#PERRLA

[julie09tarot]

Today's PERRLA newsletter

Always amazing, but today it's *chef's kiss*

"My brain is wired a little differently. It's great at coming up with worst-case scenarios. This is helpful for risk mitigation but not so great for everyday living.

Just because I'm a few days late in writing this newsletter does not necessarily mean I will lose everything and be forced to live in a cardboard refrigerator box, eating rats I cook over an open flame in a rusty bucket.

Sometimes, the worst-case scenario turns out to be a good thing. Here is a story from Heather Lanier's TED Talk.

There was a farmer who lost his horse. And neighbors came over to say, "Oh, that's too bad." And the farmer said, "Good or bad, hard to say." Days later, the horse returns and brings with it seven wild horses. And neighbors come over to say, "Oh, that's so good!" And the farmer just shrugs and says, "Good or bad, hard to say." The next day, the farmer's son rides one of the wild horses, is thrown off, and breaks his leg. And the neighbors say, "Oh, that's terrible luck." And the farmer says, "Good or bad, hard to say." Eventually, officers come knocking on people's doors, looking for men to draft for an army. They see the farmer's son and his leg, and they pass him by. And neighbors say, "Oh, that's great luck!" And the farmer says, "Good or bad, hard to say.”

We tend to fixate on a desired outcome as if we know what's good for us. But let's face it... we humans are basically fortune tellers with a broken crystal ball, right? We are terrible at predicting what it will take to make us happy. "If only I get this [new gadget/car/spouse/etc.], it will change my life!"

I've got a lot of gadgets collecting dust.

Things that we perceive are bad and disrupt our lives can, in retrospect, become pivotal moments of growth and redirection. While we are wallowing in freakish misery*, the frustration and discomfort we experience in the present can blind us to future possibilities.

Now, I am not looking for any additional personal growth! I have had my share. But, it's good to remember that bad things can be good things with the gift of hindsight.

Why am I writing about this? I've got a situation in my life that's not working out the way I'd hoped. And a separate problem that requires me to live with uncomfortable uncertainty.

Maybe you're dealing with something similar?

Hopefully, things will work out the way we want. But maybe they won't, and it will lead to something even better than we could have imagined.

Good or bad, hard to say."

[nursingwriter]

¶ … Symptoms Check up. Pt. currently taking birth control pills (Yasmine), Zyrtec. Allergies: Penicillin Pt hx: 35-year-old female. Denies tobacco use. Occasional alcohol use. Surgery hx: Gastric band 2007, C-section 2007, D&C after miscarriage 2006, C-section 2004, tonsillectomy 1981 Medical history: Denies history of DM, CVD, asthma, seizures, head injuries, back injuries, chronic stomach problems. Admits history of HTN. GU and MS histories negative. Today's Exam: A&OX3. Alert, cooperative, dress appropriate, behavior appropriate. Affect: Appears frustrated. Hygiene: Extremely clean, clothing clean and neat. No odors noted. Vital signs: T=98.8; P=72; R=15; BP=118/72; Ht.=68 inches; Wt.= 229 lbs. Pain Scale: (0-10) Grade= 2 Skin Color/texture: pink, soft, dry, cool Turgor: Brisk. Returns to place in less than 2 seconds. No tenting. Nevi: 3mm brown nevus on left cheek, 2mm brown nevus on left breast, 5mm brown nevus on right breast, 1mm brown nevus on interior right elbow- all borders regular, all color uniform Nail beds are pink, no clubbing of fingers. No edema noted. Small skin tags on eyelids, neck, and underside of upper arms. Hair is blonde, full, evenly distributed, medium texture. One tattoo on left shoulder. Single piercings in both ears, right nipple. Head & Neck Scalp is pink without lesions or tenderness. Head is symmetrical and facial features are well spaced. Nose midline with pinak and dry nasal mucosa. Septum normal. Sinuses upon palpation are non-tender. Trachea is midline. Lymph nodes are non-palpable. Full ROM of neck. Eyes Eyes are slightly asymmetrical- right eye approximately 5mm higher than left eye. No lid lag. No leasions or drainage. Conjunctivae are pink and moist. Sclera is clear, moist, and white. Cornea is smooth, moist, and clear. Iris is green and clear. There is no eythema, edema, or tenderness in the lacrinal area. PERRLA (4mm). Visual acuity (Snellen chart) without correction. Right eye: 20/100; left eye: 20/100. Both eyes: 20/100. Ears No leasions, includes, or drainage of ears noted bilaterally. Repeated 4 of 6 letters/numbers whispered at 4 feet from right ear. Repeated 6 of 6 letters/numbers whispered at 4 feet from left ear. Mouth & Pharynx Words spoken clearly. Lips pink, moist, symmetrical, with some evidence of chapping. Tongue is pink, moist, midline, with one lesion (subject reported biting tongue when asked about the lesion). Buccal mucosa intact, pink, and moist. 31 teeth are present, and appear well kept- top left incisor removed. Uvula midline and soft and hard palates rise symmetrically. Tonsils and adenoids removed. Pharynx is midline. Neuro Alert and oriented to time, place, and person. Gait smooth. Somewhat agitated. Answers questions appropriately. Distinguishes between sharp and dull touch and warm and cold temperatures. Lungs & Thorax AP diameter to transverse diameter 1:2. Chest rises and falls symmetrically without retractions, bulges at the ICSs or use of accessory muscles. Skin is pink and nipples symmetrical. No tenderness, pulsations, masses or crepitus. Scapule and shoulders equal height. Vesicular sounds prevail over the lung fields. Bronchovesicular sounds heard at the first and second ICS lateral to sternum. Bronchial sounds heard over trachea. No adventitious sounds heard. Cardiovascular No nodules, masses, or lesions on the precordium area. Precordium without thrills, heaves, pulsations. PMI is palpated at the 4th left ISC midclavicular line. S1 is head at the loudest at the apex. S2 is heard loudest at the base. No adventitious sounds noted. Apical pulse= 68, Peripheral Vascular Skin over extremities cool, pink, and dry. Hair distribution difficult to determine- subject reports laser hair removal. Pulsation in carotids visible. Temporal, carotid, apical, brachial, radial, femoral, popliteal, dorsalis pedis, and posterior tibial pulses are +2. Capillary refill Read the full article

[nahassalsa]

Perrla apa for mac free

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These citations only include the name(s) of the author(s), date, and page number(s), if applicable. They're added into a project when a direct quote or paraphrase has been added into your work.

In-text/Parenthetical citations: Those that are found in the body of a project are called in-text/parenthetical citations.

#Perrla apa for mac free how to#

Also, read up on how to be careful of plagiarism. To learn more about citations, check out this page on crediting work. Another reason why we create citations is to provide a standard way for others to understand and possibly explore the sources we used. When you use another person's information to help you with your project, it is important to acknowledge that individual or group. One reason is to give credit to the authors of the work you used to help you with your own research. We address differences between the 6th and 7th editions at the end of this guide.įor more information, please consult the official Publication Manual.

#Perrla apa for mac free manual#

The 7th edition of the Publication Manual was released in 2020. This webpage was created solely by BibMe to help students and researchers focus on how to create APA citations. It outlines proper ways to organize and structure a research paper, explains grammar guidelines, and how to properly cite sources. The information in this guide follows the 7th edition of the Publication Manual of the American Psychological Association. There are other citation formats and styles such as MLA and Chicago citation style, but this one is most popular in the fields of science.įollowing the same standard format for citations allows readers to understand the types of sources used in a project and also understand their components. What is APA Citing?ĪPA style is used by many scholars and researchers in the behavioral and social sciences, not just psychology. They are not associated with this guide, but all of the information here provides guidance to using their style and follows the Publication Manual of the American Psychological Association. They are responsible for creating this specific citation style. What is APA?ĪPA stands for the American Psychological Association, which is an organization that focuses on psychology. Below are reference and in-text citation examples, directions on formatting your paper, and background information on the style.

#Perrla apa for mac free install#

All you need to do is install the Nox Application Emulator or Bluestack on your Macintosh.Welcome to a comprehensive guide on citing sources and formatting papers in the American Psychological Association style.

#Perrla apa for mac free for mac#

The steps to use APA Scorekeeper for Mac are exactly like the ones for Windows OS above. Click on it and start using the application. Now we are all done.Ĭlick on it and it will take you to a page containing all your installed applications.

#Perrla apa for mac free android#

Now, press the Install button and like on an iPhone or Android device, your application will start downloading. A window of APA Scorekeeper on the Play Store or the app store will open and it will display the Store in your emulator application. Click on APA Scorekeeperapplication icon. Once you found it, type APA Scorekeeper in the search bar and press Search. Now, open the Emulator application you have installed and look for its search bar. If you do the above correctly, the Emulator app will be successfully installed. Now click Next to accept the license agreement.įollow the on screen directives in order to install the application properly. Once you have found it, click it to install the application or exe on your PC or Mac computer. Now that you have downloaded the emulator of your choice, go to the Downloads folder on your computer to locate the emulator or Bluestacks application. Step 2: Install the emulator on your PC or Mac You can download the Bluestacks Pc or Mac software Here >. Most of the tutorials on the web recommends the Bluestacks app and I might be tempted to recommend it too, because you are more likely to easily find solutions online if you have trouble using the Bluestacks application on your computer. If you want to use the application on your computer, first visit the Mac store or Windows AppStore and search for either the Bluestacks app or the Nox App >. Step 1: Download an Android emulator for PC and Mac

[nursingscience]

Medical Abbreviations on Pharmacy Prescriptions

Here are some common medical abbreviations you may see on pharmacy prescriptions:

qd - once a day

bid - twice a day

tid - three times a day

qid - four times a day

qh - every hour

prn - as needed

pc - after meals

ac - before meals

hs - at bedtime

po - by mouth

IV - intravenous

IM - intramuscular

subQ - subcutaneous

mL - milliliter

mg - milligram

g - gram

mcg - microgram

stat - immediately, right away

NPO - nothing by mouth

cap - capsule

tab - tablet

susp - suspension

sol - solution

amp - ampule

inj - injection

Rx - prescription

C - Celsius

F - Fahrenheit

BP - blood pressure

HR - heart rate

RR - respiratory rate

WBC - white blood cell

RBC - red blood cell

Hgb - hemoglobin

Hct - hematocrit

PT - prothrombin time

INR - international normalized ratio

BUN - blood urea nitrogen

Cr - creatinine

Ca - calcium

K - potassium

Na - sodium

Cl - chloride

Mg - magnesium

PO2 - partial pressure of oxygen

PCO2 - partial pressure of carbon dioxide

ABG - arterial blood gas

CBC - complete blood count

BMP - basic metabolic panel

CMP - comprehensive metabolic panel.

ECG - electrocardiogram

EEG - electroencephalogram

MRI - magnetic resonance imaging

CT - computed tomography

PET - positron emission tomography

CXR - chest x-ray

CTX - chemotherapy

NSAID - nonsteroidal anti-inflammatory drug

DMARD - disease-modifying antirheumatic drug

ACE - angiotensin-converting enzyme

ARB - angiotensin receptor blocker

SSRI - selective serotonin reuptake inhibitor

TCA - tricyclic antidepressant

ADHD - attention deficit hyperactivity disorder

COPD - chronic obstructive pulmonary disease

CAD - coronary artery disease

CHF - congestive heart failure

DVT - deep vein thrombosis

GI - gastrointestinal

UTI - urinary tract infection

OTC - over-the-counter

Rx - prescription

OD - right eye

OS - left eye

OU - both eyes.

TID - thrombosis in dementia

TDS - ter die sumendum (three times a day)

BOM - bilaterally otitis media (infection in both ears)

BT - body temperature

C&S - culture and sensitivity

D/C - discontinue or discharge

D/W - dextrose in water

ETOH - ethyl alcohol

FUO - fever of unknown origin

H&P - history and physical examination

I&D - incision and drainage

I&O - intake and output

KVO - keep vein open

N&V - nausea and vomiting

PERRLA - pupils equal, round, reactive to light and accommodation

PR - per rectum

QAM - every morning

QHS - every bedtime

QOD - every other day

S/P - status post (after)

TPN - total parenteral nutrition

UA - urinalysis

URI - upper respiratory infection

UTI - urinary tract infection

VO - verbal order.

XRT - radiation therapy

YOB - year of birth

BRBPR - bright red blood per rectum

CX - cervix

DVT - deep vein thrombosis

GB - gallbladder

GU - genitourinary

HCV - hepatitis C virus

HPI - history of present illness

ICP - intracranial pressure

IVP - intravenous pyelogram

LMP - last menstrual period

MRSA - methicillin-resistant Staphylococcus aureus

MVA - motor vehicle accident

NKA - no known allergies

PEG - percutaneous endoscopic gastrostomy

PRN - pro re nata (as needed)

ROS - review of systems

SOB - shortness of breath

TAH - total abdominal hysterectomy.

TIA - transient ischemic attack

Tx - treatment

UC - ulcerative colitis

URI - upper respiratory infection

VSD - ventricular septal defect

VTE - venous thromboembolism

XR - x-ray

w/c - wheelchair

XRT - radiation therapy

ASD - atrial septal defect

Bx - biopsy

CAD - coronary artery disease

CKD - chronic kidney disease

CPAP - continuous positive airway pressure

DKA - diabetic ketoacidosis

DNR - do not resuscitate

ED - emergency department

ESRD - end-stage renal disease

FFP - fresh frozen plasma

FSH - follicle-stimulating hormone.

GCS - Glasgow Coma Scale

Hct - hematocrit

Hgb - hemoglobin

ICU - intensive care unit

IV - intravenous

JVD - jugular venous distension

K - potassium

L - liter

MCH - mean corpuscular hemoglobin

MI - myocardial infarction

Na - sodium

NGT - nasogastric tube

NPO - nothing by mouth

OR - operating room

PCN - penicillin

PRBC - packed red blood cells

PTT - partial thromboplastin time

RBC - red blood cells

RT - respiratory therapy

SOA - short of air.

SCD - sequential compression device

SIRS - systemic inflammatory response syndrome

STAT - immediately

T - temperature

TPN - total parenteral nutrition

WBC - white blood cells

ABG - arterial blood gas

A fib - atrial fibrillation

BPH - benign prostatic hypertrophy

CBC - complete blood count

CO2 - carbon dioxide

COPD - chronic obstructive pulmonary disease

CPR - cardiopulmonary resuscitation

CT - computed tomography

CXR - chest x-ray

D5W - dextrose 5% in water

Dx - diagnosis

ECG or EKG - electrocardiogram

EEG - electroencephalogram

ETO - early termination of pregnancy.

FHR - fetal heart rate

GSW - gunshot wound

H&P - history and physical exam

HCG - human chorionic gonadotropin

I&D - incision and drainage

IBS - irritable bowel syndrome

ICP - intracranial pressure

IM - intramuscular

INR - international normalized ratio

IOP - intraocular pressure

LFT - liver function test

LOC - level of consciousness

LP - lumbar puncture

NG - nasogastric

OA - osteoarthritis

OCD - obsessive-compulsive disorder

OTC - over-the-counter

P - pulse

PCA - patient-controlled analgesia

PERRLA - pupils equal, round, reactive to light and accommodation.

PFT - pulmonary function test

PICC - peripherally inserted central catheter

PO - by mouth

PRN - as needed

PT - physical therapy

PT - prothrombin time

PTSD - post-traumatic stress disorder

PVC - premature ventricular contraction

QD - once a day

QID - four times a day

RA - rheumatoid arthritis

RICE - rest, ice, compression, elevation

RSI - rapid sequence intubation

RSV - respiratory syncytial virus

SBP - systolic blood pressure

SLE - systemic lupus erythematosus

SSRI - selective serotonin reuptake inhibitor

STAT - immediately

TB - tuberculosis

TIA - transient ischemic attack.

TID - three times a day

TKO - to keep open

TNTC - too numerous to count

TPN - total parenteral nutrition

URI - upper respiratory infection

UTI - urinary tract infection

V-fib - ventricular fibrillation

V-tach - ventricular tachycardia

VA - visual acuity

WNL - within normal limits

AED - automated external defibrillator

ARDS - acute respiratory distress syndrome

BID - twice a day

BP - blood pressure

BUN - blood urea nitrogen

CAD - coronary artery disease

CHF - congestive heart failure

CVA - cerebrovascular accident

D/C - discontinue

DKA - diabetic ketoacidosis.

DM - diabetes mellitus

DVT - deep vein thrombosis

EGD - esophagogastroduodenoscopy

ER - emergency room

F - Fahrenheit

Fx - fracture

GI - gastrointestinal

GTT - glucose tolerance test

HCT - hematocrit

Hgb - hemoglobin

HRT - hormone replacement therapy

ICP - intracranial pressure

IDDM - insulin-dependent diabetes mellitus

IBS - irritable bowel syndrome

IM - intramuscular

IV - intravenous

K - potassium

KVO - keep vein open

L&D - labor and delivery

LASIK - laser-assisted in situ keratomileusis.

ROM - range of motion

RT - radiation therapy

Rx - prescription

SCD - sequential compression device

SOB - shortness of breath

STD - sexually transmitted disease

TENS - transcutaneous electrical nerve stimulation

TIA - transient ischemic attack

TSH - thyroid-stimulating hormone

UA - urinalysis

US - ultrasound

UTI - urinary tract infection

VD - venereal disease

VF - ventricular fibrillation

VT - ventricular tachycardia

WBC - white blood cell

XRT - radiation therapy

XR - x-ray

Zn - zinc

Z-pak - azithromycin (antibiotic).

AAA - abdominal aortic aneurysm

ABG - arterial blood gas

ACS - acute coronary syndrome

ADL - activities of daily living

AED - automated external defibrillator

AIDS - acquired immunodeficiency syndrome

ALS - amyotrophic lateral sclerosis

AMA - against medical advice

AML - acute myeloid leukemia

APAP - acetaminophen

ARDS - acute respiratory distress syndrome

ASCVD - atherosclerotic cardiovascular disease

BPH - benign prostatic hyperplasia

BUN - blood urea nitrogen

CABG - coronary artery bypass graft

CBC - complete blood count

CHF - congestive heart failure

COPD - chronic obstructive pulmonary disease

CPAP - continuous positive airway pressure

CRF - chronic renal failure.

CT - computed tomography

CVA - cerebrovascular accident

D&C - dilation and curettage

DVT - deep vein thrombosis

ECG/EKG - electrocardiogram

EEG - electroencephalogram

ESRD - end-stage renal disease

FSH - follicle-stimulating hormone

GERD - gastroesophageal reflux disease

GFR - glomerular filtration rate

HbA1c - glycated hemoglobin

Hct - hematocrit

HIV - human immunodeficiency virus

HPV - human papillomavirus

HTN - hypertension

IBD - inflammatory bowel disease

IBS - irritable bowel syndrome

ICU - intensive care unit

IDDM - insulin-dependent diabetes mellitus

IM - intramuscular.

IV - intravenous

LFT - liver function test

MI - myocardial infarction

MRI - magnetic resonance imaging

MS - multiple sclerosis

NPO - nothing by mouth

NS - normal saline

OCD - obsessive-compulsive disorder

OSA - obstructive sleep apnea

PCOS - polycystic ovary syndrome

PMS - premenstrual syndrome

PPD - purified protein derivative

PSA - prostate-specific antigen

PT - prothrombin time

PTT - partial thromboplastin time

RA - rheumatoid arthritis

RBC - red blood cell

RSV - respiratory syncytial virus

SLE - systemic lupus erythematosus

TB - tuberculosis.

It is important to remember that medical abbreviations can vary based on location and specialty. 

Healthcare professionals should use medical abbreviations with caution and only when they are familiar with their meanings. 

Patients should always communicate any questions or concerns they have about their medications or medical care to their healthcare provider or pharmacist to ensure they receive safe and accurate medical care.

[macgyvermedical]

Omg I know probably everyone has seen this by now but I just watched it for the first time and... it’s amazing. It is the most accurate to medical drama thing I have ever seen. I have watched it like 6 times now and I’m dying laughing.

So the non-med-people can enjoy this as much as I did:

“We have a 35 year old male- he was at the gym, he got hypertensive”

Hypertensive means high blood pressure. Most people at the gym are doing something strenuous and therefore have blood pressure that would be considered really, really high if they had it at rest. So unless this guy was having chest pain or a bad headache or confusion or some other symptom of hypertension that was causing damage, which in report they should have lead with, in other words... he’s totally fine.

“They were able to monitor everything on his apple watch” / “We’re just going to monitor everything right through the apple watch”

I know they’re referring to a very specific episode of a very specific show but I’m blanking right now on what it was (New Amsterdam, maybe?). Also the apple watch can monitor pulse, sense falls, and record a 1-lead EKG (with an app that can be downloaded separately) that can detect a heart rhythm called sinus rhythm (normal) and atrial fibrillation (generally not life threatening), but nothing else, meaning this does not explain literally anything they talk about in this video.

“He had a blood pulse that was really really high”

They’d just say something like “his heart rate was _____ bpm” which everyone in the room would know how to interpret. Also it’s just a pulse or heart rate, not a “blood pulse”.

“Can we go ahead and start fluids? Let’s go with Jevity 1.5 Cal” / “I’m just gonna run this straight through the IV pump”

Jevity 1.5 Cal is a type of tube feed (that has 1.5 calories per milliliter) that would go through a feeding tube. You cannot put this through an IV (it would kill the patient), and you can’t run it on an IV pump (none of the tubes or connectors can connect to each other as a safety feature... so you don’t accidentally run it through an IV and kill someone).

“We’re gonna need access to his cardiovascular system- I think I’m going to have to put in a peripheral IV right at the bedside since the ORs are busy.”

A peripheral IV is just what you think of as an IV. They’re almost always put in at the bedside (meaning they can be put in right in the patient’s room).

“Does someone want to call family and get consent?”

There’s no indication that this patient cannot give their own consent, and if he was unconscious and consent was implied (we assume you would want to be helped if you were in medical distress so bad you were unconscious), they wouldn’t waste time getting the family’s consent for something as small as an IV. Which was probably already put in by the paramedics on the way there.

“I’ll go ahead and get gowned up”

IVs are a “clean” but not “sterile” procedure, meaning that we don’t need to wear a gown for them (unless there’s another reason we should be wearing one, like contact precautions for infectious disease). Also he is wearing the gown backwards.

“I’m not seeing anything, he’s so hypertensive.”

HYPERtension (high blood pressure) generally does not make a difference in how difficult it is to find veins, in fact, it might make it a little easier. HYPOtension (low blood pressure) does make it harder to find veins to put IVs in.

“If I do this right there is going to be a flash”

A “flash” in the context of an IV start is a small amount of blood that pops into a window in the IV start device, which tells you the IV catheter is in the vein. It is not a literal flash of light. Little misinterpretations of things like this are everywhere in medical fiction.

“It is in the femoral artery, we now have access to his cardiovascular system”

The femoral artery is in the leg and it is not something you put a peripheral IV in. A central line maybe, but that actually would be done in an OR as a sterile procedure.

“The bladder scanner’s reading 0, we need to go ahead and place a foley”

A bladder scanner is used to determine if a patient is keeping urine in their bladder even after they urinate. A reading of 0 is ideal because that means there is no urine in the bladder. You would not place a foley (a catheter that goes in the bladder and continuously drains urine out) for this patient, because they’re voiding fine on their own. Medical dramas misinterpret test results like this all the time, or use tests that don’t make sense (like this guy’s bladder scan for hypertension).

*hooks up foley to suction*

Urine drains out of foleys to gravity, it does not need to be hooked up to suction. When you’re watching medical dramas they do a lot of “hook it up wherever, the audience won’t know the difference” which is what they’re poking fun at here.

“Patient’s still in tachycardia, I need to go ahead and begin mild compressions”

Tachycardia just means a heart rate above 100 (or 120 depending on your hospital). The only thing you’d do for this (assuming sinus tach) is figure out what’s causing it (dehydration, anxiety, pain, fever, etc...) and correct that. If it’s something called supraventricular tachycardia, you might give a drug called adenosine or try having the patient bear down, but you would never start compressions for tachycardia unless the patient’s heart was beating so fast they lost a pulse. And there’s no such thing as “mild compressions”- it’s compressions or no compressions. There’s nothing in between.

“This is Blake on 4b, we’re calling a supercode.”

The term “megacode” is sometimes used (especially in training) to refer to a code where you’re using the whole algorithm for a cardiac arrest to work the patient. There is nothing called a “supercode”, though a lot of times they’ll say random words with Code attached to sound medical in medical dramas but that don’t mean anything.

“We just got an alert he’s in V-fib, we can stop compressions”

V-fib, or ventricular fibrillation, is a pulseless rhythm, and that’s when you would START compressions typically. Also, an apple watch cannot sense v-fib.

“The patient’s desatting- he’s not tolerating room air oxygenation”

This would actually be said “the patient’s desatting (the percentage of the patient’s hemoglobin molecules that have oxygen attached to them are dropping), he’s not tolerating room air” So there’s just a few extra words here that make the character look like he’s never been in a hospital before.

“I think we need to go ahead and intubate with a bag mask”

Intubation (putting a tube down a person’s throat to deliver air/O2 directly into their lungs) is a different thing than oxygenating with a bag valve mask (basically just pushing air into the patient’s lungs without a tube). Then he goes ahead and puts a non-rebreather (type of oxygen mask that doesn’t have anything to do with either of the two things he just mentioned) on the patient upside down. He then hooks the oxygen tubing up to the same suction he attached the foley to earlier.

“The bag’s not inflating all the way- I think I’m going to have to go in manually”

Squeezing the bag on a non-rebreather does nothing useful. Swearsies.

“Good news- his oxygen is coming down and his BP’s going up”

He’s here for... hypertension, right? Like, we want the opposite of that to happen.

*on the phone with x-ray* “The blood in his body is going clockwise???”

This is both not a result you can get, and also not a result you’d get from x-ray anyway, which is something that happens all the time in medical fiction. Random results that don’t make sense from departments they wouldn’t have come from.

“Team- everything we learned in school- throw it out the window, we’ve gotta save this guy!”

No one is that dramatic irl. You’d get laughed out of the room.

“His potassium level is 10.8- we’re gonna go ahead and we’re gonna need more potassium!”

10.8 is an absurdly lethally high amount of potassium. No wonder that guy is in v-fib. You would not put more potassium in this guy. You would be getting the insulin and D50 out of the Pyxis (med machine) and frantically paging anyone with an MD or DO after their name for an order to give it to bring the potassium down.

“Someone get me a banana” *spikes the banana like it’s an IV bag* “I know they didn’t teach us this in school, but it’s all we have”

I feel like that’s referencing the scene in Off the Map where they spike the coconut. Which, turns out, actually a thing. Unlike the banana.

Also they’re in a hospital. There are many forms of potassium in a hospital, which is a misconception you also see a lot in medical fiction- improvisation when it’s completely unnecessary.

“Sir, this may burn a little bit”

Oh, hey, something they got right! Potassium does burn given IV! Just like in medical fiction, they’ll get one little thing bizzarly correct in the midst of all that.

“The apple watch is dying! Does anyone have a charger??”

Another moment of “we definitely don’t need to be improvising this... we’re in a hospital” which I could totally see them doing in a medical drama.

“I think we have to open up his airway- we need an incentive spirometer chest tube”

Like when they were talking about intubating him with the “bag mask” he’s talking about two completely different things. A chest tube is a tube that goes into the chest and drains air or fluid so the lungs can expand fully. An incentive spirometer is a device used to encourage deep breathing in patients (which prevents fluid from building up in the lungs). What’s shown in the video is an incentive spirometer that’s apparently been hooked up to the chest tube. Which is another excellent misinterpretation that I could totally see being made from google research.

“I’m going to go ahead and check for PERRLA” *looks in mouth*

PERRLA is an acronym for an assessment of the pupils and how they react to light and accommodate distance. While you might want to check it in a code, you would not look in the mouth...

“We can cancel the supercode, also there’s no need for the MRSA nasal swab”

In the context of transferring him to the floor instead of the ICU, you genuinely wouldn’t do the nasal swab for MRSA (more necessary in an ICU setting, and many ICUs require one (and put anyone who comes up positive in isolation) to prevent spread of antibiotic resistant infection). HOWEVER, this is another thing that hospital shows do where they misunderstand the importance of certain things, or what would be deliberately ordered versus be a part of a routine order set that wouldn’t even really get mentioned. Like the MRSA swab for the ICU.

Nurse Blake really hit the nail on the head with this. I love it to pieces!

[nurseofren]

Once again, I'm filling your inbox with my dumb requests... I can't stop thinking of Nurse!Kylo inspecting me with a whole array of medical equipment while I'm drugged and groggy and strapped to a hospital bed 🥵

So I’m gonna do some thots instead of a one shot (:

Tags: is this crackfic? maybe a little. medical terminology which makes me laugh. his scrubs are obvs black, duh. finger sucking. blatant malpractice (why is this a theme of mine?). i skipped popliteal pulses bc to me they do not exist (:

You’d wake up from your procedure in the post-anesthesia care unit. Your surgery was the last of the day so you knew you’d be alone in the open room.

There would be a few flashes of memory before you were at least half awake, remembering the face of the most handsome nurse you’d ever laid eyes on, a face that warmed your cheeks.

You’d panic when nobody was there, alone in this too-bright, freezing room. 

Nurse Ren would come into view on a swivel stool, rolling up to your side, assuring you everything is fine, looking at you with a wicked glint behind his eyes.

He’d bring you a warm blanket and you’d relax back into bed.

Although you could hear the beeps of the monitors connected to you via 5 leeds the pre-op nurse had placed, he would still insist on checking your heart rhythm himself, explaining with a wink that he wants to be “extra thorough” for his favorite patient.

When he was leaning over you, lifting your surgical gown, you’d sink into the heat falling from his body to yours, an unbidden throb coming to your core.

He smelled so good, but fresh, not like cologne. A lock of his hair would brush your face when he was listening to your apical pulse rate.

He’d stay close but turn to face you while his hand was still under your gown, he’d smirk and say “don’t be nervous, I feel it too.”

This would bring your eyes to blink rapidly and your pulse to heighten further, the monitors beeping incessantly now.

Keeping your stare he would gather the stethoscope in one hand, you’d notice the prominent veins, and keep one on your chest, finger tips now just barely grazing the sensitive flesh.

As you hadn’t expected this, his touch would cause your thighs to clamp together, the sudden movement catching on your gown and cluing him further into how turned on you are.

His face would twitch in such a way to signal how purposeful this all was.

In your sleepy state he’d take his hand, and it’s accompanied gloved warmth, from you. This would bring a shiver.

He’d whip out a pen light and ask you to stare at his eyes as he examined your response, checking for PERRLA. His eyes were so beautiful, lust striking you again, suddenly your dry mouth becoming extremely obvious.

He’d go to examine your oral mucosa, placing two long, heavy, demanding fingers over your tongue. At this point you begin to feel slick collecting on your thighs.

Maybe a little too brave, you’d close your lips around his fingers and suck on the purple nitrile gloves, watching his lips part.

Nurse Ren would pull them away and move to sit with you in the bed, his hips next to yours.

He’d floor you with a darkened gaze and say “I’m checking your pulses now.”

First he’d place one large hand over your neck, feeling both your carotids at the same time, pressing down harder than necessary and earning a head rush.

Keeping your stare he’d trace both hands parallel down your arms and grasp your elbows, feeling your brachial arteries, then down to your wrists.

Here he would let your hands fall into his, the sight dizzying seeing the contrast of your from his.

He stands again and walks to your feet, feeling first your pedal pulses.

That same darkness still resides in him as he leads gloved hands up both your legs, the blanket and gown collecting over his forearms.

He’d crawl into bed with you, hands searching blindly for your femoral pulses, his fingers leaving your breathless while he pressed into the pliant area.

“Just one more, then I’ll leave to document my assessment”

Even groggily you knew his intentions, hips half bucking while your legs spread to allow him better... access.

He hasn’t dropped your gaze this whole time, seeing every fluctuating in your features he’s earned.

A thumb trails over your mound and dips into your slit, first just barely grazing over your clit and drawing a stifled moan from parted, parched lips.

Another smirk would light, pressure applying further as he passes over the electric flesh.

Another buck into his hand and he’d chuckle under his breath, a killer smile forming in his features.

He’d remove his hand, his touch, and cover you back up, crawl off your bed, and leave you wanting.

“You should be out of here soon. Let me know if you.... need anything.”

[that-catholic-shinobi]

I read that post about choking, can you tell us more about how nurses assess patients, i.e. things like ABC? Military first-aid has a couple of acronyms like that and I'd be interested in comparing notes!

We have a lot of acronyms but Nurses are all about head to toe assessment and that doesn’t have a lot of acronyms. We do have PERRLA for the eyes. (Pupils, equal, round, reactive, accommodate)

We have ABC for triage and coordinating. These are the top things we’re concerned about (Airway, Breathing, Circulation)

Typically we are trained to do a “60 sec” assessment which basically trains us to make sure the patient is breathing, alert, they aren’t in pain, assess their tubes and machines and room safety all without touching the patient.

My favorite acronym is CUS, used to communicate issues to doctors WONDERFUL to use if you need immediate action taken or if they aren’t listening to you. Not an assessment BUT

- Concern (I am concerned about...)

- Uncomfortable (This makes me uncomfortable because...)

- Safe (This is unsafe because/ This is a safety issue...)

[essay-today]

Name 3 differential diagnoses based on this patient presenting symptoms?

For this, you will take on the role of a clinician who is building a health history for  the following case: Chief Complaint (CC) “I am here today due to frequent and watery bowel movements” SubjectiveFever and chills, Lost appetite Flatulence No mucus or blood on stools History of Present Illness (HPI)A 37-year-old European American female presents to your practice with “loose stools” for about three days. One event about every three hours PSHAppendectomy at the age of 14 Drug Hx No meds AllergiesPenicillin PE B/P 188/96; Pulse 89; RR 16; Temp 99.0; Ht 5,6; wt 110; BMI 17.8 General well-developed female in no acute distress, appears slightly fatigued HEENT Atraumatic, normocephalic, PERRLA, EOMI, arcus senilus bilaterally, conjunctiva and sclera clear, nares patent, nasopharynx clear, edentulous. NeckSupple Cardiology S1S2 without rub or gallop Abdomen  positive bowel sounds (BS) in all four quadrants; no masses; no organomegaly noted; diffuse, mild, bilateral lower quadrant pain noted Mild diffuse tenderness. Integumentary good skin turgor noted, moist mucous membranes

Once you received your case number, answer the following: What other subjective data would you obtain? What other objective findings would you look for? What diagnostic examination do you want to order? Name 3 differential diagnoses based on this patient presenting symptoms? Give rationales for your each differential diagnosis. Requirements: at least 500 words ( 2 complete pages of content) formatted and cited in current APA style 7 ed  with support from at least 3 academic sources which need to be journal articles or books from 2019 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 10%.

First appreared on essay-today.org

[usmlestep2cs-jamesyu-blog]

Patient Note_Basic Format 2 ( Physical Examination)

VS (Vital Signs): Copy & Paste!  or bp 90/60, p 80, T 36C, rr 17

GA (General Appearance):  NAD (No Acute Distress)

 HEENT & Neck

Head: NCAT, NT: NormoCephalic/ATraumatic, Non-Tender

Eyes: no scleral icterus/ anemic/ erythema/ exudate. PERRLA, EOMI,

           Fundi- red reflex intact, no papilledema / No visual defect.  

Ears: no discharge. NT. EAC NL, TM intact or TM: No bulging, perforation, redness b/l

         Rinne AC>BC, Weber not lateralized  

Nose: no nasal congestion, discharge, erythema, and perforation or salute

Throat: MMM (Mucous Membranes Moist). no exudate, tonsillar enlargement, erythema, exudates, vesicular lesions /

Neck: no LAD(Lymphadenopathy) / no Bruits, JVD/ thyroid No enlargement, nodules, tender and bruits

 Full CV: RRR (Regular Rate and Rhythm), S1S2NL, no MRGs (Murmurs, Rubs, or Gallops), PMI (Point of Maximal Intensity) not displaced.  Carotid: no bruits, no JVD, Pulses: Radial, DP, PT (Dorsalis pedis, post. Tibialis) 2+ b/l.  No Edema in LE , Fundoscopy: no vessel changes & Exudate & Hemorrhage, no papilledema.

Chest:  NT, equal chest excursion b/l, TVF NL (Tactile Vocal Fremitus Normal), Lungs clear to A&P(Auscultation, percussion) b/l, no WRR(Wheezing, Rales, Rhonchi).

 Abdomen: no scars or bruises. Soft, ND (NonDistended) / BS (Bowel Sound) + x 4Q, no bruits.  / tympanicx4Q. no masses & HSM(Hepatosplenomegaly)/ NT (NonTender)  

Negative- Murphy, Rovsing ’s, psoas, obturator sign. CVA tenderness.

 Full Neuro:  

A&O3 (Alert to Oriented x3)

Eyes: no visual defect, EOMI, Fundoscopy- no vessel changes, hemorrhage,

CN2-12 grossly intact. motor 5/5 in all 4 ext, DTR: 2+ in all 4 ext., Sensory Intact to light touch SILT/position/vibration intact b/l.

No dysdiadochokinesia (flip hands), no dysmetria or [coordination intact], Roberg negative, Gait - NL,

Brudzinski +/ Babinski - / Kernig -

 Extremities: IPR MSRP (Inspection, Palpitation, Range of movement, Motor, Sense, Reflex, Pulse)

No swelling, erythema, warmth, tenderness (Inspection, Palpitation)

ROM intact

Motor 5/5, Sensation intact to light touch, sharp and dull, DTR 2+ in all 4 extremities.

Peripheral pulses: 2+ DP, TP, Radialis b/l.

[nursingwriter]

Episodic/Focused SOAP Note Patient Data: Name; JIK Age; 42 Sex; Male Nationality; Caucasian SUBJECTIVE Chief Complaint; "I have low back pain." HIP A 42-year-old Caucasian male came into the office this morning with chronic back pain. The pain started about a month ago. The pain is described as gloomy and sore muscles, with a sharp hunting pain down his left leg. The pain comes and goes and is worse at bedtime. When he is at rest, he rates the pain as a 4/10, but when he is moving or standing, he rates it as a 10/10. He also reports that the pain creates a loss of sensation in his left foot and itchiness in his left bottom. Three ibuprofen and claims furnished little to no recovery (Bohinski, R. (2018). Prevailing Medication: OTC Ibuprofen 200mg oral tablet, three tablets were taken this morning. Once a day, take a 40mg tablet of lisinopril. At night, take a Lipitor 40 mg tablet. FamHx: Sister, age 40, no available ailments Three children, intervals 13, 10, and 8, with no available ailments Mother, age 73, hyperlipidemia DM2 Brother, age 45, HTN Grandparents' departed incentives unspecified Father, age 75, HTN PMHX: Immunizations are constantly updated, and this season's flu vaccine was also provided. 2016 Tdap Hypertension and hyperlipidemia Negates any surgical procedures. Negates any previous record of collisions, injuries, or plunges. Allergies: NKDA Soc Hx: 40+ hours per week as an operations manager. Fifteen years married, three kids (2 girls, one boy). Denies smoking and using drugs; drinks frequently. He says he doesn't exercise but is on his feet all day. He and his wife own a home in a housing complex. He enjoys golf. System evaluation 1. Gastrointestinal: Defends against vomiting and diarrhea. Disregards bowel variations, diarrhea, or upset stomach. He adamantly denies abdominal pain. 2. Respiratory: refuses to acknowledge difficulty breathing, coughing, or respiratory secretions production. 3. Cardiovascular: Provides a healthcare history of hypertension and hyperlipidemia. Denies any heart problems, force, or distress. He denies having irregular heartbeats. Denies having edema. 4. Neurological: Refuses to acknowledge migraine, lightheadedness, or loss of consciousness. Paresthesias and prickling in the left leg and foot are reported. Denies having had a brain hemorrhage or epilepsy in the past. 5. Musculoskeletal: Lower back pain that emanates to the left leg is reported. Due to pain, the patient cannot flex, deform, or turn. Denies having had any latest plunges (Hill, E. (2018). OBJECTIVE Physical exam; Neck: Carotids usual, no bruit or carotid artery vein edema. HEENT: Normocephalic/nontraumatic PERRLA, Ears: standard presentation, clear larynx vesicles, good hearing. Throat: pink, wet mucous membranes with no irritation or nodules. Point of fact: AAO X 4 is well-dressed and well-fed. There are no odors. There is no apparent distress. Gait is normal. It is explicitly assigned to be causing anguish. Signs of life: Oral temperature of 98.4F Heart rate 78, blood pressure 155/83, left arm, sitting Non-labored respiration rate of 19 percent, SpO2 of 98 percent on room air Pain: 8/10, weight: 255 lbs, height: 5'11", BMI: 35.6 Integumentary: Dehydrate, warm, and silky. Skin turgidity is excellent. There is no excessive perspiration. The color is consistent throughout. Pink and healthy nail beds Vascular Periphery: S1, S2, RRR; pulses+2 bilat pedal and +2 radial; no gurgling, knead, or scoot. There is no edema, varicosities, or hemoptysis. Chest/Lungs: A&P bilaterally evident. No congestion, rhinorrhea, or coughing. ASSESSMENT Diagnosis Radiculopathy- According to Georgia, 2016, he defines radiculopathy as a condition caused by a compressed nerve in the spine that causes pain, numbness, tingling, or weakness Differential Diagnosis According to Hill, 2018, mechanical low back pain originates in the spine, intervertebral discs, or connective tissue. Degenerative disc disease is characterized by acute spine and neck pain due to disc structural damage. In addition, it damages the immune system and causes burning pains in the hands and feet of some people Chronic pain with occasional severe pain is indicative (McHugh, B. (2017). The lumbar herniated disc happens when the gel-like center of a lumbar disc ruptures through a weak spot in the centerenging outer wall (Bohinski, 2018). Diagnostic Testing Diagnostic testing will be required in this case of back pain for appropriate treatment. Before reaching the final diagnosis, I'd like to get the results of any screening procedures. The preliminary testing I'd like to do will be the least disruptive and most cost-effective. Sed rate and CBC-It It may not be essential, but a white blood quantity with no leukocytes will be enhanced, which can help identify an infection present. X-rays can help determine whether the bony cartilages in the spine are too close together and whether there are arthritic modifications, bone spurs, or injury. Nerve Conduction Studies and Electromyography (EMG) (NCS)-Electromyography (EMG) can detect electrical impulses in the muscles. NCS is capable of detecting injury and muscle spasms. CT (Computerized Tomography) scan- This is critical in identifying whether or not there is a lumbosacral disc injury. Reference Bohinski, R. (2018). Herniated lumbar disc. Retrieved October  16, 2018, from https://mayfieldclinic.com/pe-hldisc.htm Giorgi, A. (2016). Radiculopathy (pinched nerve). Retrieved October 16, 2018, from https://www.healthline.com/health/radiculopathy Hill, E. (2018). Mechanical low back pain. Retrieved October 16, 2018, Received from https://emedicine.medscape.com/article/310353-overview#a5 McHugh, B. (2017). What is degenerative disc disease? Retrieved October 16, 2018, from https://www.spine-health.com/conditions/degenerative-disc-disease/what-degenerativedisc-diseas Read the full article

[angelsmmorg]

