In recent years, hackers have targeted medical records, from hospitals and other healthcare institutions, across the country. These records contain personal information, contact information, and most importantly, for the hackers, information that may prove useful in stealing an identity. Thus, healthcare organizations have made it a priority to protect patient records and privacy. However, with the influx of technological advancements and hacker determination, there is no perfect way to ensure that all records are secure and safe.

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In addition to medical records, privacy concerns are relevant with any patient chart in any setting. For example, a chart left open on a computer monitor in a patient room, employee passwords and log-in information, and new employee access and screening all represent other ways in which ethics and security merge in healthcare and nursing practice.

For this Discussion, you will consider the importance of ethics as it relates to security. You will also reflect on how these topics might affect clinical practice and the connection to nursing informatics.

To Prepare
Review the Learning Resources associated with the topics of ethics, cyber ethics, and security.
Consider the role of each of these topics for clinical practice, as well as the importance of understanding each of these topics.
Reflect on how COVID-19 might have impacted each of these topics, which reviewing the article, “The COVID-19 Pandemic Highlights Shortcomings in US Health Care Informatics Infrastructure: A Call to Action.”
By Day 3 of Week 9
Post a cohesive response that addresses the following for each of the topics of ethics, cyber ethics, and security:

Explain how each of the topics might impact clinical practice. Describe why it is important to understand how ethics applies to clinical practice. Be specific and provide examples.
How might ethics apply to informatics, e-health records, importance of passwords and security?
After reviewing the article, “The COVID-19 Pandemic Highlights Shortcomings in US Health Care Informatics Infrastructure: A Call to Action,” describe potential impacts of the pandemic on ethics and security as it applies to clinical practice. Be specific and provide examples.

Due to decreased funding caused by value based models of payment, accountable care organization payment and bundled care payment, discuss the following in 400 words. cite your references in apa format

What is the impact that these new payment models will have on Krona’s revenue.
Address the possible issues surrounding next year’s forecasting.
Discuss the challenges, benefits, and risks in utilizing capitation.

The VP of HR reviewed the executive summary and decided that your recommendation was a strong course of action for the change process. In her discussions with Leroy, she mentioned that it would be good to have you participate in a focus group to discuss your experiences with the change process. She was interested in discovering some best practices for change and felt that your experiences would be very valuable to Red Carpet’s approach to change. To guide the discussion, she recommended addressing a few points that should be covered in the focus group. Leroy will gather the results of the focus group and share it with the VP of HR.

Review the Red Carpet scenario for this course and with your classmates; discuss the following questions that will provide insight into your own change experiences: in 400-600 words and citing your references in APA format

Describe a successful change from your own experiences and why it worked well.
Describe an unsuccessful change from your own experiences and why it did not achieve its intended objectives.
From your own experiences, what do you think Red Carpet should do to make the change successful?

Identify chronic illness and its relationship to rehabilitation.
Choose from one:
COPD, CHF, Stroke, Hip fracture
Create interventions that support an older adult’s adaptation to the chronic illness or disability.
Describe the nurse’s role in assisting older adults in managing chronic conditions.
From your readings and knowledge which opportunities do you think can be change in the health care system to improve care for older adults with chronic illness and disability.
Submission Instructions:

The work is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
The work is to be 5 pages in length, excluding the title, abstract and references page.
Incorporate a minimum of 3 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Journal articles and books should be referenced according to APA style.

Assignment

· Based on your evaluation of this patient, develop a video case presentation that includes chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.

· Include at least five (5) scholarly resources to support your assessment and diagnostic reasoning.

· Ensure that you have the appropriate lighting and equipment to record the presentation

· Present the full case. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.

· Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.

Be succinct/ Address the following:

· Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?

· Objective: What observations did you make during the interview and review of systems?

· Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis, and why?

· Reflection notes: What would you do differently in a similar patient evaluation?

