Reviewing Appendix B in Butts, choose two of the Nine Tenets of the Code of Ethics for Nurses and describe how you will personally apply each tenet in the practice setting with your patients. Describe in detail the purpose of the tenet and provide examples of the tenet applied in practice. Explain why it is important to uphold the tenet in maximizing the quality of patient care, and identify how it enhances your own practice as a nurse. 

Your paper should be 1-2 pages.

Include a title page and a reference page to cite your text. Adhere to APA formatting throughout, and cite any outside sources you may use.

PLEASE PAY ATTENTION TO CASE 

ZERO PLAGIARISM

FIVE REFERENCES

CASE STUDY 1: Focused Nose Exam 

Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and 

postnasal drainage. Richard has struggled with an itchy nose, eyes, palate, and ears for 

5 days. As you check his ears and throat for redness and inflammation, you notice him 

touch his fingers to the bridge of his nose to press and rub there. He says he’s taken 

Mucinex OTC the past 2 nights to help him breathe while he sleeps. When you ask if 

the Mucinex has helped at all, he sneers slightly and gestures that the improvement is 

only minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear 

thin secretions and enlarged nasal turbinates, which obstruct airway flow but his lungs 

are clear. His tonsils are not enlarged but his throat is mildly erythematous. 

The Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Communication

A community assessment begins with a basic windshield survey where each community subsystem is explored.  Explore how communication influences determinants of health and how communication systems can be used to promote and support health.

Enter Sentinel City® at the top of the course homepage to continue your virtual experience by taking a bus tour of Sentinel City®.  Since this is your second tour, feel free to choose any bus speed and/or get off the bus at any time to walk around.  As you take the tour, write down your observations, specifically focused on the following subsystem: Communication.  Meet with Mayor Hill to discuss the subsystems: Communication.  Compile your observations and any demographic information addressing each item listed in the first column of the rubric.  You are encouraged to add other relevant characteristics you observe that may not be listed in the first column as you complete this activity. 

Case Scenario

There has been a recent multi-neighborhood foodborne outbreak involving E.coli (Escherichia coli) in Sentinel City®. Sixty elementary school age children were out sick this week. A number of adults and children from all four neighborhoods have presented at local clinics and the emergency room with reports of abdominal pain, sudden severe diarrhea, nausea, and fatigue. What form of formal mass communication should you use as the most effective for educating the public about the causes, symptoms, and prevention of E.coli in the city? Use government websites or scholarly literature to support your rationale for the mass communication method you select. In 150 words or less, develop a newspaper script, poster, or billboard appropriate for adults and teen. When preparing information to share with the community, consider demographics of each neighborhood and health literacy.

Reading and Resources

Harkness & DeMarco (2016) Read Chapters 18 & 19

Visit Scorecard: The Pollution Information Site

Visit CDC Minority Health: Other At Risk Populations

Additional Instructions:

1. All submissions should have a title page and reference page.
2. Utilize a minimum of two scholarly resources.
3. Adhere to grammar, spelling and punctuation criteria.
4. Adhere to APA compliance guidelines.
5. Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Options:

Choose One:

Instructions:

Paper

• 1 to 2-page paper. Include title and reference pages.

Required Resources
Read/review the following resources for this activity:

• Textbook: Chapter 8, 9, 10
• Lesson
• Minimum of 6 scholarly sources (at least 2 for Judaism, 2 for Christianity, & 2 for Islam)
  • Please review criteria for scholarly sources. 

Instructions
In a short essay, complete the following:

• Explain the historical relationship between Judaism, Christianity, and Islam. What are their geographical connections? What are their historical timelines?
• Analyze the historical relationship between Judaism, Christianity, and Islam in order to make an argument about the similarities and differences between the three religions. Select one main example from the following list on which to focus your comparison: the nature of God, the nature of Jesus, Holy Books, or Salvation. Your analysis should span multiple paragraphs and utilize specific examples.
• Conclude by examining the current relationship between Judaism, Christianity, and Islam today. How has globalization influenced or affected the current relationship?

Your paper should include an introduction and thesis that clearly states your central claim, thoughtful examples and analysis in your body paragraphs, and a conclusion to finalize your thoughts.

Writing Requirements (APA format)

• Length: 1200-1400 words (not including title page or references page)
• 1-inch margins
• Double spaced
• 12-point Times New Roman font
• Title page
• References page (minimum of 6 scholarly sources)

Grading
This activity will be graded based on the Written Assignment Grading Rubric.

Weekly Objectives (WO)
WO4.1, 4.2, 6.11-6.13, 7.3

Resource: 

Molloy, M. (2013). Experiencing the world’s religions (6th ed.). New York City, NY: McGraw-Hill Companies, Inc.

Case Study 1 Headaches: Neurological system and continue practicing documentation of a focused/episodic SOAP note for Assignment  

A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw.

Episodic/Focused SOAP Note Template

Patient Information:

Initials, Age, Sex, Race

S.

CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance, “headache”, NOT “bad headache for 3 days”.

HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form, not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:

Location: head

Onset: 3 days ago

Character: pounding, pressure around the eyes and temples

Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia

Timing: after being on the computer all day at work

Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better

Severity: 7/10 pain scale

Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.

Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).

PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes needed
 

Soc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.

Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. The reason for the death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.

ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.

Example of Complete ROS:

GENERAL:  No weight loss, fever, chills, weakness or fatigue.

HEENT:  Eyes:  No visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat:  No hearing loss, sneezing, congestion, runny nose or sore throat.

SKIN:  No rash or itching.

CARDIOVASCULAR:  No chest pain, chest pressure or chest discomfort. No palpitations or edema.

RESPIRATORY:  No shortness of breath, cough or sputum.

GASTROINTESTINAL:  No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.

GENITOURINARY:  Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.

NEUROLOGICAL:  No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL:  No muscle, back pain, joint pain or stiffness.

HEMATOLOGIC:  No anemia, bleeding or bruising.

LYMPHATICS:  No enlarged nodes. No history of splenectomy.

PSYCHIATRIC:  No history of depression or anxiety.

ENDOCRINOLOGIC:  No reports of sweating, cold or heat intolerance. No polyuria or polydipsia.

ALLERGIES:  No history of asthma, hives, eczema or rhinitis.

O.

Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc. 

Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)

A.

Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence-based guidelines.

APA citation 4 to 5 Reference with 5 years.