Post a description of one or more significant ways in which Walden’s and the School of Nursing’s perspectives (i.e., vision, mission, social change message, and outcomes) relate to your professional and academic goals and to your becoming a scholar-practitioner. Include how you plan to incorporate social change into your professional and academic goals.

Support your Discussion assignment with specific resources used in its preparation using APA formatting. You are asked to provide a reference for all resources, including those in the Learning Resources for this course.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

  

Part I : 

a. Soap Note Ankylosing Spondylitis

b. add questions from your case study 

Part II: Ankylosing Spondylitis

a. Pathophysiology

b. Clinical Presentation

c. Physical Examination

d. Diagnostic Testing 

e. Differential Diagnosis

f. Management

g. Education and Health Promotion 

Power point

< 20 % plagiarism

5 References

Sample Regular Soap Note Template

PATIENT INFORMATION

Name: Mr. W.S.

Age: 65-year-old

Sex: Male

Source: Patient

Allergies: None

Current Medications: Atorvastatin tab 20 mg, 1-tab PO at bedtime

PMH: Hypercholesterolemia

Immunizations: Influenza last 2018-year, tetanus, and hepatitis A and B 4 years ago.

Surgical History: Appendectomy 47 years ago.

Family History: Father- died 81 does not report information

Mother-alive, 88 years old, Diabetes Mellitus, HTN

Daughter-alive, 34 years old, healthy

Social Hx:No smoking history or illicit drug use, occasional alcoholic beverage consumption on social celebrations. Retired, widow, he lives alone.

SUBJECTIVE:

Chief complain: “headaches” that started two weeks ago

Symptom analysis/HPI:

The patient is 65 years old male who complaining of episodes of headaches and on 3 different occasions blood pressure was measured, which was high (159/100, 158/98 and 160/100 respectively). Patient noticed the problem started two weeks ago and sometimes it is accompanied by dizziness.He states that he has been under stress in his workplace for the last month.

Patient denies chest pain, palpitation, shortness of breath, nausea or vomiting.

ROS:

CONSTITUTIONAL: Denies fever or chills. Denies weakness or weight loss. NEUROLOGIC: Headache and dizzeness as describe above. Denies changes in LOC. Denies history of tremors or seizures. 

HEENT: HEAD: Denies any head injury, or change in LOC. Eyes: Denies any changes in vision, diplopia or blurred vision. Ear: Denies pain in the ears. Denies loss of hearing or drainage. Nose: Denies nasal drainage, congestion. THROAT: Denies throat or neck pain, hoarseness, difficulty swallowing.

Respiratory: Patient denies shortness of breath, cough or hemoptysis.

Cardiovascular: No chest pain, tachycardia. No orthopnea or paroxysmal nocturnal

dyspnea.

Gastrointestinal: Denies abdominal pain or discomfort. Denies flatulence, nausea, vomiting or

diarrhea.

Genitourinary: Denies hematuria, dysuria or change in urinary frequency. Denies difficulty starting/stopping stream of urine or incontinence.

MUSCULOSKELETAL: Denies falls or pain. Denies hearing a clicking or snapping sound.

Skin: No change of coloration such as cyanosis or jaundice, no rashes or pruritus.

Objective Data

CONSTITUTIONAL: Vital signs: Temperature: 98.5 °F, Pulse: 87, BP: 159/92 mmhg, RR 20, PO2-98% on room air, Ht- 6’4”, Wt 200lb, BMI 25. Report pain 0/10.

General appearance: The patient is alert and oriented x 3. No acute distress noted.NEUROLOGIC: Alert, CNII-XII grossly intact, oriented to person, place, and time. Sensation intact to bilateral upper and lower extremities. Bilateral UE/LE strength 5/5.

HEENT:Head: Normocephalic, atraumatic, symmetric, non-tender. Maxillary sinuses no tenderness. Eyes: No conjunctival injection, no icterus, visual acuity and extraocular eye movements intact. No nystagmus noted. Ears: Bilateral canals patent without erythema, edema, or exudate. Bilateral tympanic membranes intact, pearly gray with sharp cone of light. Maxillary sinuses no tenderness. Nasal mucosa moist without bleeding.Oral mucosa moist without lesions,.Lids non-remarkable and appropriate for race.

Neck: supple without cervical lymphadenopathy, no jugular vein distention, no thyroid swelling or masses.

Cardiovascular: S1S2, regular rate and rhythm, no murmur or gallop noted. Capillary refill < 2 sec.

Respiratory: No dyspnea or use of accessory muscles observed. No egophony, whispered pectoriloquy or tactile fremitus on palpation. Breath sounds presents and clear bilaterally on auscultation.

Gastrointestinal:No mass or hernia observed. Upon auscultation, bowel sounds present in all four quadrants, no bruits over renal and aorta arteries. Abdomen soft non-tender, no guarding, no rebound no distention or organomegaly noted on palpation

Musculoskeletal: No pain to palpation. Active and passive ROM within normal limits, no stiffness.

Integumentary: intact, no lesions or rashes, no cyanosis or jaundice.

Assessment

Essential (Primary) Hypertension (ICD10 I10): Given the symptoms and high blood pressure (156/92 mmhg), classified as stage 2. Once the organic cause of hypertension has been ruled out, such as renal, adrenal or thyroid, this diagnosis is confirmed.

Differential diagnosis:

Ø Renal artery stenosis (ICD10 I70.1)

Ø Chronic kidney disease (ICD10 I12.9)

Ø Hyperthyroidism(ICD10E05.90)

Plan

Diagnosis is based on the clinical evaluation through history, physical examination, and routine laboratory tests to assess risk factors, reveal identifiable causes and detect target-organ damage, including evidence of cardiovascular disease.

These basic laboratory tests are:

· CMP

· Complete blood count

· Lipid profile

· Thyroid-stimulating hormone

· Urinalysis

· Electrocardiogram

Ø Pharmacological treatment: 

The treatment of choice in this case would be:

Thiazide-like diuretic and/or a CCB

· Hydrochlorothiazide tab 25 mg, Initial dose: 25 mg orally once daily. 

Ø Non-Pharmacologic treatment: 

· Weight loss

· Healthy diet(DASH dietary pattern): Diet rich in fruits, vegetables, whole grains, and low-fat dairy products with reduced content of saturated and trans l fat

· Reduced intake of dietary sodium: <1,500 mg/d is optimal goal but at least 1,000 mg/d reduction in most adults

· Enhanced intake of dietary potassium

· Regular physical activity (Aerobic): 90–150 min/wk

· Tobacco cessation

· Measures to release stress and effective coping mechanisms.

Education

· Provide with nutrition/dietary information.

· Daily blood pressure monitoringat home twice a day for 7 days, keep a record, bring the record on the next visit with her PCP

· Instruction about medication intake compliance. 

· Education of possible complications such as stroke, heart attack, and other problems.

· Patient was educated on course of hypertension, as well as warning signs and symptoms, which could indicate the need to attend the E.R/U.C. Answered all pt. questions/concerns. Pt verbalizes understanding to all

Follow-ups/Referrals

· Evaluation with PCP in 1 weeks for managing blood pressure and to evaluate current hypotensive therapy. Urgent Care visit prn.

· No referrals needed at this time.

References

Domino, F., Baldor, R., Golding, J., Stephens, M. (2017). The 5-Minute Clinical Consult 2017 (25th ed.). Print (The 5-Minute Consult Series).

CodinaLeik, M. T. (2014). Family Nurse Practitioner Certification Intensive Review (2nd ed.). ISBN 978-0-8261-3424-0

 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

  A Critical Element for a Credible Nursing Practice: A baccalaureate nurse understands, relates, and values the fundamental elements of research, process, and designs as a foundation for an evidence-based practice (AACN, 2008; QSEN, 2018).

 

1. Read each of these instructions.
2. Read the assignment grading rubric criteria.
3. This assignment is completed as an APA paper. APA resources can be found in your Resources Tab. You are required to complete the paper using the productivity tools required by Chamberlain University, which is Microsoft Office Word 2013 (or later version), or Windows and Office 2011 (or later version) for MAC. You must save the file in the “.docx” format. Do NOT save as Word Pad. A later version of the productivity tool includes Office 365, which is available to Chamberlain students for FREE by downloading from the student portal at http://my.chamberlain.edu (Links to an external site.) . Click on the envelope at the top of the page.
4. You are required to use the grading rubric criteria to ensure you are meeting all grading requirements of the paper. 
5. The guideline below is a recommended outline only and does not substitute for your assignment grading rubric; your paper will be graded using the assignment grading rubric criteria.  
6. For the introduction paragraph section, summarize your learning using mostly your own words (see the grading rubric for details):
   • The need for nursing research.
   • The importance for nurses to understand the basic principles of research.
   • The purpose of your paper.
7. For the quantitative research section, summarize your learning using mostly your own words (see the grading rubric for details):
   • The importance of quantitative research.
   • One type of quantitative design; explain one important feature of this type of design.
   • How quantitative research can help improve nursing practice.
8. For the qualitative research section, your learning using mostly your own words (see the grading rubric for details):
   • The importance of qualitative research.
   • One type of qualitative design; explain one important feature of this type of design.
   • How qualitative research can help improve nursing practice.
9. For the research sampling section, your learning using mostly your own words (see the grading rubric for details):
   • What is sampling and why is sampling important.
   • One sampling strategy used in quantitative research.
   • One other sampling strategy that you learned.
10. For the credible nursing practice section, your learning using mostly your own words(see the grading rubric for details):
    • How research can help to make nursing practice safer.
    • Why research is critical for creating an evidence-based nursing practice.
11. For the conclusion section, summarize your learning using mostly your own words (see the grading rubric for details):
    • Short, concise, thorough summary of the main points of the paper.
12. Double check your work with the grading rubric to ensure you have met all grading criteria for this assignment.
13. Two or more supporting scholarly references are required.  Textbooks are not allowedand should not be used as a scholarly source.  Use the Chamberlain Library to locate relevant, scholarly sources.
14. No more than two direct quotes are allowed.  You should be using mostly your own words to demonstrate your understanding of the topics/criteria for this assignment.  Citations and references must be included.
15. This is a short, scholarly paper. The assignment should be 3-4 pages in length not including the title page and references page. 
16. Submit the completed assignment on the Week 5: Assignment page.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Note: Please use your browser’s File menu to save or print this page.

References

American Association of Colleges of Nurses (AACN). (2008). Executive summary: The essentials of baccalaureate education for professional nursing practice (2008). Retrieved from http://www.aacnnursing.org/Education-Resources/AACN-Essentials

Quality and Safety Education for Nurses (QSEN). (2018). QSEN knowledge, skills, and attitude competencies. Retrieved from http://qsen.org/competencies/pre-licensure-ksas/

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

For this first module, you are going to write a short descriptive paragraph conveying a dominant impression of a person or place. You should develop at least a half page description, and your paragraph shouldn’t be longer than a full page (double-spaced in both cases). Thus, your final submission should be between 150 and 250 words.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 This a HPRS-1303 (End of Life Issues) class please watch the you tube video.. below . You may have to retype the video in your browser. this is due February 18, 2018 before 11:59 pm central time. This a two part answer and assignments please list references on each 

1.  Discussion

What are your thoughts about The Brittany Effect?  Explain  your position on this subject through the use of peer reviewed  scholarly sources from MedLine, Ebsco, Proquest, and/or Google Scholar.   You must provide at least three additional sources to the video.  

Please write a 300 to 500 word essay adhering to APA 6th Edition formatting guidelines 

Please watch this Tedx Talk in its entirety.  

https://www.youtube.com/watch?v=O1j2A6ndEio (Links to an external site.)Links to an external site.

 

2. Journal entry #2

 

The Journal Entries provide a way for students to make personal  connections to the material and to apply the concepts they have  learned.  Journal entries should be written in a well-developed  paragraph rather than just a phrase.  Investing some effort in each  journal entry will not only help you make the most of this course, but  should help prepare you for the assignment in Week 15. 

This is the rubric that I will be using to grade all journal entries (assignments) throughout the semester:

APA Journal Entries (Assignments) Rubric

Score _____/50

____ (5) In-text citations include necessary info in parentheses after borrowed material

____ (5) References per APA 

____ (5) Grammar and spelling 

____ (35) Application of three or more concepts from the learned material 

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"