Legal & Ethical Aspects of Health Info Mgmt

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Week 2 – Discussion 2

 

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Reference the Discussion Forum Grading Rubric for guidance on how your discussion will be evaluated.

 

Legal Liability

A surgeon performs elective surgery on John Smith. Smith later complains to his surgeon about pain resulting from the surgery. His surgeon dismisses his complaints as not credible and eventually withdraws from the case. Smith is then treated by another surgeon, who determines that Smith developed complications from surgery and that the delay in treatment has made the complications worse. Smith sees an attorney about a possible lawsuit against the first surgeon. (Case Study, p.88)

Based upon the information above, describe at least two theories of liability that could support a lawsuit under these circumstances. Be sure to discuss each theory in detail and thoroughly explain the rational for your choices. What are the potential defenses and limitations of the liability theories you have chosen?

Guided Response: Review several of your classmates’ posts. Provide a substantive response to at least two of your peers, specifically, those who chose a different theory of liability than you did. How does the theory they selected also support a lawsuit in this case? Did they support their choice with adequate reasoning? Would another theory be more or less appropriate, in your opinion?

Have your client fill out the Lower Extremity Functional Index and the Upper Extremity Functional Index. Summarize what the results tell you about your client

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Design a one-week corrective exercise program for a friend or client. Your program must include the following:

  1. Have your client fill out the Lower Extremity Functional Index and the Upper Extremity Functional Index. Summarize what the results tell you about your client (you do not need to submit the filled out forms).
  2. Conduct an Upper Body Multi-Joint Movement Assessment and a Lower Body Multi-Joint Movement Assessment on your client. Summarize your findings and how these findings influenced your program design.
  3. A detailed one-week corrective exercise program including specific exercises/drills/stretches, sets, and repetitions. Use charts to illustrate the program.
  4. A comprehensive analysis of your program outlining how your prescriptions meet the needs of the client.

Legislator Communication

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Please fallow instruction

Title: Legislator Communication

This written assignment requires you to investigate your local, state, and federal legislators and explore their assigned committees and legislative commitments. You are expected to investigate current and actual legislative initiatives that have either passed or are pending approval by the house, senate, or Governor’s office. You will draft a letter to a specific legislator and offer support or constructive argument against pending policy or legislation. The letter must be supported with a minimum of 3 evidence-based primary citations. Followed APA guidelines and three-page Word document

I’ am currently leaving in the state of Florida and my local area is Delray Beach or West Palm Beach.

 

FYI: Please cover all of this key point, this is how my instructor will grade me Grading Criteria

Investigated your local, state, and federal legislators and explored their assigned committees and legislative commitments.

Investigated current and actual legislative initiatives that have either passed or are pending approval by the house, senate, or Governor’s office.

Drafted a letter to a specific legislator and offered support or constructive argument against pending policy or legislation.

Supported the letter with a minimum of 3 evidence-based primary citations.

a) A problem solving approach to clinical decision making that incorporates a search for the best and latest evidence, clinical expertise and assessment, and patient preference values within a context of caring.

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Hello follow instruction pleaseanswer the following question please and I would like to have references for each, that are not older than 5 years old.

Question 1 Evidence-based Practice is defined as:

Question 1 options:

a) A problem solving approach to clinical decision making that incorporates a search for the best and latest evidence, clinical expertise and assessment, and patient preference values within a context of caring.

b) The systematic inquiry specifically designed to develop, refine and extend nursing knowledge. The intent of nursing research is to answer questions and develop knowledge using a scientific method such as quantitative, qualitative or mixed methods.

c) Quality, clinical or performance improvement focuses on systems, processes and functional, clinical, satisfaction, and cost outcome. Projects may contribute to understanding best practice

or processes of care in which nurses are involved. Is not designed to develop nursing practice standards or nursing science

Question 2 Quality improvement is defined as:

Question 2 options:

a) A problem solving approach to clinical decision making that incorporates a search for the best and latest evidence, clinical expertise and assessment, and patient preference values within a context of caring.

