SOAP note Epilepsy

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SOAP note Epilepsy

Reflection Scenario

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 1) Watch the entire scenario. In the scenario assignment, you are asked to reflect on responses to the presented scenario. 

2) Fill out the template attached below

3) Compose the last question on the template reflection in a Word document and be sure to address, at a minimum, the following questions:

*Why do you feel the way you do about the issue presented?

*Of the four responses offered in the scenario, which do you think is the most ethical and why?

*Which ethical theory would you use to support your stance? Why does this theory work?

4)  Support your conclusions with evidence and specific examples from the textbook, including a minimum of one theory of ethics to defend your stance.

Healthcare informatics peers response

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Please send it as good as possible

short answer assessment

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  • Review the Learning Resources for this week in preparation to complete this Assignment.
  • Reflect on the basic function and structure of the neuron in relation to the central nervous system.
  • Reflect on the inter-connectedness between neurons and the central nervous system, including the pathway and distribution of electrical impulses.
  • Reflect on how neurons communicate with each other and review the concept of neuroplasticity.

TO COMPLETE:

Address the following Short Answer prompts for your Assignment. Be sure to include references to the Learning Resources for this week.

  1. In 4 or 5 sentences, describe the anatomy of the basic unit of the nervous system, the neuron. Include each part of the neuron and a general overview of electrical impulse conduction, the pathway it travels, and the net result at the termination of the impulse. Be specific and provide examples.
  2. Answer the following (listing is acceptable for these questions):
    • What are the major components that make up the subcortical structures?
    • Which component plays a role in learning, memory, and addiction?
    • What are the two key neurotransmitters located in the nigra striatal region of the brain that play a major role in motor control?
  3. In 3 or 4 sentences, explain how glia cells function in the central nervous system. Be specific and provide examples.
  4. The synapse is an area between two neurons that allows for chemical communication. In 3 or 4 sentences, explain what part of the neurons are communicating with each other and in which direction does this communication occur? Be specific.
  5. In 3–5 sentences, explain the concept of “neuroplasticity.” Be specific and provide examples.

discussion case study

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For this Discussion, review the case Learning Resources and the case study excerpt presented. Reflect on the case study excerpt and consider the therapy approaches you might take to assess, diagnose, and treat the patient’s health needs.  

Case: An elderly widow who just lost her spouse. 

Subjective: A patient presents to your primary care office today with chief complaint of insomnia. Patient is 75 YO with PMH of DM, HTN, and MDD. Her husband of 41 years passed away 10 months ago. Since then, she states her depression has gotten worse as well as her sleep habits. The patient has no previous history of depression prior to her husband’s death. She is awake, alert, and oriented x3. Patient normally sees PCP once or twice a year. Patient denies any suicidal ideations. Patient arrived at the office today by private vehicle. Patient currently takes the following medications: 

  • Metformin 500mg BID 
  • Januvia 100mg daily 
  • Losartan 100mg daily 
  • HCTZ 25mg daily 
  • Sertraline 100mg daily 

Current weight: 88 kg

Current height: 64 inches

Temp: 98.6 degrees F

BP: 132/86 

please help

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Reimbursement

 

Instructions

Healthcare is reimbursed in a variety of ways. The prospective payment method is one of those ways. This paper will be about the prospective payment method where diagnosis-related groupings 
(DRGs) forms the basis for payment.

· Research and explain the origin, purpose, and description of DRGs.

· Include what payment is based on.

· Identify the benefits and problems with reimbursement via this method.

· Explain how you as a nurse-manager can help manage costs and maximize your facility’s reimbursement from DRGs. 

· The paper should contain an opening, a body, and a conclusion, and be 3-4 pages long.

· Page requirement does not include the title or references page(s)

· 3-4 professional references are required.

Replies week 6 MSN 5300

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 Replies each one with 200 words

The main advantage of mixed-methods research design is that it allows researchers to integrate multiple data sources to provide more insight into the study phenomena. Because mixed methods utilize both numerical and non-numerical data, researchers can assess and explore the relationships and elements of social and human life. Qualitative and quantitative research concepts may be non-specific and ambiguous in some cases. These two challenges may have significant implications for the research. Therefore, when a researcher mixes qualitative and quantitative research, they get the chance to experience new empirical insights into the research from a dynamic and comprehensive approach. Such experiences override the challenges that may come with quantitative or qualitative methods, including inconclusive outcomes and longer than the expected research time. Researchers can take an analytical approach to understanding complex research questions through the use of mixed-methods design.

Similarly, mixed-methods research design allows researchers to integrate data triangulation into the study. With data triangulation, researchers can confirm the validity of research findings by applying several data sources to identify inconsistencies in the variables (Dawadi et al., 2021). For example, to confirm the experiences of patients admitted to palliative care, researchers may use both open-ended and closed-ended surveys to acquire data. The data can be compared through triangulation. Triangulation, thus, allows for the application of “more diverse data,” a quality that may not be achieved by using a single design (Dawadi et al., 2021). When this happens, the validity and reliability of the research findings are improved. 

The main disadvantage of mixed-methods design is that it may be complicated for inexperienced or rookie researchers. Researchers who have little research experience may find it challenging to meet the requirements of the method due to its complex nature (Wasti et al., 2022). Such researchers may also have a hard time identifying interdisciplinary or multidisciplinary team members who have expertise in both quantitative and qualitative research. If this happens, the research process may be gravely compromised. Similarly, mixed-methods design escalates research costs and time since it requires data collection and analysis to be conducted in several stages (Wasti et al., 2022). For example, the study team must collect and analyze both numerical and non-numerical data as prescribed by the design. This may be costly in case of budget constraints and limited time. Lastly, the appropriateness of mixed-methods design is never guaranteed because it mainly depends on the nature of the research questions. Some research questions may be subject to ambiguity which may not be effectively addressed by mixed-methods design.

2. Mixed method research has become increasingly popular in the field of social science and other areas of study because they provide an extensive framework for comprehending challenging research topics. This approach combines quantitative and qualitative research techniques to offer a more thorough and sophisticated knowledge of a particular issue.

Multiple benefits are provided by mixed research methods. By integrating quantitative data for statistical accuracy and qualitative data for perspective and depth, they provide a thorough comprehension of study concerns providing validity and reliability of the results. Qualitative approaches are particularly useful for complicated or understudied issues because they enable investigation and the discovery of unanticipated findings. Additionally, context is added to findings through mixed methods research, increasing their relevance for practical applications (Tashakkori & Teddlie, 2019).

Comprehensive Understanding is one of the main advantages of a mixed methods research design. This attention to detail results from the integration of both quantitative and qualitative data, which enables researchers to go further beyond the most obvious conclusions. While qualitative data explore the “why” and “how” by revealing underlying meanings, motives, and context, quantitative data show statistical patterns and connections, providing answers to the “what” and “how many” questions. The findings are more solid and practical as a result of the holistic method, which guarantees that researchers get a thorough, multidimensional understanding of the topic under study. (Tashakkori & Teddlie, 2019).

Exploration and discovery are fundamental benefits of using mixed methods research designs. Particularly making use of methods that are qualitative provides the flexibility to examine unforeseen factors of a research subject, leading to the discovery of additional patterns. This element is extremely useful when researching difficult or relatively unexplored subjects since it allows researchers to modify their questions and dive further into unexpected areas. Mixed methods research embraces the qualitative component, encouraging researchers to be open to different viewpoints, eventually resulting in a better and more comprehensive knowledge of the phenomena being examined (Johnson et al., 2021).

Research designs using mixed methodologies have various limitations. They may need a lot of time, money, and skill. Research durations may be affected by the complexity of combining both qualitative and quantitative methods. Furthermore, because qualitative research is subjective, there is a chance that the results may be biased (Tashakkori & Teddlie, 2019).

In conclusion, mixed methods research designs that call for both quantitative and qualitative viewpoints provide a highly effective approach. They increase the validity and trustworthiness of study findings and offer a thorough comprehension of complicated events. They do, however, also have disadvantages, such as demands on resources, complexity, and possible bias. When considering whether to adopt a mixed methods approach, researchers must carefully evaluate the advantages and disadvantages and make sure they are prepared to handle the complicated processes involved. They may then use the advantages of both quantitative and qualitative techniques to better understand their research issues.

article prompt

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Choose one of the articles below,

Park, M. (2009). Ethical issues in nursing practice. Journal of Nursing Law, 13(3), 68-77. doi:10.1891/1073-7472.13.3.68

Link:  Ethical issues in nursing practice Links to an external site. 

