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Please answer to the following DQ with 150 to 200 words each. thank you

Annette:

Registered Nurses play an important role as hospitals continue to search for higher quality care and safety. As Advanced Registered Nurse, we focus on the leadership that provides quality and measures guide practice. Data and information came from staff, patient surveys assisting nursing leaders in making the decisions that impact quality care and has a special role to achieve all the plan of actions designed for the organization. Healthcare organization have formulated an action plan and how to use to improve the quality of care and increase patient’s safety. Quality improvement has a very crucial role in healthcare organizations. Meaningful use defines as all electronic health records are being used in a meaningful way that makes certain about health information is shared and exchange that improves patient care. It also provides quality, safety, effectiveness, and lessening the disparities. It also promotes care coordination, assures adequate safety and privacy protection. There are three phases that support the quality improvements. The first phase is the clinical decision support which supports the healthcare providers and patients to make the proper decisions during that time. Examples of meaningful use in clinical decision support are focused patient-data reports or conditions, drug-interaction checks, documentations, diagnostic support-specific condition order sets. The second phase is the electronic health records that share data that uses patient’s information to provide quality of care during the treatment and the last phase is the electronic clinical quality measures in which this tool will track the quality of services rendered by healthcare workers and help find areas for improvement.

AHIMA Foundation is advocating for people, research, and resources that provide health information and has an ethical obligation in the privacy, safeguarding, and securing patient’s health information. This promotes high standards of practice, establishes to use as a guide in decision making, establishes a framework for professionals with their responsibilities and behaviors especially if ethical issues arise. The very important result and meaningful data is about the quality of care data intended for its purpose.

References:

Health it playbook. (n.d.). Retrieved May 02, 2021, from http://www.healthit.gov/playbook/quality-and-patient-safety/#section-8-2

4 ways Health Informatics improves PATIENT Care: UIC Health Informatics. (2020, July 08). Retrieved April 29, 2021, from https://healthinformatics.uic.edu/blog/4-ways-heal…

Madeline:

As the number of APRN’s continue to rise and fill in necessary spots in healthcare, the need for NP specific quality measurements arises. According to Kleinpell and Kapu (2017), there are several organizations that offer quality measurements and techniques for NPs to incorporate into their practice. One such example is the National Quality Forum, whose outcome measures are considered by CMS for public reporting and performance-based reimbursement. For nurse educators specifically, the National League for Nursing regularly (n.d.) updates their core competencies that help evaluate the quality of teaching.

Information technology has allowed healthcare capacity to grow exponentially by creating more effective ways to go about patient care, they are also able to draw trends from patient care metrics that can statistically show certain standards such as occurrence reporting of patient falls or the percent of medications scanned. These are some examples of how informatics can give feedback and improve quality of care for bedside nurses. While meaningful use incentivizes organization’s to efficiently use their electronic management systems, information governance is the cycle used in relation to that information management system to ensure that technology is being used appropriately while also protecting patient’s health information.

References

Kleinpell, R. & Kapu, A. N. (2017). Quality measures for nurse practitioner practice evaluation. Journal of the American Association of Nurse Practitioners, 29(8), 446-451. doi: 10.1002/2327-6924.12474

National League for Nursing. (n.d.) Nurse educator core competencies: NLN core competencies for academic nurse educators. Retrieved from

Dianesia:

Quality standards play a vital part in the nursing profession. It is the foundation of our practice by giving us guidelines in which to operate. The quality standard that most guide my role as an advance practice registered nurse is ethics. It is what keep us just and fair to make the best decision for our patients. In a role of leadership you need to always remain ethical for your staff members and the patients you serve. Informatics can be used to improve quality of care because a data system that manages data and is programmed for best practice us unbiased which further supports the ethical standard. Meaningful measure focuses on identifying an issue using a quality measure and improving it. Meaningful use is utilizing the health technology in a useful way to provide quality care. The interoperability of the different informatics creates a working system with the patient’s privacy protected, evidence based practice usage as well as standards of care reflected. This will provide the best quality care for out patients which is every health care provider’s goal.

References:

AHIMA. (2018). Standardization of standards. HIM Body of Knowledge. https://library.ahima.org/doc?oid=107644#YJGsoNVKjIU

Cms.gov. (2020, November 2). Quality Measures. Retrieved from Cms.gov: https://www.cms.gov/medicare/quality-initiatives-patient-assessment-instruments/qualitymeasures

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The teaching plan proposal developed in this assignment will be used to develop your Community Teaching Plan: Community Presentation due in Topic 5. You are strongly encouraged to begin working on your presentation once you have received and submitted this proposal.

Select one of the following as the focus for the teaching plan:

Primary Prevention/Health Promotion

Secondary Prevention/Screenings for a Vulnerable Population

  • Bioterrorism/Disaster
  • Environmental Issues
  • Use the “Community Teaching Work Plan Proposal” resource to complete this assignment. This will help you organize your plan and create an outline for the written assignment.
  • After completing the teaching proposal, review the teaching plan proposal with a community health and public health provider in your local community.

Request feedback (strengths and opportunities for improvement) from the provider.

Complete the “Community Teaching Experience” form with the provider. You will submit this form in Topic 5.

  • Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.
  • This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 
  • _________________________________________________________________________________________________

  

Topic: Case Study: Mr. C.

It is necessary for an RN-BSN-prepared nurse to demonstrate an enhanced understanding of the pathophysiological processes of disease, the clinical manifestations and treatment protocols, and how they affect clients across the life span.

Evaluate the Health History and Medical Information for Mr. C., presented below.

Based on this information, formulate a conclusion based on your evaluation, and complete the Critical Thinking Essay assignment, as instructed below.

Health History and Medical Information

Health History

Mr. C., a 32-year-old single male, is seeking information at the outpatient center regarding possible bariatric surgery for his obesity. He currently works at a catalog telephone center. He reports that he has always been heavy, even as a small child, gaining approximately 100 pounds in the last 2-3 years. Previous medical evaluations have not indicated any metabolic diseases, but he says he has sleep apnea and high blood pressure, which he tries to control by restricting dietary sodium. Mr. C. reports increasing shortness of breath with activity, swollen ankles, and pruritus over the last 6 months.

Objective Data:

Height: 68 inches; weight 134.5 kg

BP: 172/98, HR 88, RR 26

3+ pitting edema bilateral feet and ankles

Fasting blood glucose: 146 mg/dL

Total cholesterol: 250 mg/dL

Triglycerides: 312 mg/dL

HDL: 30 mg/dL

Serum creatinine 1.8 mg/dL

BUN 32 mg/dl

Critical Thinking Essay

In 750-1,000 words, critically evaluate Mr. C.’s potential diagnosis and intervention(s). Include the following:

Describe the clinical manifestations present in Mr. C.

Describe the potential health risks for obesity that are of concern for Mr. C. Discuss whether bariatric surgery is an appropriate intervention.

Assess each of Mr. C.’s functional health patterns using the information given. Discuss at least five actual or potential problems can you identify from the functional health patterns and provide the rationale for each. (Functional health patterns include health-perception, health-management, nutritional, metabolic, elimination, activity-exercise, sleep-rest, cognitive-perceptual, self-perception/self-concept, role-relationship, sexuality/reproductive, coping-stress tolerance.)

Explain the staging of end-stage renal disease (ESRD) and contributing factors to consider.

  • Consider ESRD prevention and health promotion opportunities. Describe what type of patient education should be provided to Mr. C. for prevention of future events, health restoration, and avoidance of deterioration of renal status.
  • Explain the type of resources available for ESRD patients for nonacute care and the type of multidisciplinary approach that would be beneficial for these patients. Consider aspects such as devices, transportation, living conditions, return-to-employment issues.
  • You are required to cite to a minimum of two 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.

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Reply to this discussion post:

Like other industries, the healthcare sector requires an in-depth understanding of all its levels before implementing any intervention or policy. One of the most implemented projects in healthcare, primarily nursing, is evidence-based practice (EBP). It is an inherent healthcare aspect, which is often associated with improved care quality and health outcomes. Therefore, this paper aims to discuss why it is crucial to understand the healthcare system when considering implementing an EBP intervention.

A healthcare system is often used to describe the healthcare organization’s structure, commencing from the heads to the nurses at the lower levels, all working in unison to deliver care. When implementing EBP at a local level, understanding the healthcare system is critical for multiple reasons. For instance, every EBP implementation requires an extensive resource amount, such as finances, to ensure it is effectively executed (Harper et al., 2017). Additionally, for any EBP to be implemented successfully, the leadership’s involvement is vital. The leaders can formulate the necessary policies, which are implemented through collaboration with managers and the staff. Finally, every healthcare system illustrates a culture that maybe different from its counterparts; thus, understanding it will ensure EBP is implemented successfully.

Furthermore, for my change project, one of the primary considerations would be increasing nurse participation in healthcare decisions. The step promotes cooperation between the nurses and physicians, which is interprofessional collaboration’s essence. Moreover, the other consideration is the involvement of essential agencies in implementing the project’s intervention. At its core, interprofessional collaboration requires cooperation among all healthcare-related agencies, such as medical insurers, pharmacists, and healthcare professionals, like doctors. Hence, I must consider their policies and cultures before implementing the change project.

In conclusion, this paper discusses the need to comprehend the healthcare system before implementing EBP. There are several reasons for understanding the system, such as the need for financial resources to ensure its success. Besides, EBP needs to fit into the system’s culture to aid its fruition. Lastly, for my change project, I must consider involving more nurses in decision-making and the cultures of vital healthcare agencies to facilitate its success.

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What would your PICOT question for this be? Population diabetics or would you focus on a specific age group or poriton of the population. What specifically would you use for your intervention? What woudl you compare your intervention group to in order to know if your intervention worked? What would be your desired outcome? And how long will you collect data for this project?

Answer this question after read below

Introduction

Diabetes continues to hold a relatively high death toll among the elderly. About 22 044 elders die every year due to diabetes, and quite alarmingly, the death rate continues to increase with increases in age. The elderly, particularly those above the age of 65 years, make up more than 15% of the total number of fatalities accumulated by the disease. Doctors advocate prevention measures, yet the mortality rate of the disease remains high. It highly threatens the elderly population, especially persons from third-world countries where information becomes scarce and limited at times. Formulating and implementing schemes to control the disease spread and mortality rate should be facilitated by all means to bridge the gap between the new and improved underprivileged majority and advantaged opportunities.

Change initiative summary

Having new concepts for improving medical care reduces cases of diabetes infections and death. Nursing science provides for better delivery of medical services. It is rather unfortunate that diabetes among the elderly is quite fatal. The intervention towards handling diabetes should deal with understanding the information presented by the patients. Nurses conduct better diabetes care roles with better nursing training, education, and adequate recourses (Nikitara et al., 2019). They continue to explain that strategies should also be included when campaigning for better diabetes medical care. Vissarion et al (2014) asserts that patients must be enlightened with information that could promote better self-care while managing diabetes. They continue to explain how patients with diabetes tend to lead a better and longer life while conducting self-care.

Diabetes, like many other diseases, still calls for more research. As agreed by Mareno (2016) there is more that can be researched in the field of diabetes research.Mareno further elaborate on how other conditions develop and affect diabetic people. Mental issues and other complications that affect patients dealing with diabetes significantly contribute to the mortality rate. As such, underlying issues and complications that may arise after suffering from the disease still require some more work. Curtis & Hagerty (2002) explain how hard it is to manage diabetes. Therefore an intervention must be made in the research for better administration of medical care to diabetes patients.

Facilitating further research in diabetes medical care can and will prevent people from succumbing to the disease. The disease is currently under-researched, and due to this, more people continue to suffer from it. To better protect patients, increase their life expectancy; especially the elderly more work needs to be done on the disease. More elderly patients should be enrolled for research and at the same time gets more training for the medical care staff handling diabetes. The patients should also be enrolled in education programs to teach them information on their health conditions as diabetes carriers. Since the disease has some known facts, sensitization of such information should be made paramount.

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respond to the following discussion post as a peer. Use at least one reference and a 150-200 word count.

“Historically, religion and health are interwoven because of the religious belief that the body is the temple of God. In the past centuries, religious organizations were often the first to offer compassionate care to the mentally ill and religion played a significant role in the first form of psychiatric care in West Europe and the United States, known as ‘moral treatment’. (Papaleontiou-Louca. 2021). Positive religious beliefs had been usually associated with better mental health outcomes when dealing with a stressful life situation. Most religious people turn to God to gain strength, which gives a positive insight and relieving stress build-up. This account is based on the observation that when faced with stressful life events, an individual’s responses, interpretations, and general coping processes are frequently informed by, and actively involve, religion (Pargament, 1997). This behavior tends to help relieve people’s emotional stress and burden because it also promotes mercy, kindness, generosity, and forgiveness, which encourages a powerful bond amongst people. For example, someone who feels strongly weighed down with emotions because of some mistakes made seeks forgiveness and he/she is forgiven this eases up mental stress that might have built up.

Not all religious beliefs encourage timely medical intervention. For an example, we will look at Jehovah’s witness that receives almost all form of medical treatments and interventions but are averted from receiving a blood transfusion. In one scripture, the Jehovah’s use as a stance to accept blood transfusion is from Deuteronomy 12:23, which says “Only be sure that you do not eat the blood, for the blood is life (Soul), and you shall not eat the life with the meat” (The AMP Bible, n.d.). Jehovah’s Witnesses believe in surviving after death and the willingness to sacrifice one’s life in the interim by refusing treatments with blood or blood products makes death salient to them. (Ringnes &Hegstad, 2016).

References:

Papaleontiou – Louca, E. (2021). Effects of religion and faith on mental health. New Ideas in Psychology, 60. https://doi-org.lopes.idm.oclc.org/10.1016/j.newideapsych.2020.100833

Pargament, K. I., (1997). The Psychology of Religion and Coping. New York: The Guildford Press [Google Scolar]

Ringnes, H. K., & Hegstad, H. (2016). Refusal of Medical Blood Transfusions Among Jehovah’s Witnesses: Emotion Regulation of the Dissonance of Saving and Sacrificing Life. Journal of Religion and Health, 55(5), 1672–1687. https://doi-org.lopes.idm.oclc.org/10.1007/s10943-016-0236-5

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Jayan:

To promote seamless communication between healthcare professionals, information must be accessible from wherever in the health system, including distant places. The information system should also allow for systemwide patient registration and scheduling coordination, as well as clinical data management (Adibuzzaman et al., 2018). The capacity to integrate clinical and financial data is critical for tracking cost-effectiveness and supporting service planning. So multiplatform IT system integration is very important in the new era of healthcare.

The development and administration of an integrated health system necessitate visionary leadership as well as a vision-congruent organizational culture. Developing and deploying integrated electronic systems is time-consuming, difficult, and expensive. Poorly constructed electronic information systems, platforms that are not used by providers, an absence of a clear business plan, a lack of shared standards and platforms, a fear of reduced personal privacy, insufficient training and incentive schemes for providers to take an interest, inadequate technology solutions, and ineffective leadership all contribute to the failure of information integration (Adibuzzaman et al., 2018).

So we must consider the development of solid apps to function in diverse platforms. Robust healthcare applications would make it easier to offer services that should be the lifeblood of responsible healthcare organizations looking to enhance treatment while also lowering costs (Mandl et al., 2016). Apps could be used for population health analytics, incorporation of data from multiple devices and platforms that track fitness and activity, medication adherence monitoring and improvement, chronic disease management, and identification of high-risk and high-cost patients and coordination of their care, in addition to precision medicine. The ability for public health authorities to reliably inform doctors about infectious illnesses or post-market pharmaceutical safety issues would be facilitated if these services and multiplatform apps could be unlocked at a nationwide scale without requiring complex one-off integrations (Mandl et al., 2016).

References

Mandl, Kenneth D., Mandel, Joshua C., & Kohane, Isaac S. (2016). Driving innovation in health systems through an apps-based information economy. Cell Systems, 1(1), 8–13. https://doi.org/10.1016/j.cels.2015.05.001

Adibuzzaman, M., DeLaurentis, P., Hill, J., & Benneyworth, B. D. (2018). Big data in healthcare – the promises, challenges and opportunities from a research perspective: A case study with a model database. AMIA … Annual Symposium Proceedings. AMIA Symposium, 2017, 384–392. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977694/

Miriam:

Healthcare information must be accessed when required anywhere, including remote locations, to facilitate smooth and seamless communication between healthcare workers (Suter, Oelke, Adair & Armitage, 2009). The information system should also allow patient registration, coordinating schedules in the hospital, and managing clinical information. Multiplatform integration in the healthcare IT system occurs when the integration of different health professions and specialists in an institution is merged to work together to provide services that are joined up (Suter, Oelke, Adair & Armitage, 2009). The multiple integrated solutions evolve in a large healthcare organization and the challenges incurred for both the clinical and technical staff as the multiple integrated solutions involve the sub-components of the solution brought together. A new system or replacing an old system can be a huge undertaking for a health care organization. These include work stations installations, building databases testing the networks and process to redesign, training the user to convert the data, and writing the procedure (Wager, Lee & Glaser, 2017). It is challenging to both clinical and technical staff as there are many countless tasks that must be coordinated and completed to implement and must be accepted by the users. In planning for the implementation of a new system into an organization is to organize an implementation team. The primary role and function of the team are to plan, coordinate, budget, and manage all aspects of the new system implementation (Wager, Lee & Glaser, 2017). Not everyone is familiar with the new system, so there needs to be a system champion who can see the new system as necessary to the organization’s achievement of its strategic goals, and passionate about implementing it. Workflow and process analysis, system installation, staff training, conversation, communication, system downtime procedure are the components of the implementation plan. Staff training and communication are important when implementing a new system in an organization. Staff members need to be comfortable with the applications and they need to know whom to turn to if they have a problem or concerns (Wager, Lee & Glaser, 2017). 

References: 

Suter, E., Oelke, N. D., Adair, C. E., & Armitage, G. D. (2009). Ten key principles for successful health systems integration. Healthcare quarterly (Toronto, Ont.), 13 Spec No(Spec No), 16–23. https://doi.org/10.12927/hcq.2009.21092

Wager, K. A., Wickham-Lee, F., & Glaser, J. P. (2017). Health care information systems: A practical approach for health care management (4th ed.). Jossey-Bass. ISBN-13: 9781119337188

Hanna:

Many medical practices are still logging into multiple systems for practice management, billing, EHR, and practice marketing. There are some clear drawbacks to running a medical practice through an assortment of disconnected tools, instead of a single, integrated system. A data integration tool is utilized in the healthcare integration process on the data source that moves the data to the destination. These tools conduct mapping, transformation, and data cleansing. Integrated Delivery System (IDS) is a network of healthcare facilities under a parent holding company. The term is used broadly to de ne an organization on that provides a continuum of healthcare services. IDSs align incentives and resources better than most healthcare delivery systems, leading to improved medical care quality while controlling costs. Health information systems show great potential in improving the efficiency in the delivery of care, a reduction in overall costs to the health care system, as well as a marked increase in patient outcomes. The patient experience is highly substantial for the healthcare industry in the USA to measure their quantity of success. But the healthcare continuum is highly fragmented without the ability to scale, flexibility, data interoperability, and advanced care coordination systems. The solutions that enable health stakeholders across the USA to transform the user experience, financial performance, and workflow efficiency are the best answer to the question ‘what is integrated healthcare management.’

Now it’s time to put a software implementation plan in place. Proper implementation will maximize the value of your new system so that you can quickly take advantage of the process and efficiency improvements software provides. The steps are keeping vendors accountably with a detailed needs documents then control your scope, assign realistic teams to drive software implantation plan, encourage user adoption with a proactive and focus on continuous improvement.

References

Bozorgmehr, K., Jahn, R., Biddle, L., Rohleder, S., & Puthopparambil, S. (2020). Availability and integration of health data on refugee and migrants in health information systems. European Journal of Public Health, 30(Supplement_5). https://doi.org/10.1093/eurpub/ckaa165.1222

Kruse, C. S., Goswamy, R., Raval, Y., & Marawi, S. (2016). Challenges and Opportunities of Big Data in Health Care: A Systematic Review. JMIR Medical Informatics, 4(4). https://doi.org/10.2196/medinform.5359

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Leni:

The Quality Improvement Organizations (QIO) mentioned was totally new to me. I was able to read about this program which is led by Centers for Medicare and Medicaid Services (CMS) and is a federal program focusing on improving the quality of health at community level for Medicare patients and focuses on patient-centered approach to reduce provider burden. The QIO program focuses on better health care quality, better accessibility, and better affordability by focusing on six priorities which are making care safer by reducing harm during care delivery, strengthen patient and family engagements in care, promote effective communication and care coordination, promote treatment and preventive measures for chronic conditions, make care affordable, and work with communities to promote best practices of healthy living. They also collaborate with other national organizations to ensure safer and better care for the patients. I was also able to explore on their emphasis on cardiac health, behavioral health, and care coordination (QIO, n.d.).

Thank You for sharing about QIO that helps to improve the quality, safety and value of care that patients receive through Medicare programs and as you stated data sharing will be key for better care coordination for patients that require more than one physician support.

Reference.

Quality Improvement Organizations (QIO). (n.d.). Sharing Knowledge Improving Health care. Centers for Medicare and Medicaid Services. https://www.qioprogram.org/about

Claudia:

As child obesity continues to increase there should be efforts to reverse the obesity crisis among children and adolescents. The focus should be on emphasis on healthy eating exercise in different settings, early education in different setting such as child day cares, hospitals, schools, and food service (CDC, 2021).

Translational research is known for building upon basic scientific knowledge to create a new and improved behavioral intervention. Translational research can assist by creating clinical trials and implementing the techniques and tools that can address the critical need to reduce child obesity and improve the overall outcomes of children and adolescents.

Pennington Biomedical Research Center is to prevent and decrease child and adolescent obesity through advanced, groundbreaking translational research and scientific advancement. Their goals are to test the effectiveness of technology such as wearable technology and primarily exergames to boost physical activity and to incorporate these technologies into family-based weight management programs for the youth (PBRC, n.d.). The research would be comparing the effectiveness of enhanced standard of care and family-based behavioral treatment that is being delivered to families through primary care clinics and centering their attention on under-served populations. The technology that is being used is centered on physical activity options for children with obesity, especially exergames which consists of video games promoting activity and mobile apps. The identification of interventions that will target and include promotors and barriers of physical activity and sedentary behavior by using wearable technology that will include monitors, GPS trackers, and ecological momentary assessment that will be delivered via a smartphone.

References

Centers for Disease Control and Prevention. (2021). Community efforts. https://labs.pbrc.edu/pediatric-obesity/index.htm

Pennington Biomedical Research Center. (n.d.). Pediatric obesity & health behavior. https://labs.pbrc.edu/pediatric-obesity/index.htm

Liane:

A quality improvement initiative related to population health is related to preventing heart disease and stroke. The Million Hearts Initiative is a “national initiative to prevent 1 million heart attacks and strokes within 5 years” (Centers for Disease Control and Prevention [CDC], 2020). The Million Hearts Initiative is co-led by the CDC and the CMS. The initiative is promoting the use of evidence-based priorities and targets that can improve the cardiovascular health of all people. The initiative is important because every year over 1.5 million people in the United States experience a heart attack or stroke (Benjamin et al., 2019). The initiative has set targets such as keeping people healthy through lifestyle changes and optimizing care such as increasing the number of patients using appropriate antithrombic medications (CDC, 2020). It is also focusing on priority populations such as “people ages 35 to 64” (CDC, 2020).

Translational research allows for the ease of implementing interventions gained from basic science knowledge to promote positive health outcomes in different populations. With more knowledge learned about causes and factors leading to the development of cardiovascular disease and stroke, translational research transitions the new knowledge into interventions suitable for population health. As knowledge is gained from new research, initiative goals and recommended protocols may change to apply the best evidence for the improvement of cardiovascular health. For example, the knowledge of having high low-density lipoprotein as a risk factor for heart attack, and stroke has led to protocols such as the usage of statin for “individuals with clinical atherosclerotic cardiovascular disease, and individuals with primary elevations of LDL-C >190mg/dL” (CDC, 2020).

References

Benjamin, E. J., Muntner, P., Alonso, A., Bittencourt, M. S., Callaway, C.W., Carson, A. P., Chamberlain, A. M., Chang, A. R., Cheng, S., Das, S. R., Delling, F. N., Djousse, L., Elkind M., Ferguson, J. F., Fornage, M., Jordan, L., Khan, S. S., Kissela, B.M., Knutson, K. L., Kwan, T. W.,… Virani, S. S. (2019). Heart disease and stroke statistics- 2019 update: A report from the American heart association. Circulation, 139, e56-e528. https://doi.org/10.1161/CIR.0000000000000659

Centers for Disease Control and Prevention. (2020). About million hearts. https://millionhearts.hhs.gov/about-million-hearts/index.html

Centers for Disease Control and Prevention. (2020). Protocols. https://millionhearts.hhs.gov/tools-protocols/protocols.html

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Ndelle:

Considering the big data nature of healthcare industry data, data analytics is required for the presentation and making the big data usable. Data analytics allows for improvements to patient care, faster and more accurate diagnosis, preventive measures, more personalized treatment, and more informed decision-making. At the business level, data analytics can lower costs, simplify internal operations, and more.

Hospitals use data analysis to keep an eye on overall hospital performance and track aspects like patient progress and outcomes.

Structured sequel Language (SQL) is a programming language used to manage data held in relational databases. They are used to access, read, manipulate, and analyze the data stored in a database and generate useful insights to drive an informed decision-making process. SQL offers users fine-grained control of data being pulled, it provides a powerful way to explore data that is not filtered through a predefined data set or model (Wadsworth J. 2019).

Wadsworth J. (2019). 6 Essential Data Analyst Skills for Your Healthcare Organization. Health Catalyst. Retrieved from: https://www.healthcatalyst.com/

Sharren:

Data Analytics is the process of examining raw datasets to find trends, draw conclusions and identify the potential for

improvement. 

The use of health data analytics allows for improvements to patient care, faster and more accurate diagnoses, preventive

measures, more personalized treatment and more informed decision-making. At the business level, it can lower costs, simplify

internal operations and more. 

Data makes this possible. Instead of treating the symptoms with the use of data practitioners are able to identify patients at high

risk of developing chronic illnesses and help to treat an issue before it get worst.

This helps to lower costs for the practitioner, insurance company and patient as the preventive treatment may help to save off

long-term issues and expensive hospitalizations. Example is the impact we have on covid-19 pandemic. The data

that being collected is analyzed and able to understand the effects of the virus better and predict the future trends to slow down

the spread and prevent the future outbreaks (“The role of data analytics in Health Care,” 2021).

Structured Query Language (SQL). It is a programming language used for managing the data held in relational databases. A 

data analyst can use SQL to access, read, manipulate, and analyze the data stored in a database and generate useful insights to 

drive an informed decision-making process (“SQL techniques Data Analysis Using SQL,” 2020).

References

SQL techniques: Data Analysis Using SQL. Analytics Vidhya. (2020, July 12). Retrieved November 13, 2021, from

https://www.analyticsvidhya.com/blog/2020/07/8-sql-techniques-data-analysis-analytics-data-science/. 

The role of data analytics in Health Care. School of Health and Rehabilitation Sciences Online – University of Pittsburgh. (2021,

January 13). Retrieved November 13, 2021, from https://online.shrs.pitt.edu/blog/data-analytics-in-health-care/. 

Miriam:

Data analytics is the future of healthcare. The provision of modern treatment methods and techniques relies on data analytics. When implemented correctly, analytics can predict outbreaks, bolster preventive care, enhance the overall quality of care that patients receive, and lessen the costs associated with treatments. Data analytics helps hospitals save money while enhancing the lives of their patients. Healthcare analytics has a number of complexities that set it apart from other businesses. When performing analytics, for example, real-time vital signs and electronic health data are taken into account. This information can be combined with socioeconomic determinants of health data to help patients be better managed when they leave the hospital.

SQL or Structured Query Language is a critical tool for data professionals. It is undoubtedly the most important language for getting a job in the field of data analysis or data sciences.SQL is the language of databases. It facilitates retrieving specific information from databases that are further used for analysis. Even when the analysis is being done on another platform like Python or R, SQL would be needed to extract the data that you need from a company’s database.

References

Miller, L. (2020, December 31). How Data Analytics is Used in Healthcare. VIE Healthcare Consulting; VIE Health Care Consulting. https://viehealthcare.com/how-data-analytics-is-used-in-healthcare/

What is SQL & How Does It Work? A Guide to Structured Query Language. (2021, October 6). Springboard Blog. https://www.springboard.com/blog/data-analytics/what-is-sql/

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I need replies to my peers discussion posts, one reference each, only within the last 5 years 100 to 200 words each should be enough. I’ve included their discussions responses.

DQ1 Discuss a patient of another culture. How can the health care professional communicate in presenting patient education? Consider language, family, cultural differences, and method of communication.

DQ2 Compare and contrast culture, ethnicity, and acculturation.

Peer responses DQ1

Mireya: Taking care of a patient from a different culture can be nerve wrecking. To think you can accidentally offend the patient or their family by not knowing about a crucial cultural practice. There is no way nurses can be expected to be aware of and practice cultural sensitivity at all times because religions and cultures develop over time (Frewerda, 2016). The best way for health professionals to assess cultural preferences is to ask the patient. This will give the patient and family the opportunity to voice any preferences instead of having to make assumptions.

Recently I took care of a jewish patient following a cholecystectomy. I remember being nervous when I was first assigned this patient as I did not know much about the culture. When it came time for discharge education diet was a main topic as after this procedure there is a specific diet that has to be followed. On top of it we have to remodify the specific diet as the patient is on a strict Kosher diet. It did take some trial/error, and more communication to find a diet that would benefit his healing process and cultural beliefs. However, at the end it was done and the patient was happy with the options, increasing the chance of him complying once he got home. This overall led to another positive patient outcome.

Ferwerda, J. (2016). How to care for patients from different cultures. Nurse.org. https://nurse.org/articles/how-to-deal-with-patients-with-different-cultures/

Kyra: First, the healthcare professional must be open and respectful to facilitate information to the patient as well as making the patient as comfortable and safe as possible to assess and answer questions appropriate to forming thier plan of care. For example, The provider or nurse must assess the language barrier, as american words have many diiferant meanings. Secondly, body language and eye contact is important to remember, as every cultural group have differant aways of presenting social ques. For example, a patient of asian culture may be more quiet and when talked to may nod their head. This does not necessarily mean they are accepting or understanding of the information, it is a social habit. Secondly it is imporant to address not only the patients physical status, but also their mental and emotional health. It is common in asian cultures to disregard mental health issues such as depression, it is thought as taboo, and their is minimal awareness (APA, 2020). Lastly it is important to assess cultural practices that relate to home remedies and medicines. Asian cultures believe in yin and yang, forces of hot and cold, and other practices such as herbal teas, ointments, and accupuncture (APA, 2020). Older patients of asian descent may follow these practices more strictly than you patients who have experinced accultruation and wish to practice modern day medicine and interventions. Always assess and allow the patient to voice their concerns, and make it a goal to incorporate their cultural beliefs in their plan of care.APA (2020). Working with Asian American Patients https://www.psychiatry.org/psychiatrists/cultural-competency/education/best-practice-highlights/working-with-asian-american-patients

Peer Responses DQ2

Muinat: Culture is the level of spiritual development of a nation or society. At the same time, ethnicity is a set of qualitative characteristics of a person or group of people related to their ethnic origin, and acculturation is the interaction of cultures, perception by one nation in whole or in part of another nation.

When working with a culturally varied ethnic community, nurses should treat each patient as an individual. As a result, health care providers are frequently presented with terms like ethnicity, culture, and acculturation. Nurses must distinguish between the ideas of culture, ethnicity, and race to communicate effectively with patients and maximize the success of the interprofessional practice.

Culture is the level of spiritual development of a nation or society. At the same time, ethnicity is a set of qualitative characteristics of a person or group of people related to their ethnic origin, and acculturation is the interaction of cultures, perception by one nation in whole or in part of another nation. They are related as they deal with behaviors of a group of individual and their beliefs and how these affect their interaction with other individuals who belong to a different group.

In contrast, ethnicity is a socially defined category of people who identify with each other while culture is a range of human phenomena that cannot be attributed to genetic inheritance; other humans majorly teach them., acculturation is different from them all as it is the process through which different cultures interact with each other.

References

Kunst, J. R., Lefringhausen, K., Skaar, S. W., & Obaidi, M. (2021). Who adopts the culture of ethnic minority groups? A personality perspective on majority-group members’ acculturation. International Journal of Intercultural Relations, 81, 20-28.

Eisenberg, M. E., Puhl, R., Areba, E. M., & Neumark-Sztainer, D. (2019). Family weight teasing, ethnicity and acculturation: Associations with well-being among Latinx, Hmong, and Somali Adolescents. Journal of psychosomatic research, 122, 88-93.

Kyra: Culture is a very broad term in which many things can fall under the definition, such as culture representing values, beliefs, religion, and social customs belonging to a certain people who share the same culture. For example, one could say Italian culture revolves around cooking large meals for family gatherings, is largely centered in catholic belief, and socially, are very loud and outgoing, using many hand and body gestures to get the point across. Ethnicity is defined asquality or fact of belonging to a population group or subgroup made up of people who share a common cultural background or descent”(DifferanceBetween, 2020). It is also described as “racial affinities, while culture of a particular people is a shared set of beliefs, morals, values that are reflective of way of life” (DifferanceBetween, 2020). For example, Italians originating from calabria, siciliy or rome all share an Italian ethnicity as well and share common cultural backgrounds. Acculturation is becoming part of a dominant culture like Italians moving to America and adopting the American culture thus becoming Italian Americans. These terms all fall under the same umbrella but are used in differant ways, ehtnicity encompasses a broad aspect of people who follow a similair culture, in which their cutoms, beliefs, and values are not too differant. After acculuration, new customs and traditions are introduced, as younger generations are more likely to asmiliate to western culture but respect old customs.

DifferanceBetween (2020). Difference Between Ethnicity and Culturehttps://www.differencebetween.com/difference-between-ethnicity-and-vs-culture/

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