Instructions: Select one of the topic mentioned below and discuses filling the attached form.

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Instructions: Select one of the topic mentioned below and discuses filling the attached form.

Topics: 

Chronic Heart Failure

Requirements

Ø The discussion must address the topic

Ø Rationale must be provided

Ø Use at least 600 words (no included 1st page or references in the 600 words)

Ø May use examples from your nursing practice

Ø Formatted and cited in current APA 7

Ø Use 3 academic sources, not older than 5 years. Not Websites are allowed.

Ø Plagiarism is NOT permitted

Soap Note #

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Soap Note # ____ Main Diagnosis ______________

 

PATIENT INFORMATION

Name:

Age:

Gender at Birth:

Gender Identity:

Source:

Allergies:

Current Medications:

·

PMH:

Immunizations:

Preventive Care:

Surgical History:

Family History:

Social History:

Sexual Orientation:

Nutrition History:

 

Subjective Data:

Chief Complaint:

Symptom analysis/HPI:

The patient is …

 

Review of Systems (ROS) (This section is what the patient says, therefore should state Pt denies, or Pt states….. )

CONSTITUTIONAL:

NEUROLOGIC:

HEENT:

RESPIRATORY:

CARDIOVASCULAR:

GASTROINTESTINAL:

GENITOURINARY:

MUSCULOSKELETAL:

SKIN:

 

Objective Data:

VITAL SIGNS:

 

GENERAL APPREARANCE:

NEUROLOGIC:

HEENT:

CARDIOVASCULAR:

RESPIRATORY:

GASTROINTESTINAL:

MUSKULOSKELETAL:

INTEGUMENTARY:

 

ASSESSMENT:

(In a paragraph please state “your encounter with your patient and your findings ( including subjective and objective data)

Example : “Pt came in to our clinic c/o of ear pain. Pt states that the pain started 3 days ago after swimming. Pt denies discharge etc… on examination I noted this and that etc.)

Main Diagnosis

(Include the name of your Main Diagnosis along with its ICD10 I10. (Look at PDF example provided) Include the in-text reference/s as per APA style 7th Edition. Make a paragraph

Differential diagnosis (minimum 4) make a paragraph for each one

PLAN:

Labs and Diagnostic Test to be ordered (if applicable)

· –

· –

Pharmacological treatment:

–

Non-Pharmacologic treatment:

Education (provide the most relevant ones tailored to your patient)

 

Follow-ups/Referrals

References (in APA Style)

 explanation of three important components of the psychiatric interview and why you consider these elements important.

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explanation of three important components of the psychiatric interview and why you consider these elements important. Explain the psychometric properties of the rating scale you were assigned. Explain when it is appropriate to use this rating scale with clients during the psychiatric interview and how the scale is helpful to a nurse practitioner’s psychiatric assessment. Support your approach with evidence-based literature.

What is the physiologic mechanism causing the wound to become red, hot, swollen, and painful?

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Carlton, a 6-year-old boy, was playing on a sandy beach with his mother. He began to run along the shoreline when he stepped on the sharp edge of a shell, giving himself a deep cut on his foot. His mother washed his foot in the lake and put on his running shoe to take him home. One day later, Carlton’s foot looked worse. The gash was red and painful. The foot was warm to touch and appeared swollen. Carlton’s mom put some gauze over the wound and prepared to take him to the local community health clinic.

  1. What is the physiologic mechanism causing the wound to become red, hot, swollen, and painful? How is this different from the inflammatory response that might occur in an internal organ?
  2. What are the immunologic events that are happening at the local level during Carlton’s acute inflammatory response?
  3. Nutrition plays an important factor in wound healing. What stages of wound healing would be affected by a deficiency in vitamins A and C?

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Reminders:

*Pls make sure Turnitin report is not more than 15%.

*Pls cite at least 3 SCHOLARLY references in APA 7th ed format.

* Should be at least 4 pages with a maximum of 5 pages and must include a discussion and application of cellular metabolism as it applies to the case study, so you will have to locate articles that address cellular injury. This includes only the content, not the title and reference pages. More is not better so there is no need for an extensive background of the disease in the case study. Please focus on responding to the question clearly and thoroughly with scholarly sources.

Sources should be evidenced-based on professional journals. Websites can be used in adjunct but are not considered scholarly references for this course.

Case study analysis (as applicable)

1-What cells are involved?

2-What are the physiology of the cells?

3-What is the cellular injury?

4-How does the cellular injury relate to the symptoms?

This assignment is a follow-up to this PowerPoint  post- informatics-for-advanced-practice

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This assignment is a follow-up to this PowerPoint  post- informatics-for-advanced-practice

· Be sure to include citations in your response – course or outside materials may be used.

In 600 words

1. Provide a brief summary of your project and the integration of technology. Please include at least one in-text citation in your summary.

2. Share the vision of your project and the integration of your chosen technology.

3. Identify how you might minimize barriers and maximize the outcomes of your project

4. Include outside references (textbook or peer reviewed literature) in your response.

Reading

McBride and Tietze (2022)

∙    Chapter 11:  EHR and Health Information Exchanges

∙    Chapter 13:  Public Health Data

∙    Chapter 22:  National Prevention Strategy, Population Health, and Health Information Technology

Additional resources

∙    Bachynsky, N. (2020). Implications for policy: The triple aim, quadruple aim, and interprofessional collaboration. ATTACHED 

∙   Colicchio, T., Cimino, J., & Del Fiol, G. (2019). Unintended consequences of nationwide electronic health record adoption: challenges and opportunities in the post-meaningful use era Available at https://pubmed-ncbi-nlm-nih-gov.northernkentuckyuniversity.idm.oclc.org/31162125/

Generate a primary and two differential diagnoses.  Use the DSM5 to support the assessment.  Include the DSM5 and ICD 10 codes.

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Ms. Z is a 28-year-old assistant store manager who arrives at your outpatient clinic complaining of sadness after her boyfriend of 6 months ended their relationship 1 month ago. She describes a history of failed romantic relationships, and says, “I don’t do well with breakups.” Ms. Z reports that, although she has no prior psychiatric treatment, she was urged by her employer to seek therapy. Ms. Z has arrived late to work on several occasions because of oversleeping. She also has difficulty in getting out of bed stating, “It’s difficult to walk; it’s like my legs weigh a ton.” She feels fatigued during the day despite spending over 12 hours in bed and is concerned that she might be suffering from a serious medical condition. She denies any significant changes in appetite or weight since these symptoms began.

Ms. Z reports that, although she has not missed workdays, she has difficulty concentrating and has become tearful in front of clients while worrying about not finding a significant other. She feels tremendous guilt over “not being good enough to get married,” and says that her close friends are concerned because she has been spending her weekends in bed and not answering their calls. Although during your evaluation Ms. Z appeared tearful, she brightened up when talking about her newborn nephew and her plans of visiting a college friend next summer. Ms. Z denied suicidal ideation.

Questions

Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.

1. Summarize the clinical case including the significant subjective and objective data.

2. Generate a primary and two differential diagnoses.  Use the DSM5 to support the assessment.  Include the DSM5 and ICD 10 codes.

3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.

4. Discuss non-pharmacological treatment would you prescribe?  Use the clinical guidelines to support the rationale for this treatment.

Describe a health promotion intervention that would be appropriate for this patient.

Summarize the clinical case including the significant subjective and objective data.

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Ms. Z is a 28-year-old assistant store manager who arrives at your outpatient clinic complaining of sadness after her boyfriend of 6 months ended their relationship 1 month ago. She describes a history of failed romantic relationships, and says, “I don’t do well with breakups.” Ms. Z reports that, although she has no prior psychiatric treatment, she was urged by her employer to seek therapy. Ms. Z has arrived late to work on several occasions because of oversleeping. She also has difficulty in getting out of bed stating, “It’s difficult to walk; it’s like my legs weigh a ton.” She feels fatigued during the day despite spending over 12 hours in bed and is concerned that she might be suffering from a serious medical condition. She denies any significant changes in appetite or weight since these symptoms began.

Ms. Z reports that, although she has not missed workdays, she has difficulty concentrating and has become tearful in front of clients while worrying about not finding a significant other. She feels tremendous guilt over “not being good enough to get married,” and says that her close friends are concerned because she has been spending her weekends in bed and not answering their calls. Although during your evaluation Ms. Z appeared tearful, she brightened up when talking about her newborn nephew and her plans of visiting a college friend next summer. Ms. Z denied suicidal ideation.

Questions

Remember to answer these questions from your textbooks and clinical guidelines to create your evidence-based treatment plan. At all times, explain your answers.

1. Summarize the clinical case including the significant subjective and objective data.

2. Generate a primary and two differential diagnoses.  Use the DSM5 to support the assessment.  Include the DSM5 and ICD 10 codes.

3. Discuss a pharmacological treatment would you prescribe? Use the clinical guidelines to support the rationale for this treatment.

4. Discuss non-pharmacological treatment would you prescribe?  Use the clinical guidelines to support the rationale for this treatment.

Describe a health promotion intervention that would be appropriate for this patient.

Discuss why EBP is an essential component of the practice of a BSN-prepared RN.

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Discuss why EBP is an essential component of the practice of a BSN-prepared RN. Identify two ways in which you will continue to integrate evidence into your practice and encourage it within your work environment. What obstacles could challenge this plan, and what steps will you take to minimize their impact?

Consider this scenario for the Discussion:You are practicing in an acute care unit in a local hospital. During your recent shifts, you identified a practice problem that you would like to see changed.

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Directions:

Consider this scenario for the Discussion:You are practicing in an acute care unit in a local hospital. During your recent shifts, you identified a practice problem that you would like to see changed. After discussing the issue with your direct supervisor and the Director of Nursing, they have asked that you research the current literature and propose an evidence-based practice solution to the identified practice problem.

Initial Post:

From your work or clinical experience, identify a potential practice problem and formulate a proposal for an evidence-based practice solution that includes:

  • A brief description of a potential practice problem
  • Relevant evidence-based practice question
  • Locate and review at least two current, peer-reviewed, research articles that address the identified clinical problem, appraise research findings and synthesize relevant, credible findings into a succinct summary supporting your potential practice problem and evidence based practice solution
  • Propose an evidence-based practice solution including
  • Implementation plan
  • Evaluation plan
  • Plan to sustain the practice change
Responses (minimum of two):
  • Critique classmates’ evidence based practice solution including:
  • Opinion if the proposed practice change was relevant and supported by the literature
  • Discussion of the feasibility of a plan to implement, evaluate and sustain practice change
  • At least one suggestion for how to improve the proposal for an evidence-base practice solution

Please make your initial post by midweek, and respond to at least two other student’s post by the end of the week. Please check the Course Calendar for specific due dates.

methicillin resistant staphylococcus aureus (MRSA) infection.

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Bobby, a 13-year-old male, was hospitalized following a perforated appendix that required surgery. Bobby has an open wound requiring dressing changes twice daily. He is currently on contact precautions for a methicillin resistant staphylococcus aureus (MRSA) infection. The estimated date of discharge is five-to-ten-days post-op and will include long-term antibiotics and wound care.

The nurse notes on the assessment- Previously Bobby was talkative and related his enthusiasm for school and upcoming science competitions. However, today, he was withdrawn and stated, “I’m just tired”.

  • What are the impacts when an adolescent is separated from their peer group?
  • How should the nurse arrange for visitation and playtime during Bobby’s hospitalization and isolation?
  • What concerns with body image would the nurse anticipate?
  • Why is “play” an important part of childhood?