Client Questions

Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a 1 to 2 pages  SOAP Note:   CASE STUDY:   HPI: 3 yo African American  M here for Well Care visit . Mother reports pt. stools only 2 times per week.  BMs described as hard, brown, and round.  Has noticed this infrequent stooling pattern since began potty training at 2.5 yo.  Pt. often cries and strains when trying to pass bowel movement.  Pt. a “picky” eater who avoids fruits and vegetables.  Mother has not tried any treatments and is unsure what makes better or worse.        •Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies.   •Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.   Make sure you include Review of System for age appropriate   •Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?   •Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.   •Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?       References   Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics.   ?Review: “Promoting Healthy Nutrition” (pp. 121–145)   Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Mosby.    ?Chapter 26, “Recording Information”

With the major emphasis in downsizing and restructuring health care to be financially successful, issues of quality nursing care come up frequently.  One common issue related to quality nursing care is medication errors. In a downsized work environment, medication errors may increase due to limited staffing with licensed nursing personnel.  Often staffing is just enough to be adequate or slightly below what is necessary for safe and quality patient care.  You are a nursing supervisor, and you want to research a medication that was omitted during a change of shift period.  What questions are you going to ask?  Who will you look to for information?  How will I know if a medication error is a result of a nursing colleague’s mistake or a result of an understaffed nursing unit? Ensure you are upholding professional and respectful communication with your peers and instructors. Please respond to your other classmates posts as required by the discussion board policies.  Two peer responses are required with correct APA format and one references for each response.

Hello!   Need help with 750 word paper, APA style on The Future of Long Term Care in the US. Need at least 4 references. All references must be no older than 5 years old.    Thank you!

Discuss the difference between a nursing conceptual model and a nursing theory. Select a nursing theory and provide a concise summary of it. Provide an example in nursing practice where the nursing theory you selected would be effective in managing patient care.

Watch Video:Judy macdonald johnston prepare for a good end of life .See the video for the Disc. Forum and write comments on one (1) of the videos (8-12 sentences) provided.

Discussion: Pharmacotherapy for Hematologic Disorders In the 1970s, the average lifespan for patients diagnosed with sickle cell disease was 14 years. Today, the average lifespan has increased to 50 years and beyond (TriHealth, 2012). The patient prognosis for many other hematologic disorders such as hemophilia and cancer continue to improve as well. This can be attributed to advancements in medical care—specifically drug therapy and treatment. When managing drug therapies for patients, it is essential to continuously examine current treatments and evaluate the impact of patient factors on drug effectiveness. To prepare for your role as an advanced practice nurse, you must become familiar with common drug treatments for various hematologic disorders seen in clinical settings. To prepare: · Select one of the following hematologic disorders: anemia, hemophilia, cancer, sickle cell anemia, thalassemia, thrombolytic disorders, or white blood cell disorders. Consider the types of drugs that would be prescribed to patients to treat symptoms associated with this disorder. · Select one of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how this factor might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects. With these thoughts in mind: write Plz include sub heading when writing · a description of the hematologic disorder you selected including types of drugs that would be prescribed to patients to treat associated symptoms. (I am looking for an explanation at the cellular or molecular level (whenever possible). · Then, explain how the factor you selected might impact the effects of prescribed drugs, as well as any measures you might take to help reduce negative side effects. ) I am looking for an explanation at the cellular or molecular level (whenever possible).

36161 Topic: Psychiatric Mental Health Nurse Practitioner Number of Pages: 2 (Double Spaced) Number of sources: 3 Writing Style: APA Type of document: Essay Academic Level:Master Category:   Nursing Language Style: English (U.S.) Order Instructions: Attached

Interview a Mental Health Doctor Office  Contact the office manager and set up an appointment to interview either him/her or the physician. How long have you been in business? What degree(s) do you need to operate your business? What are the type(s) of clients you serve? What regulations/license(s) are you governed under? How do you ensure the completeness, timeliness, and accuracy of records? Are you bound by HIPAA rules/regulations? If not, how do you maintain security and confidentiality of the patient/client health record? Do you have an electronic health record? if yes- what is the name of system? If not, what type of filing system do you have for patient/client health records? What does the role of a health information management/medical record professional look like at the organization?

Online Learning Strategies:  Completing courses in the absence of a physical classroom and frequent face-to-face contact can be challenging, even for those who are comfortable with technology and the online environment. You need to be able to plan and manage your time well, particularly since there is no structured “class time”; communicate clearly and effectively where there is no visual or nonverbal feedback; and use technology effectively.  This Discussion provides you with an opportunity to think about your skills in the above areas, to explore strategies for successful online learning, and exchange strategies with your colleagues.   To prepare:  •Review this Week’s assigned readings from the Walden e-Guide and the document, “Technical Tips for Learning at Walden,” in the Learning Resources. •Review this week’s media program, “Tips for Effective Online Composition and Communication.”  •Think about some strategies you have used, or read about, that may be beneficial for effective planning, time management, communication, and technology use. •Consider how the strategies you have identified can contribute to being a successful online learner.    Post a description of at least one strategy for each of the following areas related to online success: planning, time management, communication, and technology use.  Explain how/why you think use of each strategy will contribute to your success as an online learner.  Support your Discussion assignment with specific resources used in its preparation using APA formatting. You are asked to provide a reference for all resources, including those in the Learning Resources for this course.

What are the responsibilities and role of the Appropriations Committee? What is the importance of this committee to public health spending as it relates to Medicaid and Medicare?