For Profit vs. Not For Profit

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Private, nongovernmental healthcare organizations may be either for profit (FP) or not for profit (NFP).

  • Discuss the difference between not-for-profit and for-profit organizations.
  • What happens if an NFP organization makes a profit?
  • What are the advantages and disadvantages of each type of organization?
  • Describe two specific examples of how risk management has influenced nursing documentation.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

soap for brilliant

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Week 6: Problem-Focused SOAP Note

USE the template that I gave you before. Needs the 1st blank paper for cover sheet.

Some Rubric

Some Rubric

Criteria Ratings Pts

This criterion is linked to a
Learning Outcomes (Subjective)

10 pts
Accomplished

Symptom analysis is well organized, with C/C, OLD

CART, pertinent negatives, and pertinent positives. All

data needed to support the diagnosis & differential

are present. Is complete, concise, and relevant with

no extraneous data.

10 pts

This criterion is linked to a
Learning Outcome (Objective)

10 pts
Accomplished

Complete, concise, well organized, well written, and

includes pertinent positive and pertinent negative

physical findings. Organized by body system in list

format. No extraneous data.

10 pts

This criterion is linked to a
Learning Outcome
(Assessment)

10 pts
Accomplished

Diagnosis and differential dx are correct, include ICD

code, and are supported by subjective and objective

data.

10 pts

This criterion is linked to a
Learning Outcome (Plan) 10 pts

Accomplished

Plan is organized, complete and supported with 2

evidence-based references. Addresses each diagnosis

and is individualized to the specific patient and

includes medication teaching and all 5 components:

(Dx plan, Tx plan, patient education, referral/follow-

up, health maintenance).

10 pts

Total Points: 40

Patient initial: R. R

DOB: June/1991 Sex: F

Encounter Date: 08/08/2023

SUBJECTIVE:

Chief Complaint:

History Of Present Illness:

appt is requested for URI

Medical History:

#. COVID 1/2022

#. hemorrhoids

#. Postpartum Depression, Anxiety, panic attacks

#. ADD

#. Insomnia

#. Allergic rhinitis

#. Psoriasis

#. Onychymycosis

Surgical History:

none

Gynecological History:

G2 P2 A0

Family History:

M: living, arrhythmia, palpitations

F: living, healthy

S: asthma

Social History:

-Married

-Lives with husband, 2 kids, and grandparents

-Authorization coordiinator at USC Keck, also student in digital marketing

-Denies tobacco use

-etoh use: Socially

-Denies illicit drug use

Smoking Status: Never Smoked

Allergies:

No known allergies

Current Medications:

———————————-

Paxil 10 mg po qd

xanax 0.25 mg prn panic attacks

Adderall 20mg bid prn

———————————

Review of System:

Constitutional: Patient denies weight change, fever, chills, weakness, fatigue, sleep

changes, appetite changes.

Head: Patient denies headache.

Neck: Patient denies abnormal masses, neck stiffness.

Eyes: Patient denies vision loss, blurring, discharge, excessive tearing, dryness.

Ears: Patient denies hearing loss, tinnitus, vertigo, discharge, pain

Nose: #sinus congestion#

Mouth: Patient denies ulcers, bleeding gums, taste problems.

Throat: #sore throat#

Cardiovascular: Patient denies chest pain, chest pressure, palpitations, DOE,

orthopnea.

Respiratory: #dry cough#

Patient denies shortness of breath, increased sputum, hemoptysis.

Gastrointestinal: #looser stools, frequency, occ incontinence#

Patient denies nausea, vomiting, heartburn, dysphagia, constipation, melena,

abdominal pain, jaundice, hemorrhoids.

Genitourinary: #urinary urgency and frequency, occasional incontinence#

Patient denies abnormal hesitancy, hematuria, dysuria, nocturia, stones.

Musculoskeletal: Patient denies arthralgias, joint stiffness, myalgias, muscle

weakness, instability and abnormal range of motion

Integumentary (Skin and/or Breast): Patient denies rash, lesions, changes in hair,

changes in nail, pruritus

Neurological: Patient denies headache, syncope, seizures, vertigo, ataxia, diplopia,

tremor, numbness, tingling.

Psychiatric: #depression, anxiety, ADD#

Patient denies mood abnormalities, memory loss, difficulty sleeping, appetite

changes

Endocrine: Patient denies sensitivity to cold or heat, polyuria, polydipsia.

Hematologic/Lymphatic: Patient denies bleeding, bruising, lymphadenopathy.

GYN: #menorrhagia#

Patient denies changes in menstrual cycle, hot flashes.

OBJECTIVE:

Physical Exam:

Constitutional: #last exam done on 7/10/23 showed#

WD, WN, Alert, Oriented X3 in NAD. Affect appropriate. Gait normal.

Eye: PERRLA, EOMI, nl conjunctiva

Ear: No pinnea/tragal tenderness. Drums are visualized, no wax in canals

Nose: N1 mucosa. N1 Nasal septal walls and turbinates.

Mouth: N1 bucal mucosa, no lesions noted.

Throat: Clear, no erythema or exudates.

Neck: #thyroid fullness R#

supple, no masses. Trachea is midline. N1 carotid auscultation. No JVD

Cardiovascular: RRR, N1 S1 and S2, No cardiac murmurs, rubs or gallops.

Lungs: ctab, no wheezes, rhonchi or crackles

Chest/Breasts: deferred

Gastrointestinal (Abdomen): soft, nt, nd, bs(+). No palpable masses.

Genitourinary: #negative CVAT#

deferred

Lymphatic: -No LAN noted

Musculoskeletal: good ROM. Strength symmetrical and wnl. No muscle weakness or

stiffness. No joint effusion or ttp.

Skin: Normal color and texture. No lesions seen.

Extremities: Warm, no clubbing, cyanosis or edema. N1 DP/PT pulses bilaterally

Neurological/Psychiatric: CN I-XII intact, neurosensory wnl, strength (5/5), (2+) DTR

UE/LE bilaterally -Judgment and insight intact

ASSESSMENT:

Diagnosis:

ICD-10 Codes:

1)J069; Upper respiratory infection, unspecified

PLAN:

Procedures (CPT code):

1) 99213; Detailed

2) 99401; 15 min

Medications:

Promethazine-DM 6.25-15 MG/5ML Oral Syrup; Take 5 ml orally every 4 hours Take

as needed for dry cough; Qty: 120; Refills: 0

Care Plan:

.***URI- x4 days, sore throat, sinus congestion, dry cough, headache. took

tylenol/cough syrup, claritin with not much relief. sent home today from work, COVID

test today from work pending results. sisters also similar sxs, but has tested

negative for COVID.

-off work this week

-Rx promethazine/DM 5mL prn cough, r/b d/w pt

-sudafed and tylenol prn

-f/u 1 week, if no improvement and covid neg, come back in office for exam

***urinary incontinence- h/o occasional stress incontinence, however over last 1 mo,

c/o increasing urengency, frequency and 2 episodes of incontinence, which occured

with only minimal alcohol use. denies hematuria, dysuria. c/o menorrhagia

worsening after delivering her 2 yo. denies LBP/trauma/saddle paresthesia

-pelvic floor PT ordered

-UA/UCx ordered

-referred to uro gyn

-ordered transvaginal u/s r/o uterine fibroids

-counseled on wt loss. keep voiding journal

-avoid irritants such as caffeine/ETOH

***diarrhea- c/o looser stools, 4-5xd and few episodes of incontinence. c/o abd

cramping after bm, othewise no abd pain, fever, melena, wt loss. has had h/o abd

pain and cramping which we ordered stool studies, CRP, ESR but pt never did.

denies LBP/trauma/saddle paresthesia. abd exam normal today

-ordered stool studies, ESR, CRP

-referred to GI

-ER precautions

***Hyperlipidemia, lipoprotein deficiency- On 1/16/23, FLP showed 237/47/182/156.

Has lost 6 lbs intentionally since last visit.

-Rec low fat, low carb diet

-FLP with next annual

***obesity- BMI 31.37, wt 221 lbs, Has lost 6 lbs intentionally since last visit.

-counseled

***thyroid fullness- noted on exam. 1/16/23, TSH wnl.

-ordered thyroid u/s 11/8/22, pt has not done yet

Plan Notes Continued: .

***trigger finger- unsure of duration, ono/off. R ring finger locks. Pt has seen hand

specialist in the past for another issue

-Rx ibuprofen as noted above, r/b d/w pt

-pt rec to f/u with hand specialist

***Vitamin D deficiency- On 1/16/23, Vitamin D level was 24. not supplementing.

-Rec Vitamin D 4000 IU qd

-Vitamin D level with next annual

***Onychymycosis- b/l feet on PEX on 2/1/23. pt is interested in tx.

-given the interactions between terbinafine and her psychiatric meds, I rec she

checked with them first before we start

***Depression, Anxiety- F/b psychiatrist, Dr. Askins and psychologist, Dr. Tricia

Duncan Hassle. Takes Paxil 10 mg po qd and xanax 0.25 mg prn panic attacks.

Denies SI/HI.

-mgmt per psych

***ADD- F/b psychiatrist, Dr. Askins. Takes Adderall 20mg bid prn.

-mgmt per psych

Patient Instructions: .

.

-Pt has been instructed to take medications as prescribed

-Pt received education on compliance with medications and recommendations

-Pt received counseling regarding Medication Side Effects

-Pt received counseling on following a well-balanced healthy diet with veg, fruit and

fiber.

-Pt was instructed to do CV exercise at least 3-4 times every week for 30 minutes.

PHCM: .

.

31 y/o F:

-Annual physical: done 2/1/23- next due 2/1/24

-Annual labs: done 1/16/23- next due 1/16/24

-Cervical CA screening: managed by GYN

-Skin CA screening; Referred to derm on 3/30/22

Immunizations:

Tetanus: doen 2021- next due 2031

Influenza: Fall 2022

COVID19: Pfizer in 7/1/21, bivalent booster Pfizer 1/14/23

HPV: will check records

  • Week 6: Problem-Focused SOAP Note

WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

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WHERE IN THE WORLD IS EVIDENCE-BASED PRACTICE?

March 21, 2010, was not EBP’s date of birth, but it may be the date the approach “grew up” and left home to take on the world.

When the Affordable Care Act was passed, it came with a requirement of empirical evidence. Research on EBP increased significantly. Application of EBP spread to allied health professions, education, healthcare technology, and more. Health organizations began to adopt and promote EBP.

In this Discussion, you will consider this adoption. You will examine healthcare organization websites and analyze to what extent these organizations use EBP.

To Prepare:

· Review the Resources and reflect on the definition and goal of EBP.

· Choose a professional healthcare organization’s website (e.g., a reimbursing body, an accredited body, or a national initiative).

· Explore the website to determine where and to what extent EBP is evident.

Post a description of the healthcare organization website you reviewed. Describe where, if at all, EBP appears (e.g., the mission, vision, philosophy, and/or goals of the healthcare organization, or in other locations on the website). Then, explain whether this healthcare organization’s work is grounded in EBP and why or why not. Finally, explain whether the information you discovered on the healthcare organization’s website has changed your perception of the healthcare organization. Be specific and provide examples.

spiritual considerations

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What spiritual considerations surrounding a disaster can arise for individuals, communities, and health care providers? Explain your answer in the context of a natural or human caused disaster. How can a community health nurse apply the Christian worldview to the care of the individual, community, self, and colleagues during disaster management?

Literature Review

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 For this assignment, you will prepare a 3 to a 4-page review of the literature pertinent to a selected problem for healthcare research (A research problem of interest related to advanced nursing practice is the issue of inadequate pain management in postoperative patients. The significance of this problem lies in the potential consequences of unmanaged pain, which include patient discomfort, compromised recovery times, and diminished patient satisfaction. Effective pain management is not only crucial for patient comfort but also plays a pivotal role in optimizing clinical outcomes and overall healthcare experiences) and to use that review to propose a methodology to address the problem.

***PLEASE SEE ATTACHED FOR INSTRUCTIONS***

Replies 5300

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 Ineed replies of those works  with 200 words  each ones.Reference within 5 years.

1.Research methods commonly used in nursing can be classified in different ways. The following is a discussion of the most common classifications. First, research methods are classified as quantitative, qualitative, or mixed. This is the most common classification.

Quantitative Research

Quantitative research involves the collection and analysis of numerical data. It is used to confirm a hypothesis. This method’s ontology can be described as objective, material, and structural. Quantitative methods rely on scientific realism justified by empirical confirmation. According to Creswell and Creswell (2023, pp. 45-46), the most common research objectives are numerical description, causal establishment and explanation, and prediction. Quantitative research relies on precise measurement using validated and structured tools. Common quantitative methods in nursing research include surveys, experiments, and observational studies. Conclusions are drawn from statistical analysis.

Qualitative Research

Qualitative research involves the construction of knowledge hypothesis and grounded theory from the data collected during fieldwork. The ontology can be described as subjective, mental, personal, and constructed. It delves into understanding human experiences, behaviors, and social phenomena. According to Creswell and Creswell (2023, p. 46), this research method involves collecting qualitative data such as in-depth interviews, participant observations, and open-ended questions. Qualitative methods in nursing research include interviews, focus groups, content analysis, and ethnographic studies. Qualitative designs include descriptive methods, narrative, phenomenological, grounded theory, ethnography, and case studies.

Mixed Methods

Mixed-methods research combines aspects of quantitative and qualitative approaches within a single study. It allows researchers to comprehensively understand a research question by collecting and analyzing numerical and contextual data. In nursing research, mixed-methods studies are often employed to explore complex healthcare issues from multiple angles.

Second, research can be classified as experimental or non-experimental. Experimental research involves the manipulation of one or more variables to determine the effect of an outcome. An example is a Randomized controlled study. On the other hand, there are non-experimental research methods that focus on the observation of phenomena as they occur. Examples include observational studies, case-control studies, and cohort studies. Finally, nursing research can be classified based on the time of data collection. When the data is collected at a single point in time, this is called cross-sectional research, while data collection for an extended period creates a longitudinal study (Butler et al., 2021).

2. Research approaches in nursing can be divided into a number of groups, each with its own specific traits and goals. Quantitative research is one of the main categories, and it entails the systematic collection and analysis of numerical data in order to establish cause-and-effect correlations or characterize patterns (Griffiths et al., 2020). Descriptive and correlational research, which are subsets of quantitative research, concentrate on describing phenomena or looking for links between variables, respectively, whereas experimental research uses controlled studies to modify variables. In nursing research, conducting large-scale surveys, evaluating the efficacy of interventions, and tracking patient outcomes are all made possible by quantitative research.

Another well-known subcategory is qualitative research, which aims to investigate people’s viewpoints and real-world experiences. Aspects of this methodology include phenomenology, which aims to comprehend a phenomenon from the perspective of the participants, grounded theory, which develops hypotheses based on actual facts, and ethnography, which explores the cultural backdrop of healthcare practices (Griffiths et al., 2020). For acquiring an understanding of the subjective facets of nursing, such as patient experiences, emotional reactions, and cultural impacts on healthcare, qualitative research is crucial.

Using a combination of quantitative and qualitative methods, mixed-methods research provides a thorough grasp of intricate nursing phenomena. Both numerical and narrative data are gathered by researchers through surveys, experiments, observations, or in-person discussions (Griffiths et al., 2020). When a researcher wants to triangulate findings or offer a more comprehensive viewpoint on a study subject, this strategy can be quite helpful.

Systematic reviews and meta-analyses are vital methodologies in nursing research because they serve a critical role in integrating and appraising current studies related to a specific healthcare condition. A systematic review employs a rigorous and organized approach to locating, selecting, and evaluating relevant research studies. These studies aim to provide a comprehensive review of the available data on a certain healthcare topic. Researchers painstakingly assemble information from multiple sources, evaluate the quality of each study, and then summarize the findings to provide a transparent and objective picture of the current state of knowledge in the subject (Griffiths et al., 2020). Meta-analysis, on the other hand, goes a step further by statistically combining the data of multiple studies to derive more solid and broadly applicable conclusions. These strategies collectively provide a substantial addition to nursing’s use of evidence-based practice by presenting a complete body of research.

Action research is a popular methodology in clinical practice and nursing education. It stands out for its inclusive teamwork style that includes both scholars and practitioners. This approach’s main objective is to pinpoint specific obstacles or problems in the healthcare setting, and then work together to develop and provide solutions. By incorporating researchers and practitioners in problem-solving, data collecting, analysis, and improvement implementation, action research emphasizes a cycle of continuous improvement (Griffiths et al., 2020). It is especially helpful in clinical practice, where it can motivate efforts to improve quality, and in nursing education, where it can trigger curriculum modifications and creative teaching methods. Action research seeks to make positive changes that enhance patient care and outcomes in the healthcare environment by concentrating on practical, real-world concerns and encouraging cooperation between researchers and practitioners.

In conclusion, there are several different types of nursing research methodologies, including quantitative, qualitative, mixed-methods, systematic reviews/meta-analyses, and action research. With the ultimate goal of advancing nursing knowledge and enhancing patient care, researchers choose the most suitable approach depending on their research objectives, ethical considerations, available resources, and the nature of the phenomenon under examination.

Week 6 – Discussion

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HUM 1050 – Introduction to Literature

Week 6 – Discussion

Instructions:

This week, we shift our discussion to poetry, focusing on the work of Martin Espada. You will upload a PowerPoint in the discussion and in the Dropbox for grading that includes a visual that interprets one of his poems. Choose a poem from the link below:

https://www.poetryfoundation.org/poets/martin-espada

Your presentation should be a minimum of six slides and may have more depending on the length of the poem. Here is a suggested layout:

· Slide 1: Include the title of the presentation and your name, college name, course name, instructor name, date

· Slide 2: Include a brief bio of the poet.

· Slide 3: Introduce the poem with a link to the poem.

· Slides 4-5: Present the visual you have selected. Give the background on the visual and explain its relevance to the poem.

· Slide 6: Reference list in APA format. 

 

Criteria

Ratings

The Poem

This criterion is linked to a Learning Outcome

Focus on poem

CSLO 3

threshold: 15.0 pts

15 pts

Mastery

15 pts The poem presented clearly on the slide(s)

The VIsual

This criterion is linked to a Learning Outcome

Visual presented

CSLO 3

threshold: 15.0 pts

15 pts

Mastery

15 pts A vivid image that interprets the poem clearly presented

Theme of poem

This criterion is linked to a Learning Outcome

Theme of poem

CSLO 4

threshold: 20.0 pts

20 pts

Mastery

20 pts The theme of the poem clearly presented

Author's Biography

This criterion is linked to a Learning Outcome

Author’s biography

CSLO 4

threshold: 20.0 pts

10 pts

Mastery

10 pts Poet’s biography clearly presented

Formatting and Readability

This criterion is linked to a Learning Outcome

Formatting and readability

CSLO 6

threshold: 10.0 pts

20 pts

Mastery

20 pts Text and layout are clear and easy to

APA Formatting

This criterion is linked to a Learning Outcome

APA formatting

CSLO 5

threshold: 10.0 pts

10 pts

Mastery

10 pts Citations and References are properly presented

Language

This criterion is linked to a Learning Outcome

Language is appropriate

CSLO 6

threshold: 10.0 pts

10 pts

Mastery

10 pts Fewer than 3 grammatical, punctuation, or mechanical errors

Hinduism

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Hindu Deity Discussion

Discuss the following:

It is said that there are over 

330 million gods and goddesses
 within the Hindu religion and each god/goddess has his or her own story that reveals his or her own religious significance. For this discussion, you will be selecting 


2 different Hindu gods/goddesses

 of your choosing that you would be interested in learning more about.