Case Study

26-year-old white female. Individual is A/O x3. Individual reports “everything hit me like a freight train in January. I could not sleep.” Individual reports she was placed on medication during recent inpatient admission to psychiatric facility. Individual reports “it works a little too well. It makes me sleepy.” She reports originally going to the psychiatric facility because she could not sleep. Individual reports being diagnosed with Bipolar disorder. She reports losing 14 pounds within one week. Individual reports taking Gabapentin 600 mg in the morning, 600 mg at noon, and 1200 mg at night, and Abilify 5 mg at night. Individual complains of sleeping too much at night. Individual rates life 8/10 with 10 being total happiness. She denies S/I, H/I. individual reports that she has highs and lows. She reports she tried Lithium during inpatient admission “I had a really bad reaction. I had diarrhea.” DX; Bipolar I disorder; Mild depression. Plan; Gabapentin 600 mg tablet, 1.5 tablet nightly, Gabapentin 600 mg one tablet twice daily, Aripiprazole 5 mg one tablet nightly.

DX;

Bipolar disorder, Depression

Medications

Gabapentin 600 mg 1.5 tab nightly

Gabapentin 600 mg one tab daily

Aripiprazole 5 mg tab nightly

Mental exam

PHQ-9 total score; 4

GAD-7 total score; 7

Assessment

Mild depression (disorder) (f32.0/296.21) Major depressive disorder, single episode, mild modified.

Bipolar I disorder (disorder) (f31.9/296.80) Bipolar disorder, unspecified.

Plan;

“I wanna continue going on the right track.” Continue all medications as ordered.

Vital signs

BP; 122/75

HR; 88 bpm

Ht/Lt; 5’11”

Wt; 153 lbs 9 oz

BMI; 21.42

Pain; 0/10Assignment

· Based on your evaluation of this patient, develop a video case presentation that includes chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.

· Include at least five (5) scholarly resources to support your assessment and diagnostic reasoning.

· Ensure that you have the appropriate lighting and equipment to record the presentation

· Present the full case. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; and current psychiatric diagnosis including differentials that were ruled out.

· Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.

Be succinct/ Address the following:

· Subjective: What details did the patient provide regarding their personal and medical history? What are their symptoms of concern? How long have they been experiencing them, and what is the severity? How are their symptoms impacting their functioning?

· Objective: What observations did you make during the interview and review of systems?

· Assessment: What were your differential diagnoses? Provide a minimum of three (3) possible diagnoses. List them from highest to lowest priority. What was your primary diagnosis, and why?

· Reflection notes: What would you do differently in a similar patient evaluation?

Case Study

26-year-old white female. Individual is A/O x3. Individual reports “everything hit me like a freight train in January. I could not sleep.” Individual reports she was placed on medication during recent inpatient admission to psychiatric facility. Individual reports “it works a little too well. It makes me sleepy.” She reports originally going to the psychiatric facility because she could not sleep. Individual reports being diagnosed with Bipolar disorder. She reports losing 14 pounds within one week. Individual reports taking Gabapentin 600 mg in the morning, 600 mg at noon, and 1200 mg at night, and Abilify 5 mg at night. Individual complains of sleeping too much at night. Individual rates life 8/10 with 10 being total happiness. She denies S/I, H/I. individual reports that she has highs and lows. She reports she tried Lithium during inpatient admission “I had a really bad reaction. I had diarrhea.” DX; Bipolar I disorder; Mild depression. Plan; Gabapentin 600 mg tablet, 1.5 tablet nightly, Gabapentin 600 mg one tablet twice daily, Aripiprazole 5 mg one tablet nightly.

DX;

Bipolar disorder, Depression

Medications

Gabapentin 600 mg 1.5 tab nightly

Gabapentin 600 mg one tab daily

Aripiprazole 5 mg tab nightly

Mental exam

PHQ-9 total score; 4

GAD-7 total score; 7

Assessment

Mild depression (disorder) (f32.0/296.21) Major depressive disorder, single episode, mild modified.

Bipolar I disorder (disorder) (f31.9/296.80) Bipolar disorder, unspecified.

Plan;

“I wanna continue going on the right track.” Continue all medications as ordered.

Vital signs

BP; 122/75

HR; 88 bpm

Ht/Lt; 5’11”

Wt; 153 lbs 9 oz

BMI; 21.42

Pain; 0/10