DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record)

Chamberlain University DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record)-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record) assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record)                     

Whether one passes or fails an academic assignment such as the Chamberlain University DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record) depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record)                     

The introduction for the Chamberlain University DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record) is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record)                     

After the introduction, move into the main part of the DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record) assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record)                     

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record)                     

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record) Included After Question

What are the pros and cons of the situation in the case study? 

The implementation of EHRS in the medical field has provided many benefits for both patients and providers. This long list of benefits includes improved safety, easier access to a patient’s chart which allows for faster care, and improved control over health information for the consumer (Hebda and Hunter, 2019). There are many pros to this scenario. I would like to highlight the efficiency aspect that the patient can review the information received by their healthcare provider as quickly as they can log in. The information can be reviewed multiple times for the patient to obtain a better understanding of their results and condition. The patient can easily share accurate information with the family and other providers. The patient’s ability to recollect what has been said to them by the provider may be altered for many reasons so the PHR is a great place to review. The PHR can be a reminder for symptoms that need to be reported, follow-up appointments, and new questions that may arise after the provider contact. In general, a tool to promote patient involvement. The greatest con to the scenario is that the patient was not able to access all their information in one place. As explained by (Lester M, Boateng S, Studeny J, and Coustasse A), some standards support interoperability and have started to take hold in the realm of PHRs. Blue Button and direct secure messaging are two such examples that have been incorporated into many PHR systems (2016). I am surprised by all the ways technology has advanced that we are not all using a system to universally integrate the different EHR’s. If this were the case it would make the patient experience more complete and the usability of the PHR more meaningful.

What safeguards are included inpatient portals and PHRs to help patients and healthcare professionals ensure safety? 

There are many safeguards in place to help both patients and healthcare providers. When accessing a PHR there are security questions, PINs, and MRN numbers that are specific to the patient. The providers entering information also have passcodes specific to them when entering information so this data can be traced back to the author. These safeguards not only help keep information confidential but also accurate.

Do you agree or disagree with the way that a patient obtains Personal Health Records (PHRs)? 

I agree with the right of a patient to have access to their information. As we develop and improve upon the PHR it will become more useful and effective for this objective. Allowing a patient to review their records can help them gain better insight into their health. This can allow them to develop questions for the next visit and help them be better informed regarding decisions and the direction of their care.

What are the challenges for patients that do not have access to all the PHRs?

 Remember, only portions of the EHRs are typically included in the PHRs. The great challenges for patients not being able to access all their information revolve around them not seeing the complete picture. It will be hard for them to understand a holistic approach to healthcare decision-making if they do not see all the pieces of the puzzle. If information is not in the PHR then it is the healthcare provider’s responsibility to inform and explain what is missing. I have had patients pull all this information together into spreadsheets. They bring the spreadsheets with them when they are admitted to the hospital and it makes the admission process much more efficient and smoother. This affects the quality of care and patient satisfaction in their stay.

References

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses & healthcare professionals (6th ed.). New York, NY: Pearson.

Lester M, Boateng S, Studeny J, and Coustasse A, (April 2016) Personal Health Records: Beneficial or Burdensome for Patients and Healthcare Providers? Retrieved July 27, 2020, from https://chamberlain-on-worldcat-org.chamberlainuniversity.idm.oclc.org/oclc/6031930212

A Sample Answer 2 For the Assignment: DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record)

Title: DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record)

I agree with what you said about patients making assumptions when they try to make sense of lab work. Most of the time all they see is something is high or low and automatically assume their health is at risk. Many times I’ve seen patients come in with their lab work and insisting to speak with certain specialists or they won’t leave until they speak with someone with authority, It’s one of the unfortunate things that happen with patients, but I think you really can’t blame them for feeling that way.  Sometimes you’ll get a HCP and all they tell you everything is normal and then you see different highs and lows  from the lab report and of course the patient is going to worry about them. 

A Sample Answer 3 For the Assignment: DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record)

Title: DeVRY NR 361 Week 4 discussion Your Patient has a PHR (Personal Health Record)

The pros of the case scenario are that the patient was able to see some of her medical test results and if she wanted, she could print those out and research what the results could mean individually depending on the results. Another pro is that her other physicians can be given the information she is able to retrieve sooner than if they have to wait for signed authorization to request copies. The cons are that the patient was not able to see all her results in one place. The problem is when you have to access your results through multiple sites and remember all of those usernames and passwords. Another con to being able to pull up your own medical information is the lack of understanding. Some patients will see results and think that they mean something they do not mean. I have one doctor that uses the phrase “sometimes a little bit of knowledge is dangerous”. He says that when patients use the internet to find information, they receive bits of information and not the full picture. Although, I do think it is a good thing that we have access to our own health information and it allows us to go home and look at everything ourselves, especially when you do not usually have a lot of time with your provider to go over every result.

Currently, privacy and security concerns over protected health information are the largest barrier to electronic health record adoption; therefore, it is imperative for health organizations to identify techniques to secure electronic health records.” (Kruse, Smith & Nealand. 2017). The safeguards in place for our PHR’s are usernames and passwords, and if you forget they have security questions that you answer to allow you to get your information. They also have text alerts to let you know that you accessed your account.  

I agree that patients should have access to their health records whenever they wish to see them. I think being able to read exactly what is said is important to allow the patient to understand and communication their questions when they see/call/email their provider. I think every patient has the right to have access to their records. This allows them to compare previous results with new screenings or labs. “Data are collected during each patient encounter, and data from prior encounter can be reviewed on demand.” (Hebda, Hunter & Czar. 2019). I remember when we used to have to pay per page to get copies of our results and how hard it was to get them. We used to have to call ahead to set a time to pick them up and then sometimes they weren’t available in the system for days. Sometimes a simple CBC would take 3-4 to be entered in the system and you couldn’t see your results until you saw your provider.

The challenges to not being able to see all of your PHR’s is not seeing everything about your health at one time. When you can see the different labs, radiology and notes you can get a more complete idea of your health. When you can only see some labs with notes or some radiology and labs, you do not see everything. This presents a problem too when you want to get a second opinion. Then you are stuck going to the hospital and having discs made from radiology and some places charge fees for these and then you must sign for release of records to have other information faxed. This can be time consuming and frustrating.

Hebda, T., Hunter, K., & Czar, P. (2019). Handbook of informatics for nurses and healthcare professionals (6^th ed.). Pearson.

Kruse, C.S., Smith, B., Nealand, A., (2017). Security Techniques for the Electronic Health Records. Journal of Medical Systems. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5522514/Links to an external site.

Patient portals and personal health records (PHRs) are

commonplace today. What are the pros and cons of having a PHR? What safeguards and decision-making support tools are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?

 

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 Rubric

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		Excellent 90–100	Good 80–89	Fair 70–79	Poor 0–69
Main Posting: Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.		40 (40%) – 44 (44%) Thoroughly responds to the Discussion question(s). Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. No less than 75% of post has exceptional depth and breadth. Supported by at least three current credible sources.	35 (35%) – 39 (39%) Responds to most of the Discussion question(s). Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of the post has exceptional depth and breadth. Supported by at least three credible references.	31 (31%) – 34 (34%) Responds to some of the Discussion question(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Cited with fewer than two credible references.	0 (0%) – 30 (30%) Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no credible references.
Main Posting: Writing		6 (6%) – 6 (6%) Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style.	5 (5%) – 5 (5%) Written concisely. May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style.	4 (4%) – 4 (4%) Written somewhat concisely. May contain more than two spelling or grammatical errors. Contains some APA formatting errors.	0 (0%) – 3 (3%) Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style.
Main Posting: Timely and full participation		9 (9%) – 10 (10%) Meets requirements for timely, full, and active participation. Posts main Discussion by due date.	8 (8%) – 8 (8%) Meets requirements for full participation. Posts main Discussion by due date.	7 (7%) – 7 (7%) Posts main Discussion by due date.	0 (0%) – 6 (6%) Does not meet requirements for full participation. Does not post main Discussion by due date.
First Response: Post to colleague’s main post that is reflective and justified with credible sources.		9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.	8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting.	7 (7%) – 7 (7%) Response is on topic and may have some depth.	0 (0%) – 6 (6%) Response may not be on topic and lacks depth.
First Response: Writing		6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English.	4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited.	0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited.
First Response: Timely and full participation		5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation. Posts by due date.	4 (4%) – 4 (4%) Meets requirements for full participation. Posts by due date.	3 (3%) – 3 (3%) Posts by due date.	0 (0%) – 2 (2%) Does not meet requirements for full participation. Does not post by due date.
Second Response: Post to colleague’s main post that is reflective and justified with credible sources.		9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.	8 (8%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting.	7 (7%) – 7 (7%) Response is on topic and may have some depth.	0 (0%) – 6 (6%) Response may not be on topic and lacks depth.
Second Response: Writing		6 (6%) – 6 (6%) Communication is professional and respectful to colleagues. Response to faculty questions are fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more credible sources. Response is effectively written in standard, edited English.	5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues. Response to faculty questions are mostly answered, if posed. Provides opinions and ideas that are supported by few credible sources. Response is written in standard, edited English.	4 (4%) – 4 (4%) Response posed in the Discussion may lack effective professional communication. Response to faculty questions are somewhat answered, if posed. Few or no credible sources are cited.	0 (0%) – 3 (3%) Responses posted in the Discussion lack effective communication. Response to faculty questions are missing. No credible sources are cited.
Second Response: Timely and full participation		5 (5%) – 5 (5%) Meets requirements for timely, full, and active participation. Posts by due date.	4 (4%) – 4 (4%) Meets requirements for full participation. Posts by due date.	3 (3%) – 3 (3%) Posts by due date.	0 (0%) – 2 (2%) Does not meet requirements for full participation. Does not post by due date.
Total Points: 100

Name:  Discussion Rubric

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