6541 WK3 SOAP 2025

Select a patient who you examined during the last 3 weeks. With this patient in mind, address the following in a 1 to 2 pages SOAP Note: CASE STUDY: HPI: 3 yo African American M here for Well Care visit . Mother reports pt. stools only 2 times per week. BMs described as hard, brown, and round. Has noticed this infrequent stooling pattern since began potty training at 2.5 yo. Pt. often cries and strains when trying to pass bowel movement. Pt. a “picky” eater who avoids fruits and vegetables. Mother has not tried any treatments and is unsure what makes better or worse. •Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent, as well as possible reasons for these discrepancies. •Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues. Make sure you include Review of System for age appropriate •Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why? •Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. •Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation? References Hagan, J. F., Jr., Shaw, J. S., Duncan, P. M. (Eds.). (2008). Bright futures: Guidelines for health supervision of infants, children, and adolescents (3rd ed.). Elk Grove Village, IL: American Academy of Pediatrics. ◦Review: “Promoting Healthy Nutrition” (pp. 121–145) Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2011). Mosby’s guide to physical examination (7th ed.). St. Louis, MO: Mosby. ◦Chapter 26, “Recording Information”

Nursing Assignment Help 2025

Assignment 2 This week we are looking at MyPlate. First you will have to visit the ChooseMyPlate.gov website to download your Daily Food Plan (cheat sheet is attached). You will not need to attach this document, but keep it, you will need it for an assi 2025

Assignment 2 This week we are looking at MyPlate. First you will have to visit the ChooseMyPlate.gov website to download your Daily Food Plan (cheat sheet is attached). You will not need to attach this document, but keep it, you will need it for an assignment later in the course. Next you will complete the Compare Your Food Intake Assignment (Attached). There is also a sample attached. If you do not understand what you are to do, please ask. You will need to complete this document and upload it for your assignment. This assignment is graded for completeness and accuracy.
Compare Your Food Intake to
Recommended Daily Amounts from Each Group List food item and amount that you consumed in this column. (below) Indicate amount consumed from each food group, using the appropriate unit of measurement (in parentheses).
Food Item Fruits (cups) Vegetables (cups) Grains (oz.) Protein foods (oz.) Dairy
(cups) Oils (tsp.)
Based on MyPlate (fill this in from your Daily Food Plan – you get this from the Choosemyplate.gov website)
Breakfast: Snack: Lunch: Snack: Dinner: Snack: Total consumed (add the servings you consumed)
Total Needed (subtract your column 1 from the total consumed)
Compare Your Food Intake to
Recommended Daily Amounts from Each Group List food item and amount that you consumed in this column. (below) Indicate amount consumed from each food group, using the appropriate unit of measurement (in parentheses).
Food Item Fruits (cups) Vegetables (cups) Grains (oz.) Protein foods (oz.) Dairy
(cups) Oils (tsp.)
Based on MyPlate (fill this in from your Daily Food Plan – you get this from the Choosemyplate.gov website) 2 cups 3 cups 7 oz. 6 oz. 3 cups 6 tsp
Breakfast: (write exactly what you ate in this column)
See below. You must have a measure of food in order for me to determine that you understand the appropriate measure that you find in the grain, vegetable, fruit, etc example)
1 apple = 1 cup fruit
1 cup corn flakes = 1 oz grain Go to fruit examples to see what 1 apple is equivalent to, in this case a small apple is = 1 cup) 1 apple 1 cup ½ bagel 2 oz 1 cup milk 1 cup 1 cup Orange Juice 1 cup 1 cup cornflakes 1 oz Snack: Lunch: Snack: Dinner: Snack: Total consumed (add the servings you consumed) 2 cups 3 oz 1 cup Total Needed (subtract your column 1 from the total consumed) 0 4 oz 2 cups

Nursing Assignment Help 2025

Managed Care and Disease Prevention – WITH Outline 2025

Please use the following outline to write a 5-7 page report on the role of preventive medicine in managed care. Please write in APA format, including in-text citations and a reference page at the end. Introduction Even though the cost barriers for insurance premiums these days ultimately prevent some individuals from obtaining preventive health care services, the Affordable Care Act requires that private insurance plans cover recommended preventive services at no cost to the patient. The coverage requirement attempts to remove cost barriers by reminding physicians and Managed Care Organizations (MCOs) of the theory behind managed care practices. A principle behind the theory of managed care is that combination of primary care and preventive care would reduce the need for costly chronic care (1). Body Research has shown that evidence-based preventive services can save lives and improve health by identifying illnesses earlier, managing them more effectively, and treating them before they develop into more complicated, debilitating conditions (2). Some services are also cost-effective, such as routine preventive screenings which facilitate the management of chronic diseases like tuberculosis or COPD. The physician plays a pivotal role in preventive services, such as mammograms, and many physicians become contracted with an MCO and retain the same patients long-term. Although the ACA requires these physicians offer free preventive services, the differences in which services actually qualify as preventive is confusing for patients and doctors alike. Prevention of crises that require hospitalization or expensive long-term services reduces costs for both the MCO and the consumer, emphasizing the long-term value of preventive services and putting a positive spin on the consumer’s perception of MCOs. MANAGED CARE THESIS AND OUTLINE The potential influence of prevention in calculating the morbidity and costs associated with chronic disease is substantial, potentially averting 70 percent of such cases. A large proportion of the chronic diseases of concern is preventable, providing an opportunity to exploit prevention as a strategy to bend the curve and reduce growth in disease burden and its associated costs (3). Conclusion A comprehensive approach to prevention necessitates clinical and behavioral interventions. Although the challenge for managed care plans to standardize preventive medicine has yet to be accepted, managed care plans have done more to promote prevention than fee-for-service medicine ever did (4). However, the medical community – physicians, plans, and purchasers – seems to lack a unified vision of what constitutes appropriate preventive care. The need for costly chronic care is still evident, even while Managed Care Organizations offer incentives which emphasize the long-term value of preventive services.

Nursing Assignment Help 2025

assignment 2025

Week 5 Assignment Discussion 1 Week 5: Week 5 – W5 Assignment 1 Discussion Discussion Assignment Assignment 1: Discussion Assignment The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered. For this assignment, make sure you submit your initial response to the Discussion Area by Wednesday, April 27 th . Action on the IOM Report “An Institute of Medicine (IOM, 1999) report was a wake-up call for both the general public and healthcare providers regarding the problem and tragic consequences of medical errors. According to the report brief, “At least 44,000 people, and perhaps as many as 98,000 people, die in hospitals each year as a result of medical errors that could have been prevented” (IOM, 1999, p. 1). The report recommends a four-tiered approach as a strategy for addressing this problem” In this assignment, you will read the report and then evaluate how the healthcare system has responded to each of the four recommendations made in the report. Use sources other than the textbook to find information about how the US healthcare system is acting on the four recommendations in the IOM report. You may use journal articles, government reports, reports or findings of public organizations, and other authoritative sources. The following are sources of information on two of the recommendations: (1) The first recommendation (about creating leadership) refers to the Agency for Healthcare Research and Quality (AHRQ). Use the AHRQ website http://www.ahrq.gov/ . (2) The third recommendation (about actions of oversight organizations, professional groups, and group purchasers of healthcare) identifies the Leapfrog Group ( http://www.leapfroggroup.org/ ). Respond to the following: (1) Which of the IOM recommendations do you feel provides the greatest impact on patient safety? Why? (2) Assess the US healthcare system’s actions regarding the four recommendations in the IOM report. Which recommendation provides the most impact on patient safety? Which provides the least? Justify your answer. (3) What is your overall assessment of how the US healthcare system is performing with regard to patient safety in response to the IOM recommendations? Give examples of actions by the healthcare industry and cite sources. Comment on the postings of two of your classmates. Be sure to cite any relevant resources used in framing your responses. Apply APA standards to cite sources. Reference: Institute of Medicine. (1999). To err is human: Building a safer health system. Retrieved from http://www.iom.edu/Reports/1999/To-Err-is-Human- Building-A-Safer-Health-System.aspx Presents the grading criteria and rubric for this assignment. Maximum Points Quality of initial posting 50 Participation in discussion  25 Writing mechanics (spelling, grammar, APA) and information Literacy 25 Total 100

Nursing Assignment Help 2025

assignment 2025

Week 5 Assignment 2 Task 3. Week 5: Week 5 – W5 Assignment 2 Turnitin Assignment 2: Course Project Task 3 Part I “In this week, you will build on the analysis done in the previous weeks to create a quality management plan. Use the three steps of the Shewhart Cycle—Do, Check, Act—to complete your quality management plan.” Tasks: “Create a “balanced scorecard” and a “dashboard” specific to the areas of improvement in your quality management plan to describe performance measurement tools that are broad in scope but summarized in a few key indicators”. Using the selected healthcare operating unit, create a specific dashboard for an operating unit of a healthcare organization. On the basis of identified weaknesses, the improvement implementation plans, and your knowledge of the unit: (1) Create four categories of measurement. They must include both clinical and financial categories. Describe the categories and write a justification for each. (2) For each category, create at least three specific performance measures. For each measure, describe how it is calculated and where the data can be found. (3) Explain how the performance measures may change if the unit of analysis is the organization as a whole and not a specific operating unit. Part II In addition, present a 5-page plan addressing the following quality management plan controls: (1) Discuss issues to be considered with the implementation of the improvement program. (a) Staff acceptance of change (b) Implementation time frame (2) Discuss issues involved in the collection and analysis of data. (a)Data collection (b)Data analysis process (3) Identify and describe a desired outcome of the quality improvement plan. Compile all your course project work into a quality management plan report. The report should be a 15-page Microsoft Word document formatted in APA style. You need not use any template for the report; design it on the basis of the specific issue you have selected. Submission Details: On a separate page, cite all sources using APA format. By Saturday, April 30. 2016, submit the report to the W5 Assignment 2 Turnitin. Assignment 2 Grading Criteria Maximum Points Designed, described, and justified four categories of measurements for a selected healthcare operating unit. 25 Designed three performance measurements for each category, described the calculation, and identified sources of data for each. 25 Estimated the change and procedures in performance measurement for the organization as the unit of analysis and discussed issues in the collection and analysis of the data. 25 Discussed issues in the implementation process and described the outcome of the quality improvement plan. 25 Created a quality management plan report with all components. 50 Presented information in a logical structure. 30 Selected and cited authoritative sources of information. 30 Displayed accurate writing style, spelling, and grammar. 30 Applied APA standards in citing sources. 30 Total: 300 Presents the rubric for this assignment.

Nursing Assignment Help 2025