SOAP NOTE week 5

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Soap Note 1 is based on the Case Study # 1

1.Templates used from another classes will not be accepted. Student must use the template provided in this class which must clearly contain the progress note (in the Assessment section) of the encounter with the patient ( this section is clearly mark in bold, highlighted  and underlined). No passing grade will be granted if this section is not completed properly. 
2.Follow the MRU Soap Note Rubric as a guide
3.Use APA format and must include minimum of 2 Scholarly Citations.

4.Check for plagiarism,Turn it in Score must be less than 25% or will not be accepted for credit, must be your own work and in your own words. Copy-paste from websites or textbooks will not be accepted or tolerated.
5.The use of tempates is ok with regards to Turn it in, but the Patient History, CC, HPI, The Assessment and Plan should be of your own work and individualized to your made up patient.  

6.The case study does not contain all the information related to the patient, so you must complete each step of the template according to the symptoms, signs, treatment, diagnostic methods, plan, education, etc. according to the patient’s diagnosis.

7. Attached you can find the rubric and SOAP note template. Also you can find one example.

Lessons

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Please complete all of the lessons and send the certificates. There should be a total of 5 lessons with the link provided. Please send the certificates when finished. After each lesson there are a few questions based on the reading.



https://www.hhs.gov/ohrp/education-and-outreach/human-research-protection-training/human-research-protection-foundational-training/index.htmlLinks to an external site.
 

Planning for the future examination

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Please see the attachment for the instructions

home wok Amy 3yres old patient

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Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test.

Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment.

 Amy, a 3 year old girl is brought to your office by her mother because she has a fever and complains that her ear hurts. She has no significant medical history. The child is not pleased to be in the provider’s office and has been crying. Her mother explains that she developed a “cold” about 3 days ago with sniffles. As she cries she continues to cough and has yellowish nasal discharge.  

Attention………Remember that your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

Nursing Week 6 APA Assignment

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As a baccalaureate-prepared nursing professional what role will you take to advocate for culturally diverse clients in your healthcare practice?

  • Sections of the assignment must include:
    Introduction
    Focus points covered in the discussion posts
    Any arguments and rationales for your stance
    Conclusion or Summary
  • The components of your APA Assignment includes the following:
    The assignment must be completed on a word document.
    Your APA Assignment must include a title page (Refer to Purdue OWL).
    All in-text citations must be used when paraphrasing or quoting a previous author.
    All references must reflect the in-text citations used.
    All reference sources must be within the past 5 years unless it is the works of a nurse theorist or a significant reference material.
    The length of the assignment must be 750-1000 words. Please pay attention to spelling and grammar. Points are deducted for repeat offenders.
    Upon completion of the assignment, you must submit it via Turnitin.com and please note that your plagiarism score should be no more than 20%. If you score higher, please make adjustments.
    (Please refer to the APA Grading rubric for additional assistance in completing your assignment).
    You may reach out to the College Writing Center for further assistance.

Psych 2

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 What is the role of the Nurse Practitioner in the use of psychotropic medications? What is so important the knowledge of these class of medications? 

Discussion Post-Team Work

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Describe a form of interdisciplinary collaborative care you’ve seen on your current assigned clinical or work site. Then have a discussion about the following questions:

  • Who coordinated that care? What was the nurse’s role in ascertaining that the care was provided?
  • Was the patient’s outcome met? How or why not? What would you, a novice nurse-leader, have done differently to achieve the patient’s goals?

week 6 discussion

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Week 6 Discussion Forum

  • Research  grant opportunities are specifically available for nursing research,  especially those for nurse educators. Is there a grant that aligns to  your project? What steps would you have to take to apply?

Discussion

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Discusions reading chapter 13 

What workforce advocacy strategies can Elena use to promote quality patient care and a safe work environment?

What is the value of shared governance to Elena’s individual nursing practice?

If Elena becomes concerned about floating assignments, what questions can help guide her decision about accepting such assignments?

What online resources are available to help Elena learn more about important workplace issues and workforce advocacy?

How can Elena improve the marketability of her nursing expertise?

EBP-Change

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 To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

References x 4 to include: