NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation

ST. Thomas University NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation-Step-By-Step Guide

This guide will demonstrate how to complete the ST. Thomas University NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation  assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation                                                                      

Whether one passes or fails an academic assignment such as the ST. Thomas University NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation  depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

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

How to Write the Introduction for NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation                                                                    

The introduction for the ST. Thomas University NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation    is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation                                                                    

After the introduction, move into the main part of the NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation  assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

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

How to Write the Conclusion for NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation                                                                    

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

How to Format the References List for NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation                                                                      

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

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Sample Answer for NUR 600 Assignment 3.1: Review of Systems (ROS) Documentation

General: He reports mild fever and increased fatigue. Negative for chills or weight changes. 

 Skin: Negative for skin-color changes, itchiness, rashes, or bruises

 HEENT: Head: Negative for headaches or head injury. Eyes: Reports itchy eyes. No visual loss, blurred vision, double vision, or yellow sclera. Ears: Reports itchy ears. No ear discharge or hearing loss. Nose: Positive for itchy nose, sneezing, nasal congestion, rhinorrhea, and postnasal drainage. No nasal bleeding. 

Throat: Positive for itchy palate. No sore throat or swallowing difficulties.

 Neck: No neck pain or stiffness.

 Respiratory: No cough, sputum production, shortness of breath, or chest pain.

 Cardiovascular: Negative for edema, palpitations, chest pain, chest pressure/discomfort, SOB on exertion, or fatigue.

 Gastrointestinal: No nausea, vomiting, epigastric pain, bloating, abdominal pain, diarrhea, constipation, tarry stools, or rectal bleeding.

Urinary: No dysuria, urinary frequency, urgency, blood in the urine, or abnormal urine color.

 Genital: Negative for penile discharge, testicular pain, or scrotal swelling. He denies a history of STIs.

Peripheral vascular: Denies having leg cramps, swelling/tenderness in calves, or a history of varicose veins.

Musculoskeletal: No joint pain, joint stiffness, muscle pain, low back pain, or history of fractures.

Psychiatric: He denies having anxiety, depressive, or psychotic symptoms. He denies having an addiction to alcohol or drug substances. No history of psychiatric admission. 

Neurologic: Negative for headache, dizziness, fainting, muscle weakness, constant mood changes, loss of sensation, or tingling sensations.

Hematologic: Negative for bruising or bleeding. No history of anemia or blood transfusion. 

Endocrine: Negative for heat/cold intolerance, excessive sweating, thinning hair, polydipsia, polyuria, or polyphagia.

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Discussion 3 Pharmacology 

1. Hypertension is high blood pressure which is an effect of high pressure in the arteries (Staessen et al.,2003). This can cause a high risk of cardiovascular disease. When it comes to the goal of drug therapy for hypertension it is to aim in reduction of cardiovascular diseases such as heart attacks or strokes (Staessen et al.,2003). Another goal is to be able to decrease organ damage that can occur to the heart, brain, lungs, and kidneys. Also, controlling individuals’ blood pressure allows in the aid to decrease chances of cardiovascular disease. Drugs that might help with these include diuretics, beta-blockers, ace inhibitors, Angiotensin II receptor blockers known as ARBs, and lastly calcium channel blockers (Staessen et al.,2003). To begin, diuretics help in lowering blood pressure by taking out water and sodium by urination. Beta-blockers work directly on the heart by lowering heart rate in individuals. This allows for less contractility and workload on the heart. Ace inhibitors causes arteries to shrink which allows the blood vessels to dilate and, in effect lowers blood pressure (Staessen et al.,2003). However, ARBs cause arteries to narrow and allows for them to remain open. Lastly, calcium channel blockers block calcium from entering the heart. By the blockage of calcium, it causes the heart rate to slow down and relaxes blood vessels (Staessen et al.,2003). Overall, all these medications contribute to lowering blood pressure. 

1. There are many different types of arrhythmias. The most common arrhythmia is known as Atrial Fibrillation. In A-fib you have irregular and fast heartbeats. Treatment for this is usually blood thinners, medications to control heart rates such as metoprolol, and surgeries such as catheter ablation and cardioversion might be needed (Tse,2016). Another is ventricular arrhythmia which is a fast heart rhythm. This can be life-threating. Treatments such as amiodarone or cardio-defibrillation. Bradycardia is a slow heart rate categorized as lower than 60 beats per minute (Tse,2016). Treatment might include medications such as atropine, epinephrine, or pacemaker insertion. Supraventricular tachycardia irregular fast heart rate categorized by 150-250 beats per minute. Treatment may include adenosine or vagal maneuver (Tse,2016). 

1. Atrial Fibrillation is irregular fast heartbeats. Patients may experience symptoms such as shortness of breath, palpitations, fatigue, and heart failure (Prystowsky et al., 2015). Treatment is based on each individual’s presentations. How long they’ve had it, the frequency and the symptoms (Prystowsky et al., 2015). To control heartbeat medications such as beta-blockers and calcium channel blockers may be ordered. In regards to the irregular rhythm antiarrhythmics such as amiodarone might be ordered (Prystowsky et al., 2015). Lastly, anticoagulants are prescribed in order to thin out the blood known as warfarin (Prystowsky et al., 2015). Overall, it all depends on the individual in severe cases catheter ablations might be performed. 

1. Anemia is when there is a decrease in the amount of red blood cells or when the number of hemoglobin decreases. There are many different types of anemia. Iron deficiency is the most common. This one occurs when there is a decrease of iron in the blood (Broadway-Duren et al.,2013). Causes can be blood loss or a lack of iron in the body (Broadway-Duren et al.,2013). Common side effects associated may be dizziness, fatigue, and brittle nails. Treatments include iron supplements (Broadway-Duren et al.,2013). Aplastic anemia occurs when the bone marrow doesn’t make enough red blood cells, platelets or white blood cells (Broadway-Duren et al.,2013). Certain auto-immune disorders can cause this. Individuals experience bruising, frequent infections, and bleeding (Broadway-Duren et al.,2013). Ways to treat this may be through blood transfusions, bone marrow transplants, or immunosuppressive therapies. Lastly, sickle cell anemia is when red blood cells are abnormally shaped (Broadway-Duren et al.,2013). Symptoms include jaundice, pain, and fatigue. This anemia can lead to organ failure (Broadway-Duren et al.,2013). Treatments include blood transfusions and pain medications (Broadway-Duren et al.,2013). 

References 

Broadway-Duren, J. B., & Klaassen, H. (2013). Anemias. Critical Care Nursing Clinics, 25(4), 411-426. 

Staessen, J. A., Wang, J., Bianchi, G., & Birkenhäger, W. H. (2003). Essential hypertension. The Lancet, 361(9369), 1629-1641. 

Tse, G. (2016). Mechanisms of cardiac arrhythmias. Journal of arrhythmia, 32(2), 75-81. 

Prystowsky, E. N., Padanilam, B. J., & Fogel, R. I. (2015). Treatment of atrial fibrillation. Jama, 314(3), 278-288.