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Nursing homework help

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone project change proposal, the literature review enables students to map out and move into the active planning and development stages of the project. Nursing homework help

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Question Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further researchPatient falls are a significant problem prevalent in healthcare organizations that negatively impacts patient’s quality of care. Studies show that almost a million ailing individuals fall while receiving medical care in healthcare facilities. The issue is worth investigating because it may precipitate negative outcomes such as internal bleeding and fractures that may increase the duration of patients’ stay in hospitals and inflate the cost of treatment (LeLaurin et al., 2018). Therefore, it is necessary to find evidence-based interventions that will enhance the safety of patients by preventing falls. The PICOT question that will aid in finding an effective intervention is: In geriatric Hispanic patients, how effective is screening patients for risk of falls compared to not screening them in reducing incidences of falls in a period of six months? Evidently, the PICOT question is a significant model that will help determine an evidence-based nursing intervention that will improve patient care and positively portray a healthcare agency and the nursing practice. Nursing homework help

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  1.  

    P: Hispanic population based on this organization’s demographic

    I: Fall risk assessment using right tools and educate patients regarding fall risks

    C: What is other organization’s policy regarding prevention of fall

    O: Fall incidents less than 3

    T: 6 months

    Evidence-Based Solution

    Members of the Hispanic population are vulnerable to chronic conditions such as high blood pressure and diabetes which may lead them highly likely to be hospitalized due to the conditions. Therefore, they are the population that is disproportionately impacted by falls in the healthcare setting and specifically to this organization. Studies show that screening patients for falls are an effective procedure that reduces falls in hospitalized patients (Guirguis-Blake et al., 2019). It helps identify the ailing individuals at a high risk of falling, such as those who has history of frequent falls, syncopal episodes, those with a poor posture, and those with a poor gait secondary to comorbidities. Adequate measures are then put in place to ensure that these vulnerable individuals do not fall, such as activate bed alarms, educate patients to use call lights, educate regarding fall risk and possible prolonged hospitalization secondary to fall.

    Nursing Intervention

    Nursing interventions such as screening patients for falls are effective models for preventing patient falls in the clinical setting. This is because nurses are the primary caregivers of patients; hence their role in ensuring their safety is fundamental (Guirguis-Blake et al., 2018). Therefore, instilling a measure that will place nurses at the forefront of preventing patient falls is guaranteed to elicit positive outcomes in the treatment process. It is important that a nurse utilizes the tool to assess patient’s mobility before ambulating a patient. A nurse can use a tool such as BMAT (Bedside Mobility Assessment Tool) to determine the appropriate patient handling and mobility equipment or device to safely move or mobilize the patient (Perez, n.d). It is also imperative to educate patients regarding fall risks to prevent further damage to patient and follow up with evaluation of education by instructing them to verbalize and demonstrate the teaching. Patients will also benefit from prevention of fall if a nurse orient a patient to the room when they first get admitted. A nurse can activate bed alarm, utilize care view monitor, instruct them on how to use a call light when need help, stay with a patient until their business is done, and be quick to answer call lights to further prevent falls.

    Health Care Agency

    Healthcare agencies are tasked with the critical role of caring for ailing individuals. They are required to ensure that patients elicit positive outcomes during treatment processes. However, aspects such as patient falls reduce the effectiveness of services provided by healthcare agencies. Therefore, it is necessary to use evidence-based protocols such as preventing patients’ falls through interventions such as screening them for susceptibility to falls to prevent the negative occurrences and increasing the quality of care they receive (LeLaurin et al., 2019). The PICOT question will help unveil the evidence that can be applied in the clinical setting.

    Nursing Practice

    Identifying a problem and implementing interventions to advocate for patients is one of the most important tasks in nursing practice. Using the PICOT question to obtain evidence that will be applied in preventing falls in the clinical setting is a significant aspect that will ensure that the nursing practice is identified as a dependable profession that ensures that ailing individuals are cared for well. It will show that the nurses are at the forefront of ensuring that the nation’s health goals are met by using effective nursing interventions to ensure that patients receive quality care that aligns with their dynamic needs (Guirguis-Blake et al., 2018).