Apa format example research paper

APA FORMAT EXAMPLE RESEARCH PAPER MANUAL

APA FORMAT EXAMPLE RESEARCH PAPER FULL

References should also have a hanging indent. Any References starting with numbers instead of letters should be alphabetized as though they were spelled out. References should be listed in alphabetical order from A to Z. If you researched a Reference but didn’t use it in your paper, it shouldn’t be listed on the References page. It is then followed by a list of the References that you cited in your paper. The Reference page always starts with “References”, centered on the first line of the page. It can be optionally followed by any Appendices. The Reference page is the last required APA Research Paper section. You can also include Tables, Figures, and other information in your Paper’s body to support your arguments. This is where you will include any research you have done – citing it whenever appropriate. The body of the paper is where you make your argument and lay out your ideas. On the next line, start the body of your paper with the proper font, size, indentation, and spacing. In addition to following all of the universal APA rules, the body starts with the Title of the Paper, centered, at the top of the page. However, if you add an Abstract or Table of Contents, they would come between the Title Page and the Paper’s Body. The Paper body is the second major part of an APA Research Paper. Include any of the optional information your professor requests beneath these (class, date, professor name, etc.). This information should be center-aligned and appear in the top half of the page. The Title page must include three pieces of information (and any optional information your professor asks for).

APA FORMAT EXAMPLE RESEARCH PAPER FULL

It’s also the page where you see the full Running Head as described above. The Title page is the first page of your Paper and has the identifying information for the paper. The numbers should not be inserted manually and should not include any identifying information such as your name just the number Number the pages starting on the first page.Įach page of the paper should be numbered from the very first page (almost always a Title Page). On subsequent pages, “RUNNING HEAD:” is left off.Ĥ. However, on the first page, the Running Head should be preceded with: “RUNNING HEAD:”. On every page, the Running Head should be in all capital letters and no longer than 50 characters, including spaces. This is confusing because APA requires the Running Head to be different on the first page from all of the following pages. There should be a Running Head on each page. Indentation is not used in figures, tables, and captions.ģ. Lines in the paper’s body should be double-spaced with a first-line indent of. PERRLA uses Times New Roman throughout its papers because of this reason. A serif-ed font (one with the lines at the ends of the letters) are better for reading.

APA FORMAT EXAMPLE RESEARCH PAPER MANUAL

Luckily, this is the default for Microsoft Word, so you shouldn’t have to worry about it too much.Īccording to the APA 6th Edition Manual Section 8.03, APA’s preferred standard font is Times New Roman at 12 points. In addition to these three parts, there are a few basic “over-arching” rules that are universal for the entire paper.Ī margin is the amount of space between the edge of the paper and where the text starts. There can be other optional parts as well: Abstract, Table of Contents, and Appendices. There are three major parts to any APA Research Paper: the Title Page, the Body, and the Reference Page.

[zoti-arush]

Im a new curious follower wondering why do people ask you this kinda things (My feed is full) Are u a psychologist🤔 No i guess writer Or this century's Nostradamus 👻😅

Njerzit kan 2 vite qe me ndjekin dhe e din qe un bej humor, jap keshilla per gjera qe i kam kaluar, perdor humorin per te ven ne dukje probleme dhe i analizoj gjerat shum trroc. Po njerzit qe me ndjekin, me ndjekin se e din qe ktu ka perrla dhe tallje trrapi dhe fakte nga vendi dhe bota dhe Narnia.Kam shum shoqe Luftetaren e Henes e cila me ndihmon me keshillat.Zoti arush nuk ka frik ti thot gjerat dhe i thot gjerat perher per mir. Po you know you are successful kur fillon ke Haters xD

[shmeemsy]

Neuro Exam

Assess pt for level of alertness and orientation to person time place

Assess consciousness and appropriateness of speech

Asses cranial nerves

Cranial nerve 1 is the olfactory nerve — have pt close eyes and identify something like alcohol wipe

Cranial nerve 2 is the visual nerve — do peripheral vision check

Cranial nerves 3 4 6 are the occulomotor trochlear and abducens — check 6 cardinal directions and PERRLA

Cranial nerve 5 is the trigeminal nerve — have pt bite down & feel for masseter muscle

Cranial nerve 7 is the facial nerve — lightly touch face at both sides of jaw and along forehead

Cranial nerve 8 is the acoustic nerve — whisper test and have pt repeat or rub fingers together and have to tell you what side they hear sound

Cranial nerve 9 is the glossopharyngeal — have pt swallow

Cranial nerve 10 is the 🎉vagus nerve🎉 — have to say “ahhhhh,” uvula should raise with phonation

Cranial nerve 11 is the accessory nerve — resistance test shoulders and neck

Cranial nerve 12 is the hypoglossal nerve — have pt stick out tongue, assess for midline protrusion and ask pt to move tongue to each side

Assess reflexes

Arm — triceps bicep brachioradialis

Leg — patellar achilles

Foot — bottom of foot for negative Babinki test

Assess balance and coordination

ET phone home — have pt touch their finger to yours and touch their nose rinse repeat both sides

Have pt close eyes, put arms in T position, and touch fingertips to nose

Have pt stand and touch heel to opposite shin and alternate

Sway test — have pt stand w eyes close feet together for 20 seconds, good if no sway

Hey what finger am I touching? — pt close eyes touch a couple fingers on each hand and have pt say which finger you touched

Assess strength

Grip test

Dorsiflexion and plantarflexion of hands and feet — only test hands in class bc touchy feet gross

[butts-bouncing-on-the-beltway]

Does anyone know if a perrla subscription is worth it? It kinda looks like it might not be any more comprehensive then word's reference generator, and I get that without paying $50 a year.

[blogink327]

Perrla For Mac Free Download

The new PERRLA for Word Add-in & PERRLA Online automatically includes the APA 7th Edition. If you are using an older version of PERRLA for Word (one that you downloaded to your computer), then you need to upgrade to the new PERRLA for Word Add-in or use PERRLA Online to write APA 7th Edition papers. The older PERRLA for Word applications will not be updated to include APA 7. Jul 05, 2018 Trusted Windows (PC) download PERRLA 7.7.5.1. Virus-free and 100% clean download. Get PERRLA alternative downloads. Feb 21, 2019 Download PERRLA 7.7.5.1 from our website for free. This download was checked by our built-in antivirus and was rated as clean. The software lies within Office Tools, more precisely Document management. This software is an intellectual property of PERRLA, LLC.

Perrla For Word Download

Perrla For Mac Free Download 2016

Perrla For Mac Free Download

APA Format Software Features

Paper Wizard for APA format software becomes a part of Microsoft Word 2003 – 2016 and includes Snatch-A-Citation and Grammar Wizard.

We all know how to hang a noun and verb together to make a sentence. Our most common error is word usage, already versus all ready, excessive adverbs and intensifiers like very, redundancies like climbed up and sat down, hackneyed phrases like the moment of truth. Grammar Wizard will find these and other potential problems, highlight them and bring them to your attention. With just a click, you can display the dictum you may have offended. Strunk and White’s Elements of Style, and other style guides are the source of these rules.

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Set your spacing between sentences correctly, eliminate unnecessary blank lines, and delete extra spaces at paragraph ends. This will make your document not only look good, but be easy to edit.

Perrla For Word Download

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Your citation database is fully editable, searchable, and reliable. Furthermore, an exclusive feature of Paper Wizard for APA is Snatch-A-Citation. With the provided online links, you can display citation references. With Snatch-A-Citation, you can snatch it, store it, and insert it in your paper with just a few mouse clicks. You needn’t worry about transcription errors. It’s all done in a few clicks. While other services allow you to get citations from only one service, with Snatch-A-Citation, if you can see it, you can snatch it. Oh, yes, you can still enter your citation data by typing it. Do it either way…maximum flexibility. Paper Wizard will sort out the different flavors and reformat them in the proper order. Easy. Learn more by clicking here.

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The Citation Wizard database will store your Virtual Note Cards (text and Internet links), and your citations. This database is reusable, searchable, flexible, and editable. You can enter your citation data by typing it, or by using Snatch-A-Citation. Use your citations in subsequent papers …they’re yours forever. There’s even a quick Backup button to ensure your work is safeguarded.

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Many of the competitive products, including Microsoft Word, are incomplete. They only support simple basic citations and not the full coverage of the APA Publication Manual Sixth Edition.

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Paper Wizard … simply the best. See the video to see why. To view full-screen, after clicking Play, click on the monitor icon at the lower-right.

[nursingwriter]

Health Promotion and Preventative Care Plan The purpose of this paper is provide information about the process of conducting a health assessment and a care plan based on the findings of the several assessments that were conducted for the benefit of the patient. The paper will describe the health history consisting of a review of systems, and will provide information about the assessment and its relevance to the plan of care developed for the patient. The patient (CM) is a 24-year-old single black female who was born in the Democratic Republic of Congo (DRC) and arrived in the United States three years ago to pursue an education. CM lives at home with her siblings, nieces and nephews, and her parents who just moved to the U.S. five months ago from the DRC. CM works in retail and has been working extra shifts in order to help with the expenses of her extended family. CM made this medical appointment for her annual check-up and also because she reports feeling quite tired lately. CM escaped typical childhood diseases except chicken pox, and she is current on her tetanus shots and MMR immunizations, and a TB test administered last September was negative. Much of CM's health history is unremarkable: she has never had a significant accident, never been pregnant or had an abortion, never been hospitalized, and never had surgery. CM has no known allergies and currently takes OTC ibuprofen (800mg) for an occasional severe headache that she rates as a 7 out of 10 on a pain scale. CM is due in June for her annual pelvic examination and an dental check-up. Review of Systems The review of systems (ROS) finders were as follows: Constitutional symptoms -- the patient presented with complaints of fatigue. Eyes show bilateral PERRLA. Ears, nose, mouth, & throat (ENT) were normal. Cardiovascular sounds were normal. Respiratory system normal. Gastrointestinal - Normal with patient reporting regularity. Genitourinary - Normal with patient reporting no difficulties. Musculoskeletal system appears symmetrical and normal. Integumentary/Breast exam reveals symmetry and no lumps or discharge. Neurologic -- Patient responses suggest normal short- and long-term memory, and Romberg's sign is negative. Psychiatric -- Normal. Endocrine -- Unremarkable. Hematologic/lymphatic -- Normal test results. Allergic/immunologic -- Patient reports no allergies. Vital signs were within normal limits, as follows: Temperature (98.9 degrees F.); radial pulse (84 bpm); respiration (17 breaths / min.); sitting blood pressure (110/68); standing blood pressure (112/68); oxygen saturation at room air (100%). Genogram The genogram revealed pertinent health information about the following people: 1) Father (DM), 67 years old, diagnosed with diabetes type 2 seven years ago; 2) mother (CM), 60 years old with occasional migraines; 3) older sister (TM), 35 years old, divorced head-of-household, mother of two biological children, ages 9 years and 7 years, with no current illness. Culture and Spirituality Her Christian upbringing was very influential in CM's life and she has continued with the rituals and practices she learned as a child. Her faith is strong and she does believe in miracles. CM's religion provides her with a firm foundation and a refuge from the current stresses in her life. She reads the Bible and prays with her family, all of who put God at the center of their lives. In her homeland, extended families are the norm, so CM is perhaps more tolerant of her living situation than she might otherwise be. Regardless, the density of people in her home make it difficult for the patient to get adequate rest and find privacy when she needs it. The patient is engaged to be married and is deliberately celibate until she marries. Presently, all the adult members of the family pitch in to take care of the home, provide income, watch over the children, and support each other: the family bonds are very strong. CM's mother waits up for her during the days when she works, and this can mean a very late supper for which she often has very little appetite due to fatigue from the long hours. Functional Assessment CM is looking forward to getting her green card soon as it will enable her to apply for jobs that pay more and are less physically demanding than the jobs she works at now. She is a high school graduate and received on-the-job training in retail sales. Her employment does not provide sufficient wages to permit saving money for the future. Indeed, it is difficult for CM to spare enough money to help with the household expenses. Because of her very long work days, CM typically just takes fruit and a bottle of water with her on the bus -- this serves as breakfast and lets her get to work on time during the busy commute. CM dreams of becoming a physician because she enjoys helping people and comes from a culture in which caretaking is typical and appreciated, and one in which doctors are highly respected. She believes that by becoming a physician, she could help people in her homeland and in other third world countries. Plan of Care The basis for the care plan was the knowledge deficit related to health promotion. In NANDA, this is referred to "absences or deficiency of cognitive information related to specific topic" (Gulanick, M. (2012). The patient's overall health was considered good, which enabled the plan of care to focus on health promotion. The three primary issues for the patient are as follows: 1) A lifestyle that is stressful and does not promote healthful routines; 2) any relationship between her severe headaches (which were diagnoses as migraines) and her lifestyle -- which signals the need to determine if a prescription medication would ease her symptoms and enable her to maintain her work and family routines; and 3) to ensure the patient understands the relationship between type 2 diabetes and diet, exercise, body weight, and genetics. The patient was taught to perform a self-examination of her breasts, and informed about the desirable scheduling of the self-exam. CM was encouraged to eat properly nutritious meals, stay hydrated by drinking enough water, and to get sufficient rest each night by aiming for seven to eight hours of sound sleep. The patient was counseled in diet and nutrition, and exercise in order to help her establish routines that will avoid the onset of type 2 diabetes. In addition, the patient was informed about the threat to health by metabolic disorder a, in as much as a sedentary lifestyle is an aspect of her life. Also, the patient was encouraged to keep her follow-up appointments and seek medical attention if she experienced any significant or unusual changes in her health. The patient was informed that she could request a prescription medication to treat her headaches, since the way that she described them suggested that they are non-classic migraines. Accordingly, the patient was informed about the potential impact that birth control pills can have on hormones, which are known to be associated with headaches. The patient was encouraged to learn about meditation as a way to deal with the stresses of her lifestyle, her headaches, her pressing work schedule, and her symptoms of fatigue. Conclusion Overall, the processes of health assessment revealed only lifestyle issues that are impacting the patient's levels of stress and, accordingly, contributing to several symptoms she experiences. The patient was advised to make some positive lifestyle changes that would foster a reduction in stress, and contribute to improved health and well-being. Information was provided to the patient about ways to reduce stress, improve her diet and nutritional levels, and understand how her lifestyle could lead to metabolic or other disease states. The patient was advised to explore meditation as a lifestyle change that can be implemented in her current living conditions. References Gulanick, M. (2012). Knowledge deficit: Patient teaching, health education. Elsevier Publishing. Jarvis, C. (2012). Physical examination and health assessment (6th ed.). 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