Category: Nursing

  • [Solved] Female Patient Cases 4

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  • [Solved] nurs 514 CL soap 3

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    – 2 years ago **files (3)** – ## nurs514CLsoap3.docx – ## SOAPNoteTemplate5.docx – ## SoapNoterubric.docx **## nurs514CLsoap3.docx** · Patient is a 57 year female. · Patient comes in because she has noticed a strong foul smell in her urine. · Has no pain. · No known allergies to meds or anything · N…

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    Assignment Prompt & Instructions

    – 2 years ago

    **files (3)**

    – ## nurs514CLsoap3.docx

    – ## SOAPNoteTemplate5.docx

    – ## SoapNoterubric.docx

    **## nurs514CLsoap3.docx**

    · Patient is a 57 year female.

    · Patient comes in because she has noticed a strong foul smell in her urine.

    · Has no pain.

    · No known allergies to meds or anything

    · No surgeries

    · Only 2 natural labors

    · Doesn’t take an medications, just vitamins

    **_SOAP Note 3_**

    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 |

    [Click here to access and download the SOAP Note Template](https://stu.instructure.com/courses/43383/files/3176310?wrap=1) [Download Click here to access and download the SOAP Note Template](https://stu.instructure.com/courses/43383/files/3176310/download?download_frd=1)

    **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.

    · Your submission will be reviewed for plagiarism through Turnitin.

    ![null](https://www.sweetstudy.com/questions/nurs-514-cl-soap-3)

    ## image1.png

    **## SOAPNoteTemplate5.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.** |

    **## nurs514CLsoap3.docx**

    · Patient is a 57 year female.

    · Patient comes in because she has noticed a strong foul smell in her urine.

    · Has no pain.

    · No known allergies to meds or anything

    · No surgeries

    · Only 2 natural labors

    · Doesn’t take an medications, just vitamins

    **_SOAP Note 3_**

    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 |

    [Click here to access and download the SOAP Note Template](https://stu.instructure.com/courses/43383/files/3176310?wrap=1) [Download Click here to access and download the SOAP Note Template](https://stu.instructure.com/courses/43383/files/3176310/download?download_frd=1)

    **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.

    · Your submission will be reviewed for plagiarism through Turnitin.

    ![null](https://www.sweetstudy.com/questions/nurs-514-cl-soap-3)

    ## image1.png

    **## SOAPNoteTemplate5.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.** |

    **## nurs514CLsoap3.docx**

    · Patient is a 57 year female.

    · Patient comes in because she has noticed a strong foul smell in her urine.

    · Has no pain.

    · No known allergies to meds or anything

    · No surgeries

    · Only 2 natural labors

    · Doesn’t take an medications, just vitamins

    **_SOAP Note 3_**

    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 |

    [Click here to access and download the SOAP Note Template](https://stu.instructure.com/courses/43383/files/3176310?wrap=1) [Download Click here to access and download the SOAP Note Template](https://stu.instructure.com/courses/43383/files/3176310/download?download_frd=1)

    **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.

    · Your submission will be reviewed for plagiarism through Turnitin.

    ![null](https://www.sweetstudy.com/questions/nurs-514-cl-soap-3)

    ## image1.png

    **## SOAPNoteTemplate5.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] nurs 514 CL discussion 6

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    – 2 years ago **files (1)** – ## nurs514CLdiscssion6.docx **## nurs514CLdiscssion6.docx** Patient was a female that has a foul urine smell but no pain. Describe your clinical experience for this week. · Did you face any challenges, any success? If so, what were they? · Describe the assessment of a p…

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    – 2 years ago

    **files (1)**

    – ## nurs514CLdiscssion6.docx

    **## nurs514CLdiscssion6.docx**

    Patient was a female that has a foul urine smell but no pain.

    Describe your clinical experience for this week.

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

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

    · Mention the health promotion intervention for this patient.

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

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

    **Submission Instructions:**

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

    **## nurs514CLdiscssion6.docx**

    Patient was a female that has a foul urine smell but no pain.

    Describe your clinical experience for this week.

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

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

    · Mention the health promotion intervention for this patient.

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

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

    **Submission Instructions:**

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

  • [Solved] w 7 Discussion

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    PICK ONE Mildred is a 45-year-old married female with three children. She presents to the clinic with complaints of fatigue and difficulty sleeping. She states she wants to get a good night’s sleep and is requesting a prescription to help her sleep. Mildred tells you she is awake off and on during t…

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    PICK ONE

    Mildred is a 45-year-old married female with three children. She presents to the clinic with complaints of fatigue and difficulty sleeping. She states she wants to get a good night’s sleep and is requesting a prescription to help her sleep. Mildred tells you she is awake off and on during the night, frequently thinking about her husband’s recent layoff from construction work and the effect this is having on the family. She lies down often during the day and has been so fatigued that she took some time off from work during the last two weeks. She is tearful at times during the visit and looks sad and anxious. On further discussion, she says she feels overwhelmed, helpless, and anxious. She tells you about an episode where she felt her heart beating rapidly, had difficulty catching her breath, felt she was going to have a heart attack, and became frightened until her husband was able to help calm her down. She is not eating as much as usual, and when she reads the newspaper, she does not remember what she has read.

