1,182 Matching Annotations
  1. Mar 2025
    1. writing

      You have referred to "writing" a couple times, I suggest documentation, writing sounds more like handwriting versus documentation could be handwritten or on the computer.

    2. The child’s eyes should be looking straight up.

      explain why/how this impacts measurement

      As I continue to read, I see that you referred to the infants chin not being tucked against their chest. This is why you want the child to look at the ceiling. I suggest moving up the sentence about the chin right after this sentence or add a comma and connect the two sentences.

    3. Accuracy is vital when measuring and documenting pediatric heights and weights used to identify potential growth and/or nutrition-related problems

      grammar, awkward

    4. image of a sample weekly food record

      the image does not align with the directions about recording portions, type of prep, brand, etc. I suggest replacing this image.

    5. Use of nutritional supplements places the client at risk for excess nutrient absorption and potential toxicity.

      I suggest clarifying nutritional supplements. Are these protein drinks or OTC supplements?

      I'm not sure what type of toxicity you would be referring to here.

    1. approximately 200 mg/day or less

      Is it possible to state the number of cups of coffee, tea, or soda? These are the most common sources of caffeine intake. Otherwise, the student would have to take time to look it up, which very well might not happen.

    2. Insufficient physical activity and a sedentary lifestyle

      these sound similar, if they are different, I would clarify.

      makes me read this twice to understand why both are listed as they sound the same

    3. North America

      I would also add globally. I suggest adding this because of the increasingly diverse population, nurses are going to see childhood obesity for immigrants as well.

    4. Teaching avoidance of snacking between mealtimes

      for which age group? toddlers snack often, is this discouraged?

      I suggest clarifying, though I know this is cited, this info might not be provided, though it should...

    5. responsible

      Responsibility fits the parent role, but it does not fit for the child or infant.

      It's more about choice or preference, something like that, not responsibility

    6. in the city

      I would reword, there are non metropolitan areas that provide fluorinated water.

      suggest referring to water supplied from the town or city, something like that.

    7. vegetables or vegetable juices

      this sounds like they are interchangeable, which they are not.

      suggest specifying how much, in general, can be in juice form.

    8. legal drinking

      odd adding this, so those who are 18-20 have different requirements?

      again, I realize this is cited, but it is odd that this age group is essentially not discussed, or teenagers who also drink.

    9. vegetable oils

      these are not healthy for the heart and brain, olive and avocado oil are suggested.

      this content is cited, so I understand it can't be adjusted, but... vegetable oil is NOT good for the body

    1. preparation

      as a jewish person, it's not how the beef is prepared (this sounds like you are referring to how it's cooked), but how the cow is slaughtered.

      whether you adjust this or not, preparation is not really accurate, and could pose misconceptions where the student might ask about how patients want their meat cooked.

    2. Rare, but can

      from my experience caring for many patients on coumadine:

      Vitamin K does interfere with Coumadin, patients are instructed to avoid these foods or maintain same moderate amounts of these foods on a regular basis. I would reword

    3. liver

      at times you refer to organ meats, do you mean liver and other organs? If not, and it's just liver, I suggest replacing organ meats with liver in previous sections

      consistency

    4. poverty

      I suggest referring to this at the end and preceding it with reminder this is a social determinant of health

      ... and social determinants of health, such as poverty.

    1. Reinforces teaching regarding diet developed by the dietician

      isn't this the same as the first bullet point?

      you might write:

      Provide health teaching... and reinforce the DASH....

    2. Ineffective Coping related to high stress levels

      I understand how this would apply, but there can still be stress with adequate coping.

      Stress is a normal part of living, and through this assessment it was deemed Sara did not have adequate coping mechanisms.

      just felt like writing this....

    3. general appearance indicates fatigue

      this is quite subjective of the nurse, this cannot be determined by looking at someone.

      I would reword or remove, fatigue level would be assessed using a scale, the nurse cannot "see" fatigue, or discern what might be general characteristics of the individual, compared to what has changed since symptoms appeared.

