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2023 Consumer Health Informatics CHI is the field that helps to connect the gap

2023 Nursing Consumer Health Informatics

Consumer Health Informatics CHI is the field that helps to connect the gap 2023

Consumer Health Informatics (CHI) is the field that helps to connect the gap between patients and health resources. Its focus is to provide patients with the most complete health information possible.

Using  the Internet, research on CHI. Based on your readings and understanding, create a 3- page Microsoft Word report that provides the answers to the following questions:

 

  • What role will medical informatics professionals play in CHI? What are some of the barriers to the growing role of CHI?
  • What do you believe is the most important thing that needs to happen next in order for CHI to continue evolving? How can it best be addressed?
  • What are the key factors in training users of health information systems technologies?
  • How can personal health record systems and electronic health systems contribute to advancing the role of CHI?
  • What are the three options for CHI that could improve healthcare quality and lower costs in the future?

Support your responses with examples.

 

Cite any sources in APA format.

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2023 Select a patient who you examined during the last 4 weeks With this patient in

2023 Nursing Select a patient who you examined during the last 4 weeks. With this patient in mind, address the following in a SOAP Note: Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies be

Select a patient who you examined during the last 4 weeks With this patient in 2023

Select a patient who you examined during the last 4 weeks. With this patient in mind, address the following in a SOAP Note:

  • Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.
  • Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.
  • Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
  • Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.
  • Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

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2023 I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT BETWEEN 100 120 WORDS What clinical manifestations are present in Ms

2023 Nursing COMMENT KATARZYNA

I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT BETWEEN 100 120 WORDS What clinical manifestations are present in Ms 2023

 

 

  I NEED A POSITIVE COMMENT BASEDIN THIS ARGUMENT..BETWEEN 100-120 WORDS

 

  1. What clinical manifestations are present in Ms. G and what recommendations would you make for continued treatment? Provide rationale for your recommendations.

My recommendations for continued treatment would be:

  • Start antibiotics “Patients with diabetes mellitus are at increased risk of invasive S. aureus infections.” (Hakeem, L., Laing, R. et al, 2013).
  • Tylenol to reduce the fever.
  • Pain medicine should be administered as needed.
  • Order wound consult so that the wound can be assessed appropriately and recommendations for wound care can be made. The wound may require debridement in order to promote healing.
  • Elevate the legs to promote venous blood return and apply compression stocking to the other extremity.
  • Appropriate high protein diet to promote wound healing.
  • Case management should be consulted to start discharge plan.

 

2)     Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”

Muscle groups affected by Ms.G condition are: flexor hallucis longus, flexor digitorum longus, and tibialis anterior.

3)       What is the significance of the subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care? Provide rationale for your answer.

The subjective and objective data is vital in prevention of future worsening or recurring of infection. Information that MS. G presented with should be indication for future recommendations for her. With Ms. G’s young age and diabetes we know that she is more prone to have venous ulcers; therefore education and prevention will be crucial in her case. Understanding disease process, controlling her blood sugar level, proper diet with right amount of protein, weight loss and wearing compression stockings will be information that patient needs to be provided and followed up with.

4)      What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delayed wound healing? Explain.

The main factor present in this situation that could prevent wound healing is diabetes disease. “Healing problems are caused by the peripheral arterial diseases and peripheral neuropathy that can occur with diabetes”

Brem, H., Tomic-Canic, M, 2007). One of the characteristics of patients with diabetes is  poor circulation, especially to extremities. Reduced amount of oxygen and nutrients delays healing. Ms G. needs consistent blood sugar control along with medication available for her to decrease high blood sugar. Another risk factor is that MS G. lives alone and does not have help with meal preparation. Proper diet high in protein is crucial in wound healing. Education along with case management involvement will be priority to ensure right nutrition.

 

 References:

 

Brem, H., & Tomic-Canic, M. (2007). Cellular and molecular basis of wound healing in diabetes. Journal of Clinical Investigation, 117(5), 1219–1222. http://doi.org/10.1172/JCI32169

 

Hakeem, L., Laing, R. et al (August 21, 2013). Invasive Staphylococcus aureus infections in diabetes mellitus.Retrieved from http://journals.sagepub.com/doi/abs/10.1177/1474651413500830#articleCitationDownloadContainer

 

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2023 I NEED A POSITIVE COMMENT BASED IN THIS POST BETWEEN 100 TO 120 WORDS What

2023 Nursing COMMENT KARAN

I NEED A POSITIVE COMMENT BASED IN THIS POST BETWEEN 100 TO 120 WORDS What 2023

 

 

I NEED A POSITIVE COMMENT BASED IN THIS POST  ..BETWEEN 100 TO 120 WORDS.

 

What clinical manifestations are present in Ms. G?

Ms. G presents Pain, heaviness, chilling, unable to bear weight on her left leg, round, yellow-red wound with yellow drainage, elevated white count, neutrophils, bands, wound culture with Staphylococcus aureus.

Ms. G is a young female (23y/o) with diabetes that weighs 184.3 pounds and measures 5 feet 2 inches tall. Based on Ms. G’s weight and height she is obese. She has been home applying heat to her leg for the past 48 hours. The heating pad could have caused damage to the tissue possibly already infected causing further damage. Obesity has also been identified as being one of the risk factors in the development of lower extremity cellulitis (Antimicrobe, 2014).

The pain, heaviness, and chilling are all indicators that her body might be fighting infection. The open wound observed with erythema, swelling, and thick yellow exudate is also indicative of infection. According to Antimicrobe cellulitis is an acute infection of the skin that involves the subcutaneous tissues. It is manifested by: swelling, erythema, tenderness, warmth, and fever (Antimicrobe, 2014).

Ms. G has a low grade fever of 102.2. According To Your Health website a patient with a fever between 100 degrees Fahrenheit and 102.2 degrees Fahrenheit is beneficial by assisting the body in repelling the microbes or invader from the body (To Your Health, 2012).

White blood cells help fight infection (leukocytes). Elevated WBC is due to infections that are mostly related to bacteria. Neutrophils are the first cells to respond and arrive at the site where inflammation occurs. Neutrophils conventional units are between 45%-73%. Neutrophils increase with an acute infections, trauma, surgery, and leukemia to name a few (Brunner, 2008). Ms. G’s, neutrophils are just slightly elevated at 80%.

The body’s immune system responds by the inflammatory response which is started by the response of tissue injury or invading organisms.

Normal band count is between 2-6%. Bands are immature white blood cells. When the body is under significant attack by bacteria or virus and immature cells might be released early into the circulation to fight infection. Ms. G has 12% band count which is also indicative of infection.

What recommendations would you make for continued treatment?

Cooling measures plus Tylenol should be started to reduce fever and pain. Provide wound care on a daily basis and practicing proper skin hygiene. Making sure that patient has their lower extremity elevated to reduce edema. Advise to pump her feet on a regular basis to promote circulation.  Provide patient with a diabetic diet while in the hospital. An antibiotic treatment will need to be started. Accu checks with a sliding scale should be implemented. Provide diabetic education before the patient is discharged.

Identify the muscle groups likely to be affected by Ms. G’s condition by referring to “ARC: Anatomy Resource Center.”

The ARC: Anatomy Resource Center (n.d.), identifies that the muscle groups affected would be the soleus, tibialis, anterior extensor, digitorum longus, and the gastrocnemius.

What is the significance of subjective and objective data provided with regard to follow-up diagnostic/laboratory testing, education, and future preventative care?

Objective date is collected by physical examination, including observation, palpation, percussion, and auscultation, and by laboratory analysis and other studies to eliminate possible diagnosis pertaining to the patient’s signs and symptoms.

Subjective data is a collection of data that has been provided by the patient or family. The subjective data is retrieved from the description of an event rather than from a physical assessment.

What factors are present in this situation that could delay wound healing, and what precautions are required to prevent delay wound healing?

A diabetic patient takes longer for their wound to heal but the wound can rapidly get worse, so it requires close monitoring. If the patient has an elevated blood sugar it will cause the arteries to stiffen and cause narrowing of the blood vessels. Narrowed blood vessels than lead to decreased blood flow and oxygen to the wound. The patient having an elevated blood sugar also decreases the function of red blood cells that are able to fight infection. Ms. G lives alone has not been able to walk for three days and has not had proper nutrition based on her current weight and current situation making the wound to get worse. Without the proper and sufficient nutrition and oxygen the wound will heal very slowly.

References

Antimicrobe. (2014). Cellulitis. Retrieved from http://www.antimicrobe.org/e1.asp#t1

ARC: Anatomy Resource Center. (n.d.). Explore the human body. Retrieved from http://conhs.gcumedia.com/bio155/anatomy/arcBio155v2.swf

Brunner, L. (2008). Brunner & Suddarth’s textbook of medical-surgical nursing (11th ed.).Philadelphia: Lippincott Williams & Wilkins.

To Your Health. (2012). The facts about fevers. Retrieved from http://www.toyourhealth.com/mpacms/tyh/article.php?id=1521

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