For each selected Hindu deity, you must provide the following:

1.
Name and Title (Ex: Vishnu, God of Preservation)

2.
Image of the deity

3.
Brief explanation of why you chose that specific god/goddess. Below are some examples of this:

· Maybe that Hindu god/goddess reminds you of a Christian saint or biblical character who is the Catholic patron/patroness of a particular human endeavor, career field, or avocation that somehow pertains to you.

· Ex: Saint Cecilia Patroness of Musicians and Sarasvati Hindu Goddess of Music

· Maybe you found the specific image of that god/goddess intriguing.

· Maybe there is a pop culture reference to the deity.

· Ex: TV series, movie, book, video game, etc.

4.
Deity in Scripture

· Summarize a story from the Hindu scriptures in which that the deity plays a major role.

· This can be their origin story or another important story about the deity.

5.
Relationship to other Hindu Deities

· How is this specific deity related to at least 

2 other Hindu deities?

· Ex: Is the selected deity a mother/father to another deity or possibly a husband/wife of another deity?

6.
Imagery & Symbolism

· Explain the traditional symbolism associated with the selected deity.

· Ex: Color of their skin, why they are depicted with specific animals, pose or stance in which they are depicted, any object they may be holding or that are depicted around them

 

Submission Instructions:

·
Your post should be at least 200 words. You must include all of the required elements within your post.

Websites for assistance in selecting specific Hindu gods/goddesses:

·

BBC: God or Gods?Links to an external site.

·

Hindu GalleryLinks to an external site.

·

Hindu Gods and GoddessesLinks to an external site.

·

Information on HinduismLinks to an external site.

·

Ten of the Most Important Hindu GodsLinks to an external site.

NB: No direct quotation

work 4

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Literature Review/Synthesis

Once you have thoroughly learned your studies (this is where the Table of Evidence you did previously will help you!), you need to communicate to your readers the level and quality of literature that was reviewed. The synthesis is a description of the entire body of literature that you have reviewed that supports your EBP project.  

 


Literature Synthesis = (100 points)

Purpose/Objective of this assignment is to:

1. Provide a 


synthesis and analysis

 of previously selected articles through a systematic review.

2. Evaluate the findings, identifying gaps in knowledge and implications for future research.

 

Assignment requirements: Students will utilize the articles selected to write a 

6 to 7 page
 review of the literature on the selected topic. Additional research articles may be included if necessary. (
Note that this is the first section of a two-section paper. (A 4 – 5-page paper discussing the clinical implications of the literature review findings on nursing practice will follow this literature review. See Assignment – Clinical Project: Clinical Implications Paper.) Include a background section.

1. Articles will be reviewed in an integrated manner. Summarize and provide a detailed synthesis of the information from all of your studies as it relates to the topic of interest.

2.

Must provide a synthesis and critical analysis of research designs, methodologies, sampling, independent and dependent variables, research findings, threats to reliability and validity. Discussion to include trends, areas of commonalities and differences in approaches.

3. Discuss outcomes and findings

4. All information must be cited and referenced appropriately.

5. Paper will utilize all appropriate APA 7th Ed guidelines for intro, conclusion, citations, references, document organization, formatting, academic language, and grammar. 
First person is not appropriate in this paper.

 

Topic: In mechanically ventilated patients in the ICU (P), does an oral care protocol using chlorhexidine mouthwash (I) compared to routine oral care (C) reduce the incidence of ventilator-associated pneumonia (O) over six months (T)?