nursing homework help APA 7 format. the rubric is attached read the rubric thoroughly there are four questions that have to be answered in APA format style only and there are additional questions each question should have at least 10 sentences for each question (2 paragraphs) we must answer the questions that say in the rubric how does bodyweight affect the five body systems? cardiovascular, gastrointestinal, musculoskeletal, endocrine system, and immune system. I hate attached the rubric and the ati nutrition book in the files the questions have to be in APA format only,
· Additional Written Paper for 4 Additional Questions:
1. How does additional bodyweight affect physical status in general?
2. What are some of the barriers and challenges to losing weight in the U.S.?
3. Describe cultural considerations when discussing weight and weight loss with clients in general.
4. What would you suggest to help Mark achieve a healthy weight?
· Late Assignment and Academic Integrity Violation Policy will be applied to this assignment.
Preparing Additional WRITTEN PAPER: Additional Questions
· Page Length: 2-3 pages EXCLUDING title page and reference (APA format)
· Answers must be descriptive and comprehensive.
§ Each answer must have 2 complete paragraphs with at least 10 sentences in each paragraph.
§ Must use complete sentences.
· Paper must be written following Paper Format using APA format (Title page, Running head, Page number, Headings, In-text Citation, Full-sentences, and References)
PAPER FORMAT
Body Weight and Physical Status
· How does excess body weight affect Five body systems?
§ Describe the mechanisms of extra body weight on each body system.
§ Cardiovascular (CV)System
§ Gastrointestinal (GI) System
§ Musculoskeletal System
§ Endocrine System
§ Immune System
· Must include in-text citations
Barriers and Challenges
· IdentifyThree barriers and challenges to losing weight in the U.S.
· Describe how and why each identified barrier and challenge affect losing weight?
· Must include in-text citations
Cultural Considerations
· Identify Three different cultures.
· Describe how and why each culture influence weight and weight loss with clients in each culture
· Must include in-text citations
Advice for Mark
· What would you suggest to help Mark achieve a healthy weight?
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Direct Care Project Part 2: Planning The Presentation
Purpose
The purpose of this direct care project is for learners to apply the nursing process to a community health problem determined by their observations and data collected of vulnerable populations in their community. This is Part 2 of 4 in the Direct Care Project.
Direct Care Project Overview
There are four parts to the Direct Care Project.
There will be graded Project Check-ins that correlate to each part.
The topic selected in Part 1 will be the same one used in Parts 2 through 4.
Review the table below for overview and due dates with each topic.
Carefully review the instructions, templates, tutorials, and rubrics for each part.
Contact your instructor with questions.
OverviewPointsDue DateProjectsAir QualitySubstance UsePart 1: Assessment: Completed in Week 2Part 2: Planning: Check-In10Wednesday of Week 4Required, graded check-in on progress of assessing your communityPart 2: Planning the Presentation150Sunday end of Week 4Create a PowerPoint presentation on the use of the Air Quality Flag Program.Create a presentation on the use of Screening, Brief Intervention, and Referral to Treatment (SBIRT)Part 3: Implementing the PresentationRequiredSchedule presentation Saturday of Week 5 through Saturday Week 6Present to a local organization that serves the identified vulnerable population and could implement the Air Quality Flag Program; Includes participant(s) completing a Pre- and Post-surveyPresent to a group of healthcare professionals that serves the identified vulnerable population and could implement SBIRT; Includes participants completing a Pre- and Post-surveyPart 3: Implementation: Check-In10Wednesday of Week 5Required, graded check-in on progress of implementing your presentationPart 4: Evaluation: Check-In10Wednesday of Week 6Required, graded check-in on progress of evaluation of your presentation and projectPart 4: Evaluating the Project140Sunday end of Week 6Evaluate learning and reflect on project. Evaluate learning and reflect on project.
Course Outcomes
This direct care project enables the student to meet the following course outcomes:
CO2 Assess the health of populations, aggregates, and communities (PO4)
CO3 Apply the nursing process to vulnerable populations with professional clinical judgment and evidence-based practice (PO4 & 8)
CO5 Utilize a collaborative approach to address factors that influence population health (PO2)
CO6 Examine collaborative trends in community health nursing (PO2)
Part 2 enables the student to meet the following course outcome:
CO3 Apply the nursing process to vulnerable populations with professional clinical judgment and evidence-based practice (PO4 & 8)
Due Date for Part 2
Sunday 11:59 PM MT at the end of Week 4
Points Possible for Part 2
150 Points
Late Assignment Policy
If the assignment is not submitted by due date, a late deduction will be applied. See rubric below.
Directions for Part 2
For this part of the direct care project, you will be creating a PowerPoint presentation based on the topic and problem identified in Part 1. If you chose air quality as your topic, you will present on the Air Quality Flag Program. If you chose substance use, you will present the SBIRT intervention model.
If you have chosen substance use, you will present to at least 3 practicing RN’s. You can present all at one time or individually. If you chose air quality, you will present to at least one organization leader. See the Direct Care Project module for FAQs.
Each topic has separate directions.
Download the Planning Your Presentation Directions for your corresponding topic.
You will present the PowerPoint to your audience, not the PDF, as you do not want the speaker notes to show to your audience members.
Note: You may not present until your presentation has been approved by your instructor.
Review comments about your presentation from your instructor in Grades. Your instructor will indicate what (if any) revisions are needed in your presentation and if it is approved to present as-is or once revisions are made.
**You may be instructed to resubmit depending on the revisions needed.
After your presentation is approved, see Week 5: Direct Care Project Part 3: Implementing Your Presentation. This is where you will find:
Attendance form
Pre-survey
Post-survey
***The surveys you will give your audience pre and post presentation are already developed. You will submit the attendance form with the Part 4 submission and utilize the survey data in the Part 4 assignment. ***
Templates and Links
Click on the links below to download and view the resources for your project.
Please use your browser’s File setting to save or print this page.
Check for spelling and grammar errors prior to final submission.
Use bullet points instead of long sentences or paragraphs
Include graphics, photographs, colors, and themes.
Use the rubric as a final check prior to submission to ensure all content is clearly addressed.
Scholarly Sources and Citations
Minimum of 3 references. See Presentation Instructions for references needed.
Cite all resources in APA format on the slide where content occurs. Cite in lower corner/footer as prompted on template.
Reference slide is in template. Hanging indent is not required.
**Academic Integrity**
Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.
By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.
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a. Your assignment is to write a letter to yourself on your graduation day.
b. Consider the following questions as you compose your letter.
i. How do you hope you have changed in terms of knowledge and skills, and personally?
ii. What would you like to remind yourself about your inspiration for choosing this career?
iii. You will be preparing to take the NCLEX exam and to start your first job as a baccalaureate-prepared nurse. Are there any words of encouragement that you would like to tell your future self?
iv. Are there any words of caution you want to tell yourself—pitfalls to avoid?
v. What kind of nurse do you hope you have become? What further growth and change do you envision for yourself?
2. Inspiration (30 points/24%)
a. create a page that represents your inspiration for becoming a nurse. It may be a picture, a collage, a series of quotes, and so forth. Choose words and images that are meaningful to you. This should be a picture that you can post somewhere, perhaps where you study, in order to motivate yourself as you move forward on your journey to become a nurse.
3. Reflections Presentation (65 points/52%)
a. Write a short 5-minute speech that discusses the following topics.
i. What does your inspiration mean?
ii. Name one concept that challenged you during this course.
iii. What has been the greatest lesson you have learned?
iv. How will what you have learned help you be successful at Chamberlain?
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Many assessment principles are the same for children and adults; however, unlike with adults/older adults, where consent for participation in the assessment comes from the actual client, with children it is the parents or guardians who must make the decision for treatment. Issues of confidentiality, privacy, and consent must be addressed. When working with children, it is not only important to be able to connect with the pediatric patient, but also to be able to collaborate effectively with the caregivers, other family members, teachers, and school counselors/psychologists, all of whom will be able to provide important context and details to aid in your assessment and treatment plans.
Some children/adolescents may be more difficult to assess than adults, as they can be less psychologically minded. That is, they have less insights into themselves and their motivations than adults (although this is not universally true). The PMHNP must also take into consideration the child’s culture and environmental context. Additionally, with children/adolescents, there are lower rates of neurocognitive disorders superimposed on other clinical conditions, such as depression or anxiety, which create additional diagnostic challenges.
In this Discussion, you review and critique the techniques and methods of a mental health professional as the practitioner completes a comprehensive, integrated psychiatric assessment of an adolescent. You also identify rating scales and treatment options that are specifically appropriate for children/adolescents.
THE DISCUSSION. In about 3-4 pages.
To Prepare/ RUBRIC
· Review the Learning Resources and consider the insights they provide on comprehensive, integrated psychiatric assessment. Watch the Mental Status Examination B-6 and Simulation Scenario-Adolescent Risk Assessment videos.
· Watch the YMH Boston Vignette 5 video and take notes; you will use this video as the basis for your Discussion post.
Week 1
Based on the YMH Boston Vignette 5 video, post answers to the following questions:
· What did the practitioner do well? In what areas can the practitioner improve?
· At this point in the clinical interview, do you have any compelling concerns? If so, what are they?
· What would be your next question, and why?
Then, address the following. Your answers to these prompts do not have to be tailored to the patient in the YMH Boston video.
· Explain why a thorough psychiatric assessment of a child/adolescent is important.
· Describe two different symptom rating scales that would be appropriate to use during the psychiatric assessment of a child/adolescent.
· Describe two psychiatric treatment options for children and adolescents that may not be used when treating adults.
· Explain the role parents/guardians play in assessment.
Support your response with at least three peer-reviewed, evidence-based sources and explain why each of your supporting sources is considered scholarly. Attach the PDFs of your sources.
Symptom Media. (2014). Mental status exam B-6. [Video]. /orders/video-alexanderstreet-com.ezp.waldenulibrary.org/watch/mental-status-exam-b-6/cite?context=channel:volume-2-new-releases-assessment-tools-mental-status-exam-series
Western Australian Clinical Training Network. (2016, August 4). Simulation scenario-adolescent risk assessment [Video]. YouTube. /orders/www.youtube.com/watch?v=wNF1FIKHKEU
YMH Boston. (2013, May 22). Vignette 5 – Assessing for depression in a mental health appointment [Video]. YouTube. /orders/www.youtube.com/watch?v=Gm3FLGxb2ZU
Sadock, B. J., Sadock, V. A., & Ruiz, P. (2015). Kaplan & Sadock’s synopsis of psychiatry (11th ed.). Wolters Kluwer.
· Chapter 31, “Child Psychiatry”
Learning Resources
Required Readings (click to expand/reduce)
Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental health. American Psychiatric Association Publishing.
· Chapter 1, “Introduction”
· Chapter 4, “The 15-Minute Pediatric Diagnostic Interview”
· Chapter 5, “The 30-Minute Pediatric Diagnostic Interview”
· Chapter 9, “The Mental Status Examination: A Psychiatric Glossary”
· Chapter 13, “Mental Health Treatment Planning”
Srinath, S., Jacob, P., Sharma, E., & Gautam, A. (2019). Clinical practice guidelines for assessment of children and adolescents. Indian Journal of Psychiatry, 61(2), 158–175. http://doi.org/10.4103/psychiatry.IndianJPsychiatry_580_18
Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.
· Chapter 32, “Clinical assessment and diagnostic formulation”
Required Media (click to expand/reduce)
Symptom Media. (2014). Mental status exam B-6. [Video]. /orders/video-alexanderstreet-com.ezp.waldenulibrary.org/watch/mental-status-exam-b-6/cite?context=channel:volume-2-new-releases-assessment-tools-mental-status-exam-series
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ADDITIONAL INSTRUCTIONS FOR THE CLASS
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Discussion Questions (DQ)
Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.
Weekly Participation
Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.
APA Format and Writing Quality
Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.
Use of Direct Quotes
I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.
LopesWrite Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Communication
Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
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Part A: Answer each of the following questions in one or two paragraphs.
1. Code the following operative report.
Preoperative Diagnosis: Left flank soft tissue mass
Postoperative Diagnosis: Left flank soft tissues mass
Surgeon: John Doe, DO
Operations: Excision of left flank soft tissue mass with layered closure measuring 4 cm , with margins, prior to excision
Anesthesia: sedation with 1% lidocaine with epinephrine and sodium bicarbonate
Operative Indications: this is a pleasant female who come in with soft tissue lesion in the left
flank over what appeared to be a Spigelian Hernia site as well. However, it was not reducible and did not appear to be consistent with a hernia. Consequently, the procedure, risk, benefits, and alternative of excision of this lesion were discussed with the patient, and she understood and wished to proceed with the excision.
Operative Findings: Large soft tissue lesion measuring about 6 cm in greatest dimension
Operative procedure: The patient was brought into the operation room after informed consent was obtained. The patient then underwent sedation with a sterile prep and drape. We then anesthetized with 1% lidocaine with epinephrine and sodium bicarbonate, made a 4-cm incision, and used sharp dissection to dissect circumferentially around this soft tissue lesion, being careful to make sure that we were not entering any kind of hernia sac secondary to Spigelian hernia. As we continued to dissect circumferentially around it without sharp dissection, it was noted that it did go down to a muscle, but no evidence of hernia was identified. The lesion was excised in its entirety and electrocautery was used to control hemostasis. We then irrigated with saline solution and closed the subcutaneous tissue with 3-0 Vicryl interrupted and sutures. We then used 4-0 Vicryl sutures to close the skin in a subcuticular fashion. Benzoin and Steri-Strips were then applied. Blood loss was minimal. The patient tolerated the procedure well and remained in stable condition throughout the procedure.
CPT CODE:
ICD-10 CM CODE:
2. Discuss tow differences between inpatient and outpatient coding.
3. Discuss coding for obstetrics in relation to the global fee for antepartum and postpartum periods of a normal pregnancy.
Part B. Answer each of the question in one to four sentences.
1. What is the difference between Excludes1 and Excludes2 notes in the ICD-10?
2. As a hospital outpatient coder, how would you explain evaluation and management to a health information technology intern?
3. What are the three type of wound repair, and what must be documented to code them?
4. How do the types of immunization differ?
5. A patient with a preexisting diagnosis of congestive heart failure was seen in the emergency room for treatment of pneumonia and admitted to the hospital where they discovered the patient was again in congestive heart failure. What guidelines apply to coding these diagnoses, which one would be the principal diagnosis, and why?
6. General Anesthesia is provided for a patient undergoing an upper gastrointestinal endoscopy. Discuss why Current Procedural Terminology codes are used for anesthesia. Who assigns an anesthesia code? What guidelines apply to coding these diagnoses, which one would be the principal diagnosis, and why?
7. A patient has a five-year history of diabetes mellitus. The patient is admitted to the hospital due to insulin pump malfunction. Discuss the ICD-10-CM coding guidelines for underdoing and overdosing of insulin due to insulin pump malfunction.
8. What are some of the problems associated with modifiers- 51 and -59?
9. Explain how evaluation and management (E/M Codes are grouped.
10. A 10-year-old patient is admitted for multiple injuries after begin hit by a car while riding his bike. Discuss the coding guidelines for reporting injuries.
Reimbursement Methodologies
Part A: ANSWER EACH OF THE FOLOWING QUESTINS IN ONE TWO PARAGRAPHS.
1. Explain the four application of modifier- 51.
2. Explain the difference between fraud and abuse with respect to medical billing practices.
3. Discuss specific regulations about workers’ compensation medical records.
Part B. Answer each of the following question in one to five sentences.
1. Describe the characteristics of a centralized billing office (cbo).
2. Describe the three categories of cpt codes.
3. Explain the coordination of benefits (cob) provision in a managed care contract.
4. How should a medical office specialist use volumes 1 and 2 of the icd-90-cm book?
5. What is an inpatient?
6. What facility handles the hospitals’ claims and accounts receivable for a state or region?
7. What is physician self-referral as regulated by the stark law?
8. What do the terms upcoded and downcoded mean?
9. What form do physicians use to bill insurance carries?
10. What is the computer system that includes information on procedures, services, charges, and revenue of inpatients called?
Essential of Psychology
Part A: Select One of the following questions to answer in one or two paragraphs.
1. Outline Freud’s structural model of the psyche. What are its three main parts? How are they related? Roughly, how much of our psyche is unconscious? In the context of your discussion, explain the meaning of sublimation.
2. Discuss the different kinds of parenting styles, Provide examples, Outline the effects parenting styles on children, Finally, what role does temperament play in assessing the relative merits of parenting styles?
Part B Answer each of the following In three to five sentences.
1. In brief, what is the primary thesis of the James-Lange theory of emotion?
2. In an experiment studying the effects of background-noise levels on reading- content retention, what would you assume to be the dependent variable? What would you assume to be the independent variable why?
3. What kind of drug is Rohypnol, and why is called the ‘’ date rape drug’’?
4. What is the reticular formation? Where us it located, why is it important?
5. Discuss memory traces and their role in decay.
6. When you wish an employee to become adept a particularly boring task, which scheduled of reinforcement would you choose? Why?
