Tag: Nursing

  • [Solved] NUR 507 Module 4 soap note

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    – 2 years ago **files (3)** – ## ASOAPnoteisamethodofdocumentationemployedbyhealthcareproviderstorecordandcommunicatepatientinformationinaclear.docx – ## SOAPNoteTemplate-1.docx – ## SoapNoterubric.docx **## ASOAPnoteisamethodofdocumentationemployedbyhealthcareproviderstorecordandcommunicatepatienti…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (3)**

    – ## ASOAPnoteisamethodofdocumentationemployedbyhealthcareproviderstorecordandcommunicatepatientinformationinaclear.docx

    – ## SOAPNoteTemplate-1.docx

    – ## SoapNoterubric.docx

    **## ASOAPnoteisamethodofdocumentationemployedbyhealthcareproviderstorecordandcommunicatepatientinformationinaclear.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 |

    **## 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.docx**

    | | |
    | — | — |
    | Demographics | **1 to >0.8 pts**<br>**Begins with patient initials, age, race, ethnicity and gender (5 demographics)** |
    | Chief Complaint (Reason for seeking health care) | **4 to >3 pts**<br>**Includes a direct quote from patient about presenting problem** |
    | History of the Present Illness (HPI) | **5 to >3 pts**<br>**Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)** |
    | Allergies | **2 to >1.5 pts**<br>**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)** |
    | Review of Systems (ROS) | **2 to >1.5 pts**<br>**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.** |
    | Labs | **4 to >2 pts**<br>**Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)** |
    | Past Medical History | **3 to >2 pts**<br>**Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current** |
    | Past Surgical History | **3 to >2 pts**<br>**Includes, for each surgical procedure, the year of procedure and the indication for the procedure** |

    | | |
    | — | — |
    | Family History | **3 to >2 pts**<br>**Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.** |
    | Social History | **3 to >2 pts**<br>**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** |
    | Health Maintenance / Screenings | **3 to >2 pts**<br>**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** |
    | Physical Examination | **15 to >8 pts**<br>**Includes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaint** |
    | Diagnosis | **5 to >3 pts**<br>**Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)** |
    | Differential Diagnosis | **5 to >3 pts**<br>**Includes at least 3 differential diagnoses for the principal diagnosis** |
    | Pharmacologic treatment plan | **5 to >3 pts**<br>**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.** |

    | | |
    | — | — |
    | Diagnostic / Lab Testing | **3 to >2 pts**<br>**Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”** |
    | Education | **3 to >2 pts**<br>**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** |
    | Anticipatory Guidance | **3 to >2 pts**<br>**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))** |
    | Follow Up Plan | **2 to >1 pts**<br>**Includes recommendation for follow up, including time frame (i.e. x # of days/weeks/months)** |
    | Prescription | **3 to >2 pts**<br>**Prescription includes all required components: patient information, date, drug name, dose, route, frequency, quantity to be dispensed, refills, and provider’s signature and credentials** |

    | | |
    | — | — |
    | Writing Mechanics, Citations, and APA Style | **3 to >2 pts**<br>**Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. APA style is correct, and writing is free of grammar and spelling errors.** |

    **## SoapNoterubric.docx**

    | | |
    | — | — |
    | Demographics | **1 to >0.8 pts**<br>**Begins with patient initials, age, race, ethnicity and gender (5 demographics)** |
    | Chief Complaint (Reason for seeking health care) | **4 to >3 pts**<br>**Includes a direct quote from patient about presenting problem** |
    | History of the Present Illness (HPI) | **5 to >3 pts**<br>**Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)** |
    | Allergies | **2 to >1.5 pts**<br>**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)** |
    | Review of Systems (ROS) | **2 to >1.5 pts**<br>**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.** |
    | Labs | **4 to >2 pts**<br>**Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)** |
    | Past Medical History | **3 to >2 pts**<br>**Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current** |
    | Past Surgical History | **3 to >2 pts**<br>**Includes, for each surgical procedure, the year of procedure and the indication for the procedure** |

    | | |
    | — | — |
    | Family History | **3 to >2 pts**<br>**Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.** |
    | Social History | **3 to >2 pts**<br>**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** |
    | Health Maintenance / Screenings | **3 to >2 pts**<br>**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** |
    | Physical Examination | **15 to >8 pts**<br>**Includes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaint** |
    | Diagnosis | **5 to >3 pts**<br>**Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)** |
    | Differential Diagnosis | **5 to >3 pts**<br>**Includes at least 3 differential diagnoses for the principal diagnosis** |
    | Pharmacologic treatment plan | **5 to >3 pts**<br>**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.** |

