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What are some examples of medical error? What are common reasons for medical errors in your organization? 100 word one reference
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MEDICAL ERRORS
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Role and Scope of Practice for Nursing Informatics Evaluation
I’m working on a Nursing exercise and need support.CompetencyEvaluate the role and scope of practice for nursing informa ...
Role and Scope of Practice for Nursing Informatics Evaluation
I’m working on a Nursing exercise and need support.CompetencyEvaluate the role and scope of practice for nursing informatics.ScenarioYou are a clinical educator in the education department of a regional healthcare facility and you have been asked to prepare an infographic (i.e. Venngage, Visme, Snappa, Google Charts, Piktochart) for the local University’s Nursing Student Association’s Annual Conference next week. They have asked you to showcase a specialty in the nursing profession that has changed healthcare delivery and patient outcomes. Your supervisor suggested showcasing the various roles and scope of practice for nursing informatics as it is often not as prevalent to student nurses, as other specialties.InstructionsThe infographic guidelines need to include the following elements:Identify various roles of Nursing Informaticists.Describe specific settings within your community that nursing informatics could be usedIdentify two Nursing Informatics organizations or journals to provide attendees with more information.Explain how the building blocks of Nursing Informatics prepare nurses for practiceExamine defining characteristics from the scope of practice for nursing informaticsDescribe educational requirements for the roleAnalyze the past, current, and future impacts of nursing informatics on healthcare delivery and patient outcomes.ResourcesFor assistance on creating an infographic, please visit the Rasmussen College Answers pageFor assistance on creating a professional poster presentation, please visit the Rasmussen College Answers pageFor additional research assistance, please visit How can I make a Research Appointment with a Rasmussen College Librarian?For additional APA assistance, please visit the Rasmussen APA GuideGrading RubricFFCBA01234Did not SubmitNo PassCompetenceProficiencyMasteryNot SubmittedNo clear description of the various roles of nursing informatics including: a description of specific settings within your community that nursing informatics could be used; and identify two Nursing Informatics organizations or journals to provide attendees with more information.Basic description of the various roles of nursing informatics including: a description of specific settings within your community that nursing informatics could be used; and identify two Nursing Informatics organizations or journals to provide attendees with more information.Thorough description of the various roles of nursing informatics including: a description of specific settings within your community that nursing informatics could be used; and identify two Nursing Informatics organizations or journals to provide attendees with more information.Clearly stated, detailed description of the various roles of nursing informatics including: a description of specific settings within your community that nursing informatics could be used; and identify two Nursing Informatics organizations or journals to provide attendees with more information.Not SubmittedNo clear explanation of how the building blocks of Nursing Informatics prepare nurses for practice.Basic explanation of how the building blocks of Nursing Informatics prepare nurses for practice.Thorough explanation of how the building blocks of Nursing Informatics prepare nurses for practice.Clearly stated, detailed explanation of how the building blocks of Nursing Informatics prepare nurses for practice.Not SubmittedNo clear explanation of the defining characteristics from the scope of practice for nursing informatics including the educational requirements for the role.Basic explanation of the defining characteristics from the scope of practice for nursing informatics including the educational requirements for the role.Thorough explanation of the defining characteristics from the scope of practice for nursing informatics including the educational requirements for the role.Clearly stated, detailed explanation of the defining characteristics from the scope of practice for nursing informatics including the educational requirements for the role.Not SubmittedNo clear analysis on the past, current, and future impacts of nursing informatics on healthcare delivery and patient outcomes.Basic analysis on the past, current, and future impacts of nursing informatics on healthcare delivery and patient outcomes.Thorough analysis on the past, current, and future impacts of nursing informatics on healthcare delivery and patient outcomes.Clearly stated, detailed analysis on the past, current, and future impacts of nursing informatics on healthcare delivery and patient outcomes.Not SubmittedLack of formal style in document, numerous spelling, grammar, or APA format errors present.Formal style reflected in some parts of the document, but not maintained throughout. Some spelling, grammar, or APA format errors present.Formal style reflected throughout majority of the document, with minor spelling, grammar, or APA format errors present.Formal style reflected throughout the document, including no spelling, grammar, or APA format errors present.
West Coast University Wk 8 Measures Taken During the Outbreak of Influenza Discussion
This week, you will research an emerging disease.
Healthcare providers throughout the United States are requi ...
West Coast University Wk 8 Measures Taken During the Outbreak of Influenza Discussion
This week, you will research an emerging disease.
Healthcare providers throughout the United States are required to report these diseases to their local public health department. Local public health departments report to the state health departments and the state departments report the info to the CDC. This is the public health chain of command.
Review the reportable disease list
for Los Angeles County as well as the interactive information sheets on HIV/AIDS, hepatitis C, and influenza in this week’s media folder. Choose a disease from the reportable disease list and submit a 2- to 3-page paper in which you answer the following questions:
What public health and education measures have been taken during recent outbreaks to monitor and track the disease you chose in the community?
What else is being done about this disease from a public health standpoint? Address the actions taken by community agencies, not-for-profit organizations, and government agencies such as the Office of Disease Prevention and Health Promotions.
Your paper must be 2–3 pages in length; include evidence or information from at least two credible external sources, and follow APA style for formatting and citation.
Your textbook and supplemental reading material may be used as a reference. The APA format for your text is as follows:
Nelson, K. E. (2014). Infectious disease epidemiology (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Centers for Disease Control and Prevention. (2011). Principles of epidemiology in public health practice: Self-study course (3rd ed.). Atlanta, GA: U.S. Department of Health and Human Services.
STU Wk 5 Health Assessment Gastrointestinal & Endocrine Discussion
Gastrointestinal & EndocrineFor this Discussion, you will take on the role of a clinician who is building a health histor ...
STU Wk 5 Health Assessment Gastrointestinal & Endocrine Discussion
Gastrointestinal & EndocrineFor this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.Case 1Case 2Case 3Chief Complaint(CC) “I am here today due to frequent and watery bowel movements”“I have pain in my belly”“neck swelling”History of Present Illness (HPI)A 37-year-old European American female presents to your practice with “loose stools” for about three days. One event about every three hoursA 25-year-old female presents to the emergency room (ER) with complaints of severe abdominal pain for 2 weeks . The pain is sharp and crampy It hurts if I run, sit down hard, or if I have sexA 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction PMHNo contributory Patient deniesPatient denies PSHAppendectomy at the age of 14 Surgical removal of benign left breast nodule 2 years agoDrug HxNo medsBirth controlNo medication at the timeAllergiesPenicillinNKANKASubjectiveFever and chills, Lost appetite Flatulence No mucus or blood on stoolsNausea and vomiting, Last menstrual period 5 days ago, New sexual partner about 2 months ago, No condoms, he hates them No pain, blood or difficulty with urinationMild difficult to shallow, Neck feels tight, Pt states she feels PalpitationsObjective Data PEB/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8B/P 138/90; temperature 99°F; (RR) 20; (HR) 110, regular; oxygen saturation (PO2) 96%; pain 5/10 B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6 Generalwell-developed female in no acute distress, appears slightly fatiguedacute distress and severe pain42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress. HEENTAtraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.Bulging eyes NeckSuppleDiffuse enlargement of the thyroid glandLungsCTA AP&LCTA AP&LCTA AP&LCardS1S2 without rub or gallopS1S2 without rub or gallopS1S2 without rub, TachycardiaAbdpositive bowel sounds (BS) in all four quadrants; no masses; no organomegaly noted; diffuse, mild, bilateral lower quadrant pain noted Mild diffuse tenderness. • INSPECTION: no masses or thrills noted; no discoloration and skin is warm to; no tattoos or piercings; abdomen is nondistended and round • AUSCULTATION: bowel sounds (BS) are normal in all four quadrants, no bruits noted• PALPATION: on palpation, abdomen is tender to touch in four quadrants; tenderness noted on light palpation, deep palpation reveals no masses, spleen and liver unremarkable• PERCUSSION: tympany heard in all quadrants, no dullness noted in abdominal areabenign, normoactive bowel sounds x 4GU Non contributory• EXTERNAL: mature hair distribution; no external lesions on labia• INTROITUS: slight green-gray discharge, no lesions• VAGINAL: normal rugae; moderate amount of green discharge on vaginal walls• CERVIX: nulliparous os with small amount of purulent discharge from os with positive cervical motion tenderness (CMT)• UTERUS: ante-flexed, normal size, shape, and position• ADNEXA: bilateral tenderness with fullness; both ovaries without masses• RECTAL: deferred• VAGINAL DISCHARGE: green in color Non contributoryExtno cyanosis, clubbing or edemano cyanosis, clubbing or edemano cyanosis, clubbing or edemaIntegumentgood skin turgor noted, moist mucous membranesintact without lesions masses or rashesThin skin, Increase moistureNeuroNo obvious deformities, CN grossly intact II-XIINo obvious deficits and CN grossly intact II-XIINo obvious deficits and CN grossly intact II-XIIOnce you received your case number, answer the following questions:What other subjective data would you obtain?What other objective findings would you look for?What diagnostic exams do you want to order?Name 3 differential diagnoses based on this patient presenting symptoms?Give rationales for your each differential diagnosis.Submission Instructions:Your instructor will assign you your case number and you will post on the case number you have been assigned.You will reply to the other two case studies (One of each).Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) All replies must be constructive and use literature where possible.Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Rasmussen College Type 2 Diabetes Comprehensive Health Assessment Form
Comprehensive Health Assessment Form (50 points) Health History(5 pts total) Biographical data: (1 pts) No name or ini ...
Rasmussen College Type 2 Diabetes Comprehensive Health Assessment Form
Comprehensive Health Assessment Form (50 points) Health History(5 pts total) Biographical data: (1 pts) No name or initial required Age:________Marital status: ____M_____ S_____Sep. ____Cohab. Birth date: _____________________Number of dependents: ___________________ Educational level: ________________________Gender: _____F _____ M _____Other Occupation (current or, if retired, past): ______________________________________ Ethnicity/nationality: _____________________ Source of history (who gave you the information and how reliable is that person): _______________________________________________________________________ Present health history: (4 pts) Current medical conditions/chronic illnesses: Current medications: Medication/food/environmental allergies: Past health history: (10 pts total) Childhood illnesses: Ask about history of mumps, chickenpox, rubella, ear infections, throat infections, pertussis, and asthma. Hospitalizations/Surgeries: Include reason for hospitalization, year, and surgical procedures. Accidents/injuries: Include head injuries with loss of consciousness, fractures, motor vehicle accidents, burns, and severe lacerations. Major diseases or illnesses: Include heart problems, cancer, seizures, and any significant adult illnesses. Immunizations (dates if known): Tetanus _______ Diphtheria ________Pertussis ________ Mumps ________ Rubella _______ Polio _____________ Hepatitis B ______Influenza _______ Varicella ______ Other ____________________________________________ Recent travel/military services: Include travel within past year and recent and past military service. Date of last examinations: Physical examination _________Vision ___________Dental ___________ Family History (Genogram) (10 points) Mother/Father/Siblings/Grandparents: include age (date of birth, if known), any major health issues, and, if indicated, cause and age at death Present as a genogram. Review of Systems (12 points total) Be sure to ask about symptoms specifically. General health status (1 pt): Ask about fatigue, pain, unexplained fever, night sweats, weakness, problems sleeping, and unexplained changes in weight. Integumentary (1 pt): Skin: Ask about change in skin color/texture, excessive bruising, itching, skin lesions, sores that do not heal, change in mole. Do you use sun screen? How much sun exposure do you experience? Hair: Ask about changes in hair texture and recent hair loss. Nails: Ask about changes in nail color and texture, splitting, and cracking. HEENT (2 pts): Head: Ask about headaches, recent head trauma, injury or surgery, history of concussion, dizziness, and loss of consciousness. Neck: Ask about neck stiffness, neck pain, lymph node enlargement, and swelling or mass in the neck. Eyes: Ask about change in vision, eye injury, itching, excessive tearing, discharge, pain, floaters, halos around lights, flashing lights, light sensitivity, and difficulty reading. Do you use corrective lenses (glasses or contact lenses)? Ears: Ask about last hearing test, changes in hearing, ear pain, drainage, vertigo, recurrent ear infections, ringing in ears, excessive wax problems, use of hearing aids. Nose, Nasopharynx, Sinuses: Ask about nasal discharge, frequent nosebleeds, nasal obstruction, snoring, postnasal drip, sneezing, allergies, use of recreational drugs, change in smell, sinus pain, sinus infections. Mouth/Oropharynx: Ask about sore throats, mouth sores, bleeding gums, hoarseness, change voice quality, difficulty chewing or swallowing, change in taste, dentures and bridges. Respiratory (1 pt): Ask about frequent colds, pain with breathing, cough, coughing up blood, shortness of breath, wheezing, night sweats, last chest x-ray, PPD and results, and history of smoking. Cardiovascular (1 pt.): Ask about chest pain, palpitations, shortness of breath, edema, coldness of extremities, color changes in hands and feet, hair loss on legs, leg pain with activity, paresthesia, sores that do not heal, and EKG and results. Breasts (1 pt.): (Remember men have breasts too) Ask about breast masses or lumps, pain, nipple discharge, swelling, changes in appearance, cystic breast disease, breast cancer, breast surgery, and reduction/enlargement. Do you perform BSE (when and how)? Date of last clinical breast examination, and mammograms and results. Gastrointestinal (1 pt.): Ask about changes in appetite, heartburn, gastroesophageal reflux disease, pain, nausea/vomiting, vomiting blood, jaundice, change in bowel habits, diarrhea, constipation, flatus, last fecal occult blood test and colonoscopy and results. Genitourinary (1 pt.): Ask about pain on urination, burning, frequency, urgency, incontinence, hesitancy, changes in urine stream, flank pain, excessive urinary volume, decreased urinary volume, nocturia, and blood in urine. Female/male reproductive (1 pt.): Both: Ask about lesions, discharge, pain or masses, change in sex drive, infertility problems, history of STDs, knowledge of STD prevention, safe sex practices, and painful intercourse. Are you current involved in a sexual relationship? If yes, heterosexual, homosexual,, bisexual? Number of sexual partners in the last 3 months. Do you use birth control? If yes, method(s) used. Female: Ask about menarche, description of cycle, LMP, painful menses, excessive bleeding, irregular menses, bleeding between periods, last Pap test and results, painful intercourse, pregnancies, live births, miscarriages, and abortions. Male: Ask about prostate or scrotal problems, impotence or sterility, satisfaction with sexual performance, frequency and technique for TSE, and last prostate examination and results. Musculoskeletal (1 pt.): Ask about fractures, muscle pain, weakness, joint swelling, joint pain, stiffness, limitations in mobility, back pain, loss of height, and bone density scan and results. Neurological (1 pt.): Ask about pain, fainting, seizures, changes in cognition, changes in memory, sensory deficits such as numbness, tingling and loss of sensation, problems with gait, balance, and coordination, tremor, and spasm. Psychosocial Profile (10 pts) Health practices and beliefs/self-care activities:Ask about type and frequency of exercise, type and frequency of self examination, oral hygiene practice (frequency of brushing/flossing), screening examinations (blood pressure, prostate, breast, glucose, etc.) Nutritional patterns: Ask about daily intake (24 hour recall) and appetite. Functional Ability: Ask if able to perform activities of daily living such as dressing, bathing, eating, toileting and instrumental activities of daily living like shopping, driving, cooking. Sleep/rest patterns: Ask about number of hours of sleep per night, whether sleep is restful, naps, and use of sleep aids. Personal habits (tobacco, alcohol, caffeine, and drugs): Ask about type, amount, and years used. Environmental history: Identify environment as urban/rural, type of home (apartment, own home, condo) Family/social relationships: Ask about significant others, individuals in home Cultural/religious influences: Identify any cultural and religious influences on health. Mental Health: Ask about anxiety, depression, irritability, stressful events, and personal coping strategies. Now answer the question below: (3 pts) Using the instructions below, identify 1 physical strength, 1 psychosocial/cognitive strength, and 1 weakness in either category. State why you think this to be true. With the information you collected, you can begin developing an idea of a client’s weakness and strengths. What is a strength? This might be that a person’s nutritional status appears to be excellent. It may be that there is no impairment of mobility. They may have lots of friends with them so be socially active. What is a weakness? This might be that a person does have impaired mobility or perhaps imbalanced nutrition – more than or less than body requirements. It might be that they have a communication issue that you note or perhaps seem to have a depressed mood, seem alone/isolated.
NRS 490 Grand Canyon University Week 9 Sustaining Change Discussion
These are 2 short discussion questions 200 or so words each requiring one referenceWK 9 DQ 1 Discuss one personal strengt ...
NRS 490 Grand Canyon University Week 9 Sustaining Change Discussion
These are 2 short discussion questions 200 or so words each requiring one referenceWK 9 DQ 1 Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting. WK 9 DQ 2 Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization's culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.
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Role and Scope of Practice for Nursing Informatics Evaluation
I’m working on a Nursing exercise and need support.CompetencyEvaluate the role and scope of practice for nursing informa ...
