D5
Please follow all dire
Tension headache in a 13 years old adolescent
Discussion Topic: Pediatric Soap Note (tension headache in a 13 years old adolescent)
Requirements
– The discussion must address the topic
– Rationale must be provided mainly in the differential diagnosis
– Use at least 600 words (no included 1st page or references in the 600 words)
– May use examples from your nursing practice
– Formatted and cited in current APA 7
– Use 3 academic sources, not older than 5 years. Not Websites are allowed.
– Plagiarism is NOT permitted
I have attached the SOAP note template, a SOAP note sample, and the rubric.
Week 5
Soap Note 1 Acute or Chronic Conditions (10 Points)
Iron Deficiency Anemia
Must use the sample template for your soap note, keep this template for when you start clinicals.
Late Assignment Policy
Assignments turned in late will have 1 point taken off for everyday assignment is late, after 7 days assignment will get grade of 0 (zero). No exceptions
Follow the MRU Soap Note Rubric as a guide
Use APA format and must include minimum of 2 Scholarly Citations.
Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
Turn it in Score must be less than 25% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25%. Copy-paste from websites or textbooks will not be accepted or tolerated.
Please see College Handbook with reference to Academic Misconduct Statement.
The use of tempates is ok with regards to Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.
MRU MSN5600L SOAP NOTE Template 2021-1.docx September 4 2023, 10:25 AM
MRU Soap Note Rubric 2021-1.docx
W2 R see attachment
Make a follow-up of a student's weekly discussion and respond with your opinion regarding to her post
——You don't have to post this in APA format necessarily, it's just giving feedback to the student .
What are the potential ethical and legal implications for each of the following practice members?
Medical assistant
The medical assistant engaged in unethical behavior by refilling a prescription without proper authorization. Her action can potentially harm the patient if the medication is no longer appropriate or if there are contraindications.
Her actions violate state laws and regulations related to prescribing and dispensing medications without proper authorization.
Nurse Practitioner
The NP should thoroughly investigate the situation and address any ethical concerns related to patient care, including the appropriateness of the prescription refill and the potential breach of trust. The National Health Care Anti-Fraud Association estimates three percent of all healthcare spending is lost to fraudulent transactions (Haddad Soleymani et al., 2018).
The NP's name was used on the prescription label without their knowledge and it must clarify this discrepancy and ensure compliance with prescription laws and regulations. At this point, the NP doesn't know if this has happened with other patients and it must be addressed.
Medical Director
The medical director has the ethical responsibility to address the situation promptly, ensuring that the practice's standards for ethical and legal behavior are upheld.
Practice
The practice as a whole has an ethical obligation to provide high-quality, safe patient care. Any lapses in ethical standards may erode trust and confidence. Healthcare professionals must follow structured policies and procedures (Kadivar et al., 2017).
The practice should ensure that all staff members comply with legal requirements regarding prescription renewal.
What strategies would you implement to prevent further episodes of potentially illegal behavior?
Reinforce the importance of adhering to legal and ethical standards during training and ongoing education for medical assistants.
Implementing stick protocols for prescription renewals including requiring direct provider authorization and documentation.
According to the Department of Health and human services (2011), it is important to implement regular audits or checks of prescription practices to identify any irregularities.
Foster a culture of openness, where staff members feel comfortable reporting any ethical or legal concerns without fear of retaliation.
Medicare prescription drug sponsors’ training to prevent fraud, waste, and abuse. (2011). Department of Health and Human Services, Office of Inspector General.
Haddad Soleymani, M., Yaseri, M., Farzadfar, F., Mohammadpour, A., Sharifi, F., & Kabir, M. J. (2018). Detecting medical prescriptions suspected of fraud using an unsupervised data mining algorithm.
Daru,
26(2), 209–214.
https://doi.org/10.1007/s40199-018-0227-zLinks to an external site.
Kadivar, M., Manookian, A., Asghari, F., Niknafs, N., Okazi, A., & Zarvani, A.
(2017). Ethical and legal aspects of patients safety; a ckunucak case report. Journal of Medical Ethics and History of Medicine, 10, 15-.
Self Care activity
Setting boundaries and making self-care a priority is extremely important when practicing as a nurse. Discuss methods of self care that you have found to be effective when dealing with an emotional reaction to a situation.
Once you have selected a topic, post a discussion about why that self-care technique is beneficial, how it helps you, how it can benefit your nursing practice, and why self-care is so important when caring for individuals with mental illness.
250 words or less simple discussion
ethical decision
Eleanor Thompson, a 72-year-old woman, has been battling an aggressive form of ovarian cancer for the past three years. Despite undergoing multiple rounds of chemotherapy and radiation, her condition has deteriorated, and she is now experiencing severe pain and suffering. Eleanor’s oncologist, Dr. Samuel Martinez, has presented the family with the option of another experimental treatment, but he has also suggested considering transitioning to palliative care. Eleanor’s family is deeply divided on the decision. Her eldest daughter, Maria, believes that every possible treatment should be pursued, holding onto hope for a miracle. She argues that her mother has always been a fighter and would want to continue the battle against her illness. On the other hand, Eleanor’s son, Michael, feels that his mother has suffered enough. He believes that transitioning to palliative care would allow her to spend her remaining days in comfort and peace. Caught in the middle is Eleanor’s husband of 50 years, Robert. He is torn between wanting to honor his wife’s fighting spirit, desiring to ease her pain, and the painful finality of either decision. The healthcare team must navigate a complex ethical landscape. Beneficence, the principle of doing good, pushes the team to consider what would truly benefit Eleanor in terms of quality of life. Non-maleficence, or “do no harm,” raises questions about the potential suffering Eleanor might endure with further aggressive treatments. Lastly, the principle of justice requires the team to treat Eleanor fairly and equitably, ensuring her needs are met regardless of family disagreements.
Using the case study above, answer the questions below.
- Summarize the facts in the selected case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it.
- Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge.
- Identify who is involved or affected by the ethical problem or issue.
- Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues.
- Apply the three components outlined in the Ethical Decision-Making Model media.
- Analyze the factors that contributed to the ethical problem or issue identified in the case study.
- Describe the factors that contributed to the problem or issue and explain how they contributed.
- Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case.
- In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
- Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue.
- Review the Think Critically About Source Quality resource.
- Assess the credibility of the information source.
- Assess the relevance of the information source.
- In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The NHS-FPX4000: Developing a Health Care Perspective Library Guide will help you locate appropriate references.
- Discuss the effectiveness of the communication approaches present in a case study.
- Describe how the health care professional in the case study communicated with others.
- Assess instances where the professional communicated effectively or ineffectively.
- Explain which communication approaches should be used and which ones should be avoided.
- Describe the consequences of using effective and non-effective communication approaches.
- Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study.
- Describe the actions taken in response to the ethical dilemma or issue presented in the case study.
- Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case.
- Discuss the key lessons this case provides for health care professionals.
- Apply ethical principles to a possible solution to an ethical problem or issue described in a case study.
- Describe the proposed solution.
- Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization.
- Discuss how likely it is the proposed solution will foster professional collaboration.
- Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
- Apply the principles of effective composition.
- Determine the proper application of the rules of grammar and mechanics.
- Write using APA style for in-text citations, quotes, and references.
- Determine the proper application of APA formatting requirements and scholarly writing standards.
- Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
COMPARING AND CONTRASTING PHARMACOLOGIC OPTIONS FOR THE TREATMENT OF GENERALIZED ANXIETY DISORDER
Psychological disorders, such as depression, bipolar, and anxiety disorders can present several complications for patients of all ages. These disorders affect patients physically and emotionally, potentially impacting judgment, school and/or job performance, and relationships with family and friends. Since these disorders have many drastic effects on patients’ lives, it is important for advanced practice nurses to effectively manage patient care. With patient factors and medical history in mind, it is the advanced practice nurse’s responsibility to ensure the safe and effective diagnosis, treatment, and education of patients with psychological disorders.
Generalized Anxiety Disorder is a psychological condition that affects 6.1 million Americans, or 3.1% of the US Population. Despite several treatment options, only 43.2% of those suffering from GAD receive treatment. This week you will review several different classes of medication used in the treatment of Generalized Anxiety Disorder. You will examine potential impacts of pharmacotherapeutics used in the treatment of GAD. Please focus your assignment on FDA approved indications when referring to different medication classes used in the treatment of GAD.
To Prepare:
- Review the Resources for this module and consider the principles of pharmacokinetics and pharmacodynamics.
- Reflect on your experiences, observations, and/or clinical practices from the last 5 years and think about how pharmacokinetic and pharmacodynamic factors altered his or her anticipated response to a drug.
- Consider factors that might have influenced the patient’s pharmacokinetic and pharmacodynamic processes, such as genetics (including pharmacogenetics), gender, ethnicity, age, behavior, and/or possible pathophysiological changes due to disease.
- Think about a personalized plan of care based on these influencing factors and patient history with GAD.
Post a discussion of pharmacokinetics and pharmacodynamics related to anxiolytic medications used to treat GAD. In your discussion, utilizing the discussion highlights, compare and contrast different treatment options that can be used.
key populations and ethical considerations
Week 3 Key Populations and Ethical Considerations
· Points 50
This week, compose the key population and ethical considerations portion of your research. In this section, address the following:
1. Describe the key populations in your study, both the participants and the researchers.
2. Describe any ethical considerations in relation to recruitment of the participants and your plans to address them.
3. Explain any ethical concerns related to data collection/intervention activities (these can include participants refusing participation or early withdrawal from the study and response to any predicable adverse events) and your plan to address them.
4. Describe the treatment of data, who has access to the research data and the protection of confidential material.
5. Explain any conflicts of interest that may arise if your study were to be implemented.
This section of your research should be 3–4 pages in length, written in APA format with cited references.
Review the rubric for grading criteria.
Points Possible: 50
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Discussion
Initial Post Instructions
Congratulations on successfully finishing the last of the A&P series! Over the course of the last eight weeks we’ve discussed the anatomy and physiology of the Digestive, Urinary, and Reproductive systems. We also discussed nutrition, metabolism, human development, and genetics. And since we began our study of the human body in BIOS251, we have continuously referred to a unifying theme in Anatomy and Physiology; that is, the relationship between structure and function. The idea that “form follows function” has been the foundation of our understanding of the human body and how it sustains life. This common thread throughout the A&P series allows us to look at the “big picture”.
If you remember from BIOS251, one of the fundamental principles of Anatomy and Physiology is the interdependence of all body systems and how the proper function of one system is intimately tied to the proper function of other organ systems, and ultimately the overall homeostasis of the human body.
For the Week 8 discussion of BIOS256, I would like you to go back in time. Think back to previous sessions and consider the various organs and organ systems that were discussed in BIOS251, BIOS252, and BIOS255. Choose one of the following organs or organ systems:
- Integumentary system
- Skeletal system
- Joints
- Muscular system
- Nervous system
- Special senses
- Endocrine system
- Blood and hemodynamics
- Cardiovascular system
- Immune system
- Respiratory system
After you have chosen one of the above organs or organ systems, discuss how it is intricately connected to any of the major topics that were covered this session in BIOS256. How are these systems integrated? How do they work together to contribute to the overall homeostasis of the human body?
For example, in week 1 and 2 we discussed the digestive system, and the importance of intrinsic factor to red blood cell production. One approach would be to discuss the connection between dietary absorption of intrinsic factor, its relationship to vitamin B12, and the maintenance of a healthy hematocrit.
Kel's case study analysis
Purpose: Analyze and apply critical thinking skills in the psychopathology of mental health patients and provide treatment and health promotion while applying evidence-based research.
Scenario:
Kel is a 42-year-old certified public accountant (CPA) who dreams each year that she will board a cruise ship the day after Tax Day and go somewhere, anywhere, except Portsmouth, Virginia. Each year the dream, like the ocean, ebbs and flows, but this year she is not even going to think about such a “ridiculous idea.” In fact, she does not even have the energy to dream; getting out of bed and preparing to go to work is simply too labor intensive.
Each evening Kel retires to bed with a lack of energy to complete her normal tasks such as readying her clothes for work and making a lunch. She lacks the energy to shop in the evening; consequently, she eats mostly crackers and canned soup. She is not hungry, and her scale reflects this. She has lost 15 pounds over the last 2 months. She does not attend to her makeup or clothes; she finds both too taxing. The clothes she selects are drab and not ironed. At work she makes no effort to talk with her co-workers and does not initiate new contacts with clients. The normal work of filing taxes and writing reports, which she used to enjoy, are overwhelming, and she feels too disorganized to complete them. Telephone calls and e-mail messages from friends are ignored. Attendance at work is spotty.
Sue, her sister, becomes alarmed with Kel’s unanswered telephone calls and e-mails. Worried, she decides to visit her sister at home. She finds the apartment unclean and in disarray. Kel is unkempt, disheveled, and looks sad. Her voice is monotone and flat. Kel tells Sue that she feels “sad and hopeless. Nothing is ever going to change. I am a bad person and I can’t even do my work right. Although I sleep for many hours, I am still tired all the time.” Sue is alarmed at the changes in her sister and arranges for Kel to visit a health care worker at the medical clinic.
Questions:
Remember to answer these questions from your textbooks and NP guidelines. At all times, explain your answers.
Describe the presenting problems.
Generate a primary and differential diagnosis using the DSM5 and ICD 10 codes.
Formulate and prioritize a treatment plan.
Identify and discuss appropriate screening instruments for a patient who has suicidal ideation.
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