    | | |
    | — | — |
    | Diagnostic / Lab Testing | **3 to >2 pts**<br>**Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”** |
    | Education | **3 to >2 pts**<br>**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** |
    | Anticipatory Guidance | **3 to >2 pts**<br>**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))** |
    | Follow Up Plan | **2 to >1 pts**<br>**Includes recommendation for follow up, including time frame (i.e. x # of days/weeks/months)** |
    | Prescription | **3 to >2 pts**<br>**Prescription includes all required components: patient information, date, drug name, dose, route, frequency, quantity to be dispensed, refills, and provider’s signature and credentials** |

    | | |
    | — | — |
    | Writing Mechanics, Citations, and APA Style | **3 to >2 pts**<br>**Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. APA style is correct, and writing is free of grammar and spelling errors.** |

    **## ASOAPnoteisamethodofdocumentationemployedbyhealthcareproviderstorecordandcommunicatepatientinformationinaclear.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 |

    **## 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.docx**

    | | |
    | — | — |
    | Demographics | **1 to >0.8 pts**<br>**Begins with patient initials, age, race, ethnicity and gender (5 demographics)** |
    | Chief Complaint (Reason for seeking health care) | **4 to >3 pts**<br>**Includes a direct quote from patient about presenting problem** |
    | History of the Present Illness (HPI) | **5 to >3 pts**<br>**Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)** |
    | Allergies | **2 to >1.5 pts**<br>**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)** |
    | Review of Systems (ROS) | **2 to >1.5 pts**<br>**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.** |
    | Labs | **4 to >2 pts**<br>**Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)** |
    | Past Medical History | **3 to >2 pts**<br>**Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current** |
    | Past Surgical History | **3 to >2 pts**<br>**Includes, for each surgical procedure, the year of procedure and the indication for the procedure** |

    | | |
    | — | — |
    | Family History | **3 to >2 pts**<br>**Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.** |
    | Social History | **3 to >2 pts**<br>**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** |
    | Health Maintenance / Screenings | **3 to >2 pts**<br>**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** |
    | Physical Examination | **15 to >8 pts**<br>**Includes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaint** |
    | Diagnosis | **5 to >3 pts**<br>**Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)** |
    | Differential Diagnosis | **5 to >3 pts**<br>**Includes at least 3 differential diagnoses for the principal diagnosis** |
    | Pharmacologic treatment plan | **5 to >3 pts**<br>**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.** |

    | | |
    | — | — |
    | Diagnostic / Lab Testing | **3 to >2 pts**<br>**Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”** |
    | Education | **3 to >2 pts**<br>**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** |
    | Anticipatory Guidance | **3 to >2 pts**<br>**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))** |
    | Follow Up Plan | **2 to >1 pts**<br>**Includes recommendation for follow up, including time frame (i.e. x # of days/weeks/months)** |
    | Prescription | **3 to >2 pts**<br>**Prescription includes all required components: patient information, date, drug name, dose, route, frequency, quantity to be dispensed, refills, and provider’s signature and credentials** |

    | | |
    | — | — |
    | Writing Mechanics, Citations, and APA Style | **3 to >2 pts**<br>**Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. APA style is correct, and writing is free of grammar and spelling errors.** |

    **## ASOAPnoteisamethodofdocumentationemployedbyhealthcareproviderstorecordandcommunicatepatientinformationinaclear.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 |

    **## 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.docx**

    | | |
    | — | — |
    | Demographics | **1 to >0.8 pts**<br>**Begins with patient initials, age, race, ethnicity and gender (5 demographics)** |
    | Chief Complaint (Reason for seeking health care) | **4 to >3 pts**<br>**Includes a direct quote from patient about presenting problem** |
    | History of the Present Illness (HPI) | **5 to >3 pts**<br>**Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)** |
    | Allergies | **2 to >1.5 pts**<br>**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)** |
    | Review of Systems (ROS) | **2 to >1.5 pts**<br>**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.** |
    | Labs | **4 to >2 pts**<br>**Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)** |
    | Past Medical History | **3 to >2 pts**<br>**Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current** |
    | Past Surgical History | **3 to >2 pts**<br>**Includes, for each surgical procedure, the year of procedure and the indication for the procedure** |

