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Danny Rivera Focused Exam: Cough Results – Health Assessment – January 2023

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Danny Rivera Focused Exam: Cough Results – Health Assessment – January 2023

Transcript

All Lines (141)Interview Questions (37)Statements (2)Exam Actions (102)

Hello!
Hi. I’m Preceptor Diana. I will explain the details of this assignment and your objectives, just as a preceptor would in real life. Pay close attention to this information as it will help guide your exam. At the end of this prebrief, you will answer a short question about the upcoming assignment. During the simulation, you may return to these instructions at any time by scrolling to the top of your transcript.
What is the situation?
Your patient is Danny Rivera, an 8-year-old Puerto Rican boy presenting with a cough in the Shadowville Elementary nurse’s office. Your role in this simulation is that of a healthcare provider who will perform a focused history and physical examination in order to collect data, assess Danny’s condition, and transfer care. In this simulation, you will be able to perform procedures not always typical to a school setting so you can gather as much data as possible.
What are my objectives in this assessment?
Danny is very health literate and a good historian of his own health history; he can answer questions that not every child may be able to. In your interview with Danny, you will ask about the history of his presenting illness and the functioning of relevant systems in order to obtain subjective data related to his cough. If you discover any disease states, ask about symptoms and the patient’s experiences of them. Your questioning should cover a broad array of the symptoms’ characteristics. You will also inquire into the health history of Danny’s family so you can determine his genetic predisposition to any diseases. In addition to collecting subjective data, you will perform a physical exam on Danny to gather objective data about his health and physiology. Throughout the conversation, you should educate and empathize with Danny when appropriate to increase his health literacy and sense of well-being. While you should communicate with patients using accessible, everyday language, it is standard practice to use professional medical terminology everywhere else, such as in documenting physical findings and nursing notes. You may complete the exam activities in any order and move between them as needed.
What else will this exam involve?
Because Danny is a pediatric patient, you will also be required to make a phone call to his guardian’s home to gather additional information. You can document your findings, including vital signs, in the Electronic Health Record. This record provides necessary information for healthcare professionals who will continue patient care. After the exam, you will transfer care of the patient to me, Preceptor Diana, communicating key information about the Situation, Background, Assessment, and Recommendation, or SBAR. Activities other than Subjective and Objective Data Collection, and Education and Empathy, provide valuable practice for their real-world counterparts. However, they are not automatically graded by the simulation.
How will I be evaluated?
In this assignment, you will be evaluated on your Subjective and Objective Data Collection, as well as Education and Empathy. The evaluation of your interview is dependent on how you word your questions therapeutically and precisely and explore all relevant topics with comprehensive breadth and depth. The evaluation of your physical exam is based on how successfully you report on your physical findings by selecting among clinical terms in the Electronic Health Record. Your success in Education and Empathy is based on whether you promptly respond after identifying a moment worthy of therapeutic communication. This assignment takes on average between 40 and 60 minutes. You can pause and resume the assignment at any time; your work is always saved automatically.
How does this assignment prepare me for the real world?
In this assessment, you will become familiarized with the structure and content of a cough focused exam so that with real-life patients, you can: º ask effective and comprehensive questions º educate and empathize with the patient º evaluate the patient’s risk of disease, infection, injury, and complications º obtain and assess objective data. º and transfer patient care using SBAR.
In 1 or 2 sentences, answer this question to help prepare for the upcoming exam: What strategies can you use to develop rapport with a pediatric patient?
Being friendly to the patient by being an active listener, repeating what the patient said and showing the patient you understand what they mean.
Time to begin.
 Washed hands.
Hello, my name is Nukol. I will be your nurse today.
Hi.
What brings you here today?
My music teacher Mr. Hillman sent me here because he said I look sick. I have been coughing a lot. . . and I feel kinda tired.
I am sorry to hear that
Thanks.
When did the cough start?
I think the cough started two . . . No, it started three days ago.
How frequent is the cough?
I just keep feeling like I have to cough every couple minutes or so. I think it gets worse at night.
What is the characteristics of the cough?
My cough seems kind of gurgly and watery.
What aggravates the cough?
I don’t think anything makes my cough be worse.
What relieves the cough?
My mom gave me some medicine this morning. . . that helped my cough a little. I don’t remember what it was called though, sorry.
What are the nasal symptoms?
My nose is runny. It’s runny a lot of the time.
Do you have nasal discharge?
My nose is always a little bit runny. . .but ever since I started coughing it’s been worse, I think.
what colour is the nasal discharge?
You mean like when I blow my nose? It’s clear.
Do you have any ear discharge?
No, nothing comes out of my ears.
Do you have any ear pain?
My ears are okay. They don’t hurt or anything.
Do you have throat problem?
My throat is a little bit sore, but just a little bit.
Do you have any allergies?
I don’t think I have any allergies.
Have you sort any medication? (Clarified to Do you have medical problems?.)
Oh, well, I have been sick before and I’m sick now . . . I had pneumonia once. Last year. My mom was really scared. She says I used to get earaches a lot too. (Clarified to if I have medical problems.)
Have you taken any medication?
My mom gave me some medicine this morning. . . that helped my cough a little. I don’t remember what it was called though, sorry.
What colour was the medicine?
Um, it was purple-ish. It tasted gross.
Have you taken any home medications? (Clarified to Have you taken medicine for your cough?.)
My mom gave me some medicine this morning. . . that helped my cough a little. I don’t remember what it was called though, sorry. (Clarified to if I have taken medicine for my cough.)
Do you have any medical history?
Oh, well, I have been sick before and I’m sick now . . . I had pneumonia once. Last year. My mom was really scared. She says I used to get earaches a lot too.
Are you exposed to secondhand smoke?
Well . . . sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. I breathe it a little bit then, but it’s not all the time or anything. I don’t like how it smells, and I don’t like that he is hurting himself. He could get sick.
Secondhand smoke exposure can be harmful to you
OK.
How is your living condition?
My cough seems kind of gurgly and watery.
Where do you live?
I live in Shadowville.
do you have breathing problem?
I breathe OK, but my nose is always kinda runny.
Have you exposed yourself to germs? (No matching questions found.)
Were you exposed to germs?
Um… no… [AUDIO COMING SOON]
Do you wash hands frequently?
Not a lot. I only wash them if they’re really dirty, or Abuela says we’re about to eat.
How is your cough etiquette?
My cough seems kind of gurgly and watery.
Do you cover your mouth while coughing? (Clarified to Do you cover your mouth when you cough?.)
When I cough, I like to let it all out. (Clarified to if I cover my mouth when I cough.)
Did you play with an ill child?
Cindy was coughing when she was at my house the other day. But she still beat me at checkers.
Do you take vitamins?
Oh yeah, I take vitamins every day! The gummy dinosaur kind. I don’t think I’m supposed to, but sometimes I sneak extra ones to be super healthy!
Do you play in school? (Clarified to Do you do a lot of playing?.)
I don’t play any sports on a team, but Tony and I play outside. We like to skateboard and shoot hoops. (Clarified to if I do a lot of playing.)
Any relevant family history?
My mom’s got diabetes, cholesterol, and high blood pressure. Papi talks about his cholesterol sometimes, and he smokes cigars. I know that’s bad, especially because mom says he had asthma when he was little. Probably my age. Uch, it sounds like a lot when I say it altogether like that. . .
 Measured blood pressure
 Measured heart rate
 Measured pulse oximetry
 Measured respiratory rate
 Measured temperature
 Tested lung capacity with spirometer: FEV1: 1.549 L, FVC 1.78 L (FEV1/FVC: 87%)
 Inspected right orbital area and sclera
 Inspected left orbital area and sclera
 Inspected upper conjunctiva
 Inspected lower conjunctiva
 Performed otoscopic examination of right ear
 Performed otoscopic examination of left ear
 Performed otoscopic examination of right naris
 Performed otoscopic examination of left naris
 Inspected mouth
 Inspected front of neck
 Inspected left side of neck
 Inspected front of neck
 Inspected right side of neck
 Inspected back of neck
 Inspected left side of neck
 Inspected back of neck
 Inspected right side of neck
 Inspected front of neck
 Inspected anterior chest wall
 Inspected posterior chest wall
 Inspected anterior chest wall
 Palpated frontal sinuses: No tenderness reported
 Palpated frontal sinuses: No tenderness reported
 Palpated maxillary sinuses: No tenderness reported
 Palpated lymph nodes of head and neck: Enlarged and reported tenderness on the right side
 Palpated supraclavicular lymph nodes: Not palpable
 Palpated axillary lymph nodes: Not palpable
 Palpated supraclavicular lymph nodes: Not palpable
 Palpated fremitus in anterior upper chest wall: Present and equal bilaterally
Ninety-nine.
 Palpated fremitus in anterior lower chest wall: Present and equal bilaterally
Ninety-nine.
 Palpated fremitus in posterior upper chest wall: Present and equal bilaterally
Ninety-nine.
 Palpated fremitus in posterior middle chest wall: Present and equal bilaterally
Ninety-nine.
 Palpated fremitus in posterior lower chest wall: Present and equal bilaterally
Ninety-nine.
 Palpated chest expansion: Both sides rise symmetrically
 Auscultated breath sounds in anterior right upper lobe
 Auscultated breath sounds in anterior left upper lobe
 Auscultated breath sounds in anterior right upper lobe
 Auscultated breath sounds in anterior left middle lobe
 Auscultated breath sounds in anterior right middle lobe
 Auscultated breath sounds in anterior left middle lobe
 Auscultated breath sounds in anterior right lower lobe
 Auscultated breath sounds in anterior left lower lobe
 Auscultated breath sounds in posterior left upper lobe
 Auscultated breath sounds in posterior right upper lobe
 Auscultated breath sounds in posterior left mid-back (lower lobe)
 Auscultated breath sounds in posterior right mid-back (lower lobe)
 Auscultated breath sounds in posterior left lower lobe near spine
 Auscultated breath sounds in posterior right lower lobe near spine
 Auscultated breath sounds in posterior left lower lobe on side
 Auscultated breath sounds in posterior left lower lobe
 Auscultated breath sounds in posterior right lower lobe
 Auscultated breath sounds in posterior right lower lobe on side
 Auscultated voice sounds in anterior right upper lobe
 Auscultated voice sounds in anterior left upper lobe
 Auscultated voice sounds in anterior right upper lobe
 Auscultated voice sounds in anterior left mid-chest (upper lobe)
Ninety-nine.
Ninety-nine.
 Auscultated voice sounds in anterior right middle lobe
 Auscultated voice sounds in anterior left mid-chest (upper lobe)
 Auscultated voice sounds in anterior left lower lobe
 Auscultated voice sounds in anterior right lower lobe
 Auscultated voice sounds in posterior left upper lobe
Ninety-nine.
 Auscultated voice sounds in posterior right upper lobe
 Auscultated voice sounds in posterior left mid-back (lower lobe)
 Auscultated voice sounds in posterior right mid-back (lower lobe)
Ninety-nine.
Ninety-nine.
 Auscultated voice sounds in posterior right lower lobe near spine
Ninety-nine.
 Auscultated voice sounds in posterior left lower lobe near spine
Ninety-nine.
 Auscultated voice sounds in posterior left lower lobe on side
 Auscultated voice sounds in posterior left lower lobe
Ninety-nine.
 Auscultated voice sounds in posterior right lower lobe
Ninety-nine.
 Auscultated voice sounds in posterior right lower lobe on side
Ninety-nine.
 Auscultated aortic area with the bell
 Auscultated pulmonic area with the bell
 Auscultated pulmonic area with the diaphragm
 Auscultated Erb’s point with the diaphragm
 Auscultated tricuspid area with the diaphragm
 Auscultated tricuspid area with the bell
 Auscultated mitral area with the bell
 Auscultated mitral area with the diaphragm
 Percussed anterior right upper lobe
 Percussed anterior left upper lobe
 Percussed anterior right middle lobe
 Percussed anterior left mid-chest (upper lobe)
 Percussed anterior right lower lobe
 Percussed anterior left lower lobe
 Percussed posterior left upper lobe
 Percussed posterior right upper lobe
 Percussed posterior left mid-back (lower lobe)
 Percussed posterior right mid-back (lower lobe)
 Percussed posterior left lower lobe
 Percussed posterior right lower lobe
 Percussed posterior left lower lobe on side
 Percussed posterior left lower lobe near spine
 Percussed posterior right lower lobe near spine
 Percussed posterior left right lobe on side
 Measured diaphragmatic excursion: 3 cm

