to nursing discussion board-peer repsonses.The main obstacle that I have found on my unit has

been “research findings incompatible with the realities of their practice” (Johnston et al. 2016, p.

392 ).  Working on such a high acuity unit in the cardiovascular intensive care unit a lot of

evidence-based hospital driven policies and practices have had to be adjusted specially to fit our

unit. Hospital wide practices have had to be adapted because certain practices do not apply to

the realities and acuity of our unit. One main example is the MEWS assessment.  Response to nursing discussion board-peer repsonses.“The modified

early warning score (MEWS) is an example of a physiological ‘track and trigger’ system designed

to identify patients at risk of clinical deterioration in order to provide a timely response to

request appropriately-trained nursing or medical staff to assess the patient and provide any

interventions required” (Harris, 2013, p.432). MEWS is an extremely useful tool on floor units,

but on my particular unit a majority of our patient population have such a high baseline MEW

Score. If following our hospital protocol for our patients’ MEWS we would be constantly calling

physicians and bringing them to the bedside. Our patients have extremely high acuity which is

one of the reasons they are in the intensive care unit. Our physicians are aware of the acuity of

our patients and therefore the hospital wide MEW score does not really apply to our unit. We

had to adjust the triggers of the MEW Scores of when to notify a physician. On the floor a

MEWS of 4 a physician is notified and needs to come assess the patient, but in the CICU the

score for when a physician has to come to bedside was adjusted to a 6. MEWS is just one of

the many obstacles present in implementing evidence-based practices on our unit. There are

many obstacles to implementing evidence-based practices in our clinical practices, but it is

imperative that we adjust or policies and practices to reflect the research found in order to

provide the best quality care. Response to nursing discussion board-peer repsonses

Despite increased abilities across developmental realms, including the maturation of pain systems involving self-regulation and the coordination of affected and cognition, the transition to young adulthood is accompanied by higher mortality rates, greater engagement in health-damaging behaviors, and an increase in chronic conditions.  Rates of motor vehicle fatality and homicide peak during young adulthood, as do mental health problems, substance abuse, unintentional pregnancies, and sexually transmitted infections.  Module 13 Health Promotion Discussion Paper

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Describe how the advanced practice nurse can play a role in improving the health of young adults through preventive screening and intervention.

Word limit 500 words.  Please provide citations and references (in APA, 7th ed. format) for your work. Module 13 Health Promotion Discussion Paper