Category: Nursing

P.T. is a 45 year old woman who presents to the outpatient clinic with two swollen toes on her right foot.
She does not recall injuring her foot.
She reports increased pain in the right foot, chills, and low grade fever of 99.5 F over the last few days. She has also noticed increased redness around the toes and swelling.
Subjective Data
Pain level is a 6/10 location = right foot, throbbing. No open wound but appears to be a healing blister and skin is red around area.
Works as a waitress.
Objective Data
Vital signs: T 37 P 80 R 14 BP 120/68
+2 edema great toe and second toe, right foot, warm to touch
+ pulses
+2 capillary refill
Question: What interventions might be included in the plan of care
for this patient?
only use scholarly source

H & P
Clinical Documentation: Complete History and Physical Examination (H&P) Guidelines
The purpose of this assignment is to (1) assist the student in developing the skill of interviewing patients to obtain a complete history and perform a correct physical exam and (2) clearly and succinctly documenting the pertinent data in a logical, organized format in the patient health record, using appropriate nursing and medical terminology. The student will gain experience in formulating a problem list.
Directions:
Select a patient seen in your clinical setting on whom to gather a history and perform a physical exam. Document the history and the physical exam in a standard, organized format using the guidelines below. A sample comprehensive history and physical examination may be found on pages 33-35 of Sullivan (2019). Save the assignment as
LastName.FirstName_NURS7710_H&P_1. The second submission should be labeled with the number two (2).
Documentation should:
• have no errors in sentence structure, word usage, grammar, or punctuation
• be clear, well-organized and logically progressive, and
• be succinct with no unnecessary verbiage.
Correct medical terminology and approved abbreviations should be used.
———————————————————————————————————–
Including all of the above components of the comprehensive health history add the following:
COMPLETE PHYSICAL EXAMINATION (PE)
1. Document physical exam in the following order using a systems-heading format, not narrative format:
a. General assessment
b. Vital signs: temperature, pulse, respirations, blood pressure, height weight, body mass index (BMI)
c. Skin
d. HEENT
e. Neck
f. Thorax and Lungs
g. Breasts and Axilla
h. Cardiovascular
i. Abdomen
j. Lower Extremities
k. Musculoskeletal
l. Nervous System
m. Genitourinary or gynecological and rectal
2. Do NOT document “WNL” or within normal limits for your physical exam findings. You must describe your actual exam findings using appropriate medical terminology. Document using measurable terms.
LABORATORY OR DIAGNOSTIC STUDIES
1. Tests and results (i.e., CBC, Rapid Strep-Test, Blood Glucose, Hemoglobin, Urine Pregnancy Test, Urinalysis, etc.) Not what you ordered and is pending, but the results of the tests completed.
PROBLEM LIST/ASSESSMENT
1. After you have obtained the history and physical exam of your patient, construct a problem list that should include all active or pertinent medical problems, including those discovered on ROS, physical exam, or labs/studies.
2. List at least 3 differential diagnoses. Include rationale for ruling in or ruling out diagnoses.
3. State each final diagnosis. There may only be one.
4. If diagnosis is unknown at this time, you may use the symptom (i.e., headache, fever, shoulder pain).
5. Do not write “Rule Out ______”
6. Include a brief statement (your rationale) supporting each diagnosis. This rationale should be based on subjective and objective pertinent positive and negative findings.
7. No plan is expected in this course
PLEASE FOLLOW RUBRIC CLOSELY, PLEASE PRETEND TO BE A NURSE PRACTITIONER TO HAVE THE RIGHT VIEW, PLEASE LET ME KNOW IF YOU HAVE ANY QUESTIONS, IT IS A ROLE PLAY SCENERIO, SO TYPICALLY THIS PATIENT IS HEALTHY ASIDES FROM GERD SO DONT MAKE UP NEW PROBLEMS, NO PLAGIARISM, THANKS

It is important to identify different sources of information available to the nurse when completing a community needs assessment. Below is a list of community assessment parameters. Identify 1 different source of information for 3 of the community assessment parameters. Determine what information is available from each resource; share links or include attachments of each resource. Why is the information important to the nurse when completing a community needs assessment?
Geography Population Environment
Industry Education Recreation
Religion Communication Transportation
Public Services Political Organizations Community Development on Planning
Disaster Programs Health Statistics Social Problems
Health Professionals Health Professional Organizations Community Services
Please include peer-reviewed sources in the last five years (from 2019 until the present).

