Posted: May 1st, 2022

Health Care Charting Nursing School essay

This project has three components to it:
Write a 1000-word essay summarizing every of the 2 completely different charts beneath, how they are going to be utilized in your chosen profession, proposed enhancements and higher methods this data could possibly be conveyed. Separate every part in your paper with a transparent heading that permits your professor to know which bullet you might be addressing in that part of your paper. Assist your concepts with not less than one (1) quotation in your essay. Make sure that to reference the citations utilizing the APA writing fashion for the essay. The duvet web page and reference web page don’t rely in direction of the minimal phrase quantity. Evaluate the rubric standards for this project.
SOAP Charting
Your project is to incorporate the checklist beneath and put the gadgets in a SOAP format. You’ll want to analysis to discover a type of your alternative. You might add phrases to make sentences out of a few of these gadgets. Whenever you get completed, you need to be capable to view the notes and have an image of this affected person and know the subsequent steps. Just remember to have the wanted data out of your analysis of SOAP notes.
John Smith, DOB 08-10-1951 got here into the clinic to see Dr. Jerry Jones. Under are notes taken throughout Mr. Smith’s go to.
Blood Stress: 165/85
Affected person complains of left arm ache.
Complains of leg weak point and will increase with going up steps
Analysis: Hypertension, bilateral edema legs, and ankles, Coronary heart Illness, Diabetes
Elevate legs for 1 hour four instances a day
Peak: 182 cm
Irritation on each decrease legs
Ache is aching
Ache is healthier after I elevate my legs
Ache is worse at evening
Peripheral edema, each ankles
Prescribe Hydrochlorothiazide, 25 mg pill, 1 per day within the am.
Pulse Oximetry: 97%
Pulse: 60 bpm
Price ache 5 out of 10
Respiration: 16 bpm
Return for follow-up in two weeks
Temperature: 98.5
Put on assist stockings until subsequent appointment
Weight: 165 kg
X-rays present no fractures
PIE Charting Task
Evaluate the underside of web page 160 of your textual content for affected person charting utilizing the PIE technique. Utilizing your artistic thoughts, create an issue, present interventions, and determine the outcomes (analysis). Your downside ought to embrace a paragraph (min 100 phrases), interventions (not less than two – min 100 phrases) and analysis is a paragraph (min 100 phrases).
Task ExpectationsLength: 1000-word essay plus every of the charts.Construction: Submit the suitable format for every merchandise. Embody a title web page and reference web page in APA fashion. These don’t rely in direction of the minimal phrase quantity for this project.References: Use the suitable APA fashion in-text citations and references for all assets utilized to reply the questions. Embody not less than one (1) scholarly quotation to assist your claims.Format: Save your project as a Microsoft Phrase doc (.doc or .docx).
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