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Child and Adolescent Assessment NRNP 6665Child and Adolescent Assessment NRNP 66 ...

Child and Adolescent Assessment NRNP 6665

Child and Adolescent Assessment NRNP 6665

INTRODUCTION

All diagnoses, from infancy to adulthood, begin with an examination. While an organic basis for most medical disorders can be determined through the use of diagnostic testing, the field of psychiatry is different in that patients cannot be sent to the lab for blood tests to determine the degree of depression. Similarly, patients cannot be sent to the radiology department for a “scan” to determine the severity of their bipolar disorder. Instead, the field of psychiatry must use psychiatric assessments, such as the comprehensive integrated physical exam, diagnostic interviews, and questionnaires to make diagnoses. These tools must be specialized to address the needs of children and adolescents.

Diagnostic assessment of the child and adolescent is a specialized area of expertise. The PMHNP will often see children who have already been seen by a primary care provider. Many PCPs are comfortable handling attention-deficit/hyperactivity disorder (ADHD) and other straightforward childhood disorders. That means that the PMHNP will often treat the more complicated patients. This week, you explore psychiatric assessment techniques and tools for children and adolescents. You also examine the role of the parent/guardian in the assessment process for this patient population.

LEARNING OBJECTIVES

Students will:

  • Evaluate comprehensive integrated psychiatric assessment techniques for children and adolescents
  • Recommend assessment questions for child and adolescent patients
  • Explain the importance of thorough psychiatric assessment for children and adolescents
  • Identify rating scales that are appropriate for child/adolescent psychiatric assessment
  • Identify psychiatric treatments appropriate for children and adolescents
  • Explain the role of the parent/guardian in child/adolescent psychiatric assessment

COMPREHENSIVE INTEGRATED PSYCHIATRIC ASSESSMENT

Child and Adolescent Assessment NRNP 6665

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.

RESOURCES

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE

  • 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.

BY DAY 3 OF 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.

Read a selection of your colleagues’ responses.

EXAMPLE APPROACH TO COMPREHENSIVE INTEGRATED PSYCHIATRIC ASSESSMENT DISCUSSION

The practitioner spoke calmly and softly to the patient to create a soothing atmosphere and make the patient comfortable. She had good body language that was open and facing the patient, conveying an interest in his answers. The practitioner did not ask open-ended questions, which could have gotten more information from the patient about what he was feeling. The practitioner did not have the patient expand on his answers to get more information about what bothers him, such as his anger, school problems, and alcohol use.

 The most significant concern is for the patient’s safety. He has expressed that he has thought of suicide and is not coping well. He also stated that he has been having anger issues which can lead to impulsive actions that could lead to further thoughts of suicide or self-harm. The next question that should be asked would be if the patient has any plan or intent or has thought of how he would hurt himself or others. This questioning would open up the conversation about what safety steps need to be addressed with the patient.

A thorough psychiatric assessment is vital with children and conducted with patience and time for them to answer the questions. The comprehensive evaluation will allow the practitioner to know all the problems the patient faces and determine the priorities that need to be a priority in a treatment plan. A comprehensive assessment will evaluate all aspects of the child or adolescent life, including possible family issues, trauma, abuse, bullying, or conflicts at school. The reason that an assessment is so critical is that pediatricians complete the majority of assessments in their yearly exams.

It is a quick assessment that may not identify actual problems the patient is having. Many children and adolescents get referred for further treatment, precipitating the comprehensive assessment. More than fifty percent of all mental health disorders emerge by the time a patient is fifteen years old (McGorry et al., 2022). Failing to identify mental health needs in childhood and adolescence can affect the further development of the person’s future social, educational, and economic opportunities (McGorry et al., 2022).

Two assessment tools that could be utilized when assessing a child or adolescent are the Adverse Childhood Experiences (ACEs) scale and the NICHQ Vanderbilt Assessment Scale. The ACEs screening identifies adverse childhood experiences that can precipitate or be a component of mental health issues for children(Watson, 2019). The ACEs can help identify exposure to abuse, neglect, family trauma, and other events that can affect a child’s mental health (Centers for Disease Control and Prevention, 2021). The NICHQ can help identify ADHD, Oppositional Defiant Disorder, anxiety, and depression (Kemper et al., 2018). The parent, teacher, and patient can complete the questionnaire, which gives a view from all parties on the symptomology the patient is experiencing.

Two treatments unique to children and adolescents are play therapy and occupational therapy. Play therapy is utilized in individual, group, and educational settings (Zhang et al., 2019). Play therapy gives children/adolescents a comfortable, safe place to play and addresses their issues. Play therapy utilizes games to identify problems, determine strengths, and allow the child to create a therapeutic relationship with the therapist.

Game therapy can assist with behavioral, mental health, social interaction, and cognition problems (Zhang et al., 2019). If used in a group setting, it can help build relationships between children and help them learn coping skills, improve concentration, address social anxiety fears, and teach appropriate social skills. Participating in group play can also help alleviate the fear of new situations, new environments, and new interactions with others (Zhang et al., 2019). Occupational therapy is a treatment that can be utilized to treat many physical and mental health issues.

Occupational therapy helps with autistic, ADHD, developmentally delayed, behaviorally challenged, and children with comorbid problems related to other diagnoses. Occupational therapy can address sensory and physical limitations, executive functioning, neuro-developmental issues, and many more challenges (Novak & Honan, 2019). Occupational therapy helps the child acquire skills to become more independent and includes a great deal of parental education to utilize at home.

The therapy consists of carrying over the skill implementation at home, school, and other settings where the child would spend much time. The activities that the child and parents are educated on are specific to the child’s needs to help the child adapt and change to become more independent.

The inclusion of the parent or caregiver of a child or adolescent in the assessment is essential because they will provide information that the child may not be able to express or that they see from a different perspective. Including the parent in the assessment allows the parent to give their perspective on what is happening and what they see. Without their view, the practitioner may not get the full story or may get a version of the situation that is inaccurate.

Sometimes parents or caregivers may see that a child behaves in a way the child cannot identify. Without that input, the practitioner could not evaluate the whole situation. Having the caregiver or parent involved also creates a connection for the patient that they are invested in helping the child address and treat the issues (Waid & Kelly, 2020).

The sources of reference utilized for this paper are either peer-reviewed journal articles written for the mental health profession or journals prepared for the professionals working in mental health. They include specific language for the profession, are educational, and include further references to support their information.

Child and Adolescent Assessment NRNP 6665 References

Centers for Disease Control and Prevention. (2021). Adverse childhood experiences prevention strategy [PDF]. cdc.gov. https://www.cdc.gov/injury/pdfs/priority/ACEs-Strategic-Plan_Final_508.pdf

Kemper, A. R., Maslow, G. R., & Hill, S., et al. (2018). Attention Deficit Hyperactivity Disorder: diagnosis and treatment in children and adolescents [Internet] (Comparative Effectiveness Reviews, No. 203 ed.). Agency for Healthcare Research and Quality. https://www.ncbi.nlm.nih.gov/books/NBK487766/table/results.t2/

McGorry, P. D., Mei, C., Chanen, A., Hodges, C., Alvarez?Jimenez, M., & Killackey, E. (2022). Designing and scaling up integrated youth mental health care. World Psychiatry, 21(1), 61–76. https://doi.org/10.1002/wps.20938.

Novak, I., & Honan, I. (2019). Effectiveness of paediatric occupational therapy for children with disabilities: A systematic review. Australian Occupational Therapy Journal, 66(3), 258–273. https://doi.org/10.1111/1440-1630.12573.

Waid, J., & Kelly, M. (2020). Supporting family engagement with child and adolescent mental health services: A scoping review. Health & Social Care in the Community, 28(5), 1333–1342. https://doi.org/10.1111/hsc.12947.

Watson, P. (2019). How to screen for aces in an efficient, sensitive, and effective manner. Paediatrics & Child Health, 24(1), 37–38. https://doi.org/10.1093/pch/pxy146.

Zhang, A., Jia, Y., & Wang, J. (2019). Applying play therapy in mental health services at primary school. SHS Web of Conferences, 60, 01008. https://doi.org/10.1051/shsconf/20196001008.

BY DAY 6 OF WEEK 1

Respond to at least two of your colleagues on 2 different days by offering additional insights or alternative perspectives on their analysis of the video, other rating scales that may be used with children, or other treatment options for children not yet mentioned. Be specific and provide a rationale with evidence.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply

LEARNING RESOURCES

  • Hilt, R. J., & Nussbaum, A. M. (2016). DSM-5 pocket guide for child and adolescent mental healthLinks to an external site.. American Psychiatric Association Publishing.
    • Chapter 1, “Introduction”
    • Chapter 4, “The 15-Minute Pediatric Diagnostic Interview”
    • Chapter 5, “The 30-Minute Pediatric Diagnostic Interview”
    • Chapter 6, “DSM-5 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 adolescentsLinks to an external site.. 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”
  • Symptom Media. (2014). Mental status exam B-6Links to an external site.. [Video]. https://go.openathens.net/redirector/waldenu.edu?url=https://video.alexanderstreet.com/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 assessmentLinks to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=wNF1FIKHKEULinks to an external site.
  • YMH Boston. (2013, May 22). Vignette 5 – Assessing for depression in a mental health appointmentLinks to an external site. [Video]YouTube. https://www.youtube.com/watch?v=Gm3FLGxb2ZU
  • Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer.
    • Chapter 1, “Examination and Diagnosis of the Psychiatric Patient”
      • Section 1.2, “Children and Adolescents” (pp. 74-87)

Also Read: NURS 6003 Assignment Transition to Graduate Study.


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Childhood Adolescent Trauma Sample PaperIntroductionMany children worldwide go t ...