 Prompt: Identify primary areas for legal and ethical issues faced by oncology nurses in this study (Park, 2009), and strategies they may have developed to work with those ethical issues.

Or,
Croke, E. (2006). Nursing malpractice: determining liability elements for negligent acts. Journal of Legal Nurse Consulting, 17(3), 3.

Link: Nursing malpractice: determining liability elements for negligent actsLinks to an external site.

Prompt: Identify primary problems that led to the malpractice suits (Croke, 2006), and identify the role the nurse played and what the nurse did wrong.

Identify an article that is at least five years old. Summarize the statistical findings and discuss the significant it has on nursing.

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Identify an article that is at least five years old.

Summarize the statistical findings and discuss the significant it has
on nursing.

Please post your initial post by Wednesday midnight with 400 words and
one scholarly article. 

Nursing

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Module/Week 8: Community Assessment Project

Module Overview

During this week, you will focus on your community health assessment project.

Overall Topics

Community Health Assessment project

Module Learning Objectives

By the end of this week, students will be able to:

• Complete Community Health Assessment.

Learning Assignments

1. Focus on completing your community health assessment.

2. This is a PowerPoint submission.

Items Due
1. Community Health Assessment due on 10/15/23 at 11:59 pm

2. *Complete verification screenshot that you placed your Community Health Assessment

in your NURS 1100 portfolio due on 10/15/23 at 11:59 pm

Community Assessment Instructions and Grading Rubric

20 points

Community Assessment- Community health is a critical dimension in baccalaureate nursing.
This assignment allows you the opportunity to perform course objectives in “real life” by
assessing a community as client, arriving at a community diagnosis, proposing interventions, and
deciding how you would measure the outcomes. In this assignment, you will begin to evaluate
the health needs of a community. To meet the needs of the members of a community, public
health nurses must first identify barriers to health care and identify the priorities of the
community.

You will use the Nies & McEwen (2019) textbook Assessment Framework for a community
health assessment to explore a geographical community (Chapter 6). For help with writing the
questions to ask, see text Chapter 6, Box 6-2: Questions to Guide Community Observations
During a Windshield Survey. There are many different sources of data needed to complete a
comprehensive community assessment including the use of the NURS 400 LibGuide. Students
will explore these data sources to help the preparation of their community assessment. You will
explore these data sources to help with the preparation of your community assessment. The
Community Health Assessment PowerPoint (including all the grading criteria on the grading
rubric) is compiled, including multiple sources of data, following the completion of the
community assessment. Explain the value of collaborating with other professionals, the use of
data resources, and evidence-based practice to guide community health nursing. This is an
individual assignment. You may assess a city or county or neighborhood. Be aware that it is
sometimes difficult to find city or neighborhood health data, so it is fine to use county data in
this case. Please say in the assignment that you were not able to find city or neighborhood data,
so are using county data.

1. Start by selecting a community.
2. Next, complete a Walking or Windshield Survey of the community. View your chosen

community as your patient taking pictures (do not use stock photos from the internet)
and assessing what is healthy in the community and what is not or may lead to public
health concerns that could possibly be addressed in your nursing diagnosis. You must
include photos you took during your windshield/walking survey in your final
presentation.

3. Then, check the Week 8 module under course content and locate the NU400 resources in
the Mustang Library – NURS 400 LibGuide to do online searches for data about the
community. It might be helpful to check with your local Chambers of Commerce as a
great community resource!

4. You will need to include multiple/credible (at least 4 sources of data) sources of data in
your assessment.

5. The 4 sources of data must be:

• The walking or windshield tour

• Two sources of data must be included/used from the Mustang McFarland Library
NU400 Lib (Data) Guide: http://libguides.smsu.edu/nurs400

• The data guide set up for NU400 at the Mustang Library has a menu at the top that
includes databases for many of the items you need for the Community Assessment!

• An interview with a key informant (keep their identity confidential for this
assignment) that addresses public health in the community. Refer to your APA 7th
ed. Resources to properly cite personal communications. The course instructor
reserves the right to request key informant contact information for auditing and
plagiarism purposes.

• Keep in mind, a community key informant is a professional in the community but not
a nurse (interprofessional collaboration) (examples may include mayor, teacher,
physician, environmental scientist, public health professional, minister, city council
member, health educator, etc.) Interview the key informant using open-ended
questions that you develop from the examples in the textbook.

