PLEASE READ THE FOLLOWING POST AND RESPOND IN 50 WORDS OR MORE:

Low socioeconomic status is an obstacle to obtaining adequate medical care for low-income populations. Braveman and Gottlieb report that some patients lack transportation and miss their outpatient appointments (2014). Another problem is inadequate or low-quality food consumption. Insufficient space for exercise can lead to a passive lifestyle, since several generations can live in one household. Lack or inadequate health insurance can prevent people from managing their chronic diseases.

Healthy People 2030 offers prevention as one of the strategies to reduce health care disparities and promote disease prevention for all. Community RNs can offer assistance with colorectal, breast, cervical and other screenings. To eliminate food insecurity nurses can assist local communities with participation in National School Lunch Program, Supplemental Nutrition Assistance Program, and Women, and Infants and Children Program.

THE ROLE OF THE NURSE INFORMATICIST IN SYSTEMS DEVELOPMENT AND IMPLEMENTATION

Assume you are a nurse manager on a unit where a new nursing documentation system is to be implemented. You want to ensure that the system will be usable and acceptable for the nurses impacted. You realize a nurse leader must be on the implementation team.

To Prepare:

· Review the steps of the Systems Development Life Cycle (SDLC) and reflect on the scenario presented.

· Consider the benefits and challenges associated with involving a nurse leader on an implementation team for health information technology.

The Assignment: (2-3 pages not including the title and reference page)

In preparation of filling this role, develop a 2- to 3-page role description for a graduate-level nurse to guide his/her participation on the implementation team. The role description should be based on the SDLC stages and tasks and should clearly define how this individual will participate in and impact each of the following steps:

· Planning and requirements definition

· Analysis

· Design of the new system

· Implementation

· Post-implementation support

· Use APA format and include a title page and reference page.

· Use the Safe Assign Drafts to check your match percentage before submitting your work.

LEARNING RESOURCES

Required Readings

· McGonigle, D., & Mastrian, K. G. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 9, “Systems Development Life Cycle: Nursing Informatics and Organizational Decision Making” (pp. 191–204)

· Chapter 12, “Electronic Security” (pp. 251–265)

· Chapter 13, “Achieving Excellence by Managing Workflow and Initiating Quality Projects” 

· Agency for Healthcare Research and Quality. (n.d.a). 


Health IT evaluation toolkit and evaluation measures quick reference guide

Links to an external site.
. Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-evaluation-toolkit

· Agency for Healthcare Research and Quality. (n.d.b). 


Workflow assessment for health IT toolkit

Links to an external site.
. Retrieved January 26, 2022, from https://digital.ahrq.gov/health-it-tools-and-resources/evaluation-resources/workflow-assessment-health-it-toolkit

 As the term winds down, think about what you’re going to take away from this class. The questions below should guide your thinking, but feel free to volunteer additional information if you feel it is relevant. You are expected to write a minimum of 200 words for this assignment. This is the last assignment, so give it your best effort!

1) At the beginning of this term, what did you expect to learn from this course?

2) Did the course require more of less effort than you thought it would?

3) What was your favorite part of this course? (Be specific)

4) What was your least favorite part? (Be specific)

5) What was something unexpected that you learned?

6) What do you feel was the most valuable thing you learned?

7) What benefits does this class provide for your career choice at WCU?

8) What would you change about this class?

9) What advice would you give an incoming student on how to prepare for this course?

2

Generalized Anxiety Disorder
Middle-Aged White Male With Anxiety

 

BACKGROUND INFORMATION

The client is a 46-year-old white male who works as a welder at a local steel fabrication factory. He presents today after being referred by his PCP after a trip to the emergency room in which he felt he was having a heart attack. He stated that he felt chest tightness, shortness of breath, and feeling of impending doom. He does have some mild hypertension (which is treated with low sodium diet) and is about 15 lbs. overweight. He had his tonsils removed when he was 8 years old, but his medical history since that time has been unremarkable. Myocardial infarction was ruled out in the ER and his EKG was normal. Remainder of physical exam was WNL.

He admits that he still has problems with tightness in the chest and episodes of shortness of breath- he now terms these “anxiety attacks.” He will also report occasional feelings of impending doom, and the need to “run” or “escape” from wherever he is at.

In your office, he confesses to occasional use of ETOH to combat worries about work. He admits to consuming about 3-4 beers/night. Although he is single, he is attempting to care for aging parents in his home. He reports that the management at his place of employment is harsh, and he fears for his job. You administer the HAM-A, which yields a score of 26.

Client has never been on any type of psychotropic medication.

MENTAL STATUS EXAM

The client is alert, oriented to person, place, time, and event. He is appropriately dressed. Speech is clear, coherent, and goal-directed. Client’s self-reported mood is “bleh” and he does endorse feeling “nervous”. Affect is somewhat blunted, but does brighten several times throughout the clinical interview. Affect broad. Client denies visual or auditory hallucinations, no overt delusional or paranoid thought processes readily apparent. Judgment is grossly intact, as is insight. He denies suicidal or homicidal ideation.

You administer the Hamilton Anxiety Rating Scale (HAM-A) which yields a score of 26.

Diagnosis: Generalized anxiety disorder

RESOURCES

§ Hamilton, M. (1959). Hamilton Anxiety Rating Scale. Psyctests, doi:10.1037/t02824-0

Decision Point One

Select what you should do:

Begin Paxil 10 mg po daily

Begin Imipramine 25 mg po BID

Begin Buspirone 10 mg po BID