7. Discuss the term cognitive dissonance and how it helps people continue with dangerous habits.
8. Define prejudice, stereotype, discrimination and selg-fulfilling prophecy. How they all are related?
9. Discuss the importance of REM sleep.
10. Contrast the medical, psychoanalytical, behavioral, cognitive, humanistic, and sociocultural perspectives of mental illness.
Part C:
1. In a case of __________, perhaps due to a severe psychological trauma, a person, a person’s memories are repressed, even to the extent that he may not remember his name.
A. Dissociative fugue
B. Associative fugue
C. Dissociative Amnesia
D. Dissociative identity disorder
2. Intrinsic and extrinsic form dog motivation are both considered in the_____________ perspective on motivation.
A. Hierarchical
B. Drive- reduction
C. Incentive
D. Cognitive
3. The so-called foot-in the-door technique illustrates
A. Obedience.
B. Compliance.
C. Conformity.
D. Resistance.
4. Also referred to as the ‘’ master gland, ‘’ the ______ gland controls the functioning of the overall endocrine system.
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Mr. Y is a 47 year old, mixed race [Asian/African ethnicity], male patient who presented to your office with severe right great toe pain. Onset of the pain was 2 days ago. Mr. Y denies any known trauma to his right foot or his great toe on that foot. His right great toe is red and became so swollen in the last day that he cannot put on his shoe.
Mr. Y has a history of hypertension for which he is taking HCTZ 25mg daily, Metopralol 50 mg twice daily, and Lisinopril 10 mg daily. He denies any other medical problems.
Results of the lab tests that were ordered:
Sed rate – 93; Glucose, random – 117 mg/dl; Hgb – 13.4 gm/dl; WBC – 8200/ccm with normal diff; Serum uric acid – 10.9 mg/dl; Serum creatinine – 1.2 mg/dl
Assignment Questions
Based on presenting symptoms and lab findings, what is most likely diagnosis that will be made for Mr. Y?
What is the anticipated pharmacologic plan for managing Mr. Y’s acute pain? Provide a justification for the plan including a citation from a peer-reviewed source.
What is the anticipated pharmacologic plan for long-term management of Mr. Y’s diagnosis? Provide a justification for the plan including a citation from a peer-reviewed source.
Identify the key elements of the education plan that would be appropriate for the patient about the acute and chronic pharmacologic plans you identified above.
Instructions
Prepare and submit a 3-4 page paper [total] in length (not including APA format).
Answer all the questions above.
Support your position with examples.
Please review the rubric to ensure that your assignment meets criteria.
Submit the following documents to the Submit Assignments/Assessments area:
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Legislation Comparison Grid And Testimony/Advocacy Statement
Post an explanation for how you think the cost-benefit analysis in the statement from page 27 of Feldstein (2006) affected efforts to repeal/replace the ACA. Then, explain how analyses such as the one portrayed by the Feldstein statement may affect decisions by legislative leaders in recommending or positioning national policies (e.g., Congress’ decisions impacting Medicare or Medicaid).
Based on the health-related bill you selected, complete the Legislation Comparison Grid Template. Be sure to address the following:
Determine the legislative intent of the bill you have reviewed.
Identify the proponents/opponents of the bill.
Identify the target populations addressed by the bill.
Where in the process is the bill currently? Is it in hearings or committees?
Is it receiving press coverage?
Part 2: Legislation Testimony/Advocacy Statement
Based on the health-related bill you selected, develop a 1- to 2-page Legislation Testimony/Advocacy Statement that addresses the following:
Advocate a position for the bill you selected and write testimony in support of your position.
Describe how you would address the opponent to your position. Be specific and provide examples.
Recommend at least one amendment to the bill in support of your position.
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PURPOSE The purpose of this assignment is to investigate smartphone and social media use in healthcare and to
apply professional, ethical, and legal principles to their appropriate use in healthcare technology.
Course Outcomes This assignment enables the student to meet the following course outcomes.
• CO #4: Investigate safeguards and decision‐making support tools embedded in patient
care technologies and information systems to support a safe practice environment for
both patients and healthcare workers. (PO 4)
• CO #6: Discuss the principles of data integrity, professional ethics, and legal
requirements related to data security, regulatory requirements, confidentiality, and
client’s right to privacy. (PO 6)
• CO #8: Discuss the value of best evidence as a driving force to institute change in the
delivery of nursing care (PO 8)
DUE DATE See Course Schedule in Syllabus. The college’s Late Assignment Policy applies to this activity.
TOTAL POINTS POSSIBLE This assignment is worth a total of 240 points.
Requirements 1. Research, compose, and type a scholarly paper based on the scenario described below, and
choose a conclusion scenario to discuss within the body of your paper. Reflect on lessons
learned in this class about technology, privacy concerns, and legal and ethical issues and
addressed each of these concepts in the paper, reflecting on the use of smartphones and social
media in healthcare. Consider the consequences of such a scenario. Do not limit your review of
the literature to the nursing discipline only because other health professionals are using the
technology, and you may need to apply critical thinking skills to its applications in this scenario.
2. Use Microsoft Word and APA formatting. Consult your copy of the Publication Manual of the
American Psychological Association, sixth edition, as well as the resources in Doc Sharing if you
have questions (e.g., margin size, font type and size (point), use of third person, etc.). Take
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advantage of the writing service SmartThinking, which is accessed by clicking on the link called
the Tutor Source, found under the Course Home area.
3. The length of the paper should be four to five pages, excluding the title page and the reference
page. Limit the references to a few key sources (minimum of three required).
4. The paper will contain an introduction that catches the attention of the reader, states the
purpose of the paper, and provides a narrative outline of what will follow (i.e., the assignment
criteria).
5. In the body of the paper, discuss the scenario in relation to HIPAA, legal, and other regulatory
requirements that apply to the scenario and the ending you chose. Demonstrate support from sources of evidence (references) included as in‐text citations.
6. Choose and identify one of the four possible endings provided for the scenario, and construct
your paper based on its implications to the scenario. Make recommendations about what should
have been done and what could be done to correct or mitigate the problems caused by the
scenario and the ending you chose. Demonstrate support from sources of evidence (references)
included as in‐text citations.
7. Present the advantages and disadvantages of using smartphones and social media in healthcare
and describe professional and ethical principles to the appropriate use of this technology, based
on facts from supporting sources of evidence, which must be included as in‐text citations.
8. The paper’s conclusion should summarize what you learned and make reflections about them to
your practice.
9. Use the “Directions and Assignment Criteria” and “Grading Rubric” below to guide your writing
and ensure that all components are complete.
10. Review the section on Academic Honesty found in the Chamberlain Course Policies. All work
must be original (in your own words). Papers will automatically be submitted to TurnItIn when
submitted to the Dropbox.
11. Submit the completed paper to the “We Can, but Dare We?” Dropbox by the end of Week 3.
Please refer to the Syllabus for due dates for this assignment. For online students, please post
questions about this assignment to the weekly Q & A Forums so that the entire class may view
the answers.
Preparing for the Assignment
BACKGROUND Healthcare is readily embracing any technology to improve patient outcomes, streamline operations,
and lower costs, but we must also consider the impact of such technology on privacy and patient care.
This technology includes the use of social media applications, such as Facebook, Instagram, MySpace,
Twitter, and LinkedIn on smartphones.
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In healthcare today, smartphones are widely used for communication, efficiency, and care. Obviously, a
variety of issues (ethical, professional, and legal) from both the personal and hospital perspectives
must be considered. SCENARIO
You are a nurse in the emergency room, working the Friday 7 p.m. to 7 a.m. shift, and your evening has
been filled with the usual mix of drunken belligerent teens, wailing babies, chronic obstructive
pulmonary disease (COPD) exacerbations, falls, fractures, and the routine, regular congestive heart
failure (CHF) patients. Your best friend is texting you from the concert that you had to miss tonight
because you were scheduled to work, and you respond to her between care of patients, jealous that she
is there and you are not. “What a jerk to torture me like this!” you think to yourself.
It is now 2 a.m., and the medics radio once again, notifying you of an incoming motor vehicle accident
victim, ETA of 5 minutes. You sigh and opt to use the restroom, rather than getting that much‐needed
cup of coffee, and prepare a room for your next patient. The medics roll in and begin to fill you in. The
patient is a 28‐year‐old male, a passenger on a bus that was involved in a crash, leaving the vehicle
overturned after rolling over an embankment. There were several fatalities among the bus passengers,
and “this victim has remained unconscious, though his vitals are currently” . . . and as you start to focus
on the patient, you take a second look. Can it be? It is! The lead singer, Jerod, from the band “Blue
Lizards,” who you have adored since you first heard his voice! The band had just left the concert that
you had missed last evening when the accident occurred. You quickly text your best friend . . . “Can you
believe?” and she responds with “Yeah, right. PROVE IT.” So you quickly snap a picture with your
smartphone, when alone with the patient, and send it to her. Can’t hurt, right? Celebrities are “public
property,” and that’s a part of their life, right? Just for good measure, you snap a few more pictures of
the unconscious singer in various stages of undress and then a shot of his home address, phone number,
and demographic information from his electronic health record. You sit your phone down on the
bedside table for a minute as you continue your assessment of the patient.
