Tag: Care Plans

  • [Solved] Nursing

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    – a year ago

  • [Solved] DISC 9 RESPONSES

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    RESPONSES FOR REVIEW – 2 years ago **files (1)** – ## DISCUSSION9RESPONSES.docx **## DISCUSSION9RESPONSES.docx** **Daniela Gomez Vasquez** **Apr 21 8:35pm** **Manage Discussion by Daniela Gomez Vasquez** **Reply from Daniela Gomez Vasquez** ****Main Post**** ****Evaluation of Mental Health Program a…

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    RESPONSES FOR REVIEW

    – 2 years ago

    **files (1)**

    – ## DISCUSSION9RESPONSES.docx

    **## DISCUSSION9RESPONSES.docx**

    **Daniela Gomez Vasquez**

    **Apr 21 8:35pm**

    **Manage Discussion by Daniela Gomez Vasquez**

    **Reply from Daniela Gomez Vasquez**

    ****Main Post****

    ****Evaluation of Mental Health Program and Policy****

    **In 2022, the 988 Suicide and Crisis Lifeline program was launched in the US, designed to prevent suicide and assist people experiencing emotional distress through a simple three-digit phone call, text message, or online chat (Stephanie et al., 2023). At the start of this program, many questions arose regarding whether these centers were truly prepared for the launch, prompting several researchers to conduct studies to assess their readiness (Matthews et al., 2023).**

    **The results indicated that while some centers were prepared, many still lacked the necessary resources to operate effectively (Matthews et al., 2023). Insufficient funding and a shortage of trained personnel, such as mental health professionals, were the primary causes of this lack of preparedness (Stephanie et al., 2023). Research also showed that some facilities in certain regions did not receive the same level of training as others, or there were not enough mental health care facilities available to transfer people for treatment in specific rural areas. Additionally, some facilities in locations with Hispanic or Latino residents did not report effective preparation, while remote towns benefited from telehealth (Matthews et al., 2023).**

    **A lack of staff and resources was believed to lead to missed calls and a low quality of service (Stephanie et al., 2023). Despite these challenges, the program continues. In 2022, 79% of calls were answered, but this figure rose to 89% in 2024, and so far in 2025, 92% of calls have been answered (Substance Abuse and Mental Health Services Administration [SAMHSA], 2023a). Each state has its own policies regarding funding for the 988 Lifeline program (Stephanie et al., 2023). In states with legislation supporting the 988 Lifeline program, every county has at least one center, and those that have funded this program have seen positive growth in care and development, unlike states that rejected this proposal (Burns et al., 2024). The Tennessee government has allocated $5 million for the development and continuation of this program (Substance Abuse and Mental Health Services Administration [SAMHSA], 2023b). Nursing advocacy for the 988 Lifeline can also benefit the population by sharing these programs within the community (Glodstein, 2023).**

    ****References****

    **Burns, A., Nir M., Olena M., Salyers, M. P., & Yeager, V. A. (2024). State Policies Associated with Availability of Mobile Crisis Teams.**
    **_Administration and Policy in Mental Health and Mental Health Services Research_.**
    **[https://doi.org/10.1007/s10488-024-01368-0Links to an external site.](https://doi.org/10.1007/s10488-024-01368-0)**

    **Glodstein, S. L. (2023). The lifeline and advanced practice nursing/intervention prevention perspective.**
    **_Archives of Psychiatric Nursing_,**
    **_47_, 47–49.**
    **[https://doi.org/10.1016/j.apnu.2023.10.008Links to an external site.](https://doi.org/10.1016/j.apnu.2023.10.008)**

    **Matthews, S., Cantor, J. H., Brooks Holliday, S., Bialas, A., Eberhart, N. K., Breslau, J., & McBain, R. K. (2023). National preparedness for 988-the new mental health emergency hotline in the United States.**
    **_Preventive medicine reports_,**
    **_33_, 102208.**
    **[https://doi.org/10.1016/j.pmedr.2023.102208Links to an external site.](https://doi.org/10.1016/j.pmedr.2023.102208)**

    **Stephanie, B. H., Matthews, S., Bialas, A., McBain, R. K., Cantor, J. H., Eberhart, N. K., & Breslau, J. (2023).**
    **_A Qualitative Investigation of Preparedness for the Launch of 988: Implications for the Continuum of Emergency Mental Health Care_.**
    **_50_(4), 616–629.**
    **[https://doi.org/10.1007/s10488-023-01263-0Links to an external site.](https://doi.org/10.1007/s10488-023-01263-0)**

    **Substance Abuse and Mental Health Services Administration (SAMHSA). (2023). 988 Lifeline Performance Metrics.**
    **[https://www.samhsa.gov/mental-health/988/performance-metricsLinks to an external site.](https://www.samhsa.gov/mental-health/988/performance-metrics)**

    **Substance Abuse and Mental Health Services Administration (SAMHSA). (2023, May 11).**
    **_Cooperative Agreements for 988 Suicide and Crisis Lifeline Crisis Center Follow-Up Programs_.**
    **[https://www.samhsa.gov/grants/grant-announcements/fg-23-003Links to an external site.](https://www.samhsa.gov/grants/grant-announcements/fg-23-003)**

    **[Carlos R Astacio](https://waldenu.instructure.com/courses/157824/users/153915)**

    **Apr 22 10:37am| Last reply Apr 22 12:20pm**

    **Manage Discussion by Carlos R Astacio**

    **Reply from Carlos R Astacio**

    ****Policy & Advocacy for Pop Hlth****

    **Carlos Astacio**

    **Walden University**

    **Dr. Bob**

    **April 22, 2025.**

    ****Evaluation of Medicaid Expansion Program under the Affordable Care Act****

    **Within the framework of the Affordable Care Act, the Medicaid expansion policy stands as one of the most far-reaching public health policy measures introduced in the last decade across the United States (Fox & Kahn-Troster, 2022). The main objective of this policy has been to expand access to health services for adults whose incomes fall within 138% of the federal poverty thresholds because they lack affordable health coverage. Evaluation studies of this policy demonstrate several positive effects, including reduced uninsured rates and increased preventive care, reduced uncompensated hospital expenditures, and improved detection and treatment of chronic diseases (Donohue et al., 2022). Follow-up has revealed improvements in certain health outcomes, such as diabetes control and accessibility to mental health services, while minorities see reductions in preventable deaths (Donohue et al., 2022).**

    **Evaluating the effectiveness of Medicaid expansion requires a thorough understanding of the broader framework of the social determinants of health. The social determinants, namely economic stability and educational attainment, along with the physical environment and geographic access to health care, along with the social context, directly determine how people are able to take full advantage of their health coverage (Parzuchowski et al., 2023). People living in rural areas and underserved urban neighborhoods have difficulty obtaining medical services because their communities lack medical providers who accept Medicaid coverage. The combination of limited health literacy and low educational attainment makes it difficult for these individuals to process their health entitlements and effectively use the health system to obtain authorized services (Parzuchowski et al., 2023).**

    **In addition to food insecurity and unemployment and inadequate housing and lack of transportation help determine patients' ability to follow treatment guidelines and maintain disease prevention measures. Both the quality of medical treatment as well as patient willingness to access medical services must include the study of structural racism and discriminatory practices (Shao & Stoecker, 2022). The health care expansion of Medicaid does not eliminate the systematic obstacles which force African Americans along with Hispanics and Native Americans and other oppressed groups to maintain unequal health standards (Shao & Stoecker, 2022).**

    **The provision of care services remains essential but nursing professionals assume a vital duty to examine and execute as well as make improvements to public health policies. Healthcare professionals can be equity advocates and social situation experts to find disparities while supporting evidence-driven initiatives for social determinants reform. Through the combination of clinical judgment and social justice perspective nursing establishes itself as a fundamental force that drives change in healthcare policies like Medicaid expansion to achieve equal benefits outcomes for the population (Fox & Kahn-Troster, 2022).**

    ****References****

    **Fox, K. S., & Kahn-Troster, S. (2022). Advancing health equity in health care coverage: a public-private partnership to engage underserved communities in medicaid expansion.**
    **_Journal of Health Care for the Poor and Underserved_,**
    **_33_(4S), 44–60.**
    **[https://doi.org/10.1353/hpu.2022.0158Links to an external site.](https://doi.org/10.1353/hpu.2022.0158)**

    **Donohue, J. M., Cole, E. S., James, C. V., Jarlenski, M., Michener, J. D., & Roberts, E. T. (2022). The US medicaid program: coverage, financing, reforms, and implications for health equity.**
    **_JAMA_, 328(11), 1085–1099.**
    **[https://doi.org/10.1001/jama.2022.14791Links to an external site.](https://doi.org/10.1001/jama.2022.14791)**

    **Kaiser Family Foundation. (2023).**
    **_Status of_**
    **_State Medicaid Expansion Decisions: Interactive Map_.**
    **[https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/Links to an external site.](https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/)**

    **Parzuchowski, A., Oronce, C., Guo, R., Tseng, C. H., Fendrick, A. M., & Mafi, J. N. (2023). Evaluating the accessibility and value of U.S. ambulatory care among Medicaid expansion states and non-expansion states, 2012-2015.**
    **_BMC Health Services Research_,**
    **_23_(1), 723. https://doi.org/10.1186/s12913-023-09696-x**

    **Shao, Y., & Stoecker, C. (2022). The effect of louisiana medicaid expansion on affordability of health care.**
    **_Public Health Reports (Washington, D.C. : 1974)_,**
    **_137_(5), 912–920. https://doi.org/10.1177/00333549211041410**

    **## DISCUSSION9RESPONSES.docx**

    **Daniela Gomez Vasquez**

    **Apr 21 8:35pm**

    **Manage Discussion by Daniela Gomez Vasquez**

    **Reply from Daniela Gomez Vasquez**

    ****Main Post****

    ****Evaluation of Mental Health Program and Policy****

    **In 2022, the 988 Suicide and Crisis Lifeline program was launched in the US, designed to prevent suicide and assist people experiencing emotional distress through a simple three-digit phone call, text message, or online chat (Stephanie et al., 2023). At the start of this program, many questions arose regarding whether these centers were truly prepared for the launch, prompting several researchers to conduct studies to assess their readiness (Matthews et al., 2023).**

    **The results indicated that while some centers were prepared, many still lacked the necessary resources to operate effectively (Matthews et al., 2023). Insufficient funding and a shortage of trained personnel, such as mental health professionals, were the primary causes of this lack of preparedness (Stephanie et al., 2023). Research also showed that some facilities in certain regions did not receive the same level of training as others, or there were not enough mental health care facilities available to transfer people for treatment in specific rural areas. Additionally, some facilities in locations with Hispanic or Latino residents did not report effective preparation, while remote towns benefited from telehealth (Matthews et al., 2023).**

    **A lack of staff and resources was believed to lead to missed calls and a low quality of service (Stephanie et al., 2023). Despite these challenges, the program continues. In 2022, 79% of calls were answered, but this figure rose to 89% in 2024, and so far in 2025, 92% of calls have been answered (Substance Abuse and Mental Health Services Administration [SAMHSA], 2023a). Each state has its own policies regarding funding for the 988 Lifeline program (Stephanie et al., 2023). In states with legislation supporting the 988 Lifeline program, every county has at least one center, and those that have funded this program have seen positive growth in care and development, unlike states that rejected this proposal (Burns et al., 2024). The Tennessee government has allocated $5 million for the development and continuation of this program (Substance Abuse and Mental Health Services Administration [SAMHSA], 2023b). Nursing advocacy for the 988 Lifeline can also benefit the population by sharing these programs within the community (Glodstein, 2023).**