     

     

    References

    Guirguis-Blake, J. M., Michael, Y. L., Perdue, L. A., Coppola, E. L., & Beil, T. L. (2018). Interventions to prevent falls in older adults: updated evidence report and systematic review for the US Preventive Services Task Force. Jama, 319(16), 1705-1716.

    LeLaurin, J. H., & Shorr, R. I. (2019). Preventing falls in hospitalized patients: state of the science. Clinics in geriatric medicine, 35(2), 273-283.

    Perez, A. (n.d.). BMAT- bedside mobility assessment tool – UCLA health. Retrieved March 13, 2022, from https://www.uclahealth.org/nursing/workfiles/ContinuingEducation2015/TeachBack/UmoveBMAT-TrainingPresentation.pdf

     

     

     

Nursing homework help

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Nursing homework help

Instructions (paper)

All resources use should be from Minneapolis Minnesota USA

  1. Paper format (20 points)
    • 3-5 pages (not including title and reference page) typed (12 Times Roman/Arial Font) in APA format
    • Title page and reference page
    • No spelling or grammatical errors
    • Paper outline similar to this:
      • Introduction
      • Community resources
      • Priority diagnoses, the goal and reason for the change
      • Realistic solution
      • Health education
      • Role of the nurse and community in the intervention Nursing homework help
      • Conclusion

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  1.  Community resources (15 points)
    • Identified and analyzed
    • How will the resources support the intervention of your nursing diagnosis?
  2. Priority diagnosis, the goal for change, and rationale (15 points)
  3. Develop a realistic solution to your nursing diagnosis in a teaching manner (evidenced-based practice) (20 points)
  4. Describe the health education you will promote which follows from your nursing diagnosis (20 points)
  5. Describe the role of the nurse and other community members in the interventions (10 points

Instructions (PowerPoint)

All resources use should be from Minneapolis Minnesota

  1. Presentation (10 points)
    1. Colorful, clear and concise, free from errors
    2. Completely computer generated (with appropriate resources cited)
    3. Diagrams and other pertinent information that describes the health education you are promoting
  2. Description of the community (15 points)
  3. Community resources (10 points)
    • Identified and analyzed
    • How will the resources support the intervention of your nursing diagnosis?
  • Priority diagnosis, the goal for change, and rationale (15 points)
  • A realistic solution to your nursing diagnosis in a teaching manner (evidenced-based practice) (20 points)
  • Describe the health education you will promote which follows from your nursing diagnosis (20 points)
  • Describe the role of the nurse and other community members in the interventions (10 points

The assignment is research. You will use the windshield survey guideline attached for the assignment.

 

Locate a community and identify the resource you think they are lacking and how the resource will benefit them. State the name of the community and the location.

 

Here are the rubrics:

 

1). The research should be 3-5 pages. 2). Type with 12 Times Roman/Arial Font. 3). Should be in APA 6th edition format. 4). Should have a title page, reference page, in-text citations, reference list. 5). No spelling or grammatical errors.

 

Here is the paper outline:

 

1). Introduction 2). Clearly identify and analyze the community resources. 3). Clearly identify the priority nursing diagnosis, the goal for the change, and the reason for the change. How will the resources support the intervention of your diagnosis. 4). Develop a realistic solution to your nursing diagnosis in a teaching manner (evidence-based practice). 5). Describe the health education you will promote which follows from your nursing diagnosis. 6). Describe the role of the nurse and other community members in the interventions. 7). Conclusion.

 

Please download the attachment, so that I can delete it.

 

 

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Nursing homework help

DQ#1 Tatiana:Yoga is an ancient practice that has been passed down over many generations for over five centuries ago. The term yoga encompasses aspects such as ‘yuj,’ which means unite, to symbolize the union of a person’s soul with the universal soul, leading to a state of consciousness (Fontaine, 2019). Yoga is related to health and illness. For instance, the World Health Organization defines health as a state of complete, mental, physical, and social well-being and not merely the absence of disease or infirmity; hence, it is evident that health is a multidimensional state (Yoga, 2021). Hence, it can be achieved by using a holistic approach to meet the needs of each of the dimensions. Nursing homework help

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Yoga is an appropriate intervention that guarantees positive outcomes in each dimension. Besides, yoga is a union of yama, asana, niyama, pratyahara, pranayama, dharana, Samadhi and dhyana (Yoga, 2021). Intense practice of such dimensions leads to self-realization. In this manner, yoga is a holistic way of life that leads to a state of complete social, physical, spiritual, and mental wellbeing. Yoga is used as a therapeutic intervention for modern diseases such as obesity, stress, hypertension, diabetes, chronic obstructive pulmonary disease, and coronary heart disease; besides, Studies show the significant role of yoga as a non-pharmaceutical intervention is essential in the treatment of such conditions (Kumar Taneja, 2014). To alleviate sickness or symptoms, yoga helps decrease stress, anxiety and lower the levels of salivary cortisol, including rennin levels. It also keeps epinephrine and norepinephrine levels in balance. Hence, effectively managing sicknesses such as coronary heart diseases, hypertension, and diabetes.

 

DQ#2: Christian:Several activities and actions are used as complementary medications and they have abilities to yield the best possible results. One of them is meditation, and it is defined as the process of taking the mind away from the stressful points of life to focus only on that, which is helpful. In the former years, meditation was used as a spiritual activity to help the mind understand the mysteries of spiritual and religious aspects. Today, meditation is one of the major recommendations given by healthcare providers as the primary process for relieving the body of stress and bringing mental and physical healing to the whole body.

Meditation can take place in different forms including guided meditation, yoga, prayers, mantra meditation, Qi gong, mindfulness meditation, and Tai Chi among others. All these forms of meditation must have specific elements that include focused breathing, relaxed breathing, a quiet setting, a comfortable position, and an open attitude. The meditations can also be done in different formats including breathing deeply, scanning the body, repeating a mantra, walking and meditating, reading and reflecting, and placing focus on love and gratitude (Farias et al., 2020). Practicing any of these elements for a continuous period helps the body to remain healthy and scholars have argued that it can bring healing to people suffering from conditions such as anxiety, cancer, asthma, depression, chronic pain, high blood pressure, heart disease, tension headaches, and sleep problems (Kreplin et a., 2018).

Meditation mainly works by improving the ability of the body to fight infections and diseases. A clouded mind cannot fight infections as it leads to a weaker immune system. However, a peaceful and calm mind leads to a strengthened body that can fight any condition developing from other parts of the body.

 

DQ#3: Lisdiana:  In this scenario, when there is widespread worry about who may have sprayed graffiti outside the school compound, I would first examine material from various groups that appear to have an understanding of what is going on (Braga & Weisburd, 2006). I’ll choose a few people, primarily student leaders, and ask them if they’ve detected any questionable behaviour from any individual or organization. Because the graffiti appears to be familiar to me, I would examine it and compare it to what I observed at the recent drive-in meeting. I’ll also quiz the librarian to learn more about the physical copy she chose.

The cases have now made their way to Hometown High School (Braga, 2006). After scanning the numerous pieces of information, I gathered and analyzed the data in an attempt to determine what may be the root cause of this graffiti appearing on various structures. I’ll look at the parallels between the physical copy labels and the material they appear to represent. The contents will take me to the computer screen’s owner.

The third stage is to decide how to respond to the information acquired. As my first suspect, I’ll send the student with the computer screen name to interview him. Then I’ll summon the new student who appears suspicious based on his attire. I’ll ask the two to tell me where they were at the time of the crime. I’ll question about their associates, and if any of them does not have an alibi, they’ll be among my suspects, who will be brought before the disciplinary committee and punished ( Braga, 2006).

When attempting to analyze the issue, consider if the reaction was successful in resolving the problem. Assume there is a need to implement more safeguards to prevent similar crimes from occurring in the future (Santos, 2014). I will advise the school to install new security lights in strategic locations across the school grounds. Installing surveillance cameras and increasing school security will also aid in the prevention of such crimes.

 

DQ#4: Yirlem:  The five stages of the Kübler-Ross model denote the gradual acceptance of the loss, and the transition between the featured patterns is necessary to cope with the emotional distress. The text states: “a series of five stages—denial, anger, bargaining, depression, and acceptance—that people go through as they come to grips with their own imminent death” (James & Gilliland, 2017, p.380). The first stage is denial, and the individual strives to reject his condition or fact of the loss with logical arguments. The second stage is anger, and the person starts blaming his life or specific circumstances (Kübler-Ross, (2015). The third stage involves the individual’s willingness to delay or postpone the situation. The fourth and final stages denote the depression that ends with the acceptance of reality, and it can be acceptance of the loss or inevitable fact, like a terminal stage of a disease that has no cure.

There are different types of loss, and they depend on the specific situation and people, and the death of family members is not the only cause of these affections. The reading argues: “People commonly associate certain losses with strong feelings of grief” (Crowell, 2022). In turn, it can be a loss of a friend, child, parents, partner and the death of friends or family members. It is necessary to admit that the loss of a job, position, things, home and abilities is also a common type of grief. People share unique experiences and relationships, and their ends can be the cause of these negative emotions. For instance, the death of a favorite pet is also a type of loss, though it does not share the standard concept of friendship or kinship.

 

 

 

 

Nursing homework help

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Nursing homework help

Please Reply to the following 2 Discussion posts:

 

Requirement

 

APA format with intext citation

Word count minimum of 150 words per post

References at least one high-level scholarly reference per post within the last 5 years in APA format.

Plagiarism free.

Turnitin receipt.

 

DISCUSSION POST # 1 Reesha

 

The PICOT question I have selected to conduct a systematic review and search of is; The Effect of Culture and Eating Habits on Childhood obesity in the United States. In terms of how I will go about researching the topic, I would find reputable search engines to maintain data that is accurate and official. Then when finding articles and journals that provide evidence on my topic I would make sure the references I picked were neutral and unbiased. I would pull from multiple sources to prove that my research is the most current evidence to support my solutions for my PICOT question. According to an article published by PubMed, the steps in conducting a systematic review are as follows. “Step 1: Framing questions for a review, Step 2: Identifying relevant work, Step 3: Assessing the quality of studies, Step 4: Summarizing the evidence, and Step 5: Interpreting the findings” (Khan, 2003). An important factor to note is that when I am analyzing my research I have to make sure the interpretation of the results is accurate instead of representing the stance I am stating. When pondering on how the research study would be set up for my question I would make sure to use the right study format and variables are used to further ensure my data is accurately reflecting the population. Then after the study has been conducted the next steps following are extracting the data, analyzing the findings, and interpreting the results. This is the same format I would use when it comes to doing a meta-analysis. If I were not to conduct my own personal research. Using these same principles from both I am sure I will find sufficient evidence to link American culture and eating habits that cause childhood obesity.  Nursing homework help

 

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DISCUSSION POST # 2 Nozomi

 

According to Melnyk and Fineout-Overholt (2019), the first step in answering a PICOT question is to gather reliable and accurate evidence. Thus, finding credible sources of evidence and methods to obtain them is crucial in order to answer a PICOT question. There are mainly two sources of information that can be used to answer clinical questions: practice-based evidence (PBE) and research (Melnyk & Fineout-Overholt, 2019). PBE is considered to be internal evidence, and it is usually produced through quality improvement and outcome management projects within the local setting. Although expertise and clinician observation may vary from place to place, an accumulation of small studies can lead to broad research and evidence (Melnyk & Fineout-Overholt, 2019). Unlike PBE, research evidence is obtained through the systematic investigation into a question, and it is considered to be a strong source of knowledge for clinicians (Melnyk & Fineout-Overholt, 2019). Research evidence goes through procedures and reviews in order to make sure that the findings are reliable and accurate. Nursing homework help

Research evidence can be obtained through various sources. Two electronic sources that are especially useful are CINAHL and MEDLINE (Polit & Beck, 2018). CINAHL provides information for locating references, and it even provides links to actual research articles as well (Polit & Beck, 2018). MEDLINE is developed by the U.S. National Library of Medicine, and it covers approximately 5600 medical, nursing, and health journals (Polit & Beck, 2018). Another important source is the school and institution library, as well as the health librarians, who may be able to assist in searching for appropriate information.

After identifying research articles, several questions need to be asked in order to appraise the information that is obtained. The clinician should look for substantive themes, or patterns in the evidence collected (Polit & Beck, 2018). Additionally, methodologic themes observe the methods that were used to obtain data, and the strengths and weaknesses of those methods (Polit & Beck, 2018). For instance, participant selection criteria and data analysis methods are both considered to fall under the methodologic category (Baumgart et al., 2021). Finally, the transferability theme asks if the evidence applies differently to various populations and settings (Polit & Beck, 2018).

Another way to appraise research data is to ask about their “credibility (can the findings be trusted?), dependability (is the process logical and transparent?), confirmability (can the findings and interpretations linked to the data?), and transferability (are the findings relevant to other contexts and settings?)” (Baumgart et al., 2021). By observing research data from various angles, one can gain a deeper insight into the reliability of those sources.

 

 

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Nursing homework help

Title of Paper (include both theorist names)

(Introduction paragraph(s))

Remember you are starting with an attention getting topic sentence, then providing a little foundation information, then preview the content for the reader / provide guidance to the reader what they will read Nursing homework help

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X Theory Overview

Summary of Theory, brief discussion of theorist (not a biography), evolution of the theory itself

 

Theory Details

-conceptual level (mid range, model etc) – brief identification of what that means

– Describe in detail the content and concepts of the theory – also how it is applied

Metaparadigms

-Define metaparadigms (don’t copy verbatim from text)

– Identify the metaparadigms as they relate to your theory )person, environment, health and nursing (describe if these are defined or implied)

Analysis of Theory

-What areas is the topic concerned with ?etc caring, adjustment … etc

– Does the theory generate areas for future research?

-Evaluate if the theory is clear, simple and generalizable?

-Does it contribute to nursing knowledge?

-Is the theory still current and relevant?

-Is it significant and will it make a difference in what areas of nursing?

 

Y NonNursing Theory Overview

Summary of Theory, brief discussion of theorist (not a biography), evolution of the theory itself

 

Theory Details

-conceptual level (mid range, model etc) – brief identification of what that means

– Describe in detail the content and concepts of the theory – also how it is applied

Analysis of Theory

-What areas is the topic concerned with ?etc caring, adjustment … etc

– Does the theory generate areas for future research?

-Evaluate if the theory is clear, simple and generalizable?

-Does it contribute to nursing knowledge?

-Is the theory still current and relevant?

-Is it significant and will it make a difference in what areas of nursing?

 

Comparison of Theories

Compare/Contrast

Compare and contrast the similarities and difference of each theory

Application of Theory

–Create a scenario and demonstrate the application of each theory to the SAME scenario

 

Conclusion

Wrap up the content for the reader (similar to the introduction in reverse)

 

 

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Nursing homework help

PICOT Paper Requirements

Formulating your question for Mod 2 assignment:

  • Clinical Question– Formulate a clinical question using the PICOT format (the sequence of PICOT needs to be followed)
  • P: Patient Population (for example—Did women ages 20-40 with DMII)
  • I: Intervention (what was done to fix this issue) (for example—who were prescribed insulin)
  • C: Comparison intervention or group (for example—compared to those who were prescribed oral diabetic medications)
  • O: Outcome (show better blood glucose management)
  • T: Time (for example—over a 1 year period of time, over a 6 month period of time, over a 3 day period of time)
  • Sample sequence: “In acute care hospitals (patient population), how does having a rapid response team (intervention) compared with not having a response team (comparison) affect the number of cardiac arrests (outcome) during a three-month period (time)?” Nursing homework help

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So, using the example above, you would “plug in” your information like this:

 

Did women ages 20-40 with DMII (P) who were prescribed insulin (I) compared to those who were prescribed oral diabetic medications (C) show better blood glucose management (O) over a 6 month period of time (T)?**You may not use this PICOT question for your paper**

 

 

PICOT Paper details for Mod 7:

Your paper for the course project should be a 2-3 page APA paper (not including title page and the reference page) that describes the clinical problem and the following (your paper should have the following items in this order in the paper): Nursing homework help

  1. Reason for choosing this topic (state “I chose this topic because….”)
  2. The PICOT question (Needs to be the same question that you submit for the Mod 2 assignment)
  3. Possible integration of the evidencethat you found in clinical practice(how was this used or how could it be used in clinical practice?)
  4. Methods to evaluate the effectiveness of implementation (discuss HOW would the effectiveness be evaluated? Would you use a tally system to see how many patients fell during a certain time period? Would you use the patient’s blood sugar readings over a certain time period to see if your intervention was effective? Would you compare how many children contracted polio using one vaccine compared to how many children contracted polio using another vaccine?) **You may not use these topics for your PICOT paper as these are for example purposes**

 

Keep in mind:

  1. Sources must be within the last 3 years, the years 2019-2021 are the only acceptable years for your sources for this paper
  2. Utilize the Rasmussen library APA resources and the Writing Lab resources
  3. Every reference must have a matching citation in the paper
  4. You will lose points if you have a citation with no matching reference or a reference with no matching citation
  5. Citations that are in your paper that have no matching reference will not be accepted
  6. Your sources must be peer-reviewed sources (an informational article, for instance, is not a peer-reviewed source)
  7. You must have at least 3 references for your paper, only use as many as you need, more references are not always better

 

 

 

 

 

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Nursing homework help

Module 02 Content

Course Competency:

Analyze the increased complexity of care among older adults.

Your supervisor needs to make sure that each of the in-service topics will be covered by someone, so she is asking the staff to communicate their topic preference. Below is the list of problems your supervisor wants the nursing staff to be able to teach older adult clients (and/or their family members) about.

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In-service Topic Options:

Hypertension

Diabetes

Coronary artery disease

Depression

Dementia

Polypharmacy

Increased risk of falls

Vison/hearing impairment

Nutrition and hydration Nursing homework help

Your supervisor has asked you to submit a 1-page proposal, written using proper spelling, grammar, and APA, which addresses the following:

Identify the client problem your in-service will address. Nursing homework help

Describe at least 5 consequences of the client problem as it relates to the health, safety, and well-being of older adults.

Explain your rationale for choosing the client problem you selected.

Write from nursing perspective

No consideration for plagiarism

IN TEXT CITATION

THREE REFERENCES

WITH Conclusion

DUE 04/ 11/2022

Module 02 Content

Course Competency:

Analyze the increased complexity of care among older adults.

Your supervisor needs to make sure that each of the in-service topics will be covered by someone, so she is asking the staff to communicate their topic preference. Below is the list of problems your supervisor wants the nursing staff to be able to teach older adult clients (and/or their family members) about.

In-service Topic Options:

Hypertension

Diabetes

Coronary artery disease

Depression

Dementia

Polypharmacy

Increased risk of falls

Vison/hearing impairment

Nutrition and hydration

Your supervisor has asked you to submit a 1-page proposal, written using proper spelling, grammar, and APA, which addresses the following:

Identify the client problem your in-service will address.

Describe at least 5 consequences of the client problem as it relates to the health, safety, and well-being of older adults.

Explain your rationale for choosing the client problem you selected.

 

Write from nursing perspective

No consideration for plagiarism

IN TEXT CITATION

THREE REFERENCES

WITH Conclusion

DUE 04/ 11/2022

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Nursing homework help

Episodic/Focused SOAP Note Template

 

Patient Information:

Initials, Age, Sex, Race

S.

CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”. Nursing homework help

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

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Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.

Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).

PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed

Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.

Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL:  Denies weight loss, fever, chills, weakness or fatigue.

HEENT:  Eyes: Denies visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  Denies hearing loss, sneezing, congestion, runny nose or sore throat.

SKIN:  Denies rash or itching.

CARDIOVASCULAR:  Denies chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  Denies shortness of breath, cough or sputum.

GASTROINTESTINAL:  Denies anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL:  Denies headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  Denies muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  Denies anemia, bleeding or bruising.

LYMPHATICS:  Denies enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  Denies history of depression or anxiety.

ENDOCRINOLOGIC:  Denies reports of sweating, cold or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  Denies history of asthma, hives, eczema or rhinitis.

O.

Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)

A.

Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence based guidelines.

This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.

References

You are required to include at least three evidence based peer-reviewed journal articles or evidenced based guidelines which relates to this case to support your diagnostics and differentials diagnoses. Be sure to use correct APA 7th edition formatting.

 

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Nursing homework help

Module 5/ Writing for Nurses.

Review alphanumeric outlines at https://owl.purdue.edu/owl/purdue_owl.html

Remember when you are creating an outline that each heading MUST have a minimum of two (2) subheadings.  The rationale lies in the thinking that if you cannot think of at least two items to flesh out a specific heading then the information in that one subheading is really part of the topic in the heading. Nursing homework help

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  1. Introduction to topic
    II. Topic:  Abuse of alcohol and opioids can affect individuals economically, physically, and emotionally
  2. Economically
    1. Alcohol
  3. Cost to buy alcohol
    b. Cost of legal proceedings
    c. Cost of property damage
  4. Opioids
  5. Cost of legal prescriptions
    b. Cost of illegal purchases
    c. Cost of legal proceedings
  6. Physical effects
    1. Alcohol
  7. Poor nutrition
    b. Liver damage
    c. Depression
  8. Opioids
  9. Infection from use of dirty needles
    b. Tolerance and dependence
    c. Depression
  10. Emotional effects

lll. Next topic, etc.

.

Selecting Credible Sources

University of California San Diego Department of Psychology. (2018). What types of references are appropriate? https://psychology.ucsd.edu/undergraduate-program/undergraduate-resources/academic-writing-resources/writing-research-papers/appropriate-references.html

University of Maryland. (2018). Is my source credible?  http://sites.umuc.edu/library/libhow/credibility.cfm

Writing for Nurses/Module 5 Outline directions.

Overview:

Creating an outline of a paper assists the author in organizing the content of the paper.  It allows the author the opportunity to discover what ideas fit together well and which ones need additional clarification.  The more detailed the outline the easier it will be to write the final paper.

Review first sample outline at https://owl.purdue.edu/owl/purdue_owl.html

  • Use Roman numerals for the main headings in the outline (I, II, III, IV)
    • Capital letters are used for the subheadings (A, B, C, D)
    • If another set of subheadings is needed use 1, 2, 3, 4
    • The next subheading would be lowercase letters, e.g., a, b, c, d

Note: There can be no fewer than two (2) subheadings beneath any heading. See the example in the Instructional Materials folder for Module 5. Nursing homework help

 

Instructions

  1. You are to create an alphanumeric outline of the final paper.
  2. Main headings will include one heading titled Introduction and one titled Conclusion.  Other main headings will address major concepts in your thinking.
  3. The outline is to provide the logical progression of the ideas and points you will make in the final paper. Items do not need to be in complete sentences.
  4. The outline is to have at least two (2) peer reviewed references.  You do NOT need to include in-text citations in the outline, but you will need to include a reference list on a separate page to give credit to the original author of the information. References MUST be in proper APA Manual 7th edition
  5. Include a properly formatted student APA Manual 7th edition title page

 

  • Click on the link titled ” M5 A1: OUTLINE OF FINAL PAPER – SUBMISSION AREA” to submit the assignment.
  • Refer to Rubric for evaluation guidelines
  • Points: 20
  • Due: See Course Calendar/Checklist

Note: You will have three (3) attempts to submit a written assignment, only the final attempt will be graded. For each attempt you will receive a SafeAssign originality report. This will give you a chance to correct the assignment based on the SafeAssign score. Click here to view instructions on how to interpret your SafeAssign originality report.

Kindly note: If a submission has been made for more than 48 hours without a re-submission, it will be considered final and will be subject to being graded.

 

Nursing homework help

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Nursing homework help

 

 

  • With regard to the Episodic note case study provided:
    • Review this week’s Learning Resources, and consider the insights they provide about the case study.
    • Consider what history would be necessary to collect from the patient in the case study.
    • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Nursing homework help
    • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

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The Assignment

  1. Analyze the subjective portion of the note. List additional information that should be included in the documentation.
  2. Analyze the objective portion of the note. List additional information that should be included in the documentation.
  3. Is the assessment supported by the subjective and objective information? Why or why not?
  4. What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
  5. Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. Nursing homework help

 

 

 

 

 

 

 

 

In this Assessment, you will analyze an Episodic Note case study that describes abnormal findings in patients seen in a clinical setting. You will consider what history should be collected from the patients, as well as which physical exams and diagnostic tests should be conducted. You will also formulate a differential diagnosis with several possible conditions. Just add in what you want to this case to make it unique to you. Do not use NA or normal.

ABDOMINAL ASSESSMENT

Subjective:

 

  • CC: “My stomach hurts, I have diarrhea and nothing seems to help.”

 

  • HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.

 

  • PMH: HTN, Diabetes, hx of GI bleed 4 years ago

 

  • Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs

 

  • Allergies: NKDA

 

  • FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD

 

  • Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)

 

Objective:

 

  • VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs

 

  • Heart: RRR, no murmurs

 

  • Lungs: CTA, chest wall symmetrical

 

  • Skin: Intact without lesions, no urticaria

 

  • Abd: soft, hyperactive bowel sounds, pos pain in the LLQ

 

  • Diagnostics: ?

 

Assessment:

  • Left lower quadrant pain

 

  • Gastroenteritis

PLAN:

Name: Tina Jones

Section:

 

Week 4                

Shadow Health Digital Clinical Experience Health History Documentation

 

SUBJECTIVE DATA: Include what the patient tells you, but organize the information.

 

Chief Complaint (CC):

History of Present Illness (HPI):

Medications:

Allergies:

Past Medical History (PMH):

Past Surgical History (PSH):

Sexual/Reproductive History:

Personal/Social History:

Immunization History:

Health Maintenance:

Significant Family History (Include history of parents, maternal/paternal Grandparents, siblings, and children):

 

Review of Systems: From head-to-toe, include each system that covers the Chief Complaint, History of Present Illness, and History).Remember that the information you include in this section is based on what the patient tells you. To ensure that you include all essentials in your case, refer to Chapter 2 of the Sullivan text.

 

General: Include any recent weight changes, weakness, fatigue, or fever, but do not restate HPI data here.

                HEENT:

Neck:

                Breasts:

                Respiratory:

                Cardiovascular/Peripheral Vascular:

                Gastrointestinal:

                Genitourinary:

                Musculoskeletal:

                Psychiatric:

                Neurological:

                Skin:

                Hematologic:

                Endocrine: