WEEK 6 CASE STUDY PART 1

Home>Homework Answsers>Nursing homework helpnursingIntegumentary Function:K.B. is a 40-year-old white female with a 5-year history of psoriasis. She has scheduled an appointment with her dermatologist due to another relapse of psoriasis. This is her third flare-up since a definitive diagnosis was made. This outbreak of plaque psoriasis is generalized and involves large regions on the arms, legs, elbows, knees, abdomen, scalp, and groin. K.B. was diagnosed with limited plaque-type psoriasis at age 35 and initially responded well to topical treatment with high-potency corticosteroids. She has been in remission for 18 months. Until now, lesions have been confined to small regions on the elbows and lower legs.Case Study QuestionsName the most common triggers for psoriasis and explain the different clinical types.There are several types of treatments for psoriasis, explain the different types and indicate which would be the most appropriate approach to treat this relapse episode for K.B. Also include non-pharmacological options and recommendations.Included in question 2A medication review and reconciliation are always important in all patient, describe and specify why in this particular case is important to know what medications the patient is taking?What others manifestation could present a patient with Psoriasis?500 WORDS, APA FORMAT, 2 ACADEMIC SOURCES WITHIN THE LAST 5 YEARS.17 days ago14.06.20256Report issueBids(48)MISS HILLARY A+Dr. Sarah Blakefirstclass tutorDoctor.NamiraMiss Deannasherry proffMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganPROF_ALISTERpacesetters2121ProWritingGuruDr. Everleigh_JKIsabella HarvardBrilliant GeekAleena SheikhTeacher A+ WorkAshley EllieLarry KellyShow All Bidsother Questions(10)MGT-455 Benchmark – Chapter 7 and S7 Problem SetFinance HelpBusiness EssayU6HC239-DBLEGALPSYC 355 SPSS HOMEWORK 6 PREDICTION – BIVARIATE LINEAR REGRESSIONI NEED A QUALITY ANSWER IN 24 HOURS. NO LATE SUBMISSION.For Expert Researcher Only- Assignment 2-6WEEK 5 ASSIGNMENT SUBMISSON 2Criminal Justice

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WEEK 6 CASE STUDY PART 2

Home>Homework Answsers>Nursing homework helpnursingSensory Function:C.J. is a 27-year-old male who started to present crusty and yellowish discharged on his eyes 24 hours ago. At the beginning he thought that washing his eyes vigorously the discharge will go away but by the contrary increased producing a blurry vision specially in the morning. Once he clears his eyes of the sticky discharge her visual acuity was normal again. Also, he has been feeling throbbing pain on his left ear. His eyes became red today, so he decided to consult to get evaluated. On his physical assessment you found a yellowish discharge and bilateral conjunctival erythema. His throat and lungs are normal, his left ear canal is within normal limits, but the tympanic membrane is opaque, bulging and red.Case Study QuestionsBased on the clinical manifestations presented on the case above, which would be your eyes diagnosis for C.J. Please name why you get to this diagnosis and document your rational.With no further information would you be able to name the probable etiology of the eye affection presented? Viral, bacterial, allergic, gonococcal, trachoma. Why and why not.Based on your answer to the previous question regarding the etiology of the eye affection, which would be the best therapeutic approach to C.J problem.500 WORDS APA FORMAT, 2 ACADEMIC SOURCES WITHIN THE LAST 5 YEARS17 days ago14.06.20256Report issueBids(49)MISS HILLARY A+Dr. Sarah Blakefirstclass tutorDoctor.NamiraMiss Deannasherry proffMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganPROF_ALISTERpacesetters2121ProWritingGuruDr. Everleigh_JKIsabella HarvardBrilliant GeekTeacher A+ WorkAshley EllieLarry Kellyabdul_rehman_Show All Bidsother Questions(10)Measuring Risk Organizations must be able to manage risk, but in order to do so, companies must be able to measure it. The terminology used to measure risks include risk, tolerance, and sensitivity as well as assessment, measure, and perceptions. Using tproblems in ALEKS –Stat 300Discussion post – Create an Algorithm and Working in TeamsAlgebra 1Annotated Bibliographyops asssignmentdiscussionManagement 7 duplicateDiscussion 4.1: Human Resources TestingFOR MADAM PROFESSOR – FINAL PROJECT

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MODULE 6 DISCUSSION

Home>Homework Answsers>Nursing homework helpnursingAPRNExplain how to measure and monitor the quality of care delivered and the outcomes achieved by an Advanced Practice Nurse.post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources17 days ago14.06.20255Report issueBids(51)MISS HILLARY A+Dr. Sarah Blakefirstclass tutorDoctor.NamiraMiss Deannasherry proffMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganPROF_ALISTERpacesetters2121ProWritingGuruDr. Everleigh_JKIsabella HarvardBrilliant GeekAleena SheikhTeacher A+ WorkAshley EllieLarry KellyShow All Bidsother Questions(10)Homework Assisgnment350 wds minimumProfit Maximization:MonoplyAshford Univrsity Worksheet completedComparisons of fire prevention programs in effect on this continent with those in other parts of the world reveal that there are probably as many differences as there are similarities.�What is the explanation for the differences and similarities?�What lesBusiness opearationsFind the slope of the line y-4=-2/5(x-3)NY tax assignmentNo Questionmanagement principals

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PICOT

Home>Homework Answsers>Nursing homework helpLeadershipmanagementSee attached17 days ago14.06.202510Report issuefiles (2)QAPI1.docxdownloadfile8.PDFQAPI1.docx2DiscussionStudent’s NameInstitutional AffiliationProfessor’s NameCourse NameDue DateThe uniqueness of Continuing Care Retirement Communities (CCRCs) needs to be maintained as their services are extended. Learning from the market, the demographics of the immediate area, and the changing needs of older persons is the first step towards strategic expansion. CCRCs need to advocate for health, independence, and care continuity in a person-centered manner. The SQUIRE 2.0 framework fosters responsible expansion through contextual awareness, theory-guided interventions, and careful evaluation (Ogrinc et al., 2015). Adapting expansion plans to the surrounding area’s values, interests, and needs facilitates scaling and sustaining healthcare ecosystems.One of the most critical aspects of a CCRC’s growth plan must be developing successful, not competing, relationships with the hospital and other long-term care organizations. Partnerships with local hospitals, university programs, and telemedicine providers may enhance specialist care and reduce hospital readmissions without compromising the CCRC’s goal. Using external knowledge and internal autonomy, CCRCs may become major healthcare players. Integrating electronic health records and predictive analytics for resident health monitoring increases operational efficiency and resident outcomes, harmonizing with SQUIRE 2.0’s “systems” approach to linked healthcare services (Ogrinc et al., 2015).Growing without losing its identity requires a solid communication strategy that defines the CCRC. Comprehensive care, resident empowerment, and aging continuity must be promoted in community marketing. Service design should include regular needs assessments and stakeholder input to enhance quality (Brown et al., 2021). It creates a feedback-rich environment where growth attempts match resident and community expectations. Transparency in decision-making and resident and family participation in governance committees may strengthen community ownership and reduce alienation as the organization grows.The importance of ethical considerations in growth cannot be overstated. Expanding too quickly or without enough infrastructure might undermine care quality and staff well-being, breaking quality improvement framework ethics (Ogrinc et al., 2015). Before implementing interventions, CCRCs must consider opportunity costs, such as diverting resources from current programs, and rigorously analyze treatments. Sustainable development must be iterative and led by real-world data, as SQUIRE studies treatments and adapts depending on contextual input. CCRCs may grow while retaining their identity and value to communities by following this balanced, ethical, and data-driven plan.ReferencesBrown, H., Jacobson, S., Cockrell, M., Sutt, J., Allen, K., & Copeland, A. (2021). A Five-Step Stakeholder Communication Plan for More Effective Natural Resource Management.Journal of Extension,59(Autumn 2021). https://doi.org/10.34068/joe.59.04.06Ogrinc, G., Davies, L., Goodman, D., Batalden, P., Davidoff, F., & Stevens, D. (2015). Squire 2.0 (Standards for Quality Improvement Reporting Excellence): Revised Publication Guidelines From a Detailed Consensus Process.American Journal of Critical Care,24(6), 466–473. https://doi.org/10.4037/ajcc2015455downloadfile8.PDFAdapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Template
 for
 Asking
 PICOT
 QuestionsINTERVENTIONIn
 ____________________(P),
 how
 does
 ____________________
 (I)
 compared
 to____________________(C)
 affect
 _____________________(O)
 within
 ___________(T)?THERAPYIn
 __________________(P),
 what
 is
 the
 effect
 of
 __________________(I)
 compared
 to_____________
 (C)
 on
 ________________(O
 within
 _____________(T)?PROGNOSIS/PREDICTION
 
In
 ______________
 (P),
 how
 does
 ___________________
 (I)
 compared
 to
 _____________(C)influence
 __________________
 (O)
 over
 _______________
 (T)?DIAGNOSIS
 OR
 DIAGNOSTIC
 TESTIn
 ___________________(P)
 are/is
 ____________________(I)
 
 compared
 with_______________________(C)
 more
 accurate
 in
 diagnosing
 _________________(O)?ETIOLOGYAre____________________
 (P),
 who
 have
 ____________________
 (I)
 compared
 with
 thosewithout
 ____________________(C)
 at
 ____________
 risk
 for/of____________________(O)
 over
 ________________(T)?MEANINGHow
 do
 _______________________
 (P)
 with
 _______________________
 (I)
 
 perceive_______________________
 (O)
 during
 ________________(T)?Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Short
 Definitions
 of
 Different
 Types
 of
 Questions
 

 
Intervention/Therapy:
 Questions
 addressing
 the
 treatment
 of
 an
 illness
 or
 disability.
 

 
Etiology:
 Questions
 addressing
 the
 causes
 or
 origins
 of
 disease
 (i.e.,
 factors
 that
 produce
 or
 
predispose
 toward
 a
 certain
 disease
 or
 disorder).
 

 
Diagnosis:
 Questions
 addressing
 the
 act
 or
 process
 of
 identifying
 or
 determining
 the
 nature
 and
 
cause
 of
 a
 disease
 or
 injury
 through
 evaluation.
 

 
Prognosis/Prediction:
 Questions
 addressing
 the
 prediction
 of
 the
 course
 of
 a
 disease.
 

 
Meaning:
 Questions
 addressing
 how
 one
 experiences
 a
 phenomenon.Sample
 Questions:
 

 
Intervention:
 In
 African-­‐American
 female
 adolescents
 with
 hepatitis
 B
 (P),
 how
 does
 
acetaminophen
 (I)
 compared
 to
 ibuprofen
 (C)
 affect
 liver
 function
 (O)?
 

 
Therapy:
 In
 children
 with
 spastic
 cerebral
 palsy
 (P),
 what
 is
 the
 effect
 of
 splinting
 and
 casting(I)
 
compared
 to
 constraint-­‐
 induced
 therapy
 (C)
 on
 two-­‐handed
 skill
 development
 (O)?
 

 
Prognosis/Prediction:
 
 
1)
 For
 patients
 65
 years
 and
 older
 (P),
 how
 does
 the
 use
 of
 an
 influenza
 vaccine
 (I)
 compared
 to
 
not
 received
 the
 vaccine
 (C)
 influence
 the
 risk
 of
 developing
 pneumonia
 (O)
 during
 flu
 season
 
(T)?
 
 
2)
 In
 patients
 who
 have
 experienced
 an
 acute
 myocardial
 infarction
 (P),
 how
 does
 being
 a
 
smoker
 (I)
 compared
 to
 a
 non-­‐smoker
 (C)
 influence
 death
 and
 infarction
 rates
 (O)
 during
 the
 
first
 5
 years
 after
 the
 myocardial
 infarction
 (T)?
 

 
Diagnosis:
 In
 middle-­‐aged
 males
 with
 suspected
 myocardial
 infarction
 (P),
 are
 serial
 12-­‐lead
 
ECGs
 (I)
 compared
 to
 one
 initial
 12-­‐lead
 ECG
 (C)
 more
 accurate
 in
 diagnosing
 an
 acute
 
myocardial
 infarction
 (O)?
 

 
Etiology:
 Are
 30-­‐
 to
 50-­‐year-­‐old
 women
 (P)
 who
 have
 high
 blood
 pressure
 (I)
 compared
 with
 
those
 without
 high
 blood
 pressure
 (C)
 at
 increased
 risk
 for
 an
 acute
 myocardial
 infarction
 (O)
 
during
 the
 first
 year
 after
 hysterectomy
 (T)?
 

 
Meaning:
 How
 do
 young
 males
 (P)
 with
 a
 diagnosis
 of
 below
 the
 waist
 paralysis
 (I)
 perceive
 
their
 interactions
 with
 their
 romantic
 significant
 others
 (O)
 during
 the
 first
 year
 after
 their
 
diagnosis
 (T)?downloadfile8.PDFAdapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Template
 for
 Asking
 PICOT
 QuestionsINTERVENTIONIn
 ____________________(P),
 how
 does
 ____________________
 (I)
 compared
 to____________________(C)
 affect
 _____________________(O)
 within
 ___________(T)?THERAPYIn
 __________________(P),
 what
 is
 the
 effect
 of
 __________________(I)
 compared
 to_____________
 (C)
 on
 ________________(O
 within
 _____________(T)?PROGNOSIS/PREDICTION
 
In
 ______________
 (P),
 how
 does
 ___________________
 (I)
 compared
 to
 _____________(C)influence
 __________________
 (O)
 over
 _______________
 (T)?DIAGNOSIS
 OR
 DIAGNOSTIC
 TESTIn
 ___________________(P)
 are/is
 ____________________(I)
 
 compared
 with_______________________(C)
 more
 accurate
 in
 diagnosing
 _________________(O)?ETIOLOGYAre____________________
 (P),
 who
 have
 ____________________
 (I)
 compared
 with
 thosewithout
 ____________________(C)
 at
 ____________
 risk
 for/of____________________(O)
 over
 ________________(T)?MEANINGHow
 do
 _______________________
 (P)
 with
 _______________________
 (I)
 
 perceive_______________________
 (O)
 during
 ________________(T)?Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Short
 Definitions
 of
 Different
 Types
 of
 Questions
 

 
Intervention/Therapy:
 Questions
 addressing
 the
 treatment
 of
 an
 illness
 or
 disability.
 

 
Etiology:
 Questions
 addressing
 the
 causes
 or
 origins
 of
 disease
 (i.e.,
 factors
 that
 produce
 or
 
predispose
 toward
 a
 certain
 disease
 or
 disorder).
 

 
Diagnosis:
 Questions
 addressing
 the
 act
 or
 process
 of
 identifying
 or
 determining
 the
 nature
 and
 
cause
 of
 a
 disease
 or
 injury
 through
 evaluation.
 

 
Prognosis/Prediction:
 Questions
 addressing
 the
 prediction
 of
 the
 course
 of
 a
 disease.
 

 
Meaning:
 Questions
 addressing
 how
 one
 experiences
 a
 phenomenon.Sample
 Questions:
 

 
Intervention:
 In
 African-­‐American
 female
 adolescents
 with
 hepatitis
 B
 (P),
 how
 does
 
acetaminophen
 (I)
 compared
 to
 ibuprofen
 (C)
 affect
 liver
 function
 (O)?
 

 
Therapy:
 In
 children
 with
 spastic
 cerebral
 palsy
 (P),
 what
 is
 the
 effect
 of
 splinting
 and
 casting(I)
 
compared
 to
 constraint-­‐
 induced
 therapy
 (C)
 on
 two-­‐handed
 skill
 development
 (O)?
 

 
Prognosis/Prediction:
 
 
1)
 For
 patients
 65
 years
 and
 older
 (P),
 how
 does
 the
 use
 of
 an
 influenza
 vaccine
 (I)
 compared
 to
 
not
 received
 the
 vaccine
 (C)
 influence
 the
 risk
 of
 developing
 pneumonia
 (O)
 during
 flu
 season
 
(T)?
 
 
2)
 In
 patients
 who
 have
 experienced
 an
 acute
 myocardial
 infarction
 (P),
 how
 does
 being
 a
 
smoker
 (I)
 compared
 to
 a
 non-­‐smoker
 (C)
 influence
 death
 and
 infarction
 rates
 (O)
 during
 the
 
first
 5
 years
 after
 the
 myocardial
 infarction
 (T)?
 

 
Diagnosis:
 In
 middle-­‐aged
 males
 with
 suspected
 myocardial
 infarction
 (P),
 are
 serial
 12-­‐lead
 
ECGs
 (I)
 compared
 to
 one
 initial
 12-­‐lead
 ECG
 (C)
 more
 accurate
 in
 diagnosing
 an
 acute
 
myocardial
 infarction
 (O)?
 

 
Etiology:
 Are
 30-­‐
 to
 50-­‐year-­‐old
 women
 (P)
 who
 have
 high
 blood
 pressure
 (I)
 compared
 with
 
those
 without
 high
 blood
 pressure
 (C)
 at
 increased
 risk
 for
 an
 acute
 myocardial
 infarction
 (O)
 
during
 the
 first
 year
 after
 hysterectomy
 (T)?
 

 
Meaning:
 How
 do
 young
 males
 (P)
 with
 a
 diagnosis
 of
 below
 the
 waist
 paralysis
 (I)
 perceive
 
their
 interactions
 with
 their
 romantic
 significant
 others
 (O)
 during
 the
 first
 year
 after
 their
 
diagnosis
 (T)?QAPI1.docx2DiscussionStudent’s NameInstitutional AffiliationProfessor’s NameCourse NameDue DateThe uniqueness of Continuing Care Retirement Communities (CCRCs) needs to be maintained as their services are extended. Learning from the market, the demographics of the immediate area, and the changing needs of older persons is the first step towards strategic expansion. CCRCs need to advocate for health, independence, and care continuity in a person-centered manner. The SQUIRE 2.0 framework fosters responsible expansion through contextual awareness, theory-guided interventions, and careful evaluation (Ogrinc et al., 2015). Adapting expansion plans to the surrounding area’s values, interests, and needs facilitates scaling and sustaining healthcare ecosystems.One of the most critical aspects of a CCRC’s growth plan must be developing successful, not competing, relationships with the hospital and other long-term care organizations. Partnerships with local hospitals, university programs, and telemedicine providers may enhance specialist care and reduce hospital readmissions without compromising the CCRC’s goal. Using external knowledge and internal autonomy, CCRCs may become major healthcare players. Integrating electronic health records and predictive analytics for resident health monitoring increases operational efficiency and resident outcomes, harmonizing with SQUIRE 2.0’s “systems” approach to linked healthcare services (Ogrinc et al., 2015).Growing without losing its identity requires a solid communication strategy that defines the CCRC. Comprehensive care, resident empowerment, and aging continuity must be promoted in community marketing. Service design should include regular needs assessments and stakeholder input to enhance quality (Brown et al., 2021). It creates a feedback-rich environment where growth attempts match resident and community expectations. Transparency in decision-making and resident and family participation in governance committees may strengthen community ownership and reduce alienation as the organization grows.The importance of ethical considerations in growth cannot be overstated. Expanding too quickly or without enough infrastructure might undermine care quality and staff well-being, breaking quality improvement framework ethics (Ogrinc et al., 2015). Before implementing interventions, CCRCs must consider opportunity costs, such as diverting resources from current programs, and rigorously analyze treatments. Sustainable development must be iterative and led by real-world data, as SQUIRE studies treatments and adapts depending on contextual input. CCRCs may grow while retaining their identity and value to communities by following this balanced, ethical, and data-driven plan.ReferencesBrown, H., Jacobson, S., Cockrell, M., Sutt, J., Allen, K., & Copeland, A. (2021). A Five-Step Stakeholder Communication Plan for More Effective Natural Resource Management.Journal of Extension,59(Autumn 2021). https://doi.org/10.34068/joe.59.04.06Ogrinc, G., Davies, L., Goodman, D., Batalden, P., Davidoff, F., & Stevens, D. (2015). Squire 2.0 (Standards for Quality Improvement Reporting Excellence): Revised Publication Guidelines From a Detailed Consensus Process.American Journal of Critical Care,24(6), 466–473. https://doi.org/10.4037/ajcc2015455downloadfile8.PDFAdapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Template
 for
 Asking
 PICOT
 QuestionsINTERVENTIONIn
 ____________________(P),
 how
 does
 ____________________
 (I)
 compared
 to____________________(C)
 affect
 _____________________(O)
 within
 ___________(T)?THERAPYIn
 __________________(P),
 what
 is
 the
 effect
 of
 __________________(I)
 compared
 to_____________
 (C)
 on
 ________________(O
 within
 _____________(T)?PROGNOSIS/PREDICTION
 
In
 ______________
 (P),
 how
 does
 ___________________
 (I)
 compared
 to
 _____________(C)influence
 __________________
 (O)
 over
 _______________
 (T)?DIAGNOSIS
 OR
 DIAGNOSTIC
 TESTIn
 ___________________(P)
 are/is
 ____________________(I)
 
 compared
 with_______________________(C)
 more
 accurate
 in
 diagnosing
 _________________(O)?ETIOLOGYAre____________________
 (P),
 who
 have
 ____________________
 (I)
 compared
 with
 thosewithout
 ____________________(C)
 at
 ____________
 risk
 for/of____________________(O)
 over
 ________________(T)?MEANINGHow
 do
 _______________________
 (P)
 with
 _______________________
 (I)
 
 perceive_______________________
 (O)
 during
 ________________(T)?Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Short
 Definitions
 of
 Different
 Types
 of
 Questions
 

 
Intervention/Therapy:
 Questions
 addressing
 the
 treatment
 of
 an
 illness
 or
 disability.
 

 
Etiology:
 Questions
 addressing
 the
 causes
 or
 origins
 of
 disease
 (i.e.,
 factors
 that
 produce
 or
 
predispose
 toward
 a
 certain
 disease
 or
 disorder).
 

 
Diagnosis:
 Questions
 addressing
 the
 act
 or
 process
 of
 identifying
 or
 determining
 the
 nature
 and
 
cause
 of
 a
 disease
 or
 injury
 through
 evaluation.
 

 
Prognosis/Prediction:
 Questions
 addressing
 the
 prediction
 of
 the
 course
 of
 a
 disease.
 

 
Meaning:
 Questions
 addressing
 how
 one
 experiences
 a
 phenomenon.Sample
 Questions:
 

 
Intervention:
 In
 African-­‐American
 female
 adolescents
 with
 hepatitis
 B
 (P),
 how
 does
 
acetaminophen
 (I)
 compared
 to
 ibuprofen
 (C)
 affect
 liver
 function
 (O)?
 

 
Therapy:
 In
 children
 with
 spastic
 cerebral
 palsy
 (P),
 what
 is
 the
 effect
 of
 splinting
 and
 casting(I)
 
compared
 to
 constraint-­‐
 induced
 therapy
 (C)
 on
 two-­‐handed
 skill
 development
 (O)?
 

 
Prognosis/Prediction:
 
 
1)
 For
 patients
 65
 years
 and
 older
 (P),
 how
 does
 the
 use
 of
 an
 influenza
 vaccine
 (I)
 compared
 to
 
not
 received
 the
 vaccine
 (C)
 influence
 the
 risk
 of
 developing
 pneumonia
 (O)
 during
 flu
 season
 
(T)?
 
 
2)
 In
 patients
 who
 have
 experienced
 an
 acute
 myocardial
 infarction
 (P),
 how
 does
 being
 a
 
smoker
 (I)
 compared
 to
 a
 non-­‐smoker
 (C)
 influence
 death
 and
 infarction
 rates
 (O)
 during
 the
 
first
 5
 years
 after
 the
 myocardial
 infarction
 (T)?
 

 
Diagnosis:
 In
 middle-­‐aged
 males
 with
 suspected
 myocardial
 infarction
 (P),
 are
 serial
 12-­‐lead
 
ECGs
 (I)
 compared
 to
 one
 initial
 12-­‐lead
 ECG
 (C)
 more
 accurate
 in
 diagnosing
 an
 acute
 
myocardial
 infarction
 (O)?
 

 
Etiology:
 Are
 30-­‐
 to
 50-­‐year-­‐old
 women
 (P)
 who
 have
 high
 blood
 pressure
 (I)
 compared
 with
 
those
 without
 high
 blood
 pressure
 (C)
 at
 increased
 risk
 for
 an
 acute
 myocardial
 infarction
 (O)
 
during
 the
 first
 year
 after
 hysterectomy
 (T)?
 

 
Meaning:
 How
 do
 young
 males
 (P)
 with
 a
 diagnosis
 of
 below
 the
 waist
 paralysis
 (I)
 perceive
 
their
 interactions
 with
 their
 romantic
 significant
 others
 (O)
 during
 the
 first
 year
 after
 their
 
diagnosis
 (T)?QAPI1.docx2DiscussionStudent’s NameInstitutional AffiliationProfessor’s NameCourse NameDue DateThe uniqueness of Continuing Care Retirement Communities (CCRCs) needs to be maintained as their services are extended. Learning from the market, the demographics of the immediate area, and the changing needs of older persons is the first step towards strategic expansion. CCRCs need to advocate for health, independence, and care continuity in a person-centered manner. The SQUIRE 2.0 framework fosters responsible expansion through contextual awareness, theory-guided interventions, and careful evaluation (Ogrinc et al., 2015). Adapting expansion plans to the surrounding area’s values, interests, and needs facilitates scaling and sustaining healthcare ecosystems.One of the most critical aspects of a CCRC’s growth plan must be developing successful, not competing, relationships with the hospital and other long-term care organizations. Partnerships with local hospitals, university programs, and telemedicine providers may enhance specialist care and reduce hospital readmissions without compromising the CCRC’s goal. Using external knowledge and internal autonomy, CCRCs may become major healthcare players. Integrating electronic health records and predictive analytics for resident health monitoring increases operational efficiency and resident outcomes, harmonizing with SQUIRE 2.0’s “systems” approach to linked healthcare services (Ogrinc et al., 2015).Growing without losing its identity requires a solid communication strategy that defines the CCRC. Comprehensive care, resident empowerment, and aging continuity must be promoted in community marketing. Service design should include regular needs assessments and stakeholder input to enhance quality (Brown et al., 2021). It creates a feedback-rich environment where growth attempts match resident and community expectations. Transparency in decision-making and resident and family participation in governance committees may strengthen community ownership and reduce alienation as the organization grows.The importance of ethical considerations in growth cannot be overstated. Expanding too quickly or without enough infrastructure might undermine care quality and staff well-being, breaking quality improvement framework ethics (Ogrinc et al., 2015). Before implementing interventions, CCRCs must consider opportunity costs, such as diverting resources from current programs, and rigorously analyze treatments. Sustainable development must be iterative and led by real-world data, as SQUIRE studies treatments and adapts depending on contextual input. CCRCs may grow while retaining their identity and value to communities by following this balanced, ethical, and data-driven plan.ReferencesBrown, H., Jacobson, S., Cockrell, M., Sutt, J., Allen, K., & Copeland, A. (2021). A Five-Step Stakeholder Communication Plan for More Effective Natural Resource Management.Journal of Extension,59(Autumn 2021). https://doi.org/10.34068/joe.59.04.06Ogrinc, G., Davies, L., Goodman, D., Batalden, P., Davidoff, F., & Stevens, D. (2015). Squire 2.0 (Standards for Quality Improvement Reporting Excellence): Revised Publication Guidelines From a Detailed Consensus Process.American Journal of Critical Care,24(6), 466–473. https://doi.org/10.4037/ajcc2015455downloadfile8.PDFAdapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Template
 for
 Asking
 PICOT
 QuestionsINTERVENTIONIn
 ____________________(P),
 how
 does
 ____________________
 (I)
 compared
 to____________________(C)
 affect
 _____________________(O)
 within
 ___________(T)?THERAPYIn
 __________________(P),
 what
 is
 the
 effect
 of
 __________________(I)
 compared
 to_____________
 (C)
 on
 ________________(O
 within
 _____________(T)?PROGNOSIS/PREDICTION
 
In
 ______________
 (P),
 how
 does
 ___________________
 (I)
 compared
 to
 _____________(C)influence
 __________________
 (O)
 over
 _______________
 (T)?DIAGNOSIS
 OR
 DIAGNOSTIC
 TESTIn
 ___________________(P)
 are/is
 ____________________(I)
 
 compared
 with_______________________(C)
 more
 accurate
 in
 diagnosing
 _________________(O)?ETIOLOGYAre____________________
 (P),
 who
 have
 ____________________
 (I)
 compared
 with
 thosewithout
 ____________________(C)
 at
 ____________
 risk
 for/of____________________(O)
 over
 ________________(T)?MEANINGHow
 do
 _______________________
 (P)
 with
 _______________________
 (I)
 
 perceive_______________________
 (O)
 during
 ________________(T)?Adapted from the PICOT Questions Template; Ellen Fineout-Overholt, 2006. This form may be used for educational & research purposes without permission.Short
 Definitions
 of
 Different
 Types
 of
 Questions
 

 
Intervention/Therapy:
 Questions
 addressing
 the
 treatment
 of
 an
 illness
 or
 disability.
 

 
Etiology:
 Questions
 addressing
 the
 causes
 or
 origins
 of
 disease
 (i.e.,
 factors
 that
 produce
 or
 
predispose
 toward
 a
 certain
 disease
 or
 disorder).
 

 
Diagnosis:
 Questions
 addressing
 the
 act
 or
 process
 of
 identifying
 or
 determining
 the
 nature
 and
 
cause
 of
 a
 disease
 or
 injury
 through
 evaluation.
 

 
Prognosis/Prediction:
 Questions
 addressing
 the
 prediction
 of
 the
 course
 of
 a
 disease.
 

 
Meaning:
 Questions
 addressing
 how
 one
 experiences
 a
 phenomenon.Sample
 Questions:
 

 
Intervention:
 In
 African-­‐American
 female
 adolescents
 with
 hepatitis
 B
 (P),
 how
 does
 
acetaminophen
 (I)
 compared
 to
 ibuprofen
 (C)
 affect
 liver
 function
 (O)?
 

 
Therapy:
 In
 children
 with
 spastic
 cerebral
 palsy
 (P),
 what
 is
 the
 effect
 of
 splinting
 and
 casting(I)
 
compared
 to
 constraint-­‐
 induced
 therapy
 (C)
 on
 two-­‐handed
 skill
 development
 (O)?
 

 
Prognosis/Prediction:
 
 
1)
 For
 patients
 65
 years
 and
 older
 (P),
 how
 does
 the
 use
 of
 an
 influenza
 vaccine
 (I)
 compared
 to
 
not
 received
 the
 vaccine
 (C)
 influence
 the
 risk
 of
 developing
 pneumonia
 (O)
 during
 flu
 season
 
(T)?
 
 
2)
 In
 patients
 who
 have
 experienced
 an
 acute
 myocardial
 infarction
 (P),
 how
 does
 being
 a
 
smoker
 (I)
 compared
 to
 a
 non-­‐smoker
 (C)
 influence
 death
 and
 infarction
 rates
 (O)
 during
 the
 
first
 5
 years
 after
 the
 myocardial
 infarction
 (T)?
 

 
Diagnosis:
 In
 middle-­‐aged
 males
 with
 suspected
 myocardial
 infarction
 (P),
 are
 serial
 12-­‐lead
 
ECGs
 (I)
 compared
 to
 one
 initial
 12-­‐lead
 ECG
 (C)
 more
 accurate
 in
 diagnosing
 an
 acute
 
myocardial
 infarction
 (O)?
 

 
Etiology:
 Are
 30-­‐
 to
 50-­‐year-­‐old
 women
 (P)
 who
 have
 high
 blood
 pressure
 (I)
 compared
 with
 
those
 without
 high
 blood
 pressure
 (C)
 at
 increased
 risk
 for
 an
 acute
 myocardial
 infarction
 (O)
 
during
 the
 first
 year
 after
 hysterectomy
 (T)?
 

 
Meaning:
 How
 do
 young
 males
 (P)
 with
 a
 diagnosis
 of
 below
 the
 waist
 paralysis
 (I)
 perceive
 
their
 interactions
 with
 their
 romantic
 significant
 others
 (O)
 during
 the
 first
 year
 after
 their
 
diagnosis
 (T)?12Bids(51)Dr. Ellen RMMISS HILLARY A+Dr. Aylin JMEmily ClareDr. Sarah Blakefirstclass tutorMiss Deannasherry proffMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganPROF_ALISTERpacesetters2121ProWritingGuruDr. Everleigh_JKIsabella HarvardBrilliant GeekAleena SheikhTeacher A+ WorkShow All Bidsother Questions(10)Intro to Programming/ International Relationsmod las 3 lasa 2 psy 308 argosy unversityECN 601work 1Week 3.4Discussion QuestionnullHomework 1 , Design of Machine ElementsDDBA 8006 Week 1 SELF ASSESSMENT PAPEREffects of News Media Assignment Options

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POWER POINT PRESENTATION

Home>Homework Answsers>Nursing homework helpnursingDevelop a PowerPoint presentation on a Mitral valve prolapse discussed in the McCance & Huether’s Pathophysiology, 9th Edition text book.The presentation must provide information about the incidence, prevalence, and pathophysiology of the disease/disorder to the cellular level. The presentation must educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this disorder. Patient education for management, cultural, and spiritual considerations for care must also be addressed. The presentation must specifically address how the disease/disorder affects 1 of the following age groups: infant/child, adult, or elderly.Format Requirements:Followed APA format including citation of references.Power point presentation with 10-15 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).Content Requirements:Provide information about the incidence, prevalence, and pathophysiology of the mitral valve prolapse to the cellular level.Educate advanced practice nurses on assessment and care/treatment, including genetics/genomics—specific for this mitral valve prolapseProvide patient education for management, cultural, and spiritual considerations for care must also be addressed.Must specifically address how the mitral valve prolapse affects 1 of the following age groups: infant/child, adult, or elderly.17 days ago21.06.202513Report issueBids(59)Dr. Ellen RMMISS HILLARY A+Dr. Aylin JMProf. TOPGRADEEmily ClareDr. Sarah Blakefirstclass tutorDoctor.NamiraMiss Deannasherry proffMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganPROF_ALISTERpacesetters2121ProWritingGuruDr. Everleigh_JKIsabella HarvardBrilliant GeekShow All Bidsother Questions(10)Assment 7MN502 Discussion Question2getting students to think about their thinkingCJA 484 Week 2 Individual Assignment Ethics in Criminal Justice Administration AnalysisBUS 201 Week 2 Assignment Competitive AdvantageBSHS 382 Week 4 Correlation DiscussionBSHS 312 Week 5 Individual Assignment Personal Model of HelpingSOC 333 Week 4 Individual Assignment Communication Differences and Strategiesreflection paper

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NUR 612 Clinical SOAP Note 2

