Assessing the Abdomen

ABDOMINAL ASSESSMENT
Subjective: CC: “My stomach hurts, I have diarrhea and nothing seems to help.” HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards. PMH: HTN, Diabetes, hx of GI bleed 4 years ago Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs Allergies: NKDA FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
Objective: VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs Heart: RRR, no murmurs Lungs: CTA, chest wall symmetrical Skin: Intact without lesions, no urticaria Abd: soft, hyperactive bowel sounds, pos pain in the LLQ Diagnostics: None
Assessment: Left lower quadrant pain Gastroenteritis Analyze the subjective portion of the note. List additional information that should be included in the documentation. Analyze the objective portion of the note. List additional information that should be included in the documentation. Is the assessment supported by the subjective and objective information? Why or why not? What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis? Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature. APA 4 to 5 References within 5 years
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Week2/2

The three types of qualitative research are phenomenological, grounded theory, and ethnographic research. Compare the differences and similarities between two of the three types of qualitative studies and give an example of each.
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*KIM WOODS* Visual Imagery Magazine Article

Write a 500- to 700-word magazine article that discusses visual imagery. Include the following in your article:

A contrast of verbal and visual imagery
An argument about which of these you consider most important
A justification of your argument with research

Include at least three scholarly articles.

Final Care Coordination Plan – Nursing Essay Tutors

 
For this assessment, you will implement the preliminary care coordination plan you developed in Assessment 1. Present the plan to the patient in a face-to-face clinical learning session and collaborate with the patient in evaluating session outcomes and addressing possible revisions to the plan.
NOTE: You are required to complete this assessment after Assessment 1 is successfully completed.
Care coordination is the process of providing a smooth and seamless transition of care as part of the health continuum. Nurses must be aware of community resources, ethical considerations, policy issues, cultural norms, safety, and the physiological needs of patients. Nurses play a key role in providing the necessary knowledge and communication to ensure seamless transitions of care. They draw upon evidence-based practices to promote health and disease prevention to create a safe environment conducive to improving and maintaining the health of individuals, families, or aggregates within a community. When provided with a plan and the resources to achieve and maintain optimal health, patients benefit from a safe environment conducive to healing and a better quality of life.
This assessment provides an opportunity for you to apply communication, teaching, and learning best practices to the presentation of a care coordination plan to the patient.
You are encouraged to complete the Vila Health: Cultural Competence activity prior to completing this assessment. Completing course activities before submitting your first attempt has been shown to make the difference between basic and proficient assessment. Demonstration of Proficiency
By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 1: Adapt care based on patient-centered and person-focused factors. Design patient-centered health interventions and timelines for care delivered through direct clinical interaction that is logged in the CORE ELMS system. Competency 2: Collaborate with patients and family to achieve desired outcomes. Evaluate learning session outcomes and the attainment of mutually agreed-upon health goals, in collaboration with a patient. Competency 3: Create a satisfying patient experience. Evaluate patient satisfaction with the care coordination plan and progress made toward Healthy People 2020 goals and leading health indicators. Competency 4: Defend decisions based on the code of ethics for nursing. Make ethical decisions in designing patient-centered health interventions. Competency 5: Explain how health care policies affect patient-centered care. Identify relevant health policy implications for the coordination and continuum of care. Preparation
In this assessment, you will implement the preliminary care coordination plan you developed in Assessment 1 and communicate the plan to the patient in a professional, culturally sensitive, and ethical manner.
To prepare for the assessment, consider the patient experience and how you will present the plan. Make sure you schedule time accordingly.
Note: Remember that you can submit all, or a portion of, your plan to Smarthinking Tutoring for feedback, before you submit the final version for this assessment. If you plan on using this free service, be mindful of the turnaround time of 24–48 hours for receiving feedback. Instructions
Note: You are required to complete Assessment 1 before this assessment.
For this assessment: Complete the preliminary care coordination plan you developed in Assessment 1. Present the plan to the patient in a face-to-face clinical learning session. Communicate in a professional, culturally sensitive, and ethical manner. Collaborate with the patient in evaluating session outcomes and addressing possible revisions to the plan.
Reminder: The time you spend presenting your final care coordination plan must be logged in the CORE ELMS system. The total time spent in securing individual participation in this activity in Assessment 1 and presenting your plan in this assessment must be at least three hours. The CORE ELMS link is located in the courseroom navigation menu.
Please be advised that the Volunteer Experience form requires that you provide the name and contact information for at least one individual with whom you worked as part of your direct clinical activity. Your faculty may reach out to this individual to verify that you have accurately documented and completed your clinical hours. Document Format and Length
Build on the preliminary plan document you created in Assessment 1. Your final plan should be 5–7 pages in length. Supporting Evidence
Support your care coordination plan with peer-reviewed articles, course study resources, and Healthy People 2020 resources. Cite at least three credible sources. Grading Requirements
The requirements, outlined below, correspond to the grading criteria in the Final Care Coordination Plan Scoring Guide, so be sure to address each point. Read the performance-level descriptions for each criterion to see how your work will be assessed. Design patient-centered health interventions and timelines for care delivered through direct clinical interaction that is logged in the CORE ELMS system. Address three patient health issues. Design an intervention for each health issue. Identify three community resources for each health intervention, so the patient may make an informed decision about what resources to use. Make ethical decisions in designing patient-centered health interventions. Consider the practical effects of specific decisions. Include the ethical questions that generate uncertainty about the decisions you have made. Identify relevant health policy implications for the coordination and continuum of care. Cite specific health policy provisions. Evaluate learning session outcomes and the attainment of mutually agreed-upon health goals, in collaboration with the patient. What aspects of the session would you change? How might revisions to the plan improve future outcomes? Evaluate patient satisfaction with the care coordination plan and progress made toward Healthy People 2020 goals and leading health indicators. What changes would you recommend to improve patient satisfaction and better align the session with Healthy People 2020 goals and leading health indicators? Additional Requirements
Before submitting your assessment, proofread your final care coordination plan to minimize errors that could distract readers and make it more difficult for them to focus on the substance of your plan.
Grading Rubric:
1.  Design patient-centered health interventions and timelines for care delivered through direct clinical interaction that is logged in the CORE ELMS system. 
Passing Grade:  Designs comprehensive, patient-centered health interventions and timelines for care that reflect patient needs and preferences and the availability of essential resources delivered through direct clinical interaction that is logged in the CORE ELMS system. 
2.  Make ethical decisions in designing patient-centered health interventions. 
Passing Grade:  Makes insightful ethical decisions in designing patient-centered health interventions, informed by relevant ethical considerations, the practical effects of specific actions, and the significance of key uncertainties. 
3.  Identify relevant health policy implications for the coordination and continuum of care. 
Passing Grade:  Identifies relevant health policy implications for the coordination and continuum of care, based on precise and accurate interpretations of relevant policy provisions. Makes valid, insightful inferences. 
4.  Evaluate learning session outcomes and the attainment of mutually agreed-upon health goals, in collaboration with the patient. 
Passing Grade:  Evaluates learning session outcomes and the attainment of mutually agreed-upon health goals, in collaboration with the patient. Clearly explains the need for revisions to similar future sessions. 
5.  Evaluate patient satisfaction with the care coordination plan and progress made toward Healthy People 2020 goals and leading health indicators. 
Passing Grade:  Evaluates patient satisfaction with the care coordination plan and progress made toward Healthy People 2020 goals and leading health indicators. Clearly explains the need for changes to enhance patient satisfactions and better align future sessions with Healthy People 2020 goals and leading health indicators. 

