nursing discussion – 2 years ago
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– 2 years ago
– 2 years ago **files (1)** – ## Assignmentinall.docx **## Assignmentinall.docx** Assignment 1  Assignment 2  Assignment 3 **
– ## Assignmentinall.docx
**## Assignmentinall.docx**
Assignment 1
Assignment 2
Assignment 3
Assignment 4
Assignment 5
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**## Assignmentinall.docx**
Assignment 1
Assignment 2
Assignment 3
Assignment 4
Assignment 5
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The patient has to be a pediatric patient visiting a doctor's office. – 2 years ago **files (3)** – ## SOAP1assignment.docx – ## SOAPNoteTemplate-1.docx – SOAPNoteRubric.pdf **## SOAP1assignment.docx** A SOAP note is a method of documentation employed by healthcare providers to record and communicat…
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– 2 years ago
**files (3)**
– ## SOAP1assignment.docx
– ## SOAPNoteTemplate-1.docx
– SOAPNoteRubric.pdf
**## SOAP1assignment.docx**
A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.
**Instructions:**
SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.
For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:
| | |
| — | — |
| **S** = | Subjective data: Patient’s Chief Complaint (CC). |
| **O** = | Objective data: Including client behavior, physical assessment, vital signs, and meds. |
| **A** = | Assessment: Diagnosis of the patient's condition. Include differential diagnosis. |
| **P** = | Plan: Treatment, diagnostic testing, and follow up |
**Submission Instructions:**
· Your SOAP note should be clear and concise, and students will lose points for improper grammar, punctuation, and misspellings.
· You must use the template provided. Turnitin will recognize the template and not score against it.
· Complete and submit the assignment using the appropriate template in MS Word
·
**Subjective (S) – Review of Systems (ROS):**
· If the child is nonverbal or too young to describe symptoms, ensure you document statements from the guardian. Use phrases like "mother states…" or "father denies/admitted…" For example:
· "Mother denies fever, chills, or weight loss."
· "Mother admits to fever and chills, no weight loss."
·
**Social History (SH):**
· This section will also look different but still needs to be filled out. Ask the guardian about the living situation, such as:
· "Lives in an apartment with no stairs, two parents, and three siblings."
· For babies or preschoolers, you can put "N/A" for sexual orientation and work status. Instead, note their grade level. Similarly, for drug and contraceptive use, put "N/A."
· For teenagers, make sure to ask about and document information regarding sexual activity, contraceptive use, and drug use.
·
**Screening:**
· Adapt the screening section according to the child's age. While some examples in the template, like mammograms and colonoscopies, do not apply to pediatric patients, there are many age-appropriate screenings to consider:
· Newborns to 12 months
**:** Immunizations, developmental milestones, feeding screenings, hearing tests (if not completed at the hospital), etc.
· 18 to 24 months: Autism screening.
· Older than 12 years: Depression screening
· Dental exam, screening for HPV, Hep B, and HIV if high-risk behaviors.
· Teenage girls (if sexually active): Discuss the need for a pap smear and make a referral to a GYN for the first visit.
By following these guidelines, you will ensure that your SOAP notes are thorough and appropriate for pediatric patients.
**## SOAPNoteTemplate-1.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**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/soapnoterubric-pdf-10260159)
**SOAPNoteRubric.pdf**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/soapnoterubric-pdf-10260159)
**## SOAP1assignment.docx**
A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.
**Instructions:**
SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.
For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:
| | |
| — | — |
| **S** = | Subjective data: Patient’s Chief Complaint (CC). |
| **O** = | Objective data: Including client behavior, physical assessment, vital signs, and meds. |
| **A** = | Assessment: Diagnosis of the patient's condition. Include differential diagnosis. |
| **P** = | Plan: Treatment, diagnostic testing, and follow up |
**Submission Instructions:**
· Your SOAP note should be clear and concise, and students will lose points for improper grammar, punctuation, and misspellings.
· You must use the template provided. Turnitin will recognize the template and not score against it.