    | | |
    | — | — |
    | Family History | **3 to >2 pts**<br>**Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.** |
    | Social History | **3 to >2 pts**<br>**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** |
    | Health Maintenance / Screenings | **3 to >2 pts**<br>**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** |
    | Physical Examination | **15 to >8 pts**<br>**Includes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaint** |
    | Diagnosis | **5 to >3 pts**<br>**Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)** |
    | Differential Diagnosis | **5 to >3 pts**<br>**Includes at least 3 differential diagnoses for the principal diagnosis** |
    | Pharmacologic treatment plan | **5 to >3 pts**<br>**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.** |

    | | |
    | — | — |
    | Diagnostic / Lab Testing | **3 to >2 pts**<br>**Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”** |
    | Education | **3 to >2 pts**<br>**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** |
    | Anticipatory Guidance | **3 to >2 pts**<br>**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))** |
    | Follow Up Plan | **2 to >1 pts**<br>**Includes recommendation for follow up, including time frame (i.e. x # of days/weeks/months)** |
    | Prescription | **3 to >2 pts**<br>**Prescription includes all required components: patient information, date, drug name, dose, route, frequency, quantity to be dispensed, refills, and provider’s signature and credentials** |

    | | |
    | — | — |
    | Writing Mechanics, Citations, and APA Style | **3 to >2 pts**<br>**Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. APA style is correct, and writing is free of grammar and spelling errors.** |

  • [Solved] NUR 501 5A

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    – 2 years ago **files (1)** – ## NUR5015assignm.docx **## NUR5015assignm.docx** **Goal:** The purpose of this assignment is to identify a theory or model which can be used as a framework for a future evidence-based project **Content Requirements:** 1. Review literature regarding issues or concerns …

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## NUR5015assignm.docx

    **## NUR5015assignm.docx**

    **Goal:**

    The purpose of this assignment is to identify a theory or model which can be used as a framework for a future evidence-based project

    **Content Requirements:**

    1. Review literature regarding issues or concerns within your selected area of advanced practice nursing.

    2. Select a theory or model which is relevant to your selected area of advanced practice nursing.

    3. Offer a meaningful context for evidence-based practice surrounding the issue or concern which you identified.

    4. Identify and describe a theory or model, and explain its relevance to the issues or concerns within your selected area of advanced practice

    5. Explain how the theory or model can be used as a framework to guide evidence-based practice to address the issue or concern, and discuss the unique insight or perspective offered through the application of this theory or model.

    **Submission Instructions:**

    · The PowerPoint presentation is original work and logically organized. It should consist of 10-15 slides excluding the title and reference.

    · The PowerPoint presentation should be clear and easy to read. Speaker notes expanded upon and clarified content on the slides.

    · The PowerPoint presentation should be formatted per APA guidelines and references should be current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions)

    · Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA guidelines (the library has a copy of the 7th Edition APA Manual).

    ·
    **PLEASE ENSURE RUBRIC IS REFLECTED ON ASSIGNMENT AND PROPER APA IS USED**

    ![A screenshot of a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur-501-5a)

    ## image1.png

    **## NUR5015assignm.docx**

    **Goal:**

    The purpose of this assignment is to identify a theory or model which can be used as a framework for a future evidence-based project

    **Content Requirements:**

    1. Review literature regarding issues or concerns within your selected area of advanced practice nursing.

    2. Select a theory or model which is relevant to your selected area of advanced practice nursing.

    3. Offer a meaningful context for evidence-based practice surrounding the issue or concern which you identified.

    4. Identify and describe a theory or model, and explain its relevance to the issues or concerns within your selected area of advanced practice

    5. Explain how the theory or model can be used as a framework to guide evidence-based practice to address the issue or concern, and discuss the unique insight or perspective offered through the application of this theory or model.

    **Submission Instructions:**

    · The PowerPoint presentation is original work and logically organized. It should consist of 10-15 slides excluding the title and reference.

    · The PowerPoint presentation should be clear and easy to read. Speaker notes expanded upon and clarified content on the slides.

    · The PowerPoint presentation should be formatted per APA guidelines and references should be current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions)

    · Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to current APA guidelines (the library has a copy of the 7th Edition APA Manual).

    ·
    **PLEASE ENSURE RUBRIC IS REFLECTED ON ASSIGNMENT AND PROPER APA IS USED**

    ![A screenshot of a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur-501-5a)

    ## image1.png

  • [Solved] NUR 501 5

    ✓ Verified Academic Solution Available

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    – 2 years ago **files (1)** – ## NUR501wk5.docx **## NUR501wk5.docx** Discuss the principles of research and evidence-based practice and how to effectively implement them for advanced practice nurses. **INSTRUCTIONS:** · Your initial post should be at least 500 words, formatted and cited in current …

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## NUR501wk5.docx

    **## NUR501wk5.docx**

    Discuss the principles of research and evidence-based practice and how to effectively implement them for advanced practice nurses.

    **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.

    · Please include introduction and conclusion paragraphs

    · Please write in paragraph form, no bullet points

    · Please do not use textbooks as reference only peer-reviewed scholarly articles from within 4 years’ time.

    · Please ensure APA formatting is correct

    ![A screenshot of a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur-501-5)

    ## image1.png

    **## NUR501wk5.docx**

    Discuss the principles of research and evidence-based practice and how to effectively implement them for advanced practice nurses.

    **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.

    · Please include introduction and conclusion paragraphs

    · Please write in paragraph form, no bullet points

    · Please do not use textbooks as reference only peer-reviewed scholarly articles from within 4 years’ time.

    · Please ensure APA formatting is correct

    ![A screenshot of a computer AI-generated content may be incorrect.](https://www.sweetstudy.com/questions/nur-501-5)

    ## image1.png

  • [Solved] staffing patterns

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] research assessment 2

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    Executive Solution Overview

    – 2 years ago **files (1)** – ## ResearchAssessment2.pdf **## ResearchAssessment2.pdf** Develop a 3–5 page scholarly paper in which you explain the diagnosis you researched for Assessment 1, and then apply the steps of an EBP model to your search for evidence to address your diagnosis issue. The goa…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## ResearchAssessment2.pdf

    **## ResearchAssessment2.pdf**

    Develop a 3–5 page scholarly paper in which you explain the
    diagnosis you researched for Assessment 1, and then apply the
    steps of an EBP model to your search for evidence to address
    your diagnosis issue.

    The goal of using evidence-based research findings is to
    enhance safety and quality of patient care and ensure optimal
    outcomes are achieved. It is not uncommon to hear a nurse say,
    "why change it as we’ve always done it this way." However, this
    is no longer acceptable in today's practice environment. The
    profession of nursing has evolved, and the expectation is that the
    professional nurse has a scientific foundation to support the care
    that is provided. As the profession of nursing continues to evolve
    and engage in healthcare transformation, baccalaureate-
    prepared nurses are expanding, taking on leadership roles that
    include incorporating EBPs. To be able to do this, the nurse
    needs to understand the criteria that make a resource credible,
    as this is crucial when deciding if the research is valid and
    reliable for implementation into healthcare settings. The nurse will
    need to incorporate the use of EBP models.

    EBP models are designed to assist the nurse in developing a
    plan to gather evidence to answer a practice problem or
    question. It is a systematic approach to direct the user to
    incorporate scholarly findings into current practice. These EBP
    models lead the nurse through the decision-making process of
    evaluating the literature to determine the best practice evidence
    for the practice issue or question.

    As a baccalaureate-prepared nurse, you will be responsible for
    locating and identifying credible and scholarly resources to
    incorporate the best available evidence for the purposes of
    enhancing clinical reasoning and judgement skills. When reliable

    and relevant evidence-based findings are utilized, patients,
    healthcare systems, and nursing practice outcomes are positively
    impacted.

    Review all resources for this assessment, as well as the scoring
    guide for details of how this assessment will be graded. You will
    use the specific diagnosis or health issue you selected for
    Assessment 1. You can refer to the overview of common EBP
    models in the Evidence-Based Practice Models media for help in
    choosing the most appropriate EBP model for your issue.

    Complete the following:

    • Consider your diagnosis from Assessment 1.

    • Explain an issue associated with this diagnosis that could

    benefit from an EBP approach.

    • Choose the EBP model you wish to implement.

    • Describe each step of the EBP model of your choice.

    • Apply the steps of the model to your search for evidence for

    your diagnosis issue, and describe how you applied them.

    • Locate at least three separate resources of evidence to

    assist with your diagnosis issue.

    • Analyze the credibility and relevance of each resource as it

    relates to your diagnosis.

    This is a paper and should be 3–5 pages, not including the title
    page or reference page. The paper must be in APA format.

    [https://media.capella.edu/coursemedia/nurs-fpx4025element250261/wrapper.asp](https://media.capella.edu/coursemedia/nurs-fpx4025element250261/wrapper.asp)

    By successfully completing this assessment, you will
    demonstrate your proficiency in the following course
    competencies and scoring guide criteria:

    • Competency 2: Analyze the relevance and potential
    effectiveness of evidence when making a decision.

    ◦ Analyze the credibility and relevance of each resource
    as it relates to a diagnosis.

    • Competency 3: Apply an evidence-based practice model to
    address a practice issue.

    ◦ Explain an issue associated with a chosen diagnosis
    that could benefit from an EBP approach.

    ◦ Describe each step of a chosen EBP model.

    ◦ Describe how the steps of a chosen EPB model were
    applied to search for evidence for a diagnosis issue.

    • Competency 5: Apply professional, scholarly
    communication strategies to lead practice changes based
    on evidence.

    ◦ Organize content so ideas flow logically with smooth
    transitions; contains few errors in grammar/
    punctuation, word choice, and spelling.

    ◦ Apply APA formatting to in-text citations and
    references, exhibiting adherence to most aspects of
    APA format.

    **## ResearchAssessment2.pdf**

    Develop a 3–5 page scholarly paper in which you explain the
    diagnosis you researched for Assessment 1, and then apply the
    steps of an EBP model to your search for evidence to address
    your diagnosis issue.

    The goal of using evidence-based research findings is to
    enhance safety and quality of patient care and ensure optimal
    outcomes are achieved. It is not uncommon to hear a nurse say,
    "why change it as we’ve always done it this way." However, this
    is no longer acceptable in today's practice environment. The
    profession of nursing has evolved, and the expectation is that the
    professional nurse has a scientific foundation to support the care
    that is provided. As the profession of nursing continues to evolve
    and engage in healthcare transformation, baccalaureate-
    prepared nurses are expanding, taking on leadership roles that
    include incorporating EBPs. To be able to do this, the nurse
    needs to understand the criteria that make a resource credible,
    as this is crucial when deciding if the research is valid and
    reliable for implementation into healthcare settings. The nurse will
    need to incorporate the use of EBP models.

    EBP models are designed to assist the nurse in developing a
    plan to gather evidence to answer a practice problem or
    question. It is a systematic approach to direct the user to
    incorporate scholarly findings into current practice. These EBP
    models lead the nurse through the decision-making process of
    evaluating the literature to determine the best practice evidence
    for the practice issue or question.

    As a baccalaureate-prepared nurse, you will be responsible for
    locating and identifying credible and scholarly resources to
    incorporate the best available evidence for the purposes of
    enhancing clinical reasoning and judgement skills. When reliable

    and relevant evidence-based findings are utilized, patients,
    healthcare systems, and nursing practice outcomes are positively
    impacted.

    Review all resources for this assessment, as well as the scoring
    guide for details of how this assessment will be graded. You will
    use the specific diagnosis or health issue you selected for
    Assessment 1. You can refer to the overview of common EBP
    models in the Evidence-Based Practice Models media for help in
    choosing the most appropriate EBP model for your issue.

    Complete the following:

    • Consider your diagnosis from Assessment 1.

    • Explain an issue associated with this diagnosis that could

    benefit from an EBP approach.

    • Choose the EBP model you wish to implement.

    • Describe each step of the EBP model of your choice.

    • Apply the steps of the model to your search for evidence for

    your diagnosis issue, and describe how you applied them.

    • Locate at least three separate resources of evidence to

    assist with your diagnosis issue.

    • Analyze the credibility and relevance of each resource as it

    relates to your diagnosis.

    This is a paper and should be 3–5 pages, not including the title
    page or reference page. The paper must be in APA format.

    [https://media.capella.edu/coursemedia/nurs-fpx4025element250261/wrapper.asp](https://media.capella.edu/coursemedia/nurs-fpx4025element250261/wrapper.asp)

    By successfully completing this assessment, you will
    demonstrate your proficiency in the following course
    competencies and scoring guide criteria:

    • Competency 2: Analyze the relevance and potential
    effectiveness of evidence when making a decision.

    ◦ Analyze the credibility and relevance of each resource
    as it relates to a diagnosis.

    • Competency 3: Apply an evidence-based practice model to
    address a practice issue.

    ◦ Explain an issue associated with a chosen diagnosis
    that could benefit from an EBP approach.

    ◦ Describe each step of a chosen EBP model.

    ◦ Describe how the steps of a chosen EPB model were
    applied to search for evidence for a diagnosis issue.

    • Competency 5: Apply professional, scholarly
    communication strategies to lead practice changes based
    on evidence.

    ◦ Organize content so ideas flow logically with smooth
    transitions; contains few errors in grammar/
    punctuation, word choice, and spelling.

    ◦ Apply APA formatting to in-text citations and
    references, exhibiting adherence to most aspects of
    APA format.

  • [Solved] Nursing week 4 leadership assignment

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.

  • [Solved] NURS

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  • [Solved] NURSING

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  • [Solved] humanities

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    – 2 years ago **files (1)** – ## humanweek6.docx **## humanweek6.docx** Instructions This week you will use your readings from the past week as a point of departure to create your own artistic production and a reflection paper. **Part 1: Art Creation** Select a photograph or film art piece to use as…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (1)**

    – ## humanweek6.docx

    **## humanweek6.docx**

    Instructions

    This week you will use your readings from the past week as a point of departure to create your own artistic production and a reflection paper.

    **Part 1: Art Creation** Select a photograph or film art piece to use as a point of inspiration. Create an art piece of photography or cinematography inspired by your selected art piece. Videos should be no longer than 5 minutes and must be in MP4 format.

    **Note:** If your art creation requires
    **a separate file submission**, please submit in the
    **Art Creation Submission (Recordings)** area following this assignment.

    **Part 2: Reflection** Write a reflection about the relationship between your art production and the inspiration piece. Include the following in the reflection paper:

    · Introduction

    · Inspiration Piece

    · Include the inspiration photograph or cinematography within the document. Use a link in the case of cinematography.

    · Record the title, artist/director, year, and place of origin.

    · Briefly explain the background of the inspiration piece.

    · Your Art Piece

    · Include your original photograph within the document. If you selected cinematography, submit as a separate file in the
    **Art Creation Submission (Recordings)** area following this assignment.

    · Provide a title.

    · Explain the background of your piece.

    · Connection

    · Explain the thematic connection between the two pieces.

    · How are they similar and different?

    · Are they the same medium? How does the medium impact what the viewer experiences?

    · For photography, how do the formal elements of design compare to one another?

    Writing Requirements (APA format)

    · Length: 1.5-2 pages (not including title page, images, or references page)

    · 1-inch margins

    · Double spaced

    · 12-point Times New Roman font

    · Title page

    · References page (minimum of 1 scholarly source)

    Title: Humanities Through the Arts

    Authors: F. DAVID. JACOBUS MARTIN (LEE.), MARTIN

    Publisher: McGraw-Hill Education

    Publication Date: 2018-01-12

    **APA Reference**

    Martin, F. D., & Jacobus, L. A. (2018).
    _The humanities through the arts_. New York: McGraw-Hill Education.

    **## humanweek6.docx**

    Instructions

    This week you will use your readings from the past week as a point of departure to create your own artistic production and a reflection paper.

    **Part 1: Art Creation** Select a photograph or film art piece to use as a point of inspiration. Create an art piece of photography or cinematography inspired by your selected art piece. Videos should be no longer than 5 minutes and must be in MP4 format.

    **Note:** If your art creation requires
    **a separate file submission**, please submit in the
    **Art Creation Submission (Recordings)** area following this assignment.

    **Part 2: Reflection** Write a reflection about the relationship between your art production and the inspiration piece. Include the following in the reflection paper:

    · Introduction

    · Inspiration Piece

    · Include the inspiration photograph or cinematography within the document. Use a link in the case of cinematography.

    · Record the title, artist/director, year, and place of origin.

    · Briefly explain the background of the inspiration piece.

    · Your Art Piece

    · Include your original photograph within the document. If you selected cinematography, submit as a separate file in the
    **Art Creation Submission (Recordings)** area following this assignment.

    · Provide a title.

    · Explain the background of your piece.

    · Connection

    · Explain the thematic connection between the two pieces.

    · How are they similar and different?

    · Are they the same medium? How does the medium impact what the viewer experiences?

    · For photography, how do the formal elements of design compare to one another?

    Writing Requirements (APA format)

    · Length: 1.5-2 pages (not including title page, images, or references page)

    · 1-inch margins

    · Double spaced

    · 12-point Times New Roman font

    · Title page

    · References page (minimum of 1 scholarly source)

    Title: Humanities Through the Arts

    Authors: F. DAVID. JACOBUS MARTIN (LEE.), MARTIN

    Publisher: McGraw-Hill Education

    Publication Date: 2018-01-12

    **APA Reference**

    Martin, F. D., & Jacobus, L. A. (2018).
    _The humanities through the arts_. New York: McGraw-Hill Education.

  • [Solved] 041325 S Note

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    Assignment Prompt & Instructions

    Full assignment prompt and step-by-step guidance are included in the downloadable solution file.