Home>Homework Answsers>Nursing homework helpnursing16 days ago15.06.202525Report issuefiles (3)ASOAPnoteisamethodofdocumentationemployedbyhealthcareproviderstorecordandcommunicatepatientinformationinaclear.docxSOAPNoteTemplate-1.docxSoapNoterubric.docxASOAPnoteisamethodofdocumentationemployedbyhealthcareproviderstorecordandcommunicatepatientinformationinaclear.docxA SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.Instructions:SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:S=Subjective data: Patient’s Chief Complaint (CC).O=Objective data: Including client behavior, physical assessment, vital signs, and meds.A=Assessment: Diagnosis of the patient’s condition. Include differential diagnosis.P=Plan: Treatment, diagnostic testing, and follow upSOAPNoteTemplate-1.docxSOAP NOTE TEMPLATEReview the Rubric for more GuidanceDemographicsChief Complaint (Reason for seeking health care)History of Present Illness (HPI)AllergiesReview of Systems (ROS)General:HEENT:Neck:Lungs:CardioBreast:GI:M/F genital:GU:NeuroMusculo:Activity:Psychosocial:Derm:Nutrition:Sleep/Rest:LMP:STI Hx:Vital SignsLabsMedicationsPast Medical HistoryPast Surgical HistoryFamily HistorySocial HistoryHealth Maintenance/ ScreeningsPhysical ExaminationGeneral:HEENT:Neck:Lungs:CardioBreast:GI:M/F genital:GU:NeuroMusculo:Activity:Psychosocial:Derm:DiagnosisDifferential DiagnosisICD 10 CodingPharmacologic treatment planDiagnostic/Lab TestingEducationAnticipatory GuidanceFollow up planPrescriptionSee Below (scroll down)ReferencesGrammarEA#: 101010101 STU Clinic LIC# 10000000Tel: (000) 555-1234 FAX: (000) 555-12222Patient Name: (Initials)______________________________ Age ___________Date: _______________RX ______________________________________SIG:Dispense: ___________ Refill: _________________No SubstitutionSignature:____________________________________________________________Signature (with appropriate credentials):_____________________________________References (must use current evidence-based guidelines used to guide the care [Mandatory])SoapNoterubric.docxDemographics1 to >0.8 ptsBegins with patient initials, age, race, ethnicity and gender (5 demographics)Chief Complaint (Reason for seeking health care)4 to >3 ptsIncludes a direct quote from patient about presenting problemHistory of the Present Illness (HPI)5 to >3 ptsIncludes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)Allergies2 to >1.5 ptsIncludes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)Review of Systems (ROS)2 to >1.5 ptsIncludes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.Labs4 to >2 ptsIncludes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)Past Medical History3 to >2 ptsIncludes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or currentPast Surgical History3 to >2 ptsIncludes, for each surgical procedure, the year of procedure and the indication for the procedureFamily History3 to >2 ptsIncludes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.Social History3 to >2 ptsIncludes all of the required following: tobacco use, drug use, alcohol use, marital status, employment status, current/previous occupation, sexual orientation, sexually active, contraceptive use, and living situationHealth Maintenance / Screenings3 to >2 ptsIncludes a detailed assessment of immunization status and other health maintenance needs such as age-appropriate screenings and preventive measures Includes an assessment of at least 5 screening testsPhysical Examination15 to >8 ptsIncludes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaintDiagnosis5 to >3 ptsIncludes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)Differential Diagnosis5 to >3 ptsIncludes at least 3 differential diagnoses for the principal diagnosisPharmacologic treatment plan5 to >3 ptsIncludes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the required following: drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.Diagnostic / Lab Testing3 to >2 ptsIncludes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”Education3 to >2 ptsIncludes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their livesAnticipatory Guidance3 to >2 ptsIncludes at least 3 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening))Follow Up Plan2 to >1 ptsIncludes recommendation for follow up, including time frame (i.e. x # of days/weeks/months)Prescription3 to >2 ptsPrescription includes all required components: patient information, date, drug name, dose, route, frequency, quantity to be dispensed, refills, and provider’s signature and credentialsWriting Mechanics, Citations, and APA Style3 to >2 ptsEffectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. APA style is correct, and writing is free of grammar and spelling errors.SoapNoterubric.docxDemographics1 to >0.8 ptsBegins with patient initials, age, race, ethnicity and gender (5 demographics)Chief Complaint (Reason for seeking health care)4 to >3 ptsIncludes a direct quote from patient about presenting problemHistory of the Present Illness (HPI)5 to >3 ptsIncludes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)Allergies2 to >1.5 ptsIncludes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)Review of Systems (ROS)2 to >1.5 ptsIncludes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.Labs4 to >2 ptsIncludes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)Past Medical History3 to >2 ptsIncludes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or currentPast Surgical History3 to >2 ptsIncludes, for each surgical procedure, the year of procedure and the indication for the procedureFamily History3 to >2 ptsIncludes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.Social History3 to >2 ptsIncludes all of the required following: tobacco use, drug use, alcohol use, marital status, employment status, current/previous occupation, sexual orientation, sexually active, contraceptive use, and living situationHealth Maintenance / Screenings3 to >2 ptsIncludes a detailed assessment of immunization status and other health maintenance needs such as age-appropriate screenings and preventive measures Includes an assessment of at least 5 screening testsPhysical Examination15 to >8 ptsIncludes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaintDiagnosis5 to >3 ptsIncludes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)Differential Diagnosis5 to >3 ptsIncludes at least 3 differential diagnoses for the principal diagnosisPharmacologic treatment plan5 to >3 ptsIncludes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the required following: drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.Diagnostic / Lab Testing3 to >2 ptsIncludes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”Education3 to >2 ptsIncludes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their livesAnticipatory Guidance3 to >2 ptsIncludes at least 3 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening))Follow Up Plan2 to >1 ptsIncludes recommendation for follow up, including time frame (i.e. x # of days/weeks/months)Prescription3 to >2 ptsPrescription includes all required components: patient information, date, drug name, dose, route, frequency, quantity to be dispensed, refills, and provider’s signature and credentialsWriting Mechanics, Citations, and APA Style3 to >2 ptsEffectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. APA style is correct, and writing is free of grammar and spelling errors.ASOAPnoteisamethodofdocumentationemployedbyhealthcareproviderstorecordandcommunicatepatientinformationinaclear.docxA SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.Instructions:SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:S=Subjective data: Patient’s Chief Complaint (CC).O=Objective data: Including client behavior, physical assessment, vital signs, and meds.A=Assessment: Diagnosis of the patient’s condition. Include differential diagnosis.P=Plan: Treatment, diagnostic testing, and follow upSOAPNoteTemplate-1.docxSOAP NOTE TEMPLATEReview the Rubric for more GuidanceDemographicsChief Complaint (Reason for seeking health care)History of Present Illness (HPI)AllergiesReview of Systems (ROS)General:HEENT:Neck:Lungs:CardioBreast:GI:M/F genital:GU:NeuroMusculo:Activity:Psychosocial:Derm:Nutrition:Sleep/Rest:LMP:STI Hx:Vital SignsLabsMedicationsPast Medical HistoryPast Surgical HistoryFamily HistorySocial HistoryHealth Maintenance/ ScreeningsPhysical ExaminationGeneral:HEENT:Neck:Lungs:CardioBreast:GI:M/F genital:GU:NeuroMusculo:Activity:Psychosocial:Derm:DiagnosisDifferential DiagnosisICD 10 CodingPharmacologic treatment planDiagnostic/Lab TestingEducationAnticipatory GuidanceFollow up planPrescriptionSee Below (scroll down)ReferencesGrammarEA#: 101010101 STU Clinic LIC# 10000000Tel: (000) 555-1234 FAX: (000) 555-12222Patient Name: (Initials)______________________________ Age ___________Date: _______________RX ______________________________________SIG:Dispense: ___________ Refill: _________________No SubstitutionSignature:____________________________________________________________Signature (with appropriate credentials):_____________________________________References (must use current evidence-based guidelines used to guide the care [Mandatory])SoapNoterubric.docxDemographics1 to >0.8 ptsBegins with patient initials, age, race, ethnicity and gender (5 demographics)Chief Complaint (Reason for seeking health care)4 to >3 ptsIncludes a direct quote from patient about presenting problemHistory of the Present Illness (HPI)5 to >3 ptsIncludes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)Allergies2 to >1.5 ptsIncludes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)Review of Systems (ROS)2 to >1.5 ptsIncludes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.Labs4 to >2 ptsIncludes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)Past Medical History3 to >2 ptsIncludes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or currentPast Surgical History3 to >2 ptsIncludes, for each surgical procedure, the year of procedure and the indication for the procedureFamily History3 to >2 ptsIncludes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.Social History3 to >2 ptsIncludes all of the required following: tobacco use, drug use, alcohol use, marital status, employment status, current/previous occupation, sexual orientation, sexually active, contraceptive use, and living situationHealth Maintenance / Screenings3 to >2 ptsIncludes a detailed assessment of immunization status and other health maintenance needs such as age-appropriate screenings and preventive measures Includes an assessment of at least 5 screening testsPhysical Examination15 to >8 ptsIncludes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaintDiagnosis5 to >3 ptsIncludes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)Differential Diagnosis5 to >3 ptsIncludes at least 3 differential diagnoses for the principal diagnosisPharmacologic treatment plan5 to >3 ptsIncludes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the required following: drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.Diagnostic / Lab Testing3 to >2 ptsIncludes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”Education3 to >2 ptsIncludes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their livesAnticipatory Guidance3 to >2 ptsIncludes at least 3 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening))Follow Up Plan2 to >1 ptsIncludes recommendation for follow up, including time frame (i.e. x # of days/weeks/months)Prescription3 to >2 ptsPrescription includes all required components: patient information, date, drug name, dose, route, frequency, quantity to be dispensed, refills, and provider’s signature and credentialsWriting Mechanics, Citations, and APA Style3 to >2 ptsEffectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. APA style is correct, and writing is free of grammar and spelling errors.ASOAPnoteisamethodofdocumentationemployedbyhealthcareproviderstorecordandcommunicatepatientinformationinaclear.docxA SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.Instructions:SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:S=Subjective data: Patient’s Chief Complaint (CC).O=Objective data: Including client behavior, physical assessment, vital signs, and meds.A=Assessment: Diagnosis of the patient’s condition. Include differential diagnosis.P=Plan: Treatment, diagnostic testing, and follow upSOAPNoteTemplate-1.docxSOAP NOTE TEMPLATEReview the Rubric for more GuidanceDemographicsChief Complaint (Reason for seeking health care)History of Present Illness (HPI)AllergiesReview of Systems (ROS)General:HEENT:Neck:Lungs:CardioBreast:GI:M/F genital:GU:NeuroMusculo:Activity:Psychosocial:Derm:Nutrition:Sleep/Rest:LMP:STI Hx:Vital SignsLabsMedicationsPast Medical HistoryPast Surgical HistoryFamily HistorySocial HistoryHealth Maintenance/ ScreeningsPhysical ExaminationGeneral:HEENT:Neck:Lungs:CardioBreast:GI:M/F genital:GU:NeuroMusculo:Activity:Psychosocial:Derm:DiagnosisDifferential DiagnosisICD 10 CodingPharmacologic treatment planDiagnostic/Lab TestingEducationAnticipatory GuidanceFollow up planPrescriptionSee Below (scroll down)ReferencesGrammarEA#: 101010101 STU Clinic LIC# 10000000Tel: (000) 555-1234 FAX: (000) 555-12222Patient Name: (Initials)______________________________ Age ___________Date: _______________RX ______________________________________SIG:Dispense: ___________ Refill: _________________No SubstitutionSignature:____________________________________________________________Signature (with appropriate credentials):_____________________________________References (must use current evidence-based guidelines used to guide the care [Mandatory])SoapNoterubric.docxDemographics1 to >0.8 ptsBegins with patient initials, age, race, ethnicity and gender (5 demographics)Chief Complaint (Reason for seeking health care)4 to >3 ptsIncludes a direct quote from patient about presenting problemHistory of the Present Illness (HPI)5 to >3 ptsIncludes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)Allergies2 to >1.5 ptsIncludes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)Review of Systems (ROS)2 to >1.5 ptsIncludes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.Labs4 to >2 ptsIncludes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)Past Medical History3 to >2 ptsIncludes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or currentPast Surgical History3 to >2 ptsIncludes, for each surgical procedure, the year of procedure and the indication for the procedureFamily History3 to >2 ptsIncludes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.Social History3 to >2 ptsIncludes all of the required following: tobacco use, drug use, alcohol use, marital status, employment status, current/previous occupation, sexual orientation, sexually active, contraceptive use, and living situationHealth Maintenance / Screenings3 to >2 ptsIncludes a detailed assessment of immunization status and other health maintenance needs such as age-appropriate screenings and preventive measures Includes an assessment of at least 5 screening testsPhysical Examination15 to >8 ptsIncludes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaintDiagnosis5 to >3 ptsIncludes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)Differential Diagnosis5 to >3 ptsIncludes at least 3 differential diagnoses for the principal diagnosisPharmacologic treatment plan5 to >3 ptsIncludes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the required following: drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.Diagnostic / Lab Testing3 to >2 ptsIncludes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”Education3 to >2 ptsIncludes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their livesAnticipatory Guidance3 to >2 ptsIncludes at least 3 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening))Follow Up Plan2 to >1 ptsIncludes recommendation for follow up, including time frame (i.e. x # of days/weeks/months)Prescription3 to >2 ptsPrescription includes all required components: patient information, date, drug name, dose, route, frequency, quantity to be dispensed, refills, and provider’s signature and credentialsWriting Mechanics, Citations, and APA Style3 to >2 ptsEffectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. APA style is correct, and writing is free of grammar and spelling errors.123Bids(52)PROVEN STERLINGDr. Ellen RMEmily ClareMathProgrammingDr. Aylin JMDr. Sarah BlakeMISS HILLARY A+abdul_rehman_STELLAR GEEK A+ProWritingGuruYoung Nyanyafirstclass tutorDr. Adeline Zoesherry proffnicohwilliamIsabella HarvardMUSYOKIONES A+Dr CloverPROF_ALISTERgrA+de plusShow All Bidsother Questions(10)Need helpZero Personal Income TaxassignmentC#Due in 25 hours Finance HomeworkFinal ExamcaseDDBA 8151 Week 2 Uncovering Leadership StylesAmerican studiesfinance law homework

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Week 6 well child visit soap note

Home>Homework Answsers>Nursing homework helpWORKstudyUse previous template with professor feed back to complete soap note. APA format 7th, use evidence based practice. Due in 24 hrs.wellchildexamsoapnotewk4template.docxPEDSSOAPNoteTemplate9.5.2312.docxSoapnotechecklist.docx16 days ago15.06.202530Report issueBids(52)PROVEN STERLINGMiss DeannaDr. Ellen RMEmily ClareMathProgrammingDr. Aylin JMDr. Sarah BlakeMISS HILLARY A+abdul_rehman_STELLAR GEEK A+ProWritingGuruYoung Nyanyafirstclass tutorDr. Adeline Zoesherry proffnicohwilliamIsabella HarvardMUSYOKIONES A+Dr CloverPROF_ALISTERShow All Bidsother Questions(10)Testing Hypotheses for Meansethical dilemma1.  The electrical installation of a shop with supply voltage of 380V, 3-phase is comprised with the following electrical loads:

Single…B6027.51d. Can Hispanic consumers be targeted in one consumer segment or are there differences among them that need to be considered?Use the AiroPeek NX tool to deploy, secure, and troubleshoot a wireless LAN.  Download the data files in Chapter 1 in MindTap, or navigate to Chapter 1 of the Student Resource Center.  Install and run Airopeek NX.exe.  Click View sample files in the Relearning actModel Exercise- For Prof Eliud ONLY!Project Planning Report (Thesis Plan)LSTD301 Essay for Final

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hello

Home>Homework Answsers>Nursing homework helpNURSEChange Agent Assignment: Part II of the Three-Part Course Project (200 points):Now that you have researched your policy, it is time to take the role of a “change agent” and advocate for change by creating a case for your policy recommendations. Create a visual representation of a (one-page) flyer, brochure, or infographic that includes:A clear titleA statement answering:Why is the policy necessary?What prompted your attention to implement change?Relevant evidenceData, statistics, trends, or other evidence you uncovered.From a professional perspective, what recommendation(s) would you advocate for?You can utilize your original 2-3 sources from the Week 5 Policymaking Charting Assignment OR find 2-3 additional sources. All material within the course room can be cited and referenced as needed.Writing RequirementsOne page in length.Integrate at least 2-3 sources. All material within the course room can be cited and referenced as needed.At the bottom of your flyer, add references.Follow appropriate APA citation guidelines. Here are two excellent resources:Crediting Sources Made SimpleLinks to an external site.and theWriting CenterLinks to an external site..POLI330_Week5_Assignment_Sample.docx16 days ago15.06.202510Report issueBids(50)Dr. Ellen RMMISS HILLARY A+Dr. Aylin JMnicohwilliamEmily ClareDr. Sarah Blakefirstclass tutorMiss Deannasherry proffMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganPROF_ALISTERProWritingGuruDr. Everleigh_JKIsabella HarvardBrilliant GeekAshley EllieYoung NyanyaShow All Bidsother Questions(10)Communicating Policy Even When You Do Not Agree3 discussions strategic mgmtFOR KELLY JACOBS ONLYAssignment 2 of BUS/520 Week 8 Integrating Culture and Diversity in Decision Makingcase studies helpresearchsmall post 250 wordsForeign Corrupt Practices ActLearning Activities in the unit 3payment link

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Post

Home>Homework Answsers>Nursing homework helpAPAnursingdiscussion postSee attachment16 days ago15.06.20257Report issuefiles (1)7.DPOUT.pdf7.DPOUT.pdfHealthcareWHAT : REPLY to the TWO Discussion PostsFORMAT : APA with In-text Citation and Reference ListREFERENCES : TWO Peer-Reviewed references minimum within last 5 yearsINCLUDE : Turnitin Report* Please and THANK YOU *_______________________TayTDiscussion Post Reply #1After reviewing Health Care: America vs. the World and completing the international healthcare quiz, I
compared the U.S. healthcare system to Canada’s. While both countries are high-income nations with up-
to-date medical technology, their approaches to healthcare delivery differ in structure, access, cost, and
outcomes. The U.S. healthcare system uses a mixed public-private model. Programs like Medicare and
Medicaid cover some, but the system lacks universal coverage, and over 27 million people remain
uninsured (Tikkanen et al., 2020). In contrast, Canada uses a single-payer, publicly funded system that
guarantees universal health coverage for all people, primarily funded through taxes (Gunja et al., 2023).
The United States spends more money per capita, roughly 13,400 per person, then Canada, which spends
6,300 per person (Tikkanen et al., 2020). Even with the U.S. spending more money per citizen, the life
expectancy in the U.S. is 78.4 compared to Canada’s 82.6. It has higher rates of preventable deaths,
primarily related to the inability to afford medical care (Gunja et al., 2023). In 2020, the U.S. had the
highest infant mortality rate among high-income countries, with 5.4 deaths per 1,000 live births,
compared to 4.5 in Canada. Chronic health conditions related to obesity, diabetes, and heart disease
contribute to these outcomes (Gunja et al., 2023). Canada’s system provides care based on the need for
services rather than the ability to pay, leading to greater access to needed healthcare. In the U.S.,
insurance is often tied to employment status, with high deductibles creating high out-of-pocket costs and
many barriers to health care (Tikkanen et al., 2020). Both Countries have pros and cons to their healthcare
delivery systems; the U.S. is known for having cutting-edge medical technology, advancements in
treatment options, and access to specialized care, but faces challenges with affordability and equal access
to care. Canada offers more equitable access to care, but patients often face long wait times for
procedures and to see specialists. I was surprised that despite spending nearly twice as much, the U.S.
ranks lower in every primary health outcome than Canada. Canada’s system proves that delivering
quality, cost-effective care is possible.ChJoDiscussion Post Reply #2How are they similar?Healthcare in Canada and healthcare in United States share many similarities. Canada’s Universal
coverage healthcare and healthcare in the United States are both financed through payroll deductions and
taxes; 11% of Canada’s GDP goes to healthcare spending (Healthcare Funding Policy in Canada. n.d.)In both countries private insurance can be purchased for supplemental care. In a published report Cigna
Healthcare (2023) reports that most Canadians have private health insurance to gain access to a wider
range of services and benefits that Canada’s universal coverage healthcare does not provide. In Canada
private insurance gives Canadians access to an expanded network of health care providers and the wait
time to see a specialist is shorter. Like the United States, primary care providers in Canada have private
practices and are paid fee for service (Robinson, 2021).How are they different?Hospitals in Canada are budgeted by the provinces they are in while in the US most of the hospitals
function as businesses; large hospital systems function like fortune 500 corporations. According to Brill
(2013) MD Anderson’s revenue in 2013 was $531 million, which is a profit margin of 26% on revenue of
$2.05 billion. In the city of Houston, only one hospital named Ben Taub is funded by taxpayers.The Canadian government regulates prescription prices while here in the United States prescriptions
prices are regulated by the drug manufacturers. The US government tries to influence the price, regulating
what amount Medicare will pay. To offset the high price of prescriptions many HMO plans pay most of
the cost for their employees; this leaves a small co-pay, which is paid by the employee who needs the
medication. The medication must be approved by the HMO, additionally, the medication must be
approved for the individual. Robinson (2021) states some United State citizens travel to Canada and
Mexico to purchase medications abroad where they are cheaper.How successful is each system in keeping patients healthy?In Canada rationing occurs for imaging and elective surgical procedures such as hip replacements,
cataracts, cardiovascular. On a personal note, my aunt who lived in Canada was misdiagnosed and later
died. X ray equipment rather than an MRI or PETS scan was used to determine if her cancer had spread,
additionally she had to wait many months to see a specialist. Here in the US, coverage is compromised
due to cost to the patient. Brill (2013) recants the story of a 42-year-old from Ohio who sought treatment
at MD Anderson Cancer Center in Houston for non-Hodgkin’s lymphoma. He was not unable to buy
comprehensive health insurance. The cost to see a specialist and devise a treatment plan costs $48,900.
due in advance. The treatment plan which includes chemotherapy costs $83,900.How has the structure of this healthcare system impacted patient mortality rates?Despite the numerous similarities between Canada and the United States Universal Health Coverage in
Canada has reduced that country’s mortality rates. According to Rudiger (2023) the United States spends
twice as much per capita on healthcare as Canada or France, yet pre-COVID-19 mortality rate from
treatable causes was over a third higher in the United States than in Canada and twice as high as those of
France. ** No number assigned to the actual mortality rate. Mortality rates are specific to race, attitudes
about the heathcare system and its intent to help, age, gender, and socioeconomic class. The
generalization that rates in Canada are lower than they are in the US is predicated on there being less
obstacles to access care in Canada. The access of care goes beyond provider availability**Which system is more expensive to operate?Granted, Canada and France have smaller populations than the United States. In 2021, the US health
sector has a greater share of the economy than in comparable countries, The United States is 18.3% of the
GDP, while the average country is less than 12% of GDP. Rudiger (2023) states that health system
failures, economic and social structures are the culprit for poor and unequal health outcomes in the United
States.What surprised you about what you learned?According to Rudiger (2023) the Affordable Care Act of 2010 established private insurance marketplaces.
ACA solidified insurance companies’ influence on how the public accesses care. As a result, there has
been an increase in households covered by insurance which was nullified by deductibles, user fees, and
claim denials, leaving two-thirds of insured people struggling to access care.7.DPOUT.pdfHealthcareWHAT : REPLY to the TWO Discussion PostsFORMAT : APA with In-text Citation and Reference ListREFERENCES : TWO Peer-Reviewed references minimum within last 5 yearsINCLUDE : Turnitin Report* Please and THANK YOU *_______________________TayTDiscussion Post Reply #1After reviewing Health Care: America vs. the World and completing the international healthcare quiz, I
compared the U.S. healthcare system to Canada’s. While both countries are high-income nations with up-
to-date medical technology, their approaches to healthcare delivery differ in structure, access, cost, and
outcomes. The U.S. healthcare system uses a mixed public-private model. Programs like Medicare and
Medicaid cover some, but the system lacks universal coverage, and over 27 million people remain
uninsured (Tikkanen et al., 2020). In contrast, Canada uses a single-payer, publicly funded system that
guarantees universal health coverage for all people, primarily funded through taxes (Gunja et al., 2023).
The United States spends more money per capita, roughly 13,400 per person, then Canada, which spends
6,300 per person (Tikkanen et al., 2020). Even with the U.S. spending more money per citizen, the life
expectancy in the U.S. is 78.4 compared to Canada’s 82.6. It has higher rates of preventable deaths,
primarily related to the inability to afford medical care (Gunja et al., 2023). In 2020, the U.S. had the
highest infant mortality rate among high-income countries, with 5.4 deaths per 1,000 live births,
compared to 4.5 in Canada. Chronic health conditions related to obesity, diabetes, and heart disease
contribute to these outcomes (Gunja et al., 2023). Canada’s system provides care based on the need for
services rather than the ability to pay, leading to greater access to needed healthcare. In the U.S.,
insurance is often tied to employment status, with high deductibles creating high out-of-pocket costs and
many barriers to health care (Tikkanen et al., 2020). Both Countries have pros and cons to their healthcare
delivery systems; the U.S. is known for having cutting-edge medical technology, advancements in
treatment options, and access to specialized care, but faces challenges with affordability and equal access
to care. Canada offers more equitable access to care, but patients often face long wait times for
procedures and to see specialists. I was surprised that despite spending nearly twice as much, the U.S.
ranks lower in every primary health outcome than Canada. Canada’s system proves that delivering
quality, cost-effective care is possible.ChJoDiscussion Post Reply #2How are they similar?Healthcare in Canada and healthcare in United States share many similarities. Canada’s Universal
coverage healthcare and healthcare in the United States are both financed through payroll deductions and
taxes; 11% of Canada’s GDP goes to healthcare spending (Healthcare Funding Policy in Canada. n.d.)In both countries private insurance can be purchased for supplemental care. In a published report Cigna
Healthcare (2023) reports that most Canadians have private health insurance to gain access to a wider
range of services and benefits that Canada’s universal coverage healthcare does not provide. In Canada
private insurance gives Canadians access to an expanded network of health care providers and the wait
time to see a specialist is shorter. Like the United States, primary care providers in Canada have private
practices and are paid fee for service (Robinson, 2021).How are they different?Hospitals in Canada are budgeted by the provinces they are in while in the US most of the hospitals
function as businesses; large hospital systems function like fortune 500 corporations. According to Brill
(2013) MD Anderson’s revenue in 2013 was $531 million, which is a profit margin of 26% on revenue of
$2.05 billion. In the city of Houston, only one hospital named Ben Taub is funded by taxpayers.The Canadian government regulates prescription prices while here in the United States prescriptions
prices are regulated by the drug manufacturers. The US government tries to influence the price, regulating
what amount Medicare will pay. To offset the high price of prescriptions many HMO plans pay most of
the cost for their employees; this leaves a small co-pay, which is paid by the employee who needs the
medication. The medication must be approved by the HMO, additionally, the medication must be
approved for the individual. Robinson (2021) states some United State citizens travel to Canada and
Mexico to purchase medications abroad where they are cheaper.How successful is each system in keeping patients healthy?In Canada rationing occurs for imaging and elective surgical procedures such as hip replacements,
cataracts, cardiovascular. On a personal note, my aunt who lived in Canada was misdiagnosed and later
died. X ray equipment rather than an MRI or PETS scan was used to determine if her cancer had spread,
additionally she had to wait many months to see a specialist. Here in the US, coverage is compromised
due to cost to the patient. Brill (2013) recants the story of a 42-year-old from Ohio who sought treatment
at MD Anderson Cancer Center in Houston for non-Hodgkin’s lymphoma. He was not unable to buy
comprehensive health insurance. The cost to see a specialist and devise a treatment plan costs $48,900.
due in advance. The treatment plan which includes chemotherapy costs $83,900.How has the structure of this healthcare system impacted patient mortality rates?Despite the numerous similarities between Canada and the United States Universal Health Coverage in
Canada has reduced that country’s mortality rates. According to Rudiger (2023) the United States spends
twice as much per capita on healthcare as Canada or France, yet pre-COVID-19 mortality rate from
treatable causes was over a third higher in the United States than in Canada and twice as high as those of
France. ** No number assigned to the actual mortality rate. Mortality rates are specific to race, attitudes
about the heathcare system and its intent to help, age, gender, and socioeconomic class. The
generalization that rates in Canada are lower than they are in the US is predicated on there being less
obstacles to access care in Canada. The access of care goes beyond provider availability**Which system is more expensive to operate?Granted, Canada and France have smaller populations than the United States. In 2021, the US health
sector has a greater share of the economy than in comparable countries, The United States is 18.3% of the
GDP, while the average country is less than 12% of GDP. Rudiger (2023) states that health system
failures, economic and social structures are the culprit for poor and unequal health outcomes in the United
States.What surprised you about what you learned?According to Rudiger (2023) the Affordable Care Act of 2010 established private insurance marketplaces.
ACA solidified insurance companies’ influence on how the public accesses care. As a result, there has
been an increase in households covered by insurance which was nullified by deductibles, user fees, and
claim denials, leaving two-thirds of insured people struggling to access care.Bids(44)MISS HILLARY A+nicohwilliamDr. Sarah Blakefirstclass tutorsherry proffMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganPROF_ALISTERProWritingGuruDr. Everleigh_JKIsabella HarvardBrilliant GeekAshley EllieYoung NyanyaLarry Kellyabdul_rehman_miss AaliyahPERFECT PROFShow All Bidsother Questions(10)two questionwaste management.The case study concern waste management plan for an individual facility or workplace in Victoria-Australia (you need to be aware of this case), the report should be addressed to the facility or workplace for which you have conducted thisaRTICLE CRITIQUEA+ Solutiondiscussion historyMGT 505 week 3 DiscussionOne page essaywatch two videos and answer two question in one pageThe Ocean Atmospheric Interfacesub

