Nursing project
Nursing project,Instructions attached
Disorder in immunity
Microbiology: Disorders in Immunity,"7th edition apa format 300+ word please list reference
Anatomy
Compose 400 words or more discussion to respond the following:
How many pairs of spinal nerves are there? Can you name them?
What is a plexus? Name the four major pairs of plexuses.
What is a dermatome? A myotome?
List the names and numbers of the 12 pairs of cranial nerves.
Mention the primary function of each pair cranial nerves.
Distinguish among a motor nerve, sensory nerve and mixed nerve.
What is the principle of autonomic antagonism? Give an example.
Which division of the Autonomic Nervous System (ANS) is the dominant controller of autonomic effectors when the body is at rest?
Name the two major types of cholinergic receptors and the two major types of adrenergic receptors.
What is the difference between a cholinergic fiber and an adrenergic fiber? Between a cholinergic receptor and an adrenergic receptor?
Disaster
Section 1: The Disaster, Man-Made or NaturalWhat disasters may strike your community and why? For example, do you live in “Tornado Alley,” or has climate change resulted in unusual cold weather snaps or blizzards in your community? Are you located in a flood plain? Include possible diseases that may result from a natural disaster, such as tetanus or cholera.Section 2: The Nursing ResponseFormulate responses to the disaster, considering systems and community levels of intervention.Review websites where a disaster plan may be available for the public, or if one is not currently available, call public health department to see if a disaster plan exists for your community and what the plan contains.In addition to reviewing websites for information about your local disaster plan, you will need to locate best practice/evidence-based practice guidelines in professional literature to determine whether your community’s disaster plan is as sound as it might be or if there is room for improvement.Section 3: Is My Community Prepared for a Disaster?What conclusions can you draw about your community’s preparedness plan from having completed this evaluation?
Guide ethical behaviors
Scenario 1: social media posting
Every time a patient visits any medical facility, they always expect quality care and confidentiality. With increased and advanced technology, many people are capable of accessing patient’s information, making it difficult for healthcare workers to fully secure patients’ confidentiality. in the first place, healthcare personnel is supposed to ensure that the information that they share on their social media platforms no sensitive information is shared through these platforms because they are not secure. The information provided should not jeopardize the security and privacy of the patients. a nurse must first consider whether the information provided can lead to the patient's identity being revealed and what the consequences are.
This nurse has gone against the HIPAA rule. According to HIPAA, the patient’s demographic such as their past, present, or future, and health care they have received, should be protected (Cannon, & Caldwell, 2016). In this case, the nurse has revealed the patient data such as their weight and diagnosis, which can lead to the identification of the patient. Today, It is easier to access patient’s information due to the high technological advancement. Therefore, the healthcare providers are supposed to be very careful with the kind of information shared on the online platforms because once it is shared, they may have little or no control of who will access the information provided. this worker does not show any professionalism that is required by a health worker. Spreading the patient's information on online platforms is illegal, and it is a violation of patient’s rights. Every time a patient visits any medical facility, they always expect quality care and confidentiality
Scenario 2: presentation poster
Privacy is the patient’s right to personal information protection. Confidentiality is very critical in ensuring that the third party does not access the patient’s information. All healthcare professionals are bound by these rules that prohibit them from discussing a patient's medical information with anybody else without consent. The patient's information should also be stored in a way that guarantees the patient's privacy. In this case, the nurse should use the pictures but de-identify all the data that can lead to the patient being identified by the third party.
De-identification is removing identifiers from the health information that can help identify the patient, thus mitigating risks. De-identification also helps the healthcare workers to use the patient to support research without going against the set rules and regulations (Sokol, 2017). The HIPAA rules are critical in that it provides directions regarding re-identifying the PHI using a unique code. This code is very important and thus is not to be disclosed. In this case, the patient can use the client’s lesion for education purposes but ensure that there is no data that can lead to the identification of the patient by the third party. HIPAA provisions allow using information that does not identify the patient
Scenario 3: long term care
There are various privacy and security issues that are related to a patient sharing their information with a long-term care facility. One of the major issues is the patient controlling the information that they provide to the healthcare workers. Therefore, there is a great concern regarding who should be controlling the access and the sharing of information in the long-term care facility. The patient information is critical, and the control issue should be appreciated with the owner's approval. The patients are therefore supposed to control the information that they provide. In this case, Marcus is not sure who he should provide his information with. The patient may therefore hide some of the information because he is not sure who he should be providing the information with and the security of the provided information.
There is also the other issue of trust between the patient and the healthcare provider. In order to have a successful healthcare system, trust between the patient and the healthcare providers is paramount. The absence of trust may make the patient fail to disclose the necessary information required to help better the patient's outcome. Failure to disclose some information may lead to adverse effects.
There is also the likelihood of gaps in the legislative aspects of the privacy and security-related institutions that help safeguard the patient's information. These gaps arise because of a lack of proper policies and lack of knowledge. This may lead to unauthorized persons accessing the patients' information.
References
Cannon, A. A., & Caldwell, H. (2016). HIPAA violations among nursing students: teachable moment or terminal mistake—a case study. J Nurs Educ Pract, 6(12), 41-48. Retrieved from; https://www.researchgate.net/profile/Hollie_Caldwell/publication/305479324_HIPAA_violations_among_nursing_students_Teachable_moment_or_terminal_mistake-A_case_study/links/579787a108aec89db7b9a86b.pdf (Links to an external site.)
Sokol, A. J. (2017). Clinical Research and Data: HIPAA, the Common Rule, the General Data Protection Regulation, and Data Repositories. Merrill Series on The Research Mission of Public Universities, 47-62. Retrieved from: https://journals.ku.edu/merrill/article/view/7750/7359 (Links to an external site.)
Peer's response,"
Welcome to Samples page
Scenario 1
A nurse posted the following comment on her social media page: “Can this shift be any longer? It started out with a waiting room full of nagging people that don’t seem to know what “emergency” means. Then I had to deal with the drama of trying to transfer a 400 lbs. (no joke) intubated COPD patient down the hall to the ICU, those ICU nurses are such divas and I wasn’t in the mood for their whining. Someone help!
Describe the privacy and security issues related to this social media posting.
First, an effective nurse-patient relationship requires trust, dignity, and respect. Social media can be used in many forms by either shedding a positive or negative light on a place or situation. What is acceptable and not acceptable relies on how it is portrayed on the social media platform. Posts on social media that include patient identifiers are considered a violation of HIPPA laws. The HIPPA law, federal law ensures that patient medical data remains private and secure.
In this scenario, we do not see the use of pictures or names but online comments and descriptions of a healthcare organization and staff will violate patient privacy and the institutions' policy. Edemekong et al (2021) explain the differences in HIPAA privacy rules, usage, and disclosure of information. Privacy rules require patient consent on how personal information is disclosed, whereas usage shows how information is used in healthcare organizations and, the disclosure of the information is regulated on who it is shared with outside of the healthcare setting. The privacy rule covers the nurse known as the “covered entities” to discuss patient health but the disclosure of information was unethical, unprofessional, and did not uphold the HIPPA regulations. The nurse violated patient privacy and security by using the patients' description, health condition, and location within the hospital. As a healthcare provider, it was disclosure of a patient health status viewed to the public that can be deemed identifiable.
Scenario 2
A nurse educator is preparing a presentation poster for an infectious disease conference. She includes pictures of varying stages of a client’s lesions in the poster.
Describe the privacy and security issues related to the inclusion of patient information on the poster.
The HIPAA Privacy Rule prohibits the disclosure of patient health information on any social media without the consent of patients. This rule includes text, pictures, videos, or any images that can determine the patient’s identity. Kayaalp (2018) and Nettrour et al (2018) state that the use of clinical photographs that are de-identified in accordance with HIPAA/Privacy Rule is not considered a breach to patients. HIPPA regulatory framework is intended to provide a balance between protecting patient health information and as well as permitting access for secondary use by de-identification methods. The nurse educator may use pictures of lesions in varying stages for educational purposes by excluding the 18 identifiers known as the Safe Harbor Method or the expert determination method which entails analysis and review by an expert in statistics. The use of patient health information, in this case, would require authorization from the patient. No identifiable areas of the patient's body should be revealed in the poster and only patient lesions may be used. In my educational journey, I have seen different wounds of patients in wound care conferences used to explain and describe stages of pressure injuries.
Scenario 3
Marcus was admitted to the hospital from a long-term care facility. He was diagnosed with dehydration and delirium. He is expected to return to the facility. The charge nurse at the facility calls for an update regarding his status.
Describe the privacy and security issues related to sharing this information with the long-term care facility.
According to the U.S Department of Health and Human Services (2020), a privacy rule is to verify organizations take reasonable actions and steps to identify those individuals seeking discharge plans and that permitted access to patient information. This scenario happens all the time and I usually defer to the social worker and primary team by taking a name and call back number. It is very challenging to verify who is on the other end of a call to protect the patients’ information. An update to the facility is usually done by the social workers and or care coordinator managers in an in-patient setting caring for the patient. Verification can be made by these healthcare workers to ensure the right information is given to the right patient in the long-term care facility which is usually done electronically. This will ensure the patients' privacy and security are not violated.
References
Department of Health and Human Services (2020). Individuals’ Right under HIPAA to Access their Health Information. Retrieved from
https://www.hhs.gov/hipaa/for-professionals/privacy/guidance/access/index.html (Links to an external site.)
Edemekong, P. F., Annamaraju, P., & Haydel, M. J. (2021). Health Insurance Portability and Accountability Act. In StatPearls. StatPearls Publishing.
Kayaalp, M. (2018). Patient Privacy in the Era of Big Data. Balkan Medical Journal, 35(1), 8–17. https://doi.org/10.4274/balkanmedj.2017.0966 (Links to an external site.)
Nettrour, J. F., Burch, M. B., & Bal, B. S. (2018). Patients, pictures, and privacy: managing clinical photographs in the smartphone era. Arthroplasty Today, 5(1), 57–60. https://doi.org/10.1016/j.artd.2018.10.001
self management
self managment,i need help with self management ppe powerpoint
SOAP note
Revise, and check for plagiarism
Concept Map
Mr. Charles Lamont is a 45-year-old patient who is visiting his primary care physician for his an annual checkup. His wife is waiting for him in the lobby; she is hoping that Mr. Lamont will tell the physician about his recent bout of coughing and shortness of breath. Mr. Lamont works for a construction company as a heavy machine operator. He smokes 1½ packs of cigarettes per day. His wife has been encouraging Mr. Lamont to stop, but he has not showed any interest in quitting. Laura, the registered nurse, takes Mr. Lamont to an examination room. Laura asks him about his overall health and he tells her about a nagging cough and how he sometimes feels short of breath. He then denies any other health problems. Laura takes Mr. Lamont’s vital signs and gets the following results: blood pressure, 156/94 mm Hg; temperature, 99.8° F orally; apical pulse, 104 beats/min; respiration, 25 breaths/min and regular; and pulse oximetry, 95%
Homework medical office
1.- How are grouped the source-oriented medical records categories?
2.- What is SOAP and POMR formats?
3.- What are the Progress notes? What do we have to include on them?
4.- Please name and explain the Filing Systems.
5.- Please name the classification of Medical Records. For how long do we have to store the Medical Records?
