NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)

Chamberlain University NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)-Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)                  

Whether one passes or fails an academic assignment such as the Chamberlain University NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)                  

The introduction for the Chamberlain University NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded) is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)                  

After the introduction, move into the main part of the NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)                  

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)                  

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded) Included After Question

NR305 Week 2 iHuman Nurse Notes Template  

Complete each item below:  

Situation

Luciana Gonzalez, a 32-year old female who presented for a comprehensive health assessment. She reports concerns with pain (4/10) and discomfort on urination. Urinalysis (UA) shows cloudy urine and bacteriuria (8+).

Background

Luciana Gonzalez is a Hispanic female, today she visits the clinic for a comprehensive health assessment. Luciana changed her jobs recently. She needs life insurance and lacks a regular HCP (healthcare provider).

Assessment 

BP: 120/80mmHg

SPO2: 98%

Pulse: 59

RR: 24

Temp: 98.8⁰F

Height/Weight: 64” 185lb

BMI: 31.8

HEENT: Head: normocephalic, without bruising or lesions. Eyes: vision 30/30 (RE & LE), PERRLA,no enophthalmos, or exophthalmos, nevus flammeus on the right eye. Ears: hearing is intact, tympanic membrane is intact. Nose & Throat: mucus membranes are pink and moist without bruises or bleeds. Tongue is soft and without exudates. No pain with neck movement. No masses or lumps on neck palpation.

Respiratory: chest has no scars, lumps, or swellings, its movement is symmetrical with breathing, lungs are bilaterally clear (without crackles, rhonchi, wheezing, or rales). No nipple discharge or skin dimpling with raising of arms.

Cardiovascular: S1 and S2 heard, no rubs, murmurs, or gallop. No facial, upper, or lower extremity edema. 2+ pulses in brachial, pedal, radial, and femoral pulse.

Gastrointestinal: no abdominal scars, abdomen is soft with normoactive bowel sounds, no guarding, tenderness or rebound tenderness

Genitourinary: external genitalia is withoutsores, edema, or erythema. The urethra is moist and pink. Bladder is non-distended. There are no tears, odor, or abnormal discharge from the vagina.

Musculoskeletal: lower and upper symmetrical muscle development, all joints have a FROM, Muscle strength is 5/5 in all groups, no deficits in coordination, gait, and balance.

CNS: the patient is AOX4, deep tendon reflexes are intact, cranial nerves II-XII are grossly intact,long-term and short-term memories are intact.

Integumentary: normal skin turgor, no lesions, sores, or wounds. Skin is warm and dry without evidence of bleeding or bruising.

Recommendation

Laboratory findings are significant for bacteriuria (8+) and cloudy urine suggestive of a UTI. Luciana will be referred to a PCP (primary care physician) for pharmacological management. She will also be educated on measures such as taking cranberry juice, proper wiping technique, and hygiene to prevent recurrent UTIs in future. Considering her BMI (31.8-obese), Luciana will be referred to a registered dietician for dietary recommendations to lower her BMI and subsequent obesity-related healthcare risks.

1. State at least three additional assessment questions you would like to ask Ms. Gonzalez.
2. Have you experienced other associated symptoms of nausea, vomiting, fevers, or rigors?
3. Has any of your 1^st degree relatives been diagnosed with bladder, kidney, or prostate problems?
4. What does your diet look like on a average day including the fluid intake?
5. In a one paragraph response, what made you select these questions?
   1. Patients with urological pathology can present with a wide range of symptoms and potential symptoms of worsening pathology (pyelonephritis) include rigors, fevers, nausea & vomiting (Storme et al., 2019). The family history will help to identify an underlying urological diseases while the patient’s diet history will inform on her dietary patterns since persistently dehydrated patients are at a higher risk of renal impairment and UTIs.
6. Two priority opportunities for health promotion and/or disease prevention for Ms. Gonzalez.
7. Educating Luciana Gonzalez on hydration and good personal hygiene to prevent UTIs in the future.
8. Patient education on behavior change modification (physical activity and diet) to decrease her BMI and lower the risk of type 2 diabetes mellitus.
9. What assessment findings led to selecting the two opportunities identified?
   1. In ihuman, the patient Luciana Gonzalez’s BMI  is 31.8. This BMI falls under the obese range. Obesity is a known risk factor for cardovascular disease development, hypertension, dyslipidemia, and type 2 Diabetes Mellitus (Cercato & Fonseca, 2019). Other than the impact on health, obesity has social, economic, and psychological consequences that can negatively the patiet and close family members, hence the need to be addressed. Another assessmemnt finding was bacteriuria 8+ on urinalysis and cloudy urine. These are characteristic findings of a urinary tract infection (UTIs). The known UTI risk factors include; poor hygiene, pregnancy, sexual activity, history of recurrent UTIs, and age (Storme et al., 2019). Considering the patient’s history, from the listed risk factors, the most likely  risk factor for this patient is poor wiping technique and hygiene. With a gap in knowledge, this finding presents the opportunity to educate the patient on measures to implement to prevent UTIsv in future.

References

Cercato, C., & Fonseca, F. A. (2019). Cardiovascular risk and obesity. Diabetol Metab Syndr, 11, 74-88. doi: 10.1186/s13098-019-0468-0.

Storme, O., Tirán Saucedo, J., Garcia-Mora, A., Dehesa-Dávila, M., & Naber, K. G. (2019). Risk factors and predisposing conditions for urinary tract infection. Therapeutic advances in urology, 11, 1756287218814382. doi: 10.1177/1756287218814382.

iHuman Moodle Rubric

Criteria	Exemplary Exceeds Expectations	Advanced Meets Expectations	Intermediate Needs Improvement	Novice Inadequate	Total Points
Subjective – 40%	Determined by iHuman 40 points	Determined by iHuman 36 points	Determined by iHuman 32 points	Determined by iHuman 0 points	40
Objective – 25%	Determined by iHuman 25 points	Determined by iHuman 22 points	Determined by iHuman 20 points	Determined by iHuman 0 points	25
Objective – 5% (Testing)	Determined by iHuman 5 points	Determined by iHuman 4 points	Determined by iHuman 3 points	Determined by iHuman 0 points	5
Assessment–5%	Three differential diagnoses are supported by findings and include worst-case scenario. Rationale for differential diagnoses provided by scholarly resources. 5 points	Three differential diagnoses include worst-case scenario, but one diagnosis might not be fully supported by findings. Rationale for differential diagnoses provided by scholarly resources. 3 points	Differential diagnoses may or may not include worst-case scenario, and two differential diagnoses are not supported by findings. Rationale for all differential diagnoses not provided by scholarly resources. 1 points	Fewer than three differential diagnoses identified, or differential diagnoses not supported by findings and do not include worst-case scenario. Scholarly resources not provided or do not support differential diagnoses. 0 points	5
Plan–25%	Comprehensive plan includes all components: Diagnostic testing Pharmacologic intervention Non-pharmacologic intervention Referrals Patient education Follow-up Appropriate and current guidelines cited. 25 points	Plan missing one of the identified components: Diagnostic testing Pharmacologic intervention Non-pharmacologic intervention Referrals Patient education Follow-up Appropriate and current guidelines cited. 17 points	Plan missing two of the identified components: Diagnostic testing Pharmacologic intervention Non-pharmacologic intervention Referrals Patient education Follow-up Guidelines are not current or appropriate for identified problem. 9 points	Plan missing more than three of the identified components: Diagnostic testing Pharmacologic intervention Non-pharmacologic intervention Referrals Patient education Follow-up Guidelines for plan not cited. 0 points	25
Total Points					100

A Sample Answer for the Assignment: NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)

Title: NR 305 Week 2: Assignment: Wellness Assessment: Luciana Gonzalez (iHuman) (Graded)