[ANSWERED 2023] Describe the difference between a nursing practice problem and a medical practice problem
Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. PICOT is utilized by the health care community to identify and study a nursing or medical practice problem. Consequently, PICOT examples that may provide insight into the use of the PICOT process, may not be relevant to nursing practice as they are based on a medical practice problem. Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem. EXPERT ANSWER AND EXPLANATION Nursing vs. Medical Practice Problem Nursing practice problem assesses Whereas a nursing practice problem is identified during the nursing assessments conducted on a patient’s condition, medical practice problem is one which focuses on the pathology of the patient. Specifically, a nursing practice problem assesses the human response to the health conditions (Milner & Cosme, 2017). For example, when a patient presents to the facility with headaches, fever, and other physical symptoms, a triage nurse could identify the condition as a nursing practice problem, where they offer the patient the relevant nursing diagnosis. On the other hand, when a patient is seen to have a condition which requires his pathology to be assessed and the healthcare giver recognizes that it could be stroke, then this is a medical practice problem. Why PICOT should be based on Nursing Practice Problem A PICOT seeks to address various elements of nursing care, and hence it should be primarily based on a nursing practice problem and not on a medical practice problem. In the nursing practice problem, the care needs of the patient from the time they get out of the healthcare environment to the time they are diagnosed by the doctor to the after-care periods are addressed (Meyer, 2017). Also, in the nursing practice problem, there is collection of information about the patient, and this helps to draw relevant conclusions based on the PICOT questions. This way, it is easy to collect diverse data about the patient and their condition. Also, with the nursing practice problem, it is more likely that the PICOT will improve population health. References Meyer, M. N. (2017). Evidence-Based Practice: Success of Practice Change Depends on the Question. Evidence-Based Practice in Nursing: Foundations, Skills, and Roles. Milner, K. A., & Cosme, S. (2017). The PICO Game: An Innovative Strategy for Teaching Step 1 in Evidence‐Based Practice. Worldviews on Evidence‐Based Nursing, 14(6), 514-516. Alternative Expert Answer How Nursing and Medical Practice Problems differ Medical and Nursing Practice ProblemThere is a difference between a nursing and a medical practice problem. The former is a clinical issue that a provider identifies and notes when assessing the patient, and it constitutes one physiological health, and the emotional and psychological responses linked to the patient’s physical health. An example is a patient with hypertension and diabetes developing stress because of their health. In this case, a nurse would want to know all these details about the patient including the manner in which they respond to the disease. One can also look at this particular problem as one which can be addressed through patient education, counseling and health promotion (Cook et al., 2018). Conversely, the latter is about the medical condition or the pathology of a medical disorder in which the provider determines the patient’s disorder. If a provider measures the body’s insulin and manages to determine that body’s insulin level is low, they can conclude that the condition is type 1 diabetes (Yoo et al., 2019). Basing PICOT on the Nursing Practice Problem When preparing a PICOT, it is important to base it on the nursing practice problem (NPP). This is because the NPP addresses majority of the elements of the nursing care. Some of these elements include the diagnosis information, patient care goals, screening of the risks, and the outcomes. The PICOT also addresses all these elements considering that it focuses on the patient, their health, the intervention that can help promote recovery compared to another treatment, and results of the treatment. It equally focuses on the clinical outcomes (Ho et al., 2016). Given that the PICOT addresses all the elements of the nursing problem, it make sense to base PICOT on the NPP. References Cook, D.A., Pencille, L.J., Dupras, D.M., Linderbaum, J.A., Pankratz, V.S., & Wilkinson, J.M. (2018). Practice variation and practice guidelines: Attitudes of generalist and specialist physicians, nurse practitioners, and physician assistants. PLoS ONE 13(1), e0191943. Doi: https://doi.org/10.1371/journal.pone.0191943. Ho, G.J., Liew, S.M., Ng, C.J., Hisham Shunmugam, R., & Glasziou P (2016). Development of a Search Strategy for an Evidence Based Retrieval Service. PLoS ONE 11(12), e0167170. Doi: https://doi.org/10.1371/journal.pone.0167170. Yoo, J.Y., Kim, J.H., Kim, J.S., Kim, H.L., Ki, J.S. (2019). Clinical nurses’ beliefs, knowledge, organizational readiness and level of implementation of evidence-based practice: The first step to creating an evidence-based practice culture. PLoS ONE 14(12): e0226742. Doi: https://doi.org/10.1371/journal.pone.0226742. Place your order now on the similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. Other Answered Questions: SOLVED!! Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy. Describe the legislation and what was accomplished. ANSWERED!! Assume you are a nurse manager on a unit SOLVED! Discuss how elimination complexities can affect SOLVED! How would your communication and interview ANSWERED!! Post your PICO(T) question, the search terms ANSWERED!! Re-read Take a Closer Look: Exploring Claude What is the difference between a nursing problem and a medical problem? In the world of healthcare, it’s crucial to understand the fundamental differences between nursing problems and medical problems. While both are essential aspects of patient care, they serve distinct purposes and require different approaches. This article will delve into the nuances that set nursing practice problems apart from medical practice problems, providing clarity on this critical subject. Nursing Practice Problem vs. Medical Practice Problem Defining Nursing Practice Problems Nursing practice problems, often referred to
[ANSWERED 2023] Tania Douglas is a 36-year-old attorney living in Miami. Dolores is in the second trimester of pregnancy with her first child, and though her pregnancy had been progressing normally
Tania Douglas is a 36-year-old attorney living in Miami. Dolores is in the second trimester of pregnancy with her first child, and though her pregnancy had been progressing normally Tania Douglas is a 36-year-old attorney living in Miami. Dolores is in the second trimester of pregnancy with her first child, and though her pregnancy had been progressing normally, recently she has noticed that she tires very easily and is short of breath from even the slightest exertion. She also has experienced periods of light-headedness, though not to the point of fainting. Other changes she has noticed are cramping in her legs, a desire to crunch on ice, and the fact that her tongue is sore. She doubts that all these symptoms are related to one another, but she is concerned, and she makes an appointment to see her physician. Upon examining Tania, her physician finds that she has tachycardia, pale gums and nail beds, and her tongue is swollen. Given her history and the findings on her physical exam, the physician suspects that Tania is anemic and orders a sample of her blood for examination. Th e results are shown below: Red Blood Cell Count 3.5 million/ mm3 Hemoglobin (Hb) 7 g/dl Hematocrit (Hct) 30% Serum Iron: Low Mean Corpuscular Volume (MCV): Low Mean Corpuscular Hb Concentration (MCHC): Low Total Iron Binding Capacity in the Blood (TIBC): High A diagnosis of anemia due to iron deficiency is made and oral iron supplements prescribed. Tania’s symptoms are eliminated within a couple of weeks and the remainder of her pregnancy progresses without difficulty. 1. What is Iron Deficiency Anemia (IDA)? Discuss its causes. 2. What are the diagnostic tests for IDA? What is the significance of the red blood cells indices for IDA? 3. How is IDA treated and prevented? 4. Provide patient education EXPERT ANSWER AND EXPLANATION Iron Deficiency Anemia (IDA) Definition and Etiology Camaschella (2017) posits that this is a disorder of the hematological system that results from inadequate iron supply to the bone marrow, with resultant impaired production of red blood cells along with deficient hemoglobinization. The resultant cells are therefore described as being microcytic and hypochromic, on the basis of the red blood cell indices as will be elucidated later. Notably, the extent of hypochromia and microcytosis corresponds to the chronicity and severity of the disease. Four major mechanisms, according to Hoffbrand & Moss (2015), are postulated to bear implications in the etiology, pathogenesis and subsequent course of iron deficiency anemia. This includes inadequate dietary intake of iron, impaired absorption of iron, increased losses and enhanced demand. Illnesses and socioeconomic factors contribute to inadequate feeding and thus deficiency while 8malabsorption is usually secondary to small bowel disorders and/or extensive bowel surgeries. Hemorrhage contributes to significant iron losses, while pregnancy is one of the states of increased demand (Hoffbrand & Moss, 2015). Diagnostics While the diagnosis of anemia is commonly made clinically, assessment of the specific type of anemia as well as severity needs laboratory diagnosis (Wu, Lesperance & Bernstein, 2016). As part of the initial diagnosis, performing complete blood count (CBC), bone marrow aspiration and iron studies. CBC provides information on the red cell indices and the state of other blood cell lines, which is important in knowing whether it is a pancytopenic process. Iron studies involves doing serum iron levels, serum ferritin and transferrin. The former is usually low while the remaining two are usually elevated (Wu, Lesperance & Bernstein, 2016). Bone marrow aspiration aids in gauging the marrow response to the anemia as well as assessing iron stores. Further tests to be done regarding etiology include stool culture and endoscopic procedures. Significance of Red Blood Cell Indices Red blood cell indices, as a component of complete blood count, provides a fast, easy to do laboratory technique of assessing the severity of anemia as well as (Wu, Lesperance & Bernstein, 2016). Iron deficiency anemia is associated with characteristic changes in the red cell morphology, size, hemoglobin content and number, and this is manifested in the indices as microcytosis, hypochromia and reduced absolute numbers of red cells. Treatment and Prevention According to Cantor et al. (2015) prevention of the disorder involves observance of hygienic dietary practices such as washing foods well enough as well periodic deworming of the at risk groups, feeding practices which should also revolve around iron rich foods such as spinach and meat and for pregnant women, IFAS should be provided and taken as prescribed. Therapy varies depending on severity, where oral iron supplementation is provided for mild to moderate cases in form of ferrous sulphate or gluconate, whereas parenteral iron is given for acute severe cases. In even more demanding scenarios, transfusion is recommended (Cantor et al., 2015). Patient Education IDA is the most prevalent anemia and educating the masses is an integral part of ensuring control and proper management of the disorder (DeLoughery, 2017). Measures patients should be taught include: Encouraging deworming for under 5 year old children as well as at risk adults. Healthy feeding practices involving eating iron rich foods such as fruits and vegetables. Prompt treatment and prevention of malaria in pregnancy in endemic areas. Advising taking of IFAS by pregnant women as prescribed by the practitioner. References Camaschella, C. (2017). New insights into iron deficiency and iron deficiency anemia. Blood reviews, 31(4), 225-233. Cantor, A. G., Bougatsos, C., Dana, T., Blazina, I., & McDonagh, M. (2015). Routine iron supplementation and screening for iron deficiency anemia in pregnancy: a systematic review for the US Preventive Services Task Force. Annals of internal medicine, 162(8), 566-576. DeLoughery, T. G. (2017). Iron deficiency anemia. Medical Clinics, 101(2), 319-332. Hoffbrand, A. V., & Moss, P. A. (2015). Hoffbrand’s essential haematology (Vol. 38). John Wiley & Sons. Wu, A. C., Lesperance, L., & Bernstein, H. (2016). Screening for iron deficiency. Policy Statement, 23, 171-177. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order What is the main cause of IDA?
[ANSWERED] Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal
Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal. Benchmark – Capstone Project Change Proposal In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice. Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal: Background Problem statement Purpose of the change proposal PICOT Literature search strategy employed Evaluation of the literature Applicable change or nursing theory utilized Proposed implementation plan with outcome measures Identification of potential barriers to plan implementation, and a discussion of how these could be overcome Appendix section, if tables, graphs, surveys, educational materials, etc. are created Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. 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. Please refer to the directions in the Student Success Center. Expert Answer and Explanation Capstone Project Final Background The nursing shortage is one of the major issues that need immediate attention in the US and other parts of the world. According to Kim, Park, Han, Kim and Kim (2016), the US government employed more than 100,000 new nurses in 2002. However, the demand for nurses in the country was not affected by the move. The author argued that the government should do more to combat the problem in a move to improve patient outcome. One of the issues that were found to cause a nursing shortage in healthcare facilities is low employee satisfaction. Lisa, Cydne, Altair, Paul and Michael (2017) mentioned that the majority of nurses who leave the healthcare industry often do that because they are not happy with their current working environment. Also, low wages can be another key factor that leads to a nursing shortage within healthcare facilities. Lack of motivation programs in the facility can also be linked to the high rate of nurse shortage in the health care sector. The ever-increasing world population also causes the nursing shortage. The population of the world is growing, but few people are joining the nursing profession. Nurse shortage has many drastic effects on patients and hospitals. Alharbi (2017) reports that nurses often work for long hours without rest due to nurse shortage, and this can cause injury, fatigue, and tiredness among the nurses. Another effect of nurse shortage is employee dissatisfaction. Kim et al. (2016) argue that nurses are always dissatisfied in a working environment where they are overworked. Nursing shortage can also lead to medical errors and missed events because of fatigue and tiredness. As a result, care quality can be affected, and this can lead to patient dissatisfaction. Lastly, nurse shortage can cause an increased mortality rate and overcrowding of the emergency rooms (Tacy, 2016). Clinical Problem Statement The nursing shortage is one of the major problems affecting the healthcare sector. According to Nantsupawat et al. (2017), the nursing shortage causes the health industry about $400 million every year. Apart from the economic effect, the nursing shortage can lead to nurse burnout because the available few nurses are forced to work for long hours without rest. McKechnie (2016) argues that nurse shortage is the main reason for several cases of medical errors across healthcare institutions. When the nurses are fatigued and tired, they are most likely to conduct activities that may lead to medical errors and missed events. Thus, the healthcare sector should strive to reduce nurse shortage in a move to improve patient care. Purpose of the change proposal concerning providing patient care in the changing health care system. The sole purpose of this capstone project is to propose solutions that can be used to improve the number of nurses in the healthcare sector so that they can improve patient care by providing quality care. PICOT Question For patients admitted in ICU (P), does putting in place a fixed nurse staffing ratios (I) as compared to not having fixed nurse staffing ratios (C) affect patient outcomes(O) during their hospitalization period under intensive care (T)? Literature search strategy employed The search for articles published not later than five years were conducted via Grand Canyon University online library. These databases include the Wiley online library, National Institutes of Health library (NIH), and National Center for Biotechnology Information library (NCBI). Google Scholar was also used to search for the articles. Nursing shortage, staffing ratios, and nurse burnout are some of the search terms used in the strategy. To ensure that the search was exhaustive, variations of the terms were used. After the search for the articles, the resources found were evaluated. Evaluation of the Literature Eight articles were used to answer the PICOT question. An article by Alharbi (2017) concluded that poor leadership management could lead to low job satisfaction, medical errors, and high turnover. Also, an article by Kollman (2019) found that acuity-based staffing (ABS) can be used to improve patient outcome. Fischer (2016) concluded that the education of nurses could be used to improve the nursing shortage. Kim et al. (2016) noted in their study that high
[ANSWERED 2023] Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP
Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP Assignment 1: Lab Assignment: Differential Diagnosis for Skin Conditions Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause. In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition. To Prepare Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment. Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies? Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Consider which of the conditions is most likely to be the correct diagnosis, and why. Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment. Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note. Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment. The Lab Assignment Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources. Week 4: Assessment of the Skin, Hair, and Nails Something as small and simple as a mole or a discolored toenail can offer meaningful clues about a patient’s health. Abnormalities in skin, hair, and nails can provide non-invasive external clues to internal disorders or even prove to be disorders themselves. Being able to evaluate such abnormalities of the skin, hair, and nails is a diagnostic benefit for any nurse conducting health assessments. This week, you will explore how to assess the skin, hair, and nails, as well as how to evaluate abnormal skin findings. Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause. In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition. To Prepare Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment. Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies? Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Consider which of the conditions is most likely to be the correct diagnosis, and why. Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment. Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note. Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment. The Lab Assignment Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources. Week 4: Assessment of the Skin, Hair, and Nails Something as small and simple as a mole or a discolored toenail can offer meaningful clues about a patient’s health. Abnormalities in skin, hair, and nails can provide non-invasive external clues to internal disorders or even prove to be disorders themselves. Being able to evaluate such abnormalities of the skin, hair, and nails is a diagnostic benefit for any nurse conducting health assessments. This week, you will explore how to assess the skin, hair, and nails, as well as how to evaluate abnormal skin findings. NURS_6512_Week_4_Assignment_1_Rubric NURS_6512_Week_4_Assignment_1_Rubric Criteria Ratings Pts This criterion is linked to a Learning Outcome Using the SOAP (Subjective, Objective, Assessment, and Plan) note format: · Create documentation, following SOAP format, of your assignment to choose one skin condition graphic (identify by number in your Chief Complaint). · Use clinical terminologies to explain the physical characteristics featured in the graphic. 35 to >29.0 pts Excellent The response
[ANSWERED 2023] Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem
Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal. Include the following: Provide an overview of the problem and the setting in which the problem or issue occurs. Explain why a quality improvement initiative is needed in this area and the expected outcome. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded. 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. Refer to the LopesWrite Technical Support articles for assistance. Rubric Criteria Problem or Issue in Practice or Organization 7.5 points Significance of Quality Improvement in Practice or Organization 15 points Demonstration of Support from Previous Research 22.5 points Steps Necessary to Implement Quality Improvement Initiative 22.5 points Evaluation of Quality Improvement 22.5 points Identification of Variables, Hypothesis Test, and Statistical Test 15 points Thesis Development and Purpose 10.5 points Argument Logic and Construction 12 points Mechanics of Writing 7.5 points Paper Format 7.5 points Documentation of Sources 7.5 points Total 150 points Expert Answer and Explanation Quality Improvement Proposal Pediatric care centers are crucial in addressing the health needs of children, but they face issues that risk plaguing the entire healthcare industry. Among these issues include care variation, communication breakdown across patients and between providers, patient discharge variations, and avoidable medical errors. The initiation of quality improvement initiatives helps to address some of these issues by devising strategies to better-face the associated challenges (Randmaa, 2016). Following its quality improvement initiative regarding communication errors, Duke Children’s Hospital in Durham, NC was among the facilities that won the 2013 Pediatric Quality Award Winners (Children’s Hospital Association, 2020). Nurse leasers and other people who are vision bearers in hospitals are expected to lead in these quality improvement projects, which would not only help in saving the associated monetary damages, but would also add to the patient satisfaction. Overview of the Problem and the Setting in which the Problem Occurs Communication errors in facilities often have the impact of creating teamwork breakdowns, which results in medical errors as well as poor patient outcomes. Also, facilities with communication breakdowns often have higher costs of care as well as prolonged length of stay. Among the common causes of communication errors in healthcare is the lack of proper education among healthcare providers as well as among patients. Whenever the patients, for instance, are unable to interpret the message of the healthcare givers, they often create a communication gap that leads to ineffective healthcare. Also, healthcare givers who do not have the right education about dealing with different patient care outcomes are likely to result in communication errors (Boling, 2020). There are many settings for the problem to occur, but most of the time, communication errors happen where there is interaction between people in the healthcare set up. For instance, during patient discharge, the healthcare providers give various instructions to patients to enhance their wellbeing while away from the facility. If there is a communication challenge, it is likely that they cannot experience the right recovery. Why a Quality Improvement Initiative is needed in this Area and the Expected Outcomes A quality improvement initiative is needed in this area because this is an area of care where failure is likely to lead to numerous inefficiencies. If there is no intervention regarding communication errors, it is likely that a facility will be less capable of addressing the patient care demands. Clinicians who communicate wrongly do not have what it takes to listen, explain, and emphasize the effect of functional and biological outcomes. Also, the fact that clinicians have thousands of patient interactions in the course of their career means that a misunderstanding about a communication error may lead to lifelong effects on their career by repeating numerous mistakes on patients. Also, in healthcare, there are competing demands that show that communication errors leads to adverse effects on patient privacy, which has recently become a healthcare concern due to the introduction of technology and other modern means of communication. Solving communication errors helps in embracing better evidence-based practice and improving the care outcomes. How the Results of Previous Research Demonstrate Support for the Quality Improvement Initiative and the Projected Outcomes Omura et al. (2017) discusses about some of the implication of assertiveness communication training programs among nursing students and healthcare professionals. The research identifies communication errors as part of the reasons why there are numerous negative effects on patient safety. Healthcare providers should acquire the necessary skills to eliminate patient risk through improving the communication methods and avoiding the occurrence of communication errors (Omura et al., 2017). There is also evidence that interventions improve assertive communication is often more efficient in some groups. Also, teamwork in healthcare is only possible with the help of the relevant communication strategies. Grahramanian et
[ANSWERED 2023] Select a child or adolescent patient that you examined during the last 3 weeks who presented with a disorder for which you have not already created a Focused SOAP Note in Weeks 3 or 7
Select a child or adolescent patient that you examined during the last 3 weeks who presented with a disorder for which you have not already created a Focused SOAP Note in Weeks 3 or 7 Assignment 2: Focused SOAP Note and Patient Case Presentation For this Assignment, you will document information about a patient that you examined during the last 3 weeks, using the Focused SOAP Note Template provided. You will then use this note to develop and record a case presentation for this patient. Be sure to incorporate any feedback you received on your Week 3 and Week 7 case presentations into this final presentation for the course. To Prepare Review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video. Select a child or adolescent patient that you examined during the last 3 weeks who presented with a disorder for which you have not already created a Focused SOAP Note in Weeks 3 or 7. (For instance, if you selected a patient with anorexia nervosa in Week 7, you must choose a patient with another type of disorder for this week.) Create a Focused SOAP Note on this patient using the template provided in the Learning Resources. There is also a completed Focused SOAP Note Exemplar provided to serve as a guide to assignment expectations. Please Note: All SOAP notes must be signed, and each page must be initialed by your Preceptor. Note: Electronic signatures are not accepted. When you submit your note, you should include the complete focused SOAP note as a Word document and PDF/images of each page that is initialed and signed by your Preceptor. You must submit your SOAP note using SafeAssign. Note: If both files are not received by the due date, faculty will deduct points per the Walden Grading Policy. Then, based on your SOAP note of this patient, develop a video case study presentation. Take time to practice your presentation before you record. Include at least five scholarly resources to support your assessment, diagnosis, and treatment planning. Ensure that you have the appropriate lighting and equipment to record the presentation. The Assignment Record yourself presenting the complex case for your clinical patient. Do not sit and read your written evaluation! The video portion of the assignment is a simulation to demonstrate your ability to succinctly and effectively present a complex case to a colleague for a case consultation. The written portion of this assignment is a simulation for you to demonstrate to the faculty your ability to document the complex case as you would in an electronic medical record. The written portion of the assignment will be used as a guide for faculty to review your video to determine if you are omitting pertinent information or including non-essential information during your case staffing consultation video. In your presentation: Dress professionally and present yourself in a professional manner. Display your photo ID at the start of the video when you introduce yourself. Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information). Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management. Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value. Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide: Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? Objective: What observations did you make during the psychiatric assessment? Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis, and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient’s symptoms. Plan: In your video, describe your treatment plan using clinical practice guidelines supported by evidence-based practice. Include a discussion on your chosen FDA-approved psychopharmacologic agents and include alternative treatments available and supported by valid research. All treatment choices must have a discussion of your rationale for the choice supported by valid research. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this treatment session? In your written plan include all the above as well as include one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking. Reflection notes: What would you do differently with this patient if you could conduct the session over? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be. Excellent Good Fair Poor Photo ID display and professional attire 5 (5%) – 5 (5%) Photo ID is displayed. The student is dressed professionally. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) Photo ID is not displayed. Student must remedy this before grade is posted. The student is not dressed professionally. Time 5 (5%) – 5 (5%) The video does not exceed the 8-minute time limit. 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) 0 (0%) – 0 (0%) The video exceeds the 8-minute time limit. (Note: Information presented after 8 minutes will not be evaluated for grade inclusion.) Discuss Subjective data: • Chief complaint • History of present illness (HPI) •
[SOLVED 2023] Select either the PCN Framework or the Chamberlain Care Model. Consider how the following components would be included in an analysis of the
Select either the PCN Framework or the Chamberlain Care Model Select either the PCN Framework or the Chamberlain Care Model [SOLVED 2023] Select either the PCN Framework or the Chamberlain Care Model. Consider how the following components would be included in an analysis of the. Select either the PCN Framework or the Chamberlain Care Model. Consider how the following components would be included in an analysis of the selected model: Origin of the model Meaning of the model Logical adequacy of the model Usefulness of the model Generalizability of the model Degree of parsimony within the model Testability of the model What rationale can you provide which validates the selected model as a theoretical framework for nursing practice? Be sure to include scholarly references to support your discussion. Expert Answer and Explanation Patient-Centered Nursing Framework Person-centered nursing (PCN) is a genuine and holistic healthcare approach that assists individuals to manage their health according to their preference. The responsible caregivers respond to patients’ weaknesses, conditions, behavior, and health issues which may have a high impact on their lifelong well-being. Patient-centered care has proven to have a positive outcome to the patients and nurses, on the other hand, attain a level of satisfaction out of their work (Li & Porock, 2014) Origin of the model Carl Rogers also referred to as “father of psychotherapy research” commence the idea of PCN. The subsequent development of the PCN approach happened in his career where he practiced as a clinical child psychologist in 1930s. He stressed on individual experience as the fountain healing and living effectively (Fazio, Pace, Flinner, & Kallymer, 2018). Meaning of the model PCN centers on a person’s needs rather than the needs of the service. Person-centered means nurses prioritize an individual’s comfort, welfare, and safety. Besides, person-centered care tries to identify a person’s health, spiritual and emotional needs. Spiritual care does not mean only religious beliefs but also implies on self-expression, relationships, and moral obligations. The holistic approach of PCN is built in personhood philosophy. PCN encourage commitment, empowerment, and independence of health care delivery (Fazio et al.,2018). Logical adequacy of the model Different studies have been conducted on the interpretation and improvement of the framework concept. In day to day practice, nurses and other care providers exhibit a clear need for hands-on knowledge of how to offer the best care. Furthermore, there is a need to understand how to provide best-centered care when faced with workload and time-pressure. Nonetheless, even though there is a rise in awareness, it is not crystal clear of how patient-centered care should be done. Therefore, the chances are that the concept may end up not being sufficiently active just as it was decades before (Cingel et al.,2016). Usefulness of the model Through empowerment and collaboration with patients, health institution and communities, the healthcare structure will be able to stipulate the right programs that meet individuals’ needs. Besides, the collaboration between the healthcare system and the communities will go an extra mile in continuity and coordination of health care (Santana et al. Generalizability of the model PCN approach is designed to make the individual an essential aspect in the treatment process. The approach should be much flexible to address the client’s health requirements regardless of the culture. The healthcare system that supports multi-cultural patients builds up trust and eventually positive results. It is evident that PCN has been successful in more than thirty countries speaking more than twelve different languages. Also, Joseph and Murphy (2012) suggested a linked PCN model that support the professional interaction with clients and the addition of interventions and measures that build up the healthcare policies. Degree of parsimony within the model A person-centered model is focused on promoting access to health care while at the same time reduces the costs. PCN has the potential of utilizing the healthcare services, lessen hospital admissions, and lower mortality and morbidity (Santana et al.,2018). Testability of the model A few studies have surveyed PCN patient’s opinion. Sharp, McAllister, and Broadbent (2015) interviewed ten patients to understand their experience with PCN. Results show that the care provided led to the emotional, personal and spiritual response that translated to a positive outlook and patient awareness. What rationale can you provide which validates the selected model as a theoretical framework for nursing practice? Be sure to include scholarly references to support your discussion. The PCN Model has led to support of delivery and efficient services across the healthcare systems. The newly structured patient-informed and evidence-based framework has led to the addition of essential factors that have been integrated into the PCN model. The best practice that has been established from the model has been linked to the health care system and healthcare providers. Santana (et al., 2018), highlights that the PCN framework has been generalized and implemented to different health care systems. References Cingel, M., Brandsma, L. Dam, M. Dorst, M. Verkaart, C., & Velde, C. (2016). Concepts of person-centered care: A framework analysis of five studies in daily care practice. International Practice Development Journal, 6(2), 1-17. https://doi.org/10.19043/ipdj.62.006 Fazio, S., Pace, D., Flinner, J., & Kallmyer, B. (2018). The fundamentals of person-centered care for individuals with dementia. The Gerontologist, 58(1), S10–S19. https://doi.org/10.1093/geront/gnx122. Joseph, S., & Murphy, D. (2012). Person-centered approach, positive psychology, and relational helping: building bridges. Journal of Humanistic Psychology, 53(1), 26-51. doi:10.1177/0022167812436426. Li, J., & Porock, D. (2014). Resident outcomes of person-centered care in long-term care: a narrative review of interventional research. International Journal of Nursing Studies, 51(10), 1395-1415. Santana, M. J., Manalili, K., Jolley, R. J., Zelinsky, S., & Lu, M. (2018). How to practice person-centered care: A conceptual framework. Health Expectations, 21(2), 429–440. https://doi.org/10.1111/hex.12640 Sharp, S., McAllister, M., & Broadbent, M. (2015). The vital blend of clinical competence and compassion: How patients experience person-centered care. Journal of Contemporary Nurse, 52(2), 300-312. https://doi.org/10.1080/10376178.2015.1020981. Place your order now on a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers. Other Solved Questions: SOLVED!! This plan should be in narrative form with a minimum
[ANSWERED 2023] Write a brief analysis no longer than 2 pages of the connection between EBP and the Quadruple Aim
Write a brief analysis no longer than 2 pages of the connection between EBP and the Quadruple Aim Assignment: Evidence-Based Practice and the Quadruple Aim Write a brief analysis no longer than 2 pages of the connection between EBP Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs. More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions. To Prepare: Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources. Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare. Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery. To Complete: Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim. Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of: Patient experience Population health Costs Work life of healthcare providers Articles for this paper include: Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610. doi:10.1136/bmjqs-2015-004160. Retrieved from https://qualitysafety.bmj.com/content/qhc/24/10/608.full.pdf Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175. doi:10.1111/wvn.12126 Assignment Rubric: Write a brief analysis of the connection between evidence-based practice and the Quadruple Aim. Your analysis should address how evidence-based practice might (or might not) help reach the Quadruple Aim, including each of the four measures of:· Patient experience · Population health · Costs · Work life of healthcare providers— Excellent 77 (77%) – 85 (85%) Good 68 (68%) – 76 (76%) Fair 60 (60%) – 67 (67%) Poor 0 (0%) – 59 (59%) Written Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.— Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%) Written Expression and Formatting—English Writing Standards: Correct grammar, mechanics, and proper punctuation.— Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%) Written Expression and Formatting—The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.— Excellent 5 (5%) – 5 (5%) Good 4 (4%) – 4 (4%) Fair 3.5 (3.5%) – 3.5 (3.5%) Poor 0 (0%) – 3 (3%) EXPERT ANSWER AND EXPLATION The use of EBP in nursing practice has been a concept that has been embraced by many healthcare organizations. EBP involves the use of scientifically proven methods or information in the delivery of care to patients. However, its adoption from an organizational perspective requires a holistic approach involving both personal and organizational change of culture to succeed (Melnyk et al., 2014). With proper utilization of EBP, a positive outcome can be realized in enhancing the Quadruple Aim model of improving the overall performance in health care delivery. Patient Experience One of the key components that Quadruple Aim model uses to improve healthcare performance is the patient experience. The initial approach of healthcare delivery was mainly focused on improving the health outcomes of patients from a diseased state to a neutral or positive state. This was done without necessarily focusing on whether the patients were satisfied with the services or not. Currently, with the privatization of many health institutions and the resultant market-led competition in the industry, a lot of emphasis has been placed on ensuring patients are satisfied with the healthcare services they receive. EBP allows the access to current information and methodology on how to handle patients with diverse characteristics and lays focus on core issues such as cultural competence in healthcare, which aims at enhancing patient satisfaction (Crabtree et al., 2016). Population Health The scope of healthcare delivery is not limited to only improving the health status of established patients, but to also ensure that the entire surrounding community embraces good health practices for better health outcomes. EBP, by providing current and relevant information on good health practices, and sensitizing the population on current healthcare issues, then, a positive change in the health continuum of the population is expected. EBP also helps to inform the strategies to be used in health promotion activities such as advocacy, community health education, etc., with the aim of improving the health outcome of a given population group. Healthcare costs The issue of high medical costs has been a major impediment in the provision of health care services. Many patients have succumbed to their illnesses due to this issue. That is why institutions, both governmental and non-governmental, involved in the provision of healthcare services, are trying to find ways of reducing the heavy cost burden on patients. EBP can play an instrumental role in the reduction of healthcare costs through proposal of alternative methods of delivering healthcare services. EBP offers proactive approaches to improving the health status of patients, thus reducing the overall costs spent on healthcare in the long run. EBP also emphasizes on modern healthcare trends like the use of current technology in the delivery of health services. This, in the long run, reduces the medical errors and translates to a reduction in costs spent on healthcare by both the patients and the hospital (reduction of litigation costs due to preventable medical errors).
[ANSWERED 2023] An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history
An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. Discussion: Alterations in Cellular Processes At its core, pathology is the study of disease. Diseases occur for many reasons. But some, such as cystic fibrosis and Parkinson’s Disease, occur because of alterations that prevent cells from functioning normally. Understanding of signals and symptoms of alterations in cellular processes is a critical step in diagnosis and treatment of many diseases. For the Advanced Practice Registered Nurse (APRN), this understanding can also help educate patients and guide them through their treatment plans. For this Discussion, you examine a case study and explain the disease that is suggested. You examine the symptoms reported and explain the cells that are involved and potential alterations and impacts. To prepare: By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Scenario: An 83-year-old resident of a skilled nursing facility presents to the emergency department with generalized edema of extremities and abdomen. History obtained from staff reveals the patient has history of malabsorption syndrome and difficulty eating due to lack of dentures. The patient has been diagnosed with protein malnutrition By Day 3 of Week 1 Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation: The role genetics plays in the disease. Why the patient is presenting with the specific symptoms described. The physiologic response to the stimulus presented in the scenario and why you think this response occurred. The cells that are involved in this process. How another characteristic (e.g., gender, genetics) would change your response. Expert Answer and Explanation Protein Malnutrition Disease and Physiological Response Role of Genetics An individual may develop protein malnutrition because of a wide spectrum of factors including their gene structure. Genetics particularly can cause one to develop the disease considering that it influences people’s preferences for certain types of food. This means that depending on one’s genetic composition, one may not like certain foods, and this may cause a scenario in which they only take food rich in non-protein nutrients (McCance & Huether, 2019). This may ultimately cause the deficiency of these nutrients. Reason for the Symptoms Based on the case study, the patient has a generalized edema, and there is a possible explanation for this. The albumen protein performs the role of holding salts as well as water. This protein can be found in the blood vessels, and when it is available in short supply, the fluid leak into tissues. Accordingly, this causes one’s abdomen to swell (Coulthard, 2015). The swelling of the extremities can also result from the leakage (McCance & Huether, 2019). Considering the problem with the patient’s dentures, this could be a possible reason for his ill health. Physiological response The patient responds physiologically to the stimuli. Due to the decline in the blood’s protein, it becomes difficult for the absorption of the salts and water to occur. In response to this, the patient experiences loss of energy and loss of muscle mass. It is due to the decline in the level of this protein that the patient’s muscle mass reduce (Semba, 2016). Cells for the Physiological Response The endothelial cells are responsible for the physiological response which occur in the patient. These cells are important when it comes to the absorption of salts and water. Their role in the regulation of these substances explains why they are important in this response. Other Factors Age is a key element that can raise one’s risk of developing the illness. References Coulthard M. G. (2015). Oedema in kwashiorkor is caused by hypoalbuminaemia. Paediatrics and international child health, 35(2), 83–89. Doi:https://doi.org/10.1179/2046905514Y.0000000154. McCance, K. L. & Huether, S. E. (2019). Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier. Semba R. D. (2016). The Rise and Fall of Protein Malnutrition in Global Health. Annals of nutrition & metabolism, 69(2), 79–88.Doi: https://doi.org/10.1159/000449175. Place your order now for a similar assignment and get fast, cheap and best quality work written by our expert level assignment writers.Use Coupon Code: NEW30 to Get 30% OFF Your First Order Other Answered Questions: SOLVED! Describe the difference between a nursing practice SOLVED! Discuss how elimination complexities can affect SOLVED!! Research legislation that has occurred within the last 5 years at the state or federal level as a result of nurse advocacy SOLVED! In this assignment you will propose a quality ANSWERED!! Mrs. Allen is a 68-year-old African American who presents to the clinic for prescription refills. The patient indicates that she has noticed shortness of breath which started about 3 months ago a nurse is caring for a client who is experiencing an acute respiratory failure Cystic fibrosis Cystic fibrosis (CF) is a genetic disorder that affects the respiratory, digestive, and reproductive systems. It is caused by a mutation in the cystic fibrosis transmembrane conductance regulator (CFTR) gene, which produces a defective protein that disrupts the normal function of cells that produce mucus, sweat, and digestive juices. CF affects about 30,000 people in the United States and 70,000 worldwide. The disease is most common in people of European descent, but it can affect people of all ethnicities. CF is inherited in an autosomal recessive pattern, which means that a child must inherit a copy of the defective gene from both parents to develop the disease. The symptoms of CF can vary widely, but they typically involve the lungs and digestive system. People with CF often experience chronic cough, wheezing, shortness of breath, and recurrent lung infections, which can lead to lung damage and respiratory failure over time. They may also have difficulty digesting food, leading to malnutrition and poor growth. Other symptoms may include salty-tasting skin, infertility in men, and delayed puberty in girls. There is currently no cure for CF, but treatments can help manage the symptoms and improve quality of life. Treatment typically involves a combination of medications, airway clearance techniques, and nutritional therapy. In severe cases, a lung transplant may be necessary. Research into CF has led to significant advances in understanding the disease
[ANSWERED 2023] Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus during the past 2 weeks,
Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping Lily is a 20-year-old student at the local community college. When some of her friends Assignment 1: Case Study Assignment: Assessing the Head, Eyes, Ears, Nose, and Throat CASE STUDY 2: Focused Throat Exam Lily is a 20-year-old student at the local community college. When some of her friends and classmates told her about an outbreak of flu-like symptoms sweeping her campus during the past 2 weeks, Lily figured she shouldn’t take her 3-day sore throat lightly. Your clinic has treated a few cases similar to Lily’s. All the patients reported decreased appetite, headaches, and pain with swallowing. As Lily recounts these symptoms to you, you notice that she has a runny nose and a slight hoarseness in her voice but doesn’t sound congested. To Prepare By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor. Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case. With regard to the case study you were assigned: Review this week’s Learning Resources and consider the insights they provide. Consider what history would be necessary to collect from the patient. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. The Assignment Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each. Episodic/Focused SOAP Note Template – (delete information on this template and input one related to the patient in the case study above). Patient Information: Initials, Age, Sex, Race S. CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance “headache”, NOT “bad headache for 3 days”. HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example: Location: head Onset: 3 days ago Character: pounding, pressure around the eyes and temples Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia Timing: after being on the computer all day at work Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better Severity: 7/10 pain scale Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products. Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance). PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system. Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. Reason for death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent. ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe. Example of Complete ROS: GENERAL: No weight loss, fever, chills, weakness or fatigue. HEENT: Eyes: No visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat. SKIN: No rash or itching. CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort. No palpitations or edema. RESPIRATORY: No shortness of breath, cough or sputum. GASTROINTESTINAL: No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood. GENITOURINARY: Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY. NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control. MUSCULOSKELETAL: No muscle, back pain, joint pain or stiffness. HEMATOLOGIC: No anemia, bleeding or bruising. LYMPHATICS: No enlarged nodes. No history of splenectomy. PSYCHIATRIC: No history of depression or anxiety. ENDOCRINOLOGIC: No reports of sweating, cold or heat intolerance. No polyuria or polydipsia. ALLERGIES: No history of asthma, hives, eczema or rhinitis. O. Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc. Diagnostic results: Include any labs,