At 7:00 a.m., you drag your tired body home and straight to bed after a long but eventful night.
What happens next? Choose an ending to the scenario, and construct your paper based on those
reflections:
1. You are the following nurse on the day shift and discover the night nurse’s phone on the bedside
table. While trying to figure out to whom it belongs, you open the phone and see the
photographs taken the night before. Holy moly! What a find, and nobody could trace you to the
photos.
2. You receive a call from the gossip paper the Gossip Gazette, offering you $20,000 for the photos
you have taken (courtesy of your best friend). Your identity would never be revealed, and you
desperately need a new car and are behind on some bills.
3. You go on Facebook, on your day off, and talk about the night you had at work and how you
didn’t really feel as bad having to miss the concert, because you actually got to meet Jerod in
person and even “Got his number!” You then post a picture of Jerod on Facebook and
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Instagram, figuring that most of your contacts would never recognize him anyway. It’s your day
off and your personal time, so no harm, no foul, right?
4. You receive a message the next morning from a peer at work that there is a big investigation
being conducted at work due to a HIPAA violation and that it involved a celebrity who had been
admitted to the hospital. The word is that legal action is being taken against the hospital due to
some photos that were sold to the Gossip Gazette. Knowing that the photo you sent is safe with
your best friend, you reach for your smartphone, but it is nowhere to be found.
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Directions and Assignment Criteria
Assignment Criteria Points % Description
Introduction 40
points 40 17%
Catches the attention of the reader States
the purpose of the paper
Provides a narrative outline of the paper (i.e., the assignment criteria).
HIPAA, Legal, & Regulatory Discussion 40 points
40 17% Discussion the following as they apply to the use of cellphones and social media in healthcare: o
HIPAA/regulatory requirements o Other legal requirements appropriate to the
use of this technology Demonstrate support from sources of evidence
included as in‐text citations.
Scenario Ending & Recommendations
50 points
50 21%
Choose and identify one of the four possible endings provided for the scenario. Make recommendations about what should have been
done and what could be done to correct or mitigate
the problems caused by the scenario and the ending
you chose. Demonstrate support from sources of evidence
included as in‐text citations.
Advantages and Disadvantages
50 points
50 21% Discuss at least two (2) advantages and two (2) disadvantages of using smartphones and social media
in healthcare
Describe professional and ethical principles to the appropriate use of this technology
Demonstrate support from sources of evidence included as in‐text citations.
Conclusion and Reflections
30 points 30 12%
Summarize what you learned Make reflections about lessons learned to your
practice.
Scholarly Writing and APA Format
30 points
30 12%
Title page, running head, & page numbers are correct.
Use Microsoft Word and APA (6th ed.) formatting Length is 4‐5 pages (excludes title & reference pages).
At least 3 references are used, listed in APA format
References match in text citations in APA format
Spelling, grammar, & mechanics are correct.
Total 240 100%
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Grading Rubric
Assignment
Criteria Outstanding or Highest Level of Performance
A (92–100%)
Very Good or High Level of
Performance
B (84–91%)
Competent or Satisfactory
Level of Performance
C (76–83%)
Poor, Failing or
Unsatisfactory Level of
Performance F
(0–75%)
Introduction 40
points The student catches the reader’s attention, states the paper’s purpose, and provides a narrative outline of the paper’s body.
35–40 points
One of the following is missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.
30–34 points
Two of the following are missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.
26–29 points
Three of the following are missing or inadequate: attention‐catching statement(s), paper’s purpose, or a narrative outline of the paper’s body.
0–25 points
HIPAA, Legal, & Regulatory Discussion 40 points
The discussion of the following as they apply to the use of cellphones and social media in healthcare, is thoroughly addressed:
• HIPAA/regulatory requirements
• Other legal requirements appropriate to the use of this technology
Demonstrated support from sources of evidence included as intext citations.
35–40 points
The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking in one or more component:
• HIPAA/regulatory requirements
• Other legal requirements appropriate to the use of this technology
or Support is not demonstrated adequately from sources of evidence included as in‐text citations.