Childhood Adolescent Trauma Sample Paper

Introduction

Many children worldwide go through some horrific life experiences that leave them traumatized. When a child experiences any event that distresses them emotionally and psychologically, they experience uncomfortable or painful physical and mental effects. This work is a review of a book of my choosing that has a strong Childhood/Adolescent Trauma theme. I have chosen the book: It didn’t start with you: How inherited family trauma shapes who we are and how to end the cycle by Mark Wolynn. Mark Wolynn asserts that unbeknown to many people, many children inherit trauma and other mental disorders from their parents, grandparents, and other ancestors. These inherited traumas shape the lives of children physically, psychologically, emotionally, and behaviorally.

  1. Book Summary

Most people never give any thought to the origin of their fears, phobia, anxiety, and depression. While some children/people get trauma due to a terrifying event, many others inherited trauma and mental health disorders from their mothers, fathers, or grandparents. The emotional legacies passed down to generations are often covert and subtle so that they are not immediately noticed. It is interesting that a relative that suffered the original trauma passed on many years ago, however, some of his/her memories were passed down to the descendants. These traumas encode themselves in every part of humans from the everyday language to gene expression. These memories and feelings play a critical role in physical and psychological functioning.

Children are at a high risk of suffering from trauma based on what they go through. Today, the world has so much pressure that many individuals find it difficult to cope with. Rather than seek help, many children suffer in silence and the long run develop a mental disorder known as PSTD-Post Traumatic Stress Disorder. For very young children under the age of 6 years, the trauma is relived through frightening dreams or re-enacting the event during play. Such children also experience disturbing thoughts that may cause them to behave differently. A personality disorder is one of the many forms of trauma where an individual exhibits a very rigid and unusual pattern of reasoning or thinking and behavior. Patients with personality disorder usually have difficulty in perceiving things and people. This usually brings about problems to such individuals and hampers greatly their social activities and even work. A person’s personality is usually shaped and influenced by their surroundings, experiences, the environment around them as well as inherited traits and characteristics. A personality disorder affects the brain and in the process affects how they think and behave which usually goes against societal expectations.

Mark Wolynn’s book asserts that there are two ways of classification for trauma that is the International Classification of Diseases also called ICD-10 by World Health Organization and the other is the Diagnostic and Statistical Manual of Trauma, also called DSM-5 and is published by the American Psychiatric Association. Both classifications have synchronized the characteristics of trauma, however, some differences exist in each classification. For example, ICD-10 does not recognize narcissistic disorder as a category of personality disorder (Wolynn, 2017). On the other hand, DSM-5 does not also count personality change occurring after a traumatic experience as a personality disorder.

  1. Concrete Responses

           Growing up, I remember my father had difficulty sleeping. He slept a maximum of 4 hours each day. I remember my mother frequently nudging him to seek medication for the problem but my father maintained that he was ok. Due to failure to seek medication, my father developed other complications from insomnia such as acute stress. Due to depression and irritation, my father would get into a heated fight with my mother which sometimes led to a physical fight. My mother would end up getting badly beaten during such fights. Like my father, I am also having a struggle with insomnia. I can barely sleep at night because I have trouble initiating and maintaining sleep. I often wake up in the middle of the night and have trouble getting back to sleep. I struggle with a lot of issues related to insomnia such as daytime tiredness and irritability. I also get a high level of anxiety and sometimes get very depressed. Just like my father, I get easily irritated and find myself and worry a lot about many things. I also sometimes get panic attacks about how things will turn out for me. For example, worry is my biggest problem because I am constantly worried about many things and this is very stressful.

Mark Wolynn describes stress as a condition in which the body reacts to changes that may require some form of adjustments. Stress management is the process by which stress is brought down to manageable levels so that the body is not hampered from operating normally. According to the author, it is important to manage stress because high levels of stress can have hazardous effects on the brain and the physical body. Chronic stress that is left unmanaged for a long time can result in unbalanced emotions and goes on to hamper a person’s ability to think properly and to perform tasks effectively (Wolynn, 2017.) Chronic stress running over long periods can disrupt the functions of all systems in the body.

Stress can be caused by both internal factors as well as outside factors. Outside factors are the most common causes of stress and include pressures such as work stress, financial difficulties, family issues, work issues among many others. Internal causes of stress include; negative self-talk, unrealistic expectations, anxiety among others (Boss, Bryant, & Mancini, 2016). If left unchecked for a long time can lead to serious health issues such as increased blood pressure, stomach upsets headaches, depression, and even sexual dysfunction amongst others.

Wolynn states that stress and depression can be managed through several ways such as frequent exercises, always having a positive attitude, eating a well-balanced diet, being assertive instead of being aggressive, setting limits and learning to say no things that may create stress, having time for recreation to take one’s mind off things, having enough sleep and rest and of course seeking treatment or counseling sessions (Wolynn, 2017). These are some of the important tips for managing stress, however, the list is by no way exhaustive as there are very many things one can do to reduce their stress levels.

  1. Reflection

What I would like further information on is if trauma can be triggered in the future after it had been resolved. The reason for needing this information is to find out if children/people can fully recover from trauma. Can a child who has gone through acute trauma live a meaningful and rewarding life? What are the chances that trauma cannot get triggered in the future when the child is an adult? These are some of the fundamental issues that I would like further information on after reading Mark Wolynn’s book it didn’t start with you: How inherited family trauma shapes who we are and how to end the cycle.

What I do not agree with the author on is the assertion that all childhood traumas are inherited. Through a review of other research material on childhood trauma, I have noticed that not all childhood trauma is inherited. Some people never had an event of trauma/mental disorders in their genealogy yet their children have gone through trauma. For example, some children may have been raped, it does not mean that such a child inherited this traumatic event from her family tree. This is to say that children experience traumatic events in their lives that are not necessarily inherited from their family.

What bothers me about the content of Mark Wolynn’s book is that there many children/people who suffer from traumas that suffer from traumatic legacies inherited from their parents/family tree. What bothers me is the fact that many of these people are not even aware of the fact that their problems are inherited. I am bothered about this finding because there is not much research about inherited traumas whereas millions of people worldwide are impacted by adverse consequences of trauma. It is my wish that more research is done on this area so that people are aware of it.

  1. Application

           The information I have received from Mark Wolynn’s book is essential for my life. First, I will go back to my family tree and find how many of my ancestors suffered from PSTD. I already know that my father struggles with insomnia which I am also suffering from. I am determined to change my life by seeking medication for insomnia so that it does not evolve into bigger problems such as depression, anxiety, and chronic stress. In particular, I will become involved in rigorous physical activities so that the body is properly worked up. This is essential so that by the time I get to bed, I am can get enough rest. Secondly, I will develop a consistent sleep pattern that will strictly follow. Another important measure in dealing with my problem is to get effective relaxation therapies to get rid of my stress and worries. A relaxed mind is necessary for a good night’s sleep. Through cognitive therapy, I can identify and tackle the disturbing/unsettling thoughts that contribute to insomnia.

Less sleep in children/people result in health complications. When children do not get enough sleep, they become very tired during the daytime and do not participate in physical activities. In many homes, children have replaced physical activities with electronic devices such as phones, tablets, video games, televisions, and computers. The result is that these children are not getting enough physical exercise. Health complications can arise from this state, for example, obesity and reduced mental growth (Faught et al, 2017). According to Faught and fellow researchers, body mass may lead to reduced performance in a child. For example, an obese child may perform poorly due to psychosocial issues such as low self-esteem. Additionally, such children become less active in both social life and physical activities which may hamper their growth and development physically, and psychologically.

Conclusion

Children and adolescents are at the highest risk of going through a traumatic experience. The traumatic experiences that children go through have adverse consequences for their physical, emotional, and psychological well-being. The book It didn’t start with you: How inherited family trauma shapes who we are and how to end the cycle.  by Mark Wolynn brings out a new perspective about childhood trauma that is not widely known. In this book, Mark Wolynn asserts that many children unknowingly inherit PSTD from their parents. Wolynn asserts that these inherited family traumas shape the lives of children mentally, physically, and behaviorally.

References

  • Faught, E. L., Ekwaru, J. P., Gleddie, D., Storey, K. E., Asbridge, M., & Veugelers, P. J. (2017). Post-Traumatic Stress on Adolescents: Effect of Physical Activity, Sleep And Screen Time On Academic Achievement: A Prospective Study Of Elementary School Students In Nova Scotia, Canada. International Journal of Behavioral Nutrition and Physical Activity14(1). doi: 10.1186/s12966-017-0476-0
  • Wolynn, M. (2017). It didn’t start with you: How inherited family trauma shapes who we are and how to end the cycle. Penguin.

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Childhood Obesity AssignmentPICOT Question:What traits do children suffering fro ...

Childhood Obesity Assignment

PICOT Question:

What traits do children suffering from obesity have in common and how can these common traits assist the medical field in preventing the disease of obesity? Problem Statement: Children suffering from obesity also suffer from other serious health problems related to obesity. These health problems consist of diabetes mellitus, elevated levels of cholesterol, and also elevated blood pressure. Typically, these diseases are not noticed until the child reaches the age of adulthood however, with the recently increased rates of childhood obesity, it is beginning to be found at an earlier age (American Heart Association, 2016).

There are many preventative measures one can follow to prevent childhood obesity and other childhood diseases related to obesity. According to the American Heart Association (2016) obesity in children is one of the leading health concerns in the United States. Additional research is needed to explore interventions with the greatest effect to help prevent childhood obesity and the health problems that follow.

Methodology

Sample/Setting

The primary focus of this research study is hedged on the need to increase understanding of the traits that children suffering from obesity have in common and how can these common traits assist the medical field in preventing the disease of obesity. To achieve this goal, low-income families from rural communities will then be recruited to serve as a sample population of the research study. The rural areas will therefore be defined based on a set of factors that include the budget definition that delineates them as rural in the event of a lack of presence of metropolitan statistics of the areas and with a population of close to 50,000 people.

The income level will also be defined based on the average income levels and rates below a state’s average poverty level or rate. Other factors that will be considered mainly include the existing health focus and coalitions within the community to aid in addressing childhood obesity (Aldolaim, 2019). Once selected through random screening criteria, the communities will then be assigned randomly to an intervention. This, therefore, reveals that the study’s sample size will be (n=200). The sample size will therefore be sufficient in the detection of a larger effect size of (d???0.8), hence establishing a 95% power for the use of a two-tailed test with an alpha of =.05 mainly between the comparison community and the interventions.

