NR601 Week 2 iHuman Assignment Chris Alvarez
NR601 Week 2 iHuman Assignment Chris Alvarez – Step-by-Step Guide
The first step before starting to write the NR601 Week 2 iHuman Assignment Chris Alvarez 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 NR601 Week 2 iHuman Assignment Chris Alvarez
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 NR601 Week 2 iHuman Assignment Chris Alvarez
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 NR601 Week 2 iHuman Assignment Chris Alvarez
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 NR601 Week 2 iHuman Assignment Chris Alvarez
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 NR601 Week 2 iHuman Assignment Chris Alvarez
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 NR601 Week 2 iHuman Assignment Chris Alvarez
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.
NR601 Week 2 iHuman Assignment Chris Alvarez Example
Performance Overview for Amber Quinn on case Chris Alvarez
The following table summarizes your performance on each section of the case, whether you completed that section or not. Have a look at NR601 Week 2 iHuman Reflection.
Time spent: 5hr 6min 1sec Status: Submitted
| Case Section | Status | Your Score | Time spent | Performance Details |
| History | Done | 100% | 1hr 44min 31sec | 40 questions asked, 35 correct, 0 missed relative to the case’s list |
| Physical exams | Done | 100% | 1hr 19min 45sec | 28 exams performed, 19 correct, 0 partially correct, 0 missed relative to the case’s list |
| Key findings organization | Done | 9min 48sec | 17 findings listed; 17 listed by the case | |
| Problem statement | Done | 34sec | 66 words long; the case’s was 62 words | |
| Differentials | Done | 100% | 8min 4sec | 8 items in the DDx, 5 correct, 0 missed relative to the case’s list |
| Differentials ranking | Done | 100% (lead/alt score) 100% (must not miss score) | 0sec | |
| Tests | Done | 100% | 25min 24sec | 23 tests ordered, 11 correct, 0 missed relative to the case’s list |
| Diagnosis | Done | 100% | 9sec | |
| Management plan | Done | 1min 18sec | 496 words long; the case’s was 58 words | |
| Exercises | Done | 88% (of scored items only) | 10min 19sec | 7 of 8 correct (of scored items only) |
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 |
Chris Alvarez is a 72-year-old male who presents with increased shortness of breath x2 months. PMH significant for HTN, HLD, and CAD with stent placement 6 months ago. Associated symptoms include cough, white sputum, orthopnea, and occasional wheeze. Physical exam is notable for elevated blood pressure, hepatomegaly, 2-3+ BIL pitting edema to mid-thigh, tachypnea, fine crackles, JVP, and tachycardia. Denies chest pain, palpitations, or heart irregularities.
Management Plan Diagnostics
12 Lead ECG: Abnormal, LV hypertrophy with left atrial enlargement BNP: Markedly elvated
Chest x-ray AP: cardiomegaly with dilation of LV, engorgement of the central pulmonary vasculature, BIL pleural effusions, right greater than the left with bibasilar atelectasis, haziness in the lungs with small, nonspecific, il-defined densities in the right lung apex.
Coronary Angiogram: Past obstruction of circumflex artery, completely revascularized with sten in situ, no additional targets for revascularization.
Liver Function Test (LFT): Mild elevations in transaminases, alk phos and bilirubin.
Medications
Discontinue the use of Metoprolol, Ramipril, Clopidogrel, and Atorvastatin.
Carvedilol 3.25 mg, take one tablet by mouth twice daily, dispense #28
Furosemide 20 mg take one tablet by mouth twice daily, 6-8 hours apart, dispense #28 Losartan 25 mg, take one tablet by mouth every morning, dispense #14
Simvastatin 20 mg, take one tablet by mouth nightly, dispense #14 Spironolactone 12.5 mg, take one tablet by mouth every morning, dispense #14 Aspirin 81 mg, take one tablet by mouth at bedtime, dispense #30
Consults/Referrals
Cardiology for continued management of hypertension and heart failure
Cardiac rehab team, which will include a dietician/nutritionist, registered nurse and therapists.
Client Education
You should be weighing yourself every morning with the same scale. A weight increase of 2-3 pounds in a day, or 5 pounds in a week should be reported.
Purchase an at home BP monitor and monitor your BP twice daily in morning before eating, or taking your medication, and once in the evening.
Limit and/or decrease your alcohol consumption
Continue to no smoke or use tobacco products, smoking increases your risk of cardiac death.
Encourage weight loss with a healthy diet and exercise. Diet should consist of low sodium, heart healthy foods, you should avoid caffeine.
Do not consume any over-the-counter vitamins and supplements without consulting with your provider. Do not take any NSAIDS such as Ibuprofen, Naproxen or Aleve while taking your hypertension medication, use Acetaminophen (Tylenol) for headache.
If at any time you develop severe shortness of breath, chest pain, irregular heartbeat, confusion, or numbness or tingling on one side of your body, these symptoms would warrant immediate medical attention at the nearest emergency department.
Follow-Up
Repeat lab work in 2 weeks
Follow up in office with PCP in 2 weeks for blood pressure check and medicaiton managment.
References
Elgendy, I. Y., Mahtta, D., & Pepine, C. J. (2019). Medical therapy for heart failure caused by ischemic heart disease. Circulation Research, 124(11), p. 1520-1535. https://doi.org/10.1161/CIRCRESAHA.118.313568
Heidenreich, P. A., Bozkurt, B., Aguilar, D., Allen, L. A., Byuny, J. J., Colvin, M. M., Deswal, A., Drazner, M. H., Dunlay, S, M.,
Evers, L. R., Fang, J. C., Fedson, S. E., Fanarow, G. C., Hayek, S. S., Hernandex, A. F., Khazanie, R., Kittleson, M. M., Lee, C. S., Link, M. S., Yancy, C. W. (2022). 2022 AHA/ACC/HFSA guideline for the management of heart failure: A report of the American College of Cardiology/American Heart Association joint committe on clinical practice guidelines. Circulation, 145(18), e895-e1032. https://doi.org/10.1161/CIR.0000000000001063
History of Present Illness
| Category | Data entered by Amber Quinn |
| Reason for Encounter | Shortness of breath |
| History of present illness | CA is a 72-year-old obese male with a significant past medical history of HTN, HLD, and CAD with stent placement who presented to the clinic with complaints of shortness of breath. He reports feeling short of breath with activity and at rest and describes it as feeling smothered or suffocated. He cannot sleep lying down, so he sleeps in his recliner. He reports frothy white phlegm and an occasional wheeze. He reports feeling fatigued, along with swelling in his gut and legs. He was a pack-per-day smoker for 50 years, recently quitting 6 months ago. He reports one to two drinks a day. His diet includes eating out often, continued use of sodium, and prepared meals. Denied headaches, vision changes, nausea, vomiting, constipation, diarrhea, chest pain, or palpitations. He denies any allergies. |
Past Medical History
| Category | Data entered by Amber Quinn |
| Past Medical History | Hypertension, hyperlipidemia, and coronary artery disease. |
| Hospitalizations / Surgeries | Cardiac stent placement 6 months ago |
Medications
| Category | Data entered by Amber Quinn |
| Medications | Metoprolol, Ramipril, Aspirin, Clopidogrel, and Atorvastatin, unsure of dosages. |
Allergies
| Category | Data entered by Amber Quinn |
| Allergies | NKDA |
Preventive Health
| Category | Data entered by Amber Quinn |
| Preventive health | Unsure when his last physical was. Reports he has received his flu shot this year and reports receiving the pneumonia vaccine several years ago. |
Family History
| Category | Data entered by Amber Quinn |
| Family History | Lives with his spouse Sofia has been married for 49 years and has one adult son who lives nearby. His Father passed away in his 60’s, and his mother in her 70’s. |
| Category | Data entered by Amber Quinn |
| Social History | 50 year a pack-per-day smoker, recently quit 6 months ago. Reports 1-2 daily alcohol drinks per day since he was 19. |
Review of Systems
| Category | Data entered by Amber Quinn |
| General | Reports weight gain and fatigue. Denies fever. |
| Integumentary / Breast | Denies itchy scalp, skin changes, moles, thinning hair, or brittle nails. |
| HEENT / Neck | Denies headaches, double or blurred vision or difficulty seeing at night, denies problems hearing, and ear pain, denies sinus problems, chronic sore throats or difficulty swallowing. |
| Cardiovascular | Denies chest pain, palpitations or heart rate irregularities. |
| Respiratory | Reports shortness of breath, cough, difficulty breathing, sleeping in a recliner, and wheezing. |
| Gastrointestinal | Denies any nausea, vomiting, constipation, diarrhea, coffee grounds in vomit, dark tarry stool, bright red blood in bowel movements, denies any satiety or bloating. |
| Genitourinary | Denies difficulty urinating, denies any pain, burning, blood, difficulty starting or stopping, dribbling, incontinence, urgency during day or night, denies any change in frequency. |
| Musculoskeletal | Denies any problems with muscle or joint pain, redness, swelling, muscle cramps, joint stiffness, joint swelling or redness, back pain, neck or shoulder pain, or hip pain. |
| Allergic / Immunologic | Deferrred |
| Endocrine | Denies any heat or cold intolerance, denies increased thirst or sweating, denies frequent urination, or change in appetite. |
| Hematologic / Lymphatic | Denies any bruising, bleeding gums, nose bleeds, or other sites of increased bleeding. |
| Neurologic | Denies dizziness, fainting, spinning room, seizures, weakness, numbness, tingling, or tremors. |
| Psychiatric | Denies nervousness, depression, lack of interest, sadness, memory loss, or mood changes. Denies hearing voices or seeing things that are not there. |
| Category | Data entered by Amber Quinn |
| General | Appears stated age, and dressed appropriately for the situation. Well developed, no apparent distress. |
| Skin | Skin is dry with no lesions seen. Normal skin turgor. |
| HEENT / Neck | Eyelids: no ptosis, erythema, or swelling. Conjuctivae: pink, no discharge. Sclerae: anicteric. Orbital area: no edema, redness, tenderness, or lesions noted. Oropharynx: not injected, clear mucosa, tonsils without exudate. Tongue pink symmetrical. No swelling or ulcerations. PERRL. |
| Cardiovascular | Tachycardia, pansystolic murmur. PMI enlarged: 6th intercostal space, 2 cm lateral to the midclavicular line. Left parasternal heave |
| Chest / Respiratory | Fine crackles are heard throughout. Normal, symmetrical tactile fremitus. Dullness to percussion at bases bilaterally. |
| Abdomen | Bowel sounds active in all 4 quadrants. Hepatomegaly, the liver is pulsatile, shifting dullness with a fluid wave, + for hepatojugular reflux (HJR) |
| Genitourinary / Rectal | Deferred |
| Musculoskeletal / Osteopathic Structural Examination | Extremities: No cyanosis, mottling, or ulceration. Calf circumference equal bilaterally; no localized warmth or tenderness. |
| Neurologic | Awake and alert. |
| Psychiatric | Mood appropriate for the situation. |
| Lymphatic | Diffuse superficial varicosities without visible inflammation. Bilaterally symmetrical 2- 3+ pitting edema to mid-thigh level. |