· Complete and submit the assignment using the appropriate template in MS Word
·
**Subjective (S) – Review of Systems (ROS):**
· If the child is nonverbal or too young to describe symptoms, ensure you document statements from the guardian. Use phrases like "mother states…" or "father denies/admitted…" For example:
· "Mother denies fever, chills, or weight loss."
· "Mother admits to fever and chills, no weight loss."
·
**Social History (SH):**
· This section will also look different but still needs to be filled out. Ask the guardian about the living situation, such as:
· "Lives in an apartment with no stairs, two parents, and three siblings."
· For babies or preschoolers, you can put "N/A" for sexual orientation and work status. Instead, note their grade level. Similarly, for drug and contraceptive use, put "N/A."
· For teenagers, make sure to ask about and document information regarding sexual activity, contraceptive use, and drug use.
·
**Screening:**
· Adapt the screening section according to the child's age. While some examples in the template, like mammograms and colonoscopies, do not apply to pediatric patients, there are many age-appropriate screenings to consider:
· Newborns to 12 months
**:** Immunizations, developmental milestones, feeding screenings, hearing tests (if not completed at the hospital), etc.
· 18 to 24 months: Autism screening.
· Older than 12 years: Depression screening
· Dental exam, screening for HPV, Hep B, and HIV if high-risk behaviors.
· Teenage girls (if sexually active): Discuss the need for a pap smear and make a referral to a GYN for the first visit.
By following these guidelines, you will ensure that your SOAP notes are thorough and appropriate for pediatric patients.
**## SOAPNoteTemplate-1.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**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/soapnoterubric-pdf-10260159)
**## SOAP1assignment.docx**
A SOAP note is a method of documentation employed by healthcare providers to record and communicate patient information in a clear, structured, and in an organized manner. This assignment will provide students with the necessary tools to document patient care effectively, enhance their clinical skills, and prepare them for their roles as competent healthcare providers.
**Instructions:**
SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.
For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:
| | |
| — | — |
| **S** = | Subjective data: Patient’s Chief Complaint (CC). |
| **O** = | Objective data: Including client behavior, physical assessment, vital signs, and meds. |
| **A** = | Assessment: Diagnosis of the patient's condition. Include differential diagnosis. |
| **P** = | Plan: Treatment, diagnostic testing, and follow up |
**Submission Instructions:**
· Your SOAP note should be clear and concise, and students will lose points for improper grammar, punctuation, and misspellings.
· You must use the template provided. Turnitin will recognize the template and not score against it.
· Complete and submit the assignment using the appropriate template in MS Word
·
**Subjective (S) – Review of Systems (ROS):**
· If the child is nonverbal or too young to describe symptoms, ensure you document statements from the guardian. Use phrases like "mother states…" or "father denies/admitted…" For example:
· "Mother denies fever, chills, or weight loss."
· "Mother admits to fever and chills, no weight loss."
·
**Social History (SH):**
· This section will also look different but still needs to be filled out. Ask the guardian about the living situation, such as:
· "Lives in an apartment with no stairs, two parents, and three siblings."
· For babies or preschoolers, you can put "N/A" for sexual orientation and work status. Instead, note their grade level. Similarly, for drug and contraceptive use, put "N/A."
· For teenagers, make sure to ask about and document information regarding sexual activity, contraceptive use, and drug use.
·
**Screening:**
· Adapt the screening section according to the child's age. While some examples in the template, like mammograms and colonoscopies, do not apply to pediatric patients, there are many age-appropriate screenings to consider:
· Newborns to 12 months
**:** Immunizations, developmental milestones, feeding screenings, hearing tests (if not completed at the hospital), etc.
· 18 to 24 months: Autism screening.
· Older than 12 years: Depression screening
· Dental exam, screening for HPV, Hep B, and HIV if high-risk behaviors.
· Teenage girls (if sexually active): Discuss the need for a pap smear and make a referral to a GYN for the first visit.
By following these guidelines, you will ensure that your SOAP notes are thorough and appropriate for pediatric patients.
**## SOAPNoteTemplate-1.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**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/soapnoterubric-pdf-10260159)
Discuss a dermatologic disorder and its treatment modalities from this week's PowerPoint. (Nurse practitioner) **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. – [\ \ Chapter_037-…
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Order on TutorsGallery →Discuss a dermatologic disorder and its treatment modalities from this week's PowerPoint.
(Nurse practitioner)
**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.
– [\
\
Chapter_037-1.pptx](https://www.sweetstudy.com/files/chapter-037-1-pptx "Chapter_037-1.pptx")
– 2 years ago
– 2 years ago **files (1)** – ## ADNG1200_ClinicalI_Journal_InstructionsandRubric.docx **## ADNG1200_ClinicalI_Journal_InstructionsandRubric.docx** **Reflective Journal** Objectives: 1. Reflect on thoughts, ideas, experiences, and insights related to the course. 2. Examine personal skills, f…
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**files (1)**
– ## ADNG1200_ClinicalI_Journal_InstructionsandRubric.docx
**## ADNG1200_ClinicalI_Journal_InstructionsandRubric.docx**
**Reflective Journal**
Objectives:
1. Reflect on thoughts, ideas, experiences, and insights related to the course.
2. Examine personal skills, frames of reference, and assumptions about the provision of care.
3. Gain insight on how student views themselves in relationship to others when engaged in therapeutic and professional communication.
4. Identify areas for students to further develop their abilities and understanding related to bedside practice.
Directions: (Professional Identity and Spirit of Inquiry)
Respond to at all
four of the questions below using the same bullet points. Responses must be double-spaced in a Word document. Entry should be a minimum of 1500 words and NOT more than 2000 words.
1.
Journal prompt 1 (Human Flourishing, Professional Identity)
a) What are your feelings as you begin this clinical experience? Make sure you identify feelings, not thoughts. Complete the following statement: "l feel…"
b) What past experiences, perceptions, and thoughts might be contributing to the above feelings?
c) What personal qualities, strengths, and talents do you bring to this clinical experience?
d) Identify one goal for the semester related to your personal self-awareness and growth.
2.
Journal prompt 2 (Human Flourishing, Professional Identity)
As you begin your clinical experience, it is important to be aware of how you communicate and how you respond to the communication styles of others. This awareness is essential to working with the healthcare team to provide care to residents that is personalized, evidence-based, and safe.
a) What is your communication style? Are you direct, passive, etc.?
b) How do you try to come across to others when communicating?
c) How do you think you are perceived by others when communicating?
d) Describe two strategies to improve your communication skills during this clinical experience.
3.
Journal prompt 3 (Human Flourishing, Professional Identity)
Judgment is making opinions as to the value of someone or something. How we perceive others is influenced by our personal beliefs, assumptions, and values. Professional nurses operate within a Professional Code of Ethics and Standards.
a) Examine the
values,
assumptions, and
beliefs (address all three) that shape your behavior. Provide specific examples.
b) Explore how your values, assumptions and beliefs influence your relationships with residents and families.
4.
Journal prompt 4 (Spirit of Inquiry)
Locate on NTC library site one peer-reviewed journal article within the past five years that address healthcare needs of the geriatric population. Suggestions include health management, polypharmacy, safety, caregiver role strain, etc.
1. Briefly summarize the article including key points and conclusion.
1. Analysis: what is the role of the nurse in addressing this issue?
1. Use in-text citations to give credit to the author and provide a reference list APA citation for the article at the end of your journal entry. Faculty to assist as needed.
2. In-text citation example:
0. A recent study found that geriatric healthcare needs are growing (Smith, 2018).
2. Reference list citation example:
1. Last, F. M. (Year Published). Article title.
_Journal Name_,
_Volume_(Issue), pp. Page(s). doi:#
**Reflective Journal Grading Rubric (10 points)**
| | | | | | |
| — | — | — | — | — | — |
| | Level 5 | Level 4 | Level 3 | Level 2 | Level 1 |
| Complete (5 points) | · Thoroughly addresses all 3 questions.<br>· Entry is at least 1500 words and <br>**not** more than 2000 words long. | · Addresses all 3 questions with fair amount of depth.<br>· Entry is at least 1250 total words or exceeds the 2000 word limit. | · Somewhat addresses at least 2 of the 3 questions.<br>· Entry is at least 1000 total words. | · Somewhat addresses 1 question.<br>· Answers are not complete. <br>· Entry is at least 750 total words. | · Entry does not clearly address any of the questions provided.<br>· Entry is a recitation of significant experiences in clinical, OR<br>· Entry is less than 750 total words. |
| Reflection<br>(5 points) | · Reflection demonstrates insight and ability to connect personal experience with theory on all questions. <br>· Discussion on all questions draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Reflection usually (2 of 3) demonstrates insight and ability to connect personal experience with theory. <br>· Discussion usually (2 of 3) draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Reflection at times (1 question) demonstrates ability to connect personal experience with theory but 2 of 3 questions are superficially answered.<br>· Discussion at least once draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Entry does not reflect application of theory or genuine insight on behavior. <br>· Objectively shares experience, but reflection is vague, lacks depth or insight. <br>· Does not draw upon self- knowledge, self-awareness, or experience to enhance professional growth. | · There is minimal evidence of reflection<br>· No evidence of ability to draw upon self-knowledge, self-awareness and past experience to gain insight.<br>· Entry merely recites what was done/ learned during clinical. |
**## ADNG1200_ClinicalI_Journal_InstructionsandRubric.docx**
**Reflective Journal**
Objectives:
1. Reflect on thoughts, ideas, experiences, and insights related to the course.
2. Examine personal skills, frames of reference, and assumptions about the provision of care.
3. Gain insight on how student views themselves in relationship to others when engaged in therapeutic and professional communication.
4. Identify areas for students to further develop their abilities and understanding related to bedside practice.
Directions: (Professional Identity and Spirit of Inquiry)
Respond to at all
four of the questions below using the same bullet points. Responses must be double-spaced in a Word document. Entry should be a minimum of 1500 words and NOT more than 2000 words.
1.
Journal prompt 1 (Human Flourishing, Professional Identity)
a) What are your feelings as you begin this clinical experience? Make sure you identify feelings, not thoughts. Complete the following statement: "l feel…"
b) What past experiences, perceptions, and thoughts might be contributing to the above feelings?
c) What personal qualities, strengths, and talents do you bring to this clinical experience?
d) Identify one goal for the semester related to your personal self-awareness and growth.
2.
Journal prompt 2 (Human Flourishing, Professional Identity)
As you begin your clinical experience, it is important to be aware of how you communicate and how you respond to the communication styles of others. This awareness is essential to working with the healthcare team to provide care to residents that is personalized, evidence-based, and safe.
a) What is your communication style? Are you direct, passive, etc.?
b) How do you try to come across to others when communicating?
c) How do you think you are perceived by others when communicating?
d) Describe two strategies to improve your communication skills during this clinical experience.
3.
Journal prompt 3 (Human Flourishing, Professional Identity)
Judgment is making opinions as to the value of someone or something. How we perceive others is influenced by our personal beliefs, assumptions, and values. Professional nurses operate within a Professional Code of Ethics and Standards.
a) Examine the
values,
assumptions, and
beliefs (address all three) that shape your behavior. Provide specific examples.
b) Explore how your values, assumptions and beliefs influence your relationships with residents and families.
4.
Journal prompt 4 (Spirit of Inquiry)
Locate on NTC library site one peer-reviewed journal article within the past five years that address healthcare needs of the geriatric population. Suggestions include health management, polypharmacy, safety, caregiver role strain, etc.
1. Briefly summarize the article including key points and conclusion.
1. Analysis: what is the role of the nurse in addressing this issue?
1. Use in-text citations to give credit to the author and provide a reference list APA citation for the article at the end of your journal entry. Faculty to assist as needed.
