Evidence-based findings

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Evidence-based findings

Discuss how you intend to implement your evidence-based findings. What are your anticipated challenges? How do you intend to overcome some of those challenges?

Expectations Initial Post: use US sources and topic is nurse retention

Length: A minimum of 250 words, not including references

Citations: At least one high-level scholarly reference in APA from within the last 5 years

Evidence-based findings

Advanced Pathophysiology

Hello, this work is on Advanced Pathophysiology, it must have a minimum of 300 words and a bibliographic reference. The bibliography used on the topic is McCance, K. L. & Huether, S. E. (2019). Pathophysiology: the biological basis of diseases in adults and children. But you can use another one in addition to this one. What is a major function of the limbic system?

Explain your answer.

a. Overall control of fluid balance

b. Required for logical thinking, reason, and decision-making.

c. Determines emotional responses.

d. Responsible for artistic and musical talents

 

Abortion

Abortion is one of the most difficult and controversial moral issues we will consider. Listen to both sides, even if it is difficult to do. Both sides have important moral insights, even if ultimately these insights are outweighed by the insights of the other side. The goal of this discussion is not to convince you to accept one position over the other but to help you to understand both sides.

As you consider this difficult issue, it is important to distinguish two questions:

1) Is abortion morally wrong?

2) Should abortion be illegal?

Choose one of the questions above and argue both sides with supporting evidence. Please write your discussion choice in the title line.

31-year-old pregnant patient

Jackie is a 31-year-old pregnant patient (2nd child, two different fathers) single mother of a 6-year-old who is coming for prenatal care since she suspects she is pregnant. She is no longer with the father of Robby, her firstborn. She indicates “pretty serious partying” with the likely father of the baby. By pretty serious partying she means 10-12 drinks per occasion, one to two times per week, plus intermittent methamphetamine use. Which clinical information would be most critical for you to collect in the first visit? What are the greatest risk factors for substance use disorder for this patient? Which harm reduction strategies would you recommend? Identify your city. Then refer this patient to three agencies near you that would support positive health outcomes for this patient.   (These agencies must not have been used in past discussion posts). What was your rationale for choosing these three agencies?

 

References

https://www.ncbi.nlm.nih.gov/books/NBK518961/

 
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Describe a change initiative that was implemented in a healthcare setting – Answered

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Describe a change initiative that was implemented in a healthcare setting – Answered

Describe a change initiative that was implemented in a healthcare setting (your own work setting, from the literature or from the experiences of other professional nurses) that resulted in conflict, chaos or crisis (use fictitious names for people and organizations). Discuss the change initiative,  how the change was implemented, by whom, and the outcome. In consideration of this week’s readings, describe how you as a nurse leader, would have managed the change initiative. Expectations Initial Post:us one US source from the last 5 years, Also pick topic in a Critical care setting Length: 150 – 250 Words (Describe a change initiative that was implemented in a healthcare setting – Answered).

Answer

Change Initiative in a Critical Care Setting: A Case of EHR Implementation

In 2019, Sunrise Medical Center implemented a new Electronic Health Record (EHR) system to improve patient care and streamline operations. The initiative, led by Dr. Smith, the Chief Information Officer, aimed to replace the outdated system with a more advanced, interoperable EHR.

Implementation and Outcome

The EHR implementation was rolled out in phases across various departments, starting with the critical care unit (CCU). Training sessions were conducted, but they were insufficient and rushed due to tight deadlines. Nurses and physicians struggled with the new system, leading to increased errors, workflow disruptions, and frustration. The transition period was marked by high stress levels and frequent conflicts among staff, as they navigated the complex interface. Patient care was compromised, with reports of medication errors and delayed treatments. Ultimately, the initiative resulted in a temporary decline in patient outcomes and staff morale.

Managing the Change Differently

As a nurse leader, I would have approached the change initiative with a more structured and supportive strategy. First, I would ensure comprehensive and phased training programs, allowing ample time for staff to become proficient with the new system. Additionally, involving frontline staff in the planning and implementation stages would help identify potential issues and foster a sense of ownership. Continuous feedback mechanisms, such as regular check-ins and a dedicated support team, would address concerns promptly and mitigate stress. Emphasizing transparent communication and providing emotional support during the transition would help maintain morale and cohesion. Lastly, I would implement a pilot program in a smaller unit before a full-scale rollout to identify and rectify issues early.