    ****References****

    **Burns, A., Nir M., Olena M., Salyers, M. P., & Yeager, V. A. (2024). State Policies Associated with Availability of Mobile Crisis Teams.**
    **_Administration and Policy in Mental Health and Mental Health Services Research_.**
    **[https://doi.org/10.1007/s10488-024-01368-0Links to an external site.](https://doi.org/10.1007/s10488-024-01368-0)**

    **Glodstein, S. L. (2023). The lifeline and advanced practice nursing/intervention prevention perspective.**
    **_Archives of Psychiatric Nursing_,**
    **_47_, 47–49.**
    **[https://doi.org/10.1016/j.apnu.2023.10.008Links to an external site.](https://doi.org/10.1016/j.apnu.2023.10.008)**

    **Matthews, S., Cantor, J. H., Brooks Holliday, S., Bialas, A., Eberhart, N. K., Breslau, J., & McBain, R. K. (2023). National preparedness for 988-the new mental health emergency hotline in the United States.**
    **_Preventive medicine reports_,**
    **_33_, 102208.**
    **[https://doi.org/10.1016/j.pmedr.2023.102208Links to an external site.](https://doi.org/10.1016/j.pmedr.2023.102208)**

    **Stephanie, B. H., Matthews, S., Bialas, A., McBain, R. K., Cantor, J. H., Eberhart, N. K., & Breslau, J. (2023).**
    **_A Qualitative Investigation of Preparedness for the Launch of 988: Implications for the Continuum of Emergency Mental Health Care_.**
    **_50_(4), 616–629.**
    **[https://doi.org/10.1007/s10488-023-01263-0Links to an external site.](https://doi.org/10.1007/s10488-023-01263-0)**

    **Substance Abuse and Mental Health Services Administration (SAMHSA). (2023). 988 Lifeline Performance Metrics.**
    **[https://www.samhsa.gov/mental-health/988/performance-metricsLinks to an external site.](https://www.samhsa.gov/mental-health/988/performance-metrics)**

    **Substance Abuse and Mental Health Services Administration (SAMHSA). (2023, May 11).**
    **_Cooperative Agreements for 988 Suicide and Crisis Lifeline Crisis Center Follow-Up Programs_.**
    **[https://www.samhsa.gov/grants/grant-announcements/fg-23-003Links to an external site.](https://www.samhsa.gov/grants/grant-announcements/fg-23-003)**

    **[Carlos R Astacio](https://waldenu.instructure.com/courses/157824/users/153915)**

    **Apr 22 10:37am| Last reply Apr 22 12:20pm**

    **Manage Discussion by Carlos R Astacio**

    **Reply from Carlos R Astacio**

    ****Policy & Advocacy for Pop Hlth****

    **Carlos Astacio**

    **Walden University**

    **Dr. Bob**

    **April 22, 2025.**

    ****Evaluation of Medicaid Expansion Program under the Affordable Care Act****

    **Within the framework of the Affordable Care Act, the Medicaid expansion policy stands as one of the most far-reaching public health policy measures introduced in the last decade across the United States (Fox & Kahn-Troster, 2022). The main objective of this policy has been to expand access to health services for adults whose incomes fall within 138% of the federal poverty thresholds because they lack affordable health coverage. Evaluation studies of this policy demonstrate several positive effects, including reduced uninsured rates and increased preventive care, reduced uncompensated hospital expenditures, and improved detection and treatment of chronic diseases (Donohue et al., 2022). Follow-up has revealed improvements in certain health outcomes, such as diabetes control and accessibility to mental health services, while minorities see reductions in preventable deaths (Donohue et al., 2022).**

    **Evaluating the effectiveness of Medicaid expansion requires a thorough understanding of the broader framework of the social determinants of health. The social determinants, namely economic stability and educational attainment, along with the physical environment and geographic access to health care, along with the social context, directly determine how people are able to take full advantage of their health coverage (Parzuchowski et al., 2023). People living in rural areas and underserved urban neighborhoods have difficulty obtaining medical services because their communities lack medical providers who accept Medicaid coverage. The combination of limited health literacy and low educational attainment makes it difficult for these individuals to process their health entitlements and effectively use the health system to obtain authorized services (Parzuchowski et al., 2023).**

    **In addition to food insecurity and unemployment and inadequate housing and lack of transportation help determine patients' ability to follow treatment guidelines and maintain disease prevention measures. Both the quality of medical treatment as well as patient willingness to access medical services must include the study of structural racism and discriminatory practices (Shao & Stoecker, 2022). The health care expansion of Medicaid does not eliminate the systematic obstacles which force African Americans along with Hispanics and Native Americans and other oppressed groups to maintain unequal health standards (Shao & Stoecker, 2022).**

    **The provision of care services remains essential but nursing professionals assume a vital duty to examine and execute as well as make improvements to public health policies. Healthcare professionals can be equity advocates and social situation experts to find disparities while supporting evidence-driven initiatives for social determinants reform. Through the combination of clinical judgment and social justice perspective nursing establishes itself as a fundamental force that drives change in healthcare policies like Medicaid expansion to achieve equal benefits outcomes for the population (Fox & Kahn-Troster, 2022).**

    ****References****

    **Fox, K. S., & Kahn-Troster, S. (2022). Advancing health equity in health care coverage: a public-private partnership to engage underserved communities in medicaid expansion.**
    **_Journal of Health Care for the Poor and Underserved_,**
    **_33_(4S), 44–60.**
    **[https://doi.org/10.1353/hpu.2022.0158Links to an external site.](https://doi.org/10.1353/hpu.2022.0158)**

    **Donohue, J. M., Cole, E. S., James, C. V., Jarlenski, M., Michener, J. D., & Roberts, E. T. (2022). The US medicaid program: coverage, financing, reforms, and implications for health equity.**
    **_JAMA_, 328(11), 1085–1099.**
    **[https://doi.org/10.1001/jama.2022.14791Links to an external site.](https://doi.org/10.1001/jama.2022.14791)**

    **Kaiser Family Foundation. (2023).**
    **_Status of_**
    **_State Medicaid Expansion Decisions: Interactive Map_.**
    **[https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/Links to an external site.](https://www.kff.org/medicaid/issue-brief/status-of-state-medicaid-expansion-decisions-interactive-map/)**

    **Parzuchowski, A., Oronce, C., Guo, R., Tseng, C. H., Fendrick, A. M., & Mafi, J. N. (2023). Evaluating the accessibility and value of U.S. ambulatory care among Medicaid expansion states and non-expansion states, 2012-2015.**
    **_BMC Health Services Research_,**
    **_23_(1), 723. https://doi.org/10.1186/s12913-023-09696-x**

    **Shao, Y., & Stoecker, C. (2022). The effect of louisiana medicaid expansion on affordability of health care.**
    **_Public Health Reports (Washington, D.C. : 1974)_,**
    **_137_(5), 912–920. https://doi.org/10.1177/00333549211041410**

  • [Solved] Nursing need help with an assignment

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    based on the following article: https://learn.americansentinel.edu/pluginfile.php/1130467/mod_assign/intro/Study%204.pdf – 2 years ago

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    based on the following article:

    https://learn.americansentinel.edu/pluginfile.php/1130467/mod_assign/intro/Study%204.pdf

    – 2 years ago

  • [Solved] nurs 507CL m6 discussion

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    – a year ago **files (1)** – ## nurs507CLm6discussion.docx **## nurs507CLm6discussion.docx** Patient came in with stomach cramps and has not been able to stool in 4 days Describe your clinical experience for this week. · Did you face any challenges, any success? If so, what were they? · Describe the…

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    – a year ago

    **files (1)**

    – ## nurs507CLm6discussion.docx

    **## nurs507CLm6discussion.docx**

    Patient came in with stomach cramps and has not been able to stool in 4 days

    Describe your clinical experience for this week.

    · Did you face any challenges, any success? If so, what were they?

    · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.

    · Mention the health promotion intervention for this patient.

    · What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?

    · Support your plan of care with the current peer-reviewed research guideline.

    **Submission Instructions:**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

    **## nurs507CLm6discussion.docx**

    Patient came in with stomach cramps and has not been able to stool in 4 days

    Describe your clinical experience for this week.

    · Did you face any challenges, any success? If so, what were they?

    · Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.

    · Mention the health promotion intervention for this patient.

    · What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?

    · Support your plan of care with the current peer-reviewed research guideline.

    **Submission Instructions:**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

  • [Solved] nurs 507 m6 discussion

    ✓ Verified Academic Solution Available

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    – a year ago **files (1)** – ## nurs507m6discussion.docx **## nurs507m6discussion.docx** After studying [Module 6: Lecture Materials & Resources](https://stu.instructure.com/courses/43826/pages/module-6-lecture-materials-and-resources), discuss the following: You see a 3-year-old with hypertension (…

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    Assignment Prompt & Instructions

    – a year ago

    **files (1)**

    – ## nurs507m6discussion.docx

    **## nurs507m6discussion.docx**

    After studying
    [Module 6: Lecture Materials & Resources](https://stu.instructure.com/courses/43826/pages/module-6-lecture-materials-and-resources), discuss the following:

    You see a 3-year-old with hypertension (documented on three different visits) in your primary care clinic.

    · Describe the workup, differential diagnoses, assessment, and management.

    · How would your plan of care be different if the child were 10 years old?

    · What risk factor counseling and advice would you include?

    **Submission Instructions:**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

    **## nurs507m6discussion.docx**

    After studying
    [Module 6: Lecture Materials & Resources](https://stu.instructure.com/courses/43826/pages/module-6-lecture-materials-and-resources), discuss the following:

    You see a 3-year-old with hypertension (documented on three different visits) in your primary care clinic.

    · Describe the workup, differential diagnoses, assessment, and management.

    · How would your plan of care be different if the child were 10 years old?

    · What risk factor counseling and advice would you include?

    **Submission Instructions:**

    · Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

  • [Solved] nurs 507 CL soap 3

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    – a year ago **files (3)** – ## forsoapnote.docx – ## SOAPNOTETEMPLATEBLANK.docx – ## SOAPNoteRubric.pdf **## forsoapnote.docx** -Patient is a 15 year old female coming in because she has been having pain while she pees. -She has no known allergy to meds or anything else. -Mom has asthma -Dad does n…

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    Assignment Prompt & Instructions

    – a year ago

    **files (3)**

    – ## forsoapnote.docx

    – ## SOAPNOTETEMPLATEBLANK.docx

    – ## SOAPNoteRubric.pdf

    **## forsoapnote.docx**

    -Patient is a 15 year old female coming in because she has been having pain while she pees.

    -She has no known allergy to meds or anything else.

    -Mom has asthma

    -Dad does not have any medical history.

    -Sister also has asthma

    -Brother does not have any medical history.

    **## SOAPNOTETEMPLATEBLANK.docx**

    | | |
    | — | — |
    | SOAP NOTE TEMPLATE<br>Review the Rubric for more Guidance |
    | _Demographics_ | |
    | _Chief Complaint (Reason for seeking health care)_ | |
    | _History of Present Illness (HPI)_ | |
    | _Allergies_ | |
    | _Review of Systems (ROS)_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: <br>Nutrition:<br>Sleep/Rest:<br>LMP: <br>STI Hx: |
    | _Vital Signs_ | |
    | _Labs_ | |
    | _Medications_ | |
    | _Past Medical History_ | |
    | _Past Surgical History_ | |
    | _Family History_ | |
    | _Social History_ | |
    | _Health Maintenance/ Screenings_ | |
    | _Physical Examination_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: |
    | _Diagnosis_ | |
    | _Differential Diagnosis_ | |
    | _ICD 10 Coding_ | |
    | _Pharmacologic treatment plan_ | |
    | _Diagnostic/Lab Testing_ | |
    | _Education_ | |
    | _Anticipatory Guidance_ | |
    | _Follow up plan_ | |
    | _Prescription_ | See Below (scroll down) |
    | _References_ | |
    | _Grammar_ | |

    | |
    | — |
    | EA#: 101010101 STU Clinic LIC# 10000000 |
    | Tel: (000) 555-1234 FAX: (000) 555-12222 |
    | Patient Name: (Initials)______________________________ Age ___________<br>Date: _______________<br>RX ______________________________________<br>SIG:<br>Dispense: ___________ Refill: _________________<br>No Substitution<br> <br>Signature:____________________________________________________________ |

    Signature (with appropriate credentials):_____________________________________

    References (must use current evidence-based guidelines used to guide the care [Mandatory])

    **## SOAPNoteRubric.pdf**

    SOAP Note Rubric

    Criteria Ratings Point
    s

    Demographics 1 to >0.8 pts
    Begins with patient
    initials, age, race,
    ethnicity and
    gender (5
    demographics)

    0.8 to >0.25 pts
    Begins with 4 of
    the 5 patient
    demographics
    (patient initials,
    age, race,
    ethnicity and
    gender)

    0.25 to
    >0.0 pts
    Begins with 3
    or less patient
    demographics
    (patient
    initials, age,
    race, ethnicity
    and gender)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    1
    point

    Chief
    Complaint
    (Reason for
    seeking health
    care)

    4 to >3.0 pts
    Includes a direct
    quote from patient
    about presenting
    problem

    3 to >2.0 pts
    Includes a direct
    quote from
    patient and
    other unrelated
    information

    2 to >0.0 pts
    Includes
    information
    but
    information is
    NOT a direct
    quote

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    4
    points

    History of the
    Present
    Illness (HPI)

    5 to >3.0 pts
    Includes the
    presenting problem
    and the 8
    dimensions of the
    problem (OLD
    CARTS – Onset,
    Location, Duration,
    Character,
    Aggravating
    factors, Relieving
    factors, Timing and
    Severity)

    3 to >2.0 pts
    Includes the
    presenting
    problem and 7
    of the 8
    dimensions of
    the problem
    (OLD CARTS –
    Onset, Location,
    Duration,
    Character,
    Aggravating
    factors,
    Relieving
    factors, Timing
    and Severity)

    2 to >0.0 pts
    Includes the
    presenting
    problem and 6
    of the 8
    dimensions of
    the problem
    (OLD CARTS –
    Onset,
    Location,
    Duration,
    Character,
    Aggravating
    factors,
    Relieving
    factors,
    Timing and
    Severity)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Allergies 2 to >1.5 pts
    Includes NKA
    (including = Drug,
    Environmental,
    Food, Herbal,
    and/or Latex or if
    allergies are
    present (reports for
    each severity of
    allergy AND
    description of
    allergy)

    1.5 to >1.0 pts
    If allergies are
    present,
    students lists
    type Drug,
    environmental
    factor, herbal,
    food, latex name
    and includes
    severity of
    allergy OR
    description of
    allergy

    1 to >0.0 pts
    If allergies are
    present,
    students lists
    only the type
    of allergy
    name

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Review of
    Systems
    (ROS)

    15 to >8.0 pts
    Includes a
    minimum of 3
    assessments for
    each body system
    and assesses at
    least 9 body
    systems directed to
    chief complaint
    AND uses the
    words “admits” and
    “denies”

    8 to >3.0 pts
    Includes 3 or
    fewer
    assessments for
    each body
    system and
    assesses 5-8
    body systems
    directed to chief
    complaint AND
    uses the words
    “admits” and
    “denies”

    3 to >0.0 pts
    Includes 3 or
    fewer
    assessments
    for each body
    system and
    assesses less
    than 5 body
    systems
    directed to
    chief
    complaint OR
    student does
    not use the
    words
    “admits” and
    “denies”

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    15
    points

    Vital Signs 2 to >1.5 pts
    Includes all 8 vital
    signs, (BP (with
    patient position),
    HR, RR,
    temperature (with
    Fahrenheit or
    Celsius and route
    of temperature
    collection), weight,
    height, BMI (or
    percentiles for
    pediatric
    population) and
    pain.)

    1.5 to >1.0 pts
    Includes 7 vital
    signs, (BP (with
    patient
    position), HR,
    RR, temperature
    (with Fahrenheit
    or Celsius and
    route of
    temperature
    collection),
    weight, height,
    BMI (or
    percentiles for
    pediatric
    population) and
    pain.)

    1 to >0.0 pts
    Includes 6 or
    less vital
    signs, (BP
    (with patient
    position), HR,
    RR,
    temperature
    (with F or C
    and route of
    temperature
    collection),
    weight, height,
    BMI (or
    percentiles for
    pediatric
    population)
    and pain.)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Labs 2 to >1.5 pts
    Includes a list of
    the labs reviewed at
    the visit, values of
    lab results and
    highlights
    abnormal values
    OR acknowledges
    no labs/diagnostic
    tests were
    reviewed.

    1.5 to >1.0 pts
    Includes a list of
    the labs
    reviewed at the
    visit, values of
    lab results but
    does not
    highlight
    abnormal
    values.

    1 to >0.0 pts
    Includes a list
    of the labs
    reviewed at
    the visit but
    does not
    include the
    values of lab
    results or
    highlight
    abnormal
    values.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Medications 4 to >2.0 pts
    Includes a list of all
    of the patient
    reported
    medications and
    the medical
    diagnosis for the
    medication
    (including name,

    2 to >1.0 pts
    Includes a list of
    all of the patient
    reported
    medications and
    the medical
    diagnosis for
    the medication
    (including 3 of

    1 to >0.0 pts
    Includes a list
    of all of the
    patient
    reported
    medications
    (including 2 of
    the 4: name,

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    4
    points

    dose, route,
    frequency)

    the 4: name,
    dose,
    medications
    route,
    frequency)

    dose, route,
    frequency)

    Past Medical
    History

    3 to >2.0 pts
    Includes
    (Major/Chronic,
    Trauma,
    Hospitalizations),
    for each medical
    diagnosis, year of
    diagnosis and
    whether the
    diagnosis is active
    or current

    2 to >1.0 pts
    Includes
    (Major/Chronic,
    Trauma,
    Hospitalizations)
    , for each
    medical
    diagnosis, either
    year of
    diagnosis OR
    whether the
    diagnosis is
    active or current

    1 to >0.0 pts
    Includes each
    medical
    diagnosis but
    does not
    include year of
    diagnosis or
    whether the
    diagnosis is
    active or
    current

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Past Surgical
    History

    3 to >2.0 pts
    Includes, for each
    surgical procedure,
    the year of
    procedure and the
    indication for the
    procedure

    2 to >1.0 pts
    Includes, for
    each surgical
    procedure, the
    year of
    procedure OR
    indication of the
    procedure

    1 to >0.0 pts
    Includes, for
    each surgical
    procedure but
    not the year of
    procedure or
    indication of
    the procedure

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Family History 3 to >2.0 pts
    Includes an
    assessment of at
    least 4 family
    members
    regarding, at a
    minimum, genetic
    disorders, diabetes,
    heart disease and
    cancer.

    2 to >1.0 pts
    Includes an
    assessment of
    at least 3 family
    members
    regarding, at a
    minimum,
    genetic
    disorders,
    diabetes, heart
    disease and
    cancer.

    1 to >0.0 pts
    Includes an
    assessment of
    at least 2
    family
    members
    regarding, at a
    minimum,
    genetic
    disorders,
    diabetes, heart
    disease and
    cancer.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Social History 3 to >2.0 pts
    Includes all of the
    required following:
    tobacco use, drug
    use, alcohol use,
    marital status,
    employment status,
    current/previous
    occupation, sexual
    orientation,
    sexually active,
    contraceptive use,
    and living situation.

    2 to >1.0 pts
    Includes 10 of
    the 11 required
    following:
    tobacco use,
    drug use,
    alcohol use,
    marital status,
    employment
    status,
    current/previous
    occupation,
    sexual
    orientation,
    sexually active,
    contraceptive

    1 to >0.0 pts
    Includes 9 or
    less of the
    required
    information.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    use, and living
    situation.

    Health
    Maintenance /
    Screenings

    3 to >2.0 pts
    Includes a detailed
    assessment of
    immunization
    status and other
    health maintenance
    needs such as age-
    appropriate
    screenings and
    preventive
    measures Includes
    an assessment of
    at least 5 screening
    tests

    2 to >1.0 pts
    Includes a
    partial
    assessment of
    immunization
    status and
    health
    maintenance
    needs, missing
    some key
    components.
    Includes an
    assessment of
    at least 4
    screening tests

    1 to >0.0 pts
    Includes
    minimal
    assessment of
    immunization
    status and
    health
    maintenance
    needs, lacking
    detail.
    Includes an
    assessment of
    at least 3
    screening
    tests

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Physical
    Examination

    15 to >8.0 pts
    Includes a
    minimum of 4
    assessments for
    each body system
    and assesses at
    least 5 body
    systems directed to
    chief complaint

    8 to >3.0 pts
    Includes a
    minimum of 3
    assessments for
    each body
    system and
    assesses at
    least 4 body
    systems
    directed to chief
    complaint

    3 to >0.0 pts
    Includes a
    minimum of 2
    assessments
    for each body
    system and
    assesses at
    least 4 body
    systems
    directed to
    chief
    complaint

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    15
    points

    Diagnosis

    5 to >3.0 pts
    Includes a clear
    outline of the
    accurate principal
    diagnosis AND lists
    the remaining
    diagnoses
    addressed at the
    visit (in descending
    priority)

    3 to >1.0 pts
    Includes a clear
    outline of the
    accurate
    diagnoses
    addressed at the
    visit but does
    not list the
    diagnoses in
    descending
    order of priority

    1 to >0.0 pts
    Includes 1
    differential
    diagnosis for
    the principal
    diagnosis

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Differential
    Diagnosis

    5 to >3.0 pts
    Includes at least 3
    differential
    diagnoses for the
    principal diagnosis

    3 to >1.0 pts
    Includes at least
    2 differential
    diagnoses for
    the principal
    diagnosis

    1 to >0.0 pts
    Includes at
    least 1
    differential
    diagnoses for
    the principal
    diagnosis

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    ICD 10 Coding 3 to >2.0 pts
    Correctly includes
    all ICD-10 codes
    relevant to the
    diagnoses
    addressed at the
    visit

    2 to >1.0 pts
    Correctly
    includes most
    ICD-10 codes
    relevant to the
    diagnoses
    addressed at the
    visit

    1 to >0.0 pts
    Includes some
    ICD-10 codes
    relevant to the
    diagnoses
    addressed at
    the visit

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Pharmacologi
    c treatment
    plan

    5 to >3.0 pts
    Includes a detailed
    pharmacologic
    treatment plan for
    each of the
    diagnoses listed
    under
    “assessment”. The
    plan includes ALL
    of the required
    following: drug
    name, dose, route,
    frequency, duration
    and cost as well as
    education related to
    pharmacologic
    agent. If the
    diagnosis is a
    chronic problem,
    student includes
    instructions on
    currently
    prescribed
    medications as
    above.

    3 to >1.0 pts
    Includes a
    detailed
    pharmacologic
    treatment plan
    for each of the
    diagnoses listed
    under
    “assessment”.
    The plan
    includes 4 of the
    required
    following 7: the
    drug name,
    dose, route,
    frequency,
    duration and
    cost as well as
    education
    related to
    pharmacologic
    agent. If the
    diagnosis is a
    chronic
    problem,
    student includes
    instructions on
    currently
    prescribed
    medications as
    above.

    1 to >0.0 pts
    Includes a
    detailed
    pharmacologi
    c treatment
    plan for each
    of the
    diagnoses
    listed under
    “assessment”.
    The plan
    includes less
    than 4 of the
    information:

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Diagnostic /
    Lab Testing

    3 to >2.0 pts
    Includes
    appropriate
    diagnostic/lab
    testing 100% of the
    time OR
    acknowledges “no
    diagnostic testing
    clinically required
    at this time”

    2 to >1.0 pts
    Includes
    appropriate
    diagnostic/lab
    testing 50% of
    the time OR
    acknowledges
    “no diagnostic
    testing clinically
    required at this
    time”

    1 to >0.0 pts
    Includes
    appropriate
    diagnostic
    testing less
    than 50% of
    the time.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Education 3 to >2.0 pts
    Includes at least 3
    strategies to
    promote and
    develop skills for
    managing their
    illness and at least
    3 self-management
    methods on how to
    incorporate healthy
    behaviors into their
    lives.

    2 to >1.0 pts
    Includes at least
    2 strategies to
    promote and
    develop skills
    for managing
    their illness and
    at least 2 self-
    management
    methods on how
    to incorporate
    healthy
    behaviors into
    their lives.

    1 to >0.0 pts
    Includes at
    least 1
    strategies to
    promote and
    develop skills
    for managing
    their illness
    and at least 1
    self-
    management
    methods on
    how to
    incorporate

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    healthy
    behaviors into
    their lives

    Anticipatory
    Guidance

    3 to >2.0 pts
    Includes at least 3
    primary prevention
    strategies (related
    to age/condition
    (i.e. immunizations,
    pediatric and pre-
    natal milestone
    anticipatory
    guidance)) and at
    least 2 secondary
    prevention
    strategies (related
    to age/condition
    (i.e. screening))

    2 to >1.0 pts
    Includes at least
    2 primary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    immunizations,
    pediatric and
    pre-natal
    milestone
    anticipator
    guidance)) and
    at least 2
    secondary
    prevention
    strategies
    (related to
    age/condition
    (i.e. screening))

    1 to >0.0 pts
    Includes at
    least 1 primary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    immunizations
    , pediatric and
    pre-natal
    milestone
    anticipatory
    guidance))
    and at least 1
    secondary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    screening))

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Follow Up
    Plan

    2 to >1.0 pts
    Includes
    recommendation
    for follow up,
    including time
    frame (i.e. x # of
    days/weeks/months
    )

    1 to >0.0 pts
    Includes recommendation for
    follow up, but does not include
    time frame (i.e. x # of
    days/weeks/months)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Prescription 3 to >2.0 pts
    Prescription
    includes all
    required
    components:
    patient information,
    date, drug name,
    dose, route,
    frequency, quantity
    to be dispensed,
    refills, and
    provider’s
    signature and
    credentials

    2 to >1.0 pts
    Prescription
    includes most
    required
    components,
    but is missing 1-
    2 elements such
    as quantity to be
    dispensed or
    refills

    1 to >0.0 pts
    Prescription is
    missing 3 or
    more required
    components
    such as
    patient
    information,
    date, or
    provider’s
    signature

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Writing
    Mechanics,
    Citations, and
    APA Style

    3 to >2.0 pts
    Effectively uses the
    literature and other
    resources to inform
    their work.
    Exceptional use of
    citations and
    extended
    referencing. APA

    2 to >1.0 pts
    Moderately use
    the literature
    and other
    resources to
    inform their
    work.
    Moderately use
    of citations and

    1 to >0.0 pts
    Ineffectively
    uses the
    literature and
    other
    resources to
    inform their
    work.
    Ineffectively

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    style is correct, and
    writing is free of
    grammar and
    spelling errors.

    extended
    referencing. APA
    style and writing
    mechanics need
    more precision
    and attention to
    detail.

    use of
    citations and
    extended
    referencing.
    APA style and
    writing
    mechanics
    need serious
    attention.

    Total 100

    **## SOAPNoteRubric.pdf**

    SOAP Note Rubric

    Criteria Ratings Point
    s

    Demographics 1 to >0.8 pts
    Begins with patient
    initials, age, race,
    ethnicity and
    gender (5
    demographics)

    0.8 to >0.25 pts
    Begins with 4 of
    the 5 patient
    demographics
    (patient initials,
    age, race,
    ethnicity and
    gender)

    0.25 to
    >0.0 pts
    Begins with 3
    or less patient
    demographics
    (patient
    initials, age,
    race, ethnicity
    and gender)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    1
    point

    Chief
    Complaint
    (Reason for
    seeking health
    care)

    4 to >3.0 pts
    Includes a direct
    quote from patient
    about presenting
    problem

    3 to >2.0 pts
    Includes a direct
    quote from
    patient and
    other unrelated
    information

    2 to >0.0 pts
    Includes
    information
    but
    information is
    NOT a direct
    quote

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    4
    points

    History of the
    Present
    Illness (HPI)

    5 to >3.0 pts
    Includes the
    presenting problem
    and the 8
    dimensions of the
    problem (OLD
    CARTS – Onset,
    Location, Duration,
    Character,
    Aggravating
    factors, Relieving
    factors, Timing and
    Severity)

    3 to >2.0 pts
    Includes the
    presenting
    problem and 7
    of the 8
    dimensions of
    the problem
    (OLD CARTS –
    Onset, Location,
    Duration,
    Character,
    Aggravating
    factors,
    Relieving
    factors, Timing
    and Severity)

    2 to >0.0 pts
    Includes the
    presenting
    problem and 6
    of the 8
    dimensions of
    the problem
    (OLD CARTS –
    Onset,
    Location,
    Duration,
    Character,
    Aggravating
    factors,
    Relieving
    factors,
    Timing and
    Severity)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Allergies 2 to >1.5 pts
    Includes NKA
    (including = Drug,
    Environmental,
    Food, Herbal,
    and/or Latex or if
    allergies are
    present (reports for
    each severity of
    allergy AND
    description of
    allergy)

    1.5 to >1.0 pts
    If allergies are
    present,
    students lists
    type Drug,
    environmental
    factor, herbal,
    food, latex name
    and includes
    severity of
    allergy OR
    description of
    allergy

    1 to >0.0 pts
    If allergies are
    present,
    students lists
    only the type
    of allergy
    name

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Review of
    Systems
    (ROS)

    15 to >8.0 pts
    Includes a
    minimum of 3
    assessments for
    each body system
    and assesses at
    least 9 body
    systems directed to
    chief complaint
    AND uses the
    words “admits” and
    “denies”

    8 to >3.0 pts
    Includes 3 or
    fewer
    assessments for
    each body
    system and
    assesses 5-8
    body systems
    directed to chief
    complaint AND
    uses the words
    “admits” and
    “denies”

    3 to >0.0 pts
    Includes 3 or
    fewer
    assessments
    for each body
    system and
    assesses less
    than 5 body
    systems
    directed to
    chief
    complaint OR
    student does
    not use the
    words
    “admits” and
    “denies”

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    15
    points

    Vital Signs 2 to >1.5 pts
    Includes all 8 vital
    signs, (BP (with
    patient position),
    HR, RR,
    temperature (with
    Fahrenheit or
    Celsius and route
    of temperature
    collection), weight,
    height, BMI (or
    percentiles for
    pediatric
    population) and
    pain.)

    1.5 to >1.0 pts
    Includes 7 vital
    signs, (BP (with
    patient
    position), HR,
    RR, temperature
    (with Fahrenheit
    or Celsius and
    route of
    temperature
    collection),
    weight, height,
    BMI (or
    percentiles for
    pediatric
    population) and
    pain.)

    1 to >0.0 pts
    Includes 6 or
    less vital
    signs, (BP
    (with patient
    position), HR,
    RR,
    temperature
    (with F or C
    and route of
    temperature
    collection),
    weight, height,
    BMI (or
    percentiles for
    pediatric
    population)
    and pain.)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Labs 2 to >1.5 pts
    Includes a list of
    the labs reviewed at
    the visit, values of
    lab results and
    highlights
    abnormal values
    OR acknowledges
    no labs/diagnostic
    tests were
    reviewed.

    1.5 to >1.0 pts
    Includes a list of
    the labs
    reviewed at the
    visit, values of
    lab results but
    does not
    highlight
    abnormal
    values.

    1 to >0.0 pts
    Includes a list
    of the labs
    reviewed at
    the visit but
    does not
    include the
    values of lab
    results or
    highlight
    abnormal
    values.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Medications 4 to >2.0 pts
    Includes a list of all
    of the patient
    reported
    medications and
    the medical
    diagnosis for the
    medication
    (including name,

    2 to >1.0 pts
    Includes a list of
    all of the patient
    reported
    medications and
    the medical
    diagnosis for
    the medication
    (including 3 of

    1 to >0.0 pts
    Includes a list
    of all of the
    patient
    reported
    medications
    (including 2 of
    the 4: name,

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    4
    points

    dose, route,
    frequency)

    the 4: name,
    dose,
    medications
    route,
    frequency)

    dose, route,
    frequency)

    Past Medical
    History

    3 to >2.0 pts
    Includes
    (Major/Chronic,
    Trauma,
    Hospitalizations),
    for each medical
    diagnosis, year of
    diagnosis and
    whether the
    diagnosis is active
    or current

    2 to >1.0 pts
    Includes
    (Major/Chronic,
    Trauma,
    Hospitalizations)
    , for each
    medical
    diagnosis, either
    year of
    diagnosis OR
    whether the
    diagnosis is
    active or current

    1 to >0.0 pts
    Includes each
    medical
    diagnosis but
    does not
    include year of
    diagnosis or
    whether the
    diagnosis is
    active or
    current

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Past Surgical
    History

    3 to >2.0 pts
    Includes, for each
    surgical procedure,
    the year of
    procedure and the
    indication for the
    procedure

    2 to >1.0 pts
    Includes, for
    each surgical
    procedure, the
    year of
    procedure OR
    indication of the
    procedure

    1 to >0.0 pts
    Includes, for
    each surgical
    procedure but
    not the year of
    procedure or
    indication of
    the procedure

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Family History 3 to >2.0 pts
    Includes an
    assessment of at
    least 4 family
    members
    regarding, at a
    minimum, genetic
    disorders, diabetes,
    heart disease and
    cancer.

    2 to >1.0 pts
    Includes an
    assessment of
    at least 3 family
    members
    regarding, at a
    minimum,
    genetic
    disorders,
    diabetes, heart
    disease and
    cancer.

    1 to >0.0 pts
    Includes an
    assessment of
    at least 2
    family
    members
    regarding, at a
    minimum,
    genetic
    disorders,
    diabetes, heart
    disease and
    cancer.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Social History 3 to >2.0 pts
    Includes all of the
    required following:
    tobacco use, drug
    use, alcohol use,
    marital status,
    employment status,
    current/previous
    occupation, sexual
    orientation,
    sexually active,
    contraceptive use,
    and living situation.

    2 to >1.0 pts
    Includes 10 of
    the 11 required
    following:
    tobacco use,
    drug use,
    alcohol use,
    marital status,
    employment
    status,
    current/previous
    occupation,
    sexual
    orientation,
    sexually active,
    contraceptive

    1 to >0.0 pts
    Includes 9 or
    less of the
    required
    information.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    use, and living
    situation.

    Health
    Maintenance /
    Screenings

    3 to >2.0 pts
    Includes a detailed
    assessment of
    immunization
    status and other
    health maintenance
    needs such as age-
    appropriate
    screenings and
    preventive
    measures Includes
    an assessment of
    at least 5 screening
    tests

    2 to >1.0 pts
    Includes a
    partial
    assessment of
    immunization
    status and
    health
    maintenance
    needs, missing
    some key
    components.
    Includes an
    assessment of
    at least 4
    screening tests

    1 to >0.0 pts
    Includes
    minimal
    assessment of
    immunization
    status and
    health
    maintenance
    needs, lacking
    detail.
    Includes an
    assessment of
    at least 3
    screening
    tests

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Physical
    Examination

    15 to >8.0 pts
    Includes a
    minimum of 4
    assessments for
    each body system
    and assesses at
    least 5 body
    systems directed to
    chief complaint

    8 to >3.0 pts
    Includes a
    minimum of 3
    assessments for
    each body
    system and
    assesses at
    least 4 body
    systems
    directed to chief
    complaint

    3 to >0.0 pts
    Includes a
    minimum of 2
    assessments
    for each body
    system and
    assesses at
    least 4 body
    systems
    directed to
    chief
    complaint

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    15
    points

    Diagnosis

    5 to >3.0 pts
    Includes a clear
    outline of the
    accurate principal
    diagnosis AND lists
    the remaining
    diagnoses
    addressed at the
    visit (in descending
    priority)

    3 to >1.0 pts
    Includes a clear
    outline of the
    accurate
    diagnoses
    addressed at the
    visit but does
    not list the
    diagnoses in
    descending
    order of priority

    1 to >0.0 pts
    Includes 1
    differential
    diagnosis for
    the principal
    diagnosis

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Differential
    Diagnosis

    5 to >3.0 pts
    Includes at least 3
    differential
    diagnoses for the
    principal diagnosis

    3 to >1.0 pts
    Includes at least
    2 differential
    diagnoses for
    the principal
    diagnosis

    1 to >0.0 pts
    Includes at
    least 1
    differential
    diagnoses for
    the principal
    diagnosis

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    ICD 10 Coding 3 to >2.0 pts
    Correctly includes
    all ICD-10 codes
    relevant to the
    diagnoses
    addressed at the
    visit

    2 to >1.0 pts
    Correctly
    includes most
    ICD-10 codes
    relevant to the
    diagnoses
    addressed at the
    visit

    1 to >0.0 pts
    Includes some
    ICD-10 codes
    relevant to the
    diagnoses
    addressed at
    the visit

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Pharmacologi
    c treatment
    plan

    5 to >3.0 pts
    Includes a detailed
    pharmacologic
    treatment plan for
    each of the
    diagnoses listed
    under
    “assessment”. The
    plan includes ALL
    of the required
    following: drug
    name, dose, route,
    frequency, duration
    and cost as well as
    education related to
    pharmacologic
    agent. If the
    diagnosis is a
    chronic problem,
    student includes
    instructions on
    currently
    prescribed
    medications as
    above.

    3 to >1.0 pts
    Includes a
    detailed
    pharmacologic
    treatment plan
    for each of the
    diagnoses listed
    under
    “assessment”.
    The plan
    includes 4 of the
    required
    following 7: the
    drug name,
    dose, route,
    frequency,
    duration and
    cost as well as
    education
    related to
    pharmacologic
    agent. If the
    diagnosis is a
    chronic
    problem,
    student includes
    instructions on
    currently
    prescribed
    medications as
    above.

    1 to >0.0 pts
    Includes a
    detailed
    pharmacologi
    c treatment
    plan for each
    of the
    diagnoses
    listed under
    “assessment”.
    The plan
    includes less
    than 4 of the
    information:

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Diagnostic /
    Lab Testing

    3 to >2.0 pts
    Includes
    appropriate
    diagnostic/lab
    testing 100% of the
    time OR
    acknowledges “no
    diagnostic testing
    clinically required
    at this time”

    2 to >1.0 pts
    Includes
    appropriate
    diagnostic/lab
    testing 50% of
    the time OR
    acknowledges
    “no diagnostic
    testing clinically
    required at this
    time”

    1 to >0.0 pts
    Includes
    appropriate
    diagnostic
    testing less
    than 50% of
    the time.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Education 3 to >2.0 pts
    Includes at least 3
    strategies to
    promote and
    develop skills for
    managing their
    illness and at least
    3 self-management
    methods on how to
    incorporate healthy
    behaviors into their
    lives.

    2 to >1.0 pts
    Includes at least
    2 strategies to
    promote and
    develop skills
    for managing
    their illness and
    at least 2 self-
    management
    methods on how
    to incorporate
    healthy
    behaviors into
    their lives.

    1 to >0.0 pts
    Includes at
    least 1
    strategies to
    promote and
    develop skills
    for managing
    their illness
    and at least 1
    self-
    management
    methods on
    how to
    incorporate

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    healthy
    behaviors into
    their lives

    Anticipatory
    Guidance

    3 to >2.0 pts
    Includes at least 3
    primary prevention
    strategies (related
    to age/condition
    (i.e. immunizations,
    pediatric and pre-
    natal milestone
    anticipatory
    guidance)) and at
    least 2 secondary
    prevention
    strategies (related
    to age/condition
    (i.e. screening))

    2 to >1.0 pts
    Includes at least
    2 primary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    immunizations,
    pediatric and
    pre-natal
    milestone
    anticipator
    guidance)) and
    at least 2
    secondary
    prevention
    strategies
    (related to
    age/condition
    (i.e. screening))

    1 to >0.0 pts
    Includes at
    least 1 primary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    immunizations
    , pediatric and
    pre-natal
    milestone
    anticipatory
    guidance))
    and at least 1
    secondary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    screening))

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Follow Up
    Plan

    2 to >1.0 pts
    Includes
    recommendation
    for follow up,
    including time
    frame (i.e. x # of
    days/weeks/months
    )

    1 to >0.0 pts
    Includes recommendation for
    follow up, but does not include
    time frame (i.e. x # of
    days/weeks/months)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Prescription 3 to >2.0 pts
    Prescription
    includes all
    required
    components:
    patient information,
    date, drug name,
    dose, route,
    frequency, quantity
    to be dispensed,
    refills, and
    provider’s
    signature and
    credentials

    2 to >1.0 pts
    Prescription
    includes most
    required
    components,
    but is missing 1-
    2 elements such
    as quantity to be
    dispensed or
    refills

    1 to >0.0 pts
    Prescription is
    missing 3 or
    more required
    components
    such as
    patient
    information,
    date, or
    provider’s
    signature

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Writing
    Mechanics,
    Citations, and
    APA Style

    3 to >2.0 pts
    Effectively uses the
    literature and other
    resources to inform
    their work.
    Exceptional use of
    citations and
    extended
    referencing. APA

    2 to >1.0 pts
    Moderately use
    the literature
    and other
    resources to
    inform their
    work.
    Moderately use
    of citations and

    1 to >0.0 pts
    Ineffectively
    uses the
    literature and
    other
    resources to
    inform their
    work.
    Ineffectively

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    style is correct, and
    writing is free of
    grammar and
    spelling errors.

    extended
    referencing. APA
    style and writing
    mechanics need
    more precision
    and attention to
    detail.

    use of
    citations and
    extended
    referencing.
    APA style and
    writing
    mechanics
    need serious
    attention.

    Total 100

    **## forsoapnote.docx**

    -Patient is a 15 year old female coming in because she has been having pain while she pees.

    -She has no known allergy to meds or anything else.

    -Mom has asthma

    -Dad does not have any medical history.

    -Sister also has asthma

    -Brother does not have any medical history.

    **## SOAPNOTETEMPLATEBLANK.docx**

    | | |
    | — | — |
    | SOAP NOTE TEMPLATE<br>Review the Rubric for more Guidance |
    | _Demographics_ | |
    | _Chief Complaint (Reason for seeking health care)_ | |
    | _History of Present Illness (HPI)_ | |
    | _Allergies_ | |
    | _Review of Systems (ROS)_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: <br>Nutrition:<br>Sleep/Rest:<br>LMP: <br>STI Hx: |
    | _Vital Signs_ | |
    | _Labs_ | |
    | _Medications_ | |
    | _Past Medical History_ | |
    | _Past Surgical History_ | |
    | _Family History_ | |
    | _Social History_ | |
    | _Health Maintenance/ Screenings_ | |
    | _Physical Examination_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: |
    | _Diagnosis_ | |
    | _Differential Diagnosis_ | |
    | _ICD 10 Coding_ | |
    | _Pharmacologic treatment plan_ | |
    | _Diagnostic/Lab Testing_ | |
    | _Education_ | |
    | _Anticipatory Guidance_ | |
    | _Follow up plan_ | |
    | _Prescription_ | See Below (scroll down) |
    | _References_ | |
    | _Grammar_ | |

    | |
    | — |
    | EA#: 101010101 STU Clinic LIC# 10000000 |
    | Tel: (000) 555-1234 FAX: (000) 555-12222 |
    | Patient Name: (Initials)______________________________ Age ___________<br>Date: _______________<br>RX ______________________________________<br>SIG:<br>Dispense: ___________ Refill: _________________<br>No Substitution<br> <br>Signature:____________________________________________________________ |

    Signature (with appropriate credentials):_____________________________________

    References (must use current evidence-based guidelines used to guide the care [Mandatory])

    **## SOAPNoteRubric.pdf**

    SOAP Note Rubric

    Criteria Ratings Point
    s

    Demographics 1 to >0.8 pts
    Begins with patient
    initials, age, race,
    ethnicity and
    gender (5
    demographics)

    0.8 to >0.25 pts
    Begins with 4 of
    the 5 patient
    demographics
    (patient initials,
    age, race,
    ethnicity and
    gender)

    0.25 to
    >0.0 pts
    Begins with 3
    or less patient
    demographics
    (patient
    initials, age,
    race, ethnicity
    and gender)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    1
    point

    Chief
    Complaint
    (Reason for
    seeking health
    care)

    4 to >3.0 pts
    Includes a direct
    quote from patient
    about presenting
    problem

    3 to >2.0 pts
    Includes a direct
    quote from
    patient and
    other unrelated
    information

    2 to >0.0 pts
    Includes
    information
    but
    information is
    NOT a direct
    quote

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    4
    points

    History of the
    Present
    Illness (HPI)

    5 to >3.0 pts
    Includes the
    presenting problem
    and the 8
    dimensions of the
    problem (OLD
    CARTS – Onset,
    Location, Duration,
    Character,
    Aggravating
    factors, Relieving
    factors, Timing and
    Severity)

