Army Soap Note

A: (assessment) – Your interpretation of the patients condition. P: (plan) – Includes the following: 1. Medical treatment: includes use of meds, use of bandages, etc. 2. Additional diagnostics: which if any test which still might be needed. X-ray MRI ect.. 3. Special instructions, handouts, use of medications, side effects, etc. 4. Return to clinic: when and under what circumstances to return. Components of the SOAP note. . Medical History – Which gives you an idea of the patients problem before you start the physical exam of the patient. a. Patient data b. chief complaint 1. This is the reason for the patients visit. 2. Use direct quotes from patient. 3. Avoid using medical terms. c. Observations begin as soon as the patient walks through the door. d. Open ended questions will help you to get more complete and accurate information. e. Provider obstacles which are your attitude towards the individual or pre diagnosis of sick call ranger may prevent you from makin g an accurate judgment. . History of present illness/injury (HPI) f. Duration: when the illness/injury started. g. Type of pain: use the patients words to describe the type of pain. h. Location: have the patient explain, then have them point it out. i. : what makes it better or worse and is it constant or does it vary in intensity. j. Pain in different positions: does the pain vary with the change of the patients position. k. Medications/allergies: note any medications whether over the counter or not. Do the medications relate to the problem? Take note of the patients allergies. l. Supplements: note any supplements the patient is taking along with vitamins so you are aware of the possible interactions with the medication that may be given to the patient. m. Pertinent facts: facts which lead you to your diagnosis. Usually consist of classical signs and/or symptoms. I have found that the best way to get a person’s medical history is to using the SAMPLE and OPQRST. It’s a fast and easy way to recall the information that you need to provide to the PA or NCOIC. S: Symptoms A: Allergies M: Medicine taken P: Past history of similar events L: Last meal E: Events leading up to illness or injury O: Onset – What caused the illness or injury, or what were you doing at the time P: Provocation/Position – what brought symptoms on, where is pain located. Q: Quality – sharp, dull, crushing etc†¦ R: Radiation – does pain travel S: Severity/Symptoms Associated with or on a scale of 1 to 10, what other symptoms occur T: Timing/Triggers – occasional, constant, intermittent, only when I do this. Lastly you need to provide a name(first, last and middle initial) phone number, date of birth, FULL social security number, sex, and rank/grade. All this information is provided in order to file the note into the patients medical records. It can also be used to contact the patient regarding an appointment or information we may further need to assist the patient in his medical needs. All notes must be signed by the individual that screened the patient. There are 2 reason for this one is to insure that nothing is added to the note, this protects both yourself and the patient. It also allows the PA or NCOIC to speak with the individual that screened the patient for additional information regarding the patient or having them correct a deficiency with the note itself before being placed in the patients medical history. Signing under the last portion of the note lets people know that the note has ended however do not mark any open space out, the PA may want to add additional information which he will then stamp verifying that he was the one who in fact added the information. Spc Singleton 68W10 Army Soap Note A: (assessment) – Your interpretation of the patients condition. P: (plan) – Includes the following: 1. Medical treatment: includes use of meds, use of bandages, etc. 2. Additional diagnostics: which if any test which still might be needed. X-ray MRI ect.. 3. Special instructions, handouts, use of medications, side effects, etc. 4. Return to clinic: when and under what circumstances to return. Components of the SOAP note. . Medical History – Which gives you an idea of the patients problem before you start the physical exam of the patient. a. Patient data b. chief complaint 1. This is the reason for the patients visit. 2. Use direct quotes from patient. 3. Avoid using medical terms. c. Observations begin as soon as the patient walks through the door. d. Open ended questions will help you to get more complete and accurate information. e. Provider obstacles which are your attitude towards the individual or pre diagnosis of sick call ranger may prevent you from makin g an accurate judgment. . History of present illness/injury (HPI) f. Duration: when the illness/injury started. g. Type of pain: use the patients words to describe the type of pain. h. Location: have the patient explain, then have them point it out. i. : what makes it better or worse and is it constant or does it vary in intensity. j. Pain in different positions: does the pain vary with the change of the patients position. k. Medications/allergies: note any medications whether over the counter or not. Do the medications relate to the problem? Take note of the patients allergies. l. Supplements: note any supplements the patient is taking along with vitamins so you are aware of the possible interactions with the medication that may be given to the patient. m. Pertinent facts: facts which lead you to your diagnosis. Usually consist of classical signs and/or symptoms. I have found that the best way to get a person’s medical history is to using the SAMPLE and OPQRST. It’s a fast and easy way to recall the information that you need to provide to the PA or NCOIC. S: Symptoms A: Allergies M: Medicine taken P: Past history of similar events L: Last meal E: Events leading up to illness or injury O: Onset – What caused the illness or injury, or what were you doing at the time P: Provocation/Position – what brought symptoms on, where is pain located. Q: Quality – sharp, dull, crushing etc†¦ R: Radiation – does pain travel S: Severity/Symptoms Associated with or on a scale of 1 to 10, what other symptoms occur T: Timing/Triggers – occasional, constant, intermittent, only when I do this. Lastly you need to provide a name(first, last and middle initial) phone number, date of birth, FULL social security number, sex, and rank/grade. All this information is provided in order to file the note into the patients medical records. It can also be used to contact the patient regarding an appointment or information we may further need to assist the patient in his medical needs. All notes must be signed by the individual that screened the patient. There are 2 reason for this one is to insure that nothing is added to the note, this protects both yourself and the patient. It also allows the PA or NCOIC to speak with the individual that screened the patient for additional information regarding the patient or having them correct a deficiency with the note itself before being placed in the patients medical history. Signing under the last portion of the note lets people know that the note has ended however do not mark any open space out, the PA may want to add additional information which he will then stamp verifying that he was the one who in fact added the information. Spc Singleton 68W10

Literature review (Effectiveness of Web-based Distance Education) Essay

Literature review (Effectiveness of Web-based Distance Education) - Essay Example That is why the web-based distance education has been the first choice to many learners. As web based learning becomes more popular in the modern world, there are issues which must be able to be looked at in order to make sure that learners who use this system are able to learn just as effectively and efficiently as those using he traditional method (Roberts & McInnerney, 2007). Formal education has a very long history and a big part of this history is geared towards the traditional system of learning. In this regard, most of the theories and models of learning which have been developed have been developed around the traditional modes of learning and there is little theory to support the new and upcoming models such as web based learning. In this regard, it is necessary for there to be an understanding of how the web based and other virtual learning systems can be used to deliver knowledge to learners without compromising on the integrity of the education which the learners received. Without doing this, it will be hard to use such learning environments to able to help t he students as well as the tutors to be able to use the system to deliver kind of education required of them. At the same time, it will be necessary to recognize that learning environments are changing and that there is a need to make sure that there are systems as well as theories and models to support the new modes of learning and teaching. The issue of web based learning, or learning as it is referred by some people, is one which has been a major debate. Debate about web based learning or eLearning start from issues as trivial as what can be said to constitute eLearning and how the term should be spelled. However, there are more serious issues which must be looked at. These issues revolve around the credibility and the effectiveness as well as

Critical reception of William Hogarth in the nineteenth century Essay

Critical reception of William Hogarth in the nineteenth century - Essay Example According to Gray (140), his contemporaries compared Fedotov who is a Russian artist with Hogarth; for instance, Druzhinin describing Fedotov drawing of a woman leading her drunken husband through the streets claims that Hogarth would not refuse a subject rich in dramatic and satirical potential. Although the two artists use romantic themes of the misunderstood, impoverished artist and enforce pathos of the situation with abundant symbolic detail. Druzhinin later lamented the loss of a man who in his opinion believes could have been Russia’s Hogarth because Fedotov had the potential to go beyond the achievements of the famous English artist. Other commentators of Fedotov did not encourage him to emulate Hogarth; for instance, Bryullov advised him not to be attracted by complexities of Hogarth but encouraged Fedotov to follow nature (Gray 140). Until 18th century, continental Europe set the artistic agenda with the first artist using true English style and sensibility being William Hogarth who exposed vice and corruption in the 18th century London (Else 69). While Hogarth satirized the society other artists were busy showing the best light of the society in the 18th century. Through the nineteenth and twentieth century there were various views; however in the Victorian time, Hogarth emerged as a popular figure as well as honest and patriotic Englishman (Bindman and William 13). Hogarth issues regarding artistic origins as well as background emerged in early 1780s with publication of the fourth volume of Horace Walpole’s Anecdotes of painting in England that dealt with contemporaries including Hogarth. Considering the role of Hogarth’s widow following his death, there is an indication of moral conversion in the widow through suppression of indecent print and she engaged with Rev.Dr Trusler in producing a [popu lar volume known as Hogarth Moralized in 1768.

Computers and Communication :: Technology Essays Papers

Computers & Communication Today, more than ever people, are using technology in many different ways. Some people are using technology for leisure purposes while others are making technology work for them. Rapid advancements in technology are forever changing the way that we as people, react with the rest of the world and with each other. My parents, and the parents of many other college students, had little exposure to computers throughout their college education. It is up to the current generation of educators and students to harness the benefits of technology so they can be applied to many aspects of life, from work to communication, and from recreation to leisure. Within the context of this paper I will give some examples of technology (generally computer related) and how it has benefited the way we interact in society. Along with the benefits there are always some kinds of drawbacks, and I would like to touch on a few of those. In an attempt to make some chronological sense I will start off with some to the most basic technological advancements that are helping people like myself to conduct simple tasks such as word processing and so on. Computers, along with their input devices (such as keyboards) and their output devices (such as monitors and printers) allow us to do things in a more efficient manner than in times past (O’Leary 119). For instance, if I were to have typed this paper on a standard typewriter, and decided that I wanted paragraph number three to go where paragraph number four was at, I would have to retype the whole page, if not the entire paper again. Programs like word processors simulate a typewriter in a way that the data is editable for future corrections without ruining what is currently on the virtual page. Word processor programs have ingenious tools that come with them, such as spell checking. Spell checking can be a double-edged sword when it comes to the English language. It is all fine and dandy that your finished text can come out free of spelling errors, but I have noticed that spell checking can weaken ones ability to spell on their own terms using traditional paper and pencil. We must be able to use technology in a way that it does not hinder our skills as human beings. The advent of the word processor is eating away at the use of pen and paper during rough draft procedures, and it is common to see many students starting their rough drafts via computers.

Assisted Suicide Essay

Often labeled compassionate, according to the columnist for the Wall Street Journal, Joni Eareckson Tada, legalized assisted suicide or euthanasia is really a deadly double standard for those with severe disabilities, both conditions that are labeled terminal and those that are not. She seems to be of the opinion that euthanasia should never be considered an option no matter how severe or subjective suffering the person is facing. In the article, Tada claims that legalization of euthanasia, â€Å"sends a clear message that a person with a disability may not have a life worth living† (1). She touches on euthanasia in The Nethlands and Belguium . She stands for a powerful example of a person with this depilating condition, in this case quadriplegia, can accomplish in spite of her condition. However this is somewhat of a bias perspective because it implies that she has put a measure on the subjective pain this condition and similar to it entails. There should be certain conditions set in order to qualify for euthanasia so that it is an option for people who want it but we can also make a system to prevent people from misusing it. We were granted free will which includes the right to end our life when we chose. There does not need to be this all or nothing attitude towards assisted suicide and the disabled. Tada argues, â€Å"this ruling sends a clear message that a person with disability may not have a life worth living†(1). This law would bring nothing but a choice for the terminally ill. There are some disabilities that are incurable and cause tremendous suffering. They should not all fall under one umbrella. Andrew Btiva wrote in his article, Disability and physician-assisted suicide, â€Å"We do not believe that the right to assisted suicide is premised on a diminished quality of life for people with disabilities. It is based on respect for the autonomy of terminally ill individuals during their final days. It does not deny people with disabilities suicide prevention services, protection against murder, or protection from other abuses†(1). Tada is very bias in this article claiming that it would take away the disability will to live and go against their advocacy to have hope and live. When a person comes disabled and loses control in many ways, this in fact just gives them something that they can control. There are defiantly some factors that should qualify for a person requesting assisted suicide. They should be terminally ill with no hope of recovery and  in great physical pain. If it were legalized the disabled population would be majority of the prospect’s. I don’t believe that all disabled should qualify automatically as Tada argues in her article claiming that if legalized all disabled including children and obese would qualify for assisted suicide as an option. Tada states, â€Å"Society’s moral and unwritten law has always led us to save our children-and certainly not allow them to destroy themselves†(2). I do agree that children should ever be considered for assisted suicide unless they are in dire suffering with no hope of recovery. Tada argues, â€Å" a child lacks the mental, emotional and psychological maturity to make such a decision about death†(2). I completely agree with this but if you had your child suffering and in a vegetative state with no chance of recovery wouldn’t you want to put them out of their misery? We don’t let animals suffer so why let humans? My aunt had a very full life at 52 she found out that she had pancriaic cancer and after she went to the doctor twice she was informed that she had nothing more than IBS. I had advised her that she should get further checked out. And in June of 2010 she went to the doctor with horrible pain in her stomach and after many tests she was informed that she was diagnosed with stage 4 pancreatic cancer. At that point she was also told that she would not be able to get the surgery to remove it because it was at the lower end of the pancreas where it would be more difficult and could pass from the operation. She was told she could do Chemotherapy. After doing 6 month of intensive pain ridden sessions she realized that she didn’t want to do that any more. Even tho she did not want to end her life she did request that when she was no longer responsive in the hospital that she have the ability to be taken home for the rest of her time. It was only then that the doctors were very opposed to us taking her from the hospital. Not caring that it was her request that she not suffer the were not willing to let us take her home. Before her death she wanted to die at home with dignity. She didn’t want to be in the hospital. She truly believed that it would have been harder on the family to take care of her and she her like that she wanted to stay beautiful and not have her loved ones remember her as a â€Å"vegitable† laying in a hospital bed. This can be a really slippery slope. Who decides for the children or senile women? I truly The person requesting needs to  mentally stable and there needs to be safeguards against any family or doctors so as not to persuade the person in to euthanasia  projects in her article Let’s make a distinchin are qualifier. Terminal and suffering ,incurable, if theres a huge financial burden. Depression and mental

Essay about Gang Violence in Philadelphia - 2405 Words

The streets of Philadelphia are rapidly becoming a home to violent acts and random homicides. Innocent lives are taken every day due to the strong presence of gangs, and the streets are run by unruly groups of fearless young adults. Gang violence in Philadelphia is a major issue, and the citizens will never be safe until gang prevention occurs. Gang prevention is not a simple task, but with the right resources available, it is possible. Gang violence is a problem that will contribute to the collapse of Philadelphia, and it has yet to be solved throughout many generations. With gang violence on the rise, the best solution to gang violence is to educate the youth and parents about gangs and use family support to prevent the creation of gang†¦show more content†¦After realizing this method was not exactly efficient in preventing gang violence, programs were started to steer gangs in the right direction. Although these programs are new and are not fully functioning yet, they hav e shown significant improvements in prevention and continue to research the topic to this day. The solution to gang violence has not been discovered yet, but there are many theories regarding the issue. Possible Solutions Throughout the years, many plausible solutions to gang violence have been presented. A commonly thought of solution to gang violence is to punish and arrest gang members. People want anyone who is in contact with gangs locked up, but that will only make gangs rebel more. By doing so, the streets would be rid of gangs, but jails would be overpopulated with them. It may seem like having gangs in jail would solve the problem, but gang leaders being in jail does not stop a gang from continuing what they’re doing. Arresting gang members teaches nothing except for children to hate the authorities. â€Å"From 1985 to 1994, the number of American youths arrested for murder increased 158%, to more than 2,200† (Teen Gangs and Crime, 1996). If a child resents the authorities, they would be more likely to join a gang that goes against authorities. Officials are aware that they cannot arrest their way out of gang violence, and they have to take positive measures ( Parks Recreation, 2009). The most important thing to remember is â€Å"To treat this notShow MoreRelatedAn Increasing Crime Statistic In The United States Is A1120 Words   |  5 Pagesthe United States is a lot of violence by young gangs. In this case, young gangs tend to kill other young people in a large percentage of incidents these juvenile killers belong to young gangs. Young gangs band together for various reasons and get into trouble with the law are certainly not new in America. 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Due to the rapid rise of gang violence and youth membershipRead MoreTaking a Look at Gang Violence1075 Wor ds   |  4 Pagesones being murdered by violent street gang members. These victims often had nothing to do with the gangs or gang members that killed them. A street gang is a group of people who commonly involve themselves in heinous crimes such as murder, assault, drug dealing, robbery, and car theft. These gangs are present all over the nation and are starting to spread to other countries. It is imperative for the United States government to put a stop to gangs and gang violence. Ed Gottesman and Richard Brown agreeRead MoreEssay Graffiti: Art or Vandalism?1139 Words   |  5 Pagesand because of the community of artists who challenge and inspire each other, graffiti should be considered art and as a way to express oneself. The origin and history of graffiti is not what one might expect. Believed to have been created by a Philadelphia high school student named Cornbread in 1967, it was a bold effort to catch the attention of a girl (De Melker). In this same time period, graffiti sprung up in New York as well. It was â€Å"one among many forms of social protest† during the 1960s,Read MoreMurder Capital: â€Å"Chiraq, Drillinois† a City at War Essay1164 Words   |  5 PagesGang life exists as a lifestyle because of a lack of access to resources. Gangs are classically viewed as a by-product of social disorganization, the weakness of traditional institutions, like the schools, to replace the lost primary networks of the traditional world. Home of the Chicago Bulls and great players, such as, Michael Jordan and Derick Rose, who have won six rings and it is considered to host one of the greatest NBA teams of all times. It is the adopted hometown of the 44th President ofRead MoreThe Correlatio n between Crime and Poverty Essay1122 Words   |  5 PagesA violent crime occurs every 23.5 seconds in the United States of America. Even though crime has been at a low during the past decade, violence is still prevalent in today’s society. Most of these crimes happen in places that are socio-economically disadvantaged. There then is the debate of whether violent crime is associated with environments struck with poverty. There is a correlation between violent crimes and poverty because of the unemployment rates in major cities, the culture of poor areasRead MoreSchool Uniforms Should Not Be Mandatory847 Words   |  4 Pagesbrand school clothes and to minimize associations with gangs. More school systems across the United States of America are going to uniforms from grades one through twelve where students are still impressionable by their peers. 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Children´s Diet and Nutrition, An Anotated Bibliography Essay

Annotated Bibliography Bauer, K. W., Berge, J. M., Larson, N., Neumark-Sztainer, D. (2011). Are Parents of Young Children Practicing Healthy Nutrition and Physical Activity Behaviors? Pediatrics, 127(5), 881-887. doi: 10.1542/peds.1010-3218. The authors of this article present an investigation on the changes in health behaviors during parenthood. The study examines health behaviors, such as nutrition and physical activity, of both parents and young adults without children. Based on the findings, the authors concluded that there were some negative differences among parents in comparison to young adults without children. For example, mothers were found to intake more sugar in their diet and also had a higher BMI mean than women†¦show more content†¦This information helps to emphasize the idea that practicing healthy behaviors will positively help their children’s behavioral and cognitive functioning. Benton, D. (2004). Role of Parents in the Determination of the Food Preferences of Children and the Development of Obesity. International Journal of Obesity, 28. 858-869. doi: 10.1038/sj.ijo.0802532. This article investigates the key role parents play in how children determine their food preferences as well as the potential onset of obesity. The studies suggest that there is a genetically determined predisposition on the food choices made by children. Parents play a key role in modifying these predispositions to encourage healthy choices and behaviors. For example, obesity can be predisposed by genetics. However, parents can shape an environment for their children to avoid fostering the gene for obesity in their children and lead them to a healthier lifestyle. This article was useful to my product in emphasizing the key role parents play in the health of their children. I used the findings of this article to give advice to parents on how they should shape their child’s eating behaviors. Birch, L. L., Daniels, S. R., Dennison, B. A., Gidding, S. S., Gilman, M. W., Lichtenstein, A. H.,†¦Van Horn, L. (2006). Dietary Recommendations for Children and Adolescents: A Guide for Practitioners. Pediatrics, 117(2), 544-559. doi: