No Plagiarism please, assignment will be checked with Turnitin. 

Will need 4 full pages,  double spaced all throughout the page for the case study, APA Style, Times New Roman, font 12, Title Page and a Reference page. 

 Make sure all of the topics in the case study have been answered 

 

Cite at least 3 References; journal articles, textbooks, or evidenced-based websites to support the content. 

All sources must be within five years (2012-2017).

Case Study 3:  Disorders of Fluid and Electrolyte Balance

Amanda is an 18-year-old with anorexia nervosa. She was recently admitted to an eating disorders clinic with a BMI of 13.9, and although she was a voluntary patient, she was reluctant about the treatment. She was convinced she was overweight because her clothes felt tight on her. She complained that even her hands and feet “were fat.” One of her nurses explained that a protein in her blood was low. The nurse further explained that, as difficult as it may be to believe, eating a normal healthy diet would make the “fat hands and feet” go away. 

What protein do you suspect the nurse was referring to? How would a deficiency in this protein contribute to edema?

What is the difference between the physiology of pitting and nonpitting edema? 

Because of her weakened condition, Amanda was moved around the ward in a wheelchair when she was not on bed rest. How does this affect her edematous tissues? 

 

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There are 2 discussions: Topic 1 & Topic 2 (They both require references please) 

Discussion Topic 1: Third-party Payment 

How does third-party payment distort the market for health care? If it is so distorted why does every wealthy country insist on using third-party intermediaries to purchase health care? Why do we carve out a separate payment program for our elder citizens? 

Discussion Board:  Minimum 200 words, APA Style, Time New Roman,  Font 12,   (3 references- in text citations) not older than (2012-2017). No Plagiarism 

please.

Discussion Topic 2: Medicaid and Medicare 

Summarize ways in which health insurance fails, as people get older. Distinguish between Medicaid and Medicare. Determine whether your state has expanded Medicaid. Why would states choose not to participate in Medicaid expansion?  

Discussion Board:  Minimum 200 words, APA Style, Time New Roman,  Font 12,   (3 references- in text citations) not older than (2012-2017). No Plagiarism please

 

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Peer response, need 1 reference, minimum 100 words, in text citation. 

 

There was poor communication between the provider and the patient. The Physician’s office should have called and or e-mailed to say come in to discuss test results in detail. The doctor’s office should have notified the patient that antibiotic therapy was ordered.  Meaningful use is using certified electronic health record (EHR) technology to Improve quality, safety, efficiency, reduce health disparities and Maintain privacy and security of patient health information (Meaningful Use Definition, n. d.). The communication using EHR was securely accessed and transferred. There was no breach of HIPPA. I feel Annie acted like a lay person, she took the ABT and didn’t follow up with the doctor or get her original script because it was too much hassle.  Annie’s actions showed poor nursing judgment in my opinion. The average non-nursing patient would have one the same thing Annie did. We can argue whose responsibility it is to share relevant health information and follow up on abnormal test results. Yes, doctors need to do better. However, the patient’s has to empower themselves with the knowledge of their test results and follow up care to plan the best treatment of care for themselves. Know what tests you are having done, seek to have a basic understanding of them, and be sure to follow in person, via telephone or using EHR

References

Meaningful Use Definition And Meaningful Use Objectives Of … (n.d.). Retrieved from https://www.healthit.gov/providers-professionals/meaningful-use-definition-objec

http://www.kevinmd.com/blog/2010/02/notify-patients-abnormal-test-results.html

 

“The goal of increased “meaningful” electronic health record adoption is to create a more efficient, patient-centered health care system by lowering providers’ administrative costs, improving coordination of care among multiple providers, and increasing patients’ participation in and responsibility for their own care (Galbraith, 2013)”. The APRN’s office did not fulfill all the requirements of the stage 2 requirements, these include a clinical summary delivered within 24 hours and the patient should be able to see medication and labs ordered (Emsley, 2012). Had this patient not been a nurse the impact could have been worse there would be less questioning of if medications were appropriate, also the patient could have been totally out of beta blockers and thought they no longer needed them because the APRN never ordered any refills.  Patients having access to pieces of their chart makes providers more accountable for what they are ordering.  We are heading into the ability of the electronic health record having a widespread availability of patient data that will transform current practice from a reactive disease management system to an efficient proactive health care with early detection and prevention (Emsley, 2012).  An example of the is the NYC macro scope project where data from a large EHR system to complement existing chronic disease monitoring systems and used with local partners to establish priorities and programming (Perlaman et.al.,2017).

Reference

Emsley, Z. (2012). Proposed EHR Meaningful Use–Stage 2. Podiatry Management, 31(7), 79-83.

Galbraith, K. L. (2013). What’s So Meaningful about Meaningful Use?. Hastings Center Report, 43(2), 15-17. doi:10.1002/hast.154

Perlman, S. E., McVeigh, K. H., Thorpe, L. E., Jacobson, L., Greene, C. M., & Gwynn, R. C. (2017). Innovations in Population Health Surveillance: Using Electronic Health Records for Chronic Disease Surveillance. American Journal Of Public Health, 107(6), 853-857.

Peer response, need 1 reference, minimum 100 words, in text citation. 

 

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Discussion Board:  Minimum 200 words, APA Style, Time New Roman, Font 12, 

(3 references- in text citations) not older than (2012-2017). No Plagiarism please.

   

Discussion Topic 1: Genomics and Genetics

Differentiate between genetics and genomics. Articulate how nurses can be involved in policy making in the field of genomics. How can research in the field be tied to practice? Identify organizations that are open to nurses in the field of genomics.

 

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No Plegarism please, assignment will be checked with Turnitin. 

Will need Title page, Reference page, APA Style, double spaced, times new romans, font 12, and and (3 references with intext citations) 

 

Translating Evidence into Clinical Practice

Choose one evidence-based practice that you see yourself using as a provider in your clinical practice and discuss how it meets the listed benefits.

Why should we, as healthcare providers, use evidence-based practice?

Evidence-based practice benefits:

• Leads to highest quality care and patient outcomes
• Reduces health care costs
• Reduces geographic variations in the delivery of care
• Increases healthcare provider empowerment and role satisfaction
• Reduces healthcare provider turnover rate
• Increases reimbursement from 3rd party payers
• Reduces complications and payment denials
• Meets the expectation of an informed public

Include 3 evidence-based articles to support your work that are less than 3 years old.

 

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