Posts Tagged ‘Healthcare Informatics Assessment’

Importance of Skin Assessment in Elderly and Child Abuse, comment

May 17, 2011

This is one area where healthcare informatics can be of great help. Instead of nurses trying to remember what to assess and what to write down, the health electronic record will indicate what assessment needs to be done and documented. If the nursing and hospital administration wants skin assessment done, they can include it in the program. And they can set the computer program to indicate to the nurse when this assessment should be done. Thus, the nurse does not have to guess in most circumstances.

Another part of the medical electronic record is the use of cameras. Some camera systems are able to insert an image of the skin assessment directly into the electronic chart. This is a huge time saver for of all nurses. No more writing essays on what was seen on the patients skin.

Original Post
October 18, 2010
Importance of Skin Assessment in Elderly and Child Abuse, comment
Skin assessment is a more valuable tool than we give it credit or time for. There are so many clues to a long list of health issues; from the varience in color, turgor, texture, temperature and thickness, to hair distribution, and condition of the nails. All of these variances from norm could be linked to some health issue. Issues like nutritional deficiency, allergy, local or systemic disease; such as melanoma or systemic lupus erythematosus; or they could be signs or the ‘remnants’ of abuse.

Unfortunately, I don’t think the nurse on the floor routinely gives skin assessment the time or attention needed to pick up on these clues. The most opportune time to find these signs would be on admission, during the initial assessment. What I see on the floor, is short staffing more often than not, trying to care for more patients than can be fully cared for during their shift, and bed shortages, requiring ’quick’ turnover. I am also afraid that the gains in my staffing numbers over the past year are in jeopardy with the reforms and cuts in reimbursement that I think are coming. Thorough assessments are an essential part of health care, of preventative medicine, and all of our professional practices; so I truly hope there will be the time and ability going forward to complete this valuable task.

Original Post

May 26, 2009

Title: Importance of Skin Assessment in Elderly and Child Abuse

In studying skin assessment, one cannot help feeling overwhelmed. Without a desire to pursue dermatology, the unlimited amount of skin lesions, pustules, macules and papules can lead one to skim over information out of the pure necessity for mental sanity. The mind can only hold so many pictures at once. However, I do see the need to ensure the memorization and ability to recognize and diagnose normal skin variations. In reading articles and working with children and the elderly, one unfortunately sees the reality firsthand of physical abuse and neglect. This can often be recognized by assessing the skin. Breakdown, malnutrition, physical abuse, bruises, injuries at different stages of healing can all be noted by a thorogh assessment of the skin. As follow up care and the big picture should always be a part of our thought process in nursing assessment, the ability to note whether a skin assessment finding is simply normal or abnormal is vital to our practice.

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Healthcare Informatics and Nutrition

July 28, 2010

With computerized technology, an individual’s nutritional status can be assessed and analyzed with thoroughness. This technology can be utilized in many different aspects to complete a nutritional assessment. One aspect is a measurement of oral intake and urinary output over a 24 hour period or for several days. This inputted data can be utilized to make dietary recommendations by the healthcare provider including the dietitian. BMI or Body Mass Index can also be assessed by completing a nutritional assessment. This computerized data can also be used to make dietary recommendations by the healthcare provider. Management of chronic conditions can also by assessed to assist in promoting optimal health status. This can be accomplished by evaluating computed lab data to monitor lab results such as blood glucoses for an diabetic individual. With this analysis, dietary modifications can be recommended to promote optimal health status if needed for this individual. Nutritional assessments and recommendations by the healthcare provider can assist in wound healing, weight gain or loss, and achieving an optimal health status. Computerized nutritional assessments are one of many healthcare assessments that can be utilized in patient care.

Health Assessment for Nursing Practice

July 28, 2010

Many healthcare facilities currently utilize an EMR or an electronic medical record for patient healthcare documentation. This is also a tool to utilize and document health care assessments. The advantages on an EMR are numerous, and some of these advantages are communication of patient care data that can be accessed by many different healthcare professionals. This is an important factor especially concerning patient safety as healthcare data can be accessed to provide seamless patient care. This also provides access to healthcare information when the patient is unable to provide healthcare information as in an emergency situation. Another important factor is communication among healthcare professionals such as acute care professionals and primary care professionals or between the lab personnel and a physician. With the disadvantages, there are some, but the advantages of an EMR outweigh the disadvantages. Some of the disadvantages include continual updates of computer equipment and continual requirements of staff education which is a cost factor for healthcare facilities that utilize an EMR. Informatics and healthcare assessments can and are blended which is an asset to patient care especially with patient safety and enhancing communication among healthcare professionals.

Healthcare Informatics and Health Assessment

July 26, 2010

Healthcare informatics is utilized by most healthcare facilities and professionals in the United States. In the daily care of patients, some form of computerized technology is used. In studying skin, hair and nails, head, eyes, ears, nose and throat, and the respiratory system, different forms of technology are utilized to complete assessment of these body systems. In terms of an electronic medical record, the assessment of these body systems are imputed into a computerized program. This allows this assessment to be accessed by all healthcare providers caring for a particular patient. Vital sign assessment is completed by computerized technology such as an automatic blood pressure and temperature assessment. Computerized radiological equipment such as CT scanner is used to assess body systems including the head, nose, throat, lungs, etc. Also, computerized laboratory equipment is utilized to assess body systems such as blood gases for the respiratory system. With this explanation, it is apparent the overlap of healthcare informatics and health assessment.

Healthcare Informatics and Health Assessment

July 26, 2010

According to Cowen and Moorhead (2006), healthcare informatics is defined as “the processes of science, computer science, and information science to manage and communicate data, information, and knowledge in practice and facilitates the integration of data, information, and knowledge to support patients, nurses, and other providers in their decision-making in all roles and settings” (p. 126). An electronic medical record (EMR) is defined as a set of databases that contains the health information for patients within a given institution or organization (Health IT, 2007). The creation of electronic patient records will allow patient medical histories and health assessments to be shared from provider to provider which will allow important patient information to be communicated to provide safe patient care by all providers. The electronic medical record will also assist in eliminating redundant paper charting by making nurses’ job easier and more effective (Simpson, 2003). It will also eliminate separate, individual charts to be maintained for each patient by healthcare providers (Simpson, 2003). With information technology (IT), the Internet is being used to integrate healthcare organizations and their systems to share patient records, a tool for staff education as well as a resource for patient education on disease processes, and a tool for research (Simpson, 2003). According to Simpson (2003), the Internet is the most empowering technology for patients. Even though technology is expensive, the benefits of improved efficiency, productivity, and the creation of a professional environment maximize the benefits over the cost (Simpson, 2003). With up-to-the-minute computerized patient data, this allows the healthcare professional to make the right decisions at the right time to ensure the right patient outcomes and safety (Simpson, 2003).

References:
Cowen, P. S., & Moorhead, S. (2006). Current Issues in Nursing (7th ed.). St Louis, Missouri: Mosby, Inc.
Health IT (2007). Overview: Health IT. Retrieved June 28, 2007, from http://www.healthitnow.org
Simpson, R. L. (2003, April). Back to Basics with IT and Patient-Centered Care. Nursing Management, 14-16.


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