Image of Nursing
1. Find an image or video that represents nursing.
2. Include the image or video in your post.
3. Answer the following questions: Is this a positive or negative influence on the image of nursing?
4. Does this align with your view of nursing? Why or why not?
How can we, as nurses, promote or maintain a positive image of nursing?
5. Support your main discussion with a peer-reviewed journal from the last 5 years (from 2019 until present).

Please follow instructions attached. Each response is separate one page each to include separate references. MUST be in APA.

Choose one disorder related to the cardiovascular or lymphatic system to which either a child or an adult is impacted. Discuss (in your own words) with your peers the disorders a) pathophysiology, b) clinical manifestations, and c) evaluation and treatment (a table may be used for a, b, and c); also include a final conclusion providing a summation of this discussion. In addition to your text, include a minimum of one scholarly source in your initial post.
Please substantiate your argument and assertions. Provide APA-style references.

Use the PPT to answer the Module 7 case study questions and the reflection questions. Highlight the answers for the quiz questions

Identify the professional code of ethics for your professional specialty or a specialty that you are interested in, describe the decision criteria, and analyze each theory using examples and the Ethical Theory Matrix Template.
Drawing from the material covered in the resources as well as your own research, complete this assessment using the Ethical Theory Matrix Template [DOC] Download Ethical Theory Matrix Template [DOC].
For each theory, first describe the decision criteria. The decision criteria are the instructions the theory gives for how to reach the morally correct choice in a situation that requires action.
Then, provide your own example of how someone might act using the decision criteria of the theory.
Finally, briefly describe the strengths and weaknesses of each theory using the last two columns of the Ethical Theory Matrix Template.
The suggested resources for this assessment could help you get a start on completing the matrix, but do not hesitate to use any outside resources that you can find online, the Capella library, or elsewhere.
This matrix is a tool you will use throughout the rest of the course. Submit your completed matrix as an attachment to this assessment.
Refer to the Matrix of Ethical Theories Scoring Guide for more information on how this assessment will be graded.

Journaling provides a valuable tool for recording, reflecting on, and reviewing your learning. This approach provides an opportunity for you to “connect the dots” and observe the relationships between and among activities, interactions, and outcomes.
Unlike a personal journal of thoughts and feelings, this leadership journal is a record of your activities, assessments, and learning related to this academic experience.
Journal entries should include a record of the number of hours spent with your nurse leader each week.
Write a journal entry of 750-1,500 words on the subject of purpose, including the following:
Practicum Activities Reflection: Provide observations and thoughts on the activities in your practicum during Weeks 5, 6, & 7.
Application of Leadership: Describe your preceptor’s leadership style. How does it affect the people they lead? Do staff members express feelings of support and helpfulness? Are there examples of dictating rather than leading? Does the leader say or do things designed to “build up” staff, or have you seen missed opportunities?
Practicum Project Preparation: Describe your communication plan for your stakeholders. Who will be notified of what and at what time? What education is needed and for whom?
Leadership Video Reflection: Reflect on at least two things you learned from the “Servant Leadership – Issue of Rule” video.
Use the “Leadership Journal Template,” located in Class Resources, to complete this assignment.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

Respond to Elizabeth Ann Colley and Samuel Adjei using one or more of the following approaches:
Respond to a colleague whose views differed from yours on whether digital inclusion of broad band access should be added as a key area to the social determinants of health. Expand on your colleagues’ posting by providing additional insights or contrasting perspectives based on the readings.
Respond to a colleague who discussed a different health IT system than you did. Share an insight from having read your colleagues’ posting, synthesizing the readings to provide new perspectives on how the system can impact or be impacted by the social determinants of health.
My Post:
Social Determinants of Health
Digital inclusion or broadband access should be included as a key area to the social determinants of health because the internet is vital for promoting high-quality healthcare outcomes. One of the reasons why digital inclusion or broadband access should be added as a key area to the social determinants of health is that it promotes healthcare access (Benda et al., 2020). Online healthcare resources and telehealth have become important in healthcare accessibility, and lack of digital inclusion and broadband access can prevent individuals, especially from rural areas, from getting high-quality healthcare services. Telemedicine ensures patients can get healthcare assistance through portals, video calls, and wearable devices; hence, it needs to be included as a social determinant of health to promote healthcare access to people living in rural areas (Sharma & Patten, 2022). For example, access to smartphones, tablets, and healthcare applications can help individuals get healthcare services such as consultation and checkups without traveling long distances to healthcare facilities.
Broadband access and digital inclusion should be added to social determinants of health because they help individuals get employment, addressing health disparities due to income difficulties. Today, people study online, requiring an internet connection and digital devices. After completion, graduates search and apply for jobs online, hence earning income sufficient to afford high-quality medical services. After completion of school, students search for jobs online using broadband and digital devices; thus, there is a need for digital literacy and support to access well-paying jobs with healthcare benefits that address health disparities (Sieck et al., 2021). For example, graduates use online job application portals companies provide to apply for jobs using smartphones and computers, hence getting adequate funds to access high-quality healthcare services (Benda et al., 2020). Additionally, broadband access and digital inclusion should be included in social determinants of health because they create social connections, promoting mental health and well-being through easy connections with family, community resources, and friends (HealthIT.gov, 2018).
Mobile health, patient portals, electronic health records, or telehealth can impact social determinants of health by improving access to healthcare, promoting health information, and reducing health disparities (Skiba, 2017). Telemedicine ensures healthcare services can be easily accessible and health disparities are addressed since people can get healthcare services without traveling to healthcare centers, which can lead to poor healthcare outcomes due to discrimination. For example, online consultation through video calls is affordable, and people from low-income backgrounds can access the services and increase healthcare literacy through various online platforms (Benda et al., 2020). On the other hand, social determinants of health impact telehealth by determining affordability and accessibility. Individuals with low income and low literacy levels face difficulties in getting internet and digital devices to access telehealth.

