How to Complete the NRS-455 Case Study: Mrs. R. (Critical Thinking Table Explained)
How to Complete the NRS-455 Case Study: Mrs. R. Use the “Case Study: Mrs. R.” template to complete the assignment. Case Study: Mrs. R. has indirect care experience requirements. The “NRS-455 – Case Studies: Indirect Care Experience Hours” form, found in the Topic 1 Resources, will be used to document the indirect care experience hours completed in the case study. As progress is made on the case study, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 3. You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and relevant to nursing practice. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. Step-by-Step Guide on Completing NRS-455 Case Study: Mrs. R. Assignment If you’re an RN-BSN student juggling work, family, and coursework, the Case Study: Mrs. R. assignment can feel intimidating the moment you open the template. This is not a short-answer worksheet.It is a comprehensive clinical reasoning assignment that tests your ability to: Analyze complex pathophysiology Apply nursing interventions Explain medication rationale Develop discharge and rehabilitation plans Address polypharmacy and smoking cessation Document indirect care experience hours Meet rubric expectations Pass LopesWrite This guide shows you how to approach the assignment strategically—and where most students lose points. Assignment Overview (Read This First) You are required to: Use the “Case Study: Mrs. R.” template Complete the critical thinking table Cite at least 3 scholarly sources (≤5 years old) Document indirect care experience hours Submit through LopesWrite Follow the rubric strictly Although APA formatting is not required in the body, APA-formatted citations are still required—a common point loss for many students. Why Students Struggle With the Mrs. R. Case Study Most students lose points because they: Summarize instead of analyzing List findings without linking them to pathophysiology Provide vague nursing interventions Don’t justify medication use Overlook polypharmacy risks Write weak discharge plans Ignore indirect care hour documentation Trigger LopesWrite similarity with generic wording This assignment rewards clinical reasoning, not memorization. Step 1: Respect the Template (This Is Not an Essay) This assignment must be completed inside the provided table. That means: Each row aligns directly with rubric criteria Each section must be addressed fully Bullet points or concise paragraphs work best Writing outside the template risks lost points 👉 Treat this like a clinical evaluation tool, not a narrative paper. Step 2: Clinical Manifestations — Go Beyond Listing Symptoms What the grader expects: Clear distinction between subjective vs objective data Connection between findings and acute decompensated heart failure + COPD exacerbation High-scoring responses: Explain why symptoms are occurring Link oxygen saturation, crackles, JVD, anxiety, and fatigue to disease processes Low-scoring responses: Simply restating vitals and symptoms without explanation Step 3: Cardiovascular Conditions Leading to Heart Failure You are expected to: Identify four cardiovascular risk conditions Discuss comorbidities Explain how they increase heart failure risk Describe medical and nursing interventions for prevention Strong answers: Integrate hypertension, atrial fibrillation, COPD, smoking, and medication non-adherence Show cause-and-effect reasoning Weak answers: Listing diagnoses without explanation Step 4: Evaluation of Nursing Interventions at Admission This section tests clinical judgment. You must: Evaluate whether admission interventions were appropriate Explain how they align with the nursing process Recommend changes to promote independence and prevent readmission High-scoring answers: Support decisions with rationale Address oxygen therapy, medication administration, monitoring, and patient education Step 5: Medications and Polypharmacy (High-Risk Section) This is where many students lose points. You must explain each of the seven medications, including: Classification Action Rationale linked to pathophysiology ⚠️ Special emphasis is placed on: Morphine use outside pain management Polypharmacy risks in older adults You must also: Identify four nursing interventions to prevent medication-related complications Provide clear rationales This section should show advanced RN-BSN-level thinking. Step 6: Health Promotion and Restoration Teaching Plan This is not generic discharge teaching. You must: Develop a multidisciplinary plan Explain transitions from ICU → subacute → home → rehab Discuss alternative discharge options (e.g., skilled nursing, rehab) Explain how resources reduce readmission risk High-scoring responses: Focus on patient safety, medication management, oxygen use, mobility, and smoking cessation Emphasize independence and continuity of care Step 7: Pathophysiological Changes From Long-Term Smoking Here, you must: Explain physiological damage from chronic tobacco use Link smoking to COPD, hypoxia, cardiac strain, and inflammation Avoid: Overly basic explanations One-sentence answers Step 8: COPD Triggers and Smoking Cessation You must: Identify triggers that increase COPD exacerbations Explain how they lead to readmission Provide realistic smoking cessation options for an older adult Strong answers: Combine education, pharmacologic support, counseling, and follow-up Emphasize patient readiness and support systems Step 9: Indirect Care Experience Hours (Do Not Skip This) This assignment includes indirect care experience requirements. You must: Update the Indirect Care Experience Hours Form Track progress as you complete sections Submit the form in Topic 3 Failure to document hours can impact course completion—even if the written work is strong. Step 10: APA, Sources, and LopesWrite Even though APA isn’t required in the body: Sources must be cited References must be APA-formatted Sources must be ≤5 years old Content must be original and paraphrased properly Because this case study is widely used: Avoid copying textbook phrasing Avoid AI-sounding generic language Cite consistently to pass LopesWrite Reality Check: This Is a Heavy Clinical Assignment To do this well, you must: Analyze complex comorbidities Apply advanced pathophysiology Justify pharmacologic therapy Design discharge and rehab plans Address polypharmacy risks Track indirect care hours Meet rubric criteria
How to Complete the Informatics Education Plan Assignment — A Step-by-Step Guide for Busy Nursing Students
How to Complete the Informatics Education Plan Assignment — A Step-by-Step Guide for Busy Nursing Students The purpose of this assignment is to develop a professional development plan using innovative education tools to help educate staff on relevant care topics to promote patient well-being. Read the scenario below and then complete the assignment. Scenario You are the chief informatics officer (CIO) for a large health system, which includes 11 acute care locations and 25 clinics. As part of your role, which is described in greater detail in the attached “Role of the Chief Informatics Officer” document, you are charged with overseeing continuing education and professional development using the latest technological advancements. Your current suite of educational tools is outdated, based on the recent innovation sparked by artificial intelligence (AI) and machine learning. Your informatics team needs to update the following list of continuing education offerings. Currently, these courses are presented quarterly through a live PowerPoint presentation. However, this year, your goal is to improve the educational experience by using the latest innovative technology to address one of the following topics: Case management basics Cultural competence Emergency response Wound care Legal and ethical issues in health care informatics Informatic tools to support communication and dissemination (e.g., disease outbreaks, support epidemiology, health disaster planning) Informatic tools to support evidence-based practice (EBP) Strategies for enhancing patient-centered care with technology Data mining to discover patterns and establish relationships Slide Presentation Prepare a 10-12-slide PowerPoint presentation addressing one of the outcome measure topics utilizing an innovative technology tool from the provided list. Your education plan should include: Initial Assessment: Explain how the selected