b) The systematic inquiry specifically designed to develop, refine and extend nursing knowledge. The intent of nursing research is to answer questions and develop knowledge using a scientific method such as quantitative, qualitative or mixed methods.

c) Quality, clinical or performance improvement focuses on systems, processes and functional, clinical, satisfaction, and cost outcome. Projects may contribute to understanding best practice or processes of care in which nurses are involved. Is not designed to develop nursing practice standards or nursing science

Question 3

Nursing Research is defined as:

Question 3 options:

a) A problem solving approach to clinical decision making that incorporates a search for the best and latest evidence, clinical expertise and assessment, and patient preference values within a context of caring.

b) The systematic inquiry specifically designed to develop, refine and extend nursing knowledge. The intent of nursing research is to answer questions and develop knowledge using a scientific method such as quantitative, qualitative or mixed methods.

c) Quality, clinical or performance improvement focuses on systems, processes and functional, clinical, satisfaction, and cost outcome. Projects may contribute to understanding best practice or processes of care in which nurses are involved. Is not designed to develop nursing practice standards or nursing science

Question 4 New evidence will not achieve its maximum value to clinical practice and better patient outcomes unless it is communicated effectively. Choose all appropriate ways to communicate to providers.

Question 4 options:

publication

pod casts

posters

news embargo

policy brief

Question 5 The primary goal of disseminating evidence, whether it is presentations or publications, is to (choose all that apply):

Question 5 options:

Facilitate the transfer and adoption of research findings into clinical practice.

Advance professional careers by providing evidence of scholarship.

Advancing new knowledge directly to patients for better health literacy.

Accelerate the use of evidence by the public to increase health promotion.

 

Discuss any “take-away” thoughts from the article. What are the ethical dilemmas to consider with prophylactic surgeries?

Need help with my Health & Medical question – I’m studying for my class.

 

For this assignment, read the article, which I sent to you, you will review and reflect on the Prophylactic Hysterectomy article. This article can be applied to healthcare providers in the primary care and specialty settings. Discussion of the article is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice. APA format with at least 5 references, plus the article no older than 5 years old.

  • Discuss any “take-away” thoughts from the article.
  • What are the ethical dilemmas to consider with prophylactic surgeries?
  • Discuss the screenings
  • Interventions
  • Options
  • Education that you would provide to a patient that has a strong family history of ovarian cancer.
  • What if the patient has no health insurance?
  • What resources could you offer to assist the patient?
  • Discuss and describe what causing patient to undergo a Prophylactic Hysterectomy.

 

Explanation for your chosen assessment, programming, and nutritional recommendations. (Be sure to reference course concepts when discussing rationale for your recommendations.

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Calculations: Calculate the client’s target heart rate using the Karvonen formula.

Training Program: Design a 12-week periodized training program for the client described in the Client Profile. Be very specific as you design the training program. This is an opportunity for you to demonstrate your full comprehension of the information and concepts discussed throughout the course. List the types of exercise, duration, sets, reps, rest intervals, and so on.

Include the following in your case study submission:

  • A description of your professional responsibilities as discussed in the stages of the drawing-in process (Unit 12)
  • Discussion of any fitness tests, methods of evaluation, and data collection used to assess and evaluate the clientÕs needs
  • Specific conditions that you have identified in the client profile
  • A detailed 12-week comprehensive and periodized training program including specific exercises, sets, repetitions, suggested rest times, etc. Use an integrated approach in your program recommendations.
  • Specific and detailed nutritional strategies and an explanation as to how the strategies will assist the client in meeting energy needs
  • Explanation for your chosen assessment, programming, and nutritional recommendations. (Be sure to reference course concepts when discussing rationale for your recommendations.

Keep in mind that a client should be able to take your program and put it into practice without having to contact you to clarify what you intended by your recommendations or to explain parts of your program.

Don’t forget your explanation for WHY you listed and recommended what you did. Reference the concepts and theories covered in the course. Be sure to address why the program and exercises recommended are appropriate for the specific client given the clientÕs history, current abilities, and intended goal(s). For example: if you are developing a program for a beginner client without any resistance training experience, explain how your program addresses the lack of experience, initial need for foundational development, process by which you would safely progress the client, etc. Tying your program to course concepts is a critical component of your case study.

Review the Client Profile below.

Client Profile: Steve Rogers

Age: 27

Gender: Male

Resting Heart Rate: 60 bpm

Height: 6’0″

Weight: 178 lb

Body Fat Percentage: 11%

Background and Goals: Steve is an avid runner and has been quite slim his whole life. He runs moderate- to long-distances three or four days per week. Running is his only physical activity. Steve has never been interested in resistance training because it is not his strong suit. Steve recently decided that he is tired of being skinny. He would like to put on some size and muscle before he travels back to his hometown for a good friend’s wedding in 12 weeks.

 

Identify two reasons why Maria will have tissue ischemia. How might this lead to hypoxia? What two early and reversible changes occur to tissue cells when they are hypoxic? What specific type of cellular adaptation has taken place in Maria’s enlarged heart? What made you come to this conclusion?

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Case study: Maria is a sedentary, 68-year-old woman who is overweight. She complains that her hands and feet are always cold, and she tires quickly when cleaning the house. At her most recent visit to her doctor, her blood pressure was 184/98 mm Hg. She has edema around her ankles and legs, and her physician is concerned about an echocardiogram that indicates Maria has an enlarged heart.

  • Identify two reasons why Maria will have tissue ischemia. How might this lead to hypoxia?
  • What two early and reversible changes occur to tissue cells when they are hypoxic?
  • What specific type of cellular adaptation has taken place in Maria’s enlarged heart? What made you come to this conclusion?

Predict why Maria’s heart has become enlarged. Why doesn’t this enlargement give her the same cardiac strength and endurance as a well-trained athlete?

Use at least 5 references no more than 5 years old.

This can be use as a guide to answer the questions:

Identify two reasons why Maria will have tissue ischemia. How might this lead to hypoxia?

Maria’s tissue ischemia is a result of impaired circulation and her edema. In this situation, the tissue hypoxia results from the inability of oxygenated blood to reach the tissue cells.

2. What are the two early and reversible changes that occur to tissue cells when they are hypoxic?

Two early and reversible cellular changes seen with hypoxia are the following:

  • Anaerobic metabolism and the production of lactic acid
  • The failure of Na+/K+ pumps resulting in cellular swelling
  1. What specific type of cellular adaptation has taken place in Maria’s enlarged heart? What made you come to this conclusion?

Adaptive pathologic hypertrophy. Hypertrophy occurs instead of hyperplasia in the heart because muscle fibers are unable to undergo mitotic division.

Identify two reasons why Maria will have tissue ischemia. How might this lead to hypoxia? What two early and reversible changes occur to tissue cells when they are hypoxic? What specific type of cellular adaptation has taken place in Maria’s enlarged heart? What made you come to this conclusion?

Help me study for my Health & Medical class. I’m stuck and don’t understand.

 

Case study: Maria is a sedentary, 68-year-old woman who is overweight. She complains that her hands and feet are always cold, and she tires quickly when cleaning the house. At her most recent visit to her doctor, her blood pressure was 184/98 mm Hg. She has edema around her ankles and legs, and her physician is concerned about an echocardiogram that indicates Maria has an enlarged heart.

  • Identify two reasons why Maria will have tissue ischemia. How might this lead to hypoxia?
  • What two early and reversible changes occur to tissue cells when they are hypoxic?
  • What specific type of cellular adaptation has taken place in Maria’s enlarged heart? What made you come to this conclusion?

Predict why Maria’s heart has become enlarged. Why doesn’t this enlargement give her the same cardiac strength and endurance as a well-trained athlete?

Use at least 5 references no more than 5 years old.

This can be use as a guide to answer the questions:

Identify two reasons why Maria will have tissue ischemia. How might this lead to hypoxia?