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Subjective Data Collection: 22 of 22 (100.0%)

Hover over the Patient Data items below to reveal important information, including Pro Tips and Example Questions.

Found:

Indicates an item that you found.

Available:

Indicates an item that is available to be found.

Category

Scored Items

 

Experts selected these topics as essential components of a strong, thorough interview with this patient.

Patient Data

Not Scored

A combination of open and closed questions will yield better patient data. The following details are facts of the patient’s case.

Chief Complaint

 

Finding:

Established chief complaint

 

Finding:

Reports cough

(Found)

Pro Tip: Asking a patient broadly about their chief complaint allows them to answer in their own words and confirm information that you may have already received from another source.

Example Question:

Do you have a cough?

History of Presenting Illness

 

Finding:

Asked about onset of cough

 

Finding:

Reports cough started 3 days ago

(Found)

Pro Tip: Whenever you are assessing a symptom or a health condition, in this case the patient’s cough, inquiring about onset assesses the severity and the progression of the problem.

Example Question:

How long have you had a cough?

 

Finding:

Asked about characteristics of cough

 

Finding:

Reports cough is wet

(Found)

Pro Tip: The characteristics of a cough, such as whether it is dry or wet, can indicate key information about the type of illness the patient has.

Example Question:

Is your cough a wet cough?

 

Finding:

Reports clear sputum with cough

(Found)

Pro Tip: The characteristics of a cough, such as whether it is productive, can indicate key information about the type of illness the patient has.

Example Question:

Do you produce any phlegm or sputum with your cough?

 

Finding:

Asked about frequency and duration of cough

 

Finding:

Reports coughing every few minutes

(Found)

Pro Tip: Establishing how frequently Danny coughs will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers.

Example Question:

How frequently are you coughing?

 

Finding:

Reports coughs last a few seconds

(Available)

Pro Tip: Establishing how long Danny’s coughs last will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers.

Example Question:

How long do your coughs last?

 

Finding:

Asked about aggravating factors for cough

 

Finding:

Reports cough is worse at night

(Found)

Pro Tip: Establishing a timeline for Danny’s coughing will illustrate how long he has been suffering these particular symptoms and might indicate possible triggers.

Example Question:

Is the cough worse at night?

 

Finding:

Denies smoking

(Available)

Pro Tip: Tobacco use puts the patient at risk for many medical conditions. Asking even young patients about whether they consume tobacco products helps you assess this risk factor.

Example Question:

Do you smoke?

 

Finding:

Reports being exposed to secondhand smoke through father

(Found)

Pro Tip: Tobacco use puts the patient at risk for many medical conditions. Asking about whether a patient is exposed to secondhand smoke allows you to assess this risk factor.

Example Question:

Are you ever around cigarette smoke?

 

Finding:

Reports he doesn’t know what triggers the cough

(Found)

Pro Tip: Asking about aggravating factors of Danny’s cough will allow you to determine potential causes and educate the patient on what to avoid.

Example Question:

What makes your cough worse?

 

Finding:

Asked about exposure to germs

 

Finding:

Reports playing with an ill classmate

(Found)

Pro Tip: Asking about Danny’s exposure to illnesses will allow you to counsel him on effective hygiene, as well as potentially determine the cause of his current symptoms.

Example Question:

Have you come in contact with anyone sick?

 

Finding:

Asked about hand hygiene

 

Finding:

Reports infrequent hand washing

(Found)

Pro Tip: Asking about Danny’s hand washing practices will allow you to counsel him on effective hygiene.

Example Question:

How often do you wash your hands?

 

Finding:

Reports occasionally putting fingers in eyes, nose, or mouth

(Available)

Pro Tip: Asking about Danny’s hand washing practices will allow you to counsel him on effective hygiene.

Example Question:

Do you ever touch your eyes, nose, or mouth?

 

Finding:

Asked about cough etiquette

 

Finding:

Denies covering mouth when coughing

(Found)

Pro Tip: Asking about Danny’s cough etiquette will allow you to counsel him on effective hygiene and reduce the risk of him infecting other people.

Example Question:

Do you cover your mouth when you cough?

 

Finding:

Asked about relieving factors for cough

 

Finding:

Reports cough is temporarily relieved by cough medicine

(Found)

Pro Tip: Asking about how the patient has been managing their pain assesses their current condition and their approach to self-care. The results of their previous treatment may be helpful in your diagnosis and the development of their new treatment plan, as well as a good opportunity to educate the patient on effective self-care practices.

Example Question:

Have you done anything to treat your cough?

 

Finding:

Followed up on cough medicine

 

Finding:

Reports cough medicine was purple

(Found)

Pro Tip: The type of cough medicine a patient takes, and how they take it, can impact its effectiveness. Following up on the cough medicine’s color may help you identify the type of medication it is.

Example Question:

What color was the cough medicine?

 

Finding:

Reports taking one spoonful of cough medicine

(Available)

Pro Tip: The type of cough medicine a patient takes, and how they take it, can impact its effectiveness. Following up on the dose of cough medicine allows you to determine whether it is being taken correctly.

Example Question:

How much medicine did you take?

 

Finding:

Reports mother gave him the medicine

(Found)

Pro Tip: Children should only take medication under the supervision of an adult who can assure it is taken as directed. You should ask younger patients whether the medicine was given to them and by whom.

Example Question:

Who gave you the medicine for your cough?

 

Finding:

Reports only took the medicine this morning

(Found)

Pro Tip: The type of cough medicine a patient takes, and how they take it, can impact its effectiveness. Following up on the frequency Danny took cough medicine allows you to determine whether it is being taken correctly.

Example Question:

How many times have you taken the cough medicine?

 

Finding:

Denies home remedies

(Available)

Pro Tip: Patients sometimes try non-medicinal home remedies to treat coughs, such as breathing steam, or drinking tea with honey. Not all home remedies are effective or advisable, so it’s important to find out what remedies the patient has tried.

Example Question:

Have you tried any home remedies for your cough?

 

Finding:

Asked about typical medication use

 

Finding:

Denies taking medication

(Available)

Pro Tip: Knowing a patient’s current medication regimen helps you determine if any future treatments will be safe and effective.

Example Question:

Do you take any medications from a doctor?

 

Finding:

Reports taking daily vitamin

(Found)

Pro Tip: Some symptoms can occur as a result of a vitamin deficiency, and others as a result of vitamin excess. Vitamins can also interfere with some treatments, so it’s important to know what your patient is taking.

Example Question:

Do you take vitamins?

 

Finding:

Asked about activity level

 

Finding:

Reports typical high activity level

(Found)

Pro Tip: Establishing a patient’s typical activity level is an important baseline to help you determine how an illness is affecting his life.

Example Question:

Are you usually active?

 

Finding:

Reports activity level low since getting sick

(Available)

Pro Tip: Establishing a patient’s activity level, and whether it has been impacted since becoming ill, is an important baseline to help you determine how an illness is affecting his life.

Example Question:

Have you been less active since getting sick?

 

Finding:

Reports still able to run or play

(Available)

Pro Tip: Ability to remain active indicates that the patient’s breathing is not dangerously affected, and that the patient isn’t seriously fatigued.

Example Question:

Are you able to keep up when you play with your classmates?

 

Finding:

Reports focusing in class is difficult

(Available)

Pro Tip: Mental lethargy and difficulty concentrating are common symptoms when a patient is sick.

Example Question:

Are you able to focus in class?

 

Finding:

Asked about nasal symptoms

 

Finding:

Reports current runny nose

(Found)

Pro Tip: Asking your patient if his nose is running will allow you to determine the symptoms he is experiencing and possible triggers.

Example Question:

Do you currently have a runny nose?

 

Finding:

Denies sneezing

(Available)

Pro Tip: Asking your patient if he has been sneezing will allow you to determine the symptoms he is experiencing and possible triggers.

Example Question:

Have you been sneezing?

 

Finding:

Followed up on nasal discharge

 

Finding:

Reports nasal discharge is clear

(Found)

Pro Tip: The color of a patient’s nasal discharge can provide you key information as to the type of condition the patient has.

Example Question:

What color is your snot?

 

Finding:

Reports nasal discharge is thin

(Available)

Pro Tip: The consistency of a patient’s nasal discharge can provide you key information as to the type of condition the patient has.

Example Question:

What is the consistency of your nasal discharge?

 

Finding:

Asked about ear symptoms

 

Finding:

Denies ear pain

(Found)

Pro Tip: Ear pain is often coincident with coughs and sinus problems. Asking about them allows you to ascertain if Danny needs follow-up care for his ears.

Example Question:

Do you have any ear pain?

 

Finding:

Reports history of frequent ear infections

(Found)

Pro Tip: Asking about Danny’s history of ear infections allows you to ascertain his risk for current and future ear infections.

Example Question:

Have you ever had ear infections?

 

Finding:

Denies ear discharge

(Found)

Pro Tip: Asking Danny about ear discharge, which are often coincident with of ear infections, allows you to ascertain his risk for current and future ear infections.

Example Question:

Do you have any ear discharge?

 

Finding:

Denies hearing problems

(Available)

Pro Tip: Simply talking with the patient assesses his hearing; however, some types of hearing loss are only apparent in specific settings such as noisy environments. Asking the patient about hearing problems identifies conditions that may not be readily apparent.

Example Question:

Do you have any hearing problems?

 

Finding:

Asked about throat symptoms

 

Finding:

Reports sore throat

(Found)

Pro Tip: Sore throats are often coincident with coughs and sinus problems. Asking about them allows you to ascertain if Danny needs follow-up care for his throat.

Example Question:

Is your throat sore?

 

Finding:

Reports a little pain with swallowing

(Available)

Pro Tip: Pain when swallowing helps you understand how severe the patient’s sore throat is.

Example Question:

Does it hurt when you swallow?

Past Medical History

 

Finding:

Asked about relevant medical history

 

Finding:

Reports frequent runny noses

(Found)

Pro Tip: Asking how often Danny experiences runny noses like the one he has now may help you determine the source of the problem.

Example Question:

Do you get runny noses often?

 

Finding:

Reports past frequent coughs

(Available)

Pro Tip: A patient experiencing a cough should be asked about their history of coughs so you can determine whether their current condition fits into a recurring pattern.

Example Question:

Do you have coughs very often?

 

Finding:

Reports past pneumonia

(Found)

Pro Tip: Pneumonia is a serious medical condition that can be life-threatening if not managed appropriately. Regardless of the patient’s presenting illness, it is critical to identify current medical conditions in order to treat the patient appropriately. Specific questions should be asked about previous medical problems, even if the patient doesn’t notice current symptoms.

Example Question:

Have you had pneumonia?

 

Finding:

Denies asthma diagnosis

(Available)

Pro Tip: Asthma is a serious medical condition that can be life-threatening if not managed appropriately. Regardless of the patient’s presenting illness, it is critical to identify current medical conditions in order to treat the patient appropriately. Specific questions should be asked about previous medical problems, even if the patient doesn’t notice current symptoms.

Example Question:

Do you have asthma?

 

Finding:

Reports immunizations as current

(Available)

Pro Tip: A health assessment should include an evaluation of the patient’s immunization status in order to identify diseases to which the patient is vulnerable.

Example Question:

Do you have current immunizations?

 

Finding:

Asked about allergies

 

Finding:

Denies seasonal allergies

(Found)

Pro Tip: Seasonal allergies can cause symptoms like runny nose, cough, and discomfort. Asking Danny if he has seasonal allergies can help you to ascertain possible triggers for symptoms.

Example Question:

Do you have seasonal allergies?

 

Finding:

Denies food allergies

(Found)

Pro Tip: Knowing if your patient has food allergies is important and relevant medical history. Asking your patient about food allergies will allow you to most effectively treat him.

Example Question:

Do you have food allergies?

 

Finding:

Denies medication allergies

(Found)

Pro Tip: Knowing if your patient has allergies to medicine is important and relevant medical history. Asking your patient about medicine allergies will allow you to most effectively treat him.

Example Question:

Are you allergic to any medication?

 

Finding:

Asked relevant family history

 

Finding:

Reports father has history of asthma

(Found)

Pro Tip: Medical problems such as asthma that are present in a patient’s immediate family can represent increased risk factors to respiratory conditions such as the ones the patient currently has.

Example Question:

Do you have a family history of asthma?

 

Finding:

Denies family history of allergies

(Available)

Pro Tip: Medical problems such as allergies that are present in a patient’s immediate family can represent increased risk factors to respiratory conditions such as the ones the patient currently has.

Example Question:

Do you have a family history of allergies?

Review of Systems

 

Finding:

Asked about constitutional health

 

Finding:

Denies chills

(Available)

Pro Tip: Soliciting a shallow history of your patient’s symptoms will help you to most effectively treat him. Asking Danny if he has chills will illustrate the way his symptoms manifest.

Example Question:

Do you have chills?

 

Finding:

Denies fever

(Available)

Pro Tip: Soliciting a shallow history of your patient’s symptoms will help you to most effectively treat him. Asking Danny if he has a fever will illustrate the way his symptoms manifest.

Example Question:

Do you have a fever?

 

Finding:

Reports feeling somewhat fatigued

(Found)

Pro Tip: Soliciting a shallow history of your patient’s symptoms will help you to most effectively treat him. Asking Danny if he has fatigue will illustrate the way his symptoms manifest.

Example Question:

Do you have fatigue?

 

Finding:

Denies night sweats

(Available)

Pro Tip: Soliciting a shallow history of your patient’s symptoms will help you to most effectively treat him. Asking Danny if he has night sweats will illustrate the way his symptoms manifest.

Example Question:

Do you have night sweats?

 

Finding:

Reports cough makes it difficult to sleep

(Available)

Pro Tip: Soliciting a shallow history of your patient’s symptoms will help you to most effectively treat him. Asking Danny if he has had difficulty sleeping will illustrate the way his symptoms manifest.

Example Question:

Have you been sleeping okay?

 

Finding:

Denies swelling

(Available)

Pro Tip: Soliciting a shallow history of your patient’s symptoms will help you to most effectively treat him. Asking Danny if he has had swelling will illustrate the way his symptoms manifest.

Example Question:

Have you noticed any swelling?

 

Finding:

Asked about additional review of systems for HEENT

 

Finding:

Reports frequent colds

(Available)

Pro Tip: A patient such as Danny who is presenting with a cough and a runny nose may have a cold, so you should ask about his history of colds to determine whether this is part of a larger pattern.

Example Question:

Do you have unusually frequent colds?

 

Finding:

Denies headaches

(Available)

Pro Tip: Headaches are a common complaint that can be caused by a variety of benign conditions. However, headaches can be an indicator of serious underlying neurological conditions such as cerebral hemorrhage, meningitis, or brain tumors. They may also be a symptom of sinus infection.

Example Question:

Do you get headaches?

 

Finding:

Denies nosebleeds

(Found)

Pro Tip: When a patient presents with symptoms that are often seen with respiratory infections, you should ask about similar signs of respiratory infections such as nosebleeds.

Example Question:

Do you have nosebleeds?

 

Finding:

Denies vision difficulty

(Available)

Pro Tip: Eye or vision problems can lower one’s ability to function and can be a major safety risk.

Example Question:

Do you have any problems with your vision?

 

Finding:

Denies dizziness

(Available)

Pro Tip: Asking about dizziness helps you assess the risk for inner ear, neurological, or cardiovascular problems.

Example Question:

Do you have any dizziness?

 

Finding:

Denies watery eyes

(Available)

Pro Tip: Whether a patient has watery eyes may help you indicate the type of sinus problem he is experiencing.

Example Question:

Do you have watery eyes?

 

Finding:

Denies eye redness

(Available)

Pro Tip: Whether a patient has eye redness may help you indicate the type of sinus problem he is experiencing.

Example Question:

Do you have eye redness?

 

Finding:

Denies eye pain

(Available)

Pro Tip: Eye pain can lower one’s ability to function and can be a major safety risk.

Example Question:

Do you have any eye pain?

 

Finding:

Denies sinus pain

(Available)

Pro Tip: Patients with sinus problems such as a runny nose may be at greater risk for sinus pain.

Example Question:

Do you have any sinus pain?

 

Finding:

Asked about review of systems for respiratory

 

Finding:

Denies chest tightness

(Available)

Pro Tip: Chest pain may indicate cardiac conditions, muscular inflammation, gastric upset, or respiratory distress. If chest tightness is present, asking about its location, characteristics, and related factors helps to determine the cause of the discomfort.

Example Question:

Do you have chest tightness?

 

Finding:

Denies chest pain

(Available)

Pro Tip: Chest pain may indicate cardiac conditions, muscular inflammation, gastric upset, or respiratory distress. If chest pain is present, asking about its location, characteristics, and related factors helps to determine the cause of the discomfort.

Example Question:

Do you have any chest pain?

 

Finding:

Denies difficulty breathing

Do you need help? Contact our Experts

Objective Data Collection: 15 of 15 (100%)

Correct

Partially correct

Incorrect

Missed

 Inspected eyes and orbital area

1 of 1 point

 

Orbital Area (1/4 point)

No visible abnormal findings

Ptosis

Eyelid

Lesion

Sclera (1/4 point)

White

Yellow tint

Redness

Conjunctiva (1/4 point)

Moist and pink

Dry appearance

Redness

Swelling

Conjunctival Discharge (1/4 point)

No discharge

Clear, watery discharge

Purulent discharge

 Inspected nasal cavities

1 of 1 point

 

Color (1/4 point)

Pink

Red

Bluish

Discharge (1/4 point)

No discharge

Clear discharge

Bloody discharge

Purulent discharge

Turbinate Patency (1/4 point)

Patent

Decreased patency

Not patent

Observations (1/4 point)

No additional visible abnormal findings

Foreign body present

Polyp

Septum perforated

Septum deviated

Lesion

 Inspected ears

1 of 1 point

 

Right: Auditory Canal Color (1/10 point)

Pink

Red

Pallor

Right: Tympanic Membrane Color (1/10 point)

Pearly gray

Red

Opaque

Yellow

Not visible because of cerumen

Right: Tympanic Membrane Appearance (1/10 point)

No visible abnormal findings

Fluid observed

Visible scars

Bulging

Perforation

Retraction

Right: Cone Of Light (1/10 point)

5:00

Cone of light distorted

Right: Discharge (1/10 point)

No discharge

Cerumen

Clear discharge

Bloody discharge

Purulent discharge

Left: Auditory Canal Color (1/10 point)

Pink

Red

Pallor

Left: Tympanic Membrane Color (1/10 point)

Pearly gray

Red

Opaque

Yellow

Not visible because of cerumen

Left: Tympanic Membrane Appearance (1/10 point)

No visible abnormal findings

Fluid observed

Visible scars

Bulging

Perforation

Retraction

Left: Cone Of Light (1/10 point)

7:00

Cone of light distorted

Left: Discharge (1/10 point)

No discharge

Cerumen

Clear discharge

Bloody discharge

Purulent discharge

 Inspected mouth and throat

1 of 1 point

 

Oral Mucosa (1/5 point)

Moist and pink

Dry appearance

Redness

Tonsils (1/5 point)

No visible abnormal findings

Swelling

Redness

Throat Color (1/5 point)

Pink

Red

Throat Texture (1/5 point)

No abnormal findings

Cobblestoning

Exudate

Post Nasal Drip (1/5 point)

No discharge

Clear discharge

Purulent discharge

 Inspected neck

1 of 1 point

 

Symmetry (1/2 point)

Symmetric

Asymmetric

Appearance (1/2 point)

No visible abnormal findings

Swelling

Visible pulsation

Visible mass

Discoloration

 Inspected chest

1 of 1 point

 

Symmetry (1/2 point)

Symmetric

Asymmetric

Appearance (1/2 point)

No visible abnormal findings

Rash

Barrel chest

Intercostal retraction while breathing

Excessive use of accessory muscles while breathing

Skin growths (freckles or moles)

 Auscultated breath sounds

1 of 1 point

 

Breath Sounds (1/3 point)

Present in all areas

Diminished in some areas

Absent in some areas

Adventitious Sounds (1/3 point)

No adventitious sounds

Wheezing

Fine crackles

Stridor

Rhonchi

Rales

Location (1/3 point)

All areas clear

Adventitious sounds in anterior right upper lobe

Adventitious sounds in anterior right middle lobe

Adventitious sounds in anterior right lower lobe

Adventitious sounds in anterior left upper lobe

Adventitious sounds in anterior left lower lobe

Adventitious sounds in posterior right upper lobe

Adventitious sounds in posterior right lower lobe

Adventitious sounds in posterior left upper lobe

Adventitious sounds in posterior left lower lobe

 Auscultated for bronchophony

1 of 1 point

 

Bronchophony (1/1 point)

Positive

Negative

 Auscultated heart sounds

1 of 1 point

 

Heart Sounds (1/2 point)

S1 and S2 audible

S1, S2, and S3 audible

S1, S2, and S4 audible

S1, S2, S3, and S4 audible

Extra Heart Sounds (1/2 point)

No extra sounds

Gallops

Murmur

Friction rub

Valve clicks

 Percussed chest wall

1 of 1 point

 

Observations (1/2 point)

All areas resonant

Some areas dull, some resonant

Some areas hyperresonant, some resonant

Location (1/2 point)

No areas of dullness

Dullness, anterior right upper lobe

Dullness, anterior right middle lobe

Dullness, anterior right lower lobe

Dullness, anterior left upper lobe

Dullness, anterior left lower lobe

Dullness, posterior right upper lobe

Dullness, posterior right lower lobe

Dullness, posterior left upper lobe

Dullness, posterior left lower lobe

 Measured diaphragmatic excursion

1 of 1 point

 

Range (1/1 point)

3-5 cm

Greater than 3-5 cm

Less than 3-5 cm

 Palpated sinuses

1 of 1 point

 

Frontal (1/2 point)

None reported

Tenderness reported

Maxillary (1/2 point)

None reported

Tenderness reported

 Palpated lymph nodes

1 of 1 point

 

Head And Neck (1/3 point)

No palpable nodes

Palpable nodes on right side

Palpable nodes on left side

Supraclavicular (1/3 point)

No palpable nodes

Palpable nodes on right side

Palpable nodes on left side

Axillary (1/3 point)

No palpable nodes

Palpable nodes on right side

Palpable nodes on left side

 Palpated fremitus

1 of 1 point

 

Symmetry (1/2 point)

Equal bilaterally

Unequal bilaterally

Vibration (1/2 point)

Expected fremitus

Decreased fremitus

 Palpated chest expansion

1 of 1 point

 

Symmetry (1/1 point)

Equal bilaterally

Unequal bilaterally

Education & Empathy : 2 of 3 (66.7%)

During the patient interview, there are a number of opportunities to provide patient education and empathy. The opportunities listed below are those identified by nursing experts to be of particular importance to this patient. A Model Statement is provided as an example of an appropriate response to each opportunity.

Opportunities marked as Not Encountered are opportunities that were not elicited in the interview

Opportunities marked as Not Followed Up are missed opportunities that were present in the interview, but where no statements were made

Opportunities marked as Followed Up were followed up by students, and include the dialogue between student and patient

 1 Symptoms

Followed Up

 

 Description: Danny describes the symptoms that have been bothering him.
What brings you here today?
My music teacher Mr. Hillman sent me here because he said I look sick. I have been coughing a lot. . . and I feel kinda tired.
I am sorry to hear that
Thanks.
 Model Statement: “I’m sorry you’ve not been feeling well these past few days. Being sick isn’t fun, especially when it affects lots of different parts of your body. Let’s talk about what’s been happening, and we’ll figure out how to make you better.”

 2 Family Medical History

Followed Up

 

 Description: Danny describes what he knows about his family’s health and indicates his distress over their various health issues.
Are you exposed to secondhand smoke?
Well . . . sometimes Papi smokes cigars in the house and my mom has to tell him to go outside. I breathe it a little bit then, but it’s not all the time or anything. I don’t like how it smells, and I don’t like that he is hurting himself. He could get sick.
Secondhand smoke exposure can be harmful to you
OK.
 Model Statement: “Thank you for telling me about your family’s health. It’s completely understandable that you care for your family and don’t like hearing that their health isn’t perfect, especially with how your Papi smokes. You were really brave to tell us about that.”

 3 Vitamins

Not Followed Up

 

 Description: Danny describes taking vitamins and occasionally sneaking extras.
Do you take vitamins?
Oh yeah, I take vitamins every day! The gummy dinosaur kind. I don’t think I’m supposed to, but sometimes I sneak extra ones to be super healthy!
Do you play in school? (Clarified to: Do you do a lot of playing?)
I don’t play any sports on a team, but Tony and I play outside. We like to skateboard and shoot hoops. (Clarified to: if I do a lot of playing)
Any relevant family history?
 Model Statement: “You’re right; taking vitamins can be good for you. However, sometimes taking too many vitamins can be bad for you. It’d be better if you don’t sneak extra vitamins — just take the amount that your mom gives you.”

 

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ihuman Virtual Simulation Nursing Case Studies

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ihuman Simulation Nursing Case Studies

What is ihuman nursing simulation?

iHuman Nursing Simulation is a virtual patient simulator that provides students with realistic and immersive simulations of clinical scenarios. Students can practice their nursing skills in a safe environment, enabling them to develop the critical thinking needed to become an effective nurse. The program features onscreen characters that represent different types of patients, such as adults, children, pregnant women, and the elderly. As students work through different scenarios, they can practice communication skills, assessment techniques, and the application of therapeutic interventions such as medications and treatments. With iHuman Nursing Simulation, students will be better prepared to enter real-world clinical settings with confidence.

Benefits of using ihuman Simulation

The simulation offers interactive feedback throughout the entire experience so that students are able to measure their progress and receive personalized advice. They can also track their achievements by earning badges and accumulating points as they complete tasks. The simulation is designed to be engaging and motivating while allowing students to learn at their own pace. With the help of iHuman Nursing Simulation, nursing students will be better equipped with all the necessary skills and knowledge required for a successful career in nursing. They will be more confident and well-prepared to take on the challenges of working in real-world clinical settings. This simulation is an invaluable tool for nursing students looking to develop their skills and move further along in their career. With its highly interactive content, it provides an immersive experience that engages learners and encourages them to think critically and solve real-world problems. It also allows them to practice in a safe, secure environment while gaining experience with the latest technologies and medical advances. iHuman Nursing Simulation provides an invaluable learning experience to nursing students, allowing them to gain the skills and knowledge needed for a successful career in nursing. By providing an innovative, engaging simulation platform, iHuman Nursing Simulation can help prepare learners for the realities of working in a professional nursing setting and give them the confidence they need to excel in their career. With its advanced technology and experienced instructors, it is the perfect tool to ensure that nursing students are well prepared for their future careers.

ihuman case studies for nursing are designed to help you understand the different types of nursing scenarios. Through case studies, you’ll gain an understanding of how nurses make decisions in settings such as hospitals and nursing homes. You’ll also learn how to identify common medical problems and provide solutions to them based on clinical guidelines. In addition, through studying ihuman case studies for nursing, you’ll be able to recognize the best practices for treating patients and managing their care. Finally, case studies can help you better understand the legal aspects of nursing in order to properly protect yourself and your patients. By using ihuman case studies for nursing, you will be able to increase your knowledge about medical conditions, treatments and patient safety, ultimately becoming a more effective and successful nurse.

This is just the beginning of what you can learn through case studies for nursing. With continued study and practice, you’ll become even better prepared to provide quality care to your patients. By taking advantage of the ihuman platform, you can benefit from interactive case studies that help build your skills and knowledge in a wide variety of areas. These interactive case studies provide an immersive learning experience that allows you to explore topics in-depth, allowing you to gain a better understanding of the complexities involved with nursing.

In addition to developing your clinical knowledge, using ihuman case studies for nursing can also help you understand key ethical and legal considerations that come with the profession. The platform helps you develop a better understanding of the implications of different care decisions, as well as how to use ethical principles to guide your practice and decision-making.

Finally, ihuman’s case studies can also help nurses stay up to date with current evidence-based nursing practices and clinical guidelines. Using the platform, you can stay current on national and international standards of care as well as best practices for a variety of clinical scenarios.

By incorporating ihuman into your nursing training, you can hone your skills in a safe and effective way. With regular practice with case studies, you’ll be better equipped to handle real-world nursing scenarios and make confident, ethical decisions in the moment. It’s an invaluable tool for nurses at any stage of their career.

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ihuman Simulation Cases Sample Solutions

CASE – 300552 Vijay Rao for univesity of Alabama – Capstone GN – 202301 NUR 505: Advanced Health Assessment – SP23

Here is a sample report for a case we did

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CASE Carson Meyer Ihuman NRNP6541

Sample solution for this case

If you need help with this case study, kindly reach us on live chat or on WhatsApp.

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Case – NR509 – i Human Marvin Webster

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Case: Mabel Johnson Knee Pain

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CASE: i human Calvin Moss

13 y/o

5′ 5″ (165 cm)

120.0 lb (54.5 kg)

Reason for encounter – Testicular pain

Answer:

Is your urine pink or red in colour (blood in urine)?

No. My urine is light yellow.

Do you have pain/discomfort when you urinate?

No pain/discomfort during urination but I had frequent urination.

Any changes in the frequency of your bowel movement?

None.

Do you have pain in your legs?

None

Do you have any pain in your abdomen?

Yes. constant cramping abdominal pain.

Have you had been having fever?

Yes. I had documented fever 38.2 degrees Celsius.

Do you have problems with movement?

No.

Do you have pain in your back?

Yes. pain at my lower back.

Have you had trauma to your groin?

No.

How is your appetite? Any recent change?

I have no appetite cause I constantly feel nauseous and vomits from time to time.

Do you have any other symptoms or concern we should discuss?

None.

HPI: (Not in paragraph form is included in the explanation below) 

Two hours prior to consult, while playing basketball with friends, patient experienced a sudden onset of left scrotal pain graded 8/10. Upon checking his scrotum, he noticed it to be swollen and erythematous. Applied iced pack but afforded no relief.

One hour prior to consult, still with pain now graded 10/10. Patient had nausea and vomiting for 2x of previously ingested food. Also experienced generalized abdominal pain graded 5/10. Still with redness and swelling had worsened. Hence, sought consult at the hospital.

PMHx:

No history of trauma to the groin

No history of inguinal hernia

No prescription medications taken

No herbal or over the counter medication taken

FH:

No family history of testicular cancer

Social History:

Unremarkable

NSG6430 Assignment 1 Discussion iHuman Case Study-Adolescent Depression Case

NSG6430 Assignment 1 Discussion iHuman Case Study-Adolescent Depression Case

Assignment 1: Discussion: iHuman Case Study-Adolescent Depression Case

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups

Case: Nrnp 6541 week7 ihuman Max King

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NSG 6430 iHuman Case Study – Adolescent Depression

NSG 6430 iHuman Case Study – Adolescent Depression

Discuss the questions that would be important to include when interviewing a patient with this issue.

Why are you seeking help today? My mom made me come here because I’m tired all the time.

What is the most distressing symptom for you? I’m tired all the time. I just don’t feel like doing anything.

How does this affect your life? I just can’t focus on school as well as I used to. NSG 6430 iHuman Case Study – Adolescent Depression.

When did this start? when school started in September. So, about two months or so ago.

What are the events surroundings the start of fatigue? Maybe just going back to school for my senior year. They lay on a lot pressure, you know.

Have you been having fevers? No, no fevers or colds or anything like that.

Have you gained or lost weight unintentionally? I’ve put on some weight; maybe 15 pounds or so since last year.

NSG 6430 iHuman Case Study – Adolescent Depression

Are you having any difficulty sleeping? Sometimes. The TV helps me go to sleep. I just leave it on and finally doze off. But not always. Sometimes I just cry at night for no reason.

Is it possible you are pregnant?  I’m not pregnant; I’ve never been pregnant; my periods are like clockwork; my last one was two weeks ago; and, I certainly don’t have those symptoms they drill into your head in Health. Besides, I don’t have a boyfriend, okay?

Do you feel Anxious? Yeah, maybe a bit, I’m worried about getting into college. And other stuff

Do you prefer to stay at home? Yes

Are you crying more than usually? Sometimes over the past month I just cry at night for no reason at all.

Have you been depressed? I don’t know; I guess so, maybe?

Tell me about your family and friends? What’s there to tell? You mean like my supposed girlfriend deciding to go out with my boyfriend. That was pretty bad considering I went to prom with him last year.

How are your grades in school? Last semester I had a 3.5 GPA. We’ve only had a few tests so far this fall, and I got C’s on two of them. I just don’t care about my grades as much as I used to.

Are you happy with your body image?   Look at these stretch marks! How would you feel? NSG 6430 iHuman Case Study – Adolescent Depression

Have you had any thought of hurting or killing yourself?  No, I would never do anything stupid like that. But sometimes I wish I could just disappear and not have to deal with anything anymore.

How is your family life? I live with my mother and father, my younger brother who’s 10, and my sister who’s 14. I have to share a room with my sister, who is a freshman. I can’t stand the way she is so excited about high school. My mother’s constantly on me about spending more time on the Internet, rather than being “social,” as she calls it. And she’s also on me about helping around the house. And I can’t stand my sister. So, is that what you want to know?

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NSG 6430 iHuman Case Study – Adolescent Depression

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

 

  • Drug toxicology testing, urine-substance abuse disorder
  • Thyroid function tests (TFT)– hypothyroidism
  • Cortisol, Urine– Cushing’s syndrome
  • Heterophile antibody test (mononucleosis spot)-mononucleosis, Epstein virus
  • Human chorionic gonadotropin (hCG), urine– pregnancy
  • Glycated hemoglobin (HbA1c)– Diabetes
  • Complete blood count (CBC)- anemia, mononucleosis,

Week 3 Discussion: iHuman Case Study-Ovarian Torsion

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Dicussion Area by Saturday, June 3.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a realtionship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by Wednesday, June 7.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Elizabeth Walker VE.”

After completing your iHuman Case Study, answer the following questions:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

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NSG 6430 Discussion and Assignment Essay Papers

Week 4 Discussion: iHuman Case Study-Breast Cancer

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Dicussion Area by Saturday, June 10.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a realtionship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by Tuesday, June 13.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Rachael Hardy.”

After completing your iHuman Case Study, answer the following questions:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

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Week 6 Assignment 1: Discussion: iHuman Case Study

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Dicussion Area by Saturday, June 24.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a realtionship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by Tuesday, June 27.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Pamela Flowers VE.”

After completing your iHuman Case Study, answer the following questions:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

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Week 7 Discussion: iHuman Case Study-Gonorrhea

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Dicussion Area by Saturday, July 1.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a realtionship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by Tuesday, July 4.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Nancy Campbell.”

After completing your iHuman Case Study, answer the following questions:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.

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Week 8 Discussion: iHuman Case Study-Tubovarian Abscess 

This discussion assignment provides a forum for discussing relevant topics for this week based on the course competencies covered. For this assignment, make sure you post your initial response to the Dicussion Area by Saturday, July 8, 2017.

To support your work, use your course textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.

Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a realtionship between two or more lines of reasoning in the discussion. Cite resources in your responses to other classmates. Complete your participation for this assignment by Tuesday, July 11, 2017.

For this assignment, you will complete an iHuman case study based on the course objectives and weekly content. iHuman cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the iHuman case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

The iHuman assignments are highly interactive and a dynamic way to enhance your learning. Material from the iHuman cases may be present in the quizzes, the midterm exam, and the final exam.

Click here for information on how to access and navigate iHuman.

This week, complete the iHuman case titled “Sonya Phillips.”

After completing your iHuman Case Study, answer the following questions:

Discuss the questions that would be important to include when interviewing a patient with this issue.

Describe the clinical findings that may be present in a patient with this issue.

Are there any diagnostic studies that should be ordered on this patient? Why?

List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups. NSG 6430 iHuman Case Study – Adolescent Depression.

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Week 1 Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, May 24, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W1_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

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Week 2 Assignment 2: Interactive MedU Case

For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

After you complete the MedU case study for the week, please print the summary of your case session and submit it as a PDF file to the W2 Assignment 2 Dropbox. Note that the summary of your case session has your name on the top right-hand corner. You need to submit this document as evidence that you have completed the case.

The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all MedU assignments completed in order to successfully pass the course.

Click here for information on how to access and navigate MedU.

This week, complete the case entitled “Case #1: 45-year-old female annual exam – Mrs. Payne.”

Submission Details:

Submit your work in a 2- to 3-page Microsoft Word document.

Name your file SU_NSG 6430_W2_A2_LastName_FirstInitial.pdf.

Submit your file to the W2 Assignment 2 Dropbox by Monday, May 29,. NSG 6430 iHuman Case Study – Adolescent Depression.

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Week 2 Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, May 31, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W2_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

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Week 3 assignment 2

Assignment 2: Interactive MedU Case

For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

After you complete the MedU case study for the week, please print the summary of your case session and submit it as a PDF file to the W3 Assignment 2 Dropbox. Note that the summary of your case session has your name on the top right-hand corner. You need to submit this document as evidence that you have completed the case.

The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all MedU assignments completed in order to successfully pass the course.

Click here for information on how to access and navigate MedU.

This week, complete the case titled “Case #12: 16-year-old female with vaginal bleeding and UCG – Savannah Bauer.”

Submission Details:

Submit your work in a 2- to 3-page Microsoft Word document.

Name your file SU_NSG 6430_W3_A2_LastName_FirstInitial.pdf.

Submit your file to the W3 Assignment 2 Dropbox by Monday, June 5. NSG 6430 iHuman Case Study – Adolescent Depression.

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Week 3 assignment 3

Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 7, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W3_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W3 Assignment 3 Dropbox by Wednesday, June 7.

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Week 4 assignment 2

Assignment 2: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 14, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W4_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W4 Assignment 2 Dropbox by Wednesday, June 14.

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Week 5 assignment 1

Assignment 1: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 21, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W5_A1_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W5 Assignment 1 Dropbox by Wednesday, June 21. NSG 6430 iHuman Case Study – Adolescent Depression.

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Week 6 assignment 2

Assignment 2: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 28, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W6_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W6 Assignment 2 Dropbox by Wednesday, June 28.

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Week 7 assignment 2

Assignment 2: Interactive MedU Case

For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

After you complete the MedU case study for the week, please print the summary of your case session and submit it as a PDF file to the W7 Assignment 2 Dropbox. Note that the summary of your case session has your name on the top right-hand corner. You need to submit this document as evidence that you have completed the case.

The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all MedU assignments completed in order to successfully pass the course.

Click here for information on how to access and navigate MedU.

This week, complete the case titled “Case #14: 35-year-old female with missed period – Ms. Rios.”

Submission Details:

Submit your work in a 2- to 3-page Microsoft Word document.

Save your file as SU_NSG 6430_W7_A2_LastName_FirstInitial.pdf.

Submit your file to the W7 Assignment 2 Dropbox by Sunday, July 2.

NSG 6430 iHuman Case Study – Adolescent Depression.

Week 7 assignment 3

Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, July 5, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W7_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W7 Assignment 3 Dropbox by Wednesday, July 5.

Week 8 assignment 2

Assignment 2: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, July 12, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W8_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W8 Assignment 2 Dropbox by Wednesday, July 12.

Week 8 assignment 3

Research Paper

For this week, you will be completing a research appraisal about a women’s health topic in which you may be interested. The purpose is to complete only a synthesis of the topic. To start, only look at studies that are specific to your women’s health topic. Your appraisal will assist in finding the most current evidence. Remember, this is only for the purpose of synthesis. Simplicity is key to a successful evaluation. Below is a way to assist you in compiling your significant articles. Your table should only contain 5 articles. Finalize your findings in 1–2 pages and submit with your evaluation table.

Submission Details:

By Tuesday, July 11, 2017, enter your table and summary

Name your document SU_NSG6330_W8_A3_LastName_FirstInitial.doc

Submit your document to the W8 Assignment 3 Dropbox by Tuesday, July 11.

In the headings for the columns, include the following:

Citation: Author, year, title

Conceptual Framework: Theoretical basis for study

Design/Method: Indicate design and describe what was done in the study

Sample/setting: Number, characteristics, attrition rate, and why

Major variables studied and their definitions: Independent/dependent variable

Measurement: What scales were used to measure the outcome variables (e.g., name of scale, author, reliability info)

Data analysis: What stats were used to answer the clinical question

Findings: Statistical findings or qualitative findings (one for every statistical test mentioned in data anlysis)

Appraisal/Worth to Practice: Strengths and limitations of the study, risk or harm if study intervention or findings implemented, and feasibility.

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Week 9 – Assignment 2

Assignment 2: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, July 19, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W9_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W9 Assignment 2 Dropbox by Wednesday, July 19.

Week 10 assignment

Assignment 1: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, July 26, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W10_A1_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document. NSG 6430 Discussion and Assignment Essay Papers.

Submit your document to the W10 Assignment 1 Dropbox by Wednesday, July 26.

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BSN Nursing Admission Essay

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Nursing Admission Essay

Writing a BSN application essay requires careful consideration and a keen understanding of the program to which you are applying. It is important to demonstrate that you have researched the school, taken into account its mission and values, and understand what it offers in terms of academics and support for nursing students. Your essay should be tailored to each individual school so that admissions committees can see your commitment to becoming a nurse and your passion for the profession.

When crafting your essay, consider the qualities that make nursing unique and why you are drawn to it as a career. Describe any experiences you have had in the field or any courses you have taken that have inspired a desire to become a nurse. Demonstrate how you plan to use your education to make a difference, and discuss how you think the BSN program at your chosen school can help get you there. If applicable, draw on any personal experiences that have shaped your opinion of nursing.

Your essay should clearly articulate why you want to pursue a career in nursing, as well as specific goals that you have for yourself and your future patients. Nursing is a unique field that requires a multitude of skills and qualifications, such as empathy, communication, critical thinking, decision making and problem solving — to name a few. With the right combination of technical knowledge and interpersonal abilities, nurses can make an impactful difference in their communities by providing quality healthcare to those who need it most.

Sample BSN Application Essay

Why am I seeking graduate degree in nursing?

As an associate of Arts (AA) degree holder, I have been searching for an institution where I can not only pursue a nursing degree, but excel in it. As St. Joseph’s College, the responsibility of training nurses is placed on the best trainers the region has to offer. Furthermore, the institution mentors nurses to become leaders at every stage of their career and to take up leadership roles in their respective institutions. St. Joseph’s and I therefore, have a common vision. I am constantly motivated to increase my knowledge base so that I can become a nurse leader and offer guidance to other nurses. With the emphasis placed on nursing leadership at the institution, I am confident that I will achieve this goal. Conversely, as an aspiring nurse, the drive to provide healthcare solutions to my community is my primary motivation to pursue a degree in nursing. I am pleased that St. Joseph’s is also passionate about training nurses to provide care that impacts both patients and the community as a whole. Thus vindicated, I am encouraged that by joining St. Joseph’s College, I will be able to achieve my primary goals of becoming a nurse leader and also providing healthcare solutions to the community.

What are your professional goals after graduating from St. Joseph’s?

After graduating from the institution, I want to become a travel nurse and a nurse leader providing guidance to my peers and other nurses. The current nurse shortage has informed my goal of becoming a travel nurse. In this role, I will be able to travel to different healthcare facilities and communities to provide healthcare services to patients and also educate them on maintaining health and wellness. In addition to being a travel nurse, I want to take up a leadership position in my institution. In line with this goal, I want to oversee nursing units, ensure that other nurses follow set protocols and procedures that uphold patient safety and high quality healthcare services. In my leadership role, I will also be responsible for aligning nursing unit’s goals with the institution’s overall strategic objectives. Overall, I want to be a leader who inspires and guides other nurses to be the best versions of themselves.

What are my objectives?

As a student having goals and objectives for myself will help me stay focused on improving my skills and being the best student I can be. As I look forward to joining the nursing department at St. Joseph’s college, I have identified two main goals that I want to achieve: becoming a travel nurse and leader. To achieve the aforementioned, I have identified several objective that will be my guiding force as I pursue my nursing degree. To become a travel nurse, I have to make an effort to excel in my clinicals. Nevertheless, I am aware that clinical goals and objectives vary from program to program. They also act as a great way to stay focused and monitor my progress. Some of the objective I have identified that are in line with my overall goal of being a travel nurse include; ensuring that I see a patient from intake to discharge so as to gain an understanding of the entirety of patient care. I will also need to improve my communication skills to interact effectively with patients, their family members and the entire interdisciplinary team responsible for patient care. Lastly, I will use all the resources available to me to improve on my leadership and interpersonal skills.

In conclusion, I am looking forward to getting an opportunity at St. Joseph’s College to pursue a nursing degree. I believe that this opportunity will be instrumental in helping me achieve my overall goals of being a travel nurse and nurse leader.

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College Application Essay Samples

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College Application Essay

Writing a college application essay can be nerve-wracking, but it doesn’t have to be. It’s important to remember that you’re telling your story in an essay; the point is for the admissions committee to get a sense of who you are and what makes you unique. Start by looking at some common essay topics, such as why you want to attend the college you’re applying to, what your goals are, and what experiences have shaped who you are. Brainstorming is a great way to get your thoughts flowing so that you can generate some ideas for your essay. Once you’ve identified the topic of your essay, it’s time to do some research and brainstorming. Think about the things that have had an impact on you, such as influential people in your life, experiences you’ve encountered, and lessons you’ve learned. After doing some research and gathering your ideas together, it’s time to start writing. Start by outlining your essay so that you can make sure all of the points come together cohesively. Once you have a rough structure established, start writing. Be sure to include vivid details that illustrate why these experiences have been important to you and how they have impacted who you are today. As you write, be sure to use correct grammar and punctuation in order to create a polished essay. Finally, it’s time to edit your essay and make any necessary revisions before submitting it. Editing your essay can help catch any mistakes or areas that need to be improved, and ultimately make a stronger essay overall. With careful thought and attention to detail, you will have created an effective college application essay that will help you stand out from the other applicants.

College Application Essay Samples

Application Essay – University of Washington

Why Foster MSCM? Tell us what interests you about supply chain management. Explain why you want to pursue a graduate degree in SCM.

After extensive research and consultations, I firmly believe Michael G. Foster School of Business will equip me with the practical skills and knowledge required for one to succeed in the supply chain management profession.

            Effective supply chain management is an essential component for any business to succeed. Having the necessary skills, knowledge, and experience in supply chain management will enable me to have a more profound impact in the organizations that I will work for in the future. Thus, I firmly believe that the school will sharpen my skills in supply chain management.

For any business to achieve long-term success, it is imperative for it to have a proper supply chain management. The field consists of different components that touch on the different aspects of a business. Some of the areas where supply chain management is applied in an organization include customer service, cost control, protection of cultural development, and improvements on the quality of life for employees, customers, and community. As such, it is important for me to acquire additional skills and knowledge in supply chain management so that I can be able to transform the society. I pursued a degree in supply chain management in my undergraduate, thus it is my objective to increase my grasp of the profession. In addition, it is my goal to become a supply chain management professional who can affect businesses positively in the future. My immediate career goal, on completion of the postgraduate degree, is to become employed by multinational corporations such as Mars and Starbucks, which will ensure that I gain the relevant experience in supply chain management.

Additionally, my long-term goal is to start my own tea company in the future by leveraging the knowledge that I will acquire in the MSCM program and the experience that I wil acquired by working for a multinational corporation. . The community that I come from highly values tea. From a young age, I have grown seeing my close relativeness and neighbors consume tea. Tea is not only a beverage, but also a ritualized way of life. Therefore, my goal is to start a company that will manufacture high quality tea to increase the happiness of the community. Furthermore, I will also have a chance to impact the lives of people and families by creating employment opportunities and a market for the farmers involved in the cultivation of tea leaves. Therefore, with the graduate degree, I will have the expertise to manage the tea companies supply chain properly, which will increase the chances of its success.

  1. What is your impact?

With the knowledge that I acquired in the undergraduate degree in supply chain management, I have managed to have an impact on Lucky Farms, a company specializing in the supply of vegetables grown in Mexico to the United States. Equipped with this knowledge, I was able to change some aspects regarding the way the company operated, which had a profound effect on its growth and profitability. When I joined the company, it was experiencing reducing sales and increasing concerned by customers, especially those located in California. I took it as my personal responsibility to investigate why the company was experiencing these challenges in some markets, but also performing well in others.

By employing my knowledge and expertise in the field, I learnt that there were various logistical discrepancies in the company. For instance, the shipment of vegetables to California was by trucks, while for the other states it was done by air. One of the main implications of this discrepancy was that some of the customers ordering from California did not receive their goods in time, resulting in some not being fresh. As such, they were dissatisfied with the services of the company, and a considerable number requested for a refund. Therefore, I made the relevant recommendations to the company’s management, and their implementation resulted in improved performance. Therefore, with the knowledge that I had, I was able to have an impact on the company, its customers, and its employees since the recommendations that I offered Lucky Farm’s management resulted an improvement in customer satisfaction, increased demand for the company’s product, and improvements in profitability because of a reduction in refund requests.

Therefore, I firmly believe that with the MSCM, I will be able to impact companies, their employees, and their customers positively in the future. The knowledge and practical experience that I will acquire will enable me to offer better solutions to the companies that I will work for in the future, thus have a more positive impact on them and the society.

Thank you for your consideration and time, I eagerly await for your feedback regarding my application.

The Pennsylvania State University

The desire and commitment to finish everything that I start has been instrumental in the much that I have achieved thus far. I am ambitious, hardworking, and committed to success, which is the reason I want to obtain an advanced degree in supply chain management at Penn State to have more impact on the organizations that I will work for, and the world at large. I firmly believe that Pennsylvania State University will equip me with the skills and knowledge necessary to succeed in the supply chain profession. Through the course, I will learn how to apply supply chain knowledge; hence, the ability to solve complex supply chain related problems. The course will help me in achieving my carrier goals by enhancing my knowledge in areas such as the design and management of effective supply chains, supply chain analytics, and analyzing the effects of supply chain on finance metrics.

I have substantial experience in supply management having interned at Lucky Farm, a company that specializes in the supply of vegetables grown in Mexico to the United States. While working at the company, I realized that there was much that needed to be improved in supply chain management, even in the United States. Interning at this company allowed me to have a better understanding of supply chain management, including how it benefits organizations when applied properly. For Lucky Farm, I was able to identify many areas that needed improvements and made recommendations to the management. For instance, there was a logistical discrepancy, whereby the company shipped vegetables to California via truck, while the shipment to the other states was by air. As such, there were many complaints and refund requests from the customers in the state. Therefore, I learned about the importance of effective supply chain management and how it affects different aspects of a business.

With the Master of Supply Chain Management (MSCM) degree from Penn State, I believe that I will be better positioned to accomplish my professional goals. My immediate career goal is to work with a multinational corporation such as Mars or Starbucks, where I will have a chance to contribute to their growth, while at the same time gaining hands-on experience in supply chain management in a multinational setting. Thus, with the MSCM, I will have a higher chance of working for either of the two corporations. Additionally, my intermediate career goal is to open a tea company in China. In the country, tea is a highly valued beverage. I have grown around a community that loves tea, thus I know what goes into making quality tealeaves. The MSCM will equip me with additional skills and knowledge regarding supply chain management, and coupled with the experience that I will have acquired, I will have a better chance of succeeding in the startup.

Moreover, I have extensively searched online, asked for recommendations, and I have eventually concluded that Penn State is a perfect fit for my requirements. Through classroom lessons and access to the research materials, the MSCM program that the university offers will equip me with the practical skills and knowledge needed to succeed in the supply chain profession.

I will highly appreciate a chance to pursue Penn State’s MSCM program. Besides, by accepting me into the program, you will have brought on board an ambitious and hardworking individual who is committed to excellence and success. I will serve as an ambassador for the university and its MSCM program on graduation.

Thank you for your time, I will be eagerly waiting for your feedback.

Sincerely

Name

Application Essay – Merage School

I have heard great things about the UCI Paul Merage School of Business, which has made me develop an interest in pursuing my graduate degree at the institution. I strongly believe that education opens many doors in life, hence at UCI; I firmly believe that I will acquire the relevant knowledge, skills, and practical experience to succeed in the supply chain management profession. With the additional qualification, I will have a chance to change my community, including making some positive changes to the organizations that I will work for, and the tea company that I will establish I the future.

Currently, I hold an undergraduate degree in accounting. My transcripts and test scores are proof that I am committed to excellence and long-term success. Over the years, I have gained the relevant experience to understand how supply chain works, including the importance of analytics in making supply chain decisions. Hence, pursuing the advanced degree in business analytics will enhance my ability to make major changes in the supply chain of the organizations that I will work with, or even in my own company.

The reason for pursing the course is be able to have a better understanding of supply chain management, and implementing the best practices by leveraging on business analytics, considering its importance to the operations and profitability of a company. Furthermore, I also want to apply the learned skills in my future company, which will be specializing in the production of tea. Initially, the company will focus on China, but it will expand to other markets in the future. With the business analytics degree, I will have even more knowledge to make data-driven changes in organizations, which will complement my ability in supply chain management.

Before deciding to apply for The Merage School’s Master of Science in Business Analytics program, I conducted exhaustive research regarding the universities that offer advanced courses in the subject. I found that The Merage School was among the best. Therefore, the university is a perfect match for my requirements, and it is my hope that I will add value not only to myself, but also to the school by becoming its ambassador on completing my studies.

My immediate career goal is to work in the supply chain industry particularly in a company such as Starbucks or Mars, where I will have the chance to practice the concepts that I  have learned  in class, while at the same time increasing my experience in the profession. The concepts learned in the data analytics degree will highly complement my knowledge of supply chain concepts. My long-term career goal is to establish my tea company, and apply the knowledge, skills, and experience acquired over the years in making it a success. If the tea company succeeds, I will have the chance to employ people, thus changing their lives, while also making communities happier by providing a quality beverage.

Therefore, if you accept me in the program, you will have brought on board a hardworking and ambitious student who is committed to excellence and will become a strong ambassador for The Merage School. Thank you for your time. I am eagerly waiting for your feedback.

Sincerely,

Name

Application Essay – USC Marshall School of Business

Your Full Name
Mailing Address
City, State, Zip Code

Admissions Representative’s Name
University of Southern California

Marshall School of Business
Street Address
City, State, and Zip Code

Dear …..

 

I am an ambitious, hardworking, and determined person who is committed to excellence and always ensure that I finish whatever I start. These traits of character have been instrumental to my success and ability to meet my personal expectations. I pursued an undergraduate degree in accounting, and I hope to accomplish more in the filed by pursuing a Master’s Degree in Supply Management to gain more knowledge and skills in the field.

My immediate career goal is to become employed by a multinational company such as Starbucks or Mars, where I will get the chance to apply my academic knowledge, while at the same time learning more about supply chain management. My intermediate career goal is to establish my own tea manufacturing company, which will enable me to contribute my community. With the right academic knowledge and the relevant experience in a multinational setting, I will have higher chances to succeed in the venture, thus able to make a positive and lasting impact on the society.

After extensive research and thought, I firmly believe that Marshall’s MSBA program is the ideal one to help me achieve my career goals. The world has become increasingly competitive and interconnected, hence the need for one to have superior skills in supply chain management. Through the MSBA program, I hope to acquire important knowledge and skills in supply chain to remain competitive. Furthermore, through the many academic resources that the school offers, I hope to acquire practical skills and understanding about proper supply chain management, in a business world that has become highly dynamic.

One of the skills that I have acquired through self-learning is how to judge the quality of tea. In my community, tea is not only a beverage, but also a ritualized way of life, and people value high quality tea. It took me around 3 to 4 months to learn how to judge the quality of good. I had to follow my uncle for those months to learn how to examine the shape of tealeaves and the color and smell of dry tea. The first step is to evaluate the shape of tealeaves. Although all leaves are slightly different in shape, the ones that are of the ideal quality are fat, firm, and have some oiliness. The second steps involves examining the aroma of dry tea, whereby, good dry tea does not smell too much, while inferior tea has a bit of burnt or sour smell. The third step involves soaking dry tea in water. Good tealeaves, after being heated and soaked in water, have a long-lasting scent that is warm and refreshing. Furthermore, the tea is clear and translucent, but if it is of inferior quality, the color is cloudy and it has floating impurities. The fourth step involves tasting, whereby good tea should be soft, mellow, and should not be irritating. If the tea is good, it will moisturize the mouth by stimulating saliva flow. The fifth step involves examining the bottom of the tea leaves, whereby quality should be judged based on the tenderness, integrity, and color of the bottom of the leaves.

Moreover, I have the relevant experience to understand the importance of supply chain management in enhancing the competitiveness of an organization. My internship at Lucky Farm, a company specializing in the supply of Asian vegetables grown on rented land in Mexico, enabled me to have a better understanding about the importance of supply chain management. While working for the company, I realized that even in the United States, improvements are needed in supply chain management. For instance, at Lucky Farm, I realized that there was a discrepancy whereby, while customers confirmed orders at the same time, shipment to California was only via trucks, while in other states it was by air. The logistical discrepancy was not only problematic in the picking, packaging, and distribution of vegetables, but also caused many refund requests from customers. The service was unsatisfactory because of inefficiencies in supply chain, which prompted many customers to request for replacement of products or full refunds. These elements were adversely affecting the profitability and growth of the company, particularly in the face of increasing competition. I made various recommendations to the company regarding how it can improve its supply chain. Therefore, I want to acquire more knowledge in the field to be able to offer better recommendations.

I will highly appreciate acceptance into the USC Marshall School of Business Master of Science in Global Supply Chain Management program, and I will be your ambassador upon graduation. Thank you for your time. I am eagerly waiting for your feedback.

Sincerely,

Name

 

 

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Assignment: The Nurse Leader as Knowledge Worker

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The Nurse Leader as Knowledge Worker

The term “knowledge worker” was first coined by management consultant and author Peter Drucker in his book, The Landmarks of Tomorrow (1959). Drucker defined knowledge workers as high-level workers who apply theoretical and analytical knowledge, acquired through formal training, to develop products and services. Does this sound familiar?

Nurses are very much knowledge workers. What has changed since Drucker’s time are the ways that knowledge can be acquired. The volume of data that can now be generated and the tools used to access this data have evolved significantly in recent years and helped healthcare professionals (among many others) to assume the role of knowledge worker in new and powerful ways.

In this Assignment, you will consider the evolving role of the nurse leader and how this evolution has led nurse leaders to assume the role of knowledge worker. You will prepare a PowerPoint presentation with an infographic (graphic that visually represents information, data, or knowledge. Infographics are intended to present information quickly and clearly.) to educate others on the role of nurse as knowledge worker.

Reference: Drucker, P. (1959). The landmarks of tomorrow. New York, NY: HarperCollins Publishers.

To Prepare:

Review the concepts of informatics as presented in the Resources.

Reflect on the role of a nurse leader as a knowledge worker.

Consider how knowledge may be informed by data that is collected/accessed.

The Assignment:

Explain the concept of a knowledge worker.

Define and explain nursing informatics and highlight the role of a nurse leader as a knowledge worker.

Include one slide that visually represents the role of a nurse leader as knowledge worker.

Your PowerPoint should Include the hypothetical scenario you originally shared in the Discussion Forum. Include your examination of the data that you could use, how the data might be accessed/collected, and what knowledge might be derived from that data. Be sure to incorporate feedback received from your colleagues’ responses.

SAMPLE SOLUTION

The Nurse Leader as Knowledge Worker

Nurses form the largest group of healthcare workers across the globe, and they play an important role in developing solutions for different problems in healthcare. Over the years, the nursing fraternity has experienced tremendous changes including the adoption of information and communication technology into practice. The incorporation of ICT into scientific knowledge and nursing practice to improve global health is referred to as informatics. ICT and informatics enhance timely access to patient information through the use of computerized documentation systems among other systems (Darvish et al. 2014). This is important because Healthcare is information-intensive and consequently, ICT and informatics are crucial in the handling and utilization of this information. This includes different roles such as retrieval of previous health records, access to standards of practice, documentation of patient information, and care among other roles.

A knowledge worker is a high-level worker who applies formal training-obtained analytical and theoretical knowledge to establish innovative products and Services (Todericiu & Boantă, 2018).  Therefore, a nurse as a knowledge worker should be in a position to utilize technology and ensure evidence-based decision making. Also, technology can be utilized to enhance benefits such as communication among providers and promoting positive patient outcomes as a result of speedy diagnoses, and treatment of health issues.

The nurse, as a knowledge worker has different roles and they include being collecting data, utilizing the information gathered, using knowledge, and creating knowledge. The first role of collecting data entails gathering relevant information about a patient, and this is followed by a review of the gathered information to assess useful information that may be used in the treatment process or acquisition of treatment resources. The collected data includes both objective and subjective information as well as other vital information such as ensuring safe issues within the facility. An example of a safety issue is the prevention of falls by patients within the hospital.

The nurse as a knowledge worker is an information user, hence is required to interpret information gathered to come up with information of clinical significance or gain insights into the issue at hand. As a knowledge user, the nurse utilizes the gathered information to make meaning out of it while applying evidence based knowledge. This process is characterized by translating the information into useful meanings, or interpreting it in ways that can be useful to the treatment processes or healthcare delivery. Over time, the nurse keeps gathering and using information and knowledge, such that they become experts, hence they are able to create knowledge, and therefore, become knowledge builders (Todericiu & Boantă, 2018).

The action of creating knowledge requires the nurse to make use of various resources and ICT and informatics become a readily available resource. Informatics when incorporated into nursing science, enable nurses to come up with technology based interventions that aim at improving healthcare outcomes (Collins et al. 2017).  The main role of informatics in nursing is to help the nurses enhance timely care through improved access to patient information with the help of computerized documentation systems.

The Infographic on The Nurse as A Knowledge Worker

The Nurse as a Knowledge Worker

(Utilizes theoretical as well as analytical knowledge for better public health)
·       Benefits of informatics

·       Applied in Research

·       Leads to Inter professional Communication

·       Enables Data management

·       Facilitates Continuous learning

·       Increases knowledge base
Skills

·       Data collector

·       Utilizing information

·       Using Knowledge ,

·       Knowledge creator
Ways of obtaining information

·       Physical examinations

·       Observations

·       Laboratory tests and screenings

·       Learning
How?

•         Continuing to learn

•         Keeping up with latest technology

•         Applying EBP

•         Setting goals

 

The Powerpoint Presentation is attached

The_nurse_as_a_knowldge_Leader

References

Collins, S., Yen, P. Y., Phillips, A., & Kennedy, M. K. (2017). Nursing informatics competency

assessment for the nurse leader: The Delphi study. JONA: The Journal of Nursing Administration, 47(4), 212-218. https://doi.org/10.1097/NNA.0000000000000467

Darvish, A., Bahramnezhad, F., Keyhanian, S., & Navidhamidi, M. (2014). The role of nursing

informatics on promoting quality of health care and the need for appropriate education. Global journal of health science, 6(6), 11–18. https://doi.org/10.5539/gjhs.v6n6p11

Todericiu, R., & Boantă, A. (2018). The Challenge of Managing Knowledge Workers and Their

Skills. In Emerging Issues in the Global Economy (pp. 363-370). Springer, Cham. https://doi.org/10.1007/978-3-319-71876-7_32

You can order your custom presentation at nursingpaperhelp.com

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