Order ID 53563633773 Type Essay Writer Level Masters Style APA Sources/References 4 Perfect Number of Pages to Order 5-10 Pages Description/Paper Instructions
SUBJECTIVE
Neil, a 12‐month‐old infant, presents to the office for a well‐baby visit. He is accompanied by his mother, Kayla. Kayla states that Neil has been healthy since his last well‐baby visit at 9 months of age. He has had no visits to the urgent care clinic or to the emergency room in the interim. Kayla is concerned that Neil’s appetite has diminished. She states that he is not eating as much lately as he had been.
Diet: Neil’s nutrition history reveals that he has successfully transitioned to a diet with whole milk. He drinks five 8‐oz bottles of whole milk daily. Neil is a “picky eater.” He rarely eats foods that are offered to him and, instead, prefers to drink from the bottle. He is not currently taking any multivitamins.
Elimination: Kayla states that Neil has 4–6 wet diapers daily. He does not have any diarrhea but does have occasional constipation that is relieved with prune juice.
Sleep: Neil sleeps 13 hours nightly but does not take any naps during the day. He does not have any problems falling asleep or staying asleep. His nighttime bedtime routine includes a bath and bedtime story read to him by Kayla.
Developmental: Neil is able to walk while holding onto furniture. He can also stand unassisted for about 5 seconds. Neil says “dada” and “mama” and has words for bottle and milk.
Birth history: Neil was the product of a 37‐week gestation. He was delivered vaginally with the assistance of a vacuum. During the pregnancy, Kayla had no falls or infections. She did not drink alcohol, take over‐the‐counter or prescription medications (other than prenatal vitamins), use tobacco products, or use illicit drugs. Neil’s birth weight was 3000 g, and his Apgar scores were 8 at 1 minute and 9 at 5 minutes. Past medical history reveals that Neil has had 3 episodes of acute otitis media since birth. He has had no injuries or illnesses requiring visits to the emergency department.
Social history: Neil was born to a 20‐year‐old mother. He has a 2‐month‐old younger sibling. He lives at home with his mother and his paternal grandmother. Neil’s father is currently incarcerated.
Neil’s mother does not currently work outside the home. The family receives a rent subsidy from Section 8 and a food subsidy from the Women, Infants, and Children (WIC) program and food stamps.
The family also receives monthly cash assistance from the Temporary Aid to Needy Families (TANF) program. The family has no pets and there are no smokers in the home.
Family medical history: Neil’s mother has no health problems. His father is 32 years old and has no history of chronic medical conditions. His maternal grandmother has a history of breast cancer. His maternal grandfather has high blood pressure. His paternal grandmother (48 years of age) is healthy with no health problems. The health history of his paternal grandfather is unknown.
Neil is not currently taking any over‐the‐counter, prescription, or herbal medications. He has no known allergies to food, medications, or the environment. He is up to date on required immunizations.
OBJECTIVE
Neil’s vital signs were taken in the office. His weight is 6.4 kg, and his length is 66 cm. His tem-perature is within the normal range at 36.8°C (temporal). When observing Neil’s general appear-ance, he is alert, active, and playful. He appears well hydrated and well nourished.
Skin: Clear of lesions; no cyanosis of his skin, lips, or nails; no diaphoresis noted. Neil has good skin turgor on examination.
HEENT: Neil’s head is normocephalic. His anterior fontanel is open and flat (0.5 cm × 0.5 cm). Red reflex is present bilaterally; and his pupils are equal, round, and reactive to light. There is no discharge noted. Pinnae are normal, and the tympanic membranes are gray bilaterally with positive light reflexes. Bony landmarks are visible, and there is no fluid noted behind the tympanic membrane. Both nostrils are patent. There is no nasal discharge, and there is no nasal flaring. Neil’s mucous membranes are noted to be moist when examining his oropharynx. He has 8 teeth present, with white spots present on both upper central incisors. There are no lesions present in the oral cavity.
Neck: Supple and able to move in all directions without resistance; shotty nodes present in the posterior cervical region.
Respiratory: Respiratory rate is 20 breaths per minute, and his lungs are clear to auscultation in all lobes. There is good air entry, and no retractions or grunting are noted on examination. No deformities of the thoracic cage noted.
Cardiovascular: Heart rate is 106 beats per minute with a regular rhythm. There is no murmur noted upon auscultation; brachial and femoral pulses are present and 2+ bilaterally.
Abdomen: Normoactive bowel sounds are present throughout; soft and nontender. There is no evidence of hepatosplenomegaly.
Genitourinary: Normal male genitalia. Neil is circumcised and his testes are descended bilaterally.
Neuromusculoskeletal: Good tone in all extremities; full range of motion in all extremities. His extremities are warm and well perfused. Capillary refill is less than 2 seconds, and his spine is straight.
RUBRIC
QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points: Student failed to submit the final paper. 20 points out of 50: The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50: The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately. Elements of the required response may also be lacking. 40 points out of 50: The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples. The answer is complete. 50 points: The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples. No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points: Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points: Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points: References to scholarly sources are occasionally given; many statements seem unsubstantiated. Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points: Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented. APA 6th Edition is used with only a few minor errors. There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points: Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented. APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points: Student failed to submit the final paper. 5 points out of 20: The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors 10 points out 20: The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20: The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points: The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points: Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements. The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper. GET THIS PROJECT NOW BY CLICKING ON THIS LINK TO PLACE THE ORDER
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