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Week 6 Response 2

Home>Homework Answsers>Nursing homework helpnursingMSNsee attachment16 days ago15.06.202510Report issuefiles (1)Week6Response2.pdfWeek6Response2.pdfSOAP NOTEDiagnos
tic Test Definition & How the Test WorksBest Suited
Conditions/
DiagnosesSpecial Considerations/
InstructionsPelvic
Ultrasou
nd –
Abdomi
nalNon-invasive imaging using sound
waves over the abdomen to
visualize pelvic organs.Large fibroids,
adnexal masses,
uterine
enlargementFull bladder required to
improve visualization.Pelvic
Ultrasou
nd –
Transva
ginalInsertion of a probe into the vagina
to produce detailed images of
uterus, ovaries, and adnexa.Fibroids, polyps,
endometrial
thickness, ovarian
cystsEmpty bladder preferred;
patient may experience
mild discomfort during
insertion.Saline
Infusion
Sonohys
terograp
hy (SIS)Saline is infused into the uterine
cavity during transvaginal
ultrasound to improve visualization
of the endometrium.Endometrial
polyps,
submucosal
fibroids,
intrauterine
adhesionsContraindicated in
pregnancy or active pelvic
infection. Done in
proliferative phase for
best visualization.Hysteros
copyThin, lighted scope inserted
through cervix into the uterus to
directly visualize the endometrial
cavity.Polyps,
submucosal
fibroids, abnormal
uterine bleedingMay be done in-office or
OR setting; pre-procedure
NSAIDs may help reduce
discomfort.Hysteros
alpingog
ram
(HSG)Contrast dye and X-ray used to
assess uterine shape and fallopian
tube patency.Infertility
evaluation, uterine
malformationsPerformed during early
follicular phase;
contraindicated in
pregnancy or infection.Laparos
copyMinimally invasive surgery using a
camera inserted into the abdomen
to directly visualize pelvic organs.Endometriosis,
chronic pelvic
pain, adnexal
massesRequires general
anesthesia; informed
consent for risks.Demographic Data 

35-year-old African American female (HIPAA compliant)Subjective

Chief Complaint (CC): Pelvic pain and irregular vaginal bleedingEndomet
rial
Biopsy
(EMB)Tissue sample from endometrium
obtained using suction catheter to
evaluate histopathology.Abnormal uterine
bleeding,
endometrial
hyperplasia or
cancerAvoid during pregnancy;
may cause cramping or
spotting; schedule outside
of menses.Colposc
opyVisual inspection of cervix using a
colposcope following abnormal Pap
or HPV results; acetic acid
enhances visualization of abnormal
cells.Cervical dysplasia,
follow-up to
abnormal Pap/
HPVNot first-line for pelvic
pain; used only if
abnormal cervical
cytology is found.Endocer
vical
Curettag
e (ECC)Scraping of endocervical canal with
a curette to obtain tissue for
histologic analysis.Evaluation of
cervical dysplasia
or cancerOften done in conjunction
with colposcopy; may
cause cramping.Dilation
and
Curettag
e (D&C)Cervix is dilated and uterine lining
is scraped to obtain tissue or stop
bleeding.Heavy bleeding,
incomplete
miscarriage,
diagnosis of
endometrial
pathologyRequires sedation or
anesthesia; informed
consent essential; can be
diagnostic and
therapeutic.History of Present Illness (HPI):

35-year-old African American female presents with a 6-month history of intermittent pelvic pain
that is now constant and dull. She describes irregular spotting occurring between monthly
menses, which are otherwise regular. No associated fever, chills, nausea, weight changes, or
bowel or bladder symptoms.Additional HPI questions to ask:When did your last period start?How long is your typical cycle and flow?Any recent changes in pattern, severity, or associated symptoms?History of fibroids, endometriosis, or STIs?Past Medical History (PMH):

G2P2 via NSVD (ages 10 and 8). No chronic conditions, surgeries, or STIs. No allergies.
Medications: Daily multivitamin. Immunizations up to date. Last Pap smear was 2 years ago and
normal.Family History:

Mother: hypertension. No breast, uterine, or ovarian cancer in family.Social History:

Non-smoker. Social alcohol use. Sexually active with one male partner. Works full time. Diet
average, exercises occasionally. No IPV. Inconsistent contraceptive use.Review of Systems (ROS):• General: No weight change or fatigue
• GI: No constipation or bloating
• GU: Pelvic pain and irregular bleeding; no dysuria or hematuria
• GYN: No vaginal discharge
• Breasts: No lumps or nipple changes
• Preventive: Pap up to date; HPV vaccinated; no colonoscopy yetObjective 

Vital Signs:Temp 98.6°F,BP 118/74,HR 78,RR 16,BMI 23.2Pelvic Exam Findings:• External genitalia normal
• Speculum: Small amount of blood in vault; cervix smooth, no lesions
• Bimanual: Uterus enlarged with palpable firm, irregular contour; no cervical motiontenderness (CMT); no adnexal masses or tendernessAssessmentDifferential Diagnoses:• Uterine fibroids (leiomyomas) – most likely due to enlarged, irregular uterus and
intermenstrual bleeding.• Endometrial polyp – possible cause of spotting, especially if intracavitary lesion present.
• Adenomyosis – less likely, as uterus typically diffusely enlarged and tender, which thispatient lacks.Presumptive Diagnosis: Uterine fibroids (leiomyomas)Confirmatory Diagnostic Test(s):• Transvaginal pelvic ultrasound – First-line to evaluate uterine size, fibroid location, and
structure• Saline infusion sonohysterography – If concern for intracavitary lesion or endometrial
pathology• CBC – To assess for anemia from blood lossPlanDiagnostic Plan:• Transvaginal ultrasound
• CBC
• Consider referral to GYN depending on findingsTreatment Plan:• Ibuprofen 600 mg PO q6h PRN for pain (NSAID)
• Combined oral contraceptives (COCs) to help regulate menses and reduce bleeding
• Ferrous sulfate 325 mg PO daily if anemia confirmedEducation:• Discussed fibroids: common, benign smooth muscle tumors of the uterus
• Reviewed risks and benefits of COCs (e.g., DVT risk, nausea, breast tenderness)
• NSAID education: take with food to minimize GI upset
• Nutritional support: increase iron-rich foods if anemic
• Potential for surgical management if symptoms worsen (e.g., myomectomy or hysterectomy)Follow-Up Plan:• Return in 4 weeks to review ultrasound results and labs
• Refer to GYN if large fibroids or unresponsive to medical managementPotential Complications if Untreated:• Progressive anemia
• Increased pelvic discomfort
• Possible impact on fertility or future pregnancy
• Fibroid growth requiring more invasive treatmentNational Guidelines Comparison: 

According to the American College of Obstetricians and Gynecologists (ACOG), transvaginal
ultrasound is the first-line diagnostic tool for uterine fibroids. Initial management for
symptomatic fibroids can include NSAIDs and hormonal therapy. Surgical options are reserved
for refractory cases or patients desiring definitive treatment.Week6Response2.pdfSOAP NOTEDiagnos
tic Test Definition & How the Test WorksBest Suited
Conditions/
DiagnosesSpecial Considerations/
InstructionsPelvic
Ultrasou
nd –
Abdomi
nalNon-invasive imaging using sound
waves over the abdomen to
visualize pelvic organs.Large fibroids,
adnexal masses,
uterine
enlargementFull bladder required to
improve visualization.Pelvic
Ultrasou
nd –
Transva
ginalInsertion of a probe into the vagina
to produce detailed images of
uterus, ovaries, and adnexa.Fibroids, polyps,
endometrial
thickness, ovarian
cystsEmpty bladder preferred;
patient may experience
mild discomfort during
insertion.Saline
Infusion
Sonohys
terograp
hy (SIS)Saline is infused into the uterine
cavity during transvaginal
ultrasound to improve visualization
of the endometrium.Endometrial
polyps,
submucosal
fibroids,
intrauterine
adhesionsContraindicated in
pregnancy or active pelvic
infection. Done in
proliferative phase for
best visualization.Hysteros
copyThin, lighted scope inserted
through cervix into the uterus to
directly visualize the endometrial
cavity.Polyps,
submucosal
fibroids, abnormal
uterine bleedingMay be done in-office or
OR setting; pre-procedure
NSAIDs may help reduce
discomfort.Hysteros
alpingog
ram
(HSG)Contrast dye and X-ray used to
assess uterine shape and fallopian
tube patency.Infertility
evaluation, uterine
malformationsPerformed during early
follicular phase;
contraindicated in
pregnancy or infection.Laparos
copyMinimally invasive surgery using a
camera inserted into the abdomen
to directly visualize pelvic organs.Endometriosis,
chronic pelvic
pain, adnexal
massesRequires general
anesthesia; informed
consent for risks.Demographic Data 

35-year-old African American female (HIPAA compliant)Subjective

Chief Complaint (CC): Pelvic pain and irregular vaginal bleedingEndomet
rial
Biopsy
(EMB)Tissue sample from endometrium
obtained using suction catheter to
evaluate histopathology.Abnormal uterine
bleeding,
endometrial
hyperplasia or
cancerAvoid during pregnancy;
may cause cramping or
spotting; schedule outside
of menses.Colposc
opyVisual inspection of cervix using a
colposcope following abnormal Pap
or HPV results; acetic acid
enhances visualization of abnormal
cells.Cervical dysplasia,
follow-up to
abnormal Pap/
HPVNot first-line for pelvic
pain; used only if
abnormal cervical
cytology is found.Endocer
vical
Curettag
e (ECC)Scraping of endocervical canal with
a curette to obtain tissue for
histologic analysis.Evaluation of
cervical dysplasia
or cancerOften done in conjunction
with colposcopy; may
cause cramping.Dilation
and
Curettag
e (D&C)Cervix is dilated and uterine lining
is scraped to obtain tissue or stop
bleeding.Heavy bleeding,
incomplete
miscarriage,
diagnosis of
endometrial
pathologyRequires sedation or
anesthesia; informed
consent essential; can be
diagnostic and
therapeutic.History of Present Illness (HPI):

35-year-old African American female presents with a 6-month history of intermittent pelvic pain
that is now constant and dull. She describes irregular spotting occurring between monthly
menses, which are otherwise regular. No associated fever, chills, nausea, weight changes, or
bowel or bladder symptoms.Additional HPI questions to ask:When did your last period start?How long is your typical cycle and flow?Any recent changes in pattern, severity, or associated symptoms?History of fibroids, endometriosis, or STIs?Past Medical History (PMH):

G2P2 via NSVD (ages 10 and 8). No chronic conditions, surgeries, or STIs. No allergies.
Medications: Daily multivitamin. Immunizations up to date. Last Pap smear was 2 years ago and
normal.Family History:

Mother: hypertension. No breast, uterine, or ovarian cancer in family.Social History:

Non-smoker. Social alcohol use. Sexually active with one male partner. Works full time. Diet
average, exercises occasionally. No IPV. Inconsistent contraceptive use.Review of Systems (ROS):• General: No weight change or fatigue
• GI: No constipation or bloating
• GU: Pelvic pain and irregular bleeding; no dysuria or hematuria
• GYN: No vaginal discharge
• Breasts: No lumps or nipple changes
• Preventive: Pap up to date; HPV vaccinated; no colonoscopy yetObjective 

Vital Signs:Temp 98.6°F,BP 118/74,HR 78,RR 16,BMI 23.2Pelvic Exam Findings:• External genitalia normal
• Speculum: Small amount of blood in vault; cervix smooth, no lesions
• Bimanual: Uterus enlarged with palpable firm, irregular contour; no cervical motiontenderness (CMT); no adnexal masses or tendernessAssessmentDifferential Diagnoses:• Uterine fibroids (leiomyomas) – most likely due to enlarged, irregular uterus and
intermenstrual bleeding.• Endometrial polyp – possible cause of spotting, especially if intracavitary lesion present.
• Adenomyosis – less likely, as uterus typically diffusely enlarged and tender, which thispatient lacks.Presumptive Diagnosis: Uterine fibroids (leiomyomas)Confirmatory Diagnostic Test(s):• Transvaginal pelvic ultrasound – First-line to evaluate uterine size, fibroid location, and
structure• Saline infusion sonohysterography – If concern for intracavitary lesion or endometrial
pathology• CBC – To assess for anemia from blood lossPlanDiagnostic Plan:• Transvaginal ultrasound
• CBC
• Consider referral to GYN depending on findingsTreatment Plan:• Ibuprofen 600 mg PO q6h PRN for pain (NSAID)
• Combined oral contraceptives (COCs) to help regulate menses and reduce bleeding
• Ferrous sulfate 325 mg PO daily if anemia confirmedEducation:• Discussed fibroids: common, benign smooth muscle tumors of the uterus
• Reviewed risks and benefits of COCs (e.g., DVT risk, nausea, breast tenderness)
• NSAID education: take with food to minimize GI upset
• Nutritional support: increase iron-rich foods if anemic
• Potential for surgical management if symptoms worsen (e.g., myomectomy or hysterectomy)Follow-Up Plan:• Return in 4 weeks to review ultrasound results and labs
• Refer to GYN if large fibroids or unresponsive to medical managementPotential Complications if Untreated:• Progressive anemia
• Increased pelvic discomfort
• Possible impact on fertility or future pregnancy
• Fibroid growth requiring more invasive treatmentNational Guidelines Comparison: 

According to the American College of Obstetricians and Gynecologists (ACOG), transvaginal
ultrasound is the first-line diagnostic tool for uterine fibroids. Initial management for
symptomatic fibroids can include NSAIDs and hormonal therapy. Surgical options are reserved
for refractory cases or patients desiring definitive treatment.Bids(47)Dr. Ellen RMMISS HILLARY A+Dr. Aylin JMDr. Sarah Blakefirstclass tutorsherry proffMUSYOKIONES A+Dr ClovergrA+de plusSheryl HoganPROF_ALISTERProWritingGuruDr. Everleigh_JKIsabella HarvardBrilliant GeekAshley EllieMath GuruuLarry Kellyabdul_rehman_miss AaliyahShow All Bidsother Questions(10)YOURlecturerAssignment 2:Animal ResearchQuestionnaire DesignFOR PROFESSOR RYAN ONLYUOP_MKT421_FINAL EXAM_LATEST_TUTORIAL_UPDATED_ON_25_MAY_2015PSY 340 week 4Finance (inst) for Accounting_QueenScotland Music AssignmentManagementhttp://www.google.ae/url?sa=t&rct=j&q=&esrc=s&source=web&cd=3&cad=rja&uact=8&ved=0CDMQFjAC&url=http%3A%2F%2Fwww.homeworkmarket.com%2Fsites%2Fdefault%2Ffiles%2Fq5%2F04%2F05%2Fmgt300_casestudy_23-24.pdf&ei=sbhiVdujFsXW7Abv7oH4DQ&usg=AFQjCNEtOMoyWUQG8u2s320K

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