Research Design

To achieve the intent of this study, a quasi-experimental research study will be initiated on the sample population within a rural community (n=200). These efforts will help in the mobilization of communities that will create as well as sustain a feasible environment of physical activities and healthy eating that would prevent the element of childhood obesity. Two rural areas or rather communities will then be assigned randomly with the intent of serving as comparison communities or rather as an intervention (Koo et al., 2018).

Coalitions will ensure that the assessments are completed within the population of study to choose from an evidence-based model and approach that may be used in the implementation of nutrition as well as physical activity interventions annually to prevent the increasing cases of childhood obesity with particular emphasis on the environment, policy, and system changes. Only an intervention coalition will in this case receive community coaching precisely from trained coaches.

The outcomes will then be assessed at the baseline through the use of validated as well as coalition methods of self—assessment to determine the parental perceptions in regards to the establishment of early childhood environments, communities, and self-reflective strategies that may be used in mapping the impact of obesity among the population group.  A mixed—approach of analysis will then be used in the evaluation of the findings with the intent of underscoring effective strategies that may be used in the creation and the sustenance of an environment that significantly supports physical activities and healthy eating among the young children (Koo et al., 2018).

A corresponding non—parametric test as established in this case will equally be used in the analysis of the quantitative data that relates to a set of environmental changes that will significantly be set as p?<?.05. The dominant emerging themes collected from the qualitative data collected with then be weaved together with the quantitative data with the intent of developing a theoretical approach and model that represents how communities are impacted by the research study.

References

  • Aldolaim, S. (2019). Parental Perceptions of Childhood Obesity: Systematic Literature Review. Journal of Childhood Obesity, 04(01). https://doi.org/10.36648/2572-5394.4.1.70
  • Koo, H., Poh, B., & Abd Talib, R. (2018). The GReat-ChildTM Trial: A Quasi-Experimental Intervention on Whole Grains with Healthy Balanced Diet to Manage Childhood Obesity in Kuala Lumpur, Malaysia. Nutrients, 10(2), 156. https://doi.org/10.3390/nu10020156

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Childhood Obesity Proposal Theoretical FrameworkWhile considerable debates exist ...

Childhood Obesity Proposal Theoretical Framework

While considerable debates exist around the global increase in the prevalence of childhood obesity, different explanations have equally emerged. Among these explanations include increased sedentary lifestyles and changes in eating habits and dietary patterns (Boswell, Byrne & Davies, 2018). Notable is that these explanations point to human choices, either at individual or family levels, that I turn affect the health outcomes of children. For this reason, the most reliable theoretical framework for explaining the phenomena would be the health belief model.

The application of the health belief model theoretical framework promises to help identify the primary societal, parental and individual behavior factors that predispose children to obesity. Further, the framework will enable the researcher to determine the short- and long-term health threats posed by obesity, how the society can evade such threats and how the society can effectively overcome the factors that deter the adoption of smart eating programs capable of alleviating childhood obesity. A study by Demir and Bektas (2017) already showed that a child’s eating behavior alongside parental feeding styles play a role in the development of obesity. Thus, through the framework, it will be possible to explain the extent to which the adoption of smart eating programs is a factor of whether a child believes in their capability to achieve healthy eating habits.

Finally, the health belief model theoretical framework can potentially be used as an explanatory framework (Jones et al., 2015) for the interventions in place designed to reduce or mitigate the prevalence and impacts of childhood obesity. As an explanatory framework, the tool will examine different communication models and channels used to disseminate healthy eating information to the society, and whether such information is interpreted correctly for positive outcomes.

References

  • Boswell, N., Byrne, R. & Davies, P. S. W. (2018). Eating behavior traits associated with demographic variables and implications for obesity outcomes in early childhood. Appetite, 120, 482-490. https://doi.org/10.1016/j.appet.2017.10.012
  • Demir, D. & Bektas, M. (2017). The effect of children’s eating behaviors and parental feeding style on childhood obesity. Eating Behaviors, 26, 159-162. https://doi.org/10.1016/j.eatbeh.2017.03.004
  • Jones, C. L., Jensen, J. D., Scherr, C. L., Brown, N. R., Christy, K., & Weaver, J. (2015). The Health Belief Model as an explanatory framework in communication research: exploring parallel, serial, and moderated mediation. Health Communication30(6), 566–576. https://doi.org/10.1080/10410236.2013.873363

Childhood Obesity Sample 2

The malnutrition patterns witnessed in the recent past have shifted from the nutrient deficiencies such as kwashiorkor to nutrient excess that present in the form of obesity. This change is attributable to factors that lead to increased food intake or decreased use of nutrients, the latter largely orchestrated by increased inactivity.

Incidence and Cost of Care for Childhood Obesity

In children, obesity is highly influenced by parenting models and genetic reasons as childhood obesity are hereditary in most cases. In determining childhood obesity, the child’s age, weight, and gender are put into consideration. When the weight of a girl is 30% composed of fat and that of a boy is 25% composed of fat, the child is considered obese. In the US alone, 18.4% of children between the ages of 2 to 18 years are obese; 13.4% of adolescent girls and 12.9% of adolescent boys are affected (Smith et al., 2020). The condition has health, social and economic impacts. The health cost is higher with an estimated amount of between US$12,660 and US$19,630 spent annually to handle the menace in a single child (Di Cesare et al., 2019). Given this background, this paper examines US the government’s policies aimed at mitigating childhood obesity and in turn, reduce the associated high costs of management.

Policies on Childhood Obesity

The government has implemented several measures aimed at solving the issue of obesity in children. These includes farm subsidies and loans, legislation, and curriculum development. The loans and subsidies to the farmers encourage the growth of healthy foods that when consumed, have no risk of causing obesity. The legislation component entails hefty fees on unhealthy foods or laws requiring schools to increase the amount of time students spend on daily physical exercises. Curriculum development, on the other hand, targets behavioral change through education on healthy foods and the essence of physical exercise.

The Farm to School advocacy is one of the government’s legislation designed to offer guidance in tackling obesity. The policy addresses different stakeholders concerned with the provision of meals, namely the school, the farmers, and the parents. The school is encouraged to stock foods from local farmers; the foods are healthier without chemicals, are sold at a lower cost, and can provide all nutritional values required by children. The farmers often have access to farming grants and loans and are also receive training on better farming methods aimed at improving food security in the country. The parents are then advised to adopt physical exercise in the family to enhance the energy expenditure thus manage the obesity in their children (Muckian et al., 2017).

The Legislators Involved

The advocacy policy has had many proponents and different bills have been passed in line with the policy. These regulations mostly cover food production, provision of food education to students, and encouragement of the growth of school gardens to supply the school with nutritious foods. Some of the legislations have been passed in Illinois, Michigan, and New York states. In Illinois, Senator Pat McGuire and House Representative Justin Slaughter sponsored the Bill that revised previous regulations to allow each school to have a school garden. The garden would allow for different kinds of animal rearing and plant growing which would contribute to providing more healthy foods to the students. The water and soil used in growing the plants would be tested to standardize the farm nutrients and eliminate chemicals in the soil that would hinder the plant growth (“Illinois General Assembly – Bill Status for HB2993”, n.d.). The plants are therefore healthier and their produce is more reliable in the supply of required nutrients.

The Role of Advanced Practice Registered Nurses (APRN)

The nurses perform several duties in the hospital that are aimed at improving the quality of life and also the quality of health services offered. In the policymaking and development process, the APRN is essential in providing recommendations on the law-making process to ensure the protection of patient’s rights. They are also involved in the implementation as the custodians of the policies. Here, the nurses provide the necessary education to the patients on a balanced diet and the importance of regular physical activity in reducing incidences of obesity. They also act as watchdogs to remind other health providers including the medical doctors on how to manage childhood obesity as per the existing policies (Woo et al., 2017). For this reason, nurses are the backbone in the implementation of policies.

Influence of Policy in Clinical Practice

The policy affects the clinical outcomes of conditions. The incidence of obesity and its complications, for instance, reduces with appropriate intervention strategies. Fewer patients present with hypertension, fractures, or sleep apnea that is attributable to obesity. The hospital stay for patients with childhood obesity also dramatically reduces as does the cost of care (Hanney et al., 2017).

Inter-professional Team in Policy Implementation

The policy requires a multi-sectorial approach. Its success requires that the healthcare workers, the educators, and the farmers work hand-in-hand. For the success of the policy, therefore, inter-professional training and seminars can be organized so that each team member is well conversant with the policy (Buljac-Samardzic et al., 2020). This enhances the acceptability of the policy and facilitates its implementation.

Conclusion

The increasing burden of managing childhood obesity calls for extensive research and implementation of policies to mitigate the menace. While most states across the US have adopted different policies that encourage healthy living among school going children, some policies such the farm to school strategy, though noble, has delivered minimal results. Arguably, these policies must be complimented with social education spearheaded by advanced nurse practitioners who understand the interaction between policy strategies and implementation outcomes, and how social dynamics can shape the outcomes.

References

  • Buljac-Samardzic, M., Doekhie, K., & van Wijngaarden, J. (2020). Interventions to improve team effectiveness within health care: a systematic review of the past decade. Human Resources For Health18(1). https://doi.org/10.1186/s12960-019-0411-3
  • Di Cesare, M., Sori?, M., Bovet, P., Miranda, J., Bhutta, Z., & Stevens, G. et al. (2019). The epidemiological burden of obesity in childhood: a worldwide epidemic requiring urgent action. BMC Medicine17(1). https://doi.org/10.1186/s12916-019-1449-8
  • Hanney, S., Greenhalgh, T., Blatch-Jones, A., Glover, M., & Raftery, J. (2017). The impact on healthcare, policy and practice from 36 multi-project research programmes: findings from two reviews. Health Research Policy And Systems15(1), 26. https://doi.org/10.1186/s12961-017-0191-y
  • Illinois General Assembly – Bill Status for HB2993. Ilga.gov. Retrieved from https://www.ilga.gov/legislation/BillStatus.asp?DocNum=2993&GAID=14&DocTypeID=HB&SessionID=91&GA=100
  • Muckian, J., Snethen, J., & Buseh, A. (2017). School nurses’ experiences and perceptions of healthy eating school environments. Journal of Pediatric Nursing35, 10–15. https://doi.org/10.1016/j.pedn.2017.02.001
  • Smith, J., Fu, E., & Kobayashi, M. (2020). Prevention and management of childhood obesity and its psychological and health comorbidities. Annual Review Of Clinical Psychology16(1), 351-378. https://doi.org/10.1146/annurev-clinpsy-100219-060201
  • Woo, B., Lee, J., & Tam, W. (2017). The impact of the advanced practice nursing role on quality of care, clinical outcomes, patient satisfaction, and cost in the emergency and critical care settings: a systematic review. Human Resources For Health15(1), 63. https://doi.org/10.1186/s12960-017-0237-9

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Childhood Obesity Sample PaperThe impact of being either overweight or obese str ...

Childhood Obesity Sample Paper

The impact of being either overweight or obese straddles both physical and psychological health. These implications tend to be graver in children than adults due to the prolonged exposure to the state in the former group as well as multiple physiologic deviations that provide fodder for the complications of obesity to thrive (Kumar & Selly, 2017). Obesity is a singular independent risk factor for multiple lifestyle illnesses, among them, cardiovascular diseases, osteoarthritis, diabetes, and obstructive sleep apnea (Kumar & Selly, 2017). Children can also end up with hepatic and renal complications, hence reduced quality of life and productivity.

Obesity is a disorder of energy imbalance in the body. It is marked by excessive adipose accumulation, usually due to excessive intake or low usage of nutrients (Weihrauch-Blüher, & Wiegand, 2018). Energy physiology is a function of neurohormonal control through the hypothalamus, GIT, insulin, leptin, and other hormones such as pancreatic polypeptide and peptide YY (Weihrauch-Blüher, & Wiegand, 2018). The aberrant functioning of the components and/or pathways due to genetic, environmental (circadian rhythm), or lifestyle influences is what upsets the homeostasis and leads to obesity (Sanyaolu et al., 2019). Once the imbalance is set in motion, it leads to several downstream complications, some of which will be discussed further below.

Childhood obesity is defined as a weight increase beyond the 95th percentile for age-specific BMI. It has been increasing owing to the dietary choices (processed foods and frequent snacking), limited physical activity (heightened television viewing), genetic predisposition, and the sociopolitical environment in the country (Kumar & Selly, 2017). In relation to the latter, childhood obesity has steadily risen to epidemic proportions in developed countries owing to a multiplicity of factors not limited to nutritional policies, food availability, and pricing as well as a previous general lack of understanding regarding the ramifications of the condition (Kumar & Selly, 2017). However, with 42 million children projected as being obese in 2010, significant health education campaigns and research have been devoted to unpacking the condition to curtail its stealthy conquest.

Childhood obesity is also biting in the USA. According to Weihrauch-Blüher, & Wiegand (2018), the prevalence of childhood obesity has soared 2-3 times in the past three decades. Up to 16.9% of children aged 6-11years are classified as obese (Sanyaolu et al., 2019). The age-group mostly afflicted, however, is 12-19 years (20.6%), and the condition has had a role in the soaring burden of non-communicable diseases (Sanyaolu et al., 2019). At 13.9%, the prevalence of the condition among children aged 2-5 years, while lower, is still appalling (Sanyaolu et al., 2019). Also, (Sanyaolu et al., notes that adolescent girls are slightly more afflicted than their male counterparts (20.9% vs 20.4%). It is the nexus between obesity and physical and psychological health, and the subsequent strain on the healthcare systems that makes it a particularly worrisome public health prospect.

Medical consequences of childhood obesity are the most common and mirror the adult type. It is associated with various non-communicable diseases such as diabetes mellitus, dyslipidemia, asthma, fatty liver, obstructive sleep apnea, cardiovascular complications, and menstrual abnormalities (Weihrauch-Blüher, & Wiegand, 2018). Although most of these disappear upon acquiring healthy adolescent weight, some persist, condemning the child to a lifetime of suffering. Socially, obese children are often teased, bullied, or discriminated against by their counterparts.

They are also jeered and confined to social stereotypes which leads to their low self-esteem and impaired body confidence, a disliking of their body morphology, and consequently, poor academic performance (Weihrauch-Blüher, & Wiegand, 2018). The affected children end up with various psychological disorders such as depression, anxiety, eating disorders, and somatoform disorders. The conditions further increase the complexity of interventions needed to manage the ‘obesity epidemic’.

In sum, childhood obesity is a multifaceted disorder with extensive health ramifications. Preventing it can be achieved through parental education on nutritional requirements for their children, primarily focused on caloric intake, meal sizes, and frequency. The education should further cover the impacts of sedentary lifestyles orchestrated by extensive screen time in children. Overall, to tame the scourge, lifestyle modifications should be instituted at individual, family and society levels.

References

  • Kumar, S., & Kelly, A. S. (2017, February). Review of childhood obesity: from epidemiology, etiology, and comorbidities to clinical assessment and treatment. In Mayo Clinic Proceedings (Vol. 92, No. 2, pp. 251-265). Elsevier. https://doi.org/10.1016/j.mayocp.2016.09.017
  • Sanyaolu, A., Okorie, C., Qi, X., Locke, J., & Rehman, S. (2019). Childhood and Adolescent Obesity in the United States: A Public Health Concern. Global Pediatric Health6, 2333794X19891305. https://doi.org/10.1177%2F2333794X19891305
  • Weihrauch-Blüher, S., & Wiegand, S. (2018). Risk factors and implications of childhood obesity. Current Obesity Reports7(4), 254-259. https://link.springer.com/article/10.1007/s13679-018-0320-0

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Childs Self-Esteem HomeworkChilds Self-Esteem HomeworkWatch the How to Assess yo ...

Childs Self-Esteem Homework

Childs Self-Esteem Homework

Watch the How to Assess your Child’s Self-Esteem video and reflect on
the following questions:

How are self-concept and self-esteem related and what contributing
factors affect their development? How does play affect development of
children and thus later development during the adolescent stage?

Your initial response should be between 200-250 words.

In your responses to at least two peers, please provide an extension
of the opinion expressed, a counter opinion, or another example from
research applicable to the opinion expressed.

ORDER THROUGH BOUTESSAY

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort, and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized.

Read over your paper – in silence and then aloud – before handing it in, and make corrections as necessary. Often, having a friend proofread your paper for obvious errors is advantageous. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12-point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. Letting your essay run over the recommended number of pages is better than compressing it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor.

The paper must be neatly formatted and double-spaced with a one-inch margin on each page’s top, bottom, and sides. When submitting a hard copy, use white paper and print it out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

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 off-topic responses 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 are graded separately and do not count toward participation.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days for 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 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 LoudCloud, 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 the overutilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly.

As Master’s level students, you must 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 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 LopesWrite, 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 more of someone else’s thoughts than yours?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud, 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.

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 questions or send messages. This will be checked at least once every 24 hours.

 

Child’s Self-Esteem Homework


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CIS 450 Module 1 Introduction to Theory in Healthcare InformaticsIntroduction to ...

CIS 450 Module 1 Introduction to Theory in Healthcare Informatics

Introduction to Theory in Healthcare Informatics

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

Write an essay addressing the following prompts:

  1. Electronic health records (EHRs) are easier to read than the paper charts of the past, but many complain that healthcare providers are focusing too much on the computer screen instead of the patient.
    • Is this due to a lack of skill or training, poor computer system design, or just the nature of computer charting?
    • Is patient care suffering from the implementation of EHRs?
    • Charting in an EHR consist of clicking boxes, do you feel this provides enough detail about the patient, condition, and events if there was a lawsuit?
  2. Hebda, Hunter, and Czar (2019) identify three types of data that are currently being tracked by organizations (p. 46).
    • Identify and explain another type of data, specific to your practice, that is being tracked by an organization.
    • Why do you feel this data is important to track? 
    • Identify and discuss the organization that is tracking the data.
    • Are there any ethical concerns with an outside organization tracking this data, explain, and give examples?
  3. In this week’s discussion post, you identified and explain the topic selected for the project.
    • Provide a description of your selected topic based on input from the discussion forum. What is your project, why is it relevant to this class, and why is it important to you?
    • Identify an informatics/healthcare theory from pages 29-30 of the textbook that aligns with the project and explain why.

NOTE: Looking Ahead: Module 8 Signature Assignment – research and present a 7-12 minute presentation on a healthcare informatics topic of your choice. For this first week, determine the topic of your project and begin to look for scholarly sources for the topic. Each week you should be adding to your research. (See Module 8 for details of the assignment).

M1 Assignment UMBO – 5

M1 Assignment PLG – 3

M1 Assignment CLO – 3

Assignment Dropbox

Instructions & SpecificationsSubmissionsRubric

Start by reading and following these instructions:
  1. Study the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
  2. Consider the discussion and the any insights you gained from it.
  3. Review the assignment rubric and the specifications below to ensure that your response aligns with all assignment expectations.
  4. Create your assignment submission and be sure to cite your sources, use APA style as required, and check your spelling.
The following specifications are required for this assignment:

Length: 1500 words total for this assignment

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word amount for this assignment. All APA papers should include an introduction and conclusion. 

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

Filename:  Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

Undergrad Simple Essay Rubric v1

Print

CriteriaDoes Not Meet 0%Approaches 60%Meets 70%Exceeds 100%Criterion ScoreContent Weight: 30%0 pointsTopic is inappropriate to assignment, inaccurate understanding of concepts, unclear and difficult to understand; does not address many assignment requirements. Information has weak or no connection to the assignment topic.18 pointsTopic is mostly covered and appropriate to assignment, but does not adequately demonstrate accurate understanding of concepts; mostly clear and understandable; lacks some of the requirements of the assignment description and/or provides little detail; Information relates to the main topic, but few details and/or examples are given.21 pointsTopic is covered completely and appropriate to assignment; overview of key concept dimensions is evident; clear and understandable; addresses all of the requirements of the assignment description, with adequate attention to detail.30 pointsIn-depth coverage of topic; outstanding clarity and explanation of concepts demonstrated in information presented; approaches assignment with depth and breadth, without redundancy, using clear and focused details.Score of Content Weight: 30%,/ 30Organization Weight: 25%0 pointsOrganization is confusing and interferes with reader’s ability to follow ideas. Weak or no introduction of topic or purpose is unclear, weak, or missing. Conclusion lacks a summary of topic, or is missing or irrelevant.15 pointsIdeas are sometimes disorganized or irrelevant; Flow is sometimes choppy; somewhat clear organization. Basic introduction that states topic but is presented in an uninteresting way. Conclusion contains basic summary of topic without final concluding ideas, may inappropriately introduces new information.17.5 pointsStructures ideas in a coherent, organized order that has good flow and an obvious framework. Proficient introduction that is interesting and states topic. Conclusion contains good summary of topic with credible concluding ideas and introduces no new information.25 pointsExceptionally clear, logical, mature, and thorough organization permitting smooth flow of ideas; Introduction that grabs interest of reader and states topic in clear, unambiguous terms. Excellent concluding summary with succinct and precise ideas that impact reader.Score of Organization Weight: 25%,/ 25Logic/Argument Weight: 15%0 pointsDemonstrates little logical reasoning for the claims and thoughts within assignment; Many claims are weak or illogical.9 pointsLacks some logical reasoning for the claims and thoughts within the assignment; Some claims are weak.10.5 pointsUses solid logical reasoning for the claims and thoughts within the assignment.15 pointsProvides exemplary logical reasoning for the claims and thoughts within the assignment.Score of Logic/Argument Weight: 15%,/ 15Support Weight: 20%0 pointsLacks support; Uses poor sources for references; Citations lack credibility, relevance, or academic quality or are not current; Does not meet the minimum number of required citations in assignment description. APA format and style are not evident.12 pointsProvides weak support or not enough support; Citations are not consistently credible, current, relevant or academic; Meets the minimum number of required citations in assignment description Missing APA elements; in-text citations, where necessary, are used but formatted inaccurately and not referenced.14 pointsProvides sufficient support with credible, current, relevant academic citations; Meets the minimum number of required citations in assignment description. ; In-text citations and a reference page are present with few format errors. Mechanics of writing are reflective of APA style.20 pointsProvides very strong support from credible, current, relevant, academic citations; Meets or exceeds the minimum number of required citations in assignment description. Accurate citations and references are presented. No APA errors are evident.Score of Support Weight: 20%,/ 20Quality of Written Communication Weight: 10%0 pointsStyle and voice inappropriate or do not address given audience, purpose, etc. Word choice is excessively redundant, clichéd, and unspecific. Inconsistent grammar, spelling, punctuation, and paragraphing. Surface errors are pervasive enough that they impede communication of meaning.6 pointsStyle and voice are somewhat appropriate to given audience and purpose. Word choice is often unspecific, generic, redundant, and clichéd. Repetitive mechanical errors distract the reader. Inconsistencies in language, sentence structure, and/or word choice are present.7 pointsStyle and voice are appropriate to the given audience and purpose. Word choice is specific and purposeful, and somewhat varied throughout. Minimal mechanical or typographical errors are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.10 pointsStyle and voice are not only appropriate to the given audience and purpose, but also show originality and creativity. Word choice is specific, purposeful, dynamic and varied. Free of mechanical and typographical errors. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.Score of Quality of Written Communication Weight: 10%,/ 10

Total

Score of Undergrad Simple Essay Rubric v1,

/ 100

Overall Score

Level 1

0 points minimum

Level 2

60 points minimum

Level 3

70 points minimum

Level 4

100 points minimum

Module 1 Discussion

Discuss your current practice setting and how informatics is involved in your practice. Include what work-related tasks you complete using healthcare informatics and what server your facility uses. Lastly, think of one or two topics for the Signature Assignment project (look ahead to Module 8 for details) you will complete during this course and provide a brief description.

Please reply to at least two peers: In your current practice, is the use of informatics the same or different as your classmates? Provide additional thoughts or perspective on a classmate’s topic selection that will help develop the selected topic. Also provide possible search ideas for selected topic based on your suggestions.  

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length. 

DQ1 UMBO – 5

DQ1 PLG – 3

DQ1 CLO – 3

Discussion Forum

Posting ReplyingRubric

  1. Review the rubric in the tab below. Also take a look at the Getting Started Guide to find due dates and other discussion post requirements.
  2. Select the Discussion Forum button above.
  3. Complete this discussion post by selecting the “Start a New Thread” button, entering a subject title, and then answering the question above.
  4. To properly post your answer, please select the “Post” button.
  5. After posting your contribution, you must read what others have posted, reply to at least two of those posts, and respond (when appropriate) to those you have responded to you.

**Note: Directions on submitting your posts will also be listed within the discussion question forum.

Module 1 Discussion Sample Approach

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Stephanie S posted Sep 14, 2023 6:15 PM

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                Currently I work in home health, my practice currently use informatics greatly due to the fact that I am going into the patients homes and always need to be able to have access to the patient’s records. When it comes to me being able to complete my work, I have to be able to have access to all the patients information from the hospital to their time on home health to be able to determine what has been happening. Patient’s rely on home health nurses to be able to help them in their times of need and making sure that they are getting the appropriate treatment especially in times of emergency. My company currently uses NDOC for all our charting purposes, we get all of our hospital information for the patient directly loaded into the patients chart and it is accessible by anyone that is able to access the chart. All of our charting, orders, schedules and anything to do with patient care takes place directly in the NDOC system and if the system goes down then we are unable to chart or access any of our patients information.

                The system that we use allows for people that are working in the office to work out of a live mode while people that are out seeing patients are working in field mode. When the system goes down it usually allows anyone that is working in live mode to continue to work but anyone in field mode requires a synchronization and it won’t work without the synchronization. According to Sockolow (2021) interoperability is something that people experience in home health due to the fact that nurses don’t have the ability to access all the information that they need due to the fact that they have to search through the electronic health record. This is something that is time consuming for nursing staff due to the fact that they have to sort through multiple pages of a referral to be able to process the information that they need to appropriately treat patients.

                One topic that might be beneficial for home health would be to find a system that can help minimize the amount of searching through a referral that we get on a patient, whether that is a way to incorporate the hospital system into the chart to be able to see what was done to the patient since we mostly get a discharge summary that includes some snippets of what we did to help the patient but doesn’t include the testing and the reports of those tests.

Sockolow, P. S., Bowles, K. H., Topaz, M., Koru, G., Hellesø, R., O’Connor, M., & Bass, E. J. (2021, February 17). The time is now: Informatics research opportunities in home health care. Applied Clinical Informatics. https://www.thieme-connect.de/products/ejournals/html/10.1055/s-0040-1722222#N10D7D

Discussion 1 Sample Approach 2

Contains unread posts

Myounghee posted Sep 14, 2023 8:43 PM

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How Informatics is Involved in Your Practice

Over the last two decades, healthcare systems have undergone enormous changes due to increasing pressures to improve quality, value, affordability, and, most importantly, safety. The complexity of healthcare delivery systems and regulatory forces resulted in demands to digitize the entire industry. In 2016, researchers at Johns Hopkins determined that medical error is the third leading cause of death in the United States (Makary & Daniel, 2016).

Since I work in the psychiatric unit in the hospital setting, these are a few examples in the field of healthcare informatics as everyday tasks, offering a wide range of opportunities and tasks. First, making accurate medical records for patient safety is vital as a nurse. Managing Electronic Health Records (EHR) is essential, which involves maintaining and updating patient records electronically, ensuring accuracy and privacy. Also, Healthcare informatics professionals analyze large sets of healthcare data to identify trends, patterns, and insights that can improve patient care and outcomes.

Second, Implementing and maintaining health information systems,  which includes the implementation, customization, and maintenance of health information systems such as Electronic Medical Record (EMR) systems, Picture Archiving and Communication Systems (PACS), and Clinical Decision Support Systems (CDSS).

Another noteworthy fact is that in ensuring data security and privacy, with the increasing use of digital health records, healthcare informatics professionals play a crucial role in safeguarding patient data, implementing security measures, and ensuring compliance with privacy regulations.

The hospital in my place uses a variety of servers and systems to facilitate its operations. EHR systems store and manage patient health records, including medical history, diagnoses, medications, and laboratory results. These servers ensure secure and efficient access to patient information for healthcare providers.

In addition, Picture Archiving and Communication System (PACS) servers store and manage medical images, such as X-rays, MRIs, and CT scans. They enable healthcare professionals to view, store, and share these images for diagnostic and treatment purposes.

Moreover, Hospitals use various applications and software systems for different functions, such as patient scheduling, billing, and laboratory information management. Application servers host and run these applications, allowing users to access and utilize their functionalities.

We cannot overlook Health Information Exchange (HIE), which enables the secure exchange of patient information between healthcare institutions. HIE enhances care coordination, allowing healthcare providers to access comprehensive patient data, leading to better-informed treatment decisions (Hebda et al., 2019).

Lastly, Hospitals rely on communication servers for efficient and secure communication among healthcare professionals, staff, and patients. These servers may include email servers, messaging platforms, and video conferencing systems.

In conclusion

Informatics is crucial in the hospital setting for patient care. Informatics helps in the implementation and management of EHR systems. EHRs enable healthcare providers to access and update patient information and track medical history, medications, and test results, improving the accuracy and efficiency of patient care. Informatics continues to advance healthcare delivery, enhancing communication, decision-making, and patient outcomes in the hospital setting.

Signature Assignment Project

For a signature assignment topic, I would like to gain academic knowledge of telehealth, which refers to using information and communications technologies, including videoconferencing, to deliver health care remotely, including evaluations, medication management, and psychotherapy. Telemental Health has been successfully implemented with multiple populations across various mental health conditions and clinical settings ( Whaibeh et al., 2020). Another topic would be wound care with pressure injury prevention in the hospital setting, which provides an opportunity for me to understand and master in-depth study for better patient outcomes. As a wound care council member, It would be a great chance to demonstrate critical thinking, problem-solving and provide a comprehensive assessment of patient care.

References

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals (6th ed.). Spiegelhalter, D. (2019, April 5). 

Makary, M. A., & Daniel, M. (2016, May 3). Medical error-the third leading cause of death in the US. BMJ, 1-5. http://dx.doi.org/10.0036/bmj.i2139

Melnick, E. R., Sinsky, C. A., & Krumholz, H. M. (2021). Implementing measurement science for electronic health record use. JAMA325(21), 2149-2150.

Whaibeh, E., Mahmoud, H., & Naal, H. (2020). Telemental health in the context of a pandemic: the COVID-19 experience. Current Treatment Options in Psychiatry, 7, 198-202.

CIS 450 Module 2 Discussion

This week, you should be locating sources for your Signature Assignment project. What problems are you having locating sources for your project? Is the wording of an article hard to comprehend? What sites have you found helpful? Please locate at least two scholarly sources for your project and describe the information you found in these sources that you intend to use for your presentation.

Please reply to at least two peers offering support and assistance, including recommendations for locating sources for their projects.

Your initial posting should be at least 400 words in length and utilize at least two scholarly sources other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length. 

DQ1 UMBO – 3

DQ1 PLG – 1

DQ1 CLO – 7

Discussion Forum

Posting ReplyingRubric

  1. Review the rubric in the tab below. Also take a look at the Getting Started Guide to find due dates and other discussion post requirements.
  2. Select the Discussion Forum button above.
  3. Complete this discussion post by selecting the “Start a New Thread” button, entering a subject title, and then answering the question above.
  4. To properly post your answer, please select the “Post” button.
  5. After posting your contribution, you must read what others have posted, reply to at least two of those posts, and respond (when appropriate) to those you have responded to you.

**Note: Directions on submitting your posts will also be listed within the discussion question forum.

Example Discussion Solution 1

Tele ICU is a concept that is new at the facility I work at, but it is not necessarily a new concept in healthcare. I have heard of telemedicine being helpful is the outpatient setting for follow up visits but had never experienced using it in the inpatient setting. Research has shown that tele-ICU has saved many patients from fatal outcomes due to constant visualization and availability of electronic health records (Udeh et. al., 2018). Considering this is not a new platform and it is used in many large healthcare organizations, it has not been very difficult to find sources that share the many aspects where tele-ICU is beneficial to hospital settings. Some of the sources that I have found are scholarly articles from PubMed and Google Scholar. The scholarly articles that I found were easy to read as the wording is clear and sy to follow due to the variety of stdies that have been made to show cost effectiveness, ease on staff shortages, and convenience to the availability of providers and registered nurses who can assess, sign off, admit, and discharge patients remotely.

According to a study I found, COVID surged an emergent amount of safety concerns for the individuals caring for patients in the pandemic, therefore, there was an increase in telemedicine use due to conditions in which nurses felt unsafe being exposed to the illness (Kemp et. al., 2022). COVID allowed for telemedicine to become more prevalent in the inpatient healthcare setting without the scrutiny that would come from older generations (Kemp et. al., 2022). Healthcare is always evolving and the incorporation of technology within the system has pushed those who are not well versed to use these services as they are more cost effective and shown to be beneficial for years (Udeh et. al., 2018). Overall, finding information on this topic has not been difficult because of the rise in use of informatics in the clinical setting.

Kemp Van Ee, S., McKelvey, H., Williams, T., Shao, B., Lin, W. T., Luu, J., Sunny, D., Kumar, S., Narayan, S., Urdaneta, A., Perez, L., Schwab, H., Riegle, S., & Jacobs, R. J. (2022). Telemedicine Intensive Care Unit (Tele-ICU) Implementation During COVID-19: A Scoping Review. Cureus, 14(5), e25133. https://doi.org/10.7759/cureus.25133

Udeh, C., Udeh, B., Rahman, N., Canfield, C., Campbell, J., & Hata, J. S. (2018). Telemedicine/Virtual ICU: Where Are We and Where Are We Going?. Methodist DeBakey cardiovascular journal14(2), 126–133. https://doi.org/10.14797/mdcj-14-2-126less

Example Discussion Solution 2

I have been looking for applicable sources for my module eight project. Telehealth is the topic that I have chosen, and specifically how telehealth can help more people have access to healthcare that would not normally. Informatics plays a huge role in the success of telehealth.  Telehealth became a more viable option due to the recent pandemic. There are copious amounts of literature available about telehealth, and sometimes it is difficult to sift through all the data to find articles that apply to my paper. I have found Proquest Central to be particularly easy to use. It is accessed through Aspen University’s online library. I also find that Google Scholar is a valuable source of information. I found several great articles about telehealth regarding implementation, training, and evaluation.

Telehealth services have been around for several years. Telehealth is the use of digital information and communication technologies to access health care services remotely and manage your health care. Technologies can include computers and mobile devices, such as tablets and smartphones. This may be technology you use from home, or a nurse or other health care professional may provide telehealth from a medical office or mobile van, such as in rural areas. Telehealth can also be technology that your health care provider uses to improve or support health care services. With dynamic shifts in the business of healthcare delivery and reimbursement, the market for telehealth solutions is poised to expand from its historical role supporting clinical care within hospitals to supporting patient care and self-management beyond the clinic walls (Telehealth Services Market Must Extend Beyond the Hospital to Achieve Full Potential: Latest Chilmark Research Report Identifies Growth Factors, Challenges, and Market Leaders for Future Telehealth Adoption, Highlighting Impact of Value-Based Care and New Consumer-Centric Business Models, 2018).

Telehealth is certainly changing the landscape of healthcare. There are many benefits to utilizing telehealth. A few of the benefits are that it is cost-effective and improves access and timeliness of care. A few of the known challenges to the telehealth model are the widening disparities of care and the overutilization or misuse of care. As we move forward from the current pandemic, lessons learned from the studies demonstrating benefits and challenges associated with telehealth should be taken into account when drafting post-pandemic telehealth policies. Special attention should be paid to ensuring that telehealth narrows, and not widens, the currently existing disparities in access to healthcare (Mahtta et al., 2021).

References

Mahtta, D., Daher, M., & Lee, M. (2021). Promise and perils of telehealth in the current era. Current Cardiology Reports23(115). https://doi.org/10.1007/s11886-021-01544-w

Telehealth services market must extend beyond the hospital to achieve full potential: latest chilmark research report identifies growth factors, challenges, and market leaders for future telehealth adoption, highlighting impact of value-based care and new consumer-centric business models. (2018, November 8). PR Newswire. Retrieved May 2, 2023, from https://aspenuniversity.idm.oclc.org/login?url=https://www.proquest.com/wire-feeds/telehealth-services-market-must-extend-beyond/docview/2130761719/se-2

Undergrad Discussion Question Rubric v1

Print

CriteriaDoes Not Meet (0%)Approaches (60%)Meets (70%)Exceeds (100%)Criterion ScoreContent of Initial Thread/Post Weight: 40%0 pointsResponse contains little to none of the required aspects of the prompt; Content is off topic; references are not included. APA reference/citation format is not used.4.8 pointsMajor required aspects of the prompt are not addressed or the response speaks in vague generalities. Information is too general; 1 reference is present, but it is non-scholarly (if required) and/or it does not appropriately reflect the topic. APA reference/citation format may be inaccurate in the response.5.6 pointsResponse addresses prompt requirements. Content is relevant and germane to the intent of the prompt; 1 or more references are scholarly (if required) and/or appropriately reflect topic, and have few APA formatting errors.8 pointsContent includes additional or novel points beyond the intent of the prompt. References are sufficient, scholarly in nature, and are formatted correctly in APA format.Score of Content of Initial Thread/Post Weight: 40%,/ 8Critical Thinking of Thread/Post Weight: 10%0 pointsLittle analysis or insight is displayed; Little or no logical support or reasoning is present1.2 pointsSome illogical statements and poor reasoning displayed; argument is unclear or convoluted1.4 pointsResponse indicates that thought, insight, and analysis has taken place; Argument is solid and logical2 pointsResponse is rich in critical thinking, and full of thought, insight, and analysis; Argument is clear and conciseScore of Critical Thinking of Thread/Post Weight: 10%,/ 2Quality of Written Communication in Initial Thread/Post Weight: 20%0 pointsStyle and voice inappropriate or do not address given audience, purpose, etc. Word choice is excessively redundant, clichéd, and unspecific. Inconsistent grammar, spelling, punctuation, and paragraphing. Surface errors are pervasive enough that they impede communication of meaning.2.4 pointsStyle and voice are somewhat appropriate to given audience and purpose. Word choice is often unspecific, generic, redundant, and clichéd. Repetitive mechanical errors distract the reader. Inconsistencies in language, sentence structure, and/or word choice are present.2.8 pointsStyle and voice are appropriate to the given audience and purpose. Word choice is specific and purposeful, and somewhat varied throughout. Minimal mechanical or typographical errors are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.4 pointsStyle and voice are not only appropriate to the given audience and purpose, but also show originality and creativity. Word choice is specific, purposeful, dynamic and varied. Free of mechanical and typographical errors. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.Score of Quality of Written Communication in Initial Thread/Post Weight: 20%,/ 4Discussion Responses to Classmates’ Threads/Posts Weight: 30%0 pointsDid not make an effort to participate in learning community as it develops; Displays lack of engagement with discussion forum; Did not make the minimum of 2 responses to classmates.3.6 pointsOccasionally makes meaningful reflection on group’s efforts; Marginal effort to become involved with group; Made one response to classmates4.2 pointsFrequently attempts to direct the discussion and present relevant viewpoints for consideration by group; Interacts freely; Met the minimum of 2 responses to classmates6 pointsShows astute awareness of needs of community; Frequently attempts to motivate the group discussion; Pre

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CIS 450 Module 3 Electronic Record-Keeping in HealthcareFor this week’s assign ...

CIS 450 Module 3 Electronic Record-Keeping in Healthcare

For this week’s assignment you will be taking an inventory of the information systems in your organization. To complete the assignment, you might need to contact other departments. Based on what you have learned so far in this course, create a 15-20 slide PowerPoint presentation that addresses each of the following points/questions. Be sure to completely answer all the questions for each bullet point. Use clear headings that allow your professor to know which bullet you are addressing on the slides in your presentation. Support your content with at least three (3) scholarly citations using APA citations throughout your presentation. Make sure to reference the citations using the APA writing style for the presentation. Include a slide for your references at the end. Follow best practices for PowerPoint presentations related to text size, color, images, effects, wordiness, and multimedia enhancements. Review the rubric criteria for this assignment.

  1. Differentiate between electronic health record (EHR), electronic medical record (EMR), and personal health record (PHR)
  2. Differentiate between clinical information systems (CIS) and administrative information systems (AIS)
  3. What systems are currently being utilized at your organization?
  4. If you had to rate the information-technology status of your organization, what score would you give them?

Identify two strength and two weaknesses of the current information-technology being used.

M3 Assignment UMBO – 5

M3 Assignment PLG – 3

M3 Assignment CLO – 4, 5

Assignment Dropbox

Also read: CIS 450 Module 4 Implementation of New Systems

Instructions & SpecificationsSubmissionsRubric

Start by reading and following these instructions:
  1. Study the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
  2. Consider the discussion and the any insights you gained from it.
  3. Review the assignment rubric and the specifications below to ensure that your response aligns with all assignment expectations.
  4. Create your assignment submission and be sure to cite your sources, use APA style as required, and check your spelling.
The following specifications are required for this assignment:

Length: 15-20 slides in length, not including title, objective, or reference slides. Speaker notes are required to explain the information presented in the slides.

Structure: Include a title slide, objective slide, content slides, reference slide in APA format.  Title/Objective/Reference slides do not count towards the minimum slide count for this assignment.

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Power Point document (.ppt or .pptx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module1.pptx”)

Module 3 Assignment Rubric V1

Undergrad PowerPoint Assignment Rubric v1
Criteria
Does Not Meet 0%
Approaches 60%
Meets 70%
Exceeds 100%
Criterion Score
Criterion: Content/Quality of Information Weight: 40%
0 points
Topic is inappropriate to assignment, not based on scholarly information (if required), unclear and difficult to understand, no hyperlinks to credible sites; did not include required assignment components; slide notes missing (if required).

24 points
Topic is mostly covered and appropriate to assignment, but not based on scholarly information (if required); mostly clear and understandable; may contain hyperlinks to non-credible sites; some of required assignment components are present; minimal use of slide notes (if required).

28 points
Good coverage of topic and appropriate to assignment; sound, research-based (if required) information; clear and understandable; hyperlinks to credible sites; all required assignment components are accurate and present; slide notes used appropriately (if required).

40 points
In-depth coverage of topic and assignment components; outstanding clarity of information; detailed slide notes ensure all required content is well explained (if required).

Score of Criterion: Content/Quality of Information Weight: 40%,/ 40
Criterion: Presentation Weight: 20%
0 points
Unattractive; difficult to interpret; poor color choice and slide contrast; slide presentation unorganized; slide effects detract from the content; missing slide headings or sub-headings (if required for organization purposes); missing title/reference slides.

12 points
Attractive but somewhat difficult to interpret; somewhat pleasing contrast between text and background, slide presentation may be somewhat disorganized; transitions and slide effects detract from the content; may be missing title or reference slides; included slide headings/sub-headings may detract from presentation.

14 points
Attractive; easy to interpret, pleasing colors with strong contrast between text and background, slide presentation organized, good use of transitions and slide effects which enhance the presentation; both title and reference slides are present. Slide headings/sub-headings are used appropriately to organize the presentation.

20 points
Excellent use of transitions and effects that enhance the presentation. Presentation is organized and designed for maximum impact of content.

Score of Criterion: Presentation Weight: 20%,/ 20
Criterion: Use of Multimedia, Graphics, Diagrams, and/or Illustrations Weight: 30%
0 points
Does not include required multimedia, graphics, diagrams, and/or illustrations or they are irrelevant to topic or detract from slide content or presentation as a whole.

18 points
Required multimedia, graphics, diagrams, and/or illustrations are generally relevant but some may not appropriately support the slide content.

21 points
Required multimedia, graphics, diagrams, and/or illustrations are highly relevant and acceptably support the slide content; sized and positioned appropriately.

30 points
Required multimedia, graphics, diagrams, and/or illustrations add clarity and sophistication to the presentation content; they improve the effectiveness of the presentation.

Score of Criterion: Use of Multimedia, Graphics, Diagrams, and/or Illustrations Weight: 30%,/ 30
Criterion: Writing, Mechanics, and APA Weight: 10%
0 points
Style is inappropriate or does not address given audience, purpose, etc. Inconsistent grammar, spelling, and punctuation; APA format and style are not evident throughout the presentation.

6 points
Style is somewhat appropriate to given audience and purpose. Repetitive mechanical errors distract the reader. Inconsistencies in language, sentence structure, and/or word choice are present. There are missing APA elements or some are incorrectly formatted throughout the presentation.

7 points
Style is appropriate to the given audience and purpose. Word choice is specific and purposeful, and somewhat varied throughout. Minimal mechanical or typographical errors are present, but are not overly distracting. Reference slide and in-text citations have few formatting errors.

10 points
Style shows originality and creativity. Word choice is dynamic and varied. Free of mechanical and typographical errors. Reference slide and other in-text citations are formatted correctly using APA elements.

Score of Criterion: Writing, Mechanics, and APA Weight: 10%,/ 10
Total
Score of Undergrad PowerPoint Assignment Rubric v1,/ 100
Overall Score
Level 1
0 points minimum
Level 2
60 points minimum
Level 3
70 points minimum
Level 4
100 points minimum

Module 3 Discussion

Based on your research, what conclusions have you been able to draw related to your final presentation topic? Please describe your final presentation topic and the conclusions you have drawn from the literature you have researched. Are practice changes recommended for your current practice? Why or why not?

Your initial posting should be at least 400 words in length and utilize at least one scholarly source other than the textbook. Please reply to at least two classmates. Replies to classmates should be at least 200 words in length. 

DQ1 UMBO – 5

DQ1 PLG – 3

DQ1 CLO – 4

Discussion Forum

PostingReplyingRubric

  1. Review the rubric in the tab below. Also take a look at the Getting Started Guide to find due dates and other discussion post requirements.
  2. Select the Discussion Forum button above.
  3. Complete this discussion post by selecting the “Start a New Thread” button, entering a subject title, and then answering the question above.
  4. To properly post your answer, please select the “Post” button.
  5. After posting your contribution, you must read what others have posted, reply to at least two of those posts, and respond (when appropriate) to those you have responded to you.

**Note: Directions on submitting your posts will also be listed within the discussion question forum.

Module 3 Discussion Example

My final topic for the signature assignment is going to be remote patient monitoring. As I was doing my research for this topic, I came across an article on patient-generated health data. Patient-generated health data is any type of health data that is produced by the patient. Examples would be biometric data, symptoms, lifestyle choice, and treatment history (Abdolkhani et al., 2019). This type of data is different form data that is collected within the clinic because the patient, not the healthcare provider, take the primary responsibility for collecting the data. This data can be collected by wearable sensors or devices, mobile apps, web portals, and home monitoring devices. Patient-generated health data may help to reduce the incidence of re-admission into the hospital, expedite timely health management, enhance clinical data attained in in-patient care, deliver a more comprehensive picture of a patient’s status, and support more personalized treatment planning (Abdolkhani et al., 2019). 

As for me personally, I have an apple watch that monitors my heart rate, tracks the steps that I take throughout the day, and detects any type of exercise type of activity that I might do. I have this linked to a health app that is through my place of employment in order to get credit for my health insurance premiums. This is considered a consumer wearable. There is also medical grade wearable, like continuous blood glucose monitors and heart monitors. There are continuous glucose monitors available that can be linked to your cell phone, or a parent’s cell phone in instances for minors with diabetes. This allows for an individual to monitor their blood glucose more closely. 

Some issues that have been identified as possibly affecting the quality of patient-generated health data are digital health literacy, wearable accuracy, difficulty in data interpretation, and lack of patient-generated health data integration with electronic medical record systems (Abdolkhani et al., 2019). Making changes to help fix these issues will positively impact the quality of remote monitoring data from wearable devices can be used to provide a more precise and personalized patient care. Digital health literacy can be a big barrier, especially with older patients. They might not know how to use the device itself, might not be wearing the device correctly, or might not know how to access the information that is being produced. There is also the compliance factor as well. Patients are responsible for being active in their own care and commit to wearing a certain device in order for the data to be collected. There can be difficulty in data interpretation whether it is inaccurate data that is being recorded due to outside factors, or lack of integration with EMR systems. Another issue that was identified was the lack of personnel available to interpret that data that is being collected. 

Reference: 

Abdolkhani, R., Gray, K., Borda, A., & DeSouza, R. (2019, September 20). Patient-generated 

            health data management and quality challenges in remote patient monitoring. JAMIA 

            Open, 2(4), 471-478. https://doi.org/10.1093/jamiaopen/ooz036


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CIS 450 Module 6 Data-Based Changes AssignmentData-Based ChangesWrite an word es ...

CIS 450 Module 6 Data-Based Changes Assignment

Data-Based Changes

Write an word essay addressing each of the following points/questions. Be sure to completely answer all the questions for each number item. There should be three sections, one for each item number below, as well the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  1. Identify one aspect of big data and data mining that is interesting to you. Explain the concept and how it might bring value to healthcare. 
  2. Describe the concept of continuity planning. If you were the director or manager for your current workplace, describe the preparedness program you would recommend.
  3. Locate an article discussing the use of informatics in healthcare education of the general public or of nursing students. Discuss the benefits and drawbacks to using technology in this situation and recommendations from the author. Do you feel this use of technology is a viable method of educating (the public or nursing students)? Why or why not?

M6 Assignment UMBO – 5

M6 Assignment PLG – 3

M6 Assignment CLO – 2, 3

Assignment Dropbox

Instructions & SpecificationsSubmissionsRubric

Start by reading and following these instructions:
  1. Study the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
  2. Consider the discussion and the any insights you gained from it.
  3. Review the assignment rubric and the specifications below to ensure that your response aligns with all assignment expectations.
  4. Create your assignment submission and be sure to cite your sources, use APA style as required, and check your spelling.
The following specifications are required for this assignment:

Length: 1500 words total for this assignment.

Structure: Include a title page and reference page in APA style. These do not count towards the minimal word amount for this assignment. All APA Papers should include an introduction and conclusion. 

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sourcesto support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

Module 6 Assignment Undergrad Simple Essay Rubric v1

Print

CriteriaDoes Not Meet 0%Approaches 60%Meets 70%Exceeds 100%Criterion ScoreContent Weight: 30%0 pointsTopic is inappropriate to assignment, inaccurate understanding of concepts, unclear and difficult to understand; does not address many assignment requirements. Information has weak or no connection to the assignment topic.18 pointsTopic is mostly covered and appropriate to assignment, but does not adequately demonstrate accurate understanding of concepts; mostly clear and understandable; lacks some of the requirements of the assignment description and/or provides little detail; Information relates to the main topic, but few details and/or examples are given.21 pointsTopic is covered completely and appropriate to assignment; overview of key concept dimensions is evident; clear and understandable; addresses all of the requirements of the assignment description, with adequate attention to detail.30 pointsIn-depth coverage of topic; outstanding clarity and explanation of concepts demonstrated in information presented; approaches assignment with depth and breadth, without redundancy, using clear and focused details.Score of Content Weight: 30%,/ 30Organization Weight: 25%0 pointsOrganization is confusing and interferes with reader’s ability to follow ideas. Weak or no introduction of topic or purpose is unclear, weak, or missing. Conclusion lacks a summary of topic, or is missing or irrelevant.15 pointsIdeas are sometimes disorganized or irrelevant; Flow is sometimes choppy; somewhat clear organization. Basic introduction that states topic but is presented in an uninteresting way. Conclusion contains basic summary of topic without final concluding ideas, may inappropriately introduces new information.17.5 pointsStructures ideas in a coherent, organized order that has good flow and an obvious framework. Proficient introduction that is interesting and states topic. Conclusion contains good summary of topic with credible concluding ideas and introduces no new information.25 pointsExceptionally clear, logical, mature, and thorough organization permitting smooth flow of ideas; Introduction that grabs interest of reader and states topic in clear, unambiguous terms. Excellent concluding summary with succinct and precise ideas that impact reader.Score of Organization Weight: 25%,/ 25Logic/Argument Weight: 15%0 pointsDemonstrates little logical reasoning for the claims and thoughts within assignment; Many claims are weak or illogical.9 pointsLacks some logical reasoning for the claims and thoughts within the assignment; Some claims are weak.10.5 pointsUses solid logical reasoning for the claims and thoughts within the assignment.15 pointsProvides exemplary logical reasoning for the claims and thoughts within the assignment.Score of Logic/Argument Weight: 15%,/ 15Support Weight: 20%0 pointsLacks support; Uses poor sources for references; Citations lack credibility, relevance, or academic quality or are not current; Does not meet the minimum number of required citations in assignment description. APA format and style are not evident.12 pointsProvides weak support or not enough support; Citations are not consistently credible, current, relevant or academic; Meets the minimum number of required citations in assignment description Missing APA elements; in-text citations, where necessary, are used but formatted inaccurately and not referenced.14 pointsProvides sufficient support with credible, current, relevant academic citations; Meets the minimum number of required citations in assignment description. ; In-text citations and a reference page are present with few format errors. Mechanics of writing are reflective of APA style.20 pointsProvides very strong support from credible, current, relevant, academic citations; Meets or exceeds the minimum number of required citations in assignment description. Accurate citations and references are presented. No APA errors are evident.Score of Support Weight: 20%,/ 20Quality of Written Communication Weight: 10%0 pointsStyle and voice inappropriate or do not address given audience, purpose, etc. Word choice is excessively redundant, clichéd, and unspecific. Inconsistent grammar, spelling, punctuation, and paragraphing. Surface errors are pervasive enough that they impede communication of meaning.6 pointsStyle and voice are somewhat appropriate to given audience and purpose. Word choice is often unspecific, generic, redundant, and clichéd. Repetitive mechanical errors distract the reader. Inconsistencies in language, sentence structure, and/or word choice are present.7 pointsStyle and voice are appropriate to the given audience and purpose. Word choice is specific and purposeful, and somewhat varied throughout. Minimal mechanical or typographical errors are present, but are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used.10 pointsStyle and voice are not only appropriate to the given audience and purpose, but also show originality and creativity. Word choice is specific, purposeful, dynamic and varied. Free of mechanical and typographical errors. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.Score of Quality of Written Communication Weight: 10%,/ 10

Total

Score of Undergrad Simple Essay Rubric v1,

/ 100

Overall Score

Level 1

0 points minimum

Level 2

60 points minimum

Level 3

70 points minimum

Level 4

100 points minimum

CIS 450 Module 7 Assignment The Future of Healthcare Informatics

Write an essay addressing each of the following points/questions. Be sure to completely answer all the questions for each numbered item. There should be three sections, one for each item number below, as well as the introduction (heading is the title of the essay) and conclusion paragraphs. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least three (3) scholarly citations using APA citations in your essay. Make sure to reference the citations using the APA writing style for the essay. The cover page and reference page do not count towards the minimum word amount. Review the rubric criteria for this assignment.

  1. Identify the current role of the informatics nurse and predict the future role of the informatics nurse, based on scholarly sources.
  2. Explain what is meant by connected health.  Provide three examples of connected health in today’s healthcare environment.  Explain the benefits and drawbacks of each.
  3. In what ways has informatics impacted public health – please provide at least three examples.

M7 Assignment UMBO – 5

M7 Assignment PLG – 3

M7 Assignment CLO – 2, 3, 8

Assignment Dropbox

Instructions & SpecificationsSubmissionsRubric

Start by reading and following these instructions:
  1. Study the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
  2. Consider the discussion and the any insights you gained from it.
  3. Review the assignment rubric and the specifications below to ensure that your response aligns with all assignment expectations.
  4. Create your assignment submission and be sure to cite your sources, use APA style as required, and check your spelling.
The following specifications are required for this assignment:

Length: 1500 words total for this assignment.

Structure: Include a title page and reference page in APA style. These do not count towards the minimum word amount for this assignment. All APA papers should include an introduction and conclusion.2

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as a Microsoft Word document (.doc or .docx) or a PDF document (.pdf)

Filename: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.docx”)

CIS 450 Module 8 Assignment Informatics in Healthcare

Beginning in Module 1 of this course you have been researching a healthcare informatics topic of your choice. Present the findings in a recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. PowerPoint allows you to record directly to each slide. Be sure to include a title slide, objective slide, content slides, reference slide in APA format. Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources using APA citations to support your claims. This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox.

  • Discuss your topic and its relationship to your current (or future) practice. Discuss why the topic is important in healthcare informatics. 
  • What research have you have found on the topic? Describe how each scholarly article relates to the topic and your current (or future) practice. Describe what conclusions you have drawn based on your research of the topic.
  • What ethical or legal issues does this topic present?
  • Create a plan for implementing a change (or justify the need for no change). Who needs to be involved? What training programs are needed? Is there a need for on-going training? Discuss how you would evaluate the success of the change (or the continued success of what you are currently doing). What is the cost to implement or maintain this change? Who will be financially responsible? How feasible is this change?
  • Finally, identify how changes in public policy and technological advances in the future could impact this topic. What would those changes mean to the healthcare industry?  

Total Point Value of Assignment: 500 points

M8 Assignment UMBO – 5

M8 Assignment PLG – 3

M8 Assignment CLO – 6, 7, 8

Assignment Dropbox

Instructions & SpecificationsSubmissionsRubric

Start by reading and following these instructions:
  1. Study the required chapter(s) of the textbook and any additional recommended resources. Some answers may require you to do additional research on the Internet or in other reference sources. Choose your sources carefully.
  2. Consider the discussion and the any insights you gained from it.
  3. Review the assignment rubric and the specifications below to ensure that your response aligns with all assignment expectations.
  4. Create your assignment submission and be sure to cite your sources, use APA style as required, and check your spelling.
The following specifications are required for this assignment:

Length: Recorded presentation between 7 and 12 minutes in length. The presentation should include a PowerPoint and oral presentation of the slides. There is no slide number requirement. Answer all questions thoroughly with the allotted time. Use a recording platform of your choice and either upload as an mp4 or share the link directly to the video in the dropbox.

Structure: Include a title slide, objective slide, content slides, reference slide in APA format. 

References: Use the appropriate APA style in-text citations and references for all resources utilized to answer the questions. Include at least three (3) scholarly sources to support your claims.

Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

Format: Save your assignment as an mp4 document (.mp4) or share the link to the recording

File name: Name your saved file according to your first initial, last name, and the module number (for example, “RHall Module 1.mp4”)

Presentation: Use presentation software (ex. PowerPoint, Google Slides) to create a visual presentation. Then use a recording program to record a 7 and 12 minutes in length presentation. ***Please do not record as voice-over PowerPoint because this cannot be saved in mp4 format or a link.*** If you submit your assignment as a PowerPoint with voice over recording you will not receive credit for your assignment (or partial credit as you did not meet the full requirements of the assignment.)


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