Role and Scope of Practice for Nursing Informatics Evaluation
I’m working on a Nursing exercise and need support.CompetencyEvaluate the role and scope of practice for nursing informatics.ScenarioYou are a clinical educator in the education department of a regional healthcare facility and you have been asked to prepare an infographic (i.e. Venngage, Visme, Snappa, Google Charts, Piktochart) for the local University’s Nursing Student Association’s Annual Conference next week. They have asked you to showcase a specialty in the nursing profession that has changed healthcare delivery and patient outcomes. Your supervisor suggested showcasing the various roles and scope of practice for nursing informatics as it is often not as prevalent to student nurses, as other specialties.InstructionsThe infographic guidelines need to include the following elements:Identify various roles of Nursing Informaticists.Describe specific settings within your community that nursing informatics could be usedIdentify two Nursing Informatics organizations or journals to provide attendees with more information.Explain how the building blocks of Nursing Informatics prepare nurses for practiceExamine defining characteristics from the scope of practice for nursing informaticsDescribe educational requirements for the roleAnalyze the past, current, and future impacts of nursing informatics on healthcare delivery and patient outcomes.ResourcesFor assistance on creating an infographic, please visit the Rasmussen College Answers pageFor assistance on creating a professional poster presentation, please visit the Rasmussen College Answers pageFor additional research assistance, please visit How can I make a Research Appointment with a Rasmussen College Librarian?For additional APA assistance, please visit the Rasmussen APA GuideGrading RubricFFCBA01234Did not SubmitNo PassCompetenceProficiencyMasteryNot SubmittedNo clear description of the various roles of nursing informatics including: a description of specific settings within your community that nursing informatics could be used; and identify two Nursing Informatics organizations or journals to provide attendees with more information.Basic description of the various roles of nursing informatics including: a description of specific settings within your community that nursing informatics could be used; and identify two Nursing Informatics organizations or journals to provide attendees with more information.Thorough description of the various roles of nursing informatics including: a description of specific settings within your community that nursing informatics could be used; and identify two Nursing Informatics organizations or journals to provide attendees with more information.Clearly stated, detailed description of the various roles of nursing informatics including: a description of specific settings within your community that nursing informatics could be used; and identify two Nursing Informatics organizations or journals to provide attendees with more information.Not SubmittedNo clear explanation of how the building blocks of Nursing Informatics prepare nurses for practice.Basic explanation of how the building blocks of Nursing Informatics prepare nurses for practice.Thorough explanation of how the building blocks of Nursing Informatics prepare nurses for practice.Clearly stated, detailed explanation of how the building blocks of Nursing Informatics prepare nurses for practice.Not SubmittedNo clear explanation of the defining characteristics from the scope of practice for nursing informatics including the educational requirements for the role.Basic explanation of the defining characteristics from the scope of practice for nursing informatics including the educational requirements for the role.Thorough explanation of the defining characteristics from the scope of practice for nursing informatics including the educational requirements for the role.Clearly stated, detailed explanation of the defining characteristics from the scope of practice for nursing informatics including the educational requirements for the role.Not SubmittedNo clear analysis on the past, current, and future impacts of nursing informatics on healthcare delivery and patient outcomes.Basic analysis on the past, current, and future impacts of nursing informatics on healthcare delivery and patient outcomes.Thorough analysis on the past, current, and future impacts of nursing informatics on healthcare delivery and patient outcomes.Clearly stated, detailed analysis on the past, current, and future impacts of nursing informatics on healthcare delivery and patient outcomes.Not SubmittedLack of formal style in document, numerous spelling, grammar, or APA format errors present.Formal style reflected in some parts of the document, but not maintained throughout. Some spelling, grammar, or APA format errors present.Formal style reflected throughout majority of the document, with minor spelling, grammar, or APA format errors present.Formal style reflected throughout the document, including no spelling, grammar, or APA format errors present.
West Coast University Wk 8 Measures Taken During the Outbreak of Influenza Discussion
This week, you will research an emerging disease.
Healthcare providers throughout the United States are requi ...
West Coast University Wk 8 Measures Taken During the Outbreak of Influenza Discussion
This week, you will research an emerging disease.
Healthcare providers throughout the United States are required to report these diseases to their local public health department. Local public health departments report to the state health departments and the state departments report the info to the CDC. This is the public health chain of command.
Review the reportable disease list
for Los Angeles County as well as the interactive information sheets on HIV/AIDS, hepatitis C, and influenza in this week’s media folder. Choose a disease from the reportable disease list and submit a 2- to 3-page paper in which you answer the following questions:
What public health and education measures have been taken during recent outbreaks to monitor and track the disease you chose in the community?
What else is being done about this disease from a public health standpoint? Address the actions taken by community agencies, not-for-profit organizations, and government agencies such as the Office of Disease Prevention and Health Promotions.
Your paper must be 2–3 pages in length; include evidence or information from at least two credible external sources, and follow APA style for formatting and citation.
Your textbook and supplemental reading material may be used as a reference. The APA format for your text is as follows:
Nelson, K. E. (2014). Infectious disease epidemiology (3rd ed.). Burlington, MA: Jones and Bartlett Learning.
Centers for Disease Control and Prevention. (2011). Principles of epidemiology in public health practice: Self-study course (3rd ed.). Atlanta, GA: U.S. Department of Health and Human Services.
STU Wk 5 Health Assessment Gastrointestinal & Endocrine Discussion
Gastrointestinal & EndocrineFor this Discussion, you will take on the role of a clinician who is building a health histor ...
STU Wk 5 Health Assessment Gastrointestinal & Endocrine Discussion
Gastrointestinal & EndocrineFor this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.Case 1Case 2Case 3Chief Complaint(CC) “I am here today due to frequent and watery bowel movements”“I have pain in my belly”“neck swelling”History of Present Illness (HPI)A 37-year-old European American female presents to your practice with “loose stools” for about three days. One event about every three hoursA 25-year-old female presents to the emergency room (ER) with complaints of severe abdominal pain for 2 weeks . The pain is sharp and crampy It hurts if I run, sit down hard, or if I have sexA 42-year-old African American female who refers that she has been noticing slow and progressive swelling on her neck for about a year. Also she stated she has lost weight without any food restriction PMHNo contributory Patient deniesPatient denies PSHAppendectomy at the age of 14 Surgical removal of benign left breast nodule 2 years agoDrug HxNo medsBirth controlNo medication at the timeAllergiesPenicillinNKANKASubjectiveFever and chills, Lost appetite Flatulence No mucus or blood on stoolsNausea and vomiting, Last menstrual period 5 days ago, New sexual partner about 2 months ago, No condoms, he hates them No pain, blood or difficulty with urinationMild difficult to shallow, Neck feels tight, Pt states she feels PalpitationsObjective Data PEB/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8B/P 138/90; temperature 99°F; (RR) 20; (HR) 110, regular; oxygen saturation (PO2) 96%; pain 5/10 B/P 158/90; Pulse 102; RR 20; Temp 99.2; Ht 5,4; wt 114; BMI 19.6 Generalwell-developed female in no acute distress, appears slightly fatiguedacute distress and severe pain42-year-old female appears thin. She is anxious – pacing in the room and fidgeting, but in no acute distress. HEENTAtraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous.Atraumatic, normocephalic, PERRLA, EOMI, conjunctiva and sclera clear; nares patent, nasopharynx clear, good dentition. Piercing in her right nostril and lower lip.Bulging eyes NeckSuppleDiffuse enlargement of the thyroid glandLungsCTA AP&LCTA AP&LCTA AP&LCardS1S2 without rub or gallopS1S2 without rub or gallopS1S2 without rub, TachycardiaAbdpositive bowel sounds (BS) in all four quadrants; no masses; no organomegaly noted; diffuse, mild, bilateral lower quadrant pain noted Mild diffuse tenderness. • INSPECTION: no masses or thrills noted; no discoloration and skin is warm to; no tattoos or piercings; abdomen is nondistended and round • AUSCULTATION: bowel sounds (BS) are normal in all four quadrants, no bruits noted• PALPATION: on palpation, abdomen is tender to touch in four quadrants; tenderness noted on light palpation, deep palpation reveals no masses, spleen and liver unremarkable• PERCUSSION: tympany heard in all quadrants, no dullness noted in abdominal areabenign, normoactive bowel sounds x 4GU Non contributory• EXTERNAL: mature hair distribution; no external lesions on labia• INTROITUS: slight green-gray discharge, no lesions• VAGINAL: normal rugae; moderate amount of green discharge on vaginal walls• CERVIX: nulliparous os with small amount of purulent discharge from os with positive cervical motion tenderness (CMT)• UTERUS: ante-flexed, normal size, shape, and position• ADNEXA: bilateral tenderness with fullness; both ovaries without masses• RECTAL: deferred• VAGINAL DISCHARGE: green in color Non contributoryExtno cyanosis, clubbing or edemano cyanosis, clubbing or edemano cyanosis, clubbing or edemaIntegumentgood skin turgor noted, moist mucous membranesintact without lesions masses or rashesThin skin, Increase moistureNeuroNo obvious deformities, CN grossly intact II-XIINo obvious deficits and CN grossly intact II-XIINo obvious deficits and CN grossly intact II-XIIOnce you received your case number, answer the following questions:What other subjective data would you obtain?What other objective findings would you look for?What diagnostic exams do you want to order?Name 3 differential diagnoses based on this patient presenting symptoms?Give rationales for your each differential diagnosis.Submission Instructions:Your instructor will assign you your case number and you will post on the case number you have been assigned.You will reply to the other two case studies (One of each).Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.) All replies must be constructive and use literature where possible.Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Rasmussen College Type 2 Diabetes Comprehensive Health Assessment Form
Comprehensive Health Assessment Form (50 points) Health History(5 pts total) Biographical data: (1 pts) No name or ini ...
Rasmussen College Type 2 Diabetes Comprehensive Health Assessment Form
Comprehensive Health Assessment Form (50 points) Health History(5 pts total) Biographical data: (1 pts) No name or initial required Age:________Marital status: ____M_____ S_____Sep. ____Cohab. Birth date: _____________________Number of dependents: ___________________ Educational level: ________________________Gender: _____F _____ M _____Other Occupation (current or, if retired, past): ______________________________________ Ethnicity/nationality: _____________________ Source of history (who gave you the information and how reliable is that person): _______________________________________________________________________ Present health history: (4 pts) Current medical conditions/chronic illnesses: Current medications: Medication/food/environmental allergies: Past health history: (10 pts total) Childhood illnesses: Ask about history of mumps, chickenpox, rubella, ear infections, throat infections, pertussis, and asthma. Hospitalizations/Surgeries: Include reason for hospitalization, year, and surgical procedures. Accidents/injuries: Include head injuries with loss of consciousness, fractures, motor vehicle accidents, burns, and severe lacerations. Major diseases or illnesses: Include heart problems, cancer, seizures, and any significant adult illnesses. Immunizations (dates if known): Tetanus _______ Diphtheria ________Pertussis ________ Mumps ________ Rubella _______ Polio _____________ Hepatitis B ______Influenza _______ Varicella ______ Other ____________________________________________ Recent travel/military services: Include travel within past year and recent and past military service. Date of last examinations: Physical examination _________Vision ___________Dental ___________ Family History (Genogram) (10 points) Mother/Father/Siblings/Grandparents: include age (date of birth, if known), any major health issues, and, if indicated, cause and age at death Present as a genogram. Review of Systems (12 points total) Be sure to ask about symptoms specifically. General health status (1 pt): Ask about fatigue, pain, unexplained fever, night sweats, weakness, problems sleeping, and unexplained changes in weight. Integumentary (1 pt): Skin: Ask about change in skin color/texture, excessive bruising, itching, skin lesions, sores that do not heal, change in mole. Do you use sun screen? How much sun exposure do you experience? Hair: Ask about changes in hair texture and recent hair loss. Nails: Ask about changes in nail color and texture, splitting, and cracking. HEENT (2 pts): Head: Ask about headaches, recent head trauma, injury or surgery, history of concussion, dizziness, and loss of consciousness. Neck: Ask about neck stiffness, neck pain, lymph node enlargement, and swelling or mass in the neck. Eyes: Ask about change in vision, eye injury, itching, excessive tearing, discharge, pain, floaters, halos around lights, flashing lights, light sensitivity, and difficulty reading. Do you use corrective lenses (glasses or contact lenses)? Ears: Ask about last hearing test, changes in hearing, ear pain, drainage, vertigo, recurrent ear infections, ringing in ears, excessive wax problems, use of hearing aids. Nose, Nasopharynx, Sinuses: Ask about nasal discharge, frequent nosebleeds, nasal obstruction, snoring, postnasal drip, sneezing, allergies, use of recreational drugs, change in smell, sinus pain, sinus infections. Mouth/Oropharynx: Ask about sore throats, mouth sores, bleeding gums, hoarseness, change voice quality, difficulty chewing or swallowing, change in taste, dentures and bridges. Respiratory (1 pt): Ask about frequent colds, pain with breathing, cough, coughing up blood, shortness of breath, wheezing, night sweats, last chest x-ray, PPD and results, and history of smoking. Cardiovascular (1 pt.): Ask about chest pain, palpitations, shortness of breath, edema, coldness of extremities, color changes in hands and feet, hair loss on legs, leg pain with activity, paresthesia, sores that do not heal, and EKG and results. Breasts (1 pt.): (Remember men have breasts too) Ask about breast masses or lumps, pain, nipple discharge, swelling, changes in appearance, cystic breast disease, breast cancer, breast surgery, and reduction/enlargement. Do you perform BSE (when and how)? Date of last clinical breast examination, and mammograms and results. Gastrointestinal (1 pt.): Ask about changes in appetite, heartburn, gastroesophageal reflux disease, pain, nausea/vomiting, vomiting blood, jaundice, change in bowel habits, diarrhea, constipation, flatus, last fecal occult blood