topic impacts patient outcomes. Learning Objectives: State the objectives for your education plan. The objectives need to be specific, measurable, achievable, and relevant to patient outcomes. Instructional Methods: Describe which methods would be most appropriate for you to use. Explain which tool(s) from the attached “Tool List for Education Plan” document you would implement in your education plan. Justify your answer. Resources and Support: Identify resources that are available to help you. Describe which resources you will need to be successful in your education plan. Timeline: Develop a timeline for implementing your education plan. Include in your timeline, the time to implement the new educational tool(s) identified in the Instructional Methods slide(s). Recruitment, Communication, and Contingency Plan: Explain how you will recruit learners for your educational sessions. Describe how you will communicate information for your educational sessions. Identify options to address unexpected events or challenges. Evaluation: Explain how you will assess if the education plan was successful. General Requirements Title slide and reference slide are not included in the slide count. Include speaker notes below each content-related slide that represent what would be said if giving the presentation in person. Expand upon the information included in the slide and do not simply restate it. Please ensure the speaker notes include a minimum of 50-75 words. Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. This assignment has indirect care experience requirements. The “NRS-450 – Indirect Care Experience Hours Form,” found in the Topic 3 Resources, will be used to document the indirect care experience hours completed in Topics 3, 4, and 5. As progress is made on this and subsequent assignments, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 5. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. A Step-by-Step Guide for Busy Nursing Students If you’re a working nursing student, the Informatics Education Plan assignment can feel more like a leadership project than a regular class task. You’re expected to think like a Chief Informatics Officer (CIO), design a professional development plan, select innovative education tools, build a 10–12-slide presentation, write detailed speaker notes, track indirect care hours, and ensure everything meets the rubric and LopesWrite standards. This guide explains how to approach the assignment strategically—and where many students lose points. Assignment Overview (Confirm You’re in the Right Place) “The purpose of this assignment is to develop a professional development plan using innovative education tools to help educate staff on relevant care topics to promote patient well-being.” Scenario Summary You are acting as the CIO of a large health system with: 11 acute care locations 25 clinics An outdated education system A goal to modernize training using AI, machine learning, and innovative technology You must create a 10–12-slide PowerPoint education plan addressing one care topic using a modern education tool. Why Students Struggle With This Assignment Students commonly lose points because they: Treat this like a simple slideshow instead of a strategic leadership proposal Fail to link the topic to patient outcomes Write weak or vague learning objectives (not SMART) Choose an innovative tool but don’t justify it Write shallow speaker notes Forget indirect care hour tracking Trigger LopesWrite similarity due to generic phrasing This assignment rewards clear planning, strategic thinking, and real-world applicability. Step 1: Think Like a CIO — Not a Student You are not writing as a learner.You are presenting as a health system executive designing staff education. Your tone should be: Professional Strategic Evidence-based Outcome-focused Ask yourself: “Would a hospital leadership team take this plan seriously?” Step 2: Choose ONE Topic Strategically Select one topic from the list, such as: Emergency response Cultural competence Wound care Informatic tools to support EBP Patient-centered care with technology Data mining in health care Choose a topic that allows you to
How to Complete the Application of Clinical Decision-Making Tools Presentation Assignment (Addressing Health Care Disparities)
Benchmark – Application of Clinical Decision-Making Tools The purpose of this assignment is to examine how clinical decision support systems (CDSS) can address disparities in health care. You will develop a presentation outlining task force goals and relevant information for implementing a CDSS system of your choice, to improve access to quality care for all patients. In your role as a nurse informaticist, you have been asked by the chief informatics officer (CIO) to evaluate a clinical decision-making tool to be used by your organization’s stakeholders. The selected CDSS will be used to address the current state of access to quality care and information literacy in your organization. Part 1: Presentation for the Task Force You will need to create a presentation for the initial meeting of the task force you will lead for this initiative. Prepare a 10-12-slide PowerPoint presentation for the first task force meeting to include these agenda items: Introduction: State the meeting objectives clearly. Reason for the Project: Explain the organizational need, reason for the project, rationale for implementing a clinical decision-making tool in your organization. Discuss how CDSS can improve access to quality care and information literacy in your organization. Task Force Selection: Explain why you have been selected to lead this project and the various roles represented in the group. Explain the role of each stakeholder and why they were selected to serve on this task force. Identify CDSS to Be Implemented: Conduct research and identify one popular CDSS system used in the health care industry, include a description of the CDSS system. Discuss how this system addresses access to quality care and information literacy within the organization. Crucial Functionality: Explain the crucial functions of the selected CDSS including why it is essential to the clinical workflow. Explain the impact of the CDSS on health information exchange, interoperability, and integration of health care. Information Communication Technology (ICT): Review the information and communication technologies (in the electronic health record, mobile health, and telehealth systems). Select one communication technology and discuss how a CDSS can be incorporated to improve quality of care. Describe how communication technologies support documentation of care and communication among providers and patients at all system levels. Task Force Communication: Discuss how communication technology will be used to communicate with the task force members during the project. Include what tools will be used (e.g., Microsoft Teams, Email, Meetings, Shared Folders). Next Steps: Discuss the next steps of the task force. Do they need to review content on CDSS chosen? Project plan? Presentation Format Requirements: The title slide and reference slide are not included in the slide count. Include speaker notes below each content-related slide that represent what would be said if giving the presentation in person. Expand upon the information included in the slide and do not simply restate it. Please ensure the speaker notes include a minimum of 50-75 words. You are required to cite a minimum of three sources within the presentation to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center Refer to the resource, “Creating Effective PowerPoint Presentations,” located in the Student Success Center, for additional guidance on completing this assignment in the appropriate style. Part 2: Video Recording For Part 2 of this assignment, create a video resource for the task force. Using the presentation created in Part 1, record a 3-5-minute video of your presentation. Include the link to your video in the speaker notes on your title/introductory slide. You will be assessed on the following: Content knowledge. Presentation skills, including body language, eye contact, evidence of preparation, clear articulation, and adherence to the 5-minute time limit. Record your video using a free GCU-approved tool of your choice, such as Loom, Zoom, or PowerPoint. For additional support creating video presentations, refer to “Course Material Support,” located in the Topic 4 Resources. A resource on using Loom to record a video presentation is listed in the Course Resources as well. How to Complete the Application of Clinical Decision-Making Tools Presentation Assignment (Addressing Health Care Disparities) — A Step-by-Step Guide for Busy Nursing Students If you’re a working nursing student, this assignment can feel overwhelming fast. You’re not just writing a paper.You’re being asked to think like a nurse informaticist, design a task force presentation, justify a clinical decision support system (CDSS), and then record a professional video—all while meeting strict slide, speaker-note, citation, and timing requirements. This guide shows you how to approach the assignment strategically—and where most students lose points. Assignment Overview (Confirm You’re in the Right Place) “The purpose of this assignment is to examine how clinical decision support systems (CDSS) can address disparities in health care…” You must complete two connected parts: Part 1: PowerPoint Presentation 10–12 content slides (excluding title & references) Speaker notes under every slide (50–75 words minimum) Minimum of 3 scholarly sources (≤5 years old) Focus on CDSS, access to quality care, and information literacy Part 2: Video Presentation 3–5 minute recorded presentation Based on your PowerPoint Link included in speaker notes Clear delivery, preparation, and professionalism required This is a high-stakes, multi-skill assignment—not just a content test. Why Students Struggle With This Assignment Students lose points because they: Overload slides with text instead of using speaker notes Fail to connect CDSS to health disparities Choose a CDSS but don’t justify why it fits the organization Write weak or repetitive speaker notes Go over or under the 5-minute video limit Forget to integrate ICTs meaningfully Trigger LopesWrite similarity due to generic wording This assignment rewards clarity, structure, and professional reasoning, not volume. Step 1: Think “Executive Presentation,” Not Class Slides You are presenting to a task force, not classmates. Your tone should be: Professional Strategic Evidence-based Decision-oriented
How to Complete NRS-450 Topic 3: Culture of Patient Safety Case Studies
NRS-450 Topic 3 Benchmark – Culture of Patient Safety Case Studies The purpose of this assignment is to explore ways a culture of patient safety is created using information and communication technologies and informatic processes that deliver safe nursing care while promoting health. Use the “NRS-450 Topic 3 Benchmark – Culture of Patient Safety Case Studies” template to complete this assignment. This assignment has indirect care experience requirements. The “NRS-450 Indirect Care Experience Hours Form,” located in the Topic 3 Resources, will be used to document the indirect care experience hours completed in Topics 3, 4, and 5. As progress is made on this and subsequent assignments, update this form indicating the date(s) each section is completed. This form will be submitted in Topic 5. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. How to Complete NRS-450 Topic 3 Benchmark: Culture of Patient Safety Case Studies If you’re enrolled in NRS-450, the Topic 3 Benchmark: Culture of Patient Safety Case Studies is one of those assignments that looks straightforward—until you open the template and realize how many moving parts are involved. This benchmark is not just about patient safety theory.It evaluates whether you can apply information and communication technologies (ICTs) and informatics processes to create a culture of patient safety, while also meeting indirect care experience requirements and passing LopesWrite. This guide walks you through how to approach the assignment the right way—and where most students lose points. Assignment Overview (Why This Matters) “The purpose of this assignment is to explore ways a culture of patient safety is created using information and communication technologies and informatic processes that deliver safe nursing care while promoting health.” For this assignment, you must: Use the official Topic 3 Benchmark template Analyze patient safety case studies Apply ICTs and informatics processes Demonstrate understanding of a culture of safety Track indirect care experience hours Cite sources using APA formatting Submit the assignment through LopesWrite This is a benchmark assignment, meaning precision matters more than length. Why Students Struggle With This Assignment Many nursing students lose points because they: Treat patient safety too generally Describe technology without linking it to culture Ignore the case study focus Overwrite instead of answering prompts directly Forget to document indirect care experience hours Trigger LopesWrite similarity due to poor paraphrasing This assignment rewards clear application, not long explanations. Step 1: Follow the Template Exactly (This Is Critical) The Topic 3 Benchmark template is part of the rubric. That means: Each section aligns with a grading criterion Changing the format or skipping prompts can cost points Short, direct answers are often better than long paragraphs 👉 Think of this as a structured clinical report, not a traditional essay. Step 2: Understand What “Culture of Patient Safety” Really Means A culture of patient safety is not just: Avoiding errors Following policies It includes: Open communication Reporting systems Team accountability Use of technology to prevent harm, not just document it Your responses should show how technology supports safety behaviors, not replaces nursing judgment. Step 3: Apply Information and Communication Technologies (ICTs) You will likely discuss technologies such as: Electronic Health Records (EHRs) Clinical decision support systems Incident reporting systems Bar-code medication administration Secure communication platforms For each case study: Identify the technology involved Explain how it improves patient safety Connect it to nursing workflows and decision-making ⚠️ Common mistake: listing technology features without explaining how they support safe care. Step 4: Integrate Informatics Processes Thoughtfully Informatics processes include: Data collection and analysis Information sharing Decision support Feedback and reporting loops High-scoring answers: Show how informatics helps identify risks Explain how data informs practice changes Emphasize continuous quality improvement Tie informatics to real nursing actions, not abstract theory. Step 5: Address the Case Studies Directly This is a case-based assignment, not a general discussion. For each case: Identify the safety issue Explain how technology and informatics address it Describe the nurse’s role in maintaining a culture of safety Focus on prevention, communication, and accountability Your evaluator wants to see application, not definitions. Step 6: Don’t Overlook Indirect Care Experience Hours This assignment includes indirect care experience requirements, which many students underestimate. You must: Log hours using the NRS-450 Indirect Care Experience Hours Form Update the form as you complete Topic 3 (and later Topics 4 and 5) Submit the completed form in Topic 5 Failure to track hours correctly can impact your overall course progress—even if the written work is strong. Step 7: Writing Quality, APA, and LopesWrite Even though APA style isn’t required for the body: Writing must still be professional and academic Sources must be cited in APA format Claims about safety, technology, or outcomes must be supported Because the topic overlaps with common nursing language: Paraphrase carefully Avoid copying textbook definitions Cite all sources appropriately to pass LopesWrite Time Reality Check (Be Honest) To complete this well, you’ll need time to: Review the template and rubric Analyze case studies Research patient safety and informatics Track indirect care hours Edit for clarity and originality For students juggling work, family, and clinical responsibilities, this can quickly become stressful. When Getting Help Makes Sense This assignment is especially challenging if you: Are short on time Are unsure how to link technology to patient safety culture Feel overwhelmed by benchmark expectations Are concerned about LopesWrite similarity Need help aligning responses with the rubric Many NRS-450 students seek support not because they don’t understand patient safety, but because benchmarks leave little room for error. Need Help With NRS-450 Topic 3 Benchmark?
How to Complete NRS-450 Topic 2 Benchmark: Health Information Standards and Regulations (AI Chatbots in Patient Education)
How to Complete NRS-450 Topic 2 Benchmark: Health Information Standards and Regulations (AI Chatbots in Patient Education) The purpose of this assignment is to become familiar with health information standards and regulations. Learners will evaluate the utilization of AI chatbots in patient education for health promotion. For this assignment, complete the “NRS-450 Topic 2 Benchmark: Health Information Standards and Regulations” template. While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. How to Complete NRS-450 Topic 2 Benchmark: Health Information Standards and Regulations (AI Chatbots in Patient Education) If you’re a working nursing student, the NRS-450 Topic 2 Benchmark: Health Information Standards and Regulations assignment can look manageable—until you open the template and realize how precise the expectations are. This benchmark is not testing opinions.It’s testing whether you can safely, ethically, and accurately evaluate AI chatbots in patient education while aligning with health information standards, regulations, and the grading rubric. This guide breaks down how to approach the assignment step by step—and highlights where students commonly lose points. Assignment Overview (Read This First) “The purpose of this assignment is to become familiar with health information standards and regulations. Learners will evaluate the utilization of AI chatbots in patient education for health promotion.” You are required to: Complete the NRS-450 Topic 2 Benchmark template Evaluate AI chatbots in patient education Apply health information standards and regulations Follow the rubric Submit through LopesWrite Even though APA is not required for the body, APA-formatted citations are still required—a detail many students overlook. Why Students Lose Points on This Benchmark Based on common patterns, students struggle because they: Treat AI chatbots too generally (or too positively) Fail to link chatbot use to specific regulations (HIPAA, data privacy, security) Ignore the template prompts Write in paragraph form when the rubric expects direct, concise responses Trigger LopesWrite similarity issues due to poor paraphrasing This assignment rewards clarity, structure, and regulatory awareness—not length or fluff. Step 1: Respect the Template (This Is Non-Negotiable) This is a benchmark assignment, which means: The template is part of the grading Each section aligns directly with the rubric Deviating from the template format can cost points—even with good content 👉 Do not turn this into a traditional essay.Answer each section exactly as prompted. Step 2: Understand the Core Focus — AI Chatbots in Patient Education You are evaluating AI chatbots as tools for health promotion, not as replacements for nurses. Strong responses: Acknowledge benefits (accessibility, scalability, education support) Clearly identify risks (privacy, misinformation, bias, data security) Emphasize nurse oversight and ethical use Avoid: Overhyping AI Writing like marketing material Ignoring patient safety concerns Step 3: Address Health Information Standards and Regulations Correctly Your evaluator expects you to connect chatbot use to regulatory compliance, such as: HIPAA (patient data privacy and confidentiality) Data security standards Ethical guidelines for patient education Institutional policies governing health IT tools High-scoring answers: Explain why compliance matters Identify risks if standards are ignored Tie regulations directly to chatbot use in real care settings Step 4: Academic Writing Still Matters (Even Without APA in the Body) Although APA formatting isn’t required in the body: Writing must still be clear, professional, and evidence-based Sources must be cited in APA format Claims about AI, education, or outcomes should be supported by recent sources Many students lose points by: Using informal language Making unsupported claims Forgetting citations altogether Step 5: LopesWrite — Don’t Ignore This Because AI chatbots are the topic, this assignment is high-risk for similarity flags. Common LopesWrite issues: Copying definitions of AI or chatbots Overusing AI-generated phrasing Poor paraphrasing of regulatory language You should: Paraphrase carefully Cite sources properly Avoid generic or repetitive language Reality Check: Time vs. Accuracy To do this well, you’ll need time to: Review the template and rubric carefully Research AI chatbots in patient education Understand relevant regulations Write concise, rubric-aligned responses Check originality before submission For students balancing work, family, and clinical responsibilities, this can quickly become overwhelming. When Getting Help Is the Smart Choice This benchmark is especially challenging if you: Are short on time Are unsure how to connect AI tools to regulations Have lost points before on benchmark assignments Are worried about LopesWrite similarity scores Want to avoid revisions or resubmissions Many NRS-450 students seek help not because they don’t understand the topic, but because benchmarks allow very little room for error. Need Help With the NRS-450 Topic 2 Benchmark? If you’d rather avoid stress and protect your grade, we can help: ✔ Correct completion of the official NRS-450 template ✔ Clear evaluation of AI chatbots in patient education ✔ Alignment with health information standards and regulations ✔ APA-formatted references ✔ Original, LopesWrite-safe content ✔ Customized to your rubric and instructor expectations 👉 Send us your template and deadline, and we’ll let you know how we can support you—quickly and confidentially. Final Thought AI chatbots are changing health education—but safe, ethical use depends on informed nursing judgment. This assignment is about proving you understand that balance. And sometimes, the best judgment is knowing when to ask for support. Use Coupon Code: NEW30 to Get 30% OFF Your First Order Dan Palmer – About MeI am a professional nursing assignment expert offering comprehensive academic support to university nursing students across various institutions. My services are designed to help learners manage their workload effectively while maintaining academic excellence. With years of experience in nursing research, case study writing, and evidence-based reporting, I ensure every paper is original, well-researched, and aligned with current academic standards. My goal is to provide dependable academic
[Guide] Benchmark – Information and Communication Technologies in Nursing
Benchmark – Information and Communication Technologies in Nursing The purpose of this assignment is to evaluate the various information and communication technology tools that can be used when caring for patients, communities, and populations. For this assignment, write a 1,000-1,250-word essay. Based on your current practice, clinical experience, course materials, and review of outside resources, include the following: Discuss the history of health information technologies and the evolution of nursing informatics. Based on the five areas of practice discussed on the American Medical Informatics Association (AMIA) website, describe the one that is most relevant to day-to-day nursing practices. Explain two to three information and communication technologies and the components used on a daily basis to provide care to patients, communities, and populations. Describe the appropriate use of multimedia applications in health care. Evaluate how technology impacts the way you modify the plan of care to meet the needs of your patients. Provide two examples. Explain the importance of nursing engagement in the planning and selection of health care technologies. You are required to cite a minimum of three sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. How to Write the Benchmark – Information and Communication Technologies in Nursing — A Practical Guide for Busy Nursing Students If you’re a working nursing student, this assignment can feel deceptively simple—until you actually sit down to write it. A 1,000–1,250-word nursing informatics essay that must: Align with AMIA practice areas Use recent peer-reviewed sources (last 5 years) Follow strict APA 7 formatting Meet a grading rubric Pass LopesWrite plagiarism checks That combination is where many students lose points—not because they don’t understand nursing informatics, but because of time pressure, structure issues, and citation mistakes. This guide shows you how to approach the assignment strategically—and when it makes sense to get professional help. Step 1: Understand What This Assignment Is Really Testing This is not just a “write what you know” essay. Your instructor is assessing whether you can: Connect nursing practice to health information technology Demonstrate informatics literacy Apply theory to real clinical decision-making Follow academic writing and APA standards Many students lose marks by: Writing too generally Failing to tie concepts to day-to-day nursing practice Ignoring the AMIA framework Using outdated or weak sources Step 2: Structure Your Essay Before You Write (Critical for the Rubric) A strong paper follows a clear, rubric-friendly structure. Recommended Outline Introduction (100–150 words) Briefly define health information technology (HIT) Introduce nursing informatics State why informatics is essential in modern nursing care End with a clear thesis covering what the paper will evaluate Section 1: History of Health Information Technologies & Nursing Informatics (~200–250 words) Cover: Early paper-based records Transition to electronic health records (EHRs) Growth of clinical decision support systems Emergence of nursing informatics as a specialty Tip: Tie historical changes to improvements in patient safety, documentation accuracy, and care coordination. Section 2: AMIA Practice Area Most Relevant to Nursing (~200 words) AMIA identifies five informatics practice areas. For most nursing students, the Clinical Informatics area is the strongest choice. Explain: What clinical informatics is Why it directly affects bedside and community nursing How nurses interact with informatics systems daily (EHRs, alerts, documentation) ⚠️ Common mistake: Listing all five areas instead of deeply explaining one. Section 3: Information & Communication Technologies Used in Daily Care (~250–300 words) Select 2–3 technologies, such as: Electronic Health Records (EHRs) Telehealth platforms Clinical decision support systems Patient portals For each technology: Brief description Key components How it supports care for patients, communities, and populations Rubric tip: Use real clinical examples, not textbook definitions. Section 4: Use of Multimedia Applications in Health Care (~150–200 words) Discuss appropriate uses such as: Patient education videos Mobile health apps Virtual simulations Online training modules Focus on: Improving patient understanding Supporting health literacy Enhancing nursing education and communication Section 5: How Technology Impacts the Plan of Care (~200–250 words) Provide two clear examples, such as: Using EHR data to adjust medication plans Telemonitoring to manage chronic conditions Explain: What changed Why technology influenced the decision How patient outcomes improved This section often carries heavy rubric weight. Section 6: Importance of Nursing Engagement in Technology Selection (~150–200 words) Discuss: Why nurses must be involved in HIT planning Workflow efficiency Patient safety System usability Reducing documentation burden Tie this back to quality of care and staff satisfaction. Step 3: Sources, APA Style, and LopesWrite (Where Many Students Lose Marks) You must: Use at least 3 scholarly sources Ensure all sources are published within the last 5 years Apply APA 7th edition formatting Properly paraphrase to pass LopesWrite Common issues: Incorrect in-text citations Reference list formatting errors Accidental self-plagiarism Over-reliance on websites instead of peer-reviewed journals Step 4: Time Reality Check (Be Honest With Yourself) To do this properly, you’ll need: 1–2 hours researching recent nursing informatics sources 3–4 hours drafting 1 hour editing and APA formatting Extra time to fix LopesWrite similarity issues For many working nurses, this is not realistic during a busy week. When Professional Help Makes Sense This assignment is especially challenging if you: Work full-time or night shifts Have multiple deadlines the same week Are unsure about AMIA frameworks Have lost marks before due to APA or LopesWrite issues Many nursing students choose to get help not because they can’t write, but because they can’t afford mistakes. Need Help With This Nursing Informatics Assignment? If you’d rather focus on work, family, and clinical practice, we can help you complete this assignment: ✔ Written by nursing and health informatics
Discuss Watson’s Theory of Human Caring
Discuss Watson’s Theory of Human Caring Jean Watson’s Theory of Human Caring focuses on enhancing nursing practice, management, education, and research. Watson developed the caring theory based on the premise that nurses can care for patients if they also take care of themselves. Caring is a two-way street. “Watson believes that health professionals make social, moral, and scientific contributions to humankind and that nurses’ caring ideal can affect human development” (Watson, 2008, para 1). When patients and nurses share parts of themselves, these “caring” moments impact the patients’ and nurses’ lives permanently by healing, enhancing wholeness, and influencing what makes each of us human. The Theory of Human Caring is made up of 10 Caritas or processes that demonstrate aspects of caring (Watson, 2008, para 3): Practice of loving kindness Decision making Instill faith and hope Practice teaching and learning that meets the patient’s needs and learning styles Nurture individual spiritual beliefs and practices Holistic care Helping and trusting relationships Create a healing environment Promote the expression of negative and positive feelings Miracles Address the following: Discuss Watson’s Theory of Human Caring. Choose two of the Caritas. Explain their meaning. Why are they important to nursing practice? Identify a caring moment from your nursing practice. Were any of the 10 Caritas used in this caring moment? If so, which ones? Discuss how the two chosen Caritas for this assignment can be used to enhance the caring moment. Discuss the importance of using theory in nursing practice. Additional Instructions: All submissions should be 2-3 pages and have a title page and a reference page. Utilize a minimum of three scholarly resources. Adhere to grammar, spelling, and punctuation criteria. Adhere to APA compliance guidelines. Guide: How to Answer the Jean Watson Theory of Human Caring Assignment This assignment asks you to apply nursing theory to practice, not just summarize it. A strong response will balance theoretical explanation, critical thinking, and real-world nursing experience, all while following APA and scholarly standards. Below is a step-by-step guide to help students organize and write a high-quality paper. 1. Understand the Purpose of the Assignment The goal of this assignment is to: Demonstrate understanding of Jean Watson’s Theory of Human Caring Apply two Caritas Processes to nursing practice Reflect on a real caring moment from clinical experience Show why nursing theory matters in everyday practice This is both theory-based and reflective, so personal insight is just as important as academic support. 2. Suggested Paper Structure (2–3 Pages) Title Page (APA Format) Include: Paper title Student name Institution Course name and number Instructor Due date 3. Introduction (½ Page) In the introduction: Briefly introduce Jean Watson’s Theory of Human Caring Explain the central idea that caring is relational and mutual State the purpose of the paper(Example: “This paper discusses Watson’s Theory of Human Caring, explores two Caritas Processes, and applies them to a caring moment in nursing practice.”) Keep this section concise and focused. 4. Discuss Watson’s Theory of Human Caring (½–¾ Page) In this section: Explain the foundation of the theory Emphasize concepts such as: Caring as a moral ideal The mind–body–spirit connection The importance of self-care for nurses Include at least one scholarly citation (Watson and/or peer-reviewed nursing literature) 💡 Tip: Avoid listing facts only. Briefly explain why this theory is meaningful to nursing as a profession. 