2. In-text citation example:
0. A recent study found that geriatric healthcare needs are growing (Smith, 2018).
2. Reference list citation example:
1. Last, F. M. (Year Published). Article title.
_Journal Name_,
_Volume_(Issue), pp. Page(s). doi:#
**Reflective Journal Grading Rubric (10 points)**
| | | | | | |
| — | — | — | — | — | — |
| | Level 5 | Level 4 | Level 3 | Level 2 | Level 1 |
| Complete (5 points) | · Thoroughly addresses all 3 questions.<br>· Entry is at least 1500 words and <br>**not** more than 2000 words long. | · Addresses all 3 questions with fair amount of depth.<br>· Entry is at least 1250 total words or exceeds the 2000 word limit. | · Somewhat addresses at least 2 of the 3 questions.<br>· Entry is at least 1000 total words. | · Somewhat addresses 1 question.<br>· Answers are not complete. <br>· Entry is at least 750 total words. | · Entry does not clearly address any of the questions provided.<br>· Entry is a recitation of significant experiences in clinical, OR<br>· Entry is less than 750 total words. |
| Reflection<br>(5 points) | · Reflection demonstrates insight and ability to connect personal experience with theory on all questions. <br>· Discussion on all questions draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Reflection usually (2 of 3) demonstrates insight and ability to connect personal experience with theory. <br>· Discussion usually (2 of 3) draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Reflection at times (1 question) demonstrates ability to connect personal experience with theory but 2 of 3 questions are superficially answered.<br>· Discussion at least once draws upon self-knowledge, self-awareness and past experience to gain insight and create or discover ideas that are new and enhance professional growth. | · Entry does not reflect application of theory or genuine insight on behavior. <br>· Objectively shares experience, but reflection is vague, lacks depth or insight. <br>· Does not draw upon self- knowledge, self-awareness, or experience to enhance professional growth. | · There is minimal evidence of reflection<br>· No evidence of ability to draw upon self-knowledge, self-awareness and past experience to gain insight.<br>· Entry merely recites what was done/ learned during clinical. |
Quality Improvement Project – [\ \ Screenshot2025-04-06at2.12.09PM.png](https://www.sweetstudy.com/files/screenshot2025-04-06at2-12-09pm-png-10251793 "Screenshot2025-04-06at2.12.09PM.png") – [\ \ Screenshot2025-04-06at2.12.00PM.png](https://www.sweetstudy.com/files/screenshot2025-04-06at2-12-00p…
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– [\
\
Screenshot2025-04-06at2.12.09PM.png](https://www.sweetstudy.com/files/screenshot2025-04-06at2-12-09pm-png-10251793 "Screenshot2025-04-06at2.12.09PM.png")
– [\
\
Screenshot2025-04-06at2.12.00PM.png](https://www.sweetstudy.com/files/screenshot2025-04-06at2-12-00pm-png-10251795 "Screenshot2025-04-06at2.12.00PM.png")
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APA format minimum 1 paragraph for reply Use evidence based practice Total of 2 Due in 7 hours – 2 years ago **files (1)** – ## week5pedsstudentreply.docx **## week5pedsstudentreply.docx** Jennifer Case Scenario 4 **S: Subjective** Patient: 9-year-old female c/c: Well-child exam HPI – Mother reports…
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**files (1)**
– ## week5pedsstudentreply.docx
**## week5pedsstudentreply.docx**
Jennifer
Case Scenario 4
**S: Subjective**
Patient: 9-year-old female
c/c: Well-child exam
HPI – Mother reports that the patient was diagnosed with hypothyroidism last month but has not filled the prescription for levothyroxine. She is seeking to explore alternative treatment options and would like to discuss these with the provider. The patient has no current symptoms but the mother is concerned about long-term medication use.
**O: Objective**
All VSS stable, child in no acute distress without visible goiter or mass. New diagnosis of hypothyroidism last month based on laboratory results. TSH elevated, Free T4 low. Newly diagnosed hypothyroidism. The patient has not started the prescribed levothyroxine medication. The most recent lab results support this diagnosis.
**Well-Child Exam** – The patient is here for a routine well-child exam. No acute health concerns.
1.
**Discussing Levothyroxine Medication:**
· Explain to the mother that levothyroxine is the standard treatment for hypothyroidism and is essential for normal growth, development, and metabolic function in children.
· Discuss the potential consequences of untreated hypothyroidism, such as developmental delays, growth issues, fatigue, and cognitive impairment.
· Reassure her that the medication is safe when properly dosed and monitored and emphasize that it can help the child lead a normal, healthy life.
· Offer to answer any questions or concerns the mother may have about the medication.
2.
**Approach to Complementary Therapy:**
· Acknowledge the mother’s interest in exploring complementary therapy and suggest a collaborative approach.
· Explain that while lifestyle changes can support overall well-being, there is currently no strong scientific evidence to support the use of alternative treatments such as herbs, supplements, or acupuncture as a replacement for thyroid hormone therapy in the treatment of hypothyroidism.
· Highlight the importance of consistent medication adherence to ensure the thyroid hormone levels remain in the therapeutic range, which is critical for the child’s growth and cognitive development (Maaks et al., 2019)
· Suggest that any complementary therapies should be discussed with the medical team to ensure they do not interfere with the prescribed treatment. As many therapies have unwanted therapeutic or disruptive effects on medications, such as horseradish or kelp and effects of iodine (Maaks et al, 2019.)
3.
**Evidence on Complementary Therapy:**
· Provide the mother with evidence-based information about complementary therapies for chronic diseases.
· Encourage open communication with the healthcare team if the mother wishes to explore complementary options, ensuring the patient’s thyroid function is adequately managed including and referred endocrinology pediatric specialist.
4.
**Follow-up:**
· Schedule a follow-up appointment in 6 weeks to reassess thyroid function and monitor for any side effects of the medication.
· Ensure that the mother fills the prescription and begins levothyroxine treatment as soon as possible, in line with the child’s best health interests.
**Patient Education:**
· Provide the mother with written information about hypothyroidism, the role of levothyroxine, and a list of reputable resources on thyroid health.
· Provide resources for American Association of Pediatric Endocrinology to join other discussions and have access to resources for parents and patients disease management.
References
_All about thyroid_. (n.d.). American Association of Clinical Endocrinology.
[https://www.aace.com/disease-and-conditions/thyroidLinks to an external site.](https://www.aace.com/disease-and-conditions/thyroid)
Maaks, D.L. G., Starr, N., & Gaylord, N. (2019). Burns' Pediatric Primary Care (7th ed.). Elsevier – Evolve.
Ivette
Case Scenario 3
Carlos is a 15-year-old with type 1 DM, diagnosed one year ago. Carlos is interested in trying out for a soccer team.
· What additional information should you know about Carlos?
Additional information to find out about Carlos includes his insulin regimen, dietary habits, exercise habits blood glucose trends, hgA1C and if any episodes of hyper/hypoglycemia and emergency preparedness. It is also important to assess Carlos and his mothers understanding of his conditions along with the management.
· Which diagnostic tests should you periodically monitor for this condition?
Diagnostics that should be monitored for Carlos include- HgA1C ,Kidney function, cardiovascular health including cholesterols, eye health – for diabetic retinopathy , foot exams for neuropathy , thyroid function.
What anticipatory guidance and instructions will you give Carlos and his parents about his participation in soccer, diet, and insulin management?
Carlos should understand that he will require ongoing blood glucose monitoring (before, during, and after exercise), careful planning of meals and carbohydrates, snacks around the time of exercise, and adjustment of insulin dosing when exercising.Exercise can trigger release of high levels of glucose and ketone bodies, leading to hyperglycemia and even DKA. Carlos should aware that if too much exogenous insulin is administered, hypoglycemia may result.Exercise may affect blood glucose levels for as long as 24 hours after therefore Carlos and his parents need to be aware of the risk of nocturnal hypoglycemia on active days meaning they should monitor blood glucose levels more frequently overnight.Carlos should work with an endocrinologist and nutritionist and it is essential that his coaches/trainers are aware of his condition and s/s to look out for.
Chiang, J. L., Maahs, D. M., Garvey, K. C., Hood, K. K., Laffel, L. M., Weinzimer, S. A., Wolfsdorf, J. I., & Schatz, D. (2018). Type 1 Diabetes in Children and Adolescents: A Position Statement by the American Diabetes Association.
_Diabetes care_,
_41_(9), 2026–2044. https://doi.org/10.2337/dci18-002
Emmanuel M, Bokor BR. Tanner Stages. [Updated 2022 Dec 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470280/
**## week5pedsstudentreply.docx**
Jennifer
Case Scenario 4
**S: Subjective**
Patient: 9-year-old female
c/c: Well-child exam
HPI – Mother reports that the patient was diagnosed with hypothyroidism last month but has not filled the prescription for levothyroxine. She is seeking to explore alternative treatment options and would like to discuss these with the provider. The patient has no current symptoms but the mother is concerned about long-term medication use.
**O: Objective**
All VSS stable, child in no acute distress without visible goiter or mass. New diagnosis of hypothyroidism last month based on laboratory results. TSH elevated, Free T4 low. Newly diagnosed hypothyroidism. The patient has not started the prescribed levothyroxine medication. The most recent lab results support this diagnosis.
**Well-Child Exam** – The patient is here for a routine well-child exam. No acute health concerns.
1.
**Discussing Levothyroxine Medication:**
· Explain to the mother that levothyroxine is the standard treatment for hypothyroidism and is essential for normal growth, development, and metabolic function in children.
· Discuss the potential consequences of untreated hypothyroidism, such as developmental delays, growth issues, fatigue, and cognitive impairment.
· Reassure her that the medication is safe when properly dosed and monitored and emphasize that it can help the child lead a normal, healthy life.
· Offer to answer any questions or concerns the mother may have about the medication.
2.
**Approach to Complementary Therapy:**
· Acknowledge the mother’s interest in exploring complementary therapy and suggest a collaborative approach.
· Explain that while lifestyle changes can support overall well-being, there is currently no strong scientific evidence to support the use of alternative treatments such as herbs, supplements, or acupuncture as a replacement for thyroid hormone therapy in the treatment of hypothyroidism.
· Highlight the importance of consistent medication adherence to ensure the thyroid hormone levels remain in the therapeutic range, which is critical for the child’s growth and cognitive development (Maaks et al., 2019)
· Suggest that any complementary therapies should be discussed with the medical team to ensure they do not interfere with the prescribed treatment. As many therapies have unwanted therapeutic or disruptive effects on medications, such as horseradish or kelp and effects of iodine (Maaks et al, 2019.)
3.
**Evidence on Complementary Therapy:**
· Provide the mother with evidence-based information about complementary therapies for chronic diseases.
· Encourage open communication with the healthcare team if the mother wishes to explore complementary options, ensuring the patient’s thyroid function is adequately managed including and referred endocrinology pediatric specialist.
4.
**Follow-up:**
· Schedule a follow-up appointment in 6 weeks to reassess thyroid function and monitor for any side effects of the medication.
· Ensure that the mother fills the prescription and begins levothyroxine treatment as soon as possible, in line with the child’s best health interests.
**Patient Education:**
· Provide the mother with written information about hypothyroidism, the role of levothyroxine, and a list of reputable resources on thyroid health.
· Provide resources for American Association of Pediatric Endocrinology to join other discussions and have access to resources for parents and patients disease management.
References
_All about thyroid_. (n.d.). American Association of Clinical Endocrinology.
[https://www.aace.com/disease-and-conditions/thyroidLinks to an external site.](https://www.aace.com/disease-and-conditions/thyroid)
Maaks, D.L. G., Starr, N., & Gaylord, N. (2019). Burns' Pediatric Primary Care (7th ed.). Elsevier – Evolve.
Ivette
Case Scenario 3
Carlos is a 15-year-old with type 1 DM, diagnosed one year ago. Carlos is interested in trying out for a soccer team.
· What additional information should you know about Carlos?