References
Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). Broadband internet access is a social determinant of health. American Journal of Public Health, 110(8), 1123-1125. https://doi.org/10.2105/AJPH.2020.305784Links to an external site.
HealthIT.gov. (2018c). What is an electronic health record (EHR)? Retrieved from
https://www.healthit.gov/faq/what-electronic-health-record-ehrLinks to an external site.
Sharma, P., & Patten, C. A. (2022). A need for digitally inclusive health care service in the United States: Recommendations for clinicians and health care Permanente Journal, 26(3). https://doi.org/10.7812/TPP/21.156Links to an external site.
Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). Digital inclusion as a social determinant of health. NPJ Digital Medicine, 4(1), 52. https://doi.org/10.1038/s41746-021-00413-8Links to an external site.
Skiba, D. (2017). Evaluation tools to appraise social media and mobile. Informatics, 4(3), 32–40.
Elizabeth Ann Colley
I firmly believe that digital inclusion and broadband access should be added as a key area to the social determinants of health. I live in a rural area. Until 6 months ago, satellite internet was the only internet service available in my area. It was so slow that it really didn’t work well enough to use purposefully. There is no way I would have been able to use a telehealth platform or access a patient portal. The cellular service in our area is also poor, so using my cell phone was not an option. This is the reality for more people than you would expect. Consider how many telehealth visits were done during the pandemic. It’s one thing if you can’t stream a movie because the internet is not available to you. It’s wholly different if you cannot access your physician. There were patients falling through the cracks during the pandemic because they did not have access to virtual visits (Sieck et al. 2021).
This problem also comes in the form of digital illiteracy. Several factors contribute to this issue, including age, education, and income. Fortunately, many libraries, community health workers, and healthcare systems are partnering to combat the issue of digital illiteracy. (Benda et al. 2020)
So many benefits come with the ability to utilize digital platforms in healthcare. Telemedicine, for example, enables homebound patients to visit their physician in a less taxing manner. It opens the possibility for patients in rural areas to see providers that they may not be able to travel to see due to distance or cost of travel. Using patient portals and electronic medical records also offers benefits to patients. So, there is a disparity when patients cannot access these benefits. According to Benda et al. (2020), Because disparities affect the health of people and communities, they should be treated as a public health issue. And as Sieck et al. (2021) points out, this particular disparity can potentially affect all of the other social determinants of health.
References
Benda, N. C., Veinot, T. C., Sieck, C. J., & Ancker, J. S. (2020). Broadband internet access is a social determinant of health! American Journal of Public Health, 110(8), 1123–1125. https://doi.org/10.2105/ajph.2020.305784Links to an external site.
Sieck, C. J., Sheon, A., Ancker, J. S., Castek, J., Callahan, B., & Siefer, A. (2021). Digital inclusion as a social determinant of health. npj Digital Medicine, 4(1). https://doi.org/10.1038/s41746-021-00413-8Links to an external site.
Samuel Adjei
In my view, digital inclusion should be added as a key area to the social determinants of health (SDOH). Healthcare, education, economic stability, and the physical environment are some of the examples of SDOH; hence, digital inclusion would make these factors more valuable to society. SDOH is recommended for public health by Healthy People 2030 (CDC and Prevention, 2022). I believe that digital inclusion—particularly internet access—must predict health as healthcare becomes digital. Due to digital inclusion’s rising effect on healthcare services and technology, SDOH should promote digital inclusion.
I believe that fair EHR, mobile, patient portal, and telemedicine can impact and be impacted by SDOH in different ways. Telemedicine has revolutionized rural and underprivileged healthcare (CDC and Prevention, 2022). Patient portals and mobile health applications let consumers manage chronic conditions, see health information, and connect with clinicians. I believe that these tools only allow patients to fully engage in therapy, which in turn lowers health outcomes. EHRs let doctors access, share, and improve patient care by reducing mistakes. Patients require an internet connection to access timely medical information or preventive care, which can complicate treatment continuity and negatively impact patient outcomes, hence the impact of SDOH on these factors. Hence, I believe health literacy and empowerment need digital inclusion (Borg et al., 2019). Insufficient digital participation creates healthcare disparities as internet outages isolate the poor, aged, and rural (Mohtar & Badr, 2022). Digital inclusion in SDOH’s key areas may assist public health programs in accomplishing healthcare system goals and making technology accessible.

References
Borg, K., Boulet, M., Smith, L., & Bragge, P. (2019). Digital inclusion & health communication: a rapid review of the literature. Health communication, 34(11), 1320-1328. https://www.tandfonline.com/doi/abs/10.1080/10410236.2018.1485077Links to an external site.
Centers for Disease Control and Prevention. (2022). Social determinants of health. https://www.cdc.gov/about/sdoh/index.htmlLinks to an external site.
Mohtar, L. N., & Badr, N. G. (2022). Digital Bridge or Tradeoff: Telehealth Adoption and Healthcare Service Quality. A Scoping Review. Sustainable Digital Transformation: Paving the Way Towards Smart Organizations and Societies, 253-268. https://link.springer.com/chapter/10.1007/978-3-031-15770-7_16Links to an external site.
Respond to Elizabeth Ann Colley and Samuel Adjei using one or more of the following approaches:
Respond to a colleague whose views differed from yours on whether digital inclusion of broad band access should be added as a key area to the social determinants of health. Expand on your colleagues’ posting by providing additional insights or contrasting perspectives based on the readings.
Respond to a colleague who discussed a different health IT system than you did. Share an insight from having read your colleagues’ posting, synthesizing the readings to provide new perspectives on how the system can impact or be impacted by the social determinants of health.