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  • [Solved] Pharm week 6 Reply to Peer 2

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    FM is presenting with signs of new onset type two diabetes mellitus (DM). Polydipsia, polyuria, blurred vision, and significant hyperglycemia are all classic and telling signs of type 2 DM. His A1c of 11.4% confirms the diagnosis. Along with that, his BMI of 39.8 places him in the obese category, wh…

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    FM is presenting with signs of new onset type two diabetes mellitus (DM). Polydipsia, polyuria, blurred vision, and significant hyperglycemia are all classic and telling signs of type 2 DM. His A1c of 11.4% confirms the diagnosis. Along with that, his BMI of 39.8 places him in the obese category, which increases his risk of cardiovascular complications. Because FM has a history of hypertension and hyperlipidemia, managing his diabetes carefully is essential to prevent further health issues.
    For non-pharmacologic treatments, lifestyle changes are the top priority. FM should be referred to a registered dietitian to help him develop a personalized diet or meal plan a that focuses on reducing carbohydrates, saturated fats, and sugary foods. He should also be encouraged to begin regular physical activity. Something as simple as walking 30 minutes most days can help with weight loss and blood sugar control (Evert et al., 2019). Behavioral health support may also be helpful, especially since FM reported feeling lonely and depressed. Emotional eating can impact his progress. So, addressing the mental health aspect is just as important as physical health.
    From a pharmacological standpoint, metformin is the best first-line option. It improves insulin sensitivity, has a favorable safety profile, and may assist with modest weight loss (American Diabetes Association [ADA], 2024). Caution should be taken with FM’s use of hydrochlorothiazide, as thiazide diuretics may increase blood glucose levels (Taylor et al., 2021). If metformin alone isn’t enough, a GLP-1 receptor agonist (semaglutide) or SGLT2 inhibitor (Farxiga) could be added due to their cardiovascular and weight benefits.
    For additional labs, FM should get a fasting, lipid panel, renal function tests (eGFR, BUN/creatinine), and liver function tests as well. This is especially important and these labs are necessary since new medications may be added. A urine microalbumin test would also be useful to evaluate for early signs of diabetic nephropathy (ADA, 2024).
    **References**
    American Diabetes Association. (2024). _Standards of care in diabetes—2024_. _Diabetes Care, 47_(Supplement_1), S1–S350. https://doi.org/10.2337/dc24-Sint
    Evert, A. B., Dennison, M., Gardner, C. D., Garvey, W. T., Lau, K. H., MacLeod, J., … & Dunbar, S. A. (2019). Nutrition therapy for adults with diabetes or prediabetes: A consensus report. _Diabetes Care, 42_(5), 731–754. https://doi.org/10.2337/dci19-0014
    Taylor, E. N., Curhan, G. C., & Forman, J. P. (2021). Thiazide diuretics and the risk of hyperglycemia. _Journal of Clinical Hypertension, 23_(4), 765–771. https://doi.org/10.1111/jch.14204

  • [Solved] Mitz week 6 soap

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    Mitz week 6 soap – ## SOAPNoteTemplate-Final281293.docx **## SOAPNoteTemplate-Final281293.docx** | | | | — | — | | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _______…

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    Mitz week 6 soap

    – ## SOAPNoteTemplate-Final281293.docx

    **## SOAPNoteTemplate-Final281293.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

    **## SOAPNoteTemplate-Final281293.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

  • [Solved] Roch week 6 soap

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    roch week 6 soap – ## SOAPNoteTemplate-Final281293.docx **## SOAPNoteTemplate-Final281293.docx** | | | | — | — | | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _______…

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    Assignment Prompt & Instructions

    roch week 6 soap

    – ## SOAPNoteTemplate-Final281293.docx

    **## SOAPNoteTemplate-Final281293.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

    **## SOAPNoteTemplate-Final281293.docx**

    | | |
    | — | — |
    | **SOAP Note _______**<br>NU___:_________<br>Herzing University | **Name:_________________________**<br>Typhon Encounter #: _____________________<br>**Comprehensive:____Focused:____** |

    | | | |
    | — | — | — |
    | S: SUBJECTIVE DATA |
    | CC: | What are they being seen for? This is the reason that the patient sought care, stated in their own words/words of their caregiver, or paraphrased. |
    | HPI: | Use the “OLDCART” approach for collecting data and documenting findings. [O=onset, L=location, D=duration, C=characteristics, A=associated/aggravating factors, R=relieving factors, T=treatment, S=summary] |
    | PMH: | This should include past illness/diagnosis, conditions, traumas, hospitalizations, and surgical history. Include dates if possible. |
    | ALLERGIES | State the offending medication/food and the reactions. |
    | MEDICATIONS | Names, dosages, and routes of administration along with indication of use. |
    | SH | Related to the problem, educational level/literacy, smoking, alcohol, drugs, HIV risk, sexually active, caffeine, work and other stressors. Cultural and spiritual beliefs that impact health and illness. Financial resources. |
    | FH | Use terms like maternal, paternal, and the diseases along with the ages they were deceased or diagnosed if known. |
    | HEALTH PROMOTION & MAINTENANCE | **Required for all SOAP notes:** Immunizations, exercise, diet, etc. Remember to use the <br>[United States Clinical Preventative Services Task Force (USPSTF)](https://www.uspreventiveservicestaskforce.org/uspstf/recommendation-topics/uspstf-a-and-b-recommendations) for age-appropriate indicators. This should reflect what the patient is presently doing regarding the guidelines. Other wellness visits including but not limited to dental and eye exams. |
    | ROS <br>(put N/A in sections not completed day of exam) | Constitutional | |
    | | Head | |
    | | Eyes | |
    | | Ears, Nose, Mouth, Throat | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric (screening tools: Ex: PHQ-9, MMSE, GAD-7) | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | | | |
    | — | — | — | — | — |
    | O: OBJECTIVE DATA |
    | VITALS: | HR: | RR: | BP: | Temp: |
    | | SpO2%: | Ht: | Wt: | BMI: |
    | | Age: | LMP: | PAIN: | |
    | PHYSICAL EXAM <br> <br>(Pertinent data related to presenting problem or visit type. Put N/A in sections not completed day of exam) | General Appearance | |
    | | Head | |
    | | Eyes | |
    | | ENT, Mouth | |
    | | Neck | |
    | | Cardiovascular/Peripheral Vascular | |
    | | Respiratory | |
    | | Breast | |
    | | Gastrointestinal | |
    | | Genitourinary Male |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Genitourinary Female |
    | | · External Exam | |
    | | · Internal Exam | |
    | | Musculoskeletal | |
    | | Integumentary | |
    | | Neurological | |
    | | Psychiatric | |
    | | Endocrine | |
    | | Hematologic/Lymphatic | |
    | | Allergic/Immunologic | |
    | | Other | |

    | | | |
    | — | — | — |
    | A: ASSESSMENT AND DIAGNOSIS |
    | | DIAGNOSIS | ICD-10 CODES |
    | PRIORITIZE DIAGNOSIS | 1. | |
    | | 2. | |
    | | 3. | |

    | | | | |
    | — | — | — | — |
    | VISIT CODES | | CPT BILLING CODES | |
    | DIAGNOSTICS | | POC TESTING | |
    | | | TESTS REVIEWED | |

    | | | |
    | — | — | — |
    | P: PLAN |
    | ACTIONS | 1. | Diagnosis: <br>Diagnostics Order: labs, diagnostics testing (tests that you planned for/ordered during the encounter that you plan to review/evaluate relative to your work up for the patient’s chief complaint.)<br>Therapeutic: changes in meds, skin care, counseling, include full prescribing information for any pharmacologic interventions including quantity and number of refills for any new or refilled medications. (Ex: Amoxicillin 500mg, PO, q12h, x 7 days, #14, no refills)<br>Education: information clients need in order to address their health problems. Include follow-up care. Anticipatory guidance and counseling.<br>Consultation/Collaboration: referrals or consult while in clinic with another provider. If no referral made was there a possible referral you could make and why? Advance care planning. |
    | | 2. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | | 3. | Diagnosis:<br>Diagnostics Order:<br>Therapeutic:<br>Education:<br>Consultation/Collaboration: |
    | PREVENTITIVE <br> <br>(Used for comprehensive exams) | | Enter Guidance, Health Promotion, and/or Disease Prevention for patient, family, and/or caregiver. |
    | FOLLOW UP | | |

  • [Solved] HCP Week 6 Reply to Peer 1

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    **Option 2** One nurse legislator who has made a significant impact in Congress is Lauren Underwood, a registered nurse representing Illinois’ 14th Congressional District. Underwood has a strong background in nursing and public health, holding a dual master’s degree in both fields. Her real-world ex…

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    **Option 2**
    One nurse legislator who has made a significant impact in Congress is Lauren Underwood, a registered nurse representing Illinois’ 14th Congressional District. Underwood has a strong background in nursing and public health, holding a dual master’s degree in both fields. Her real-world experience working in the Department of Health and Human Services during the Obama administration gave her firsthand insight into health policy and crisis response, including involvement in the response to the Ebola outbreak and Flint, Michigan’s water crisis. These experiences have fueled her legislative priorities in Congress, especially around making healthcare more accessible and equitable for all communities.
    Since taking office, Underwood has introduced and supported several healthcare policies, but one of her most notable contributions is the Black Maternal Health Momnibus Act, which she co-led. This legislation is a comprehensive package that includes multiple bills aimed at improving maternal health outcomes, especially for Black women, who face significantly higher maternal mortality rates in the U.S. The Act addresses gaps in maternal care by expanding access to mental health services, improving data collection, and supporting community-based organizations (Underwood et al., 2021). Through this effort, Underwood has not only highlighted a critical public health issue but has also shown how nurses in leadership roles can drive meaningful policy change that prioritizes patient safety and health equity (Stephens & Ledlow, 2020).
    Having nurse leaders like Lauren Underwood in Congress brings a much-needed clinical and public health perspective to policymaking. Nurses understand what happens at the bedside and in communities, so they’re uniquely positioned to advocate for policies that actually reflect the needs of patients and healthcare professionals. Her work proves how nurses are more than caregivers—they’re change agents in shaping the future of healthcare.
    **References**
    Stephens, J., & Ledlow, G. R. (2020). _Health care management: Strategy, structure, and process_(3rd ed.). Springer Publishing Company.
    Underwood, L., Adams, R., Kelly, R. L., Pressley, A., & Hayes, J. (2021). H.R.959 – Black Maternal Health Momnibus Act of 2021. _Congress.gov_. https://www.congress.gov/bill/117th-congress/house-bill/959

  • [Solved] HCP Week 6 Reply to Peer 2

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    **Nurses Serving in Congress: Health Care Policy Discussion** **Option 1:** **a) First Registered Nurse Elected to Congress** The first registered nurse elected to Congress was Eddie Bernice Johnson, who was elected to the House in 1992. Johnson’s groundbreaking achievement opened the door for nursi…

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    **Nurses Serving in Congress: Health Care Policy Discussion**
    **Option 1:**
    **a) First Registered Nurse Elected to Congress**
    The first registered nurse elected to Congress was Eddie Bernice Johnson, who was elected to the House in 1992. Johnson’s groundbreaking achievement opened the door for nursing professionals to have direct representation in federal legislative processes, bringing invaluable healthcare expertise to Capitol Hill.
    **(b) State Affiliation**
    Eddie Bernice Johnson represented Texas’s 30th congressional district and served from 1993 to 2023. Her representation of this Texas district allowed her to advocate for both state-specific and national healthcare initiatives throughout her distinguished career.
    **(c) Policy Contributions**
         One of Johnson’s most significant policy contributions was her co-sponsorship of the Future Advancement of Academic Nursing (FAAN) Act. The FAAN Act was introduced on August 4, 2020, by Representative Lauren Underwood and Representative Eddie Bernice Johnson, the only two nurses serving in Congress at the time. This legislation represented a historic investment in nursing education, investing $1 billion to support nursing education during public health challenges such as the COVID-19 pandemic and providing resources to boost student and faculty populations, support educational programming, modernize infrastructure and support partnerships and research.
         Eddie Bernice Johnson’s career exemplifies the vital role that nurses can play in shaping healthcare policy. Her background as a psychiatric nurse at the Dallas VA hospital provided her with firsthand experience of the challenges facing both healthcare providers and patients. This clinical expertise translated into her legislative work, where she consistently championed evidence-based healthcare policies and advocated for the nursing profession. Johnson’s work on the FAAN Act demonstrates how nurse legislators can address systemic issues in healthcare education and workforce development, ultimately improving patient care outcomes across the nation.
         The impact of having nurses in Congress extends beyond individual policy initiatives. Johnson’s presence in the House of Representatives for three decades provided a professional nursing voice in debates about healthcare reform, public health emergencies, and medical research funding. Her dual perspective as both a healthcare provider and policymaker enabled her to bridge the gap between clinical practice and legislative action. President Biden noted that her leadership was “crucial” in passing the CHIPS and Science Act, demonstrating how nursing expertise can contribute to diverse policy areas beyond traditional healthcare legislation. Johnson’s legacy continues to inspire nurses to pursue leadership roles in public policy, ensuring that the nursing profession’s values of patient advocacy and evidence-based practice remain central to healthcare policy discussions.
    **References:**
    American Association of Colleges of Nursing. (2024, February 9). AACN applauds the reintroduction of the FAAN Act in Congress. _AACN News_. https://www.aacnnursing.org/news-data/all-news/aacn-applauds-the-reintroduction-of-the-faan-act-in-congress
    Chief Healthcare Executive. (2024, January 3). First registered nurse elected to Congress, Eddie Bernice Johnson remembered as a trailblazer. _Chief Healthcare Executive_. https://www.chiefhealthcareexecutive.com/view/first-registered-nurse-elected-to-congress-eddie-bernice-johnson-remembered-as-a-trailblazer

  • [Solved] Nursing Notes

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    Looking for help with a SOAP note Family Nurse Practitioner student

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    Looking for help with a SOAP note Family Nurse Practitioner student

  • [Solved] Pharm week 6 Reply to Peer 1

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    **Week 6 Discussion: Patient With Polydipsia and Weight Gain** **Nonpharmacologic Treatments Recommended to FM** Given FM's diagnosis of new-onset type 2 diabetes mellitus (T2DM), lifestyle modifications are critical. The following nonpharmacologic strategies are recommended: – **Medical nutrition t…

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    **Week 6 Discussion: Patient With Polydipsia and Weight Gain**
    **Nonpharmacologic Treatments Recommended to FM**
    Given FM's diagnosis of new-onset type 2 diabetes mellitus (T2DM), lifestyle modifications are critical. The following nonpharmacologic strategies are recommended:
    – **Medical nutrition therapy (MNT):** A referral to a registered dietitian is recommended to develop a meal plan that supports weight loss and glycemic control. FM should be educated on carbohydrate counting and choosing low-glycemic index foods (American Diabetes Association [ADA], 2024).
    – **Physical activity:** FM should engage in at least 150 minutes per week of moderate-intensity aerobic activity and strength training twice weekly, as tolerated (ADA, 2024).
    – **Behavioral counseling:** Counseling or behavioral therapy is advised to address emotional eating and mental health, especially in light of FM’s reported loneliness and depression during the pandemic.
    – **Self-monitoring:** FM should be educated on how to monitor his blood glucose at home, given his elevated A1c and random glucose levels.
    **Pharmacologic Treatments Recommended or Avoided**
    Due to FM's significant hyperglycemia (random glucose of 358 mg/dL and A1c of 11.4%), pharmacologic therapy is indicated.
    – **Recommended:**
    – **Metformin** is the first-line pharmacologic agent unless contraindicated. It enhances insulin sensitivity and has a favorable weight profile (ADA, 2024).
    – **GLP-1 receptor agonists** (e.g., semaglutide) or **SGLT2 inhibitors** (e.g., empagliflozin) may be added for further glycemic control, weight reduction, and cardiovascular benefit. These classes are advantageous for patients with obesity and elevated cardiovascular risk (Davies et al., 2022).
    – **Avoided:**
    – **Sulfonylureas** and **insulin** may promote weight gain and hypoglycemia and may not be ideal as initial treatments unless FM is experiencing severe hyperglycemia symptoms.
    – **Thiazide diuretics** (e.g., hydrochlorothiazide) can worsen glycemic control. Switching to a more metabolically favorable antihypertensive should be considered (ADA, 2024).
    **Additional Laboratory Tests Recommended**
    – **Fasting lipid panel:** To assess cardiovascular risk and guide statin therapy.
    – **Serum creatinine and estimated glomerular filtration rate (eGFR):** To evaluate renal function before initiating metformin or SGLT2 inhibitors.
    – **Liver function tests:** Baseline testing is necessary prior to initiating some antidiabetic agents.
    – **Urine albumin-to-creatinine ratio (UACR):** To screen for diabetic nephropathy.
    – **Thyroid-stimulating hormone (TSH):** To rule out thyroid dysfunction, which can impact weight and glycemic control.
    **References**
    American Diabetes Association. (2024). _Standards of care in diabetes—2024_. _Diabetes Care, 47_(Supplement 1), S1–S200. [https://doi.org/10.2337/dc24-S001](https://doi.org/10.2337/dc24-S001)
    Davies, M. J., Aroda, V. R., Collins, B. S., Gabbay, R. A., Green, J., Maruthur, N. M., … & Wexler, D. J. (2022). Management of hyperglycemia in type 2 diabetes, 2022: A consensus report by the ADA and the European Association for the Study of Diabetes (EASD). _Diabetes Care, 45_(11), 2753–2786. [https://doi.org/10.2337/dci22-0034](https://doi.org/10.2337/dci22-0034)

  • [Solved] Discussion Post

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  • [Solved] WK1 DISCUSSION B HP-212

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    COMPLETE WORK IN DETAIL 250 WORDS – ## WK1DISCUSSIONBHP-212.odt **## WK1DISCUSSIONBHP-212.odt** ## Thumbnails/thumbnail.png ICD 10 was developed by the World Health Organization as a unique system for morbidity and mortality reporting. ICD diagnostic coding should accurately reflect the healthcare p…

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    COMPLETE WORK IN DETAIL 250 WORDS

    – ## WK1DISCUSSIONBHP-212.odt

    **## WK1DISCUSSIONBHP-212.odt**

    ## Thumbnails/thumbnail.png

    ICD 10 was developed by the World Health Organization as a unique system for morbidity and mortality reporting. ICD diagnostic coding should accurately reflect the healthcare provider’s findings. Diagnostic coding is a major factor in obtaining insurance reimbursement as well as maintaining patient records.

    Apply your current knowledge of accurate code selection.

    Include all the following aspects in the discussion post:

    – share an example of a diagnosis code

    – confirm that all the required characters are present

    – discuss all appropriate steps to selecting a diagnosis code

    – why does the Medical Coder reference both the Alphabetic Index and Tabular List in code selection

    250 WORDS IN DETAIL

    **## WK1DISCUSSIONBHP-212.odt**

    ## Thumbnails/thumbnail.png

    ICD 10 was developed by the World Health Organization as a unique system for morbidity and mortality reporting. ICD diagnostic coding should accurately reflect the healthcare provider’s findings. Diagnostic coding is a major factor in obtaining insurance reimbursement as well as maintaining patient records.

    Apply your current knowledge of accurate code selection.

    Include all the following aspects in the discussion post:

    – share an example of a diagnosis code

    – confirm that all the required characters are present

    – discuss all appropriate steps to selecting a diagnosis code

    – why does the Medical Coder reference both the Alphabetic Index and Tabular List in code selection

    250 WORDS IN DETAIL

  • [Solved] WK1 DISCUSSION B HP-213

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    COMPLETE WORK IN DETAIL 250 WORDS – ## WK1DISCUSSIONBHP-213.odt **## WK1DISCUSSIONBHP-213.odt** ## Thumbnails/thumbnail.png You have learned about the two indexes in the CPT code set from the chapter readings. These are the Alphabetic Index and the Tabular index. The Alphabetic Index can be located …

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    COMPLETE WORK IN DETAIL 250 WORDS

    – ## WK1DISCUSSIONBHP-213.odt

    **## WK1DISCUSSIONBHP-213.odt**

    ## Thumbnails/thumbnail.png

    You have learned about the two indexes in the CPT code set from the chapter readings. These are the Alphabetic Index and the Tabular index. The Alphabetic Index can be located at the end of the CPT manual. This is set up similar to a medical dictionary and has main terms that are in bold as well as sub-terms which include a code or code range that we would use to start the code selection process. From there we would refer to the Tabular index which is one of the six main sections of the CPT manual to look up the full description of the CPT code we found in the Alphabetic index. This is the two-step process needed when looking up our CPT codes.

    ###### Illustrate your current knowledge by accurately using the CPT indexes.

    Include the following aspects in the discussion:

    – Select a term and code from the Alphabetic index, and then find this same code in the Tabular index.

    – Think back to the last time you or a loved one went to a physician. Share a code with the full description of the procedure or service represented that was performed.

    – Reflect on and share why you choose this code and your overall experience on the code selection process.

    – Discuss if you felt this was an easy process to navigate or did you experience any challenges in the process of using both indexes?

    250 WORDS IN DETAIL

    **## WK1DISCUSSIONBHP-213.odt**

    ## Thumbnails/thumbnail.png

    You have learned about the two indexes in the CPT code set from the chapter readings. These are the Alphabetic Index and the Tabular index. The Alphabetic Index can be located at the end of the CPT manual. This is set up similar to a medical dictionary and has main terms that are in bold as well as sub-terms which include a code or code range that we would use to start the code selection process. From there we would refer to the Tabular index which is one of the six main sections of the CPT manual to look up the full description of the CPT code we found in the Alphabetic index. This is the two-step process needed when looking up our CPT codes.

    ###### Illustrate your current knowledge by accurately using the CPT indexes.

    Include the following aspects in the discussion:

    – Select a term and code from the Alphabetic index, and then find this same code in the Tabular index.

    – Think back to the last time you or a loved one went to a physician. Share a code with the full description of the procedure or service represented that was performed.

    – Reflect on and share why you choose this code and your overall experience on the code selection process.

    – Discuss if you felt this was an easy process to navigate or did you experience any challenges in the process of using both indexes?

    250 WORDS IN DETAIL