Global issues and trends in healthcare

Answer the following questions to complete Homework 2. Necessary library and Internet research are needed to answer these questions. Don’t try to copy answers from the textbook. Make sure your answers and submission follow syllabus requirements:

1. Use PubMed or another abstract database (available from FIU library website) to find an academic journal article on a health topic of interest to you. Read the article to find the answers to these questions: (a) What was the main study question? (b) Who participated in the study, where did it take place, and when was it conducted? (c) What study design was used? and (d) What was the answer to the main study question?

2. Find a recent news story from the popular press about a newly released health research report. Look up and read the scientific article on which the news report was based. Was the news story accurate? Did it leave out any critical information?

3. Do you identify with a particular ethnic group? Do you know of any health conditions that you are at special risk for because of your ethnic background? Are these conditions genetic? Are they related to health behaviors?

4. What are some of the conditions related to poverty that increase the risk of infectious diseases? Noncommunicable disease? Neuropsychiatric disorders? Injuries?

Nursing and Health Care Informatics Ethics and the Law

Traditional schools of medicine have a ritual of reciting oath excerpts such as the one above during their graduation ceremonies. Such excerpts usually revolve around a professional’s promise to uphold the ideals of patient safety and confidentiality to the best of his or her ability.
 

With the continued integration of Health Information Technology (HIT), and advances in technology such as hand-held computers, new ethical considerations have evolved within health care settings. For example, wireless capabilities can provide easier access to information from unauthorized outside parties. While technological advances have led to improvements in health care, they have also created new vulnerabilities. Doctorally prepared nurses need to be aware of ethical issues surrounding the use of patient information, technology, and the respective liabilities


To prepare:

  • Reflect      on this week’s Learning Resources, focusing on the ethical and legal      issues associated with usage of data and health information.
  • For      this Discussion, identify an ethical issue related to data collection or      information management at your organization or one with which you are      familiar.
  • Determine      the potential liabilities that this ethical issue presents by reviewing      the AMIA Code of Ethics.
  • Consider      the legal aspects of your ethical issue and the steps that could be taken      to avoid or minimize risk.

Diabetic heel and evaluation

After removing a tack from a type 2 diabetic’s heel and evaluating the site for infection, what is the best plan for this patient?

Question options:

a) Suggest she use a heating pad to improve circulation.

b) Refer to a podiatrist for a foot care treatment plan.

c) Send her for acupuncture treatments.

d) All of the above

Question 4 2 / 2 points

Sam is a 25-year-old who has been diagnosed with low back strain based on his history of localized low back pain and muscle spasm along with a normal neurological examination. As the clinician, you explain to Sam that low back pain is a diagnosis of exclusion. Which of the following symptoms would alert the clinician to the more serious finding of a herniated nucleus pulposus or ruptured disc?

Question options:

a) Morning stiffness and limited mobility of the lumbar spine

b) Unilateral radicular pain symptoms that extend below the knee and are equal to or greater than the back pain

c) Fever, chills, and elevated erythrocyte sedimentation rate

d) Pathologic fractures, severe night pain, weight loss, and fatigue

The Role Of The Nurse Informaticist In Systems Development And Implementation

To Prepare:

  • Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.
  • Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

  • Planning and requirements definition
  • Analysis
  • Design of the new system
  • Implementation
  • Post-implementation support

Global Healthcare Comparison Matrix And Narrative Statement

If you talk about a possible poor health outcome, do you believe that outcome will occur? Do you believe eye contact and personal contact should be avoided?

You would have a difficult time practicing as a nurse if you believed these to be true. But they are very real beliefs in some cultures.

Differences in cultural beliefs, subcultures, religion, ethnic customs, dietary customs, language, and a host of other factors contribute to the complex environment that surrounds global healthcare issues. Failure to understand and account for these differences can create a gulf between practitioners and the public they serve.

In this Assignment, you will examine a global health issue and consider the approach to this issue by the United States and by one other country.

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this Assignment.  Global health issue I select is STDs ( Sexual Transmitted Disease)
  • Select at least one additional country to compare to the U.S. for this Assignment. one additional country is Australia. 
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

Health and nutrition

Which of the following statements is NOT true about nutritional needs of toddlers?

A. Toddlers need the same variety in their diets as adults.

B. There is no longer an important role for breast-feeding in the toddler years.

C. In general, children’s appetite should dictate portion size.

D. As the amount of solid food eaten increases and begins to provide more of the nutrient needs of the toddler, the role of milk in the diet decreases.

Question 2 of 20

With regard to the timing of school lunch in primary schools, children who eat lunch:

A. after recess eat better and waste less food.

B. before recess utilize calories more efficiently.

C. after recess eat less and nap less.

D. before recess have less risk for obesity.

Question 3 of 20

All infants who are breast-fed must receive supplements for which of the following?

A. Vitamin D

B. Vitamin B-12

C. Zinc

D. Iron

Question 4 of 20

Children who skip breakfast:

A. are likely to consume insufficient calories and are often underweight.

B. miss out on consuming key vitamins and minerals and are at increased risk of obesity.

C. are able to concentrate better in school.

D. have improved speed and memory in cognitive tests.

Question 5 of 20

Which of the following is NOT a phase of menu planning?

A. Establish broad program nutrition goals

B. Develop calorie ranges for each menu item

C. Understand child nutrition and food program requirements

D. Adapt menus to support special dietary needs or food preferences

Question 6 of 20

When introducing new fruits and vegetables in preschool:

A. serve them frequently because it can take up to 15 to 20 exposures before children accept new food.

B. serve them individually at first, rather than combining in soups or fruit salads.

C. avoid offering dips.

D. serve fresh fruits as opposed to frozen or canned.

Question 7 of 20

A positive eating environment includes:

A. established routines.

B. caregivers encourage children to eat more.

C. serving the children just the right portion of food.

D. restricting the amount of talk after the food is served.

Question 8 of 20

Which of the following is NOT true when storing breast milk?

A. Breast milk can be stored in the refrigerator for 48 hours.

B. Breast milk in soiled containers should not be accepted.

C. Breast milk that remains in a bottle after feeding must be stored within one hour.

D. Breast milk can be stored in the freezer at 0 degrees for up to 3 months.

Question 9 of 20

It is important for teachers to be aware of the symptoms of anaphylaxis because it is a(n):

A. easily triggered allergy reaction.

B. life-threatening allergy reaction.

C. delayed allergy reaction.

D. overlooked allergy reaction.

Question 10 of 20

Which of the following statements BEST describes toddler appetites compared to infant appetites?

A. Toddler appetites become more sporadic compared to infant appetites.

B. Toddler appetites become more ravenous compared to infant appetites.

C. Toddler appetites are less selective compared to infant appetites.

D. Toddler appetites are similar to infant appetites.

Security of Health Care Records

 Security of Health Care Records

With the increase of health information technology used to store and access patient information, the likelihood of security breaches has also risen. In fact, according to the Canadian Medical Association Journal (CMAJ):

In the United States, there was a whopping 97% increase in the number of health records breached from 2010 to 2011… The number of patient records accessed in each breach has also increased substantially, from 26,968 (in 2010) to 49,394 (in 2011). Since August 2009, when the US government regulated that any breach affecting more than 500 patients be publicly disclosed, a total of 385 breaches, involving more than 19 million records, have been reported to the Department of Health and Human Services. 

A large portion of those breaches, 39%, occurred because of a lost, stolen, or otherwise compromised portable electronic device—a problem that will likely only get worse as iPads, smartphones, and other gadgets become more common in hospitals. (CMAJ, 2012, p. E215). 

Consider your own experiences. Does your organization use portable electronic devices? What safeguards are in place to ensure the security of data and patient information? For this Discussion you consider ethical and security issues surrounding the protection of digital health information.

To prepare

· Review the Learning Resources dealing with the security of digital health care information. Reflect on your own organization or one with which you are familiar, and think about how health information stored electronically is protected.

· Consider the nurse’s responsibility to ensure the protection of patient information. What strategies can you use?

· Reflect on ethical issues that are likely to arise with the increased access to newer, smaller, and more powerful technology tools.

· Consider strategies that can be implemented to ensure that the use of HIT contributes to an overall culture of safety

Age Appropriate Health Maintenance Screening And Associated Tools


This Assignment includes ten different pediatric cases that require further evaluation with a developmental testing tool. Selecting the correct tool is vitally important in getting accurate data that promotes early identification and intervention. A template is available to you as an Excel spreadsheet in Course Documents, and is specifically designed for this Assignment.

After you have selected the standardized developmental testing tool that is appropriate for each of the following cases, address the following:

  • Does the tool measure the domain(s) of concern?
  • Is the tool “age appropriate?”
  • Does the tool address cultural considerations?
  • Who is to administer the test?
  • Is the reliability and validity of the tool acceptable? How did you assess these measurements?
  • How much time is involved in using the tool?
  • Is the language of the tool applicable to the patient and family?

Family Assessment

Refer back to the interview and evaluation you conducted in the Topic 2 Family Health Assessment assignment. Identify the social determinates of health (SDOH) contributing to the family’s health status. In a 750-1,000-word paper, create a plan of action to incorporate health promotion strategies for this family. Include the following:

  1. Describe the SDOH that affect the family health status. What is the impact of these SDOH on the family? Discuss why these factors are prevalent for this family.
  2. Based on the information gathered through the family health assessment, recommend age-appropriate screenings for each family member. Provide support and rationale for your suggestions. 
  3. Choose a health model to assist in creating a plan of action. Describe the model selected. Discuss the reasons why this health model is the best choice for this family. Provide rationale for your reasoning.
  4. Using the model, outline the steps for a family-centered health promotion. Include strategies for communication.

Neurological, Cognitive Or Perceptual


Mr. M., a 70-year-old male, has been living at the assisted living facility where you work. He has no know allergies. He is a nonsmoker and does not use alcohol. Limited physical activity related to difficulty ambulating and unsteady gait. Medical history includes hypertension controlled with ACE inhibitors, hypercholesterolemia, status post appendectomy, and tibial fracture status postsurgical repair with no obvious signs of complications. Current medications include Lisinopril 20mg daily, Lipitor 40mg daily, Ambien 10mg PRN, Xanax 0.5 mg PRN, and ibuprofen 400mg PRN.

Case Scenario

Over the past 2 months, Mr. M. seems to be deteriorating quickly. He is having trouble recalling the names of his family members, remembering his room number, and even repeating what he has just read. He is becoming agitated and aggressive quickly. He appears to be afraid and fearful when he gets aggressive. He has been found wandering at night and will frequently become lost, needing help to get back to his room. Mr. M has become dependent with many ADLs, whereas a few months ago he was fully able to dress, bathe, and feed himself. The assisted living facility is concerned with his rapid decline and has decided to order testing.

Objective Data

1. Temperature: 37.1 degrees C

2. BP 123/78 HR 93 RR 22 Pox 99%

3. Denies pain

4. Height: 69.5 inches; Weight 87 kg

Laboratory Results

1. WBC: 19.2 (1,000/uL)

2. Lymphocytes 6700 (cells/uL)

3. CT Head shows no changes since previous scan

4. Urinalysis positive for moderate amount of leukocytes and cloudy

5. Protein: 7.1 g/dL; AST: 32 U/L; ALT 29 U/L

Critical Thinking Essay

In 900-words, critically evaluate Mr. M.’s situation. Include the following:

1. Describe the clinical manifestations present in Mr. M.

1. Based on the information presented in the case scenario, discuss what primary and secondary medical diagnoses should be considered for Mr. M. Explain why these should be considered and what data is provided for support.

2. When performing your nursing assessment, discuss what abnormalities would you expect to find and why.

3. Describe the physical, psychological, and emotional effects Mr. M.’s current health status may have on him. Discuss the impact it can have on his family.

4. Discuss what interventions can be put into place to support Mr. M. and his family.

5. Given Mr. M.’s current condition, discuss at least four actual or potential problems he faces. Provide rationale for each.

You are required to cite 2 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. Also, you must have a conclusion with a minimum of 5 sentences to wrap up the case study.