consider:

poor access to clean water and polluted air

it would be important to add that when they do seek care, usually in the ER, they are diagnosed at a higher level, they tend to be more ill than their insured counterparts.

many African cultures have expectations of home births, healthcare is not always sought out, which in Africa might be due to problems within many SDOHs, though could impact care if immigrated here. this may not be as common here, though bringing it up anyway.

referred to female in this sentence, suggest consistency, using male instead of men

what about intersex? will that be discussed?

from Cleveland Clinic:

People who are male have XY chromosomes. People who are females have XX chromosomes. People who are intersex may have a mix of chromosomes, such as XXY. Or they may have some cells that are XY and some cells that are XX.

https://my.clevelandclinic.org/health/articles/16324-intersex

is this your definition? if so, I think it's awkward. people controlling poverty, access to education and food? I suggest rewording this.

I hope there is reference to climate change in some way, as it has severely impacted health due to its adverse effects of flooding, extreme heat and cold, mudslides, wildfires.

I teach this content as well. reference to global health might be of interest, as I believe it is part of the Essentials, and other accreditors may also require a global health focus. it is quite a diverse population, so accounting for these issues will be important

there are many cultural taboos about health that I hope are introduced in this chapter, such as those associated with mental health (stigma) and reproductive health (the woman is unclean during menses, cannot speak of contraception or fertility). assessing for these issues is necessary in order to come up with an accurate, holistic teaching plan. (I currently teach global health and these taboos are a major obstacle with teaching)

move this sentence up, after the previous sentence... it's starting on its own line.

here you use choices related to lifestyles.... people grow up with a certain culture and religion, it's not a choice really, but it is part of who they are.

are these really choices?

preferences seems to fit better

I was expecting to see a video in Spanish

there needs some reference to providing resources in her native language.

I suggest deleting, consistency needed, just state what the client reports. it is well understood that the client is speaking with the nurse

do you want to make note it's in Spanish?

suggest consistency with adding info about which column in parentheses

if SMART is reviewed here, I suggest referring to it in this box.

they were taught?

need further explanation on SMART. Either provide an example of a SMART outcome or provide a link to a video or resource for more information

does this need to be clarified as Nursing Diagnosis?

Why the parentheses? Learning needs should be plural.

suggest using computer, even though most computers these days are laptops

reword, quizzes written twice

refer to teach-back

written twice in the sentence, reword to remove repeated concept

I'm not sure what this means

I would provide an example, I'm not sure what this means

will students know what this means? is this about home care services, such as nurses and oxygen? I would clarify

should advanced directives be discussed briefly? about who to teach?

dynamics fits here too, though involvement works.

how would you suggest they assess these skills? provide a link or a follow up sentence on how to do it

when I worked in home health, I would have the patient read a medication bottle, though I did not assess their writing skills.

isn't this one of the concepts that are hyperlinked previously?

this applies to young adults too, physical activity and diet are key at this age, and really all ages where the patient has autonomy, though would be taught to parents

how about "to facilitate" asking questions, something like that. allowing sounds like you might not allow them

this sounds odd, I'd reword to focus on what will be toured

I think this needs to be deleted, it's the same verbiage for the first row of the table

is this supposed to be an intro to the bullet points?

it would have to be a perfect world when teaching in the acute care setting...

do you want to add info about virtual nursing and how admissions and discharges occur via iPad from a remote nurse? they are meeting the patient for the first time and will not know much about them when preparing for discharge home.

did you mean inaccurate information?

I think both accurate and especially inaccurate information should be addressed.

or clinic visits.

suggest including community-based settings.

grammar

Consider this 'Clients who are..."

but I know this is not the approach used for each barrier.

"in pain" is awkward

might be helpful to provide examples, interpreters via phone, video

have students been taught this yet? the concept might sound obvious, but might want to hyperlink this concept with a definition or link to a source. Or asterisk to alert student this content will be covered later, or was covered in a previous section.

is this word needed?

if you are able to adjust the text Figure 1.3, correct the text in the green box.

as above... I suggest using the same term throughout the paper: Promote, it is the title of this book!

Or is this more about teaching coping strategies, as nurses don't encourage them, they promote or teach them.

such as is more scholarly

I suggest using "Promoting", as this is the concept used in the next bullet point.

promote fits better than encourage

I suggest:

Teaching specific protective measures such as the use of seat belts, helmets, car seats, condoms, and sunscreen.

I think this flows better

? have not heard of this term

I'm sure you're aware, government websites will need to be checked regularly, esp. related to DEI, gender, etc.

is this intended to be non-English learners?

is this intended to be evidence-based strategies?

if so, I think evidence-based sounds better than proven

would be plural:

SDOHs

all the examples are written in a positive light, compared to this one.

I suggest:

Clean air and water

what about sanitation? this is a major issue globally

here it is again

sour OJ?

which one of the two listed are you referring to? Or do you mean 'these medications'?

sour OJ...?

how about:

It is recommended only for patients with severe arrhythmias.

smoother

and sour orange juice

per content in a previous section

this applies to each of the three types of arrhythmias

delete

communication with the provider on which meds to give prior to a procedure is critical

I would add PT

... such as blood in urine or stool, bruises on extremities

there is a new treatment where clots are removed distally from the femoral artery, a 10 minute procedure

balloon distal access catheter (BDAC)

https://www.lhsc.on.ca/news/new-procedure-removes-blood-clot-in-10-minutes-a-worlds-first

this was suggested earlier, so if you add it there, you can delete it here

delete?

do you want to briefly explain the difference between this and cholesterol? second time it's mentioned

myocardial infarction (heart attack)

do you want to add possible location, brain or aorta?

or is it a disease?

...of a Treatment,,,

previous in this text the diastolic was referred to as normal. suggest clarifying this previously... I almost made a comment about it, but didn't, should have

instead, consider; The updated ...

starting the sentence with New felt awkward and head to read it a couple times for it to flow

do you want to add in parentheses this will be discussed later in this section?

hereditary... more succinct, and scholarly

...measured in mm Hg (millimeters of mercury)....

do you want to mention the fluid will 'weep' through the tissues onto the skin?

I don't see any citations in most of these sections

due to CNS stimulation, suggest taking this med in the morning

do you want to add information about rinsing mouth after admin?

suggest adding an image of a nebulizer

here's a link to an open image:

https://commons.wikimedia.org/wiki/File:Nebulizer_Mouthpiece.png

, such as smoking.

remove the parentheses

cough, such as smoking.

in what way? what effect is sought after? is it habit forming? I would clarify what is meant by recreational

previously in this text you referred to this medication as a controlled OTC med, I don't believe I read anything about this here, I suggest doing so.

I see this content is cited, but odd that glaucoma is listed as contraindicated and with caution. would the second reference state a different type of glaucoma?

assess for a decrease

medicine, singular, suffices here

I believe the previous page offered a hyperlink to this concept

this sentence is not a question, but a statement. delete the question mark.

emphysema and chronic bronchitis are two types of COPD.

do you want to mention emphysema?

do you want to also refer to the medical term pruritus?

delete

... lead to the structures of gas exchange (alveoli)

suggest adding bolded content

enzymes

take in the morning to reduce risk of nightmares

what would abnormal mean?

at this link: https://pubmed.ncbi.nlm.nih.gov/15630600/

the authors refer to reduced quality of sleep, nightmares. this study suggests taking Donepezil in the morning rather than at bedtime/night to reduce these symptoms

the way it's written the tests are increased.

consider: increase liver function enzyme levels.

such as

I'd delete

(if using the inhaler for the first time)

something like that, otherwise it could be interpreted as doing this each time

additionally, have the patient exhale using pursed lips

singular

do you want to add that medication should not be stopped abruptly? as noted previously?

do you want to add lying, sitting and standing?

will students know what this means?

since it can cause hypotension, add s/s of lightheadedness?

add period, space

this was explained in previous chapters, do students need this repeated? my thought is no...

how are these related to nicotine patches? it's confusing.

are students tested on topics such as this and others on this page. it's been many years since I've studied this and I have to admit it's a lot to take in.

the moving image is extremely distracting. I can't concentrate on the text

add commas

...tyramine, such as tuna and Swiss cheese, should...

and antibiotic resistance

should be 'shown'

singular: Patient teaching

... leaving a mosquito or malaria infected area

bed nets (this is clearer)

...exposure to mosquitoes (mode of transmission) using...

add bolded content

globally

require

not sure what this means,

how often would closely be interpreted? previous suggestions state the number of times labs should be drawn. 1-2x weekly?

several minutes can be interpreted as 2 minutes, 3 minutes, etc.