    4. four weeks

      completely unrealistic

      I believe earlier you provided a time frame of 6 months.

      it takes months, if not years, to meet this goal, and relapse is common (not that that applies here, but just saying...)

    1. How would you describe your current mental health

      this is odd, though it has become worded this way of late... though I still suggest rewording to obtain more details.

      ask about mood, emotions, sadness, etc.

      what about standardized screenings, such as PHQ2/7/9? standard question at clinic visits, and would think in acute care assessments on admission.

  2. Feb 2025
    1. grocery shopping

      How common is it to buy cigarettes in a grocery store?

      I think a better example would be to avoid buying processed foods, that's what you can easily find in a grocery store.

    1. Low physical activity

      yes, though it's about weight-bearing exercise exercises.

      Taking a daily stroll through the park will not reduce one's risk for osteoporosis

      I suggest a rewarding and explain explaining the type of physical activity that is needed.

      Though I understand, the source might not mention weight-bearing exercises so you might not be able to write that

    2. Shift work

      does this need to be explained? Isn't it mainly working Night Shift that increases the risk due to changing sleep schedules?

      Might suggest adding something about that, unless the source you are citing from does not mention night shift

    3. metabolic syndrome

      provide a brief definition, or hyperlink, as this is a complex concept that you want them to understand, make connections to the risk factors

    4. African

      I agree, though the reason these ethnicities are at higher risk is due to a number of social determinants of health that have not been addressed.

      it's important for students to know that it's not just because a person is Latino they have a higher risk, it's because of the SDOHs that impact this and other populations that increase their risk, so assessing for poverty, transportation, access to care, etc. all add to risk

      you might refer them back to the SDOH section.

    1. physical and occupational therapy

      I would remove the intervention, it's in the beginning of the sentence.

      for example, for the CABG, you didn't write walking on the treadmill, just list the conditions

    1. screening tests

      correct, though annual or bi-annual skin checks by a dermatologist should be recommended. esp. for those with history of benign skin cancers, moles that change size frequently.

      I hope you add this...

      you mention the dermatologist later, but screening for this could be added in beg. of this para.

    2. .S. Preventive Services Task Force

      why abbreviate this if you are spelling it out?

      either don't abbreviate at all or abbreviate and use the abbreviation for the rest of the chapter

      suggest reviewing for these inconsistencies

    3. That afternoon

      awkward, this is assuming it's an afternoon test.

      suggest stating prep in hours prior to test

      often NPO after midnight, sometimes regardless of time of procedure. I would add this as an option to clear liquid

    4. stool and place it on a card. The test kit is returned to a lab, where the stool sample is checked for the presence of blood.

      you might explain this approach is being phased out due to the increased use of in-home DNA testing as described below.

      might explain the DNA test is not used if there is a history of polyps. this is what I've learned, suggest checking

      though for those who do not have health insurance, this test is likely used. DNA test costs insurance companies upwards of $600

    1. spectrum disorders

      I could be mistaken, though my understanding is this is one disorder that has a spectrum of disease intensities, does it need to be plural?

      It would be plural if there was more than one type of FASD.

    2. In addition to 150 minutes of moderate-intensity exercise each week

      I suggest:

      In addition to 150 minutes of moderate-intensity exercise and muscle-strengthening each week, should also include activities that support balance.

      muscle strengthening was suggested previously, so it should be listed alongside moderate intensity exercise. Activities. That support balance is the addition for older adults.

    3. Use protective equipment like helmets and wrist guards

      I would reword to something like this:

      Maintain safety, such as using helmets and wrist guards

      though are wrist guards a common practice used the the average person? Isn't that for extreme weight lifting?

      maybe just refer to helmets?

    1. within the family and community

      I think these two sentences would work better this way:

      Positive relationships within the family and community support health and well-being. These relationships can lessen the impact of some of the other determinants.