SOAP NOTE 1

Student must complete a sopa note using the template

Each diagnosis and differential diagnosis  MUST BE SUPPORTTED BY OBJECTIVE AND SUBJECTIVE S/S  with REFERENCE ( minimum 3 reference x soap note) 

Patient :68 years old, hispanic male

CC:   

“Patient reports that he had rash in his arm, bloody diarrhea and abdominal pain for the last 2 days without relief.”

Diagnosis:   

Hemolytic Uremic Syndrome (ICD 10: D59.3).

Differencial Diagnosis:   

  1. Gastroenteritis 
  2. Irritable bowel syndrome (IBS) 
  3. Necrotizing enterocolitis 

discussion

Time management is a common challenge for students at any level, but especially for those who are returning to school, working, raising families, and taking care of all of the things life throws our way. This assignment is intended to help you examine your time management process and explore strategies to help you be successful as an online student. For this discussion post, please share with us the following:

  • Describe how you spend most of your time. Is this what you expected? Why or why not?
  • How will you rearrange these items to dedicate enough time to your schoolwork?
  • What changes do you want to make? What professional resources are available to help with those changes? Please include three references

Complementary and Alternative therapies

 

PMHNP Interventions

Introduction and Alignment

The PMHNP should be familiar with current complementary and alternative therapies and use this knowledge to guide effective treatment decisions and client teaching.

Upon completion of this assignment, you should be able to:

  • Discuss pharmacological and nonpharmacological treatment alternatives available to clients in the psychiatric – mental health care setting and potential benefits and/or rationale for their use.
  • Review current literature regarding dietary supplements, herbal therapies, and psychoactive herbs, and identify potential dangers associated with its use.
  • Recommend PMHNP interventions that are aimed at promoting client safety for individuals who choose to use complementary and alternative medicine.

Resources

  • Textbook: Sadock, Sadock, and Ruiz (2015) – Chapter 24; Complementary and Alternative Medicine in Psychiatry

Instructions

  1. Do a literature search for current literature related to complementary and alternative medicine use in mental health care. Look at both pharmacological and non-pharmacological approaches.
  2. Make a table of at least 6 articles and list the following components:
    1. Citation of article
    2. Therapy discussed
    3. Take home points – how used, for what diagnoses, etc.  including patient safety data
    4. Would you recommend this for patients that you care for?
  3. Develop a 2-3 paragraph summary of your support for or against the use of complementary and alternative medicine in your future practice, giving reasons to support.
  4. Navigate to the threaded discussion forum and post a copy of your work (in a word document) by the fifth day of the workshop.
  5. Respond to at least two peers’ postings by the end of the workshop.

Total Points

70

Medical surgery

Please do the following in its entirety: 

Answer all question please. 

Please  sure to use a cover sheet and please submit a reference page with  your assignment. Late assignments will not be accepted. NO EXCEPTIONS PLEASE!!!!

1.Apatient is having cardiac enzymes drawn to rule out a Myocardial Infarction.

  a) What are the clinical indication and nursing implications for the following enzymes and their importance as a marker for Myocardial Infarction?

CK  

    CK-MB 

     Myoglobin and Troponin 1.

2.A patient has chest pains and is worried of having a second Myocardial Infarction.

     a) What are the discriminating differences between chest pains from angina pectoris  versus the pain associated with Myocardial Infarction.

Analysis and Evaluation of Frameworks and Theories

Analysis and Evaluation of Frameworks and Theories

Theory analysis is particularly helpful in research because it provides a clear idea of the form and structure of the theory in addition to the relevance of content, and inconsistencies and gaps present. The ‘missing links’ or inconsistencies are fruitful sources of new research ideas. They also point to the next hypotheses that need to be tested.
—Walker and Avant, 2011, p. 206

Nurse scientists often find that examining the literature is a productive way to see how existing frameworks and theories have been applied in other research studies. By engaging in this process, they may gain insights about a particular framework or theory, be able to identify gaps in research, or uncover new questions they are eager to explore.

In this Discussion, you analyze existing frameworks/theories using the procedure proposed by Walker and Avant. Your analysis should provide an objective understanding of the strengths and weaknesses of each framework or theory. This, in turn, should enable you to evaluate whether the framework/theory is useful for the purposes of your theoretical foundation for a program of research.

To prepare

  • Review the information that Dr. Hathaway presents in the Week 1 media program, “Theoretical Foundation for Research,” regarding the phases of theory development and the similarities and differences between frameworks and theories.
  • Search the literature and identify two frameworks/theories that may be useful for investigating your phenomenon of interest.
  • Review the procedure for theory analysis presented in Chapter 12 of Walker and Avant (2011). Apply these steps to each framework/theory you have selected and identify the strengths and weaknesses of each framework/theory. Determine whether additional development or refinement is needed (i.e., for each framework, identify which aspects would require further research in order for it to meet the requirements of a theory).
  • Evaluate the value of each framework/theory for addressing your phenomenon. Determine which framework/theory has the most potential for use as part of your theoretical foundation of your research.
  • Think about any questions you have related to theory analysis and evaluation.

By Day 3

Post a description of the two frameworks/theories you analyzed and evaluated, and explain why each is considered either a framework or a theory. For framework(s) you have selected, explain which aspects would require further research to meet the requirements of a theory. Explain why one has the most potential for use in your theoretical foundation for research, noting its strengths and weaknesses. Also pose any questions that have arisen through your examination of frameworks/theories.

Read a selection of your colleagues’ postings.

Assignment

 Your school district is interested in opening up a school-based health center, but the superintendent needs more data to help sell the idea to the school board. Using a search engine on the internet (ie. Google, Foxfire, Bing), enter “school-based health centers”. Recommend 5 websites to the superintendent that would be useful. For each website, include a paragraph summary of how it is different from other sites. 

Need APA FORMATE

Need proper citation and references in APA formate

Preview the document

Discussion 250 words minimum and 3 references

Read the Stokowski articlePreview the document from Week 3.  Consider the implementation of the EHR in your facility.  After reading the article choose one issue or argument presented.  Answer the following points:

  • Discuss how you encountered this in your facility.
  • What were the common responses of staff and providers? What were the barriers and how could you overcome them?
  • Consider how you would have changed the implementation and/ or ongoing support for the EHR. What specific measures or support would you have provided and why? 
  • How can you evaluate the effectiveness of the measures?
  • If you could tell your head of information technology how to improve it or change, what would it be and why?