SOAP note pu

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SOAP note peptic ulcer

Nursing Week 6 APA Assignment

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As a baccalaureate-prepared nursing professional what role will you take to advocate for culturally diverse clients in your healthcare practice?

  • Sections of the assignment must include:
    Introduction
    Focus points covered in the discussion posts
    Any arguments and rationales for your stance
    Conclusion or Summary
  • The components of your APA Assignment includes the following:
    The assignment must be completed on a word document.
    Your APA Assignment must include a title page (Refer to Purdue OWL).
    All in-text citations must be used when paraphrasing or quoting a previous author.
    All references must reflect the in-text citations used.
    All reference sources must be within the past 5 years unless it is the works of a nurse theorist or a significant reference material.
    The length of the assignment must be 750-1000 words. Please pay attention to spelling and grammar. Points are deducted for repeat offenders.
    Upon completion of the assignment, you must submit it via Turnitin.com and please note that your plagiarism score should be no more than 20%. If you score higher, please make adjustments.
    (Please refer to the APA Grading rubric for additional assistance in completing your assignment).
    You may reach out to the College Writing Center for further assistance.

LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES

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LITERATURE REVIEW: THE USE OF CLINICAL SYSTEMS TO IMPROVE OUTCOMES AND EFFICIENCIES

New technology—and the application of existing technology—only appears in healthcare settings after careful and significant research. The stakes are high, and new clinical systems need to offer evidence of positive impact on outcomes or efficiencies.

Nurse informaticists and healthcare leaders formulate clinical system strategies. As these strategies are often based on technological trends, informaticists and others have then benefited from consulting existing research to inform their thinking.

In this Assignment, you will review existing research focused on the application of clinical systems. After reviewing, you will summarize your findings.

To Prepare:

· Review the Resources and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery.

· Conduct a search for recent (within the last 5 years) research focused on the application of clinical systems. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies, such as “the use of personal health records or portals to support patients newly diagnosed with diabetes.”

· Identify and select 4 peer-reviewed research articles from your research.

· For information about annotated bibliographies, visit 

https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographiesLinks to an external site.

The Assignment: (4-5 pages not including the title and reference page)

In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography. Be sure to address the following:

· Identify the 4 peer-reviewed research articles you reviewed, citing each in APA format.

· Include an introduction explaining the purpose of the paper.

· Summarize each study, explaining the improvement to outcomes, efficiencies, and lessons learned from the application of the clinical system each peer-reviewed article described. Be specific and provide examples.

· In your conclusion, synthesize the findings from the 4 peer-reviewed research articles.

· Use APA format and include a title page.

· Use the Safe Assign Drafts to check your match percentage before submitting your work.

LEARNING RESOURCES


Required Readings

· McGonigle, D., & Mastrian, K. G. (2022). 
Nursing informatics and the foundation of knowledge (5th ed.). Jones & Bartlett Learning.

· Chapter 14, “The Electronic Health Record and Clinical Informatics” (pp. 293–316)

· Chapter 15, “Informatics Tools to Promote Patient Safety, Quality Outcomes, and Interdisciplinary Collaboration” (pp. 323–349)

· Chapter 16, “Patient Engagement and Connected Health” (pp. 357–378)

· Chapter 17, “Using Informatics to Promote Community/Population Health” (pp. 383–397)

· Chapter 18, “Telenursing and Remote Access Telehealth” (pp. 403–432)

· Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). 

Broadband internet access is a social determinant of health!Links to an external site.
. 
American Journal of Public Health, 
110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784 

· Dykes, P. C., Rozenblum, R., Dalal, A., Massaro, A., Chang, F., Clements, M., Collins, S. …Bates, D. W. (2017). 

Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study


 Download Prospective evaluation of a multifaceted intervention to improve outcomes in intensive care: The Promoting Respect and Ongoing Safety Through Patient Engagement Communication and Technology Study
. 
Critical Care Medicine, 45(8), e806–e813. doi:10.1097/CCM.0000000000002449

· HealthIT.gov. (2018c). 


What is an electronic health record (EHR)

?Links to an external site.
 Retrieved from 
https://www.healthit.gov/faq/what-electronic-health-record-ehr

· Rao-Gupta, S., Kruger, D. Leak, L. D., Tieman, L. A., & Manworren, R. C. B. (2018). 

Leveraging interactive patient care technology to Improve pain management engagementLinks to an external site.
. 
Pain Management Nursing, 19(3), 212–221. 

· Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). 

Digital inclusion as a social determinant of healthLinks to an external site.
. 
NPJ Digital Medicine, 
4(1), 52.  https://doi.org/10.1038/s41746-021-00413-8 

· Skiba, D. (2017). 

Evaluation tools to appraise social media and mobile applicationsLinks to an external site.
. 
Informatics, 4(3), 32–40. 

· Sharma, P., & Patten, C. A. (2022). 

A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care systemsLinks to an external site.
. 
Permanente Journal, 
26(3). https://doi.org/10.7812/TPP/21.156 

Nutritional Principles in Nursing

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Tom Lee

he/him/his

10/26/23, 9:26 PM NEW

Maintaining appropriate nutrition levels is crucial for older adults as it promotes overall health and well-being. However, there are various dietary concerns and barriers that older adults may encounter, which can lead to inadequate nutrition. Reduced physical mobility can make grocery shopping and meal preparation challenging. Older adults live longer, which means ailing health status and increased immobility as they try to maintain their autonomy and self-sufficiency. Access to nutritious foods may be limited, leading to reliance on convenience or processed foods, which are often less healthy. Loneliness or living alone can contribute to poor dietary choices and meal skipping. Eating alone can also reduce the enjoyment of meals. Limited income may lead to difficulty affording nutritious foods, forcing older adults to make compromises on food quality.

Educate the older adult and their caregivers about meal planning and preparation. Encourage them to plan balanced meals and provide assistance or resources for grocery shopping. Meal planning can mitigate some of the limiting factors associated with decreased mobility. Connect the older adult with community resources such as Meals on Wheels or senior meal programs that provide adequate meals. Encourage older adults to increase their social circle if possible. Integrating peers can reduce loneliness and encourage physical and mental activity. Provide them with resources to community centers and assist with activity searches. These teachings and collaborative efforts from the client can improve nutritional health.

Angela Antonczak

10/24/23, 11:24 PM

Top of Form

Nutrition is essential for the body so when older adults have dietary problems and barriers it is very difficult to maintain a healthy diet. The dietary concerns and barriers for an older adult to maintain appropriate nutrition levels are physical difficulties and medical conditions are two examples that are extremely difficult for older adults. Elderly people age and so does the immune system so when it weakens they get more prone to health issues. Obesity is a big problem for elderly people with diabetes type 2 because they are overweight. They might have to limit their sugar intake so they don’t have to take insulin shots. Another is osteoporosis when an older person has calcium deficiency or low calcium levels in their diet. My aunt had this disease and it hurt when she walked. She was told to take a calcium supplement, but she refused to take anything. Maintaining an healthy diet in general is extremely difficult for elderly people because they might be set in their own ways of eating which is a difficult thing like my family was. If older patients do not take consideration for their health and nutrition then they are at risk for many health related complications like heart disease from high fat content consumption. The two client teaching and nursing interventions for prevention of nutritional deficits as well as the consequences of inadequate nutrition and hydration are for nurses to teach the patient about their nutritional needs as far as a strict diet if they are suffering high blood pressure or eating way too much sugar. They should promote physical activity in their ADLs or some form of exercise to help maintain a healthy weight balance. The fluid intake should be limited if a person is suffering from pneumonia or edema which can result to more fluid intake especially if they are having renal failure. The kidneys are at risk because they can’t function normally and filter the blood properly and maintain normal urine. Staying hydrated is essential for the body but for some elderly they must reduce their fluids due to complications. When an older person has inadequate food they are can be at risk for malnutrition which is harmful for the body since an elderly can find it difficult to eat food properly or skip meals due to lack of appetite or no flavor in their meals. 

Bottom of Form

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Nursing Assignment

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Bioethical
 Decision
 Making
 Model
 

 

1. Define
 the
 dilemma:
 Use
 your
 own
 words
 to
 describe
 the
 problem.
 State
 it
 in
 a
 way
 
that
 others
 can
 quickly
 understand
 your
 dilemma.
 Review
 
 
 
 

 

2. Identify
 the
 medical
 facts:
 Describe
 the
 facts
 that
 are
 relevant
 to
 the
 dilemma.
 
 

 

3. Remember
 that
 the
 diagnosis
 and
 prognosis
 are
 medical
 facts.
 
 

 

4. Identify
 the
 non-­‐medical
 facts
 (patient
 and
 family,
 external
 influences):
 
 
a. Patient
 and
 family
 facts
 such
 as
 culture,
 religion,
 social,
 economic,
 the
 

existence
 of
 an
 Advance
 Healthcare
 Directive,
 verbal
 preferences
 made
 by
 
the
 patient,
 how
 the
 patient
 lived
 his/her
 life.
 
 

b. Those
 that
 you
 discuss
 should
 be
 relevant
 to
 the
 situation.
 
 

 

5. External
 influences
 include:
 organizational
 policies,
 federal
 and
 state
 laws,
 practice
 
acts,
 code
 of
 ethics.
 These
 should
 be
 relevant
 to
 the
 situation.
 
 
 

 

6. For
 both
 step
 2
 or
 3,
 separate
 the
 facts
 from
 the
 assumptions:
 Sometimes
 all
 
healthcare
 professionals
 allow
 assumptions
 to
 guide
 their
 decision-­‐making.
 These
 
must
 be
 identified
 so
 that
 these
 assumptions
 do
 not
 interfere
 with
 the
 process.
 
 

 

 

7. Identify
 items
 that
 need
 clarification.
 Your
 paper
 should
 identify
 facts
 that
 you
 need
 
to
 clarify.
 When
 initially
 discussing
 an
 ethical
 situation,
 it
 is
 not
 unusual
 to
 not
 have
 
all
 of
 the
 answers.
 
 

 

8. Identify
 the
 decision
 makers:
 Is
 the
 patient
 an
 adult
 competent
 to
 make
 their
 own
 
choices?
 Is
 the
 patient
 a
 child
 who
 is
 old
 enough
 to
 have
 a
 say
 in
 the
 decision.
 If
 the
 
patient
 cannot
 make
 their
 own
 decision,
 who
 is
 the
 decision
 maker?
 How
 was
 this
 
person
 selected?
 
 
 

 

 

9. Review
 the
 underlying
 ethical
 principles:
 Review
 which
 ones
 and
 why
 they
 apply
 t
 
this
 particular
 case:
 beneficence,
 nonmaleficience,
 veracity,
 fidelity,
 autonomy
 and
 
justice.
 

 

10. Define
 alternatives:
 One-­‐Way
 to
 proceed
 may
 be
 apparent
 at
 this
 point.
 However,
 
sometimes
 there
 are
 different
 choices.
 
 They
 should
 be
 addressed
 identifying
 the
 
benefits
 and
 burdens
 for
 doing
 one
 thing
 versus
 the
 other.
 

 
11. Follow-­‐up:
 
 Define
 the
 process
 to
 be
 used
 with
 the
 chosen
 alternative.
 
 

 

 

 
Reference
 Source:
 Levine-­‐Ariff,
 J.
 &
 Groh,
 D.H.
 (1990).
 Creating
 an
 Ethical
 Environment.
 
Nurse
 managers'
 bookshelf
 a
 quarterly
 series:
 2:1.
 Baltimore,
 Maryland:
 Williams
 &
 Wilkins.
 
41-­‐61.
 

Peer response

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Respond to  two of your colleagues’ posts by suggesting additional individuals and/or teams with whom you wish to collaborate or by offering additional networking strategies.

A little background on me , I am a registered nurse with 6 years of experience and currently completing my masters in nursing.

demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting

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The purpose of this assessment is to demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the concern of medication administration safety based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan.

Use the Root-Cause Analysis and Improvement Plan [DOCX] Download Root-Cause Analysis and Improvement Plan [DOCX]template to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

  • Analyze the root cause of a specific patient safety issue in an organization.
  • Apply evidence-based and best-practice strategies to address the safety issue.
  • Create a feasible, evidence-based safety improvement plan to address a specific patient safety issue.
  • Identify organizational resources that could be leveraged to improve your plan.
  • Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

STRATEGIES FOR ACADEMIC PORTFOLIOS peer response

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Respond to  two of your colleagues’ posts by offering additional ideas regarding academic achievements to include or offering alternative ways of presenting the current achievements.

Apa format

see attachment 

Consumer Health

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Due October 18, 2023 @6PM

case study

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HUN1201: Human Nutrition – ready to go

Canvas Assignment 4: Energy Balance Case Study

Name:

Introduction

Janet is a 38-year-old mother of three who has experienced gradual weight gain after the birth of each of her children. Janet is 5 feet 4 inches tall and currently weighs 235 pounds. She works as an accountant sitting at a desk all day crunching numbers. Her days are long, and her job is stressful.

Janet states that she does not engage in regular exercise, feels tired, and does not have much time to prepare healthy meals. On her way home, she often stops for fast food take-out for herself and family. Since she feels tired often, she drinks 24 ounces of cola daily to keep her “energized.” For breakfast, she loves to stop at Dunkin Donuts for her donut and coffee. After dinner, she consumes 2 bowls of chocolate ice cream to manage her stress.

At bedtime, Janet has trouble falling asleep and gets about 5 hours of sleep a night. Her children report that she snores loudly.

Her recent physical at the doctor revealed that Janet is prediabetic with the following lab results:

Blood pressure = 170/90 mmHg

Cholesterol = 250 mg/dl

LDL Cholesterol = 172 mg/dl

HDL Cholesterol = 38 mg/dl

Fasting blood glucose = 110 mg/dl

Number of calories ingested = 2858

Number of calories expended = 1090

Part A. Summary

Summarize Janet’s issues and constraints.

Part B. Discussion Questions

Answer the following questions in complete sentences.

1. Based on Janet’s height and weight, what BMI category does this place her in? How does this affect her daily life?

2. Looking at the number of calories Janet has ingested and expended, will Janet be in energy balance, energy deficit, or energy excess? Explain why.

3. Based on Janet’s lab values, is Janet at risk for heart disease? Explain what factors are putting Janet at risk.

4. Identify
3 environmental factors that have put Janet in an energy imbalance. With
each environmental factor,
explain how each factor is causing the energy imbalance.

Environmental Factor

Causes

5. To help Janet with long term weight loss, there are
three areas that Janet needs to adjust according to your textbook. What are the three areas?

With
each area, explain two
specific ways to accomplish this based on Janet’s habits. Be sure to provide workable solutions for her considering the constraints you identified in Part A.

Area to Adjust

How to Accomplish

Part C: Debrief

Based on what you learned in this course, what is the root cause of Janet’s symptoms and lab values? What is the role that nutrition plays in this cause? Explain your answer.