In a short essay (500-750 words), answer the Question at the end of Case Study 1. Cite references to support your positions.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

  

4-Proposed solutions to my project will be to revise post fall debriefing- such as doing a fall huddle to analyzed the fall and educate staff on what to do. Post fall huddle should be conducted after a fall as soon as possible involving all staffs and even the patient to debrief on the what, how and why and see how similar incident can be avoided (SE Alert, 2015) Next will be to increase number of staff at certain time of the day such as the noon to bedtime time because that is when patient get agitated more. Increasing staff will reduce the nurse to patient ratio and will enable staff to take care of patient properly and will reduce falls. Incorporate physical therapy or restorative therapy on the patient daily schedule to build their strength. Staffs need to do hourly rounding at night to take care of toileting and hydration needs.

After talking to some of the nurses, so far we have implement a 4 to 6hrs shift in the late afternoon to have an extra help for the patients and that is helping. Staff is able to walk with patient in and around the unit when they want to and they don’t feel like they are secluded in a particular spot. We have also educated CNA’s to do hourly rounding especially at night. This facility is alarm free which I get the reason why. Alarms can wake up others who might be sleeping and will increase agitation and confusion at night. For this reason, hourly rounding is necessary to make sure patients are in bed and safe. Families are appreciating the new process and I think it is going to help a long ways if it is fully implemented.

Reference

SE Alert (2015) Preventing falls and fall-related injuries in health care facilities: A complimentary publication of The Joint Commission Issue 55. Retrieved from https://www.jointcommission.org/assets/1/18/SEA_55.pdf

 

 

 
 

5-The current perspective and direction from the context of the nursing environment are to improve cleanliness from a medical perspective. Patients need to have the safest environment in which they can recuperate. It is imperative to ensure that nurses maintain hand cleanliness to avoid the spread of diseases from one patient to the next (Papanicolas et al., 2017). It is also critical to provide their sanitation because this pans out well for them from the context of the medical care environments. Nurses who ensure cleanliness have the propensity of increasing the overall outlook from the context of patients because they get to understand the medical care environment as a place they should visit whenever they have problems. They can also recommend a solution to their friends and family for similar results.

References

Papanicolas, I., Figueroa, J. F., Orav, E. J., & Jha, A. K. (2017). Patient hospital experience improved modestly, but no evidence Medicare incentives promoted meaningful gains. Health Affairs, 36(1), 133-140.

 
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6-My proposed solution involves extensive education that is personalized and individualized to each family or parent/child unit. This can vary depending on many different things such as perception of childhood obesity and the diseases that go with it, economic status, and other unforeseen circumstances that are as unique as the individuals themselves. When I started this project my plan was to make a pamphlet that was very brief and uniform. I am finding out that this method, albeit easier, would not address the needs of obese chidlren and their families and not accomplish what I am trying to get done. Personalized learning presents the opportunity to shift education by tailoring the learning experience to an individual’s needs and interests while helping them gain the knowledge, skills and experiences they need to succeed in college and career (Willingham, D. T., Hughes, E. M., & Dobolyi, D. G., 2015).

References

Willingham, D. T., Hughes, E. M., & Dobolyi, D. G. (2015). The Scientific Status of Learning Styles Theories. Teaching of Psychology, 42(3), 266–271. https://doi.org/10.1177/009862831558950

  

Soap Note 2 Chronic Conditions

Soap Note 1 Chronic Conditions (15 Points)

Pick any Chronic Disease from Weeks 6-10

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
 Follow the MRU Soap Note Rubric as a guide

Turn it in Score must be less than 20% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 20%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement

Soap Note 2 Chronic Conditions

Soap Note 2 Chronic Conditions (15 Points)

Pick any Chronic Disease from Weeks 6-10

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Late Assignment Policy

Assignments turned in late will have 1 point taken off for every day assignment is late, after 7 days assignment will get grade of 0. No exceptions

 

Follow the MRU Soap Note Rubric as a guide:

Grading Rubric

Student______________________________________

This sheet is to help you understand what we are looking for, and what our margin remarks might be about on your write ups of patients. Since at all of the white-ups that you hand in are uniform, this represents what MUST be included in every write-up.

1)      Identifying Data (___5pts): The opening list of the note. It contains age, sex, race, marital status, etc. The patient complaint should be given in quotes. If the patient has more than one complaint, each complaint should be listed separately (1, 2, etc.) and each addressed in the subjective and under the appropriate number.

2)      Subjective Data (___30pts.): This is the historical part of the note. It contains the following:

a) Symptom analysis/HPI(Location, quality , quantity or severity, timing, setting, factors that make it better or worse, and associate manifestations.(10pts).

b) Review of systems of associated systems, reporting all pertinent positives and negatives (10pts).

c) Any PMH, family hx, social hx, allergies, medications related to the complaint/problem (10pts). If more than one chief complaint, each should be written u in this manner.

3)      Objective Data(__25pt.): Vital signs need to be present. Height and Weight should be included where appropriate.

a)      Appropriate systems are examined, listed in the note and consistent with those identified in 2b.(10pts).

b)      Pertinent positives and negatives must be documented for each relevant system.

c)        Any abnormalities must be fully described. Measure and record sizes of things (likes moles, scars). Avoid using “ok”, “clear”, “within normal limits”, positive/ negative, and normal/abnormal to describe things. (5pts).

4)      Assessment (___10pts.): Diagnoses should be clearly listed and worded appropriately.

5)      Plan (___15pts.): Be sure to include any teaching, health maintenance and counseling along with the pharmacological and non-pharmacological measures. If you have more than one diagnosis, it is helpful to have this section divided into separate numbered sections.

6)      Subjective/ Objective, Assessment and Management and Consistent (___10pts.): Does the note support the appropriate differential diagnosis process? Is there evidence that you know what systems and what symptoms go with which complaints? The assessment/diagnoses should be consistent with the subjective section and then the assessment and plan. The management should be consistent with the assessment/ diagnoses identified.

7)      Clarity of the Write-up(___5pts.): Is it literate, organized and complete?

Comments:

Total Score: ____________                                                          Instructor: __________________________________

 

Write a paper (1,250-1,500 words) describing the approach to care of cancer. In addition, include the following in your paper:

1. Describe the diagnosis and staging of cancer.
2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
3. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite