Archive for April 28th, 2009

Future Population Trends, comment

April 28, 2009

There are many future trends which will begin affecting the way we treat our patients. One that has hit our rural area is use of a robotic computer to analyze stroke patients. Instead of the physician actually coming to the hospital immediately they are remotely brought in by use of the robot who stands in front of the patient and the doctor can have the patient squeeze the robots “hands” and receive a reading as to their strength, etc. There are positive and negative aspects to this. First the positive is that the patient can be assessed regardless of the doctor’s wheareabouts and receive some form of feedback instead of potentially having to wait until the end of the day. The negative that I feel is a real biggy is that how do you know this robot is working adequately? To me being an “old school” RN, there is NO subsitute for assessing your own patient. Even if a colleague of my would tell me that my patient looked good or that their pain level was in check I would go in myself to eyeball the patient. Also, you lose that personal touch with the patient. In my opinion I would be a little discouraged to be seen by a robot but my physician gets the big check. There will be many more technical trends to come about but we must always remember that there is no subsitute for on hands care of your patient both for your knowledge but also for their safety.

Original Post:
April 24, 2009
Describing three future population trends, and discussing the potential impact of those trends on the development of new health care informatics systems. Changes is society, technology and health care are three population trends that will effect the development of new health care systems. 1. Societal trends: With the average age of the aging population increasing and the decline in deaths and births, the elderly population will be using significantly more health care resources then the younger groups. This would mean the larger number of elderly and the health status of the elderly population will have a major impact on the health care industry. The changes in racial and ethnic demographics will also have an effect on the development of new health care systems. A huge challenge for the health care industry, as well as software and systems designers, is to recognize and accommodate the needs of an increasingly diverse population. Increased access to the Internet is providing increased access to health care information, including evidence of lifestyle changes with a positive impact on health. A future trend would be for the consumer to take responsibility for his/her own health care. 2. Technology trends: With the rapid advancement in technology and computing, the cost of computer hardware will be driven down. This will enable a larger segment of the community to purchase and use computers to obtain information over the Internet. It is forecast the level of dependency on computer use in our society will increase dramatically. 3. Health Care trends: The development of information technology will impact all aspects of health care. It will become easier and faster to collect, compile and share data internationally and locally in regards to treatments of community health care challenges such as HIV/AIDS. Increase education and access to information will empower both provider and consumers. The consumer will engage in shared decision making with their provider. The fast pace of introducing new technologies, will significantly increase the number of new technologies available such s minimal invasive surgeries, genetic mapping and the use of specialized microchips for individual therapies such as pumps, artificial blood and other body parts.

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Nutrition Web Resources for the School Age Child, comment

April 28, 2009

These websites are very helpful if you get on the right one. Some are over the top regarding childhood obesity and the structure of how we should feed our children. Parents must use their common sense but also we as clinicians should assist our parents in getting accurate information. Our state childcare regulatory website has really awesome links that show how to prepare healthly fun meals for kids of all ages and there are also a few websites which allow the kids to play “food” games to learn about the food pyramid and putting together healthly meals and snacks. Again, I love the computer and internet resources but we just have to be aware of the dangers believing everything you read on them.

Original Post:
April 23, 2009
Nutritional web sites; what a wonderful resource for parents to have at their fingertips. Sites such as HealthLinks (, and keepkidshealthly ( provide useful information on topics such as healthy snacks, slim down plans, food pyramids and daily intake needs based upon the child’s age. Health Promotion (2006) states: “with more school age children accessing the Internet, child-friendly sites(noted above), may help children focus on ways to improve their nutrition and avoid obesity”. This has merit, however, the sites listed in the text are not kid-friendly web sites, rather they are geared toward adult reading levels and comprehension. I endorse kid friendly sites; sites where children can explore on their own the basics of nutrition, its impact on their health, and healthy food choices, all in a fun and engaging method. However, these sites are limited on the web, with the majority of information geared towards the adult population. This would be a great undertaking for a pediatric dietitian to create, as the need exists.

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Nursing Education and the Computer, comment

April 28, 2009

The computer is such a vast magnitude of information and when used appropriately can be a wonderful education tool. I wouldn’t know what to do if I had to attend class because I have taken internet courses for so long. I love it for the convenience. The only downfall that I see to education via the computer is that the individual must be disciplined and take initiative. In other words, I have learned that I must still schedule my school time. The other thing is that is is my responsibility to look for clinical education. I use my current employment to get clinical experience to assist in the studies I am currently doing. I think nurses and anyone really can benefit from computer education if used the right way. I do believe we must be cognizant of the fact that not all information on the internet is accurate and we must utilize information from reputable sites.

Original Post:
April 22, 2009
The information that we can gain to utilize in our nursing career is
significant.  I currently work with the Director of the Child Abuse team.
She is a remarkable physician and is constantly working to keep the nursing
staff up to date in assessing for child abuse.  A few years ago she showed a
video of a daycare provider’s boyfriend physical abusing an infant on a
nanny cam.  The day care provider was suspicious of her boyfriend and hid a
video camera when she left the children alone with him.  After seeing the
vicious beating on tape she immediately called the parent and had the child
brought to the local ER.  The child had not one bruise and not one broken
bone.  To see this video is to assume the child would be barley breathing.
The doctor’s intent of the video is to show us recent information about an
ongoing child abuse case and to re-enforce a child victim of abuse does not
necessarily have the marks to show it.  The current and readiness of the
Internet to help educate has kept our clinic up to date on what to look for
with child abuse.

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