pediatric wellness visit- age 2 using template provided

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Subjective, objective, assessment, and plan (SOAP) notes serve as a method of documenting the clinical encounter between the provider (you) and the patient. SOAP notes are used to document the patient’s subjective data (chief complaint, history of present illness [HPI], and review of systems [ROS]), objective data (vital signs and measurements, physical exam findings, and results from diagnostic testing already completed), assessment (medical diagnosis(es) and differentials), and plan (interventions you will do to treat the patient).

For the purpose of this course, all SOAP notes will include a comprehensive patient history. The physical exam will be determined by the purpose of the exam. An episodic SOAP note includes only those portions of the SOAP that are specific to the chief complaint. For instance, if a patient presents with an eye infection, you would include the chief complaint and any pertinent medical history of the complaint. The ROS would include anything that is pertinent to the complaint. The exam will include the head, eyes, ears, nose, and throat (HEENT) and any other pertinent systems. The assessment and plan should be focused on the acute issue. For systems not used on the form, you may use n/a. Please do not copy and paste your ROS and PE from other resources. Do not document systems that were not examined. Episodic visits generally do not require vaccines and assessment tools. Prudent practitioners make a habit of always documenting a full set of vital signs and a respiratory and cardiovascular exam.

If the patient visit is for the purpose of a well-child visit or a PE, you would be expected to document a comprehensive patient history as well as a comprehensive ROS and PE. This would address all systems. Do not use terms such as “normal”. For instance, do not say “Heart-normal”. Document – “Heart is RRR with S1, S2 -murmurs, rubs or gallops”. We want to know that you know what “normal” represents.

Please be sure to include these tips in your Soap notes-

Here are some tips regarding the SOAP notes:

1. The ROS needs to be completely filled out. You cannot say Denies issues or problems. What issues/problems? You need to write out symptoms.
Denies sore throat, denies cough, denies wheezing, etc. etc.
Remember this is only what is reported or denied, not what you observe or examine.

2. The PE under the objective section is what you observe and examine.
You cannot say “normal”. What is normal? Describe what you saw, heard, felt.
Lungs CTA. TM pearly grey. Heart S1, S2. BS x 4 quadrants etc etc.

3. You need to include a completed growth chart with EACH SOAP note, do not submit blank growth charts.

4. You need 3 dx EACH week, 1 primary and 2 differentials with ICD- 10 codes for all three. Indicate which dx is your primary and which are your differentials. You need to provide a rationale for each of the diagnoses.

5. Your references must be evidenced based and no older than 2012. You must provide an intext citation within the body of your note to show where your reference applies. This needs to go along with the assessment and the plan section.

Help with Assignment 1: Applying Economic Concepts Relevant To Health Care Spending

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Assessment #1: (15%)

As you learned in Week 1, health care spending is growing faster than overall growth in the economy (as measured by GDP) and by 2026 is expected to consume 20 percent of GDP. In Week 2, the article by Hartman (et. al.) states that “the trade-offs required to finance health care spending have become increasingly challenging for both private and public payers.”

Given what you have learned from the course material in Week 1 and 2, discuss these trade-offs and how to evaluate them from an economic perspective.

Specifically, do the following:

  1. From an economic perspective, explain why health care spending cannot grow greater than overall growth in the economy for an extended period of time without adverse consequences.
    1. Identify what economic constraints overall and in the healthcare industry will occur if this happens.
  2. Identify TWO Economic concepts that can be used to evaluate the trade-off between health care and other economic goods and services. In doing this:
  • Define the economic concept completely
  • Apply the economic concept to the current issue of rising health care spending and trade-offs
  1. Evaluate the unique characteristics in health care that complicate this analysis.

This briefing report should be at least four double-spaced pages, include a reference page, and cover page. In writing, your report you should rely largely on reference material in the course readings and summary slides in Week 1 and Week 2.

Be sure to include your name and section headers corresponding to the parts of the report above.

The first text for this course is written by Mayer, “Everything Economics”.

Access the text via the following link (copy and paste into browser)

http://ezproxy.umuc.edu/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=nlebk&AN=418083&site=eds-live&scope=site&profile=edsebook

The second textbook is: Economic Theory Through Application

And can be found at:

https://saylordotorg.github.io/text_economics-theory-through-applications/

This week Read: 1) Mayer Chapter 1: What is Economics?

2) Mayer Chapter 13: Keeping Score: The Gross Domestic Product

3) Economic Theory Through Applications Chapter 1: What is Economics? (p. 6-18)

https://saylordotorg.github.io/text_economics-theory-through-applications/

4) Economic Theory Through Applications Chapter 2: Microeconomics in Action (p. 19-32)

1)Mayer Chapter 6: Supply and Demand

2) Economic Theory Through Application Chapter 4: Everyday Decisions (p. 54-90)

3) Economic Theory Through Application- Chapter 6.3 Supply and Demand (p. 202-213)

Chapter 7.2: Revenues of A Firm (p. 244- 62)

4) Health Economics and the Law of Demand (see under this week’s content below)

5) Monitoring Health Spending Increases: Incremental Budget Analyses Reveal Challenging Tradeoffs

https://www.cms.gov/Research-Statistics-Data-and-systems/Research/HealthCareFinancingReview/Downloads/06Fallpg41.pdf

Problem Statement and Purpose of Study Article Critique Assignment

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This assignment will demonstrate your knowledge of the nursing research process by critiquing published research articles in a systematic manner. The assignment will show your understanding of the components of research and the procedures necessary to implement the research process.

**** The assignment does not have to be in a paper format. Using the posted criteria, write each question and respond to it based on the article you’re critiquing.

** A good presentable, explicit and well explained following the criteria.

**Intext citation and a citation page

Utilizing your recently completed food log, please write a 3pg, double spaced, and 12 pt font paper on some of questions provided below

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FOOD LOG SUMMARY

PART B – 50pts

Utilizing your recently completed food log, please write a 3pg, double spaced, and 12 pt font paper on some of questions provided below. You do not need to answer all the questions; these are just some examples. The main point is to reflect and write about your tracking experience. I encourage you to add pictures/labels of food you ate (good or bad) and explain them (Do not have a 3 pg document with more pictures than text).

  • What did you find most difficult and about tracking your food for a week?
  • How did you feel after revisiting the food choices you made?
  • Did tracking your food influence your food choices?
  • What trends did you see from your tracking? (eating out, high carbohydrate intake, met protein goals, poor food timing)
  • If you skipped breakfast, what were your reasons for doing so?
  • If you were to make a diet change, what would you do…besides eat better. (Be specific)
  • Did your food choices get better or worse on the weekend?
  • Did any food choice surprise you with the amount or lack of Pro, CHO, Fat, or Cals?
  • Do you see a benefit of tracking food as a first step in realizing what you eat? (become aware of mindless eating?)
  • If you were to help a friend or family member with their diet, what advice would you give them? Knowing what you do now about nutrition

The 3rd page does not have to be descriptive, you have just have to have photos of food I provided in the excel spreadsheet.

*Tracking experience log is attached

FIU Description and Background of Diabetes

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Describe the assigned topic DIABETES to include, epidemiological aspect, data sources and its significance, environmental, biological and genetic determinants and any intervention by promotion or policy tools that has been implemented or should be implemented that relates to the topic.

You will develop the description/background of the topic possibly by addressing the following questions:

  1. What is the topic and what happens in the population that relates to the topic?
  2. Who is affected and to what degree?
  3. What could happen if the problem isn’t addressed?
  4. What interventions are needed and/or what intervention help improve the situation that relates to the topic.

Health Department In Vanderburgh, Urban Seeds, Tri-state Community Health

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Write general information about the subjects provided and then each student will write a 2-3 page reflection regarding the information provided by the guest lecturers. What did you enjoy most? Was the information useful? Are you more aware of efforts in the community? Etc.

NO NEED FOR REFERENCES AND SOURCES!

Notes are provided

Subjects are:

1- Health Department in Vanderburgh county

2- Urban seeds

3- Tri-State community health

4- LinkedIn

RN Information Systems

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Week 4: Your Patient Has a Personal Health Record . . . Now What? (graded)

Case Study: A 65-year-old woman was just been diagnosed with Stage 3 non-Hodgkin’s lymphoma. She was informed of this diagnosis in her primary care physician’s office. She leaves her physician’s office and goes home to review all of her tests and lab results with her family. She goes home and logs into her PHR. She is only able to pull up a portion of her test results. She calls her physician’s office with concern. The office staff discussed that she had gone to receive part of her lab work at a lab not connected to the organization, part was completed at the emergency room, and part was completed in the lab that is part of the doctor’s office organization.

The above scenario might be a scenario that you have commonly worked with in clinical practice. For many reasons, patients often receive healthcare from multiple organizations that might have different systems.

As you review this scenario, reflect and answer these questions for this discussion.

  • What are the pros and cons of the situation in the case study?
  • What safeguards are included in patient portals and PHRs to help patients and healthcare professionals ensure safety?
  • Do you agree or disagree with this process?
  • What are challenges for patients that do not have access to all of the EHRs? Remember, only portions of the EHRs are typically included in the PHRs.

​Imagine that you are the manager of a fictional industrial operation. It could be anything you like, for example manufacturing, assembly, painting, machining, logistics and distribution etc. Looking through the websites of robot manufacturers, find a r

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Imagine that you are the manager of a fictional industrial operation. It could be anything you like, for example manufacturing, assembly, painting, machining, logistics and distribution etc.

Looking through the websites of robot manufacturers, find a robot that could help you be more effective, efficient, and profitable in your operation.

To answer this assignment, I’d like you to:

Tell me what your fictional industrial operation does., i.e., what is the purpose of the business.
Include a link to the robot that you think will help you in your operation (this link should be from the manufacturer’s website, or something comparable).
Explain how this robot will help you in your operation.
Looking at the specifications, features, and functions of the robot you are selecting; explain how those specifications/features would satisfy some of the design considerations we discussed as being important in the selection of a robot.

what is science?

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Assignment Directions: Using the internet or any other sources that you like, write an essay on each of the following objectives (essays should be 1-2 pages in length, single-spaced, no larger than 12-point font):

  • List the effect of technology on air, water, and land quality.
  • List possible solutions for air, water, and land pollution.
  • List measures by which industries and individuals can conserve natural resources and energy.
  • List examples of environmental planning and waste management.
  • Describe ecosystems with respect to energy flow, food cycles, pollution, and the impact of man.
  • Describe factors of population dynamics (How does the increase or decrease of a population influence the environment?).
  • Describe at least three different sources of energy and list advantages and disadvantages of each.

Be sure to cite your resources for this assignment. All resources must be online for validation by the instructor. Provide the url for each resource you cite. Each essay should have resources cited directly below it. Do not list all of the resources at the end of the essay. Either APA or MLA format may be used for citing resources. You must use other sources besides Wikipedia in this assignment.