[Type here] Rasmussen University Be sure all outside sources are cited using current APA style. Write from nursing perspective In text citation Three references Used the medical diagnosis (gestational diabetes) by giving their pathophysiology, causes, risk factors, signs and symptom/clinical, complication, and treatment and fill all the concept map below CONCEPT MAP Pathophysiology – (to the cellular level) Medical Diagnosis Preterm Labor Signs & Symptoms/Clinical Manifestations (all data subjective and objective: labs, radiology, all diagnostic studies) (What symptoms does your client present with?) Complications Treatment (Medical, medications, intervention and supportive) Causes/Risk Factors (chemical, environmental, psychological, physiological and genetic) . REMEMBER THAT THE EXPECTED OUTCOMES MUST BE MEASURABLE. THE INTERVENTIONS ARE WHAT YOU DO TO ASSURE THE OUTCOME AND THE CLIENT’S RESPONSE IS SPECIFICALLY HER RESPONSE. PLAN OF CARE:Use your top two priorities NANDA NURSING DIAGNOSIS use NANDA definition Expected outcomes of care (Goals) Interventions Patient response Goal evaluation NRS DX: Problem Statement: R/T: (What is the cause of the symptom) Manifested by: (Specific symptoms) Short term goal: Create a SMART goal that relates to hospital stay/shift/day. Long term goal: Create a SMART goal that is appropriate for discharge. This is specific to the patient that you are caring for. A list of planned actions that will assist the patient to achieve the desired goal. (i.e. obtain foods that the patient can eat/ likes) Interventions for short-term goal: 1. 2. 3. Interventions for long term goal: 1. 2. 3. Identify what the patients response or “outcome is to the goal or care that you have provided. i.e. patient ate 45% of lunch) Reassess for short-term goal: 1. 2. 3. Reassess for long-term goal: 1. 2. 3. Was it met or not met there is no partially met. Summer 2021 JM 9 [Type here] Be sure all outside sources are cited using current APA style. Write from nursing perspective In text citation Three references Used the medical diagnosis (gestational diabetes) by giving their pathophysiology, causes, risk factors, signs and symptom/clinical, complication, and treatment and fill all the concept map below CON CEPT MAP Pathophysiology – (to the cellular level) Medical Diagnosis Preterm Labor Signs & Symptoms/ Clinical Manifestations (all data subjective and objective: labs, radiology, all diagnostic studies) ( What symptoms does your client present with?) Complications Treatment (Medical, medications, intervention and supportive) Causes/ Risk Facto rs (chemical, environmental, psychological, physiological and genetic ) [Type here] Be sure all outside sources are cited using current APA style. Write from nursi ...

1. [Type here]
Rasmussen University
Be sure all outside sources are cited using current APA style.
Write from nursing perspective
In text citation
Three references
Used the medical diagnosis (gestational diabetes) by giving
their pathophysiology, causes, risk factors, signs and
symptom/clinical, complication, and treatment and fill all the
concept map below
CONCEPT MAP
Pathophysiology – (to the cellular level)
Medical Diagnosis
Preterm Labor
Signs & Symptoms/Clinical Manifestations (all data subjective
and objective: labs, radiology, all diagnostic studies) (What
symptoms does your client present with?)
Complications
Treatment (Medical, medications, intervention and supportive)
Causes/Risk Factors (chemical, environmental, psychological,
physiological and genetic)

2. .
REMEMBER THAT THE EXPECTED OUTCOMES MUST BE
MEASURABLE. THE INTERVENTIONS ARE WHAT YOU
DO TO ASSURE THE OUTCOME AND THE CLIENT’S
RESPONSE IS SPECIFICALLY HER RESPONSE.
PLAN OF CARE:Use your
top two priorities
NANDA NURSING DIAGNOSIS use NANDA definition
Expected outcomes of care (Goals)
Interventions
Patient response
Goal evaluation
NRS DX:
Problem Statement:
R/T: (What is the cause of the symptom)

3. Manifested by: (Specific symptoms)
Short term goal: Create a SMART goal that relates to hospital
stay/shift/day.
Long term goal: Create a SMART goal that is appropriate for
discharge.
This is specific to the patient that you are caring for. A list of
planned actions that will assist the patient to achieve the desired
goal. (i.e. obtain foods that the patient can eat/ likes)

4. Interventions for short-term goal:
1.
2.
3.
Interventions for long term goal:
1.
2.
3.
Identify what the patients response or “outcome is to the goal or
care that you have provided. i.e. patient ate 45% of lunch)
Reassess for short-term goal:
1.
2.
3.
Reassess for long-term goal:
1.
2.
3.
Was it met or not met there is no partially met.

