Introduction The Medical Board of Australia (MBA) and the Nurses and Midwifery Board of Australia (NMBA) both recognise that good record keeping is required to provide safe‚ high-quality health care (MBA‚ 2014; NMBA‚ 2008‚ 2014). Clinical documentation reflects the assessment of the patient‚ the clinical findings‚ the plan‚ patient’s response and outcome of care (Heartfield‚ 1996; Jeffries‚ Johnson‚ & Griffiths‚ 2010). Accurate documentation is seen not only as a record of patient care (Rodden‚ &
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the nursing informaticist are an integral member of the health care team. The nurse informaticist (NI) assists in the integration of technology in the management of data‚ information‚ and knowledge‚ to enhance patient care and assure current practices are efficient and effective (McGonigle & Mastrian‚ 2015). Moreover‚ the NI is pivotal in the successful amalgamation of technology into the clinical setting. The American Nurses Association supports the specialty of nursing informatics. Nursing informatics
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Standardized terminologies are structured and controlled languages that have been developed according to terminology developed guidelines and have been approved by an authoritative body. Informatics nurse specialists have documented current efforts toward meeting the demand for a reference terminology of nursing concepts. These specialists are building on the foundation of existing interface and administrative terminologies‚ and are collaborating with efforts to develop terminology across the spectrum
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Information Management Gladys Kahwa‚ Department of Nursing‚ University of Mary NUR 853: Systems Thinking and Project Management Dr. Joanne Lassiter and Dr. Brittany Kudrna‚ November 3‚ 2024. Information Management in Nursing Information management is the collection‚ storage‚ organization‚ maintenance‚ and use of data. The large amount of data management is complex and strenuous for any organizational infrastructure. Nonetheless‚ this large amount of data enables organizations to reduce
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Hypothesis: If a patient has more access to his/her health documents‚ then chances of misdiagnosis decreases. In the following article written by the U.S. department of Labor‚ it provided informative material about the profession of nursing. The department of labor (2015) informed specifically on a nurse’s duties‚ environment‚ pay outlook‚ and educational requirements (p. 1). Within the amount of information there was also specific details such as statistics for the career. The passage also delivered
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Case Study Type 2 Diabetes Mellitus Y. L. makes an appointment to come to the clinic where you are employed. She has been complaining of (C/O) chronic fatigue‚ increased thirst‚ constant hunger‚ and frequent urination. She denies any pain‚ burning‚ or low-back pain on urination. She tells you she as a vaginal yeast infection that she has treated numerous times with the over-the-counter (OTC) medication. She admits to starting smoking since going back to work full time as a clerk in a loan
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Assessment for Quality Improvement Quality improvement should be a major focus in any organization and requires four basic steps: “…specify the requirements‚ design the product‚ create the product‚ and examine the product.” (Burrill and Ledolter‚ 1999‚ p. 142). Each process must be completed in order as each is important. Once requirements and specifications have been determined‚ resources and standards can be evaluated to create and test the product. The means of creation will be different in
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Mr. Grey age 70‚ is accompanied by his wife who stated that for the past 10-12 months she has noticed that her husband has been experiencing forgetfulness‚ personality changes; and some memory loss‚ for example‚ inability to recognize familiar faces‚ places‚ or objects. Further‚ she stated that he continuously repeats the same stories‚ having forgotten that he has already told them. 1. What is the most likely diagnosis? - A probable diagnosis could be dementia base on patient’s history
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Caring for someone can be challenging‚ both emotionally and physically. It can also be a rewarding experience. However‚ from time to time carers may need some extra help and support. This could include counselling or advocacy for you as a carer‚ or respite services for the person you care for – which would allow you to take a break. Respite care can also give the person you care for variety and extra social opportunities. You might not think of yourself as a carer. In truth many carers see themselves
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you’d hdhdhd hdjfdjjf hdjdjdjd dhdhdjdj dhdjdjd dhdjdj dhdhdj dhdjdj dhdhdj dhdhdhe dhdhdh dhdhdjd djsjdh dhdhd dhdhdjd dhdhdh dhdhdhddbdhhddh dhdhdjjd dhdhdjd xjckckkc jfjfnfnf djdjd dhdh djdjd djfbdjdbdjdbhdvdhd djd hdbdbdjdbdjr jd ddbd djd you’dyou’dyou’dyou’dyou’d shows an increased risk. For the table below‚ a relative risk of 4 means that individuals with that condition are 4 times as likely as similar individuals without the same condition‚ to develop a venous thrombotic event. Despite the
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