5. Choose and Explain Two Caritas Processes (½–¾ Page) Step 1: Select Two Caritas Choose Caritas that are: Easy to apply to practice Relevant to your clinical experienceExamples often chosen: Practice of loving-kindness Helping and trusting relationships Instill faith and hope Promote expression of feelings Step 2: Explain Their Meaning For each Caritas: Define it in your own words Briefly reference Watson’s work or scholarly sources Step 3: Explain Their Importance to Nursing Practice Discuss: How this Caritas improves patient care How it strengthens nurse–patient relationships Its role in holistic and ethical nursing practice 6. Identify a Caring Moment From Nursing Practice (½ Page) In this reflective section: Describe a specific patient interaction Keep patient information confidential Focus on the emotional, relational, or healing aspect, not just tasks Then answer: Which of the 10 Caritas were present? How did they influence the outcome for the patient and for you as the nurse? 💡 Tip: Even simple moments (listening, comforting, educating) can be powerful caring moments when connected to theory. 7. Enhance the Caring Moment Using the Two Chosen Caritas (½ Page) Here, you deepen your analysis: Explain how the two selected Caritas could further enhance that caring moment Discuss what you might do intentionally or differently using Watson’s framework Show how theory helps guide future nursing actions This section demonstrates higher-level critical thinking. 8. Importance of Using Theory in Nursing Practice (½ Page) Discuss: How nursing theories: Guide clinical decision-making Improve quality and consistency of care Support professional identity Why theory-based practice leads to better patient outcomes Support this section with at least one scholarly source beyond Watson. 9. Conclusion (Short Paragraph) Summarize: Key points about Watson’s theory The relevance of the selected Caritas The value of caring moments and theory-guided practice Do not introduce new information here. 10. References Page (APA Format) Requirements: Minimum three scholarly sources Include: Jean Watson (2008 or later editions) Peer-reviewed nursing journals or textbooks Use APA 7th edition formatting Final Checklist Before Submission ✔ 2–3 pages (excluding title and references)✔ Clear headings aligned with assignment questions✔ Scholarly tone and first-person reflection where appropriate✔ Proper APA citations and references✔ Proofread for grammar and clarity Need Help With This Assignment? If you’re struggling with understanding Watson’s theory, choosing Caritas, writing reflections, APA formatting, or scholarly sources, professional help can save you time and stress. 📌 We provide expert online nursing assignment help, including: Customized, plagiarism-free papers Proper APA formatting Evidence-based content written by nursing experts 👉 Reach out today for reliable, confidential assistance and submit your assignment with confidence. Place Your Order Now for expert online assignment help and submit your ethical leadership case study with confidence. Use Coupon Code: NEW30 to Get 30% OFF
21 Winning DNP Admission Essay Examples (With Writing Tips)
DNP Admission Essay Examples The Doctor of Nursing Practice (DNP) represents the pinnacle of advanced nursing education, and your admission essay serves as the gateway to this transformative journey. According to the American Association of Colleges of Nursing (AACN), DNP programs experienced a 6.4% enrollment increase in 2022, making competition for admission more intense than ever (https://www.aacnnursing.org/news-data/all-news/article/aacn-releases-2022-2023-enrollment-and-graduations-in-baccalaureate-and-graduate-programs-in-nursing). This comprehensive guide provides 21 winning DNP admission essay examples across various nursing specialties, along with expert writing strategies to help you craft a compelling personal statement that distinguishes your application from hundreds of others. Understanding DNP Admission Essay Requirements Before exploring our dnp admission essay examples, it’s essential to understand what admissions committees seek in successful applications. Research from the National Organization of Nurse Practitioner Faculties indicates that 87% of DNP programs consider the personal statement as one of the top three admission criteria (https://www.nonpf.org/). Key Components Admissions Committees Evaluate Evaluation Criteria Weight in Decision What They’re Looking For Clinical Experience Quality 30% Depth, diversity, and relevance to proposed specialty Academic Preparedness 25% Critical thinking, scholarly writing ability Professional Goals Clarity 20% Alignment with DNP outcomes and program focus Leadership Potential 15% Evidence of initiative and impact on healthcare Personal Motivation 10% Authentic passion for advanced practice nursing Content Gap Analysis: What’s Missing from Most DNP Essays After reviewing hundreds of nursing school admission essay samples pdf files and analyzing top-ranking content, we’ve identified critical content gaps that applicants often overlook: Gap 1: Specialty-Specific Examples Most dnp personal statement examples pdf documents provide generic templates without addressing the unique requirements of specialized tracks like Adult-Gerontology, Psychiatric Mental Health, or Family Nurse Practitioner programs. Gap 2: Evidence-Based Writing Techniques While many nurse practitioner application essay examples exist, few demonstrate how to incorporate clinical evidence and scholarly reasoning into personal narratives. Gap 3: Transition Narratives Limited guidance exists for nurses transitioning from clinical practice to DNP education, particularly for those entering different specialties. Gap 4: Addressing Weaknesses Strategically Most nursing admission essay help resources avoid discussing how to address academic or professional challenges constructively. 21 Winning DNP Admission Essay Examples by Specialty Family Nurse Practitioner (FNP) DNP Essay Examples Example 1: Career Transition from Pediatrics to Family Practice Opening Paragraph: “During my fifteen years as a pediatric intensive care nurse, I witnessed countless families navigate healthcare crises without adequate primary care support. This gap became painfully evident when treating 12-year-old Marcus, whose preventable asthma exacerbation resulted from inconsistent access to primary care. This experience catalyzed my decision to pursue the DNP-FNP program at [University Name], where I can develop the advanced clinical expertise and leadership skills necessary to address primary care shortages in underserved communities.” Why This Works: Opens with specific clinical experience demonstrating patient-centered thinking Names a real patient scenario (anonymized) that created transformation Clearly states program choice and specialty Connects personal experience to broader healthcare needs Key Elements: Concrete clinical example within first 50 words Transition statement linking past experience to future goals Specific program mention showing research and intentionality Example 2: Military Nursing to Civilian DNP-FNP Opening Paragraph: “Providing healthcare to service members across three combat deployments taught me that excellent primary care prevents more casualties than emergency interventions. After coordinating care for over 2,000 soldiers in resource-limited environments, I recognized that advanced practice preparation would amplify my ability to serve veteran populations facing complex healthcare challenges. The DNP-FNP program represents the natural evolution of my commitment to serving those who served.” Why This Works: Unique perspective from military nursing experience Quantifies impact (2,000 soldiers) Connects military service to civilian healthcare mission Demonstrates understanding of veteran healthcare needs Adult-Gerontology Acute Care Nurse Practitioner (AGACNP) Examples Example 3: ICU Leadership to AGACNP Specialization Complete Essay Structure: Introduction (150 words): “The ventilator alarm pierced the controlled chaos of our 24-bed intensive care unit at 3 AM. Mrs. Johnson, an 82-year-old with decompensated heart failure, required immediate intervention that exceeded the scope of my RN role. While I could identify the deterioration and initiate protocols, I couldn’t provide the advanced assessment and prescriptive authority she needed. This recurring limitation—witnessing critical patient needs that I’m prepared to recognize but not authorized to address—drives my pursuit of the DNP-AGACNP degree at [University Name].” Body Paragraph 1 – Clinical Foundation (200 words): “My decade in critical care has built a robust foundation for AGACNP practice. As charge nurse in a Level 1 trauma center, I’ve managed complex patient populations including post-cardiac surgery, multi-organ failure, and acute respiratory distress syndrome. According to the American Association of Critical-Care Nurses, ICU nurses with 10+ years of experience demonstrate advanced clinical reasoning skills comparable to novice nurse practitioners (https://www.aacn.org/). My experience supervising new graduate nurses and serving on our hospital’s Sepsis Protocol Committee has prepared me for the autonomous decision-making required in AGACNP practice.” Body Paragraph 2 – Leadership Experience (200 words): “Beyond bedside excellence, I’ve demonstrated the leadership capacity essential for DNP-level practice. As unit-based council chair, I led an evidence-based practice initiative that reduced catheter-associated urinary tract infections by 43% over 18 months. This project, which involved collaborating with physicians, infection control, and administration, taught me the systems-thinking approach emphasized in DNP education. Additionally, my role as clinical preceptor for 25+ nursing students has reinforced my commitment to advancing nursing knowledge through mentorship and education.” Body Paragraph 3 – Professional Goals (200 words): “The DNP-AGACNP program aligns perfectly with my career trajectory toward hospital-based acute care practice with a focus on geriatric critical care. The growing elderly population—projected to comprise 21% of Americans by 2040 according to the U.S. Census Bureau (https://www.census.gov/)—creates urgent demand for practitioners skilled in managing complex acute illness in older adults. I’m particularly drawn to [University Name]’s emphasis on translational research and quality improvement, as evidenced by the required DNP scholarly project. My goal is to develop an evidence-based delirium prevention protocol for elderly ICU patients, building on my preliminary work in this area.” Conclusion (150 words): “The DNP-AGACNP represents more than career advancement; it’s the culmination of professional experiences that have consistently revealed
How to Write an A+ Angela Cortez iHuman Case Study (Examples + Clinical Tips)
Introduction: Angela Cortez iHuman Case Study The Angela Cortez iHuman case study represents one of the most commonly assigned clinical scenarios in advanced nursing education, particularly in family nurse practitioner (FNP) and psychiatric mental health nurse practitioner (PMHNP) programs. This comprehensive guide provides evidence-based strategies, clinical reasoning frameworks, and practical examples to help you achieve an A+ grade on your Angela Cortez iHuman assignment. According to the American Association of Colleges of Nursing, virtual patient simulation cases like iHuman have become essential tools in nursing education, with over 78% of graduate nursing programs incorporating them into their curriculum[^1]. Understanding how to approach the Angela Cortez depression case systematically will not only improve your grade but also enhance your clinical assessment skills for real-world practice. Understanding the Angela Cortez iHuman Case: Clinical Overview Patient Presentation and Demographics Angela Cortez is a 17-year-old Hispanic female presenting to the clinic with concerning symptoms that have persisted for approximately two months. The case is designed to test your ability to assess, diagnose, and create management plans for adolescent depression—a condition affecting an estimated 20% of teenagers before they reach adulthood[^2]. Patient Demographics Details Age 17 years old Gender Female Ethnicity Hispanic Chief Complaint Fatigue, lack of energy, irritability Duration 2 months Academic Status Declining grades Social Changes Withdrawal from friends and activities Key Clinical Manifestations The Angela Cortez case presents with classic symptoms of major depressive disorder (MDD) in adolescents: Persistent fatigue despite adequate sleep Daily crying episodes without clear precipitating factors Social withdrawal from previously enjoyed activities Irritability more prominent than sadness (common in adolescent depression) Weight changes (typically weight gain in this case) Difficulty concentrating leading to academic decline Feelings of worthlessness or excessive guilt According to the DSM-5-TR criteria published by the American Psychiatric Association, adolescent depression often manifests differently than adult depression, with irritability being more prominent than depressed mood[^3]. The SOAP Framework for Angela Cortez iHuman Case Study Subjective Data Collection: Getting Full Points The subjective portion typically accounts for 30-40% of your total iHuman score. Here’s how to maximize points: Chief Complaint Documentation Example: “17-year-old female presents with ‘I’m tired all the time and just don’t care about anything anymore’ for the past 2 months.” History of Present Illness (HPI) Components Use the OLDCARTS mnemonic to ensure comprehensive documentation: Component Angela Cortez Specific Questions Rationale Onset “When did you first notice feeling this way?” Establishes timeline; depression requires ≥2 weeks of symptoms Location “Where do you feel this fatigue?” Rules out localized causes Duration “How long does the fatigue last each day?” Differentiates from normal adolescent tiredness Character “Describe what the tiredness feels like” Distinguishes physical from emotional exhaustion Aggravating “What makes your symptoms worse?” Identifies triggers and patterns Relieving “What helps you feel better, if anything?” Assesses coping mechanisms Timing “When during the day is it worst?” Depression often worse in morning; evening improvement suggests circadian component Severity “On a scale of 1-10, how much does this affect your daily life?” Quantifies functional impairment Critical Screening Questions for Angela Cortez Case According to the American Academy of Pediatrics 2018 guidelines, all adolescents aged 12-21 should be screened annually for depression using validated tools[^4]. For the Angela Cortez case, include: Depression Screening (PHQ-A): “Over the past 2 weeks, how often have you felt down, depressed, or hopeless?” “Over the past 2 weeks, how often have you had little interest or pleasure in doing things?” “Have you noticed changes in your appetite or weight?” “How has your sleep been—trouble falling asleep, staying asleep, or sleeping too much?” Suicide Risk Assessment (MANDATORY): “Have you had thoughts about death or dying?” “Have you thought about hurting yourself?” “Have you made any plans to hurt yourself?” “Do you have access to weapons, medications, or other means?” Functional Impairment: “How are your grades this semester compared to before?” “Tell me about your friendships—have you been seeing friends as much?” “What activities did you enjoy before that you don’t do now?” Risk Factors Exploration: “Has anything particularly stressful happened in the past few months?” “Any family history of depression, anxiety, or other mental health conditions?” “Have you experimented with alcohol, marijuana, or other substances?” “How would you describe your relationship with your parents/guardians?” Review of Systems (ROS) Specific to Depression System Key Questions for Angela Cortez Clinical Significance Constitutional Fatigue, weakness, weight changes Core depression symptoms; rule out hypothyroidism Neurological Concentration, memory, headaches Cognitive symptoms common in depression Psychiatric Mood, anxiety, sleep, suicidal ideation Primary diagnostic category Endocrine Heat/cold intolerance, menstrual changes Rule out thyroid disorder, PCOS Gastrointestinal Appetite changes, constipation Common vegetative symptoms Musculoskeletal Generalized aches, pain Somatic manifestations of depression Objective Data: Physical Examination Strategy The physical exam in the Angela Cortez case should systematically rule out organic causes of depressive symptoms while documenting findings consistent with depression. Vital Signs and General Appearance Typical Angela Cortez Findings: Vital Sign Expected Range Angela Cortez Typical Value Blood Pressure 110-120/70-80 118/76 mmHg Heart Rate 60-100 bpm 78 bpm Respiratory Rate 12-20 breaths/min 16 breaths/min Temperature 97.8-99.1°F 98.4°F BMI 18.5-24.9 22.3 (normal) or increased if weight gain documented General Appearance Documentation: “17-year-old Hispanic female who appears her stated age. Poor eye contact maintained throughout interview. Flat affect noted. Speech soft in volume and decreased in rate. Grooming adequate but patient reports decreased attention to appearance. Appears mildly distressed when discussing symptoms.” Focused Physical Examination Components Mental Status Examination (Critical for Full Points): Component Documentation Example Point Value Appearance “Casually dressed, adequate hygiene, appears stated age” 5 points Behavior “Cooperative but withdrawn, minimal eye contact, psychomotor retardation noted” 10 points Speech “Soft volume, decreased rate and prosody, increased latency to respond” 10 points Mood “Patient states ‘I feel sad and empty’” 15 points Affect “Constricted and dysphoric, congruent with stated mood” 15 points Thought Process “Linear and goal-directed, no tangentiality or circumstantiality” 10 points Thought Content “Denies hallucinations, delusions; endorses feelings of worthlessness; denies current suicidal ideation but reports passive death wishes” 20 points Cognition “Alert and oriented x4, attention and concentration impaired (serial 7s
How to Write a Constipation SOAP Note
Constipation SOAP Note Constipation is one of the most common gastrointestinal complaints encountered in clinical practice, affecting approximately 16% of adults and up to 33% of adults over 60 years of age in the United States. For nursing students and healthcare professionals, mastering the art of documenting a constipation SOAP note is essential for providing comprehensive patient care and maintaining accurate medical records. This comprehensive guide will walk you through the process of creating a detailed constipation SOAP note, complete with examples, templates, and best practices used by experienced clinicians. What is a SOAP Note? SOAP notes are a standardized method of documentation used across healthcare settings. The acronym SOAP stands for: Subjective Objective Assessment Plan This systematic approach to clinical documentation ensures that all healthcare providers can quickly understand a patient’s condition, treatment progress, and care plan. According to the American Academy of Family Physicians, proper SOAP note documentation improves continuity of care and reduces medical errors. Understanding Constipation in Clinical Practice Before diving into the SOAP note format, it’s important to understand the clinical definition of constipation. The Rome IV criteria define constipation as having two or more of the following symptoms for at least three months: Rome IV Criteria for Constipation Description Straining Present in ≥25% of defecations Lumpy or hard stools Present in ≥25% of defecations Sensation of incomplete evacuation Present in ≥25% of defecations Sensation of anorectal obstruction Present in ≥25% of defecations Manual maneuvers required Required to facilitate ≥25% of defecations Fewer than three bowel movements per week Consistent pattern Constipation SOAP Note Example: Complete Template Here’s a comprehensive constipation soap note example that demonstrates proper documentation: Subjective (S) Chief Complaint: “I haven’t had a bowel movement in 5 days, and my stomach hurts.” History of Present Illness (HPI): 45-year-old female presents with constipation for the past 5 days Last bowel movement was small, hard, and required significant straining Reports lower abdominal cramping and bloating Denies nausea, vomiting, or fever Has tried over-the-counter stool softeners without relief No blood in stool or rectal bleeding noted Past Medical History: Hypothyroidism (diagnosed 2015) Type 2 Diabetes Mellitus Current Medications: Levothyroxine 100 mcg daily Metformin 1000 mg twice daily Docusate sodium 100 mg as needed (started 2 days ago) Allergies: NKDA (No Known Drug Allergies) Social History: Diet: Low fiber intake, admits to poor hydration Physical activity: Sedentary lifestyle, office job Denies tobacco or alcohol use Review of Systems: GI: Positive for abdominal cramping, bloating, and constipation All other systems: Negative Objective (O) Vital Signs: Vital Sign Measurement Blood Pressure 128/82 mmHg Heart Rate 78 bpm Respiratory Rate 16 breaths/min Temperature 98.4°F (36.9°C) Weight 165 lbs (75 kg) Height 5’6″ (167.6 cm) BMI 26.6 kg/m² Physical Examination: General: Alert and oriented x3, appears uncomfortable but in no acute distress Abdominal Assessment: Inspection: Abdomen appears slightly distended, no visible masses or scars Auscultation: Hypoactive bowel sounds in all four quadrants Percussion: Tympanic throughout, no areas of dullness Palpation: Mild tenderness in left lower quadrant, palpable stool in descending colon, no rebound tenderness, no guarding, no masses Rectal Exam: Hard stool palpable in rectal vault, no hemorrhoids, no fissures, hemoccult negative Laboratory/Diagnostic Results: None obtained at this visit Assessment (A) Primary Diagnosis: K59.00 – Constipation, unspecified This diagnosis is supported by: Patient reports fewer than three bowel movements per week Hard, difficult-to-pass stools requiring straining Abdominal examination findings consistent with stool retention Duration of symptoms (5 days without bowel movement) Differential Diagnoses: K59.03 – Drug-induced constipation: Patient on metformin, though less commonly associated with constipation K56.49 – Other impaction of intestine: Severe presentation would require imaging to confirm E03.9 – Hypothyroidism, unspecified: Undertreated hypothyroidism can cause constipation; TSH levels should be evaluated Contributing Factors: Poor dietary fiber intake Inadequate fluid consumption Sedentary lifestyle Possible medication side effects Plan (P) Diagnostic: Order TSH, T4 to evaluate thyroid function Consider abdominal X-ray if symptoms do not improve within 48 hours Therapeutic: Intervention Details Rationale Polyethylene Glycol 3350 17g (1 capful) mixed in 8 oz water daily Osmotic laxative, first-line treatment for chronic constipation Bisacodyl suppository 10mg rectally once today Stimulant laxative for immediate relief Increase fiber intake Target 25-30g daily through diet Improves stool bulk and consistency Increase fluid intake Minimum 8 glasses (64 oz) water daily Prevents stool hardening Daily walking 20-30 minutes moderate exercise Promotes bowel motility Patient Education: Explained the importance of dietary fiber and provided list of high-fiber foods (whole grains, fruits, vegetables, legumes) Discussed proper hydration and its role in preventing constipation Educated on responding to the urge to defecate promptly rather than delaying Advised to establish regular bowel routine, preferably after meals when gastrocolic reflex is strongest Reviewed warning signs requiring immediate attention: severe abdominal pain, vomiting, rectal bleeding, fever Follow-up: Return to clinic in 2 weeks or sooner if symptoms worsen Call office if no bowel movement within 48 hours despite treatment Phone follow-up in 3 days to assess treatment response Referrals: None at this time; will consider gastroenterology referral if symptoms persist despite conservative management Gastrointestinal SOAP Note Example: Pediatric Constipation When documenting a constipation soap note for pediatric patients, additional considerations are necessary. According to the North American Society for Pediatric Gastroenterology, Hepatology and Nutrition (NASPGHAN), functional constipation affects up to 30% of children worldwide. Key Differences in Pediatric Constipation SOAP Notes: Subjective Considerations: Include developmental history Document toilet training status and history Ask about school bathroom avoidance Inquire about painful bowel movements leading to withholding behavior Consider psychosocial factors (stress, changes in routine) Objective Findings: Plot growth parameters on growth charts Assess for anal fissures (common in pediatric constipation) Evaluate for fecal impaction through abdominal and rectal examination Look for signs of encopresis (involuntary fecal soiling) Assessment: Use ICD-10 code K59.00 for functional constipation Consider K94.39 for encopresis without constipation if applicable Plan Modifications: Dosing calculations based on weight Age-appropriate dietary recommendations Behavioral interventions (scheduled toilet sitting, positive reinforcement) Family education regarding long-term management Abdominal Assessment in Constipation SOAP Notes The abdominal soap note example for constipation requires systematic documentation