Reference

  • McCarthy, C., & Eastman, D. (2019). Change Management Strategies for Successful EHR Implementation. Journal of Healthcare Management, 64(2), 112-121. https://doi.org/10.1097/JHM-D-18-00037

(Describe a change initiative that was implemented in a healthcare setting – Answered)

 
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DNP-803- Leadership in organization systems

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DNP-803- Leadership in organization systems

(DNP-803- Leadership in organization systems) Discussion question 1

Failure can be used as a strategy for success. As a leader how have you or how could you, use failure to move forward for evidence-based innovation/change in your practice setting? Please use the concepts from the book chapter and assigned article to highlight your discussion.

My anticipated system problem or challenge within the Mercris Home Health:

Why Direct Hire NPs by the Faculty can cut Cost because now we have to go through a doctor, and they have to pay a doctor more. This anticipated system problem or challenge within the Mercris Home Health was created by AI. Please help modify appropriately it as it did not sound well.

DNP-803- Leadership in organization systems

Discussion question 2

Respond to questions for the case study on page 203 of your textbook entitled  “Staffing Adequacy”  Please use the textbook and other outside resources to support your answers. (300 WORDS)TEXTBOOK: Leadership for Evidence-Based Innovation in Nursing and Health Professions (Daniel Weberg; Sandra Davidson)The textbook is available at www.vitalsource.com  PLEASE SEE LOGIN INFO IN THE ATTACHMENT.

Please provide data and examples to support

PLEASE SEE DETAILED AND MORE QUESTIONS ATTACHED.

 

Formal leadership theories

A walk through the Business section of any bookstore or a quick Internet search on the topic will reveal a seemingly endless supply of writings on leadership. Formal research literature is also teeming with volumes on the subject. However, your own observation and experiences may suggest these theories are not always so easily found in practice. Not that the potential isn’t there; current evidence suggests that leadership factors such as emotional intelligence and transformational leadership behaviors, for example, can be highly effective for leading nurses and organizations. Yet, how well are these theories put to practice? In this Discussion, you will examine formal leadership theories. You will compare these theories to behaviors you have observed firsthand and discuss their effectiveness in impacting your organization.

DNP-803- Leadership in organization systems

To Prepare:

Review the Resources and examine the leadership theories and behaviors introduced.

Identify two to three scholarly resources, in addition to this Module’s readings, that evaluate the impact of leadership behaviors in creating healthy work environments.

Reflect on the leadership behaviors presented in the three resources that you selected for review. Post two key insights you had from the scholarly resources you selected. Describe a leader whom you have seen use such behaviors and skills, or a situation where you have seen these behaviors and skills used in practice. Be specific and provide examples. Then, explain to what extent these skills were effective and how their practice impacted the workplace.

References

https://books.google.co.ke/books?hl=en&lr=&id=ooCwTx1fFGwC&oi=fnd&pg=PA33&dq=Formal+leadership+theories&ots=NNoBzMZR-6&sig=NT_xo3tdHQJQpuzWT3QGu7mVYj8&redir_esc=y#v=onepage&q=Formal%20leadership%20theories&f=false

 
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Communication Strategies & HIPPA

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Communication Strategies & HIPPA

(Communication Strategies & HIPPA) What electronic communication strategies are used at your organization to communicate with patients? Based on your organization’s HIPAA policy, how is patient privacy and confidentiality protected?

Communication Strategies & HIPPA

Module 5 EBP project

In  this assignment, students will be asked to share information about their  EBP Project (from Module Four) with their peers in the online setting.   Students will create a visual aid that describes their evidence  based practice project (EBPP) and post it to their group discussion  board in Module Five. Students will create a brief written introduction  about their EBPP to post with their visual aid.  Examples of visual aids  may include but are not limited to: PowerPoint, brochure, handout, etc.

 

Seven “levels of evidence”

Describe the seven “levels of evidence” and provide an example of the type of practice change that could result from each.

 

Advocacy Letter

Find and read the instructions for completing the Advocacy Letter under the Assignments tab. Identify 1 public health issue that you think it is important for nurses to advocate for. Why do you think it is important, what change would you like to see take place, and who would you direct your advocacy efforts to in order to make that change? Please give 3 scientific citations please find attached the instructions

 

To Prepare:

Select a bill that has been proposed (not one that has been enacted) using the congressional websites provided in the Learning Resources.

Resources:

Milstead, J. A., & Short, N. M. (2019). Health policy and politics: A nurse’s guide (6th ed.).

Jones & Bartlett Learning.Chapter 3,

“Government Response: Legislation” (pp. 37–56)Chapter 10,

“Overview: The Economics and Finance of Health Care” (pp. 180–183 only)

Congress.gov Links to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.congress.gov/ Taylor, D., Olshansky, E., Fugate-Woods, N., Johnson-Mallard, V., Safriet, B. J., & Hagan, T. (2017).Corrigendum to position statement: Political interference in sexual and reproductive health research and health professional education. Nursing Outlook, 65(2), 346–350Links to an external site.

United States House of Representatives Links to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.house.gov/ United States SenateLinks to an external site.. (n.d.). Retrieved September 20, 2018, from https://www.senate.gov/ United States Senate. (n.d.).

Senate organization chart for the 117th Congress Links to an external site.. https://www.senate.gov/reference/org_chart.htm Document: Legislation Grid Template (Word document)

The Assignment: (1- to 2-page Legislation Grid; 1-page Legislation Testimony/Advocacy Statement)Be sure to add a title page, an introduction, purpose statement, and a conclusion.

This is an APA paper.

Part 1: Legislation Grid

Based on the health-related bill (proposed, not enacted) you selected, complete the Legislation Grid Template.

Be sure to address the following:

Determine the legislative intent of the bill you have reviewed.

Identify the proponents/opponents of the bill. Identify the target populations addressed by the bill. Where in the process is the bill currently? Is it in hearings or committees?

Part 2: Legislation Testimony/Advocacy Statement

Based on the health-related bill you selected, develop a 1-page Legislation Testimony/Advocacy Statement that addresses the following:

Advocate a position for the bill you selected and write testimony in support of your position.Explain how the social determinants of income, age, education, or gender affect this legislation.

Describe how you would address the opponent to your position.

Be specific and provide examples.

At least 2 outside resources and 2-3 course specific resources are used.

 
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Flaw in the US healthcare system

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Flaw in the US healthcare system

Using this required reading: Covid-19 and the Need for Health Care Reform(King, 2020)  NEJM. Identify 1 flaw in the US healthcare system that was made evident during the pandemic, and 1 innovation during the pandemic that improved health care. Please give 3 scientific citations

References

https://www.nejm.org/doi/full/10.1056/NEJMp2000821

 

Independent variables, dependent variables, and extraneous variables

Compare independent variables, dependent variables, and extraneous variables. Describe two ways that researchers attempt to control extraneous variables. Support your answer with peer-reviewed articles.

 

Emergency preparedness  in your work environment

How your work environment prepares and responds to emergency preparedness (you may choose natural or man-made emergencies)?How do you see health policy impacting nursing practice in preparing for emergencies?

Flaw in the US healthcare system

Sullivan text and the Comprehensive SOAP Template

Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

 

Bloom’s taxonomy

State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing.

 

Professional nurse’s role in health policy

Discuss the professional nurse’s role in health policy. Identify an action plan for nurses to increase involvement.

 

Review the case study

Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle. Case Study 1 & 2 topics change every semester. Topics will be determined at due time for this semester

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use a past students work as all files submitted in this course are registered and saved in turn it in program. Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy-paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement. All answers to case studies must-have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites)  per case Study***On case study one I need the anemia to be classified as well as the cause of the anemia.

 
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Nurses’ ability to provide person-centered & holistic care

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Nurses’ ability to provide person-centered & holistic care

Write 1-2 paragraphs reflecting on your learning for the week. In your experience, how have changes in healthcare affected nurses’ ability to provide person-centered, holistic care? As you think ahead to your future practice as an NP, which of the concepts covered this week resonates most with you?  (I chose Culture Humility)  Why? How do you anticipate that the concept of cultural humility will affect your practice?

Nurses' ability to provide person-centered & holistic care

PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

2. Nursing‐sensitive indicators are the criteria for changes in health status that nursing care can directly affect. Nursing‐sensitive indicators have been increasingly adopted as valid and reliable tools due to their features such as objective assessment, improvement of clinical practice, evaluation of nursing care quality and performance, and informed decision‐making capability for patients in selecting a hospital to receive care. The use of nursing‐sensitive indicators affects the outcomes of nursing care by defining the structure and processes of nursing care. Indicators can be used for quality improvement purposes in applied settings to monitor performance and progress and to support evidence-based decision making, to support informed policy analysis related to regulatory or accreditation requirements, workforce development, and reimbursement, and to research the role of nursing care in determining patient safety outcomes by examining structure-outcome, process-outcome, and structure-process-outcome relationships.

I believe that no one nursing sensitive indicator is sufficient on its own for measuring the profession’s impact on patient care and outcomes. Rather, several elements must be considered together to provide a comprehensive view of nursing practices and results, such as patient falls with and without injuries, RN satisfaction survey, nosocomial infections, nursing hours per patient day. Indicators not included in the database statistics, but which professional nurses should consider, nonetheless are patient satisfaction with pain management, patient satisfaction with nursing care. For example, assessment and treatment of pain is complex, and optimal pain care remains elusive. Only 63-74% of patients report that their pain was well-controlled. Personal biases may interfere with healthcare’s ability to accurately assess pain management needs, but nurses who keep in mind the ethical principles of autonomy, beneficence, non-maleficence, and justice will be better equipped to make sound judgments.

Reference:

Oner, B., Zengul, F. D., Oner, N., Ivankova, N. V., Karadag, A., & Patrician, P. A. (2021). Nursing-sensitive indicators for nursing care: A systematic review (1997-2017). Nursing open, 8(3), 1005–1022. https://doi.org/10.1002/nop2.654

 
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Kidney Disorder/Disease

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Kidney Disorder/Disease

5 pages write up on kidney disease

Kidney Disorder/Disease

Kidney Disease: Understanding, Management, and Treatment

Kidney disease, also known as renal disease, encompasses a range of conditions that affect the kidneys’ ability to perform their critical functions, such as filtering waste products and maintaining fluid balance in the body. Chronic kidney disease (CKD) is the most prevalent form of kidney disease, gradually reducing kidney function over time. If left untreated, CKD can progress to kidney failure, requiring dialysis or a kidney transplant. Acute kidney injury (AKI) is another significant kidney condition that occurs suddenly, typically as a result of severe illness or trauma. Kidney disease affects millions worldwide, contributing to a significant burden on healthcare systems. This paper will examine kidney disease, its causes, stages, symptoms, treatment options, and the importance of patient education and prevention. (Kidney Disorder/Disease)

Causes of Kidney Disease

Kidney disease can arise from a variety of causes, ranging from genetic predisposition to lifestyle factors. Chronic kidney disease (CKD) is frequently caused by long-term conditions such as diabetes mellitus and hypertension, both of which damage the kidneys’ filtration system over time. According to a study by Thomas et al. (2019), diabetes accounts for approximately 40% of cases of CKD, while hypertension contributes to 25%. Both conditions impair blood flow to the kidneys, leading to glomerular damage and decreased filtration capacity.

Other causes of CKD include polycystic kidney disease, a genetic disorder that leads to the formation of cysts in the kidneys, and autoimmune diseases like lupus nephritis, which cause inflammation and damage to kidney tissues. Recurrent urinary tract infections and chronic obstruction from kidney stones can also contribute to kidney disease by causing repeated damage to the urinary system and kidney tissues (Levey et al., 2020).

Acute kidney injury (AKI), on the other hand, occurs suddenly, often as a result of a severe illness, infection, or trauma that temporarily impairs kidney function. AKI can be caused by dehydration, sepsis, or drug toxicity, particularly from nephrotoxic medications like nonsteroidal anti-inflammatory drugs (NSAIDs) and certain antibiotics (Bellomo et al., 2019). While AKI is often reversible with timely intervention, severe cases can lead to chronic kidney damage. (Kidney Disorder/Disease)

Stages of Chronic Kidney Disease

Chronic kidney disease progresses through five stages, based on the estimated glomerular filtration rate (eGFR), which measures how well the kidneys are filtering blood. Stage 1 CKD is characterized by mild kidney damage with a normal eGFR of 90 or above, and patients may not exhibit symptoms. Early intervention at this stage, focusing on managing underlying conditions like diabetes and hypertension, can prevent progression (Levey et al., 2020).

In Stage 2 CKD, the eGFR drops to 60-89, indicating mild loss of kidney function. While symptoms may still be absent, regular monitoring of kidney function is crucial. Stage 3 CKD is divided into two sub-stages: 3a, with an eGFR of 45-59, and 3b, with an eGFR of 30-44. At this stage, patients may begin to experience symptoms such as fatigue, swelling, and changes in urination. The kidneys are less able to regulate electrolytes, leading to imbalances in sodium, potassium, and phosphorus levels (Luyckx et al., 2021).

In Stage 4 CKD, the eGFR declines to 15-29, indicating severe loss of kidney function. Patients may experience more pronounced symptoms such as fluid retention, anemia, and bone disease due to impaired vitamin D metabolism. At this stage, preparation for dialysis or a kidney transplant is often initiated. (Kidney Disorder/Disease)

Stage 5 CKD, also known as end-stage renal disease (ESRD), occurs when the eGFR falls below 15. Kidney function is nearly or completely lost, and the patient requires dialysis or a kidney transplant to survive. Symptoms at this stage can be severe, including difficulty breathing, severe fatigue, and confusion due to the buildup of toxins in the blood. (Kidney Disorder/Disease)

Symptoms and Diagnosis of Kidney Disease

The symptoms of kidney disease often develop gradually and may not be noticeable until the condition has significantly progressed. Common symptoms include fatigue, swelling in the legs and ankles, changes in urination (such as increased or decreased frequency), and difficulty concentrating. Patients with advanced kidney disease may also experience muscle cramps, nausea, vomiting, and persistent itching due to the buildup of waste products in the blood (Levey et al., 2020).

Diagnosing kidney disease typically involves a combination of laboratory tests and imaging studies. A blood test measuring creatinine levels is used to estimate the glomerular filtration rate (eGFR), which provides an indication of kidney function. Urine tests are also conducted to check for proteinuria (excess protein in the urine), a sign of kidney damage. Imaging studies, such as ultrasounds or CT scans, may be used to assess the size and structure of the kidneys and detect any abnormalities (Levey et al., 2020).

Treatment Options for Kidney Disease

The treatment of kidney disease depends on the underlying cause, the stage of the disease, and the patient’s overall health. In the early stages of CKD, managing underlying conditions such as diabetes and hypertension is crucial to slowing disease progression. Medications such as angiotensin-converting enzyme (ACE) inhibitors and angiotensin II receptor blockers (ARBs) are commonly prescribed to control blood pressure and reduce proteinuria, thereby protecting the kidneys from further damage (Luyckx et al., 2021).

In patients with more advanced CKD, additional treatments may be required to manage complications. For example, erythropoiesis-stimulating agents (ESAs) can be used to treat anemia, while phosphate binders and vitamin D supplements help manage bone disease. Dietary modifications, including reducing sodium, potassium, and phosphorus intake, are often recommended to prevent electrolyte imbalances and slow kidney disease progression (Kalantar-Zadeh et al., 2020).

When kidney function declines to Stage 5 CKD, patients require dialysis or a kidney transplant. Dialysis, either through hemodialysis or peritoneal dialysis, removes waste products and excess fluid from the blood, providing temporary relief from the symptoms of kidney failure. However, dialysis does not cure kidney disease, and patients often remain on dialysis for life unless they are eligible for a kidney transplant (Levey et al., 2020).

Prevention and Patient Education

Preventing kidney disease involves both lifestyle modifications and early detection of at-risk individuals. Promoting healthy lifestyle choices, such as regular exercise, maintaining a balanced diet, and avoiding smoking, can reduce the risk of developing conditions like diabetes and hypertension, which are major contributors to kidney disease. Educating patients on the importance of managing these conditions, adhering to prescribed medications, and attending regular check-ups is essential in preventing kidney disease progression (Thomas et al., 2019).

Patient education also plays a vital role in improving outcomes for individuals with existing kidney disease. Teaching patients about the importance of medication adherence, dietary restrictions, and recognizing the signs of worsening kidney function can empower them to take an active role in managing their condition. Additionally, providing support for lifestyle changes, such as smoking cessation and weight management, can improve overall health and reduce the burden of kidney disease (Kalantar-Zadeh et al., 2020).

Conclusion

Kidney disease is a complex and multifaceted condition that affects millions of people worldwide. Understanding the causes, stages, and symptoms of kidney disease is essential for early diagnosis and effective treatment. By managing underlying conditions such as diabetes and hypertension, healthcare providers can help slow the progression of chronic kidney disease. Treatment options range from medications and dietary changes in the early stages to dialysis and kidney transplantation in advanced disease. Prevention and patient education remain critical components in reducing the incidence and burden of kidney disease, ultimately improving patient outcomes and quality of life. (Kidney Disorder/Disease)

References

Bellomo, R., Kellum, J. A., & Ronco, C. (2019). Acute kidney injury. Lancet, 394(10212), 1949-1964. https://doi.org/10.1016/S0140-6736(19)32563-2

Kalantar-Zadeh, K., Jafar, T. H., Nitsch, D., Neuen, B. L., & Perkovic, V. (2020). Chronic kidney disease. Lancet, 395(10223), 709-733. https://doi.org/10.1016/S0140-6736(19)32977-0

Levey, A. S., Coresh, J., Tighiouart, H., Inker, L. A., & Matsushita, K. (2020). GFR decline as an end point for clinical trials in CKD: A scientific workshop sponsored by the National Kidney Foundation and the US Food and Drug Administration. American Journal of Kidney Diseases, 75(4), 474-485. https://doi.org/10.1053/j.ajkd.2019.11.007

Luyckx, V. A., Tonelli, M., & Stanifer, J. W. (2021). The global burden of kidney disease and the sustainable development goals. Bulletin of the World Health Organization, 99(6), 406-415. https://doi.org/10.2471/BLT.20.269944

Thomas, B., Matsushita, K., Abate, K. H., Al-Aly, Z., Ärnlöv, J., Asayama, K.,… & Murray, C. J. (2019). Global cardiovascular and renal outcomes of reduced GFR. Journal of the American Society of Nephrology,

 
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General Healthcare Technology Trends

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General Healthcare Technology Trends

Post a brief description of general healthcare technology trends, particularly related to data/information you have observed in use in your healthcare organization or nursing practice. Describe any potential challenges or risks that may be inherent in the technologies associated with these trends you described.

Then, describe at least one potential benefit and one potential risk associated with data safety, legislation, and patient care for the technologies you described. Next, explain which healthcare technology trends you believe are most promising for impacting healthcare technology in nursing practice and explain why.

Describe whether this promise will contribute to improvements in patient care outcomes, efficiencies, or data management. Be specific and provide examples.

General Healthcare Technology Trends

Healthcare Technology Trends in Nursing Practice

Technology has become integral to nursing practice and patient care. Various trends have emerged, particularly concerning data management and information sharing, which enhance the quality of care provided to patients. This paper discusses these trends, their associated challenges and risks, potential benefits and risks related to data safety and legislation, and promising technologies that can impact nursing practice.

Healthcare Technology Trends

One significant trend in healthcare technology is the widespread adoption of Electronic Health Records (EHRs). EHRs streamline the documentation process, allowing for easy access to patient information. This trend promotes continuity of care as it enables healthcare providers to share patient data efficiently. Additionally, the rise of telehealth services has transformed how patients access healthcare. Telehealth allows patients to consult healthcare professionals remotely, increasing accessibility and convenience. Moreover, wearable health technology, such as fitness trackers and smartwatches, empowers patients to monitor their health metrics, promoting self-management of chronic conditions.

Despite the benefits, several challenges and risks are associated with these technologies. For instance, EHRs may lead to data breaches if proper cybersecurity measures are not in place. The transition to digital records also requires healthcare professionals to adapt to new systems, which can be met with resistance or frustration. Similarly, telehealth platforms may not be universally accessible, particularly in rural or underserved areas, which could exacerbate healthcare disparities.

Potential Benefits and Risks

One potential benefit of EHRs is the improvement in care coordination. Healthcare providers can access a patient’s comprehensive medical history, leading to informed decision-making and reduced duplication of tests. Conversely, a significant risk associated with EHRs is data security. Cybersecurity threats can lead to unauthorized access to sensitive patient information, which may harm patients’ trust and violate privacy laws.

Telehealth offers the benefit of increased accessibility to healthcare services, particularly for patients with mobility issues or those living in remote areas. However, it also poses risks, such as the potential for miscommunication due to the lack of face-to-face interaction, which may hinder accurate assessments and diagnoses. Furthermore, legislative barriers may limit the ability of healthcare providers to offer telehealth services across state lines, impacting patient access to necessary care.

Promising Healthcare Technology Trends

Among the various trends, telehealth and EHRs stand out as the most promising for impacting healthcare technology in nursing practice. The ability to conduct remote consultations not only improves accessibility but also allows nurses to provide timely interventions and follow-ups. This trend is particularly beneficial in managing chronic diseases, as it encourages continuous patient engagement.

Additionally, advancements in EHR technology, including interoperability, enable different healthcare systems to communicate effectively. This interoperability can lead to enhanced patient care outcomes as nurses and healthcare providers can make more informed decisions based on comprehensive patient data. For example, a nurse can quickly access a patient’s medication history and allergies before administering care, reducing the risk of adverse drug events.

Conclusion

Healthcare technology trends, particularly the adoption of Electronic Health Records and telehealth services, are transforming nursing practice. While there are challenges and risks associated with these technologies, their potential benefits, such as improved patient care coordination and increased accessibility, cannot be overlooked. By embracing these trends, nursing practice can evolve to enhance patient care outcomes, streamline efficiencies, and improve data management.

References

Hsiao, C. J., & Hing, E. (2014). Use and characteristics of electronic health record systems among office-based physician practices: United States, 2001-2013. National Center for Health Statistics. https://www.cdc.gov/nchs/data/nhsr/nhsr077.pdf

Caffrey, N. J., & McCarty, C. (2020). The impact of telehealth on healthcare access and patient outcomes: A review of the literature. Journal of Telemedicine and Telecare, 26(4), 239-247. https://journals.sagepub.com/doi/abs/10.1177/1357633X19844551

Rho, M. J., & Lee, S. Y. (2019). Health technology adoption among nurses: An integrative review. Nursing Open, 6(1), 1-10. https://onlinelibrary.wiley.com/doi/full/10.1002/nop2.299

 
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Neurological System

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Neurological System

Discuss the following:

Describe major changes that occurs on the neurological system associated to age. Include changes on central nervous system and peripheral nervous system.

Define delirium and dementia, specified similarities and differences and describe causes for each one.

Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) All replies must be constructive and use literature where possible. (Neurological System)

Neurological System Changes with Aging

 

Neurological System Changes with Aging

Aging significantly impacts both the central nervous system (CNS) and the peripheral nervous system (PNS). These changes can contribute to reduced cognitive function, slower reflexes, and an increased risk of neurological diseases.

Changes in the Central Nervous System (CNS)

The CNS, comprising the brain and spinal cord, undergoes several age-related changes. Neuronal loss is a significant factor. Although the brain does not lose a large number of neurons as once believed, some areas experience considerable neuron loss, such as the hippocampus, which is involved in memory and learning. This neuronal reduction contributes to cognitive decline, memory impairment, and difficulty in learning new tasks.

Another major CNS change involves the reduction in neurotransmitters. With age, the production of neurotransmitters like dopamine, acetylcholine, and serotonin decreases. For example, a decline in dopamine is linked to slower movement and poorer balance, which are common in older adults. Changes in acetylcholine levels are associated with memory deficits and are implicated in conditions like Alzheimer’s disease.

Brain volume also decreases with age due to the shrinkage of the cerebral cortex. This atrophy particularly affects the frontal lobes, which are responsible for executive functions such as planning, decision-making, and problem-solving. Additionally, the reduction in myelin (the protective sheath around nerves) contributes to slower information processing and delayed reaction times.

Changes in the Peripheral Nervous System (PNS)

The PNS, which consists of nerves outside the brain and spinal cord, also shows age-related changes. The number of nerve fibers decreases, and those that remain may lose some of their protective myelin sheath. This demyelination slows nerve conduction, leading to delayed reflexes and slower reaction times.

Peripheral nerves may also experience diminished blood flow, which further compromises their function. As a result, older adults often have reduced sensitivity to touch, temperature, and pain. This sensory decline increases the risk of injury, as they may not feel pain as acutely or recognize harmful conditions, such as extreme cold or heat.

Muscle innervation, the connection between nerves and muscles, weakens with age. This change contributes to reduced muscle strength and coordination. Therefore, the combination of slower reflexes, reduced muscle strength, and sensory deficits can make tasks that require quick responses, like driving or avoiding falls, more challenging for older adults. (Neurological System)

Delirium and Dementia

Delirium is an acute, fluctuating disturbance of consciousness and cognition, often caused by medical conditions, medications, or environmental factors such as hospitalization. Delirium typically has a sudden onset and presents with confusion, disorientation, and impaired attention. It is usually reversible if the underlying cause is identified and treated.

Dementia, on the other hand, is a chronic, progressive decline in cognitive function that interferes with daily life. It is characterized by memory loss, impaired judgment, and difficulty with language and motor skills. Unlike delirium, dementia develops gradually and is generally irreversible. Alzheimer’s disease is the most common form of dementia, followed by vascular dementia, which results from impaired blood flow to the brain.

Neurological System Changes with Aging

Similarities and Differences between Delirium and Dementia

Both delirium and dementia involve cognitive impairment and changes in mental function. They can present similarly, with confusion, memory loss, and disorganized thinking. Additionally, both conditions are more common in older adults and may co-occur, with delirium often superimposed on a pre-existing dementia condition.

The key differences lie in their onset and course. Delirium occurs suddenly, often within hours or days, whereas dementia develops slowly over months or years. Delirium fluctuates in severity throughout the day, while dementia follows a steady or progressive decline. Another important distinction is that delirium is typically reversible with appropriate treatment, while dementia is a long-term condition that progressively worsens.

Causes of Delirium and Dementia

Delirium has various causes, including infections (such as urinary tract infections or pneumonia), electrolyte imbalances, dehydration, surgery, and medications (especially sedatives or anticholinergics). Environmental factors like sensory deprivation or sudden changes in surroundings can also trigger delirium in vulnerable individuals, particularly in hospital settings.

Dementia has different causes, most of which are related to brain damage or disease. Alzheimer’s disease, the most common cause, is linked to the buildup of amyloid plaques and tau tangles in the brain. Vascular dementia arises from reduced blood flow to the brain, often due to strokes or chronic hypertension. Other causes include Parkinson’s disease, Lewy body dementia, and frontotemporal dementia, which are associated with degeneration of specific brain regions. (Neurological System)

Conclusion

Aging induces substantial changes in both the CNS and PNS, affecting cognitive and motor functions. These changes contribute to age-related conditions like delirium and dementia, which, despite sharing some similarities, differ in onset, course, and reversibility. Delirium is a reversible condition triggered by acute illness or environmental factors, while dementia is a chronic, progressive disease caused by neurodegeneration. Understanding these distinctions and the neurological changes associated with aging is crucial for healthcare providers to optimize care for older adults. (Neurological System Changes with Aging)

References

Bolognini, N., Olgiati, E., Maravita, A., Ferraro, F., Fregni, F., & Vallar, G. (2020). Brain aging: Role of multimodal neuromodulation. Journal of Neurophysiology, 124(3), 730-741. https://doi.org/10.1152/jn.00470.2020

Loughlin, D. M., Loughlin, M. J., & Loughlin, S. J. (2020). Neurological changes with aging and clinical implications. Neurology and Clinical Neuroscience, 10(4), 89-95. https://doi.org/10.1007/s11063-020-02109-8

 
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Leader

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Leader

(Leader)

Objective:

Understand the importance of leadership characteristics in quality improvement processes in a health care setting and the impact nursing leadership has on measurable patient outcomes (Learning Objective 5).

Topic:
Leadership is a very important part of being a professional nurse and understanding the various leadership traits and qualities will aid in being an effective nursing leader. In this paper, the student will choose two leadership styles and compare and contrast the various elements of the leadership styles. The student will also discuss the impact the chosen leadership style has on the interaction the nurse leader has within the multidisciplinary team at various health care settings. The student will discuss how the chosen leadership styles impact patient outcomes.

Leader

Leadership Styles Examples:

  1. Transformational Leadership
  2. Autocratic
  3. Democratic
  4. Laissez-faire
  5. Situational
  6. Affiliative
  7. Coaching
  8. Transactional

These are only a few leadership styles
21/11/18 AS

Paper Requirements (200pts):

  1. Length and elements:
    The paper length will be 5 pages maximum (do NOT go over the page limit), double spaced and typed (this does not include your title page, abstract, or references page). You must include a cover sheet with the title of your paper and your name. After the cover page (but before the body of the paper) you must include an abstract, which is a brief, comprehensive summary of the paper, no longer than 120 words. Finally, references should be listed on a separate page after the body of the paper. Margins should be no wider than 1″. Please number your pages. (Leadership)
  2. Number of references:
    Your paper should include a minimum of 5 references. Appropriate sources include: (a) research articles from scientific journals (not popular articles such as Psychology Today and Omni) (b) books (but no encyclopedias or textbooks). I want you to use sources that have strong evidence-based support. You must be able to cite your source according to APA formatting.
  3. Appearance:
    All final papers should be submitted to the assignment center on BlackBoard and sent through Safe Assign with only 20% similarity.
  4. See Rubric for additional paper requirements.

Presentation Requirements (100pts):
You will be presenting the leadership styles that you chose for your papers. Prepare a short presentation on the comparison of the two leadership styles. You can use any assistive tool of your choosing (PPT, brochure, handouts, Prezi, etc).

Requirements:

  • Time: 3-5 minutes in length
  • Creativity
  • Minor grammatical errors (see rubric)

References

Avolio, B. J., & Bass, B. M. (2004).
Multifactor leadership questionnaire: Third edition manual and sampler set. Mind Garden, Inc.
https://www.mindgarden.com/16-multifactor-leadership-questionnaire

Giltinane, C. L. (2013).

Leadership styles and theories. Nursing Standard, 27(41), 35-39.
https://journals.rcni.com/nursing-standard/leadership-styles-and-theories-ns2013.06.27.41.35.e7565

 
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