Soap Note


Soap Note

Hind Errajai is a 47 year old male who comes to our facility complaining about having lower abdominal pain accompanied for burning urination for several days. The patient reports that the pain has an intensity of 4/10 on the numerical scale of 0/10, relieve with Tylenol 500mg 2 tabs every 6 hours and irradiate *radiates to the low back.

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He says that he has frequent urge to urinate, he also states that when he goes to urinate is painful. The pain killers Tylenol?? have been giving him a temporary solution relief but have not given him a lasting solution. The patient denies presence of hematuria or penile discharge, denies fevers, vomiting or nausea. CVA Tenderness
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Evidence-Based Practice For Patient-Centered Patient

Evidence-Based Practice For Patient-Centered Patient

Physical and Cognitive Development in Late Adulthood

Concept Map Narrative
A concept map refers to a tool which is observable and vital in showing the planned care of a patient. The suitability associated with concept map is that the treatment team of the patient may evaluate the progress of a given patient which help in establishing changes in the plan in a scenario where the need arises (Flanders, 2018). The concept map was created for Dourine who has European as well as Native American descent and is 40 years. Dourine, a mother of a son eleven weeks old, had been diagnosed with gestational diabetes during pregnancy. Due to this situation, the concept map was planned with the aim of tackling the issue facing Dourine and entailed her education issue, cultural barriers towards comprehending the danger factors affecting Dourine and the involvements to enhance her conformity to the care plan that was prescribed.

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Patient’s Needs and Their Family, and the Manner Those Needs Affect Patient-Centered Concept Map
During the interview, Dourine stated that she was provided with insulin by her gynecologist to regulate blood glucose during pregnancy.
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The Role of Health Policy and Organizational Structure

The Role of Health Policy and Organizational Structure

Current nursing issues related to globalization of healthcare

We live in the new world where technology has taken over everything including wellness and health. The advancement in technology has not left behind its influence on healthcare. The society has adopted the saying of “fast-forward” and hence a need for a strong background of access, care and equipment to solve the upcoming problems of the people. Health care needs always demand urgency and efficiency aiming at the wellbeing of the victim (Mettler, 2016).

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Most of the techniques in solving medical issues have not been efficient enough and therefore here comes a convenient form of technology to aid in handling health care issues. It is called the Medscape app. The first Medscape app was established in the year 2009 and since then a newer version which is more updated has been established which is the Medscape 2.1 version (Shah, 2014). The application has various features that are very useful in the medical field. They include function for search, medical news, drugs sections, clinical procedures, a checker for drug interaction, conditions and diseases and more options in the bottom bar (Shah, 2014). These features will greatly help the nurses in the quality improvement of the healthcare.
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Substance Use Disorder

Dual Diagnosis: Dual Brain Disease
Brain disease results from chemical imbalances. Two conditions are commonly experienced, namely; drug addiction and mental illness (Rehab Media Network, 2017). The relationship between these two results from their mechanism action, whereby both of them affect the same chemical pathways and regions of the brain. Apparently, it is not clear if substance abuse can cause mental illness, though conditions such as hallucinogen persisting perception disorder, which result from long-term dependence on hallucinogen drugs exhibit similar symptoms to schizophrenia. Individuals engage in drug use for relaxation and entertainment. However, individuals who are healthy may turn to substance use to drive away boredom or suit in a social group, contrary to those who are mentally ill, who sometimes use drugs to get rid of their self-medicating distressing symptoms.

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Screening and assessment/diagnostic tools for substance use disorders
Screening of drug use disorders is categorized into two, namely; brief screens performed verbally using interviews, and written screens which uses questionnaires that a respondent has to respond to. Oral screens are preferred for fieldwork and home visits, whereas written screens suit office settings due to the limited time respondents tend to have to attend interviews. One limitation associated with both screens is the inability to address the immediacy issues in regard to responding to urgency, especially if there is need to examine intoxication, withdrawal or to determine impaired functioning of the brain. However, this problem can be handled through combining observational outcomes and systematic screening result.
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Transformational Leadership

Transformational Leadership

Transformational Leadership in Nursing Education: Making the Case by Shelly Ann Fischer is an article published in the Nursing Science Quarterly and highlights how most organizations have opted to shift from traditional way of leadership such as authoritative style to more transitional one that allow career development such as transformational leadership (Fischer, 2017). This style is important in business as it promotes a high-performance and motivated workforce, and creates an environment where leaders and employees get to help each other grow in a moral and motivated way. In this regard, it is worth understanding how it can be embedded in the nursing profession.

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The author confirms the fact that most organizations are trying to do away with authoritative way of leading, and adopting the transformational way. The nursing sector has not been left behind as established by the author. Based on the existing literature, this kind of leadership is likely to impact employees positively, promote teamwork among them and make them experience solidarity. As such, it is feasible for the administration and faculty to adopt and utilize it as a guiding model for those pursing nursing as their area of specialty. The researcher performed a quantitative analysis to come up with the findings that embedding the culture of teamwork among nursing students could impact them significantly while preparing them on how to coexist positively with their colleagues in the work environment. However, the research did not manage to develop and test the viability of applying transformational mode of leadership in the nursing education, thus, the need for more studies to curb this gap.
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Nursing And Finance

Nursing And Finance

Comparison of Hospitals
Hospitals are characterized by diverse and unique aspects which dictates how duties are executed in the process of enhancing well-being of customers. In most health institutions, nature of consideration from the viewpoint of clients is progressively utilized in assessing therapeutic services execution. This is key in promoting health of society since hospitals are expected to ensure that all involved stakeholders are satisfied (Olivier, 2016ss). It is entrenched that human services frameworks vary in execution due to diversity in requirements. This study compared various hospitals such as; Memorial Hospital of Tampa, Bayfront Health-ST St Petersburg, and Tampa Community Hospital and provides the findings.

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General information
Contrasts between hospitals in how human services clients esteem distinctive parts of consideration are hard to clarify. Further hypothesizing should consider that significance and execution evaluations are decidedly related, that individuals contrast their encounters and those of others, and that general and instrumental qualities may be connected through the foundations of the therapeutic services framework. All hospitals are of Acute Care Hospital type indicating that they provide the following services except for Memorial Hospital which is not able to track patients’ lab results, tests and referrals electronically between visits;
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Consanguinity is the union or marriage between people of the same blood. Consanguinity is practiced mainly in third world countries such as Africa and Asia where the Islamic culture is prevalent. Consanguineous marriages form the base of many mental and physical disabilities. In countries such as Iran, consanguinity marriages are widespread and have led to devastating effects such as increased deaths and disabilities in fetal and infants. The paper comprehensively addresses various components of consanguinity marriages including the global prevalence, impact on the health risks of the population, and cultural and ethical considerations of consanguinity marriages.

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Define consanguinity
Consanguinity is the union between individuals of the same blood. The union takes place between close relatives such as first or second cousins (Bener & Mohammad, 2017). Identify the global prevalence of consanguinity.
The incidence of consanguinity is determined by numerous factors such as religion, socio-economic, demographic, and cultural factors. The practice is embraced mostly in South India, West Asia, and North Africa with research showing a prevalence rate of 20-50% in these geographical areas (Bener & Mohammad, 2017). First cousin marriages constitute almost 30% of all marriages in the regions mentioned above. Consanguineous marriages are also predominant among immigrant communities residing in highly consanguineous nations like Pakistan, Lebanon, North America, Turkey, Europe, and Australia. The high prevalence of consanguinity unions together with the large sizes of the family in some societies induces expression of autosomal recessive diseases which might come with strange or new syndromes (Bener & Mohammad, 2017).

Describe the impact on population health risks
Consanguineous marriages lead to debilitating effects on the health of the population. According to Khan et al. (2016), offspring sired in a consanguineous unions are at higher risk of contracting anemia (28.6%), hypertension (18.6%), asthma (10%), obesity (17.1%), diabetes (18.6%), and respiratory disease (7.1%) than those born in other marriages. Consanguinity also increases the risk of malformation in the children at alarming rates with mental retardation (28.7%), anemia (14.7%), dwarfism (3.9%), skin disorders (5.4%), deafness and speech complications (23.3%), syndrome (15.5%), and blindness (8.5%) (Khan et al., 2016). These conditions lead to increase in mortality and morbidity rates among the infants. It is therefore advisable for young couples in consanguineous marriages to seek preconception genetic counseling before getting children to avoid the adverse effects of consanguinity. Discuss the cultural and ethical considerations of consanguineous unions Consanguinity is determined by a variety of factors such as demographic, cultural, geographic, religious, and socio-economic factors. The practice is usually dominant among the populations with low education, low socio-economic status, and those residing in rural areas. Certain cultures and religions such as Muslim increases the chances of getting into a consanguinity marriage. Consanguinity is associated with various ethical issues such as degradation of the cultural beliefs and values of a specific community (Bener & Mohammad, 2017).

Consanguinity is the union between individuals of the same blood. It is very common in geographical regions with large percentages of Muslims such as Africa and Asia. Consanguineous marriages result in adverse effects on the health of the offspring. For instance, it leads to diseases such as anemia, diabetes, obesity, high blood pressure, and asthma. Moreover, consanguinity causes mental disorders like mental retardation, anemia, dwarfism, skin disorders, deafness and speech complications, syndrome, and blindness. Young couples in consanguineous marriages should seek preconception genetic counseling before getting children to counter the debilitating consequences of consanguinity.


1. Bener, A., and Mohammad, R. R. (2017). Global distribution of consanguinity and their impact on complex diseases: Genetic disorders from an endogamous population. Egyptian Journal of Medical Human Genetics, 18(4), 315-320.
2. Khan, J., Ali, A., Khan, B. T., Ahmad, Z., and Shams, W. A. (2016). Impact of consanguinity on health in a highly endogamous population in District Buner, Khyber Pakhtunkhwa, Pakistan. Journal of Genetic Disorders and Genetic Reports, 2015.

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