Mr. William, 85 years old male client is living in a long-term care facility. He is having progressive dementia over the past seven years and is unable to care for himself independently due to cognitive decline. He has got visual and hearing impairment. Identify actual and potential nursing interventions to improve the self-care ability of Mr. William in relation to the following (in 50-60 words) 11.1) Cognitive decline 11.2) Sensory deficits
A patient is admitted to the Emergency Dept.. The nformation indicates the patient suffered significant blood loss in an accident in front of the hospital 30 minutes ago. An IV line was started and an EDTA tube was drawn from the other arm and sent immediately to the lab. The Hgb is 14 g/dL and the Hct 42%. The ED staff is perplexed that the H&H are so high. Why are the values normal? What would you expect for these values, if the blood was drawn 1 hour later without any transfusions by the ED staff?Why?
General Hospital knew they had a problem with duplicate health records and needed to clean up the MPI before the implementation date for the EHR in order to get the best results. A consulting firm was hired, and a review of the data confirmed this problem finding 3,000 potential duplicate health records issued over the past five years. The hospital started the MPI clean-up process by educating their patient registration staff on proper search strategies, questions to ask the patient, the importance of a unit health record, and other related topics. This education was an important first step so that […]
What is CIWA scoring and why is it used? Consider this example of how EHRs can improve the quality of patient care (‘Improving patient safety and outcomes”). A healthcare facility wishes to find out if a new, more expensive diabetes medication (Medication B) is lowering the weight and Hgb A1C lab values for patients more than the traditional medication (Medication A). What coded or structured data is necessary to look for in the EHR in order to answer this question?
One of the biggest problems with healthcare information security has always been inappropriate use by authorized users. How do HIPAA and HITECH help to curb this problem? How do you envision Health Level Seven, HIPAA, and the HITECH Act evolving in the next decade?
Identify three components of the Patient Protection and Affordable Care Act that went into effect in 2014 and discuss their impact or potential impact on the practice of nursing and medicine. Be specific as to what the provision states, who it affects, and the impact that it may have.