Questions to include in the key interview should include but not be limited to the
following:

a. How do you define health?
b. What helps you or your community be healthy?
c. What makes it difficult to be healthy in your community?
d. What are the health concerns for your community? Your culture?
e. What resources do you access to help you be healthy?

• Please incorporate photos from your Windshield/Walking Survey within your
PowerPoint to show the community! Avoid using pictures of children. Include photos in

your PowerPoint to showcase the community (paint a picture) but remember this is
not an advertisement for the community but rather an assessment of its health.

• Please include major headings in your PowerPoint for the required elements including
adhering to 7th ed. APA formatting

Formulating the Community Health Diagnosis:

1. For this assignment, you will identify a priority health need and write a community health
diagnosis. You will write a community health diagnosis using the following format from
the Nies and McEwen (2019) text on page 103 in Chapter 6 (Fig. 6.3): Community
Assessment.

2. Start by using the community assessment that you have just completed in this assignment.
Next, using the format, write a diagnosis that is used to address the measure of concern
and add this to your PowerPoint.

3. The format for community health diagnosis is, “Increased risk of
______________(disability or disease) among ____________________(community or
population) related to ______________________(etiological statement) as demonstrated
in/as evidenced by ___________________ (health indicators).”

**Please include major headings in your PowerPoint for the required rubric elements

Community Assessment

Rubric

Excellent Satisfactory Unsatisfactory

1. Describe and define your

chosen

community/community

vitality (e.g.,

location/geography, what

does your community look

like).

*must include vital

statistics such as births,

deaths, including

population density,

population at last census,

any unique fluctuations,

age, race, income, gender,

etc., from NURS 400

LibGuide

Clearly describes

community. The

observation is

thorough, and all

issues are

addressed.

Includes census

data is provided.

(15-20 points)

Minimally describes

community and

lacks details

regarding census

data.

(9-14 points)

Does not describe

the community

and/or provides

little to no census

data.

(0 –8 points)

2. Community Assessment

– Walking or Windshield

Survey (refer to Nies &

McEwen Box 6. 2

Questions to Guide

Community Observations

During a Windshield

Survey). Describes and

evaluates main findings

from windshield survey

and the descriptions as a

guide as you drive or walk

through the defined

community.

• Provide a clear

overview of the

community

• Helps to identify

needs, clarifying

problems, and

identifying

strengths and

Clearly describes

and evaluates a

thorough

Windshield

Survey of the

community.

(15-20 points)

Minimally

describes/evaluates

most aspects of the

community using a

Windshield Survey.

(9-14 points)

Does not adequately

describe the

community using a

Windshield Survey.

The information is

incomplete, with

many/all assessment

aspects missing.

(0 –8 points)

resources within

the/your identified

community.

• Included your own

pictures (not stock

photos) with

comments/

information from

Windshield survey

3. Vital Statistics/Data

Collection

Describe indicators of the

following social/economic

needs in your community

assessment:

• Describe people

(who is part of the

community)

• Population data

such as age, gender,

race/ethnicity,

marital

status/family

• Religion, education

levels, income,

employment,

unemployment,

closed businesses,

housing

Clearly describes

social/economic

characteristics of

the community

including vital

statistics listed in

bulleted points.

(8-10 points)

Minimally describes

social/economic

characteristics of the

community and

includes part of the

vital statistics listed

in bulleted points.

(5-7 points)

Does not describe

social/economic

characteristics

and/or does not

include vital

statistics listed in

bulleted points.

(0-4 points)

4. Describe community

environmental/physical

conditions and

characteristics related to

health (e.g., climate, air

quality, pollution, disaster

history, housing, sanitation,

etc.).

Clearly describes

environmental

conditions related

to community

assessment

findings.

(4-5points)

Minimally describes

environmental

conditions related to

community

assessment findings.

(2-3 points)

Does not describe

environmental

conditions related to

community

assessment findings.

(0 points)

5.Describe health resources

within your community

assessment (e.g., health

personnel/offices, doctors,

dentists, hospitals, health

department, treatment

centers, homeless shelters,

etc.) AND describe the

community attitude toward

health/health care.

Clearly describes

health resources

within

community.

(6-8 points)

Minimally describes

health resources

within community.

(3-5 points)

Does not describe

health resources

within community.

(0 points)

6.Describe social

functioning (e.g., the level

of social and emotional

support community

members receives from

friends and/or family, etc.)

Clearly describes

social functioning

within

community.

(4-5 points)

Minimally describes

social functioning

within community

(2-3 points)

Does not describe

social functioning

within community.

(0 points)

7. Key Informant

Interview: Include one key

informant interview that is

a non-nurse professional

(interprofessional

collaboration) from the

community– interviewed

with data included in the

assessment (can be a

selected community

member, which includes,

informal leaders, church

deacons, school nurses,

social workers, or other

community members that

represent or work with

your community of

interest) See your Nies &

McEwen textbook for help

with questions for your

interview. Note the

purpose of this interview is

to address public health

issues in the community.

See the assignment

description found in the

Accurately

includes one key

informant

interview

providing

sufficient data

from community

assessment.

(4-5 points)

Does not accurately

include key

informant interview

and contains

adequate data from

community

assessment.

(2-3 points)

No key informant

identified and/or

major aspects of the

key informant

interview/data are

missing or

inadequate.

(0 points)

syllabus for questions that

must be asked of the

informant.

8. Analyze community data

and describe the

community problem:

Problem Statement

• Description of

problem with

problem statement

• Rationale for

problem chosen

• What are the

strengths and

problems for this

community?

• What are the risk

factors?

• What factors

contribute to the

problems?

Clearly analyzes

and describes

community data

and problem(s)

within the

community.

(8-10 points)

Minimally

analyzes/describes

community data and

problem(s) within

the community.

(5-7 points)

Does not adequately

analyze or describe

community data and

problem(s) within

the community.

(0-4 points)

9. Describe two other
credible sources of health
data about the community
(from sources at the
NU400 Library Guides)

**Explain the value of
applying population data to
identify priority concerns
and health outcomes

** Explain the value of
EBP as integral to
determining the best
clinical practice in
community health nursing

At least two other
sources of health
data included

The value of
population data
and EBP clearly
explained

(3.25 to 2.25
points)

One source of health

data included from

the NURS 400

Library Guides

(1.25-2.0 points)

No source from the

NURS 400 Library

Guide was used

(0-1.0 points)

10. Formulate a

Community Health

Nursing Diagnosis

(justifying identified

Clearly identifies

and formulates

community health

diagnosis based

on assessment

Minimally

identifies/formulates

community health

diagnosis based on

assessment findings.

Does not identify

and/or formulate a

community health

diagnosis based on

assessment findings.

priority primary need—the

most important need).

The format for community

health diagnosis is (4-part

statement), “Increased risk

of

______________(disability

or disease) among

____________________(c

ommunity or population

focus) related to

______________________

(etiological statement) as

demonstrated in/as

evidenced by

_________________(healt

h indicators).”

findings. Linkages

between

assessment

findings and

identified risks

and health

indicators are

clear.

(5-7 points)

(4-6 points) (0-3 points)

11. Identify limitations or

barriers to data collection

that you experienced

At least three

limitations or

barriers were

clearly described

(3.25 to 2.25
points)

Partial limitations or

barriers to data

collection were

included

(1.25-2.0 points)

Limitations or

barriers to data

collection were not

included

(0-1.0 points)

12. Writing Mechanics

(e.g., grammar and

spelling) through

PowerPoint.

Compile information into

PowerPoint formatting per

7th ed APA manual.

**Please include major

headings in your

PowerPoint for the

required rubric elements.

Correctly uses

APA format

including section

headers, citations,

and reference

page. Spelling,

grammar,

sentence structure

is essentially error

free.

(2 points)

Frequent errors (4-5

errors) occur with

spelling, grammar,

sentence structure

throughout

PowerPoint.

(1 points)

Numerous errors

(>6 errors) occur

with APA

format/writing

mechanics

consistently

throughout

PowerPoint.

(0 points)

13. The project must

include at least four

different (credible)/current

evidence-based sources of

data that are presented

within the last 5-7 years,

Includes a

minimum of four

current references

within the last 5-

10 years.

(1.5 points)

Includes a minimum

of two current

references within the

last 5-10 years and

(.75 points)

Not all references

are appropriate and

not from scholarly

sources. Fewer than

four references

used.

applicable to your

community/ aggregate

population.

(0 points)

FINAL SCORE (100

points total): points are

weighted in the

gradebook

*Complete the Verification Screenshot of the Community Assessment Assignment placed in

the NURS1100 portfolio by the due date to receive grade credit.