test and colonoscopy and results. Genitourinary (1 pt.): Ask about pain on urination, burning, frequency, urgency, incontinence, hesitancy, changes in urine stream, flank pain, excessive urinary volume, decreased urinary volume, nocturia, and blood in urine. Female/male reproductive (1 pt.): Both: Ask about lesions, discharge, pain or masses, change in sex drive, infertility problems, history of STDs, knowledge of STD prevention, safe sex practices, and painful intercourse. Are you current involved in a sexual relationship? If yes, heterosexual, homosexual,, bisexual? Number of sexual partners in the last 3 months. Do you use birth control? If yes, method(s) used. Female: Ask about menarche, description of cycle, LMP, painful menses, excessive bleeding, irregular menses, bleeding between periods, last Pap test and results, painful intercourse, pregnancies, live births, miscarriages, and abortions. Male: Ask about prostate or scrotal problems, impotence or sterility, satisfaction with sexual performance, frequency and technique for TSE, and last prostate examination and results. Musculoskeletal (1 pt.): Ask about fractures, muscle pain, weakness, joint swelling, joint pain, stiffness, limitations in mobility, back pain, loss of height, and bone density scan and results. Neurological (1 pt.): Ask about pain, fainting, seizures, changes in cognition, changes in memory, sensory deficits such as numbness, tingling and loss of sensation, problems with gait, balance, and coordination, tremor, and spasm. Psychosocial Profile (10 pts) Health practices and beliefs/self-care activities:Ask about type and frequency of exercise, type and frequency of self examination, oral hygiene practice (frequency of brushing/flossing), screening examinations (blood pressure, prostate, breast, glucose, etc.) Nutritional patterns: Ask about daily intake (24 hour recall) and appetite. Functional Ability: Ask if able to perform activities of daily living such as dressing, bathing, eating, toileting and instrumental activities of daily living like shopping, driving, cooking. Sleep/rest patterns: Ask about number of hours of sleep per night, whether sleep is restful, naps, and use of sleep aids. Personal habits (tobacco, alcohol, caffeine, and drugs): Ask about type, amount, and years used. Environmental history: Identify environment as urban/rural, type of home (apartment, own home, condo) Family/social relationships: Ask about significant others, individuals in home Cultural/religious influences: Identify any cultural and religious influences on health. Mental Health: Ask about anxiety, depression, irritability, stressful events, and personal coping strategies. Now answer the question below: (3 pts) Using the instructions below, identify 1 physical strength, 1 psychosocial/cognitive strength, and 1 weakness in either category. State why you think this to be true. With the information you collected, you can begin developing an idea of a client’s weakness and strengths. What is a strength? This might be that a person’s nutritional status appears to be excellent. It may be that there is no impairment of mobility. They may have lots of friends with them so be socially active. What is a weakness? This might be that a person does have impaired mobility or perhaps imbalanced nutrition – more than or less than body requirements. It might be that they have a communication issue that you note or perhaps seem to have a depressed mood, seem alone/isolated.
NRS 490 Grand Canyon University Week 9 Sustaining Change Discussion
These are 2 short discussion questions 200 or so words each requiring one referenceWK 9 DQ 1 Discuss one personal strengt ...
NRS 490 Grand Canyon University Week 9 Sustaining Change Discussion
These are 2 short discussion questions 200 or so words each requiring one referenceWK 9 DQ 1 Discuss one personal strength and one weakness you have regarding professional presentations. Name one method for improvement for each of these, and discuss why it is important for you to work on these skills if you want to present your findings in a more formal setting. WK 9 DQ 2 Sustaining change can be difficult, as there are many variables that can affect implementation. One critical component of EBP is to ensure that practice change is part of an organization's culture so it will continue to impact outcomes over time. Name two potential barriers that may prevent your EBP change proposal from continuing to obtain the same desired results 6 months to a year from now, and your strategies for overcoming these barriers.
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