NR509 Week 6 iHuman Assignment Jessica Walbertz
NR509 Week 6 iHuman Assignment Jessica Walbertz – Step-by-Step Guide
The first step before starting to write the NR509 Week 6 iHuman Assignment Jessica Walbertz is to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment.
It is also important to identify the paper’s audience and purpose, as this will help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, review its use, including writing citations and referencing the resources used. You should also review the formatting requirements for the title page and headings in the paper, as outlined by Chamberlain University.
How to Research and Prepare for NR509 Week 6 iHuman Assignment Jessica Walbertz
The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify a list of keywords related to your topic using various combinations. The first step is to visit the Chamberlain University library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from the Chamberlain University Library, PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last 5 years and go through each to check for credibility. Ensure that you obtain the references in the required format, such as APA, so that you can save time when creating the final reference list.
You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next, create a detailed outline of the paper to help you develop headings and subheadings for the content. Ensure that you plan what point will go into each paragraph.
How to Write the Introduction for NR509 Week 6 iHuman Assignment Jessica Walbertz
The introduction of the paper is the most crucial part, as it helps provide the context of your work and determines whether the reader will be interested in reading through to the end. Begin with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.
How to Write the Body for NR509 Week 6 iHuman Assignment Jessica Walbertz
The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance, as well as how it relates to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.
How to Write the In-text Citations for NR509 Week 6 iHuman Assignment Jessica Walbertz
In-text citations help readers give credit to the authors of the references they have used in their work. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:
“The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Morelli et al. (2024), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Alawiye (2024) highlights that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.”
How to Write the Conclusion for NR509 Week 6 iHuman Assignment Jessica Walbertz
When writing the conclusion of the paper, start by restating your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper by restating them. Discuss the implications of your findings and your arguments. Conclude with a call to action that leaves a lasting impression on the reader or offers recommendations.
How to Format the Reference List for NR509 Week 6 iHuman Assignment Jessica Walbertz
The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically, and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication.
Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:
References
Morelli, S., Daniele, C., D’Avenio, G., Grigioni, M., & Giansanti, D. (2024). Optimizing telehealth: Leveraging Key Performance Indicators for enhanced telehealth and digital healthcare outcomes (Telemechron Study). Healthcare, 12(13), 1319. https://doi.org/10.3390/healthcare12131319
Alawiye, T. (2024). The impact of digital technology on healthcare delivery and patient outcomes. E-Health Telecommunication Systems and Networks, 13, 13-22. 10.4236/etsn.2024.132002.
NR509 Week 6 iHuman Assignment Jessica Walbertz Example
Performance Overview for Deanna on case Jessica Walbertz
The following table summarizes your performance on each section of the case, whether you completed that section or not. Have a look at NR511 Week 2 SNAPPS Oral Presentation.
Time spent: 18hr 55min 0sec Status: Submitted
| Case Section | Status | Your Score | Time spent | Performance Details |
| Total Score | 100% | |||
| History | Done | 100% | 3hr 14min 41sec | 82 questions asked, 61 correct, 0 missed relative to the case’s list |
| Physical exams | Done | 100% | 1hr 38min 45sec | 109 exams performed, 12 correct, 0 partially correct, 0 missed relative to the case’s list |
| Key findings organization | Done | 2min 15sec | 2 findings listed; 9 listed by the case | |
| Problem statement | Done | 44min 17sec | 111 words long; the case’s was 126 words | |
| Diagnosis | Done | 100% | 1min 10sec | |
| Management plan | Done | 4hr 57min 0sec | 429 words long; the case’s was 275 words | |
| Exercises | Done | 89% (of scored items only) | 5min 28sec | 2 of 3 correct (of scored items only) 1 partially correct |
Attempt:
Use this worksheet to organize your thoughts before developing a differential diagnosis list.
- Indicate key symptoms (Sx) you have identified from the history. Start with the patient’s reason(s) for the encounter and add additional symptoms obtained from further questioning.
- Characterize the attributes of each symptom using “OLDCARTS”. Capture the details in the appropriate column and row.
- Review your findings and consider possible diagnoses that may correlate with these symptoms. (Remember to consider the patient’s age and risk factors.) Use your ideas to help guide your physical examination in the next section of the case.
| HPI | Sx = | Sx = | Sx = | Sx = | Sx = | Sx = |
| Onset | ||||||
| Location | ||||||
| Duration | ||||||
| Characteristics | ||||||
| Aggravating | ||||||
| Relieving | ||||||
| Timing / Treatments | ||||||
| Severity |
Attempt:
Jessica Walbertz, a 22-year-old. old college student reporting a >one-day left temporal headache that progresses to the whole head, with pain of 8/10. Reports connecting symptoms of photophobia, phonophobia, and nausea. Pain unrelieved by acetaminophen and rest, which is atypical. PMH indicative of similar headache over an unspecified number of years; with a “scary” one last summer with additional symptoms of visual flashes and missing vision that lasted approximately 20 minutes. Her current headaches are recurring every 4 to 6 weeks. Recent stresses include academic, relationship, employment, and poor eating and sleep habits. FH indicative family with similar issues of headache only in the sister and possibly the mother. Medications: birth control pills.
S->1 day headache unilateral with pain 8/10, progressing to whole head pain. Nausea, with sensitivity to light and noise. Doesn’t improve with acetaminophen and rest. Skips meals and sleep. Increased stress in all aspects of life.Female relations with similar issues.
O- papilledema, normal ESR, no imaging
A-Tension headache, meningitis, giant cell arteritis, mental health disorders P- medications: ESR 4 mm/hr-normal
Rationale: ruled out giant cell arteritis
Meds: ZAVZPRET Nasal Spray 10 mg given as a single spray in one nostril, as needed for headache. This is the max dosage (ZAVZPRET, 2023).
Prochlorperazine 5mg tab PO 3xdaily as needed for nausea. Max dosage 40mg PO QD. (Amelie Hollier, DNP, FNP-BC, FAANP & , 2021) (Pearson, 2022).
Rationale: Nasal spray has a early onset of symptom control than PO. Indicated for migraine with or without auras in adults with moderate to severe, also relieves photophobia, phonophobia, or nausea. No contraceptive interactions and safe to use with pregnant or lactating women (ZAVZPRET, 2023). Antiemetic to treat unrelieved nausea and has no interactions with contraceptive (Amelie Hollier, DNP, FNP-BC, FAANP, 2021) (Pearson, 2022).
Education: Avoid triggers such as: foods and beverages that contain nitrates, monosodium glutamate, and tyramine. Precipitating factors include hormonal changes,stress, contraceptives, too much or not enough sleep,exposure to bright lights, strong odors, cold stimulus, lack of exercise, skipping meals.
medication education on zavzpret hypersensitivity reactions.Prochlorperazine do not use with alcohol, sedatives, tranquilizers, or narcotic medications(Amelie Hollier, DNP, FNP-BC, FAANP & , 2021).
Considerations for referrals:None at this time. Possible referral is migraine worsens or is not relieved by medications.
Rationale: Referral only if symptoms indicate that other more serious condition exists(Amelie Hollier, DNP, FNP-BC, FAANP & , 2021).
F/U: Go to ER if symptoms of a high fever, neck stiffness, breathing issues, severe dizziness or loss of consciousness, confusion, changes in awareness, memory loss, difficulty speaking or seeing, muscle weakness or loss of balance, and paralysis. When medication fail to work.
F/U: return to clinic in 3 months to asses medication management and goals of treatment or additional concerns (Science of Migraines, 2022)(Amelie Hollier, DNP, FNP-BC, FAANP & , 2021).
Rationale: ER symptoms indicate a more serious diagnosis and require emergency services.
Clinic f/u is good practice measures for medication and best outcomes of goals (Science of Migraines, 2022)(Amelie Hollier, DNP, FNP-BC, FAANP & , 2021).
References
Amelie Hollier, DNP, FNP-BC, FAANP & . (2021). Clinical guidelines in primary care (4th ed.). Advanced Practice Education Associates, Inc.
Pearson, L. J., RN, MSN, FNP. (2022). Nurse Practitioner’s Drug Handbook (4th ed.). Springhouse Lippincott Williams & Wilkins.
Science of Migraines. (2022). AMGEN. https://www.scienceofmigraine.com/management/migraine-treatment
ZAVZPRET. (2023). Pfizer Laboratories. https://labeling.pfizer.com/ShowLabeling.aspx?id=19471
Electronic Health Record by Deanna Fussi on case Jessica Walbertz
History of Present Illness
| Category | Data entered by Deanna Fussi |
| Reason for Encounter | J.W. 22yr. old college student presented with reports of left temporal headache that progressed over 30 hours to whole head pain (8/10), that throbs. Associated symptoms phonophobia, photopobia and nausea c/o vomiting. Pain is unrelieved by acetaminophen, or rest. |
| History of present illness | J.W. has a history of similar headaches over a unspecified number of years. Patient describes a “scary” one that occurred last year. Headache presented with onset of flashing lights,and missing vision;which lasted 20 minutes.Headache pain was then similar to current headache.Headaches are now occurring every 4-6 weeks. |
Past Medical History
| Category | Data entered by Deanna Fussi |
| Past Medical History | J.W. history of headaches, photophobia, phonophobia, nausea, with a report of flashing lights and vision problem in the past year. |
| Hospitalizations / Surgeries | J.W. No hospitalizations or past medical surgeries |
Medications
| Category | Data entered by Deanna Fussi |
| Medications | J.W. Birth control use of 2years. Acetaminophen 2 Tabs Q4 hours and multivitamin couple a time a week |
Allergies
| Category | Data entered by Deanna Fussi |
| Allergies | J.W. No allergies |
Preventive Health
| Category | Data entered by Deanna Fussi |
| Preventive health | J.W. No illicit drug use.Contraceptive use. |
| Category | Data entered by Deanna Fussi |
| Family History | J.W. reports that sister has a history of headaches and mother having a possible history of headaches due to symptoms of lying down alone in a dark room. |
Social History
| Category | Data entered by Deanna Fussi |
| Social History | J.W. Reported current sleep habits of 4 hours, increased stress levels and alcohol use on weekends (1 to 2). Exercise once a week and weight gain with current BMI of 18.4. Tries to eat three meals a day and caffeinated beverages throughout day and night.No recreational drug use. |
Review of Systems
| Category | Data entered by Deanna Fussi |
| General | J.W. healthy appearing female, A&Ox4 skin warm and dry, no fever, chills or sweats. |
| Integumentary / Breast | J.W. No reports of lumps,myalgia or nipple discharge. Skin warm and dry, without noted or reported lesions or edema. |
| HEENT / Neck | J.W. Acute 30 hour headache pain 8/10, phonophobia and photophobia. No reports auras. |
| Cardiovascular | J.W. No palpitations, chest pain, pressure or dizziness. |
| Respiratory | J.W. No cough,haemoptysis,dyspnoea, or dysphonia. |
| Gastrointestinal | J.W. Nausea reported c/o emesis. No dysphagia, heartburn, dyspepsia, change in bowel habits, bleeding, jaundice or weight loss. |
| Genitourinary | J.W. Currently using unspecified birth control. No reports of dysuria, frequency or urgency. Reports normal menstrual cycle. |
| Musculoskeletal | J.W. No reports redness, swelling, pain, or stiffness. |
| Allergic / Immunologic | J.W. No known allergic reactions to medications or environment. No reports of frequent infections. |
| Endocrine | J.W.No reports of weight loss, diabetes, goiter, or irritability. |
| Hematologic / Lymphatic | J.W. No reports of bleeding or bruising. No reports of inflamed lymphatic nodes, or recent infections. |
| Neurologic | J.W. reports headache, photophobia and phonophobia. No reports of auras, seizures, syncope, or numbness. |
| Psychiatric | J.W. Reported current stressful situations that involve occupation, school and personal issues.Lack of sleep reported as a normal occurrence. Reported weight gain-current BMI 18.4. No reports of mental heal history,treatments or medications |
| Category | Data entered by Deanna Fussi |
| General | J.W. young adult female that appears generally healthy. Responds and is groomed appropriately. |
| Skin | J.W.Skin warm and moist, color good.Nails without clubbing, cyanosis. |
| HEENT / Neck | J.W. Hair of average texture. Scalp without lesions, normocephalic/atraumatic (NC/AT). Eyes: Vision 20/20 in each eye. Visual fields full by confrontation. Conjunctiva pink; sclera white. Pupils 4 mm constricting to 2 mm, round, regular, equally reactive to light. Extraocular movements intact. Papilledema noted, without hemorrhages, exudates. No arteriolar narrowing or A-V nicking. Ears: right canal clear plus right tympanic membrane (TM) & left canal clear, TM with good cone of light, no cerumen or erythma noted. Neck: Neck supple. Trachea midline. Thyroid isthmus barely palpable, lobes not felt. |
| Cardiovascular | J.W. Carotid brisk, without bruits. Apical impulse brisk and tapping.Good S1, S2; no S3 or S4. No diastolic or systolic murmurs.JVP<3 above sternum.No changes with positioning. |
| Chest / Respiratory | J.W.Breasts symmetric. No masses;heaves, thrills or masses; nipples without discharge.Thorax symmetric with good excursion. Lungs resonant on percussion. Breath sounds vesicular with no added sounds.AP diameter normal. |
| Abdomen | J.W. Abdomen is soft, symmetric, and non-tender without distention. There are no visible lesions or scars. The aorta is midline without bruit or visible pulsation.Bowel sounds active. |
| Genitourinary / Rectal | J.W. External genitalia without lesions. No external hemorrhoids, with tight sphincter tone, rectal vault without masses.Guaiac negative. |
| Musculoskeletal / Osteopathic Structural Examination | J.W.No joint deformities or swelling on inspection and palpation. Good range of motion in hands, wrists, elbows, shoulders, spine, hips, knees, ankles.Extremities:Warm and without edema.All Pulses +2 and 5/5 strength bilaterally.Normal ABI ranges from 1.0 — 1.4. pressure |
| Neurologic | J.W.Alert and cooperative. Thought processes are coherent and insight is good. Oriented to person, place, and time. Cranial nerves: II to XII intact. Motor: Good muscle bulk and tone. Strength: 5/5 bilaterally in deltoids, biceps, triceps, hand grips, iliopsoas, hamstrings, quadriceps, tibialis anterior, and gastrocnemius. Cerebellar: Rapid alternating movement (RAMs) and point-to- point movements intact. Gait stable, fluid. Sensory: Pinprick, light touch, position sense, vibration, and stereognosis intact. Romberg negative. Reflexes: +2,intact and symmetrical. |
| Psychiatric | The patient is alert, well-groomed, and reports stress. Speech is fluent and words are clear. Thought processes are coherent, insight is good. The patient is oriented to person, place, and time. Serial 7s accurate; recent and remote memory intact. Calculations intact.” |
| Lymphatic | J.W. Lymph nodes: No cervical, axillary or epitrochlear nodes. |