Additional information to find out about Carlos includes his insulin regimen, dietary habits, exercise habits blood glucose trends, hgA1C and if any episodes of hyper/hypoglycemia and emergency preparedness. It is also important to assess Carlos and his mothers understanding of his conditions along with the management.
· Which diagnostic tests should you periodically monitor for this condition?
Diagnostics that should be monitored for Carlos include- HgA1C ,Kidney function, cardiovascular health including cholesterols, eye health – for diabetic retinopathy , foot exams for neuropathy , thyroid function.
What anticipatory guidance and instructions will you give Carlos and his parents about his participation in soccer, diet, and insulin management?
Carlos should understand that he will require ongoing blood glucose monitoring (before, during, and after exercise), careful planning of meals and carbohydrates, snacks around the time of exercise, and adjustment of insulin dosing when exercising.Exercise can trigger release of high levels of glucose and ketone bodies, leading to hyperglycemia and even DKA. Carlos should aware that if too much exogenous insulin is administered, hypoglycemia may result.Exercise may affect blood glucose levels for as long as 24 hours after therefore Carlos and his parents need to be aware of the risk of nocturnal hypoglycemia on active days meaning they should monitor blood glucose levels more frequently overnight.Carlos should work with an endocrinologist and nutritionist and it is essential that his coaches/trainers are aware of his condition and s/s to look out for.
Chiang, J. L., Maahs, D. M., Garvey, K. C., Hood, K. K., Laffel, L. M., Weinzimer, S. A., Wolfsdorf, J. I., & Schatz, D. (2018). Type 1 Diabetes in Children and Adolescents: A Position Statement by the American Diabetes Association.
_Diabetes care_,
_41_(9), 2026–2044. https://doi.org/10.2337/dci18-002
Emmanuel M, Bokor BR. Tanner Stages. [Updated 2022 Dec 11]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK470280/
– 2 years ago **files (1)** – ## BSN355CapstoneProjectOutcomeandEvaluationTemplateUpdated28229-2.docx **## BSN355CapstoneProjectOutcomeandEvaluationTemplateUpdated28229-2.docx** ## **NIGHTINGALE COLLEGE COURSE OUTLINE** ## **BSN 355: Capstone Proposal** Capstone Project Outcome and Evaluation Templa…
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Order on TutorsGallery →– 2 years ago
**files (1)**
– ## BSN355CapstoneProjectOutcomeandEvaluationTemplateUpdated28229-2.docx
**## BSN355CapstoneProjectOutcomeandEvaluationTemplateUpdated28229-2.docx**
## **NIGHTINGALE COLLEGE COURSE OUTLINE**
## **BSN 355: Capstone Proposal**
Capstone Project Outcome and Evaluation Template
EXAMPLE
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| Objective of Project | Outcome of Objectives | Evaluation of Objectives |
| Write each objective in the column. You should have at least three. | Leave this section blank. This information won’t be available until <br>**_after_** you implement your project. | What metric are you going to use to evaluate the objective? (Knowledge quiz, survey etc.) |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
**## BSN355CapstoneProjectOutcomeandEvaluationTemplateUpdated28229-2.docx**
## **NIGHTINGALE COLLEGE COURSE OUTLINE**
## **BSN 355: Capstone Proposal**
Capstone Project Outcome and Evaluation Template
EXAMPLE
| | | |
| — | — | — |
| Objective of Project | Outcome of Objectives | Evaluation of Objectives |
| Write each objective in the column. You should have at least three. | Leave this section blank. This information won’t be available until <br>**_after_** you implement your project. | What metric are you going to use to evaluate the objective? (Knowledge quiz, survey etc.) |
| | | |
| | | |
| | | |
| | | |
| | | |
| | | |
In-depth study guidance and analytical solution covering Week 6 project.
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In-depth study guidance and analytical solution covering week 6.
Immediate access to the full model answer, formatted citations, and rubric breakdown.
Have this question answered from scratch according to your specific instructions and deadline.
Order on TutorsGallery →Full assignment prompt and step-by-step guidance are included in the downloadable solution file.