need by Saturday No plagarisim

Ethical Decision Making
Identify any ethical violation and then describe the most ethical response.  Be sure to provide your rationale and reference any pertinent Ethical Codes/Standards. Each Case Response must be answered with a minimum of 150 words, but not more than 250 words (not including any references).
1) Case 2 Jake Oliver was filled with guilt when he arrived for his initial appointment with psychologist, Dr. John Wang.  After asking and receiving assurance that their conversations would be confidential, Mr. Oliver disclosed that, two months earlier, he had murdered his alcoholic wife of 12 years due to her alleged sexual affairs and the physical abuse she inflicted upon him.  He described that one night, when she arrived home inebriated and as she was bathing, he held her head under the water until she died.  Her death was ruled an accidental drowning by the medical examiner.  Jake had gotten away with the crime and was now having some feelings of guilt for killing his wife.
2) Case 1 After the deaths of Nicole Brown Simpson and Ron Goldman a clinical social worker (Susan Forward) who had 2 therapeutic sessions with Nicole Simpson in 1992, made public comments about Nicole Brown’s private disclosures.  Specifically, after Nicole Simpson’s death Susan told reporters that Nicole Brown Simpson, had told her, during the course of the therapeutic sessions, that she had experienced abuse at the hand of OJ Simpson.  The post need by Saturday No plagarisim first appeared on Nursing School Essays.

