Clinical Decision Support Systems or Data Mining

Hi,

need 2-3 paragraph. choose from option A or B and please address all asked questions:

                                                                                                                      

Answer with an initial post to one of the questions sets below. Make sure you note in your post if you are responding to Option A or Option B. You must respond to classmate’s postings in both Option A and Option B.

Option A: Clinical Decision Support Systems

Clinical decision support systems (CDSS) are used to help guide clinical decisions for care. At the high end, CDSS’s can facilitate diagnosis of conditions. Most of us see a CDSS in terms of ‘hard stops’ in the charting where until certain things are documented you cannot proceed in the charting.


 Describe how a CDSS is used at your facility.

 Explain how a CDSS might be useful in supporting high quality, safe patient care.

 If your clinical area does not use a CDSS, describe how one could be used in practice.

 Find one peer-reviewed article to use in your response and cite it using APA format.


Option B: Data Mining

Data mining is used to find relationships between variables that one might not have considered previously. For example, you run a data search to compare the incidence of nosocomial infections rates on a particular unit against those that had surgery a minimum of one day prior. This might show a correlation between infection rates of a particular group (say, appendectomies) with a specific OR (or surgeon, or team, etc.). Perhaps the nosocomial infection rates of appendectomies was 24% when they used operating room 3. The data tells you to examine that OR, look for reasons why the incidence of infections was higher in that room. Data mining looks retrospectively at the correlation between two variables that might not have been identified otherwise.


 If you were able to perform a data mining search in your current setting, what topic or issue would you select? Keep in mind that data mining can ONLY happen if the topics or variables are electronically stored so when you identify your data mining topic, you need to state how the data is stored and accessed.

 Would you narrow it to a specific population and cross reference another variable such as a nursing intervention or would you widen the search to look for hidden trends?

 What other issues would need to be considered when looking at data mining trends for future practice?

 Find one peer-reviewed article to use in your response and cite it using APA format.


In your responses to two other students’ posts, discuss the impact data mining or CDSS might have on clinical practice or share another response that you may have about a student’s posting.

Your responses should consist of complete sentences and should be at least 1 paragraph but no more than 3 paragraphs

Discussion

Go to the following website by clicking on the provided link, http://www.countyhealthrankings.org/ , and select a county and a state (this may be the county/state in which you reside, attend school, or plan to live and work). After reviewing the website and the health outcomes in the County Health Rankings for the area, answer the following questions in a few short sentences as part of your discussion.

                                                                                      

 Select one area in need of improvement and list the general statistics pertaining to the specific problem.

 How does the creation of the community health center program help to address this public health problem and what can you as a nurse practitioner and/or nurse leader do to influence policy innovation to resolve the problem?

PowerPoint presentation

Create a PowerPoint presentation to illustrate and explain how the core determinants of health are impacting the health of your target population utilizing the picture below. Note that you should briefly review all of the determinants and then choose the ones that impact your target group to talk about in the assignment. Be sure to review the link information in the classroom on Core Determinants of Health. You will then use the power point you created as a visual and record your voice, narrating your power point. 




MY TARGET POPULATION IS THE LGBTQ POPULATION


THE PRESENTATION NEEDS TO BE 5-7 MINUTES LONG SO ENOUGH SLIDES FOR THAT. 


USE APA FORMAT WITH A INTRODUCTION AND REFERENCE SLIDE

Disorders of the Reproductive Systems

While the male and female reproductive systems are unique to each sex, they share a common function—reproduction. Disorders of this system range from delayed development to structural and functional abnormalities. Since many reproductive disorders not only result in physiological consequences but also psychological consequences such as embarrassment, guilt, or profound disappointment, patients are often hesitant to seek treatment. Advanced practice nurses need to educate patients on disorders and help relieve associated stigmas. During patient evaluations, patients must feel comfortable answering questions so that you, as a key health care provider, will be able to diagnose and recommend treatment options. As you begin this Discussion, consider reproductive disorders that you would commonly see in the clinical setting.

To Prepare


 Review Chapter 22 and Chapter 23 in the Hammer and McPhee text, as well as Chapter 33 and 34 in the Huether and McCance text.

 Select two disorders of the male and/or female reproductive systems that interest you. Consider the similarities and differences between the disorders.

 Select one of the following factors: genetics, ethnicity, age, or behavior. Think about how the factor you selected might impact the diagnosis of and treatment for the reproductive disorders. 



Post a description of the two reproductive disorders you selected, including their similarities and differences. Then explain how the factor you selected might impact the diagnosis of treatment for the reproductive disorders. 

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the ""Post to Discussion Question"" link and then select ""Create Thread"" to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

Organizational Culture and Values

Prepare a 10-15 slide PowerPoint presentation, with speaker notes, that examines the significance of an organization's culture and values. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the Topic Materials for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning, and an additional slide for References at the end.


 Outline the purpose of an organization's mission, vision, and values.

 Explain why an organization's mission, vision, and values are significant to nurse engagement and patient outcomes.

 Explain what factors lead to conflict in a professional practice. Describe how organizational values and culture can influence the way conflict is addressed.

 Discuss effective strategies for resolving workplace conflict and encouraging inter-professional collaboration.

 Discuss how organizational needs and the culture of health care influence organizational outcomes. Describe how these relate to health promotion and disease prevention from a community health perspective.


While APA style format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Hematology Case Study

1) This is an instruction sheet ONLY and should not be used to write the below paper. Open a new Word document to construct paper.

2) Must be APA formatting throughout.

3) Must have a title page.

4) Must have a reference page.

5) The body of your paper must be at least three full pages not including the title page and reference (those are separate pages).

6) All seven questions must be answered in its entirety.

7) Must cite at least two references in the body of your paper to support your work.

Nursing care management for a stroke patient

Presentation: You inherit a new patient F. L. who has a history of ""recent stroke."" He was recently (approximately 3 months ago) hospitalized, but you don't have his records at the moment. The patient's wife wanted him ""checked out,"" and states that his ""cat scan"" showed a stroke. She claims, ""They did a bunch of other tests but didn't find anything."" She does not think he has hypertension but adds, ""He does not like to go to doctors."" The past medical history is unknown. He does report taking aspirin 81mg daily and does not have any known drug allergies. Patient F. L. smoked one pack a day but quit five years ago, however he does drink socially. As for his family history, his mother died at the age of 79 from a stroke and his father died at the age of 64 from a myocardial infarction; he is the only child. He is 57 years old, married to his wife for 29 years and has three children. He works Monday through Friday as an accountant.

Medications: Aspirin 81mg daily

Review of systems: Subtle left hemiparesis; increased tone and hyperactive reflexes; very mild neglect of his left side.

Physical exam: Vitals: height = 72″, weight = 225, body mass index = 30.5, blood pressure = 150/99 mm Hg; heart rate = 93 beats per minute at rest.


 Describe the pathophysiology of a stroke.

 What would your nursing assessment consist of? What should you be cognitive of with stroke patients?

 What are three short-term goals for this patient?

 What are three nursing interventions for this patient?

 What are three things you would discuss with the patient and his family during your discharge teaching?

  What are two medications (other than aspirin) that could be provided for this patient and why?

   

     What is the mechanism of action of each? 

     What are some of the possible side effects associated with these medications?

     How would the patient benefit from taking these medications?

   

 

 What are three recommendations for follow-up care?

Staffing

Staffing is one of the largest expenditures for healthcare organizations. It stands to reason that for some organizations a mandatory staffing ratio could negatively impact their financial bottom line. Sometimes ratios can be different within an organization based on acuity of patients or type of unit. Explore your own organization staffing ratio policy. What is/are the ratio(s) and how they are determined? What variables affect the ratios? Have they been mandated by state legislation or organizational policy? How is your operational budget (unit or department) affected by the staffing ratio assigned to it?,

Posttraumatic Stress

There are different treatments used for the diagnosis of PTSD. The textbook mentions several. Please, select one of them and discuss it. Also, explain why you selected that particular treatment.

Guidelines: The selection needs to be from the textbook. Student mentions one of the treatments for PTSD (30 points). Student discusses the treatment (35 points). Student explains why she / he selected that particular treatment (35 points).APA FORMAT

Decision Tree

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.The Assignment:

Learning Objectives

Students will:

                              

 Evaluate clients for treatment of mental health disorders

 Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders


Examine Case 3: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.At each Decision Point, stop to complete the following:


 Decision #1: Differential Diagnosis

   

     Which Decision did you select?

     Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

     What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

     Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

   

 

 Decision #2: Treatment Plan for Psychotherapy

   

     Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

     What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

     Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

   

 

 Decision #3: Treatment Plan for Psychopharmacology

   

     Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

     What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

     Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

   

 

 Also include how ethical considerations might impact your treatment plan and communication with clients and their family.


Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement.: Practicum: Decision Tree

For this Assignment, as you examine the client case study in this week’s Learning Resources, consider how you might assess and treat adult and older adult clients presenting symptoms of a mental health disorder.

The Assignment:

Learning Objectives

Students will:


 Evaluate clients for treatment of mental health disorders

 Analyze decisions made throughout diagnosis and treatment of clients with mental health disorders


Examine Case 3: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:


 Decision #1: Differential Diagnosis

   

     Which Decision did you select?

     Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

     What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

     Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?

   

 

 Decision #2: Treatment Plan for Psychotherapy

   

     Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

     What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

     Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?

   

 

 Decision #3: Treatment Plan for Psychopharmacology

   

     Why did you select this Decision? Support your response with evidence and references to the Learning Resources.

     What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.

     Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?

   

 

 Also include how ethical considerations might impact your treatment plan and communication with clients and their family.


Note: Support your rationale with a minimum of three academic resources. While you may use the course text to support your rationale, it will not count toward the resource requirement

Nurse contribution

Select one 19th century nurse other than Nightingale, and describe this person's contributions to the profession","There are so many other nurses to acknowledge their contribution to the profession. Even in the 19th century, some of those prominent nurses made impacts in the political environment founded healthcare organizations and were staunch advocates for women's rights. These are only a few of their accomplishments