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It is no secret that phones, computers, and technology in general have started to take over the world. It is safe to say that every one of our co-workers owns a cellphone of their own and has probably used it in the workplace at one point or another. “Information technology opens our windows and doors upon the world, allowing us to quickly communicate and exchange data and information within facilities, within healthcare delivery systems, and even across the globe” (Chamberlain College of Nursing, 2020). This can become tricky when put into legal terms in relation to patient safety and privacy. “Communication within the medical field is critical to ensure safe, timely delivery of healthcare” (Chandra, et al., 2023). Considering this patient scenario, it is both unethical and unlawful to take photos and send and receive patient photos on your personal cellphone. This can very easily violate the HIPAA policy because the patient photos are not sent under a secure network and can be breached through the firewall of your own personal cellphone by hackers. It is also possible that someone is using your phone and sees it mistakingly, or you decide to show friends or family the photos of another patients wound. With that being said, technology is very important in healthcare as it allows for more efficient healthcare when used appropriately. “Technology in healthcare today allows for global healthcare information systems (HISs), more specialized clinical information systems (CIS), and the electronic health record” (EHR) (Hebda et al., 2019). Many facilities have started to incorporate secure messaging devices in order to taking pictures, and send messages relating to patient data/care. This makes it so that the healthcare personnel are not taking any healthcare data home as they are to return the device at the end of their shift and the messages delete are a certain amount of time if not deleted previously by the employee. My facility has specific guidelines regarding the use of personal communication devices in patient care settings. This policy states that we are not allowed to take phones within the health care setting that could breech patient information. This includes taking pictures at the desk that could possibly include patient care charts and patient boards in the background of the photo. We do have access to our hospital email, and secure messaging services within applications on our personal cellphones but we have to download and encrypt our phone with certain secure firewalls in order to keep these apps so that the messages remain secure. This allows for us to use our personal phones, almost like in the scenario, but we would be messaging the PCP with a secure application that could not be hacked or shared. 

 

Resources 

Chamberlain College of Nursing. (2020). 
NR-361 RN Information Systems in Healthcare: Week 7 Lesson. Downers Grove, IL: Online Publication.

Chandra, S., Oberg, M., Hilburn, G., Wu, D. T., & Adhyaru, B. (2023). Improving Communication in a Large Urban Academic Safety Net Hospital System: Implementation of Secure Messaging. 
Journal of medical systems, 
47(1), 56. https://doi.org/10.1007/s10916-023-01956-x

Hebda, T., Hunter, K., & Czar, P. (2019). 
Handbook of informatics for nurses & healthcare professionals (6th ed.). Pearson.

Nursing Assignment week 10

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 Resources

  • Chapter 24: Structure and Function of the Reproductive Systems (stop at Tests of reproductive function); Summary Review
  • Chapter 25: Alterations of the Female Reproductive System (stop at Organ prolapse); pp. 787–788 (start at Impaired fertility) (stop at Disorders of the female breast); Summary Review
  • Chapter 26: Alterations of the Male Reproductive System (stop at Hormone levels); Summary Review
  • Chapter 27: Sexually Transmitted Infections, including Summary Review
  • Chapter 28: Structure and Function of the Hematological System (stop at Clinical evaluation of the hematological system); Summary Review
  • Chapter 29: Alterations of Erythrocytes, Platelets, and Hemostatic Function, including Summary Review
  • Chapter 30: Alterations of Leukocyte and Lymphoid Function, including Summary Review
  • Low, N. & Broutet N. J. (2017). Sexually transmitted infections – Research priorities for new challengesLinks to an external site.. PLoS Medicine, (12), e1002481
  • Kessler, C. M. (2019). Immune thrombocytopenic purpuraLinks to an external site.. Retrieved from https://emedicine.medscape.com/article/202158-overview
  • Nagalia, S. (2019). Pernicious anemiaLinks to an external site.. Retrieved from https://emedicine.medscape.com/article/204930-overview#a3
  • Stauder, R., Valent, P., & Theurl, I. (2019). Anemia at older age: Etiologies, clinical implications and managementLinks to an external site.. Blood Journal, 131(5). Retrieved from http://www.bloodjournal.org/content/131/5/505?sso-checked=true

 

In your Case Study Analysis related to the scenario provided, explain the following:

  • The factors that affect fertility (STDs).
  • Why inflammatory markers rise in STD/PID.
  • Why prostatitis and infection happens. Also explain the causes of systemic reaction.
  • Why a patient would need a splenectomy after a diagnosis of ITP.
  • Anemia and the different kinds of anemia (i.e., micro and macrocytic).

Best Practice

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Module 11 Written Assignment – Best Practice

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Module 11 Content

1.

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Write a 1-2 page paper about some of the Best Practices you have learned about during this course. How will these practices improve patient's outcomes? You must use APA and have at least three references less than three years old to support your choices.

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political

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Option 1

Though political scientists debate on the precise reasons for the low representation of women in Congress, the number of women serving in the House and Senate is significantly lower than that of men. Since the 1980s, the percentage of women in congress has consistently increased, yet they are still notably underrepresented (Chamberlain University, 2023). A complex problem, the underrepresentation of women in Congress has structural, political, and cultural roots. After the Nineteenth Amendment was ratified in 1920, several states, particularly in the west, granted women the right to vote. However, this restriction persisted until the 1960s civil rights movements and the enactment of the Voting Rights Act of 1965.  Before the 1980s, women were less likely than males to vote and participate in politics. Today, women vote at a greater rate (4%) than men, yet there is still a dearth of women in congress in the United States (Greenberg, E. S. & Page, B. I., 2018).