Dr.Manahll only

  
In 500 word minimum, summarize and reflect on the process of creating a unit plan in English language arts. How does your unit plan help students successfully apply their developing skills to different situations, materials, and ideas? ( Must mention in the reflection components of the lesson plan I created – Please mention 2 activities mentioned above and how it helped children in developing skills such as comprehension , writing, speaking, listening, key details etc – has to be specific to my lesson unit so reading prior to writing is a must).
What challenges did you face when trying to meet the developmental needs of all students (catering to all levels – below, at level, or above)? 
How can family and community support the instruction and selected instructional strategies? (Please mention an letter of introduction of unit being sent home to family with at home activities that can be done with child to extend learning at home).
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Assignment 2: Case Study Development and Theoretical Explanation

In today’s world, stress is inescapable. Stress can be a major factor in physical and psychological illnesses. Stress is closely related to fear, panic, and anxiety. A number of relatively common psychological disturbances share symptoms that include anxiety as a central component. The somatic symptom disorders involve a preoccupation with the body or a medical illness. The dissociative disorders involve an alteration in consciousness or memory such as amnesia or, in an extreme case, the development of multiple personalities as in dissociative identity disorder.Below is a Sample Case – WoodyClick to review the sample case (do not use Woody in your M2 A2 assignment analysis).
Click to download transcriptReview the sample case. Download and study the guidelines for developing cases. Develop one original fictional case study that portrays a specific diagnosis within the categories of: anxiety, somatic symptom disorders, or dissociative disorders.
The case description must include all of the DSM criteria necessary to diagnose that disorder, but may also include additional symptoms not found within that diagnostic category. Include some demographic background of the fictional case subject. This portion of the assignment should be 1 to 1 ½ pages.
Mental health professionals are often trained in one or more theoretical orientations. Each theoretical orientation provides a specific insight into why a person acts the way he or she does. The theoretical orientation also guides the professional’s choice of treatment options to address the symptoms presented by the individual to be treated. Several theoretical explanations of abnormal behavior have been described in your readings for this module. Some of these are biological, psychodynamic, behavioral, existential, cognitive, and sociocultural.
Identify the treatment approach for your case based upon the theory you have chosen to explain the disorder. Then in 2–3 pages, write your own theoretical analysis of case characteristics in relation to the disorder the case represents.
Write the case and theoretical analysis in a 3–4-page paper in Word format. Be sure to include an APA style title page and to cite the online course and the text applying APA standards. Use the following file naming convention: LastnameFirstInitial_M2_A2.doc. Use appropriate extensions for any other formats you use. By Wednesday, June 14, 2017, deliver your assignment to the M2: Assignment 2 Dropbox.

Discussion 1: Ethical Leadership – Nursing Essay Tutors

Leaders are exposed to many different sources of ethics education and training. For instance, MBA and other academic programs often have a specific course or learning outcome devoted to ethical practice, organizations often require ethics training for all employees, especially leaders, and there are numerous ethical guidelines that exist that can help leaders avoid ethical violations. However, some leaders continue to commit ethical violations, which raises questions about the root causes of such behavior. As observed with Enron’s corporate leadership, known for one of the largest corporate bankruptcies in American history due to deceptive financial practices, the repercussions for unethical leadership may be irreparable

PSY 100 Week 11 Discussion

1) Identify and discuss how you will apply one key take-away from this course that will help you in your personal and/or professional development.
2) What are your thoughts and feelings about this course. What improvements could be made to provide a better learning experience for you?The post PSY 100 Week 11 Discussion first appeared on Nursing School Essays.

