Explain why the ability to write clearly and correctly is an important skill for the health care professional.
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the post should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style. all Episodic/Focused SOAP notes have specific data included in every patient case.
BACK PAIN:
A 42-year-old male reports pain in his lower back for the past month. The pain sometimes radiates to his left leg. In determining the cause of the back pain, based on your knowledge of anatomy, what nerve roots might be involved? How would you test for each of them? What other symptoms need to be explored? What are your differential diagnoses for acute low back pain? Consider the possible origins using the Agency for Healthcare Research and Quality (AHRQ) guidelines as a framework. What physical examination will you perform? What special maneuvers will you perform?
Episodic/Focused SOAP Note Template
Patient Information:
Initials, Age, Sex, Race
S.
CC (chief complaint) a BRIEF statement identifying why the patient is here – in the patient’s own words – for instance, “headache”, NOT “bad headache for 3 days”.
HPI: This is the symptom analysis section of your note. Thorough documentation in this section is essential for patient care, coding, and billing analysis. Paint a picture of what is wrong with the patient. Use LOCATES Mnemonic to complete your HPI. You need to start EVERY HPI with age, race, and gender (e.g., 34-year-old AA male). You must include the seven attributes of each principal symptom in paragraph form, not a list. If the CC was “headache”, the LOCATES for the HPI might look like the following example:
Location: head
Onset: 3 days ago
Character: pounding, pressure around the eyes and temples
Associated signs and symptoms: nausea, vomiting, photophobia, phonophobia
Timing: after being on the computer all day at work
Exacerbating/ relieving factors: light bothers eyes, Aleve makes it tolerable but not completely better
Severity: 7/10 pain scale
Current Medications: include dosage, frequency, length of time used and reason for use; also include OTC or homeopathic products.
Allergies: include medication, food, and environmental allergies separately (a description of what the allergy is ie angioedema, anaphylaxis, etc. This will help determine a true reaction vs intolerance).
PMHx: include immunization status (note date of last tetanus for all adults), past major illnesses and surgeries. Depending on the CC, more info is sometimes neededSoc Hx: include occupation and major hobbies, family status, tobacco & alcohol use (previous and current use), any other pertinent data. Always add some health promo question here – such as whether they use seat belts all the time or whether they have working smoke detectors in the house, living environment, text/cell phone use while driving, and support system.
Fam Hx: illnesses with possible genetic predisposition, contagious or chronic illnesses. The reason for the death of any deceased first degree relatives should be included. Include parents, grandparents, siblings, and children. Include grandchildren if pertinent.
ROS: cover all body systems that may help you include or rule out a differential diagnosis You should list each system as follows: General: Head: EENT: etc. You should list these in bullet format and document the systems in order from head to toe.
Example of Complete ROS:
GENERAL: No weight loss, fever, chills, weakness or fatigue.
HEENT: Eyes: No visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat.
SKIN: No rash or itching.
CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort. No palpitations or edema.
RESPIRATORY: No shortness of breath, cough or sputum.
GASTROINTESTINAL: No anorexia, nausea, vomiting or diarrhea. No abdominal pain or blood.
GENITOURINARY: Burning on urination. Pregnancy. Last menstrual period, MM/DD/YYYY.
NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness or tingling in the extremities. No change in bowel or bladder control.
MUSCULOSKELETAL: No muscle, back pain, joint pain or stiffness.
HEMATOLOGIC: No anemia, bleeding or bruising.
LYMPHATICS: No enlarged nodes. No history of splenectomy.
PSYCHIATRIC: No history of depression or anxiety.
ENDOCRINOLOGIC: No reports of sweating, cold or heat intolerance. No polyuria or polydipsia.
ALLERGIES: No history of asthma, hives, eczema or rhinitis.
O.
Physical exam: From head-to-toe, include what you see, hear, and feel when doing your physical exam. You only need to examine the systems that are pertinent to the CC, HPI, and History. Do not use “WNL” or “normal.” You must describe what you see. Always document in head to toe format i.e. General: Head: EENT: etc.
Diagnostic results: Include any labs, x-rays, or other diagnostics that are needed to develop the differential diagnoses (support with evidenced and guidelines)
A.
Differential Diagnoses (list a minimum of 3 differential diagnoses).Your primary or presumptive diagnosis should be at the top of the list. For each diagnosis, provide supportive documentation with evidence-based guidelines.
“Sample Instructions – Final”
Pick a favorite snack food that requires you to take at least eight steps to prepare.
Rewrite your earlier sample instructions draft (Assignment 5) to incorporate feedback from your professor on the simplicity, tone, clarity, and format of the submission. Review the instructions example in the textbook if you have not done so already. Imagine your audience is third grade Girl Scouts who have little or no experience in a kitchen. Along with your instructions, write a 1 page explanation of the steps you took to create the document and rationale for your approach. In your document, you should:
Your assignment must follow these formatting requirements:
Western Beer
Read the linked article and answer the five questions that follow.
Big Volumes Don’t Mean Big Profits in China’s Beer Market
Click here to view the full article on WSJ.com
SUMMARY: This article focuses primarily on industry analysis. It concerns China’s beer market, where despite big volumes, intense competition among large brewers keeps a tight lid on margins. In the US, AB InBev and SAB MillerCoors hold more than 70% of the market by volume, with margins of 38% and 18% in 2014. In China, the same 70% market share is split among five robust competitors whose EBIT margins range between 6% and 9%. Now, after decades of robust growth, beer volumes in China are slumping and turning a profit is posed to get even tougher.
QUESTIONS:
1. On the surface, why does the Chinese market for beer seem attractive? In fact, why is the Chinese market an irresistible one for major Western beer producers to enter?
2. In reality, why is the “structure” of the Chinese beer market not so favorable? In terms of Porter’s Five Forces, why is the Chinese beer industry not necessarily that attractive? And why might this market actually become less attractive in the near future?
3. Reflecting on the previous question, do you think the Chinese beer industry will actually remain rather unattractive for a long time? Or do you think the market will consolidate one day?
4. How is SAB dealing with the problem? Which strategy is it using to raise margins in the Chinese market? How has AB InBev utilized this strategy?
5. According to the article, why is SAB’s strategy being criticized? What is SAB doing differently from InBev, for example? Do you think SAB is on the right track in the long run, or does it need to introduce more of its own Western brands into China?
NB: We do not resell papers. Upon ordering, we do an original paper exclusively for you.
The post Western Beer Read the linked article and answer the five questions that follow. Big Volumes Don’t Mean Big Profits in China’s Beer Market Click here to view the full article on WSJ.com SUMMARY: This article focuses primarily on industry analysis. It concerns China’s beer market, where despite big volumes, intense competition among large brewers keeps a tight lid on margins. In the US, AB InBev and SAB MillerCoors hold more than 70% of the market by volume, with margins of 38% and 18% in 2014. In China, the same 70% market share is split among five robust competitors whose EBIT margins range between 6% and 9%. Now, after decades of robust growth, beer volumes in China are slumping and turning a profit is posed to get even tougher. QUESTIONS: 1. On the surface, why does the Chinese market for beer seem attractive? In fact, why is the Chinese market an irresistible one for major Western beer producers to enter? 2. In reality, why is the “structure” of the Chinese beer market not so favorable? In terms of Porter’s Five Forces, why is the Chinese beer industry not necessarily that attractive? And why might this market actually become less attractive in the near future? 3. Reflecting on the previous question, do you think the Chinese beer industry will actually remain rather unattractive for a long time? Or do you think the market will consolidate one day? 4. How is SAB dealing with the problem? Which strategy is it using to raise margins in the Chinese market? How has AB InBev utilized this strategy? 5. According to the article, why is SAB’s strategy being criticized? What is SAB doing differently from InBev, for example? Do you think SAB is on the right track in the long run, or does it need to introduce more of its own Western brands into China? – custom papers appeared first on The Nursing TermPaper.
