Chest Pain 2025

Review the DCE (Shadow Health) Documentation Template for Focused Exam: Chest Pain found in this week’s Learning Resources and use this template to complete your Documentation Notes for this DCE Assignment. Consider what history would be necessary to collect from the patient. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Subjective Documentation in Provider Notes Subjective narrative documentation in Provider Notes is detailed and organized and includes: Chief Complaint (CC), HPI, Current Medications, Allergies, Past Medical History, Family History, Social History and Review of Systems (ROS) ROS: covers all body systems that may help you formulate a list of differential diagnoses. You should list each system as follows: General: Head: EENT: etc.

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Strategic Plan Summary 2025

Assess the culture of the organization for potential challenges in incorporating the nursing practice intervention. Use this assessment when creating the strategic plan. Write a 150-250 word strategic plan defining how the nursing practice intervention will be implemented in the capstone project change proposal. APA style is not required, but solid academic writing is expected. You are not required to submit this assignment to LopesWrite.

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Week 3:Quality Healthcare: Measuring NP Performance 2025

Purpose The purpose of this assignment is to have students research the measurement tools of NP performance. Through the use of quality patient outcomes, student will list and discuss three different patient interventions and how they would specifically measure the outcomes and h o w these primary care interventions result in improved patient outcomes and cost savings for the practice . In addition, students will discuss how these interventions result in improved patient ratings . Activity Learning Outcomes Through this assignment, the student will demonstrate the ability to: Employ strategies to impact the development, implementation, and consequences of holistic healthcare policies using evidence-based practice principles (CO1) Critically analyze how healthcare systems and APRN practice are organized and influenced by ethical, legal, economic and political factors (CO2) Demonstrate professional and personal growth concerning the advocacy role of the advanced practice nursing in fostering policy within diverse healthcare settings (CO3) Analyze social, historical, ethical and political contexts of healthcare policies and advanced practice leadership (CO4) Advocate for institutional, local, national and international policies that fosters person-centered healthcare and nursing practice (CO5) Requirements: The National Committee for Quality Assurance (NCQA) was formed to ensure quality of patient care and measurement of patient outcomes with set standards. Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care: Effectiveness of Care. Access/Availability of Care. Experience of Care. Utilization and Risk Adjusted Utilization. Health Plan Descriptive Information. Measures Collected Using Electronic Clinical Data Systems You may access the 6 domains of care by clicking this link: (NCQA, n.d. https://www.ncqa.org/hedis/ (Links to an external site.) ) As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients and has a method of measuring quality of care. Write a formal paper in APA format with title page, introduction, the three required elements below, conclusion and reference page. You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal and Postpartum care, etc. Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice. How would these primary care interventions result in improved patient outcomes and health care cost savings? How can these interventions result in improved NP patient ratings? Categorys: List and discuss three different patient interventions and how you would specifically measure the outcomes. (From the National Committee for Quality Assurance (NCQA) website, discuss three patient interventions for the one performance measure. Develop a measurement tool to track patient outcomes.) How would these primary care interventions result in improved patient outcomes and cost savings for the practice? (Discuss how the interventions can result in improved patient outcomes and cost savings for the practice.) How can these interventions result in improved patient ratings? (Discuss how these interventions can result in improved patient ratings (an NP’s patient scorecard).

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Case 3: Focused Ear Exam Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked. He has complained to her about a mild earache for the past two days. His grandmother believes that he feels warm but did not verify this 2025

Case 3: Focused Ear Exam Martha brings her 11-year old grandson, James, to your clinic to have his right ear checked. He has complained to her about a mild earache for the past two days. His grandmother believes that he feels warm but did not verify this with a thermometer. James states that the pain was worse while he was falling asleep and that it was harder for him to hear. When you begin basic assessments, you notice that James has a prominent tan. When you ask him how he’s been spending his summer, James responds that he’s been spending a lot of time in the pool.

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Gastrointestinal Tract: Disorders of Motility 2025

To Prepare · Review Chapter 35 in the Huether and McCance text. Identify the normal pathophysiology of gastric acid stimulation and production. · Review Chapter 37 in the Huether and McCance text. Consider the pathophysiology of gastroesophageal reflux disease (GERD), peptic ulcer disease (PUD), and gastritis. Think about how these disorders are similar and different. · Select a patient factor different from the one you selected in this week’s Discussion: genetics, gender, ethnicity, age, or behavior. Consider how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Reflect on how you would diagnose and prescribe treatment of these disorders for a patient based on this factor. · Review the “Mind Maps—Dementia, Endocarditis, and Gastro-oesophageal Reflux Disease (GERD)” media in the Week 2 Learning Resources. Use the examples in the media as a guide to construct a mind map for gastritis. To Complete Write a 2- to 3-page paper that addresses the following: – Describe the normal pathophysiology of gastric acid stimulation and production. Explain the changes that occur to gastric acid stimulation and production with GERD, PUD, and gastritis disorders. – Explain how the factor you selected might impact the pathophysiology of GERD, PUD, and gastritis. Describe how you would diagnose and prescribe treatment of these disorders for a patient based on the factor you selected. – Construct a mind map for gastritis. Include the epidemiology, pathophysiology, and clinical presentation, as well as the diagnosis and treatment you explained in your paper. · This paper should have at least 4 current references (Year 2013 and up) · At least 2 references should be from the class Learning Resources below The following Resources are not acceptable : · 1. Wikipedia · 2. Cdc.gov- nonhealthcare professionals section · 3. Webmd.com · 4. Mayoclinic.com LEARNING RESOURCES **Huether, S. E., & McCance, K. L. (2017). Understanding pathophysiology (6th ed.). St. Louis, MO: Mosby. Chapter 35, “Structure and Function of the Digestive System” This chapter provides information relating to the structure and function of the digestive system. It covers the gastrointestinal tract and accessory organs of digestion. Chapter 36, “Alterations of Digestive Function” This chapter presents information relating to disorders of the gastrointestinal tract and accessory organs of digestion. It also covers the pathogenesis, clinical manifestations, evaluation, and treatment of gastroesophageal reflux disease, gastritis, peptic ulcer disease, inflammatory bowel disease, and irritable bowel syndrome. Chapter 37, “Alterations of Digestive Function in Children” This chapter presents information relating to disorders of the gastrointestinal tract and liver that affect children. It focuses on congenital impairment, inflammatory disorders, metabolic disorders, as well as the impairment of digestion, absorption, and nutrition. **Hammer, G. G., & McPhee, S. (2014). Pathophysiology of disease: An introduction to clinical medicine . (7th ed.) New York, NY: McGraw-Hill Education . Chapter 13, “Gastrointestinal Disease” This chapter provides a foundation for exploring gastrointestinal disorders by reviewing the structure and function of the GI tract. It also describes mechanisms of regulation of GI tract disorders such as acid-peptic disease, inflammatory bowel disease, and irritable bowel syndrome. **de Bortoli, N., Martinucci, I., Bellini, M., Savarino, E., Savarino, V., Blandizzi, C., & Marchi, S. (2013). Overlap of functional heartburn and gastroesophageal reflux disease with irritable bowel syndrome. World Journal of Gastroenterology , 19(35), 5787-5797. doi:10.3748/wjg.v19.i35.5787 **National Digestive Diseases Information Clearinghouse. (2016). Retrieved from http://digestive.niddk.nih.gov/index.aspx

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