Feb 23, 2024 NR 361 Week 2 Assignment: Course Project Milestone 1 (graded)
NR 361 Week 2 Assignment: Course Project Milestone 1 (graded)
NR 361 Week 2 Assignment: Course Project Milestone 1 (graded)
Course Project Milestone 1 Template
Directions: Prior to completing this template, carefully review Course Project Milestone 1 Guidelines. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 2 by 11:59 p.m. Mountain Time.
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Assignment Criteria NOTE: See Milestone 1 Rubric for details required in each area.Scenario for Milestone Assignment: Scenario is clear and concise, including a disease process, diagnosis, OR identify a patient with a desire to maintain good health and prevent illness. Include the nurse’s assessment of learning needs and readiness to learn. 50 points Elliot Jackson – 62years old African American male.Mr Elliot smokes 1pack of cigerrette in a week, obese and have a family history of hypertension and diabetes. He works as a clerk in the hospital sohe spent most of his days at work sitting down. He does not exercise much and eat fast food . The patient recently diagnosed with Hypertension. He was admitted in the hospital for observation. After high blood pressure medication prescription, the patient ask to know what else he can do to help him maintain his blood pressure and what is the risk in having a prolong blood pressure. Education: Describe in detail contentplanned forteaching this patient in the scenario. 40 pointsThis plan will be made in order to meet the needs of the patient. Encouraging the patient to be engaged with physical exercises such as walking or jogging as tolerated. He can eat health balanced diet. Take his blood pressure before taking his medication. Stop smoking cigarrette Advise the patient that he is at risk of Haemorrhagic stroke Thrombotic stroke Embolic stroke Angina pectoris involving coronary arterioles Occlusive epicardial coronary arterial diseases Congestive heart failure Left ventricular diastolic dysfunctionKidney Renal arterial disease End-stage renal disease Embolic renal disease Exacerbation of diabetic renal disease Hypertension : An Atlas of Investigation and Management Frohlich, Edward D.; Ventura, Hector O. Oxford, UK : Clinical Publishing. 2009. eBook., Database: eBook Collection (EBSCOhost) Identify the mHealth application: Identify a mHealth app that could benefit the patient. Describe the app including the mHealth app name, purpose, intended audience, mobile device(s) upon which it will operate, where to download or obtain it. Include a working link if it is to be downloaded from a website. Add any other information you believe would be pertinent to this situation. Make sure to add a citation for this mHealth app in APA format. points There is so much mHealth to use but i will introduce Blood Pressure app by Klimaszewski Szymon to the patient. It can be downloade free on the google store.it is very friendly and easy to use.The patient can save, edit or update his measurement The app will describe your records, date and time of BP measurement,the values (systolic, diastolic, pulse and weight of the patient) The app will describe MAP (Mean Arterial Pressure), Pulse Pressure,24h average, Blood Pressure chart ,comparison of different time periods. The app can also export data like CSV, PDF of detailed blood pressure reports ,blood pressure graphs and statistics from app that can be sent to the physician. The app remain user take blood pressure daily to be able to monitor monitor blood pressure on a daily basis. It help the user to decide what blood pressure data the application will show, analyse or export! It is easy for the user to customise the appearance of the application to his needs. There is light and dark theme for people with visual issues. There is customizable colors for values of systolic, diastolic, pulse and weight. Especially useful for color blind users. It backups all the patient’s blood pressure data, so no need to worry about loosing them. References K.Szymon,Blood Pressure https://play.google.com/store/apps/details?id=com.szyk.myheart&hl=en_US. Updated June 29, 2020 Statement from instructor on required assignment and topic: Accepted,Accepted with revisions needed, ORNot accepted. *Any required revision will not alter your grade for this assignment. * AcceptedAccepted with revisionsNot accepted
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Share your experiences with healthcare information systems, past or present.
In the more than 20 years I have been an R.N. at the bedside and I have seen many transitions with a wide variety of information-sharing systems. When I was a new grad in 1999 the primary form of documentation was paper charting. I remember when the Care Plans became computerized and I thought it was such a great tool that not only helped me be more efficient at my patient care but also more thorough. Fast Forward to 2019, my hospital decided to invest in the transition to Epic. Epic was not only the first HIS that I was able to experience from its initial launch, but it was also the first system I was officially trained on. Before that, in my career, I had encountered various healthcare information systems, and many seemed to be pieced together. I can not recall being formally trained on any of the other systems. Since much of my career I was either Registry or Float Pool, the expectation was that you just come in and do it. I can see the value on how much more effective I can be at my profession when I can utilize all the functions and tools available to me through my HIS. I felt more confident during the launch of the Epic program after the training classes. The administration saw the value to invest the time and money in our computer training environment. I had work shifts switched to classroom days and paid practice time with created patient scenarios. The instructors were very patient and helpful in the process. After we launched there was a superuser assigned on every unit for months to answer questions and assist. According to Hebda (2019), “Education is the key to the successful use of an information system” (p. 229). It would have been a challenging transition without the training especially since it is a holistic program, and everything is run on that one system. The benefits of all the interdisciplinary communication on one system are very helpful for safe quality and efficient patient care delivery. In the past, my patient charts were run on various programs, for instance, the MD orders were in one place, pharmacy and nutrition in another place, and even central supply and infection prevention would be accessed from an entirely different system. I had multiple passwords and had to go in and out of systems remembering which password was for which system. During an emergent situation, this could be challenging and delay patient care. Sometimes I was the only safety check. Now I can text a physician in the middle of the night on my work iPhone with the Engage app regarding arrhythmia. For example, they can access the patient’s chart with real-time data and send the pharmacy order for an antidysrhythmic appropriate for the scenario after careful consideration of the real-time data. I can initiate the drug very quickly and many times this efficiency is the key to break that rhythm quickly and therefore better patient outcomes. In emergent situations, I just simply scan my badge in and everything I need is at my fingertips. There are safeguards for these scenarios built right in. Allergy lists and hemodynamics are available for the physician to make the appropriate med choices or verify my recommendations. In my electronic MAR, we have a Lexicomp link that is the medication information at a click of a button if I am unfamiliar with medication or just need a quick review. It also has quick print access for patient education. I have a quick link to patient home medication lists so that I can follow up and reinforce changes related to the medication plan of care. I have used this list to inform the physician that perhaps a beta-blocker or anticoagulant from home has not been resumed during the hospital stay, possibly preventing an arrhythmia or a stroke to develop. This might be an area in which the program can improve in the future, new alerts are being developed and embedded for more safeguards all the time. Nursing has a unique perspective to contribute to this area. The program is a wonderful system, but improvements can continue to be made. I would like to see a link from the physician’s orders to send auto-generated messages to central supply for example. This would save time on the extra step of messaging and the follow up with central supply for specific supplies ordered for the patient. We have a Nursing I.T. department and they are always taking suggestions, working diligently to help improve and update our system. David Bates (2019) discussed how these programs are set up with safeguards, but there is still a lot that slips through the cracks because these are universally vendor developed as opposed to customized specifically to the facility. Nursing will always have continued contributions to the safeguards with patient care technology for the simple fact that patient care and pathways for treatment are always changing.
References
Bates, D. W. (2019). Getting Over the Hump: Realizing Benefit from Clinical Decision Support in Electronic Health Records. The Joint Commission Journal on Quality and Patient Safety, 45(11), 719–721. DOI: 10.1016/j.jcjq.2019.08.007
Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). New York, NY: Pearson.
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