    Kylie, a 24-year-old female patient, comes to your office for a refill of her allergy medication. Before going into the room, you note that her Patient Health Questionnaire – Depression (PHQ-9) score is 20, and that she is not currently on any medication for depression. When you enter the room, you notice that Kylie is easily startled, and she is sitting in the corner of the room very close to the wall.

    Dale, a 40-year-old construction worker, lost his 4-year-old daughter in a car accident six months ago, in which his sister was driving and he was a passenger. He is at this visit for a follow-up of a shoulder injury sustained last month. You notice that he has lost about eight pounds since his last visit, and he is somewhat disheveled in his appearance. Dale has not been back to work, and has not been able to get into a car since the accident. Before going into the room, your nurse pulled you aside to let you know that the patient was very rude to the front office staff, and was also rude to her while he was being processed for his visit. This is not Dale’s usual behavior.

    – [\
    \
    Week7discussion.pdf](https://www.sweetstudy.com/files/week7discussion-pdf-10198619 "Week7discussion.pdf")

    – 2 years ago

  • [Solved] Unit 2 IP: Laws in Healthcare

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    **NOTE: Cite at least 2 scholarly references published within the last 2 years, and one reference must be the course textbook, Chapters 4,5 & 6. All sources should be cited using APA forma** t **7th edition.** Length 5-7pgs not to include title or reference pg. **Description** You are working as the…

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    **NOTE: Cite at least 2 scholarly references published within the last 2 years, and one reference must be the course textbook, Chapters 4,5 & 6. All sources should be cited using APA forma** t **7th edition.**

    Length 5-7pgs not to include title or reference pg.

    **Description**

    You are working as the manager of a multispecialty clinic. You have been notified that a patient has filed a lawsuit against one of your physicians who has terminated a relationship with a patient. Executive management has asked you to prepare a memo that should describe whether a patient can make a successful claim for a breach of contract in this case. Ensure to use evidence to back up your stance on whether you agree that the patient has a case or not.

    In this 5–7-page memo, discuss whether the physician–patient relationship is a contract and what needs to be shown for a breach of contract to have occurred.

    **(Memo template is attached along with the textbook.)**

    – [\
    \
    HCM678_Unit2IP_MemoTemplate.docx](https://www.sweetstudy.com/files/hcm678-unit2ip-memotemplate-docx "HCM678_Unit2IP_MemoTemplate.docx")
    – [\
    \
    medical-law-and-ethics-6th-edition-original-pdf.pdf](https://www.sweetstudy.com/files/medical-law-and-ethics-6th-edition-original-pdf-pdf-10198983 "medical-law-and-ethics-6th-edition-original-pdf.pdf")

    – 2 years ago

  • [Solved] “The Machine Stops” by Oliver Sacks

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    In-depth study guidance and analytical solution covering “The Machine Stops” by Oliver Sacks.

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

  • [Solved] Telehealth and E-Learning

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    **Instructions:** This assignment aims to explore the different approaches to delivering healthcare and health education from a distant location and understand their importance in promoting access to healthcare and health education. 1. Write a brief description of telehealth and e-learning. 2. Expla…

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    **Instructions:**

    This assignment aims to explore the different approaches to delivering healthcare and health education from a distant location and understand their importance in promoting access to healthcare and health education.

    1. Write a brief description of telehealth and e-learning.
    2. Explain how these approaches are essential in promoting healthcare and health education access, particularly for underserved populations.
    3. Provide an example of how one of these approaches has been used in a real-life scenario.

    Contribute a minimum of 2 pages. It should include at least two academic sources, formatted and cited in APA 7 style.

    Your assignment will be run through TurnItIn to check for plagiarism. NO PLAGIARISM.

    – 2 years ago

  • [Solved] smartgoals 2

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    – 2 years ago **files (2)** – ## smartgoals2.docx – ## smartgoals1.pptx **## smartgoals2.docx** Think back to the five SMART goals you created earlier in the term. Write a reflection paper following APA format and consisting of 750-1000 words in length. Use the following questions to guide your resp…

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    – 2 years ago

    **files (2)**

    – ## smartgoals2.docx

    – ## smartgoals1.pptx

    **## smartgoals2.docx**

    Think back to the five SMART goals you created earlier in the term. Write a reflection paper following APA format and consisting of 750-1000 words in length.

    Use the following questions to guide your response:

    1. What were you expecting from the experience before you started?

    2. Why were you expecting this?

    3. Why did you choose this goal?

    4. Did you learn anything about a different group in society (i.e., different age, profession, ethnic, racial or socio-economic group)? What did you learn?

    5. What is the most valuable experience you acquired?

    6. What impact did the experience have on your everyday life?

    7. What did you learn that was directly related to your course objectives?

    **## smartgoals1.pptx**

    My Smart Goals

    Name of Student

    Course

    Date

    Goal 1

    By the end of this clinical term, I will improve my ability to communicate with patients and their families in a way that is clear, compassionate, and culturally sensitive.

    Summary

    Specific: I want to focus on both verbal and non-verbal communication during patient interactions, ensuring I listen actively and convey empathy.

    Measurable: I will track my progress through feedback from at least 5 patients or families and 3 clinical mentors. Positive comments will show I am improving.

    Attainable: To make this happen, I’ll practice daily by using active listening techniques, asking open-ended questions, and observing experienced nurses (Babaii et al., 2021).

    Realistic: Communication is a skill that grows with consistent effort, and this goal aligns perfectly with what I already do in clinicals.

    Timely: I will see measurable improvement by week 6 and maintain this standard through the end of the 12-week term.

    This goal is to enhance my ability to communicate effectively and compassionately with patients and their families. This is specific because it is applied to both verbal and non verbal communication highlighting active listening and empathy. Success is measurable with positive feedback from at least five patients or families and three mentors. Practice communication skills during patient interactions and previous observation of experienced nurses are what make it attainable. It is realistic because communication is a critical part of nursing and can improve with practice. The time frame of this goal is to obtain measurable improvement by week 6 in the clinical term and maintain this standard until week 12.

    3

    Goal 2

    I will be competent in performing routine physical assessments by the end of this term.

    4

    Summary

    Specific: I will focus on mastering routine physical assessments because they are fundamental to my role as a PHMNP and critical for patient care.

    Measurable: My goal is to independently perform 15 routine physical assessments under my preceptor's supervision by the end of the term.

    Attainable: With access to clinical sites, preceptor guidance, and hands-on practice, I can develop and refine my assessment skills during each clinical shift.

    Realistic: Mastering physical assessments is an expected competency for PHMNP students and achievable within the term's timeline.

    Timely: I aim to achieve proficiency by week 8 and continue practicing regularly to maintain and refine my skills through week 12.

    I aim to be able to perform routine physical assessments to a competent level. This specific goal centered around a very important skill needed for my role as a PHMNP. I will complete 15 assessments independently with preceptor approval thus it is measurable. The goal is attainable because I have the access to clinical sites, mentorship, and practice opportunities during the shifts. I have the resources to achieve mastery of this competency, which is why it is realistic, since learning physical assessment is expected of PHMNP students. The timeframe I have set is by week 8 of the term I want to achieve proficiency, and from there on practice and perfecting my skills until week 12. This plan will make me progress in a steady manner and confidently enough.

    5

    Goal 3

    I will be competent in conducting mental health assessments using standardized tools by the end of this term.

    Summary

    Specific: I will focus on mastering mental health assessments using tools such as the PHQ-9, GAD-7, and MMSE because they are critical for diagnosing and managing mental health conditions.

    Measurable: My goal is to complete 10 mental health assessments under supervision and independently with my preceptor’s approval.

    Attainable: With access to clinical opportunities, mentorship, and standardized tools, I can practice and refine these skills during every clinical shift.

    Realistic: These assessments are part of my role as a PHMNP and within my capabilities to learn and perform.

    Timely: I aim to be proficient by week 8 and maintain consistent practice through week 12.

    My goal is to conduct mental health assessments correctly using standardized tools like the PHQ-9, GAD-7, MMSE. The goal is specific because it aims to build a vital skill of recognising and dealing with mental health problems. I can measure this because I will do 10 independent assessments and get my preceptor’s approval. I believe that goal is achievable; I have preceptor, clinical opportunities, and standardized tools to help my learning. This is realistic because students performing these assessments are expected to demonstrate this competency. My timeframe is to achieve proficiency by week 8, working hard and further refining my practice by week 12 to become more confident and consistent.

    7

    Goal 4

    I will develop strong professional connections with at least 3 healthcare team members by the end of this clinical term.

    Summary

    Specific: I will take the initiative to introduce myself, ask questions, and collaborate with team members during clinical shifts.

    Measurable: I will document at least 3 meaningful collaborative interactions or mentorship discussions by the end of the term.

    Attainable: By showing a proactive attitude, participating in team discussions, and asking for feedback, I can achieve this goal.

    Realistic: Building professional relationships is a natural outcome of teamwork, and my enthusiasm will help me connect with others.

    Timely: I will start forming connections by week 4 and continue to nurture these relationships throughout the term.

    The goal of this is to create at least three meaningful connections with healthcare team members. It is specific as it targets proactive collaboration and mentorship building during clinical shifts. The goal is measurable through documenting three collaborative interactions or mentorship discussions during this term. Since nursing is a very team oriented profession, it is attainable, interaction with others comes naturally during daily tasks. It is a realistic goal as building relationships with professionals is a common and achievable part of clinical practice. This goal has a time frame of week 4 for initiating and maintaining connections consistently throughout the 12 week clinical term.

    9

    Goal 5

    I will be proficient in developing and implementing care plans for managing common mental health conditions by the end of this term.

    Summary

    Specific: I will focus on creating care plans for mental health conditions such as anxiety, depression, and PTSD, as these are vital for supporting patients in primary care settings.

    Measurable: My goal is to develop and implement at least five individualized care plans under supervision and with my preceptor’s approval.

    Attainable: With access to clinical rotations, mentorship, and patient interactions, I can practice and refine my skills in creating these care plans during my shifts.

    Realistic: Developing care plans for mental health conditions is an essential skill for PHMNP students and within my capacity to master.

    Timely: I aim to achieve proficiency by week 8 and continue improving my skills through the end of week 12.

    I want to be proficient in developing and implementing care plans for looking after patients with anxiety, depression and PTSD. This is a specific goal as it focuses on an important area of practice for a PHMNP. I can show that I will complete at least five care plans independently, with preceptor approval, meaning it is measurable. It’s attainable because I’m going to have clinical exposure, mentorship and the ability to interact with patients who are in need of mental health care. This is realistic because one of the main expectations for PHMNP students is to be able to manage mental health conditions. In the timeframe, proficiency is to be achieved in week 8 and practice and refinement of these skills continue until week 12 to achieve consistent and effective care planning.

    11

    References

    Babaii, A., Mohammadi, E., & Sadooghiasl, A. (2021). The meaning of the empathetic nurse–patient communication: A qualitative study. Journal of patient experience, 8, 23743735211056432.

    Time Analytics. (2022). What is the ABC Method of Time Management.
    [https://timeanalyticssoftware.com/abc-method/](https://timeanalyticssoftware.com/abc-method/)

    12

    ## image5.png

    ## image6.png

    ## image3.png

    ## image4.png

    **## smartgoals1.pptx**

    My Smart Goals

    Name of Student

    Course

    Date

    Goal 1

    By the end of this clinical term, I will improve my ability to communicate with patients and their families in a way that is clear, compassionate, and culturally sensitive.

    Summary

    Specific: I want to focus on both verbal and non-verbal communication during patient interactions, ensuring I listen actively and convey empathy.

    Measurable: I will track my progress through feedback from at least 5 patients or families and 3 clinical mentors. Positive comments will show I am improving.

    Attainable: To make this happen, I’ll practice daily by using active listening techniques, asking open-ended questions, and observing experienced nurses (Babaii et al., 2021).

    Realistic: Communication is a skill that grows with consistent effort, and this goal aligns perfectly with what I already do in clinicals.

    Timely: I will see measurable improvement by week 6 and maintain this standard through the end of the 12-week term.

    This goal is to enhance my ability to communicate effectively and compassionately with patients and their families. This is specific because it is applied to both verbal and non verbal communication highlighting active listening and empathy. Success is measurable with positive feedback from at least five patients or families and three mentors. Practice communication skills during patient interactions and previous observation of experienced nurses are what make it attainable. It is realistic because communication is a critical part of nursing and can improve with practice. The time frame of this goal is to obtain measurable improvement by week 6 in the clinical term and maintain this standard until week 12.

    3

    Goal 2

    I will be competent in performing routine physical assessments by the end of this term.

    4

    Summary

    Specific: I will focus on mastering routine physical assessments because they are fundamental to my role as a PHMNP and critical for patient care.

    Measurable: My goal is to independently perform 15 routine physical assessments under my preceptor's supervision by the end of the term.

    Attainable: With access to clinical sites, preceptor guidance, and hands-on practice, I can develop and refine my assessment skills during each clinical shift.

    Realistic: Mastering physical assessments is an expected competency for PHMNP students and achievable within the term's timeline.

    Timely: I aim to achieve proficiency by week 8 and continue practicing regularly to maintain and refine my skills through week 12.

    I aim to be able to perform routine physical assessments to a competent level. This specific goal centered around a very important skill needed for my role as a PHMNP. I will complete 15 assessments independently with preceptor approval thus it is measurable. The goal is attainable because I have the access to clinical sites, mentorship, and practice opportunities during the shifts. I have the resources to achieve mastery of this competency, which is why it is realistic, since learning physical assessment is expected of PHMNP students. The timeframe I have set is by week 8 of the term I want to achieve proficiency, and from there on practice and perfecting my skills until week 12. This plan will make me progress in a steady manner and confidently enough.

    5

    Goal 3

    I will be competent in conducting mental health assessments using standardized tools by the end of this term.

    Summary

    Specific: I will focus on mastering mental health assessments using tools such as the PHQ-9, GAD-7, and MMSE because they are critical for diagnosing and managing mental health conditions.

    Measurable: My goal is to complete 10 mental health assessments under supervision and independently with my preceptor’s approval.

    Attainable: With access to clinical opportunities, mentorship, and standardized tools, I can practice and refine these skills during every clinical shift.

    Realistic: These assessments are part of my role as a PHMNP and within my capabilities to learn and perform.

    Timely: I aim to be proficient by week 8 and maintain consistent practice through week 12.

    My goal is to conduct mental health assessments correctly using standardized tools like the PHQ-9, GAD-7, MMSE. The goal is specific because it aims to build a vital skill of recognising and dealing with mental health problems. I can measure this because I will do 10 independent assessments and get my preceptor’s approval. I believe that goal is achievable; I have preceptor, clinical opportunities, and standardized tools to help my learning. This is realistic because students performing these assessments are expected to demonstrate this competency. My timeframe is to achieve proficiency by week 8, working hard and further refining my practice by week 12 to become more confident and consistent.

    7

    Goal 4

    I will develop strong professional connections with at least 3 healthcare team members by the end of this clinical term.

    Summary

    Specific: I will take the initiative to introduce myself, ask questions, and collaborate with team members during clinical shifts.

    Measurable: I will document at least 3 meaningful collaborative interactions or mentorship discussions by the end of the term.

    Attainable: By showing a proactive attitude, participating in team discussions, and asking for feedback, I can achieve this goal.

    Realistic: Building professional relationships is a natural outcome of teamwork, and my enthusiasm will help me connect with others.

    Timely: I will start forming connections by week 4 and continue to nurture these relationships throughout the term.

    The goal of this is to create at least three meaningful connections with healthcare team members. It is specific as it targets proactive collaboration and mentorship building during clinical shifts. The goal is measurable through documenting three collaborative interactions or mentorship discussions during this term. Since nursing is a very team oriented profession, it is attainable, interaction with others comes naturally during daily tasks. It is a realistic goal as building relationships with professionals is a common and achievable part of clinical practice. This goal has a time frame of week 4 for initiating and maintaining connections consistently throughout the 12 week clinical term.

    9

    Goal 5

    I will be proficient in developing and implementing care plans for managing common mental health conditions by the end of this term.

    Summary

    Specific: I will focus on creating care plans for mental health conditions such as anxiety, depression, and PTSD, as these are vital for supporting patients in primary care settings.

    Measurable: My goal is to develop and implement at least five individualized care plans under supervision and with my preceptor’s approval.

    Attainable: With access to clinical rotations, mentorship, and patient interactions, I can practice and refine my skills in creating these care plans during my shifts.

    Realistic: Developing care plans for mental health conditions is an essential skill for PHMNP students and within my capacity to master.

    Timely: I aim to achieve proficiency by week 8 and continue improving my skills through the end of week 12.

    I want to be proficient in developing and implementing care plans for looking after patients with anxiety, depression and PTSD. This is a specific goal as it focuses on an important area of practice for a PHMNP. I can show that I will complete at least five care plans independently, with preceptor approval, meaning it is measurable. It’s attainable because I’m going to have clinical exposure, mentorship and the ability to interact with patients who are in need of mental health care. This is realistic because one of the main expectations for PHMNP students is to be able to manage mental health conditions. In the timeframe, proficiency is to be achieved in week 8 and practice and refinement of these skills continue until week 12 to achieve consistent and effective care planning.

    11

    References

    Babaii, A., Mohammadi, E., & Sadooghiasl, A. (2021). The meaning of the empathetic nurse–patient communication: A qualitative study. Journal of patient experience, 8, 23743735211056432.

    Time Analytics. (2022). What is the ABC Method of Time Management.
    [https://timeanalyticssoftware.com/abc-method/](https://timeanalyticssoftware.com/abc-method/)

    12

    ## image5.png

    ## image6.png

    ## image3.png

    ## image4.png

    **## smartgoals2.docx**

    Think back to the five SMART goals you created earlier in the term. Write a reflection paper following APA format and consisting of 750-1000 words in length.

    Use the following questions to guide your response:

    1. What were you expecting from the experience before you started?

    2. Why were you expecting this?

    3. Why did you choose this goal?

    4. Did you learn anything about a different group in society (i.e., different age, profession, ethnic, racial or socio-economic group)? What did you learn?

    5. What is the most valuable experience you acquired?

    6. What impact did the experience have on your everyday life?

    7. What did you learn that was directly related to your course objectives?

    **## smartgoals1.pptx**

    My Smart Goals

    Name of Student

    Course

    Date

    Goal 1

    By the end of this clinical term, I will improve my ability to communicate with patients and their families in a way that is clear, compassionate, and culturally sensitive.

    Summary

    Specific: I want to focus on both verbal and non-verbal communication during patient interactions, ensuring I listen actively and convey empathy.

    Measurable: I will track my progress through feedback from at least 5 patients or families and 3 clinical mentors. Positive comments will show I am improving.

    Attainable: To make this happen, I’ll practice daily by using active listening techniques, asking open-ended questions, and observing experienced nurses (Babaii et al., 2021).

    Realistic: Communication is a skill that grows with consistent effort, and this goal aligns perfectly with what I already do in clinicals.

    Timely: I will see measurable improvement by week 6 and maintain this standard through the end of the 12-week term.

    This goal is to enhance my ability to communicate effectively and compassionately with patients and their families. This is specific because it is applied to both verbal and non verbal communication highlighting active listening and empathy. Success is measurable with positive feedback from at least five patients or families and three mentors. Practice communication skills during patient interactions and previous observation of experienced nurses are what make it attainable. It is realistic because communication is a critical part of nursing and can improve with practice. The time frame of this goal is to obtain measurable improvement by week 6 in the clinical term and maintain this standard until week 12.

    3

    Goal 2

    I will be competent in performing routine physical assessments by the end of this term.

    4

    Summary

    Specific: I will focus on mastering routine physical assessments because they are fundamental to my role as a PHMNP and critical for patient care.

    Measurable: My goal is to independently perform 15 routine physical assessments under my preceptor's supervision by the end of the term.

    Attainable: With access to clinical sites, preceptor guidance, and hands-on practice, I can develop and refine my assessment skills during each clinical shift.

    Realistic: Mastering physical assessments is an expected competency for PHMNP students and achievable within the term's timeline.

    Timely: I aim to achieve proficiency by week 8 and continue practicing regularly to maintain and refine my skills through week 12.

    I aim to be able to perform routine physical assessments to a competent level. This specific goal centered around a very important skill needed for my role as a PHMNP. I will complete 15 assessments independently with preceptor approval thus it is measurable. The goal is attainable because I have the access to clinical sites, mentorship, and practice opportunities during the shifts. I have the resources to achieve mastery of this competency, which is why it is realistic, since learning physical assessment is expected of PHMNP students. The timeframe I have set is by week 8 of the term I want to achieve proficiency, and from there on practice and perfecting my skills until week 12. This plan will make me progress in a steady manner and confidently enough.

    5

    Goal 3

    I will be competent in conducting mental health assessments using standardized tools by the end of this term.

    Summary

    Specific: I will focus on mastering mental health assessments using tools such as the PHQ-9, GAD-7, and MMSE because they are critical for diagnosing and managing mental health conditions.

    Measurable: My goal is to complete 10 mental health assessments under supervision and independently with my preceptor’s approval.

    Attainable: With access to clinical opportunities, mentorship, and standardized tools, I can practice and refine these skills during every clinical shift.

    Realistic: These assessments are part of my role as a PHMNP and within my capabilities to learn and perform.

    Timely: I aim to be proficient by week 8 and maintain consistent practice through week 12.

    My goal is to conduct mental health assessments correctly using standardized tools like the PHQ-9, GAD-7, MMSE. The goal is specific because it aims to build a vital skill of recognising and dealing with mental health problems. I can measure this because I will do 10 independent assessments and get my preceptor’s approval. I believe that goal is achievable; I have preceptor, clinical opportunities, and standardized tools to help my learning. This is realistic because students performing these assessments are expected to demonstrate this competency. My timeframe is to achieve proficiency by week 8, working hard and further refining my practice by week 12 to become more confident and consistent.

    7

    Goal 4

    I will develop strong professional connections with at least 3 healthcare team members by the end of this clinical term.

    Summary

    Specific: I will take the initiative to introduce myself, ask questions, and collaborate with team members during clinical shifts.

    Measurable: I will document at least 3 meaningful collaborative interactions or mentorship discussions by the end of the term.

    Attainable: By showing a proactive attitude, participating in team discussions, and asking for feedback, I can achieve this goal.

    Realistic: Building professional relationships is a natural outcome of teamwork, and my enthusiasm will help me connect with others.

    Timely: I will start forming connections by week 4 and continue to nurture these relationships throughout the term.

    The goal of this is to create at least three meaningful connections with healthcare team members. It is specific as it targets proactive collaboration and mentorship building during clinical shifts. The goal is measurable through documenting three collaborative interactions or mentorship discussions during this term. Since nursing is a very team oriented profession, it is attainable, interaction with others comes naturally during daily tasks. It is a realistic goal as building relationships with professionals is a common and achievable part of clinical practice. This goal has a time frame of week 4 for initiating and maintaining connections consistently throughout the 12 week clinical term.

    9

    Goal 5

    I will be proficient in developing and implementing care plans for managing common mental health conditions by the end of this term.

    Summary

    Specific: I will focus on creating care plans for mental health conditions such as anxiety, depression, and PTSD, as these are vital for supporting patients in primary care settings.

    Measurable: My goal is to develop and implement at least five individualized care plans under supervision and with my preceptor’s approval.

    Attainable: With access to clinical rotations, mentorship, and patient interactions, I can practice and refine my skills in creating these care plans during my shifts.

    Realistic: Developing care plans for mental health conditions is an essential skill for PHMNP students and within my capacity to master.

    Timely: I aim to achieve proficiency by week 8 and continue improving my skills through the end of week 12.

    I want to be proficient in developing and implementing care plans for looking after patients with anxiety, depression and PTSD. This is a specific goal as it focuses on an important area of practice for a PHMNP. I can show that I will complete at least five care plans independently, with preceptor approval, meaning it is measurable. It’s attainable because I’m going to have clinical exposure, mentorship and the ability to interact with patients who are in need of mental health care. This is realistic because one of the main expectations for PHMNP students is to be able to manage mental health conditions. In the timeframe, proficiency is to be achieved in week 8 and practice and refinement of these skills continue until week 12 to achieve consistent and effective care planning.

    11

    References

    Babaii, A., Mohammadi, E., & Sadooghiasl, A. (2021). The meaning of the empathetic nurse–patient communication: A qualitative study. Journal of patient experience, 8, 23743735211056432.

    Time Analytics. (2022). What is the ABC Method of Time Management.
    [https://timeanalyticssoftware.com/abc-method/](https://timeanalyticssoftware.com/abc-method/)

    12

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    **## smartgoals2.docx**

    Think back to the five SMART goals you created earlier in the term. Write a reflection paper following APA format and consisting of 750-1000 words in length.

    Use the following questions to guide your response:

    1. What were you expecting from the experience before you started?

    2. Why were you expecting this?

    3. Why did you choose this goal?

    4. Did you learn anything about a different group in society (i.e., different age, profession, ethnic, racial or socio-economic group)? What did you learn?

    5. What is the most valuable experience you acquired?

    6. What impact did the experience have on your everyday life?

    7. What did you learn that was directly related to your course objectives?

    **## smartgoals1.pptx**

    My Smart Goals

    Name of Student

    Course

    Date

    Goal 1

    By the end of this clinical term, I will improve my ability to communicate with patients and their families in a way that is clear, compassionate, and culturally sensitive.

    Summary

    Specific: I want to focus on both verbal and non-verbal communication during patient interactions, ensuring I listen actively and convey empathy.

    Measurable: I will track my progress through feedback from at least 5 patients or families and 3 clinical mentors. Positive comments will show I am improving.

    Attainable: To make this happen, I’ll practice daily by using active listening techniques, asking open-ended questions, and observing experienced nurses (Babaii et al., 2021).

    Realistic: Communication is a skill that grows with consistent effort, and this goal aligns perfectly with what I already do in clinicals.

    Timely: I will see measurable improvement by week 6 and maintain this standard through the end of the 12-week term.

    This goal is to enhance my ability to communicate effectively and compassionately with patients and their families. This is specific because it is applied to both verbal and non verbal communication highlighting active listening and empathy. Success is measurable with positive feedback from at least five patients or families and three mentors. Practice communication skills during patient interactions and previous observation of experienced nurses are what make it attainable. It is realistic because communication is a critical part of nursing and can improve with practice. The time frame of this goal is to obtain measurable improvement by week 6 in the clinical term and maintain this standard until week 12.

    3

    Goal 2

    I will be competent in performing routine physical assessments by the end of this term.

    4

    Summary

    Specific: I will focus on mastering routine physical assessments because they are fundamental to my role as a PHMNP and critical for patient care.

    Measurable: My goal is to independently perform 15 routine physical assessments under my preceptor's supervision by the end of the term.

    Attainable: With access to clinical sites, preceptor guidance, and hands-on practice, I can develop and refine my assessment skills during each clinical shift.

    Realistic: Mastering physical assessments is an expected competency for PHMNP students and achievable within the term's timeline.

    Timely: I aim to achieve proficiency by week 8 and continue practicing regularly to maintain and refine my skills through week 12.

    I aim to be able to perform routine physical assessments to a competent level. This specific goal centered around a very important skill needed for my role as a PHMNP. I will complete 15 assessments independently with preceptor approval thus it is measurable. The goal is attainable because I have the access to clinical sites, mentorship, and practice opportunities during the shifts. I have the resources to achieve mastery of this competency, which is why it is realistic, since learning physical assessment is expected of PHMNP students. The timeframe I have set is by week 8 of the term I want to achieve proficiency, and from there on practice and perfecting my skills until week 12. This plan will make me progress in a steady manner and confidently enough.

    5

    Goal 3

    I will be competent in conducting mental health assessments using standardized tools by the end of this term.

    Summary

    Specific: I will focus on mastering mental health assessments using tools such as the PHQ-9, GAD-7, and MMSE because they are critical for diagnosing and managing mental health conditions.

    Measurable: My goal is to complete 10 mental health assessments under supervision and independently with my preceptor’s approval.

    Attainable: With access to clinical opportunities, mentorship, and standardized tools, I can practice and refine these skills during every clinical shift.

    Realistic: These assessments are part of my role as a PHMNP and within my capabilities to learn and perform.

    Timely: I aim to be proficient by week 8 and maintain consistent practice through week 12.

    My goal is to conduct mental health assessments correctly using standardized tools like the PHQ-9, GAD-7, MMSE. The goal is specific because it aims to build a vital skill of recognising and dealing with mental health problems. I can measure this because I will do 10 independent assessments and get my preceptor’s approval. I believe that goal is achievable; I have preceptor, clinical opportunities, and standardized tools to help my learning. This is realistic because students performing these assessments are expected to demonstrate this competency. My timeframe is to achieve proficiency by week 8, working hard and further refining my practice by week 12 to become more confident and consistent.

    7

    Goal 4

    I will develop strong professional connections with at least 3 healthcare team members by the end of this clinical term.

    Summary

    Specific: I will take the initiative to introduce myself, ask questions, and collaborate with team members during clinical shifts.

    Measurable: I will document at least 3 meaningful collaborative interactions or mentorship discussions by the end of the term.

    Attainable: By showing a proactive attitude, participating in team discussions, and asking for feedback, I can achieve this goal.

    Realistic: Building professional relationships is a natural outcome of teamwork, and my enthusiasm will help me connect with others.

    Timely: I will start forming connections by week 4 and continue to nurture these relationships throughout the term.

    The goal of this is to create at least three meaningful connections with healthcare team members. It is specific as it targets proactive collaboration and mentorship building during clinical shifts. The goal is measurable through documenting three collaborative interactions or mentorship discussions during this term. Since nursing is a very team oriented profession, it is attainable, interaction with others comes naturally during daily tasks. It is a realistic goal as building relationships with professionals is a common and achievable part of clinical practice. This goal has a time frame of week 4 for initiating and maintaining connections consistently throughout the 12 week clinical term.

    9

    Goal 5

    I will be proficient in developing and implementing care plans for managing common mental health conditions by the end of this term.

    Summary

    Specific: I will focus on creating care plans for mental health conditions such as anxiety, depression, and PTSD, as these are vital for supporting patients in primary care settings.

    Measurable: My goal is to develop and implement at least five individualized care plans under supervision and with my preceptor’s approval.

    Attainable: With access to clinical rotations, mentorship, and patient interactions, I can practice and refine my skills in creating these care plans during my shifts.

    Realistic: Developing care plans for mental health conditions is an essential skill for PHMNP students and within my capacity to master.

    Timely: I aim to achieve proficiency by week 8 and continue improving my skills through the end of week 12.

    I want to be proficient in developing and implementing care plans for looking after patients with anxiety, depression and PTSD. This is a specific goal as it focuses on an important area of practice for a PHMNP. I can show that I will complete at least five care plans independently, with preceptor approval, meaning it is measurable. It’s attainable because I’m going to have clinical exposure, mentorship and the ability to interact with patients who are in need of mental health care. This is realistic because one of the main expectations for PHMNP students is to be able to manage mental health conditions. In the timeframe, proficiency is to be achieved in week 8 and practice and refinement of these skills continue until week 12 to achieve consistent and effective care planning.

    11

    References

    Babaii, A., Mohammadi, E., & Sadooghiasl, A. (2021). The meaning of the empathetic nurse–patient communication: A qualitative study. Journal of patient experience, 8, 23743735211056432.

    Time Analytics. (2022). What is the ABC Method of Time Management.
    [https://timeanalyticssoftware.com/abc-method/](https://timeanalyticssoftware.com/abc-method/)

    12

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  • [Solved] reflect on how APNs can maximize their position and power to potentially influence healthcare policy at the national level.

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  • [Solved] Nursing Assignment 6 Pharmacology

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    Pharmacological Effect of Anti-Hypertensive Medications in the Management of Hypertension – Pathophysiology of the disease state. – Review of the pharmacological agents used for treatment and important information related to the advanced practice nurse. **Submission Instructions:** – APA and 5-7 pag…

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    Pharmacological Effect of Anti-Hypertensive Medications in the Management of Hypertension

    – Pathophysiology of the disease state.
    – Review of the pharmacological agents used for treatment and important information related to the advanced practice nurse.

    **Submission Instructions:**

    – APA and 5-7 pages in length, excluding the title, abstract, and references page.
    – Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles within your work.

    – 2 years ago