Maria’s tissue ischemia is a result of impaired circulation and her edema. In this situation, the tissue hypoxia results from the inability of oxygenated blood to reach the tissue cells.

2. What are the two early and reversible changes that occur to tissue cells when they are hypoxic?

Two early and reversible cellular changes seen with hypoxia are the following:

  • Anaerobic metabolism and the production of lactic acid
  • The failure of Na+/K+ pumps resulting in cellular swelling
  1. What specific type of cellular adaptation has taken place in Maria’s enlarged heart? What made you come to this conclusion?

Adaptive pathologic hypertrophy. Hypertrophy occurs instead of hyperplasia in the heart because muscle fibers are unable to undergo mitotic division.

Based on what you know about inflammation and the cellular structure of the brain, describe what the pathologist found in each of the damaged areas of the brain.

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A 75-year-old man was found unconscious in his bathroom after falling and hitting his head. He survived for several hours but died later in the hospital. An autopsy was performed to determine the exact cause of death. Evidence indicated that the man had suffered two strokes, both due to blocked blood vessels. One had occurred a few weeks earlier; the other had occurred very recently and may have led to the fall. Autopsy findings also indicated that, when the man hit his head, some damage to his brain occurred as well.

Based on what you know about inflammation and the cellular structure of the brain, describe what the pathologist found in each of the damaged areas of the brain.

Note: Be specific. This answer should be at least a paragraph long and contain information pertaining to the inflammation and the cellular structure of the brain. A few key words needed: microglia, necrosis, white blood cells.

 

Identity and discuss the confidentiality issues present with such a network in the light of the statutory, regulatory, and accrediting requirements governing patients treated in these units. What are the additional requirements for record content and privacy requirements for mental health and addiction medicine patients?

I’m studying for my Health & Medical class and don’t understand how to answer this. Can you help me study?

Week 4 – Discussion 2

 

Your initial discussion thread is due on Day 3 (Thursday) and you have until Day 7 (Monday) to respond to your classmates. Your grade will reflect both the quality of your initial post and the depth of your responses. Reference the Discussion Forum Grading Rubric for guidance on how your discussion will be evaluated.

 

Specialized Health Records

This discussion has two options. Please choose either Option A or Option B to respond to and indicate which option you chose.

Option A: Imagine you are the director of health information services in a major medical center that maintains both a psychiatric unit and a substance abuse unit in addition to general medical and surgical units. Your facility plans to join a computer network with fifteen hospitals throughout the state, which will allow online access to laboratory data, regardless of which facility performed the lab work. None of the other fifteen facilities offer psychiatric or substance abuse treatment. (Case Study, p. 249)

Identity and discuss the confidentiality issues present with such a network in the light of the statutory, regulatory, and accrediting requirements governing patients treated in these units. What are the additional requirements for record content and privacy requirements for mental health and addiction medicine patients?

Option B: Pretend you have recently been promoted to the manager of specialized health records position for your organization. Your department in primarily responsible for maintaining patient records related to HIV/AIDS diagnoses and other highly sensitive health information. Upon taking the lead of the department, you have noticed several incidences of employees improperly storing sensitive data and/or releasing information to the wrong patients. Many of your employees transferred from the general records department, so they aren’t familiar with the requirements for specialized records. Given the consequences of their actions, you realize that an in-service is imminent. Discuss the components of your presentation and be sure to include the following:

a. What are the primary distinctions between specialized patient records and general health records?

b. Why is HIV/AIDS testing information, results, and diagnoses particularly sensitive?

c. What are the legal ramifications of HIV/AIDS information being released to the wrong patient, or to employees without a “need to know”?
Guided Response (for Option A and Option B): Review several of your classmates’ posts, and provide a substantive response to at least two of your peers. What are your classmates’ thoughts regarding the importance of securing sensitive health information? Do you agree or disagree with your peer’s perspective? Why? After reading their perspective, would you change or alter any aspect your reasoning or suggest a change in their perspective regarding securing health information?