The low representation of women in Congress, in my opinion, is due to a variety of factors, including gender stereotypes and roles that are special to girls' genders. As a result, girls may be exposed to fewer cues that encourage political activity, which in turn results in fewer women entering the political pipeline. Women currently have many obligations, including family, employment, housework, raising children, and providing for their education. As a result, they do not have enough time for politics, which may affect their ability to be represented in Congress. Sanbonmatsu, K. (2020), claims that due to the low number of women in Congress, American democracy may not require women's representation. According to the article, women make up 23.7 percent of congressional presentations in the United States, which is lower than the global average of 24 %. A statute or constitutional provision requiring a gender quota for candidates or officeholders does not exist in the United States, but the use of quotas in elections is on the rise globally. Women's representation in politics, in my opinion, might be improved by quota systems. To increase the number of women in Congress, gender equality should be promoted, and gender discrimination should be ended.

References

Chamberlain University (2023). Week 5: U.S. Congress and Presidency

Greenberg, E. S & Page, B. I. (2018).
 The Struggle for Democracy, 2018 Elections and Updates Edition. (12th ed.). Pearson.

Sanbonmatsu, K. (2020). Women’s Underrepresentation in the U.S. Congress. American Academic of Arts and Science. https://www.amacad.org/publication/womens-underrepresentation-us-congress


Reply

Contraception / IVF

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After studying the course materials located on Module 3: Lecture Materials & Resources page, answer the following:

  1. Name and explain the levels of human sexual intercourse.
  2. Difference between reproduction and procreation.
  3. What are the two dimensions of intimacy?
  4. Contraception:
    • What is it?
    • What is the intention of contraception?
    • Describe the three types of artificial contraception.
    • Risks / Side effects
    • Bioethical analysis and unfair dynamics of artificial contraception.
  5. Non-Therapeutic sterilization; bioethical analysis
  6. Principle of double effect; explain
  7. Bioethical analysis of:
    • Ectopic pregnancy
    • Cancerous reproductive system with pregnancy
  8. In Vitro Fertilization(IVF):
    • Process
    • Bioethical analysis of IVF
  9. Bioethical analysis of “to have a child”
  10. Read and summarize ERD paragraphs #: 40, 41, 42, 48, 52, 53.

Submission Instructions:

  •  be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
  • If references are used, please cite properly according to the current APA styl

DISCUSSION 1

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Find and read the instrutions for completing the Advocacy Letter under the Assignments tab. 

Identify 1 public health issue that you think it is important for nurses to advocate for. Why do you think it is important, what change woudl you like to see take place, and who would you direct your advocacy efforts to in order to make that change?

Please give 3 scientific citations

please find attached the instructions

Discussion 250 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric

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DISCUSSION QUESTIONS

1.What are the benefits and the challenges of offering group psychotherapy services within both inpatient and outpatient clinical environments?

2.Discuss key components of group process that occur during all phases of group development, giving examples of patient-focused activity that occurs during each phase.

3.Describe how various theoretical orientations could be used when leading short-term group psychotherapy. What patient populations or clinical presentations would be best served by each theoretical framework.

4.Discuss the benefits and challenges of using one or two group therapists during a psychotherapeutic intervention.

5.Discuss the importance of identifying ground rules, especially in relation to confidentiality for group psychotherapy services.

6.Describe how group psychotherapy differs from individual psychotherapy and describe the types of patients who might be better served by group psychotherapy.

7.Identify a specific group you would like to lead in your practice and discuss the purpose, your target population, how you would screen and recruit participants, establishing a fee schedule, the time frame (open or closed), number of participants, theoretical orientation for the group, selection of a co-therapist or why you do not want a co-therapist, marketing and advertising, and length of each session.

To reflect, write one or two paragraphs with a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of two references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section. (For this week, a peer response is not required).

Reimbursement & Financing Issues

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After studying Module 4: Lecture Materials & Resources, discuss the following:

  • As decisions are made to address changes in reimbursement in your work place, how are these changes shared with the nursing staff?
  • What suggestions do you have that could increase nurses’ awareness of health care financing issues?

Pathophysiology

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What assessment data would substantiate the diagnosis of menopause?

What type of therapy would you expect this patient to receive? Why?

Response to disc 7

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PLEASE RESPOND TO THE FOLLOWING IN 50 WORDS OR MORE:

Barrier #8 Lack of Opportunities for Advancement  

There are multiple barriers in leadership when it comes to nursing. Many of the barriers arise from different situations many nurses find themselves in (Nininger). “For example, fear, negative prior experiences, and family commitments are barriers that depend on the nurse to resolve” (Nininger).  These situations vary from region to region and nurse to nurse. One of the barriers that is more common across the board is lack of opportunities. The need for nurses continues to grow each year, more and more new nurses are entering the field on the daily. While nursing as a career continues to grow, the leadership does not. Leadership opportunities are far and few, making them very saturated with well qualified nurses. On top of it being a rare find, most leadership roles are found through networking taking the emphasis away from the bedside skill many new nurses need to perfect first. 

References: 

Nininger, J. M., Abbott, M. R. B., & Shaw, P. (2019). Eradicating Barriers to Advancement From RN to BSN: An Exploratory Study. The Journal of Continuing Education in Nursing, 50(1), 15+. https://link.gale.com/apps/doc/A676574239/AONE?u=lincclin_fkcc&sid=bookmark-AONE&xid=2db64f08Links to an external site.