I read a few sources that suggest gargling, swish for 30 seconds or as long as tolerated. also, not to eat at least 10 30 minutes afterwards.

the Cleveland clinic suggests half dose swish on one side of mouth, the other half other side of mouth.

as above

why share the medical term for others but not for ringworm?

in the indications paragraph, imidazole are listed for these conditions but allylamines are listed here. it's just a little confusing seeing these conditions listed in two sections. maybe both treat these conditions? I am not familiar.

why leave this at the end when it was introduced earlier?

how about this:

... skin infections such as tinea corporis (ringworm), tinea pedis (athlete’s foot), and tinea cruris (jock itch).

at lower doses

in genital area

upset?

.... often referred to as antiretroviral therapy or ART

it may be obvious this is Hep B, but do you want to abbreviate when Hep B is first introduced?

this fits better below 'mechanism of action' heading

you've referred top this as upset previously, is distress different?

I would add this info here, instead of at the end:

within 48 hours of symptom onset

or both...

and prevention of chronic herpes infection

suggest adding COVID as another example

such as .... ?

the paragraph above states this supplement should be avoided

replace with 'they', antacid used twice in the sentence. not grammatically correct

I've not heard of this, will students know what is unique about this? what about community acquired?

consider adding "such as metallic or sour taste"

might be interesting for chemistry experts, but the average nursing student will likely scroll right past it

yeast infection

I would add 'per agency policy' at the end of this statement

save feedback from previous section, apply going forward as appropriate

I won't mention these sentence structure errors going forward.

sometimes you write GI other times spelled out. noticed this often throughout this chapter

wouldn't this be Carbapenems?

consider info about birth control pills

consider revising per content above, be more specific here

grammar

instead, consider... Since...

refer student to table below showing them this med is in the penicillin class

menstrual period (some international students might not know what period means)

clarify meanings:

vaginal itching or discharge (yeast infection); loose or foul-smelling stool (C-diff)

in a previous chapter it stated regular orange juice did not interfere with absorption, only grapefruit and sour orange. I suggest clarifying

at any point do you discuss the use of probiotics as a prophylactic to prevent yeast infections when taking antibiotics? it is a routine practice for many, and students should be aware

I suggest explaining why hand sanitizer shouldn't be used.

abbreviation would go after gastrointestinal, not upset

gastrointestinal (GI) upset

just as you noted later in this paragraph

grammar

for ease of reading, how about

refer to the section on “Ethical and Professional Foundations of Safe Medication Administration by Nurses.” in Chapter 2.

'the chapter 2 section' is awkward and doesn't flow well

delete

fix spacing here

the hyperlinked definition is a bit different from this statement. I would match them up closer

I believe you referred to 8 rights, maybe five right apply to administration...

... per agency policy

same comment as above

this link brings the reader to a generic page, I don't see a list of abbreviations, and no links on that page offer them either, unless I missed it

earlier in this chapter you used mnemonic. I remember this because I thought the correct concept would be acronym, but learned they are essentially the same. I suggest using the same concepts throughout

now mnemonic is used

I would revise this, mention the subheading or report

just students, not RNs?

at what point would you add family members to these scenarios? They are integral with medication reconciliation in many circumstances.

after reading further I see you mention family, but still leaving this here, as most of the time the patient is the only one referenced

would this be "need"?

would this include the safety of giving meds that require full liver and kidney function?

was this explained anywhere? If not, I suggest doing so.

hierarchical issues (provider to nurse) also impact this partnership. might be worthwhile bringing this up, instructing nurses to be assertive when questioning an order

how about:

....viewed by clicking on the link in the ...

the WHO....

is this needed? it's a bit wordy

we know these are reports as per the heading, so would report be part of the title? I would delete

how about sharing the entire title as the heading?

I suggest sharing examples regarding social issues, such as poverty or homelessness

link broken

I suggest this:

...accommodate the patient's beliefs in order to reduce the risk of ....

delete?

if you are referring to the example at the top of this page, it was about not having a teaspoon to measure the medication, it wasn't about literacy. maybe I missed this one? Is it on this page or another one?

should be "and"

link is broken

might state link is below in case the reader stops to look for the link themselves

this isn't additional information, it's the form to report diversion.

might add that patients may not be receiving the prescribed dose

if you refer to a website, why not share the hyperlink?

this information would be helpful if read prior to reading the previous section about federal and state laws.

this was abbreviated a few paragraphs above

...time it is received...