30–34 points
The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking in one or more component:
• HIPAA/regulatory requirements
• Other legal requirements appropriate to the use of this technology
and Support is not demonstrated adequately from sources of evidence included as in‐text citations.
26–29 points
The discussion of the following as they apply to the use of cellphones and social media in healthcare, is lacking both components: • HIPAA/regulatory requirements • Other legal requirements appropriate to the use of this technology
and Support is not demonstrated adequately from sources of evidence included as in‐text citations.
0–25 points
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Scenario Ending & Recommendations
50 points
Included all of the following elements sufficiently: • Identify one of the four possible
endings provided for the scenario.
Included all of the following elements but did not develop at least one area substantively : • Identify one of the four possible
endings provided for the scenario.
Included all of the following
elements but did not develop at
two or more area substantively : •
Identify one of the four possible
endings provided for the scenario.
Did not included the following elements substantively : • Identify one of the four possible
endings provided for the scenario.
• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. • Demonstrated support from sources of evidence included as intext citations.
45‐50 points
• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. Or • Did not demonstrated support from sources of evidence included as in‐text citations.
40‐44 points
• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. Or • Did not demonstrated support from sources of evidence included as in‐text citations.
36‐39 points
• Made recommendations about what should have been done. • Made recommendations about what could be done to correct or mitigate the problems caused by the scenario and the ending chosen. Or • Did not demonstrated support from sources of evidence included as in‐text citations.
0‐35 points
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Advantages and Disadvantages
50 points
Met all of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.
45‐50 points
Did not meet one of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.
40‐44 points
Did not meet two or more of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.
36—39 points
Did not meet Three or more of the following criteria: • Discussed at least two (2) advantages and two (2) disadvantages of using smartphones and social media in healthcare • Described professional and ethical principles to the appropriate use of this technology • Demonstrated support from sources of evidence included as intext citations.
0‐35 points
Conclusion and Reflections 30 points
Met the following criteria substantively: • Summarized what you learned • Made reflections about lessons learned to your practice.
25‐30 points
Did not meet at least one of the following criteria substantively: • Summarize what you learned • Make reflections about lessons learned to your practice.
20‐24 points
Did not meet either of the following criteria substantively: • Summarize what you learned • Make reflections about lessons learned to your practice.
16‐19 points
Did not include a formal conclusion paragraph
0–15 points
Scholarly Writing and APA Format
30 points
The following
points
• 6 points
are achieved by successful implementation of each scholarly writing/APA element:
Title page, running head, & page numbers are correct.
• 4 points Use Microsoft Word and APA (6th ed.) formatting
• 2 point Length is 4‐5 pages (excludes title & reference pages).
• 6 points At least 3 references are used, listed in APA format
• 6 points References match in text citations in APA format
NR360 INFORMATION SYSTEMS IN HEALTHCARE
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• 4 points Spelling/mechanics & grammar are correct.
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The impetus for developing the theory of successful aging was enhanced understanding of successful aging, captured from the older adult’s perspective, and identification of foci for interventions to foster successful aging.
Aging is a progressive process requiring from simple to increasingly complex adaptation;
Aging may be successful or unsuccessful, depending upon where a person is along the continuum of progression from simple to more complex adaptation and the extensive use of coping processes;
Successful aging is influenced by the aging person’s choices;
The self is not ageless (Tornstam, 1996); and
Aging people experience changes, which uniquely characterize their beliefs and perspectives as different from those of younger adults (Flood, 2006a).
The theory of successful aging describes the process by which individuals use various coping mechanisms to progress toward desirable adaptation to the collective physiologic and functional changes occurring over their lifetime, while maintaining a sense of spirituality, connectedness, and meaning and purpose in life.
The sense of connection and beliefs about a higher power the older adult has help shape his values, beliefs, and behaviors while living especially in terms of what he believes happens after death.
A reasonable and well-balanced integration of the outputs of each foundational coping process for each individual, rather than an ideal amount or combinations of features from within the foundational coping processes, must be present in order for the aging person to experience gerotranscendence.
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Read chapter 1 of the class textbook and review the attached Power Point presentation. Once done answer the following questions.
1. In your own words and using the proper evidence-based references define transcultural diversity and Health care and discuss how both term interact and how they help in the delivery of health care to different heritages.
2. Mention and discuss at least 4 variant characteristics of culture.
Assignment must be submitted in the discussion forum. A minimum of 2 evidence-based references no older than 5 years are required.
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