APA format, at least 300 words, references

Debate the question: “Is health care a basic right in the United States?” Answer this question through the lens of your role as RN. Support your response utilizing ethical theories and principles. Respond to two other classmates using respectful communication and solid reasoning. Support your response with appropriate references.

 

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CASE STUDY

http://cdnfiles.laureate.net/2dett4d/Walden/NURS/6521/05/mm/decision_trees/week_10/index.html

 

To Prepare

• Review the interactive media piece assigned by your Instructor. 
• Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.
• Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.
• You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

By Day 7 of Week 8

Write a 1- to 2-page summary paper that addresses the following:

• Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
• Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
• What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
• Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

PLEASE PAY ATTENTION TO MY CASE STUDY

ZERO PLAGIARISM

FIVE REFERENCES NOT MORE THAN 5YEARS

 

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To Prepare

• Review the interactive media piece assigned by your Instructor. 
• Reflect on the patient’s symptoms and aspects of the disorder presented in the interactive media piece.
• Consider how you might assess and treat patients presenting with the symptoms of the patient case study you were assigned.
• You will be asked to make three decisions concerning the diagnosis and treatment for this patient. Reflect on potential co-morbid physical as well as patient factors that might impact the patient’s diagnosis and treatment.

By Day 7 of Week 8

Write a 1- to 2-page summary paper that addresses the following:

• Briefly summarize the patient case study you were assigned, including each of the three decisions you took for the patient presented.
• Based on the decisions you recommended for the patient case study, explain whether you believe the decisions provided were supported by the evidence-based literature. Be specific and provide examples. Be sure to support your response with evidence and references from outside resources.
• What were you hoping to achieve with the decisions you recommended for the patient case study you were assigned? Support your response with evidence and references from outside resources.
• Explain any difference between what you expected to achieve with each of the decisions and the results of the decision in the exercise. Describe whether they were different. Be specific and provide examples.

PLEASE PAY ATTENTION TO THE ATTACHED CASE STUDY

ZERO PLAGIARISM

FIVE REFERENCES NOT MORE THAN 5 YEARS

 

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Decision Support and Innovative Informatics Tools
 

“Never before in history has innovation offered promise of so much to so many in so short a time.” – Bill Gates (as cited in Frazer, 2007)

Technological innovations are dramatically changing how the health care industry operates. One example of this change is the transformation of gaming systems and virtual worlds into effective health care devices. Today’s gaming systems are capable of strengthening motor skills during rehabilitation, while virtual worlds promote a form of nonjudgmental communication and self-confidence for those patients who suffer from physical and mental limitations. Innovations such as these have been well received as they promote health in a positive and entertaining way.

In this week’s Discussion, you appraise how these innovations can enhance health care practices. Focus on analyzing innovations with which you may be unfamiliar. For example, you may choose to look at the fields of decision support, robotics, telehealth, and nanotechnologies.

 References:

Olsen, S. (2008, May 29). Wii-habilitation, health games get $2 million study grant. CNET News.
Retrieved from http://news.cnet.com/8301-10784_3-9955083-7.html

Tanner, L. (2008, February 9). Hospital using Wii in combat injury rehab. Navy Times.
Retrieved from http://www.navytimes.com/news/2008/02/ap_wiihabilitation_080209/
 

Mollman, S. (2007, July 27). Wii + Second Life = New training simulator. Wired.
Retrieved from http://www.wired.com/gadgets/miscellaneous/news/2007/07/wiimote

 

Frazer, G. (2007, December 6). How to nurture innovation in your business. Computer Weekly.
Retrieved from http://www.computerweekly.com/Articles/2007/12/06/228478/How-to-nurture-innovation-in-your-business.htm
 

To prepare:

• Review      the information and websites listed in the Learning Resources focusing on      decision support and technological innovations in the health care field.
• Using      credible resources, investigate decisions support systems or other      innovations that are in them, in-today’s health care market.
• Select      a specific technological innovation to share with your classmates.
• Develop      a description of your selected decision support system or technology      innovation as if you were making a presentation to an interdisciplinary team      at your practice.
• Include      the potential benefits and challenges that this new system could bring to      health care practices and the effect it could have on outcomes.

By tomorrow Wednesday 10/11/17, 12 pm, write a minimum of 350 – 550 words essay in APA format. Use at least 3 references from the list of required reading below.  Include the level one headings as numbered below

post a cohesive response that addresses the following:

1) Describe your selected technology, including when it was first introduced into the health care industry.

2) Assess the applications of the technology, noting the benefits and potential challenges of the innovation.

3) Appraise the potential of the innovation to improve health care practice and related outcomes.

 

Required Readings

Course Text: Ball, M. J., Douglas, J. V., Hinton Walker, P., DuLong, D., Gugerty, B., Hannah, K. J., . . . Troseth, M. R. (Eds.) (2011). Nursing informatics: Where technology and caring meet (4th ed.). London, England: Springer-Verlag.

Chapter 18, “Extending Care: Voice Technology”

Chapter 21, “Local Global Access: Virtual Learning Environments”

Chapter 18 provides an overview of the capability of voice assistive technologies to address the demands of health care environments. Chapter 21 features classroom technology trends that are equipping future nurses for practice.

Course Text: American Nurses Association. (2008). Nursing informatics: Scope and standards of practice. Silver Spring, MD: Author.

“The Future of Nursing Informatics” (pp. 52-62)

“Integrated Functional Areas: Telehealth and Informatics” (pp. 36-37)

The excerpts found here provide an overview of future advancements of informational technology systems’ hardware and design models.

Munih, M., & Bajd, T. (2010). VI.3. Rehabilitation robotics. Studies in Health Technology and Informatics, 152, 353–366.

In this article, the authors delve into the future of rehabilitation by examining the ways that virtual reality and robotics will transform exercise and management systems used by physical therapists.

Nolan, R. P., Upshur, R. E., Lynn, H., Crichton, T., Rukholm, E., Stewart, D. E., . . . Chen, M. H. (2011). Therapeutic benefit of preventive telehealth counseling in the Community Outreach Heart Health and Risk Reduction Trial. The American Journal of Cardiology, 107(5), 690–696.

The authors outline a clinical study that examined the benefits of telehealth counseling. They also analyze motivational interviewing as an agent to change daily behaviors and attitudes of those with cardiovascular disease.

Singh, R., Mathiassen, L., Stachura, M. E., & Astapova, E. V. (2010). Sustainable rural telehealth innovation: A public health case study. Health Services Research, 45(4), 985–1004.

This qualitative study examines previous telehealth implementations in efforts to improve future developments and sustainability in rural areas.

Stewart, S., Hansen, T. S., & Carey, T. A. (2010). Opportunities for people with disabilities in the virtual world of second life. Rehabilitation Nursing, 35(6), 254-259.

Use this article to examine the physical and emotional benefits that virtual realities can bring to people with disabilities.

Cisco. (n.d.). Industry solutions: Healthcare.

Retrieved October 14, 2011, from http://www.cisco.com/web/strategy/healthcare/index.html 

Investigate the ways that Cisco Industry Solutions is working to bridge the gap between communication and technology for health care environments.

Intuitive Surgical. (2010). da Vinci surgery.

Retrieved from http://www.intuitivesurgical.com/products/davinci_surgery.html

See this website to view video commentaries on the da Vinci Surgical System’s ability to revolutionize surgery experiences.

Massachusetts Institute of Technology. (n.d.). MIT media lab.

Retrieved October 14, 2011, from http://www.media.mit.edu/ 

View various technology integration stories in the field of health care at this website

McKesson Corporation. (2011). ROBOT-Rx. Retrieved from http://www.mckesson.com/en_us/McKesson.com/For%2BPharmacies/Inpatient/Pharmacy%2BAutomation/ROBOT-Rx.html 

The McKesson Coporation illustrates how an automated, robotic system is revolutionizing the process of medication storage and dispensing.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Transforming nursing and healthcare through technology: Clinical decision support. Baltimore, MD: Author.

Note: The approximate length of this media piece is 12 minutes.

In “Clinical Decision Support” the presenters discuss how data management systems combine with practitioner knowledge to create the best medical and economical solutions for patient care.

 

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BACKGROUND

In psychopharmacology you met Katie, an 8-year-old Caucasian female, who was brought to your office by her mother (age 47) and father (age 49). You worked through the case by recommending possible ADHD medications. As you progress in your PMHNP program, the cases will involve more information for you to sort through.

For this case, you see Katie and her parents again. The parents have reported that the medication given to Katie does not seem to be helping. This has prompted you to reconsider the diagnosis of ADHD. You will consider other differential diagnoses and determine what information you need to accurately assess the DSM-5 criteria to make the diagnosis of ADHD or another disorder with similar diagnostic features.

When parents bring their child to your office, they may have read symptoms on the internet or they may have been told by the school “your child has ADHD”. Your diagnosis will either confirm or refute that diagnosis.

Katie’s parents reported that their PCP felt that she should be evaluated by psychiatry to determine a differential diagnosis and to begin medication, if indicated. The PMHNP makes this diagnostic decision based on interviews and observations of the child, her parents, and the assessment of the parents and teacher.

To start, consider what assessment tools you might need to evaluate Katie.

• Child Behavior Check List
• Conners’ Teacher Rating Scale

The parents give the PMHNP a copy of a form titled “Conner’s Teacher Rating Scale-Revised” (Available at: https://www.ncbi.nlm.nih.gov/projects/gap/cgi-bin/GetPdf.cgi?id=phd000099.1 ). This scale was filled out by Katie’s teacher and sent home to the parents so that they could share it with their provider. According to the scoring provided by her teacher, Katie is inattentive, easily distracted, makes careless mistakes in her schoolwork, forgets things she already learned, is poor in spelling, reading, and arithmetic. Her attention span is short, and she is noted to only pay attention to things she is interested in. She has difficulty interacting with peers in the classroom and likes to play by herself at recess.

When interviewing Katie’s parents, you ask about pre- and post-natal history and you note that Katie is the first born with parents who were close to 40 years old when she was born. She had a low 5 minute Apgar score. The parents say that she met normal developmental milestones and possibly had some difficulty with sleep during the pre-school years. They notice that Katie has difficulty socializing with peers, she is quiet at home and spends a lot of time watching TV.

SUBJECTIVE

You observe Katie in the office and she is not able to sit still during the interview. She is constantly interrupting both you and her parents. Katie reports that school is “OK”- her favorite subjects are “art” and “recess.” She states that she finds some subjects boring or too difficult, and sometimes hard because she feels “lost”. She admits that her mind does wander during class. “Sometimes” Katie reports “I will just be thinking about something else and not looking at the teacher or other students in the class.”

Katie reports that her home life is just fine. She reports that she loves her parents and that they are very good and kind to her. Denies any abuse, denies bullying at school. She offers no other concerns at this time.

Katie’s parents appear somewhat anxious about their daughter’s problems. You notice the mother is fidgeting with her rings and watch while you are talking. The father is tapping his foot. Other than that, they seem attentive and straight forward in the interview process.

MENTAL STATUS EXAM

The client is an 8-year-old Caucasian female who appears appropriately developed for her age. Her speech is clear, coherent, and logical. She is appropriately oriented to person, place, time, and event. She is dressed appropriately for the weather and time of year. She demonstrates no noteworthy mannerisms, gestures, or tics. Self-reported mood is euthymic. Affect is neutral. Katie says that she doesn’t hear any ‘voices’ in her head but does admit to having an imaginary friend, ‘Audrey’. No reports of delusional or paranoid thought processes. Attention and concentration are somewhat limited based on Katie’s short answers to your questions.

Decision Point One

BASED ON THE INFORMATION PROVIDED IN THE SCENARIO ABOVE, WHAT IS YOUR DIAGNOSIS FOR KATIE?

In your write-up of this case, be certain to link specific symptoms presented in the case to DSM–5 criteria to support your diagnosis.

 

The Assignment:

Examine Case 1. You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.

At each Decision Point, stop to complete the following:

• Decision #1: Differential Diagnosis
  • Which Decision did you select?
  • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #1 and the results of the Decision. Why were they different?
• Decision #2: Treatment Plan for Psychotherapy
  • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #2 and the results of the Decision. Why were they different?
• Decision #3: Treatment Plan for Psychopharmacology
  • Why did you select this Decision? Support your response with evidence and references to the Learning Resources.
  • What were you hoping to achieve by making this Decision? Support your response with evidence and references to the Learning Resources.
  • Explain any difference between what you expected to achieve with Decision #3 and the results of the decision. Why were they different?
• Also include how ethical considerations might impact your treatment plan and communication with clients and their families.

 Decision Point One
A-i selected Attention Deficit Hyperactivity Disorder, predominantly inattentive presentation

B- Decision Point Two

BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.Explain why i did not select Autism Spectrum Disorder (ASD), mild and co-occurring;  and why i did not select Specific Learning Disorder with Impairment in Reading and 315.1 Impairment in Mathematics

RESULTS OF DECISION POINT ONE

• Client returns to clinic in four weeks
• You selected Attention deficit hyperactivity disorder, predominantly inattentive presentation. Based on this choice, outline the remainder of the diagnostic evaluation that you will conduct on this child and their parents. Be sure to include standardized assessment instruments that you would administer

 Decision Point Two

BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.

A-I SELECTED  

Begin Adderall XR 10 mg orally daily

B- EXPLAIN WHY YOU DID NOT SELECT  Wellbutrin 75 mg orally daily

 AND DID NOT SELECT Strattera 25 mg orally daily

 

RESULTS OF DECISION POINT TWO

• Client returns to clinic in four weeks
• Katie’s parents seem absolutely delighted upon their return stating that Katie is paying more attention in school, but note that there is still room for improvement, particularly in the afternoon
• They report that Katie’s teacher has reported that Katie is able to maintain her attention throughout the morning classes but come afternoon, she “daydreams.”
• Katie’s parents are also concerned about her decrease in appetite since starting the medication

Decision Point Three

BASED ON THE ABOVE INFORMATION, SELECT YOUR NEXT ACTION. BE CERTAIN TO DISCUSS THE RATIONALE FOR YOUR DECISION.

A- I SELECTED  to Add a small dose of immediate release Adderall in the early afternoon

B- EXPLAIN WHY I DID NOT SELECT Assure Katie’s parents that weight loss is common with stimulant medications used to treat ADHD Augment medication with family therapy

 Guidance to Student

Whereas weight loss is common with stimulant medication, this option does not address Katie’s parents’ concerns about the return of symptoms in the afternoon.

Augmentation with family therapy is also a good idea as it can help Katie with her symptoms and further help her parents to understand the unique challenges that Katie experiences, as well as ways that they can help her with symptoms, however, this option does not address the return of inattentive symptoms in the afternoon.

Adding a small dose of immediate relate Adderall in the afternoon can help Katie to maintain attention throughout the afternoon and into the early evening when she must do homework. This would be the best option.

 

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