5. Summer 2021 JM 9
[Type here]
Be sure all outside sources are cited using current APA style.
Write from
nursing
perspective
In text citation
Three references
Used the medical diagnosis
(gestational
diabetes)
by giving their pathophysiology, causes, risk factors, signs and
symptom/clinical, complication, and treatment
and
fill all the concept map
below
CON
CEPT MAP

6. Pathophysiology
–
(to the cellular level)
Medical Diagnosis
Preterm Labor
Signs &
Symptoms/
Clinical
Manifestations
(all data subjective
and objective: labs, radiology, all
diagnostic
studies) (
What symptoms
does your client present with?)
Complications
Treatment

7. (Medical, medications,
intervention and supportive)
Causes/
Risk Facto
rs
(chemical,
environmental, psychological, physiological
and genetic
)
[Type here]
Be sure all outside sources are cited using current APA style.
Write from nursing perspective
In text citation
Three references
Used the medical diagnosis (gestational diabetes) by giving
their pathophysiology, causes, risk factors, signs and
symptom/clinical, complication, and treatment and fill all the
concept map below
CONCEPT MAP

8. Pathophysiology – (to the cellular level)
Medical Diagnosis
Preterm Labor
Signs & Symptoms/Clinical
Manifestations (all data subjective
and objective: labs, radiology, all
diagnostic studies) (What symptoms
does your client present with?)
Complications
Treatment (Medical, medications,
intervention and supportive)
Causes/Risk Factors (chemical,
environmental, psychological, physiological
and genetic)
History Of Healthcare Information Management/Informatics
Precious Teasley
Snhu
Due Date
History Of Healthcare Information Management/Informatics
Key Historical Events
Technology has improved tremendously in the last few decades.
The use of technology in the healthcare business has enhanced
the quality of treatment given to patients. Technology has been
a significant improvement in allowing healthcare personnel to
completely comprehend the patient and the patient's health
conditions, which can aid in providing appropriate health

9. treatment strategies (Braunstein, 2018). The professional
personnel at Feather fall Medical Center, Administrative
employees, and the health information management team must
adhere to current technological standards to benefit their
patients, staff, and organization. Health care informatics, in
general, is a science concerned with how information is
gathered and used in medicine and medical research. Its breadth
includes the numerous uses of data created across the health
care business and the usage of technologies to harness the
potential of that data. Informaticists are employed in analytics,
database management, data mining, information management,
and IT systems engineering.
Guidelines
Various technological guidelines can be used at Feather fall
Medical Center. Feather fall may set up a training program for
new workers to learn about electronic health systems and
current employees to learn about modern healthcare
technologies. Feather fall Medical Center would fulfill
government standards while not causing any ethical issues due
to technology if technology were used correctly. As a result of
effectively utilizing technology and adhering to regulatory
requirements, the medical institution will not incur any
financial losses.
Standard Technologies
To give better medical treatment to their patients, Feather fall
Medical Center will need to stay up with current technological
advancements. Electronic health records (EHR) are not only a
terrific means for healthcare practitioners to offer treatment, but
they are also an excellent way for them to interact with one
another about patients. The recording in the electronic health
record is critical since it will be used as a reference to improve
the patient's treatments. Personnel must understand how to
utilize electronic health records correctly and maintain the
information accurately.
Roles
The electronic health records would be helpful in Feather fall

10. Medical Center's health information management team, clinical
personnel, and administrative staff. They will all need to learn
how to use the electronic health record system and maintain the
current and correct records. The health information management
team will handle the health records. The clinical staff will
utilize them daily to provide patient care, and the administrative
staff will use them for billing purposes (Alotaibi and Federico,
2017). The whole Feather fall Medical Center team will have to
work together to keep the technology up to date, which will
help them comply with government rules and guarantee that the
medical center does not lose money. Still, most significantly, it
will help patients receive better treatment.
Evaluate
The practical initiation of significant health information
technology needs careful preparation and constant, critical
assessment of progress. To assess the new health information
technology systems, everyone must collaborate to guarantee that
the electronic health systems are functioning effectively. The
health information management team will monitor how well the
new technology is functioning for them and offer assistance in
making any required improvements. Weekly reports on how the
system is operating for the medical facility should be generated.
Reports will be running to ensure that the medical institution
complies with all federal requirements while implementing the
new technology. Taking a lifecycle approach to installing
technology systems, we believe, will assist companies in
avoiding some of the frequent mistakes hence increase the
possibility of successful application and reception.

11. References
Alotaibi, Y. K., & Federico, F. (2017). The impact of health
information technology on patient safety. Saudi medical
journal, 38(12), 1173.
Braunstein, M. L. (2018). A brief history and overview of
health informatics. In Health Informatics on FHIR: How HL7's
New API Transformed Healthcare (pp. 3-12). Springer, Cham.

12. HIM 500 Milestone Two Guidelines and Rubric
Overview: In this milestone, you will submit an analysis of how
the company in the case study is noncompliant and the
strategies (general, not specifics) to move
it toward compliance.
Specifically the following critical elements must be addressed:
II. Health Regulations and Laws Ramifications: In this section
of your final project, you will finish your preparation by
reviewing and explaining the
ramifications for the organization if it decides to wait on
addressing its recent violations regarding technology use.
A. Determine how violating health regulations and laws
regarding technology could impact the finances of the
institution if these violations are not
addressed. Be sure to support your response with examples.
B. Determine how violating health regulations and laws
regarding technology could impact the daily operations of the
institution if these violations

13. are not addressed. Be sure to support your response with
examples.
C. Determine how violating health regulations and laws
regarding technology could impact the security of the health
information in the institution
if these violations are not addressed. Be sure to support your
response with examples.
Guidelines for Submission: This milestone must be 1–2 pages in
length (plus a cover page and references) and must be written in
APA format. Use double
spacing, 12-point Times New Roman font, and one-inch
margins. All references cited in APA format.
Critical Elements Proficient (100%) Needs Improvement (75%)
Not Evident (0%) Value
Health Regulations and
Laws Ramifications:
Finances
Determines how violating health
regulations and laws regarding
technology might impact the
finances of the institution if these
violations are not addressed,
supporting response with
examples
Determines how violating health
regulations and laws regarding
technology might impact the
finances of the institution if these
violations are not addressed,

14. supporting response with
examples, but explanation is
cursory or illogical, or supporting
examples are misaligned
Does not determine how violating
health regulations and laws
regarding technology might
impact the finances of the
institution if these violations are
not addressed
30

15. Health Regulations and
Laws Ramifications: Daily
Operations
Determines how violating health
regulations and laws regarding
technology might impact the
daily operations of the institution
if these violations are not
addressed, supporting response
with examples
Determines how violating health
regulations and laws regarding
technology might impact the

16. daily operations of the institution
if these violations are not
addressed, supporting response
with examples but explanation is
cursory or illogical, or supporting
examples are misaligned
Does not determine how violating
health regulations and laws
regarding technology might
impact the daily operations of the
institution if these violations are
not addressed
30
Health Regulations and
Laws Ramifications:
Security
Determines how violating health
regulations and laws regarding
technology might impact the
security of the health information
in the institution if these
violations are not addressed,
supporting response with
examples
Determines how violating health
regulations and laws regarding
technology might impact the
security of the health information
in the institution if these
violations are not addressed,

17. supporting response with
examples, but explanation is
cursory or illogical, or supporting
examples are misaligned
Does not determine how violating
health regulations and laws
regarding technology might
impact the security of the health
information in the institution if
these violations are not
addressed
30
Articulation of Response Submission has no major errors
related to citations, grammar,
spelling, syntax, or organization
Submission has major errors
related to citations, grammar,
spelling, syntax, or organization
that negatively impact readability
and articulation of main ideas
Submission has critical errors
related to citations, grammar,
spelling, syntax, or organization
that prevent understanding of
ideas
10
Total 100%
HIM 500 Milestone Two Guidelines and Rubric Accessibility
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