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nutrition

 You are what you eat.” Have you ever heard that? Although that saying is not exactly true, what we do eat does impact how we concentrate in class, work, perform in sports, and even affects our moods. The purpose of this activity is to deepen learning through reflective thinking. Follow these guidelines when completing this assignment: 

 

  • Keep a log of the foods and drinks you consumed (breakfast, lunch, dinner, snacks) from Monday through Friday (no weekends).
  • After reviewing your food log at the end of week 1, please answer the questions below:
  • How many days did you eat breakfast? __________
  • How many days did you eat at least 1 fruit? __________
  • How many days did you eat at least 1 vegetable? _________
  • How many days did you eat “junk food” (chips, candy, etc.)? ________
  • How many days did you drink soda? ______
  • How many total ounces of water did you drink per day? ______

At the end of the week, reflect on what you ate for the week. Rate your nutrition for that week on a scale from 1 – 10 (with 10 being the best). Support your answer with examples of why you gave yourself that rating. Describe ONE change you would like to make to your diet. Reflect on what went well and what could be improved. Be sure to write in complete sentences. A strong paragraph is at least 5 sentences.

Submission Instructions:

  • The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
  • The paper should be at least 5 sentences (approximately 100 words) in length.

    Using the format build a SOAP note for an women 27 years old female who comes to women health consultation to discuss results of pap smear positive for intraepithelial lession stage 1 (NIC 1)

    Using the format build a SOAP note for an women 29 years old female  who comes to women health consultation to discuss results of pap smear positive for hpv intraepithelial lession stage 1 (NIC 1) elaborate treatment plan. Use scholarly references no old than 5 years old. 

    (Student Name)

    Date of Encounter:

    Preceptor/Clinical Site:

    Clinical Instructor:

    Soap Note # ____ Main Diagnosis ______________

    PATIENT INFORMATION

    Name:

    Age:

    Gender at Birth:

    Gender Identity:

    Source:

    Allergies:

    Current Medications:

    ·

    PMH:

    Immunizations:

    Preventive Care:

    Surgical History:

    Family History:

    Social History:

    Sexual Orientation:

    Nutrition History:

    Subjective Data:

    Chief Complaint:

    Symptom analysis/HPI:

    The patient is …

    Review of Systems (ROS) (This section is what the patient says, therefore should state Pt denies, or Pt states….. )

    CONSTITUTIONAL:

    NEUROLOGIC:

    HEENT:

    RESPIRATORY:

    CARDIOVASCULAR:

    GASTROINTESTINAL:

    GENITOURINARY:

    MUSCULOSKELETAL:

    SKIN:

    Objective Data:

    VITAL SIGNS:

    GENERAL APPREARANCE:

    NEUROLOGIC:

    HEENT:

    CARDIOVASCULAR:

    RESPIRATORY:

    GASTROINTESTINAL:

    MUSKULOSKELETAL:

    INTEGUMENTARY:

    ASSESSMENT:

    (In a paragraph please state “your encounter with your patient and your findings ( including subjective and objective data)

    Example : “Pt came in to our clinic c/o of ear pain. Pt states that the pain started 3 days ago after swimming. Pt denies discharge etc… on examination I noted this and that etc.)

    Main Diagnosis

    (Include the name of your Main Diagnosis along with its ICD10 I10. (Look at PDF example provided) Include the in-text reference/s as per APA style 6th or 7th Edition.

    Differential diagnosis (minimum 3)

    (Include the name of differential Diagnosis along with its ICD10 I10. (Look at PDF example provided) Include the in-text reference/s as per APA style 6th or 7th Edition.

    PLAN:

    Labs and Diagnostic Test to be ordered (if applicable)

    · –

    · –

    Pharmacological treatment:

    Non-Pharmacologic treatment:

    Education (provide the most relevant ones tailored to your patient)

    Follow-ups/Referrals

    References (in APA Style)

    Examples

    Codina Leik, M. T. (2014). Family Nurse Practitioner Certification Intensive Review (2nd ed.).

    ISBN 978-0-8261-3424-0

    Domino, F., Baldor, R., Golding, J., Stephens, M. (2010). The 5-Minute Clinical Consult 2010

    (25th ed.). Print (The 5-Minute Consult Series).

    image1.png

    What makes a team?

     

    Reflect on your experiences as a member of a clinical team. What makes a team effective or ineffective in terms of achieving expected outcomes for the patients? (Saunders, 2014)

    Submission Instructions:

    • Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. 

      Discussion 3

       

      Urinary Function:
      Mr. J.R. is a 73-year-old man, who was admitted to the hospital with clinical manifestations of gastroenteritis and possible renal injury. The patient’s chief complaints are fever, nausea with vomiting and diarrhea for 48 hours, weakness, dizziness, and a bothersome metallic taste in the mouth. The patient is pale and sweaty. He had been well until two days ago, when he began to experience severe nausea several hours after eating two burritos for supper. The burritos had been ordered from a local fast-food restaurant. The nausea persisted and he vomited twice with some relief. As the evening progressed, he continued to feel “very bad” and took some Pepto-Bismol to help settle his stomach. Soon thereafter, he began to feel achy and warm. His temperature at the time was 100. 5°F. He has continued to experience nausea, vomiting, and a fever. He has not been able to tolerate any solid foods or liquids. Since yesterday, he has had 5–6 watery bowel movements. He has not noticed any blood in the stools. His wife brought him to the ER because he was becoming weak and dizzy when he tried to stand up. His wife denies any recent travel, use of antibiotics, laxatives, or excessive caffeine, or that her husband has an eating disorder.

      Case Study Questions

      1. The attending physician is thinking that Mr. J.R. has developed an Acute Kidney Injury (AKI). Analyzing the case presented name the possible types of Acute Kidney Injury. Link the clinical manifestations described to the different types of Acute Kidney injury.
      2. Create a list of risk factors the patient might have and explain why.
      3. Unfortunately, the damage on J.R. kidney became irreversible and he is now diagnosed with Chronic kidney disease. Please describe the complications that the patient might have on his Hematologic system (Coagulopathy and Anemia) and the pathophysiologic mechanisms involved.

      Reproductive Function:
      Ms. P.C. is a 19-year-old white female who reports a 2-day history of lower abdominal pain, nausea, emesis and a heavy, malodorous vaginal discharge. She states that she is single, heterosexual, and that she has been sexually active with only one partner for the past eight months. She has no previous history of genitourinary infections or sexually transmitted diseases. She denies IV drug use. Her LMP ended three days ago. Her last intercourse (vaginal) was eight days ago and she states that they did not use a condom. She admits to unprotected sex “every once in a while.” She noted an abnormal vaginal discharge yesterday and she describes it as “thick, greenish-yellow in color, and very smelly.” She denies both oral and rectal intercourse. She does not know if her partner has had a recent genitourinary tract infection, “because he has been away on business for five days.
      Microscopic Examination of Vaginal Discharge
      (-) yeast or hyphae
      (-) flagellated microbes
      (+) white blood cells
      (+) gram-negative intracellular diplococci

      Case Study Questions

      1. According to the case presented, including the clinical manifestations and microscopic examination of the vaginal discharge, what is the most probably diagnosis for Ms. P.C.? Support your answer and explain why you get to that diagnosis.
      2. Based on the vaginal discharged described and the microscopic examination of the sample could you suggest which would be the microorganism involved?
      3. Name the criteria you would use to recommend hospitalization for this patient

      Submission Instructions:

      • You must complete both case studies.
      • Your initial post should be at least 500 words per case study, formatted and cited in current APA style with support from at least 2 academic sources. 

        Week 1 Discussion 1

         

        What is transcranial magnetic stimulation (TMS), and what conditions does it treat? How TMS works? What are the risks, benefits, and side effects?

        The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) Two scholarly source references are required.

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