EBP Grant Proposal – Nursing Essay Tutors

  Instructions
For this assignment, incorporate all of the work you have done for your EBP project in the course and write a grant proposal for The Daisy Foundation. (Note: you do not actually submit the application; rather, just complete the assignment for this course.) This grant proposal is similar to other grants that you might submit in the future.
Review the grant information: J. Patrick Barnes Grants: Grant Types.
Review the grant application form: Evidence-Based Practice Grant Application Form.
Include the following in your assignment: Purpose of the Project Background EBP Model (remember, you are using the IOWA model for this project) Proposed Change Outcomes Evaluation Plan Dissemination Plan (journal articles you would want to write in—refer to Week 15 for journal information) and rationale Appendices Informed Consent Template (from Week 7; you should have made revisions based on faculty feedback and submit the revised form for this assignment) Human Subjects Research Training Certificate (from Week 7 after you have made edits based on faculty feedback) Literature Matrix (from Week 9; you should have made revisions based on faculty feedback and submit the revised form for this assignment) Description of Tools and Instruments you plan to use for your EBP proposal (from Week 11; you should have made revisions based on faculty feedback and submit the revised form for this assignment) including aspects such as: name, author, number of questions, validity and reliability, and how it is administered (self, clinician, or researcher administered) References List
APA format is required in your Word document. Page length, excluding the title and references list, is between 10 and 12 pages.
Please refer to the Grading Rubric for details on how this activity will be graded
  Writing Assignment Rubric
Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.
Writing Assignment Rubric – 100 PointsCriteriaExemplaryExceeds ExpectationsAdvancedMeets ExpectationsIntermediateNeeds ImprovementNoviceInadequateTotal PointsContent of PaperThe writer demonstrates a well-articulated understanding of the subject matter in a clear, complex, and informative manner. The paper content and theories are well developed and linked to the paper requirements and practical experience. The paper includes relevant material that fulfills all objectives of the paper.
Cites five or more references, using at least two new scholarly resources that were not provided in the course materials.
All instruction requirements noted.
30 pointsThe writer demonstrates an understanding of the subject matter, and components of the paper are accurately represented with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Course materials and scholarly resources support required concepts. The paper includes relevant material that fulfills all objectives of the paper.
Cites four references.
All instruction requirements noted.
26 pointsThe writer demonstrates a moderate understanding of the subject matter as evidenced by components of the paper being summarized with minimal application to evidence-based practice, theory, or role-development. Course content is present but missing depth and or development.
Cites three references.
Most instruction requirements are noted.
23 pointsAbsent application to evidence-based practice, theory, or role development. Use of course content is superficial.
Demonstrates incomplete understanding of content and/or inadequate preparation.
Content of paper is inaccurately portrayed or missing.
Cites two or fewer references.
Missing some instruction requirements.
20 points30Analysis and Synthesis of Paper Content and MeaningThrough critical analysis, the submitted paper provides an accurate, clear, concise, and complete presentation of the required content.
Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative information or viewpoints.
All instruction requirements noted.
30 pointsPaper is complete, providing evidence of further synthesis of course content via scholarly resources.
Information is synthesized to help fulfill paper requirements. The content supports at least one viewpoint.
All instruction requirements noted.
26 pointsPaper lacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. The paper’s content may be confusing or unclear, and the summary may be incomplete.
Most instruction requirements are noted.
23 pointsSubmission is primarily a summation of the assignment without further synthesis of course content or analysis of the scenario.
Demonstrates incomplete understanding of content and/or inadequate preparation.
Missing some instruction requirements.
Submits assignment late.
20 points30Application of KnowledgeThe summary of the paper provides information validated via scholarly resources that offer a multidisciplinary approach.
The student’s application in practice is accurate and plausible, and additional scholarly resource(s) supporting the application is provided.
All questions posed within the assignment are answered in a well-developed manner with citations for validation.
All instruction requirements noted.
30 pointsA summary of the paper’s content, findings, and knowledge gained from the assignment is presented.
Student indicates how the information will be used within their professional practice.
All instruction requirements noted.
26 pointsObjective criteria are not clearly used, allowing for a more superficial application of content between the assignment and the broader course content.
Student’s indication of how they will apply this new knowledge to their clinical practice is vague.
Most instruction requirements are noted.
23 pointsThe application of knowledge is significantly lacking.
Student’s indication of how they will apply this new knowledge to their clinical practice is not practical or feasible.
Demonstrates incomplete understanding of content and/or inadequate preparation.
Application of knowledge is incorrect and/or student fails to explain how the information will be used within their personal practice.
Missing several instruction requirements.
Submits assignment late.
20 points30OrganizationWell-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.
5 pointsOrganized content with an informative purpose statement and supportive content and summary statement. Argument content is developed with minimal issues in content flow.
4 pointsPoor organization, and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.
Purpose statement is noted.
3 pointsIllogical flow of ideas. Missing significant content. Prose rambles. Purpose statement is unclear or missing.
Demonstrates incomplete understanding of content and/or inadequate preparation.
No purpose statement.
Submits assignment late.
2 points5APA, Grammar, and SpellingCorrect APA formatting with no errors.
The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately).
Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions.
There are no spelling, punctuation, or word-usage errors
5 pointsCorrect and consistent APA formatting of references and cites all references used. No more than two unique APA errors.
The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.
There are minimal to no grammar, punctuation, or word-usage errors.
4 pointsThree to four unique APA formatting errors.
The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.
Multiple grammar, punctuation, or word usage errors.
3 pointsFive or more unique formatting errors or no attempt to format in APA.
The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).
The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.
Grammar and punctuation are consistently incorrect. Spelling errors are numerous.
Submits assignment late.
2 points5Total Points100