    3 to >2.0 pts
    Includes the
    presenting
    problem and 7
    of the 8
    dimensions of
    the problem
    (OLD CARTS –
    Onset, Location,
    Duration,
    Character,
    Aggravating
    factors,
    Relieving
    factors, Timing
    and Severity)

    2 to >0.0 pts
    Includes the
    presenting
    problem and 6
    of the 8
    dimensions of
    the problem
    (OLD CARTS –
    Onset,
    Location,
    Duration,
    Character,
    Aggravating
    factors,
    Relieving
    factors,
    Timing and
    Severity)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Allergies 2 to >1.5 pts
    Includes NKA
    (including = Drug,
    Environmental,
    Food, Herbal,
    and/or Latex or if
    allergies are
    present (reports for
    each severity of
    allergy AND
    description of
    allergy)

    1.5 to >1.0 pts
    If allergies are
    present,
    students lists
    type Drug,
    environmental
    factor, herbal,
    food, latex name
    and includes
    severity of
    allergy OR
    description of
    allergy

    1 to >0.0 pts
    If allergies are
    present,
    students lists
    only the type
    of allergy
    name

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Review of
    Systems
    (ROS)

    15 to >8.0 pts
    Includes a
    minimum of 3
    assessments for
    each body system
    and assesses at
    least 9 body
    systems directed to
    chief complaint
    AND uses the
    words “admits” and
    “denies”

    8 to >3.0 pts
    Includes 3 or
    fewer
    assessments for
    each body
    system and
    assesses 5-8
    body systems
    directed to chief
    complaint AND
    uses the words
    “admits” and
    “denies”

    3 to >0.0 pts
    Includes 3 or
    fewer
    assessments
    for each body
    system and
    assesses less
    than 5 body
    systems
    directed to
    chief
    complaint OR
    student does
    not use the
    words
    “admits” and
    “denies”

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    15
    points

    Vital Signs 2 to >1.5 pts
    Includes all 8 vital
    signs, (BP (with
    patient position),
    HR, RR,
    temperature (with
    Fahrenheit or
    Celsius and route
    of temperature
    collection), weight,
    height, BMI (or
    percentiles for
    pediatric
    population) and
    pain.)

    1.5 to >1.0 pts
    Includes 7 vital
    signs, (BP (with
    patient
    position), HR,
    RR, temperature
    (with Fahrenheit
    or Celsius and
    route of
    temperature
    collection),
    weight, height,
    BMI (or
    percentiles for
    pediatric
    population) and
    pain.)

    1 to >0.0 pts
    Includes 6 or
    less vital
    signs, (BP
    (with patient
    position), HR,
    RR,
    temperature
    (with F or C
    and route of
    temperature
    collection),
    weight, height,
    BMI (or
    percentiles for
    pediatric
    population)
    and pain.)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Labs 2 to >1.5 pts
    Includes a list of
    the labs reviewed at
    the visit, values of
    lab results and
    highlights
    abnormal values
    OR acknowledges
    no labs/diagnostic
    tests were
    reviewed.

    1.5 to >1.0 pts
    Includes a list of
    the labs
    reviewed at the
    visit, values of
    lab results but
    does not
    highlight
    abnormal
    values.

    1 to >0.0 pts
    Includes a list
    of the labs
    reviewed at
    the visit but
    does not
    include the
    values of lab
    results or
    highlight
    abnormal
    values.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Medications 4 to >2.0 pts
    Includes a list of all
    of the patient
    reported
    medications and
    the medical
    diagnosis for the
    medication
    (including name,

    2 to >1.0 pts
    Includes a list of
    all of the patient
    reported
    medications and
    the medical
    diagnosis for
    the medication
    (including 3 of

    1 to >0.0 pts
    Includes a list
    of all of the
    patient
    reported
    medications
    (including 2 of
    the 4: name,

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    4
    points

    dose, route,
    frequency)

    the 4: name,
    dose,
    medications
    route,
    frequency)

    dose, route,
    frequency)

    Past Medical
    History

    3 to >2.0 pts
    Includes
    (Major/Chronic,
    Trauma,
    Hospitalizations),
    for each medical
    diagnosis, year of
    diagnosis and
    whether the
    diagnosis is active
    or current

    2 to >1.0 pts
    Includes
    (Major/Chronic,
    Trauma,
    Hospitalizations)
    , for each
    medical
    diagnosis, either
    year of
    diagnosis OR
    whether the
    diagnosis is
    active or current

    1 to >0.0 pts
    Includes each
    medical
    diagnosis but
    does not
    include year of
    diagnosis or
    whether the
    diagnosis is
    active or
    current

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Past Surgical
    History

    3 to >2.0 pts
    Includes, for each
    surgical procedure,
    the year of
    procedure and the
    indication for the
    procedure

    2 to >1.0 pts
    Includes, for
    each surgical
    procedure, the
    year of
    procedure OR
    indication of the
    procedure

    1 to >0.0 pts
    Includes, for
    each surgical
    procedure but
    not the year of
    procedure or
    indication of
    the procedure

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Family History 3 to >2.0 pts
    Includes an
    assessment of at
    least 4 family
    members
    regarding, at a
    minimum, genetic
    disorders, diabetes,
    heart disease and
    cancer.

    2 to >1.0 pts
    Includes an
    assessment of
    at least 3 family
    members
    regarding, at a
    minimum,
    genetic
    disorders,
    diabetes, heart
    disease and
    cancer.

    1 to >0.0 pts
    Includes an
    assessment of
    at least 2
    family
    members
    regarding, at a
    minimum,
    genetic
    disorders,
    diabetes, heart
    disease and
    cancer.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Social History 3 to >2.0 pts
    Includes all of the
    required following:
    tobacco use, drug
    use, alcohol use,
    marital status,
    employment status,
    current/previous
    occupation, sexual
    orientation,
    sexually active,
    contraceptive use,
    and living situation.

    2 to >1.0 pts
    Includes 10 of
    the 11 required
    following:
    tobacco use,
    drug use,
    alcohol use,
    marital status,
    employment
    status,
    current/previous
    occupation,
    sexual
    orientation,
    sexually active,
    contraceptive

    1 to >0.0 pts
    Includes 9 or
    less of the
    required
    information.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    use, and living
    situation.

    Health
    Maintenance /
    Screenings

    3 to >2.0 pts
    Includes a detailed
    assessment of
    immunization
    status and other
    health maintenance
    needs such as age-
    appropriate
    screenings and
    preventive
    measures Includes
    an assessment of
    at least 5 screening
    tests

    2 to >1.0 pts
    Includes a
    partial
    assessment of
    immunization
    status and
    health
    maintenance
    needs, missing
    some key
    components.
    Includes an
    assessment of
    at least 4
    screening tests

    1 to >0.0 pts
    Includes
    minimal
    assessment of
    immunization
    status and
    health
    maintenance
    needs, lacking
    detail.
    Includes an
    assessment of
    at least 3
    screening
    tests

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Physical
    Examination

    15 to >8.0 pts
    Includes a
    minimum of 4
    assessments for
    each body system
    and assesses at
    least 5 body
    systems directed to
    chief complaint

    8 to >3.0 pts
    Includes a
    minimum of 3
    assessments for
    each body
    system and
    assesses at
    least 4 body
    systems
    directed to chief
    complaint

    3 to >0.0 pts
    Includes a
    minimum of 2
    assessments
    for each body
    system and
    assesses at
    least 4 body
    systems
    directed to
    chief
    complaint

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    15
    points

    Diagnosis

    5 to >3.0 pts
    Includes a clear
    outline of the
    accurate principal
    diagnosis AND lists
    the remaining
    diagnoses
    addressed at the
    visit (in descending
    priority)

    3 to >1.0 pts
    Includes a clear
    outline of the
    accurate
    diagnoses
    addressed at the
    visit but does
    not list the
    diagnoses in
    descending
    order of priority

    1 to >0.0 pts
    Includes 1
    differential
    diagnosis for
    the principal
    diagnosis

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Differential
    Diagnosis

    5 to >3.0 pts
    Includes at least 3
    differential
    diagnoses for the
    principal diagnosis

    3 to >1.0 pts
    Includes at least
    2 differential
    diagnoses for
    the principal
    diagnosis

    1 to >0.0 pts
    Includes at
    least 1
    differential
    diagnoses for
    the principal
    diagnosis

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    ICD 10 Coding 3 to >2.0 pts
    Correctly includes
    all ICD-10 codes
    relevant to the
    diagnoses
    addressed at the
    visit

    2 to >1.0 pts
    Correctly
    includes most
    ICD-10 codes
    relevant to the
    diagnoses
    addressed at the
    visit

    1 to >0.0 pts
    Includes some
    ICD-10 codes
    relevant to the
    diagnoses
    addressed at
    the visit

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Pharmacologi
    c treatment
    plan

    5 to >3.0 pts
    Includes a detailed
    pharmacologic
    treatment plan for
    each of the
    diagnoses listed
    under
    “assessment”. The
    plan includes ALL
    of the required
    following: drug
    name, dose, route,
    frequency, duration
    and cost as well as
    education related to
    pharmacologic
    agent. If the
    diagnosis is a
    chronic problem,
    student includes
    instructions on
    currently
    prescribed
    medications as
    above.

    3 to >1.0 pts
    Includes a
    detailed
    pharmacologic
    treatment plan
    for each of the
    diagnoses listed
    under
    “assessment”.
    The plan
    includes 4 of the
    required
    following 7: the
    drug name,
    dose, route,
    frequency,
    duration and
    cost as well as
    education
    related to
    pharmacologic
    agent. If the
    diagnosis is a
    chronic
    problem,
    student includes
    instructions on
    currently
    prescribed
    medications as
    above.

    1 to >0.0 pts
    Includes a
    detailed
    pharmacologi
    c treatment
    plan for each
    of the
    diagnoses
    listed under
    “assessment”.
    The plan
    includes less
    than 4 of the
    information:

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Diagnostic /
    Lab Testing

    3 to >2.0 pts
    Includes
    appropriate
    diagnostic/lab
    testing 100% of the
    time OR
    acknowledges “no
    diagnostic testing
    clinically required
    at this time”

    2 to >1.0 pts
    Includes
    appropriate
    diagnostic/lab
    testing 50% of
    the time OR
    acknowledges
    “no diagnostic
    testing clinically
    required at this
    time”

    1 to >0.0 pts
    Includes
    appropriate
    diagnostic
    testing less
    than 50% of
    the time.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Education 3 to >2.0 pts
    Includes at least 3
    strategies to
    promote and
    develop skills for
    managing their
    illness and at least
    3 self-management
    methods on how to
    incorporate healthy
    behaviors into their
    lives.

    2 to >1.0 pts
    Includes at least
    2 strategies to
    promote and
    develop skills
    for managing
    their illness and
    at least 2 self-
    management
    methods on how
    to incorporate
    healthy
    behaviors into
    their lives.

    1 to >0.0 pts
    Includes at
    least 1
    strategies to
    promote and
    develop skills
    for managing
    their illness
    and at least 1
    self-
    management
    methods on
    how to
    incorporate

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    healthy
    behaviors into
    their lives

    Anticipatory
    Guidance

    3 to >2.0 pts
    Includes at least 3
    primary prevention
    strategies (related
    to age/condition
    (i.e. immunizations,
    pediatric and pre-
    natal milestone
    anticipatory
    guidance)) and at
    least 2 secondary
    prevention
    strategies (related
    to age/condition
    (i.e. screening))

    2 to >1.0 pts
    Includes at least
    2 primary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    immunizations,
    pediatric and
    pre-natal
    milestone
    anticipator
    guidance)) and
    at least 2
    secondary
    prevention
    strategies
    (related to
    age/condition
    (i.e. screening))

    1 to >0.0 pts
    Includes at
    least 1 primary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    immunizations
    , pediatric and
    pre-natal
    milestone
    anticipatory
    guidance))
    and at least 1
    secondary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    screening))

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Follow Up
    Plan

    2 to >1.0 pts
    Includes
    recommendation
    for follow up,
    including time
    frame (i.e. x # of
    days/weeks/months
    )

    1 to >0.0 pts
    Includes recommendation for
    follow up, but does not include
    time frame (i.e. x # of
    days/weeks/months)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Prescription 3 to >2.0 pts
    Prescription
    includes all
    required
    components:
    patient information,
    date, drug name,
    dose, route,
    frequency, quantity
    to be dispensed,
    refills, and
    provider’s
    signature and
    credentials

    2 to >1.0 pts
    Prescription
    includes most
    required
    components,
    but is missing 1-
    2 elements such
    as quantity to be
    dispensed or
    refills

    1 to >0.0 pts
    Prescription is
    missing 3 or
    more required
    components
    such as
    patient
    information,
    date, or
    provider’s
    signature

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Writing
    Mechanics,
    Citations, and
    APA Style

    3 to >2.0 pts
    Effectively uses the
    literature and other
    resources to inform
    their work.
    Exceptional use of
    citations and
    extended
    referencing. APA

    2 to >1.0 pts
    Moderately use
    the literature
    and other
    resources to
    inform their
    work.
    Moderately use
    of citations and

    1 to >0.0 pts
    Ineffectively
    uses the
    literature and
    other
    resources to
    inform their
    work.
    Ineffectively

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    style is correct, and
    writing is free of
    grammar and
    spelling errors.

    extended
    referencing. APA
    style and writing
    mechanics need
    more precision
    and attention to
    detail.

    use of
    citations and
    extended
    referencing.
    APA style and
    writing
    mechanics
    need serious
    attention.

    Total 100

    **## forsoapnote.docx**

    -Patient is a 15 year old female coming in because she has been having pain while she pees.

    -She has no known allergy to meds or anything else.

    -Mom has asthma

    -Dad does not have any medical history.

    -Sister also has asthma

    -Brother does not have any medical history.

    **## SOAPNOTETEMPLATEBLANK.docx**

    | | |
    | — | — |
    | SOAP NOTE TEMPLATE<br>Review the Rubric for more Guidance |
    | _Demographics_ | |
    | _Chief Complaint (Reason for seeking health care)_ | |
    | _History of Present Illness (HPI)_ | |
    | _Allergies_ | |
    | _Review of Systems (ROS)_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: <br>Nutrition:<br>Sleep/Rest:<br>LMP: <br>STI Hx: |
    | _Vital Signs_ | |
    | _Labs_ | |
    | _Medications_ | |
    | _Past Medical History_ | |
    | _Past Surgical History_ | |
    | _Family History_ | |
    | _Social History_ | |
    | _Health Maintenance/ Screenings_ | |
    | _Physical Examination_ | General: <br>HEENT:<br>Neck: <br>Lungs:<br>Cardio<br>Breast: <br>GI: <br>M/F genital:<br>GU: <br>Neuro<br>Musculo:<br>Activity:<br>Psychosocial: <br>Derm: |
    | _Diagnosis_ | |
    | _Differential Diagnosis_ | |
    | _ICD 10 Coding_ | |
    | _Pharmacologic treatment plan_ | |
    | _Diagnostic/Lab Testing_ | |
    | _Education_ | |
    | _Anticipatory Guidance_ | |
    | _Follow up plan_ | |
    | _Prescription_ | See Below (scroll down) |
    | _References_ | |
    | _Grammar_ | |

    | |
    | — |
    | EA#: 101010101 STU Clinic LIC# 10000000 |
    | Tel: (000) 555-1234 FAX: (000) 555-12222 |
    | Patient Name: (Initials)______________________________ Age ___________<br>Date: _______________<br>RX ______________________________________<br>SIG:<br>Dispense: ___________ Refill: _________________<br>No Substitution<br> <br>Signature:____________________________________________________________ |

    Signature (with appropriate credentials):_____________________________________

    References (must use current evidence-based guidelines used to guide the care [Mandatory])

    **## SOAPNoteRubric.pdf**

    SOAP Note Rubric

    Criteria Ratings Point
    s

    Demographics 1 to >0.8 pts
    Begins with patient
    initials, age, race,
    ethnicity and
    gender (5
    demographics)

    0.8 to >0.25 pts
    Begins with 4 of
    the 5 patient
    demographics
    (patient initials,
    age, race,
    ethnicity and
    gender)

    0.25 to
    >0.0 pts
    Begins with 3
    or less patient
    demographics
    (patient
    initials, age,
    race, ethnicity
    and gender)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    1
    point

    Chief
    Complaint
    (Reason for
    seeking health
    care)

    4 to >3.0 pts
    Includes a direct
    quote from patient
    about presenting
    problem

    3 to >2.0 pts
    Includes a direct
    quote from
    patient and
    other unrelated
    information

    2 to >0.0 pts
    Includes
    information
    but
    information is
    NOT a direct
    quote

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    4
    points

    History of the
    Present
    Illness (HPI)

    5 to >3.0 pts
    Includes the
    presenting problem
    and the 8
    dimensions of the
    problem (OLD
    CARTS – Onset,
    Location, Duration,
    Character,
    Aggravating
    factors, Relieving
    factors, Timing and
    Severity)

    3 to >2.0 pts
    Includes the
    presenting
    problem and 7
    of the 8
    dimensions of
    the problem
    (OLD CARTS –
    Onset, Location,
    Duration,
    Character,
    Aggravating
    factors,
    Relieving
    factors, Timing
    and Severity)

    2 to >0.0 pts
    Includes the
    presenting
    problem and 6
    of the 8
    dimensions of
    the problem
    (OLD CARTS –
    Onset,
    Location,
    Duration,
    Character,
    Aggravating
    factors,
    Relieving
    factors,
    Timing and
    Severity)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Allergies 2 to >1.5 pts
    Includes NKA
    (including = Drug,
    Environmental,
    Food, Herbal,
    and/or Latex or if
    allergies are
    present (reports for
    each severity of
    allergy AND
    description of
    allergy)

    1.5 to >1.0 pts
    If allergies are
    present,
    students lists
    type Drug,
    environmental
    factor, herbal,
    food, latex name
    and includes
    severity of
    allergy OR
    description of
    allergy

    1 to >0.0 pts
    If allergies are
    present,
    students lists
    only the type
    of allergy
    name

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Review of
    Systems
    (ROS)

    15 to >8.0 pts
    Includes a
    minimum of 3
    assessments for
    each body system
    and assesses at
    least 9 body
    systems directed to
    chief complaint
    AND uses the
    words “admits” and
    “denies”

    8 to >3.0 pts
    Includes 3 or
    fewer
    assessments for
    each body
    system and
    assesses 5-8
    body systems
    directed to chief
    complaint AND
    uses the words
    “admits” and
    “denies”

    3 to >0.0 pts
    Includes 3 or
    fewer
    assessments
    for each body
    system and
    assesses less
    than 5 body
    systems
    directed to
    chief
    complaint OR
    student does
    not use the
    words
    “admits” and
    “denies”

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    15
    points

    Vital Signs 2 to >1.5 pts
    Includes all 8 vital
    signs, (BP (with
    patient position),
    HR, RR,
    temperature (with
    Fahrenheit or
    Celsius and route
    of temperature
    collection), weight,
    height, BMI (or
    percentiles for
    pediatric
    population) and
    pain.)

    1.5 to >1.0 pts
    Includes 7 vital
    signs, (BP (with
    patient
    position), HR,
    RR, temperature
    (with Fahrenheit
    or Celsius and
    route of
    temperature
    collection),
    weight, height,
    BMI (or
    percentiles for
    pediatric
    population) and
    pain.)

    1 to >0.0 pts
    Includes 6 or
    less vital
    signs, (BP
    (with patient
    position), HR,
    RR,
    temperature
    (with F or C
    and route of
    temperature
    collection),
    weight, height,
    BMI (or
    percentiles for
    pediatric
    population)
    and pain.)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Labs 2 to >1.5 pts
    Includes a list of
    the labs reviewed at
    the visit, values of
    lab results and
    highlights
    abnormal values
    OR acknowledges
    no labs/diagnostic
    tests were
    reviewed.

    1.5 to >1.0 pts
    Includes a list of
    the labs
    reviewed at the
    visit, values of
    lab results but
    does not
    highlight
    abnormal
    values.

    1 to >0.0 pts
    Includes a list
    of the labs
    reviewed at
    the visit but
    does not
    include the
    values of lab
    results or
    highlight
    abnormal
    values.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Medications 4 to >2.0 pts
    Includes a list of all
    of the patient
    reported
    medications and
    the medical
    diagnosis for the
    medication
    (including name,

    2 to >1.0 pts
    Includes a list of
    all of the patient
    reported
    medications and
    the medical
    diagnosis for
    the medication
    (including 3 of

    1 to >0.0 pts
    Includes a list
    of all of the
    patient
    reported
    medications
    (including 2 of
    the 4: name,

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    4
    points

    dose, route,
    frequency)

    the 4: name,
    dose,
    medications
    route,
    frequency)

    dose, route,
    frequency)

    Past Medical
    History

    3 to >2.0 pts
    Includes
    (Major/Chronic,
    Trauma,
    Hospitalizations),
    for each medical
    diagnosis, year of
    diagnosis and
    whether the
    diagnosis is active
    or current

    2 to >1.0 pts
    Includes
    (Major/Chronic,
    Trauma,
    Hospitalizations)
    , for each
    medical
    diagnosis, either
    year of
    diagnosis OR
    whether the
    diagnosis is
    active or current

    1 to >0.0 pts
    Includes each
    medical
    diagnosis but
    does not
    include year of
    diagnosis or
    whether the
    diagnosis is
    active or
    current

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Past Surgical
    History

    3 to >2.0 pts
    Includes, for each
    surgical procedure,
    the year of
    procedure and the
    indication for the
    procedure

    2 to >1.0 pts
    Includes, for
    each surgical
    procedure, the
    year of
    procedure OR
    indication of the
    procedure

    1 to >0.0 pts
    Includes, for
    each surgical
    procedure but
    not the year of
    procedure or
    indication of
    the procedure

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Family History 3 to >2.0 pts
    Includes an
    assessment of at
    least 4 family
    members
    regarding, at a
    minimum, genetic
    disorders, diabetes,
    heart disease and
    cancer.

    2 to >1.0 pts
    Includes an
    assessment of
    at least 3 family
    members
    regarding, at a
    minimum,
    genetic
    disorders,
    diabetes, heart
    disease and
    cancer.

    1 to >0.0 pts
    Includes an
    assessment of
    at least 2
    family
    members
    regarding, at a
    minimum,
    genetic
    disorders,
    diabetes, heart
    disease and
    cancer.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Social History 3 to >2.0 pts
    Includes all of the
    required following:
    tobacco use, drug
    use, alcohol use,
    marital status,
    employment status,
    current/previous
    occupation, sexual
    orientation,
    sexually active,
    contraceptive use,
    and living situation.

    2 to >1.0 pts
    Includes 10 of
    the 11 required
    following:
    tobacco use,
    drug use,
    alcohol use,
    marital status,
    employment
    status,
    current/previous
    occupation,
    sexual
    orientation,
    sexually active,
    contraceptive

    1 to >0.0 pts
    Includes 9 or
    less of the
    required
    information.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    use, and living
    situation.

    Health
    Maintenance /
    Screenings

    3 to >2.0 pts
    Includes a detailed
    assessment of
    immunization
    status and other
    health maintenance
    needs such as age-
    appropriate
    screenings and
    preventive
    measures Includes
    an assessment of
    at least 5 screening
    tests

    2 to >1.0 pts
    Includes a
    partial
    assessment of
    immunization
    status and
    health
    maintenance
    needs, missing
    some key
    components.
    Includes an
    assessment of
    at least 4
    screening tests

    1 to >0.0 pts
    Includes
    minimal
    assessment of
    immunization
    status and
    health
    maintenance
    needs, lacking
    detail.
    Includes an
    assessment of
    at least 3
    screening
    tests

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Physical
    Examination

    15 to >8.0 pts
    Includes a
    minimum of 4
    assessments for
    each body system
    and assesses at
    least 5 body
    systems directed to
    chief complaint

    8 to >3.0 pts
    Includes a
    minimum of 3
    assessments for
    each body
    system and
    assesses at
    least 4 body
    systems
    directed to chief
    complaint

    3 to >0.0 pts
    Includes a
    minimum of 2
    assessments
    for each body
    system and
    assesses at
    least 4 body
    systems
    directed to
    chief
    complaint

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    15
    points

    Diagnosis

    5 to >3.0 pts
    Includes a clear
    outline of the
    accurate principal
    diagnosis AND lists
    the remaining
    diagnoses
    addressed at the
    visit (in descending
    priority)

    3 to >1.0 pts
    Includes a clear
    outline of the
    accurate
    diagnoses
    addressed at the
    visit but does
    not list the
    diagnoses in
    descending
    order of priority

    1 to >0.0 pts
    Includes 1
    differential
    diagnosis for
    the principal
    diagnosis

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Differential
    Diagnosis

    5 to >3.0 pts
    Includes at least 3
    differential
    diagnoses for the
    principal diagnosis

    3 to >1.0 pts
    Includes at least
    2 differential
    diagnoses for
    the principal
    diagnosis

    1 to >0.0 pts
    Includes at
    least 1
    differential
    diagnoses for
    the principal
    diagnosis

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    ICD 10 Coding 3 to >2.0 pts
    Correctly includes
    all ICD-10 codes
    relevant to the
    diagnoses
    addressed at the
    visit

    2 to >1.0 pts
    Correctly
    includes most
    ICD-10 codes
    relevant to the
    diagnoses
    addressed at the
    visit

    1 to >0.0 pts
    Includes some
    ICD-10 codes
    relevant to the
    diagnoses
    addressed at
    the visit

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Pharmacologi
    c treatment
    plan

    5 to >3.0 pts
    Includes a detailed
    pharmacologic
    treatment plan for
    each of the
    diagnoses listed
    under
    “assessment”. The
    plan includes ALL
    of the required
    following: drug
    name, dose, route,
    frequency, duration
    and cost as well as
    education related to
    pharmacologic
    agent. If the
    diagnosis is a
    chronic problem,
    student includes
    instructions on
    currently
    prescribed
    medications as
    above.

    3 to >1.0 pts
    Includes a
    detailed
    pharmacologic
    treatment plan
    for each of the
    diagnoses listed
    under
    “assessment”.
    The plan
    includes 4 of the
    required
    following 7: the
    drug name,
    dose, route,
    frequency,
    duration and
    cost as well as
    education
    related to
    pharmacologic
    agent. If the
    diagnosis is a
    chronic
    problem,
    student includes
    instructions on
    currently
    prescribed
    medications as
    above.

    1 to >0.0 pts
    Includes a
    detailed
    pharmacologi
    c treatment
    plan for each
    of the
    diagnoses
    listed under
    “assessment”.
    The plan
    includes less
    than 4 of the
    information:

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    5
    points

    Diagnostic /
    Lab Testing

    3 to >2.0 pts
    Includes
    appropriate
    diagnostic/lab
    testing 100% of the
    time OR
    acknowledges “no
    diagnostic testing
    clinically required
    at this time”

    2 to >1.0 pts
    Includes
    appropriate
    diagnostic/lab
    testing 50% of
    the time OR
    acknowledges
    “no diagnostic
    testing clinically
    required at this
    time”

    1 to >0.0 pts
    Includes
    appropriate
    diagnostic
    testing less
    than 50% of
    the time.

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Education 3 to >2.0 pts
    Includes at least 3
    strategies to
    promote and
    develop skills for
    managing their
    illness and at least
    3 self-management
    methods on how to
    incorporate healthy
    behaviors into their
    lives.

    2 to >1.0 pts
    Includes at least
    2 strategies to
    promote and
    develop skills
    for managing
    their illness and
    at least 2 self-
    management
    methods on how
    to incorporate
    healthy
    behaviors into
    their lives.

    1 to >0.0 pts
    Includes at
    least 1
    strategies to
    promote and
    develop skills
    for managing
    their illness
    and at least 1
    self-
    management
    methods on
    how to
    incorporate

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    healthy
    behaviors into
    their lives

    Anticipatory
    Guidance

    3 to >2.0 pts
    Includes at least 3
    primary prevention
    strategies (related
    to age/condition
    (i.e. immunizations,
    pediatric and pre-
    natal milestone
    anticipatory
    guidance)) and at
    least 2 secondary
    prevention
    strategies (related
    to age/condition
    (i.e. screening))

    2 to >1.0 pts
    Includes at least
    2 primary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    immunizations,
    pediatric and
    pre-natal
    milestone
    anticipator
    guidance)) and
    at least 2
    secondary
    prevention
    strategies
    (related to
    age/condition
    (i.e. screening))

    1 to >0.0 pts
    Includes at
    least 1 primary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    immunizations
    , pediatric and
    pre-natal
    milestone
    anticipatory
    guidance))
    and at least 1
    secondary
    prevention
    strategies
    (related to
    age/condition
    (i.e.
    screening))

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Follow Up
    Plan

    2 to >1.0 pts
    Includes
    recommendation
    for follow up,
    including time
    frame (i.e. x # of
    days/weeks/months
    )

    1 to >0.0 pts
    Includes recommendation for
    follow up, but does not include
    time frame (i.e. x # of
    days/weeks/months)

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    2
    points

    Prescription 3 to >2.0 pts
    Prescription
    includes all
    required
    components:
    patient information,
    date, drug name,
    dose, route,
    frequency, quantity
    to be dispensed,
    refills, and
    provider’s
    signature and
    credentials

    2 to >1.0 pts
    Prescription
    includes most
    required
    components,
    but is missing 1-
    2 elements such
    as quantity to be
    dispensed or
    refills

    1 to >0.0 pts
    Prescription is
    missing 3 or
    more required
    components
    such as
    patient
    information,
    date, or
    provider’s
    signature

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    Writing
    Mechanics,
    Citations, and
    APA Style

    3 to >2.0 pts
    Effectively uses the
    literature and other
    resources to inform
    their work.
    Exceptional use of
    citations and
    extended
    referencing. APA

    2 to >1.0 pts
    Moderately use
    the literature
    and other
    resources to
    inform their
    work.
    Moderately use
    of citations and

    1 to >0.0 pts
    Ineffectively
    uses the
    literature and
    other
    resources to
    inform their
    work.
    Ineffectively

    0 pts
    Missing
    criteria
    and/or
    submission
    .

    3
    points

    style is correct, and
    writing is free of
    grammar and
    spelling errors.

    extended
    referencing. APA
    style and writing
    mechanics need
    more precision
    and attention to
    detail.

    use of
    citations and
    extended
    referencing.
    APA style and
    writing
    mechanics
    need serious
    attention.

    Total 100

  • [Solved] NUR 507 Lecture Discussion 6

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    After studying [Module 6: Lecture Materials & Resources](https://stu.instructure.com/courses/43822/pages/module-6-lecture-materials-and-resources "Module 6: Lecture Materials & Resources"), discuss the following: You see a 3-year-old with hypertension (documented on three different visits) in your p…

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    Assignment Prompt & Instructions

    After studying [Module 6: Lecture Materials & Resources](https://stu.instructure.com/courses/43822/pages/module-6-lecture-materials-and-resources "Module 6: Lecture Materials & Resources"), discuss the following:

    You see a 3-year-old with hypertension (documented on three different visits) in your primary care clinic.

    – Describe the workup, differential diagnoses, assessment, and management.
    – How would your plan of care be different if the child were 10 years old?
    – What risk factor counseling and advice would you include?

    **Submission Instructions:**

    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

    – a year ago

  • [Solved] NUR 507 Clinical Discussion 6

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    Describe your clinical experience for this week. – Did you face any challenges, any success? If so, what were they? – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales. – Mention the …

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    Assignment Prompt & Instructions

    Describe your clinical experience for this week.

    – Did you face any challenges, any success? If so, what were they?
    – Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
    – Mention the health promotion intervention for this patient.
    – What did you learn from this week's clinical experience that can beneficial for you as an advanced practice nurse?
    – Support your plan of care with the current peer-reviewed research guideline.

    **Submission Instructions:**

    – Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.

    – a year ago

  • [Solved] Mental health nurse practitioner

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – As a psychiatric mental health nurse practitioner (PMHNP), how do you approach the management of treatment-resistant schizophrenia, particularly in cases where traditional antipsychotic medications and psychosocial interventions have been ineffective? – What are the challenges and opportunities in…

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    Assignment Prompt & Instructions

    – As a psychiatric mental health nurse practitioner (PMHNP), how do you approach the management of treatment-resistant schizophrenia, particularly in cases where traditional antipsychotic medications and psychosocial interventions have been ineffective?
    – What are the challenges and opportunities in utilizing biomarkers of inflammation to aid in the early diagnosis and personalized treatment of Alzheimer's disease, and how can PMHNPs stay current with advancements in this rapidly evolving field?

    – a year ago

  • [Solved] 10 Assignmnt

    ✓ Verified Academic Solution Available

    Executive Solution Overview

    – Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources. – Select an existing healthcare program or policy evaluation or choose one of interest to you. – Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effect…

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    Assignment Prompt & Instructions

    – Review the Healthcare Program/Policy Evaluation Analysis Template provided in the Resources.
    – Select an existing healthcare program or policy evaluation or choose one of interest to you.
    – Review community, state, or federal policy evaluation and reflect on the criteria used to measure the effectiveness of the program or policy described.

    – [\
    \
    USW1_NURS_6050_HealthcareProgram-PolicyEvaluationAnalysisTemplate1.doc](https://www.sweetstudy.com/files/usw1-nurs-6050-healthcareprogram-policyevaluationanalysistemplate1-doc-10272721 "USW1_NURS_6050_HealthcareProgram-PolicyEvaluationAnalysisTemplate1.doc")
    – [\
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    week10assignment.docx](https://www.sweetstudy.com/files/week10assignment-docx-10272723 "week10assignment.docx")

    – a year ago