SOAP Note Template Encounter date: ________________________ Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____ Reason for Seeking Health Care: ______________________________________________ HPI:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ Allergies(Drug/Food/Latex/Environmental/Herbal): ___________________________________ Current perception of Health: Excellent Good Fair Poor Past Medical History Major/Chronic Illnesses____________________________________________________ Trauma/Injury ___________________________________________________________ Hospitalizations __________________________________________________________ Past Surgical History___________________________________________________________ Medications: __________________________________________________________________ ______________________________________________________________________________ ______________________________________________________________________________ Family History: ____________________________________________________________ Social history: Lives: Single family House/Condo/ with stairs: ___________ Marital Status:________ Employment Status: ______ Current/Previous occupation type: _________________ Exposure to: ___Smoke____ ETOH ____Recreational Drug Use: __________________ Sexual orientation: _______ Sexual Activity: ____ Contraception Use: ____________ Family Composition: Family/Mother/Father/Alone: _____________________________ Health Maintenance Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____ Exposures: Immunization HX: Review of Systems: General: HEENT: Neck: Lungs: Cardiovascular: Breast: GI: Male/female genital: GU: Neuro: Musculoskeletal: Activity & Exercise: Psychosocial: Derm: Nutrition: Sleep/Rest: LMP: STI Hx: Physical Exam BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (percentile) _____ General: HEENT: Neck: Pulmonary: Cardiovascular: Breast: GI: Male/female genital: GU: Neuro: Musculoskeletal: Derm: Psychosocial: Misc. Plan: Differential Diagnoses 1. 2. 3. Principal Diagnoses 1. 2. Plan Diagnosis Diagnostic Testing: Pharmacological Treatment: Education: Referrals: Follow-up: Anticipatory Guidance: Diagnosis Diagnostic Testing: Pharmacological Treatment: Education: Referrals: Follow-up: Anticipatory Guidance: Signature (with appropriate credentials): __________________________________________ Cite current evidenced based guideline(s) used to guide care (Mandatory)_______________ DEA#: 101010101 STU Clinic LIC# 10000000 Tel: (000) 555-1234 FAX: (000) 555-12222 Patient Name: (Initials)______________________________ Age ___________ Date: _______________ RX ______________________________________ SIG: Dispense: ___________ Refill: _________________ No Substitution Signature: ____________________________________________________________

Information Technology in Nursing Practice prov...

NRS-493 Individual Success Plan REQUIRED PRACTICE HOURS: 100 Direct Clinical Experience (50 hours community/50 hours leadership) – 25 Indirect Clinical Experience Hours. ISP Instructions Use this form to develop your Individual Success Plan (ISP) for NRS-493, the Professional Capstone and Practicum course. An individual success plan maps out what you, the RN-to-BSN student, needs to accomplish in order to be successful as you work through this course and complete your overall program of study. You will also share this with your preceptor at the beginning and end of this course so that he or she will know what you need to accomplish. In this ISP, you will identify all of the objectives and assignments relating to the 100 direct clinical practice experience hours and the 25 indirect clinical practice hours you need to complete by the end of this course. Use this template to specify the date by which you will complete each assignment. Your plan should include a self-assessment of how you met all applicable GCU RN-to-BSN Domains & Competencies (see Appendix A). General Requirements Use the following information to ensure successful completion of each assignment as it pertains to deliverables due in this course: Use the Individual Success Plan to develop a personal plan for completing your clinical practice experience hours and self-assess how you will meet the GCU RN-to-BSN University Mission Critical Competencies and the Programmatic Domains & Competencies (Appendix A) related to that course. Show all of the major deliverables in the course, the topic/course objectives that apply to each deliverable, and lastly, align each deliverable to the applicable University Mission Critical Competencies and the course-specific Domains and Competencies (see Appendix A). Completing your ISP does not earn clinical practice experience hours, nor does telephone conference time, or time spent with your preceptor.

Initial Post: minimum of 2 scholarly sources (m...

Assessment 4 Instructions: Assessment Strategies and Complete ... 08/08/2023, 18:06 Shawna Smith Ashadah Austin Course Navigation  Tutorials Support Log Out Shawn Dwight 3322 FACULTY COACH Assessment 4 Instructions: Assessment Strategies and Complete Course Plan Create a 12-15 page complete...

For the initial post, respond to one of the fol...

Start Date & Time Apr 10, 2023, 12:00 AM Due Date & Time Apr 16, 2023, 11:59 PM Status Active Rubric View Rubric Assessment Traits Requires Lopeswrite Assessment Description Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following: Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making. Three peer-reviewed, scholarly or professional references are required. Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance. SUBMIT ASSIGNMENT Topic 2 DQ 1 Start Date & Time Feb 20, 2023, 12:00 AM Due Date & Time Feb 22, 2023, 11:59 PM Status Upcoming Assessment Description Select a research article, other than the articles from your assignments, from the GCU library. Provide an overview of the study and describe the strategy that was used to select the sample from the population. Evaluate the effectiveness of the sampling method selected. Provide support for your answer. Include the article title and permalink in your post. Topic 2 DQ 2 Start Date & Time

Identify the standards that you selected and ex...

Phamacology class Module 1 Discussion    Discussion 1 Based on Module 1: Lecture Materials & Resources and experience, what are the roles and responsibilities of the advanced nurse practitioners in prescribing?   Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)  All replies must be constructive and use literature where possible. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.  Grading Rubric  Your assignment will be graded according to the grading rubric. Module 2 Discussion    Discussion 2 Ms. Jones brings 6-week-old Sam to the clinic because of a bright red rash in the diaper area that has gotten worse since she started putting over-the-counter antibiotic cream on it 3 days ago. Sam is diagnosed with diaper Candida or a yeast infection. Clotrimazole (Lotrimin) topical TID for 14 days to the diaper area has been prescribed. Briefly describe the therapeutic actions of Clotrimazole (Lotrimin). Describe antifungal drugs uses and side effects. Develop a teaching plan for Ms. Jones including age-appropriate considerations for Sam. Submission Instructions: Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)

Week 2 he needs of the pediatric patient differ depending on age, as do the stages of development and the expected assessment findings for each stage. In a 500-750-word paper, examine the needs of a school-aged child between the ages of 5 and 12 years old and discuss the following: Describe the different physical characteristics/findings within the school-aged child. Explain how you would modify assessment techniques to match the age and developmental stage of this child.  Choose a child between the ages of 5 and 12 years old. Identify the age of the child and describe the typical developmental stages of children that age. Applying developmental theory based on Erickson, Piaget, or Kohlberg, explain how you would developmentally assess the child. Include how you would offer explanations during the assessment, strategies you would use to gain cooperation, and potential findings from the assessment. You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.   Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.  This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.  You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.  Week 3 Requires Lopeswrite Assessment Description Research the range of contemporary issues teenagers face today. In a 500-750-word paper, choose one issue (besides teen pregnancy) and discuss its effect on adolescent behavior and overall well-being. Include the following in your submission: Describe the contemporary issue and explain what external stressors are associated with this issue.

Assessment 1 Instructions: Assessing the Problem: Leadership, Collaboration, Communication, Change Management, and Policy Considerations

J.D. is a 37 years old white woman who presents to her gynecologist complaining of a 2-month history of intermenstrual bleeding, menorrhagia, increased urinary frequency, mild incontinence, extreme fatigue, and weakness. Her menstrual period occurs every 28 days and lately there have been 6 days of heavy flow and cramping. She denies abdominal distension, back-ache, and constipation. She has not had her usual energy levels since before her last pregnancy.

Psychiatric SOAP Note Template Encounter date: ________________________ Patient Initials: ______ Gender: M/F/Transgender ____ Age: _____ Race: _____ Ethnicity ____ Reason for Seeking Health Care: ______________________________________________ HPI:_________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ SI/HI: _______________________________________________________________________________ Sleep:  _________________________________________         Appetite:  ________________________ Allergies(Drug/Food/Latex/Environmental/Herbal): ___________________________________ Current perception of Health: Excellent Good Fair Poor Psychiatric History: Inpatient hospitalizations: Outpatient psychiatric treatment: Detox/Inpatient substance treatment: History of suicide attempts and/or self injurious behaviors: ____________________________________ Past Medical History Major/Chronic Illnesses____________________________________________________ Trauma/Injury ___________________________________________________________ Hospitalizations __________________________________________________________ Past Surgical History___________________________________________________________ Current psychotropic medications:  _________________________________________ ________________________________ _________________________________________ ________________________________ _________________________________________ ________________________________ Current prescription medications:  _________________________________________ ________________________________ _________________________________________ ________________________________ _________________________________________ ________________________________ OTC/Nutritionals/Herbal/Complementary therapy: _________________________________________ ________________________________ _________________________________________ ________________________________ Substance use: (alcohol, marijuana, cocaine, caffeine, cigarettes) Family Psychiatric History: _____________________________________________________ Social History Lives: Single family House/Condo/ with stairs: ___________ Marital Status:________ Education:____________________________ Employment Status: ______ Current/Previous occupation type: _________________ Exposure to: ___Smoke____ ETOH ____Recreational Drug Use: __________________ Sexual Orientation: _______ Sexual Activity: ____ Contraception Use: ____________ Family Composition: Family/Mother/Father/Alone: _____________________________ Other: (Place of birth, childhood hx, legal, living situations, hobbies, abuse hx, trauma, violence, social network, marital hx):_________________________________ ________________________________________________________________________ Health Maintenance Screening Tests: Mammogram, PSA, Colonoscopy, Pap Smear, Etc _____ Exposures: Immunization HX: Review of Systems: General: HEENT: Neck: Lungs: Cardiovascular: Breast: GI: Male/female genital: GU: Neuro: Musculoskeletal: Activity & Exercise: Psychosocial: Derm: Nutrition: Sleep/Rest: LMP: STI Hx: Physical Exam BP________TPR_____ HR: _____ RR: ____Ht. _____ Wt. ______ BMI (percentile) _____ General: HEENT: Neck: Pulmonary: Cardiovascular: Breast: GI: Male/female genital: GU: Neuro: Musculoskeletal: Derm: Psychosocial: Misc. Mental Status Exam Appearance: Behavior: Speech: Mood: Affect: Thought Content: Thought Process: Cognition/Intelligence: Clinical Insight: Clinical Judgment: Plan: Differential Diagnoses 1. 2. Principal Diagnoses 1. 2. Plan Diagnosis #1 Diagnostic Testing/Screening: Pharmacological Treatment: Non-Pharmacological Treatment: Education: Referrals:

Module 1 Discussion Name Affiliation Course Instructor Due date Module 1 Discussion Relationship between Mental Illness and Religion There are many facets and complex interactions between mental illness and religion. Understanding that there is no inherent conflict between mental illness and religious beliefs is crucial. How they interact varies widely based on personal experiences and cultural settings. The 44-year-old white Australian man's mental health problems and religious views are related to his belief that he was possessed by a spirit following his use of an Ouija board. His early use of the Ouija board, a device frequently connected to spiritual or paranormal activities, perhaps contributed to the onset of his delusions. His conviction that a spirit had taken over and was living inside him is in line with the signs of a mental illness, especially a delusional disease. This situation is not unusual since people struggling with mental health disorders often view what they are going through via the prism of their spiritual or religious beliefs. In this instance, the man's ability to understand his experiences from a religious perspective, despite his nonreligious upbringing, illustrates how flexible the relationship between mental illness and religion can be. Another facet of the relationship between mental illness and religion is illustrated by the man's decision to endure two exorcisms and seek assistance from a local church. Rituals and practices for dealing with alleged spiritual or demonic forces are included in many religious and spiritual traditions, and they can provide consolation to people going through upsetting symptoms (Cook, 2021). It is important to understand that although some might find that religious or spiritual support helps, it cannot replace evidence-based mental health care. The fact that the exorcisms, in this instance, were unable to relieve the man's symptoms emphasizes how crucial it is to receive the proper psychiatric evaluation and treatment.

DO CASE STUDY 3 THROUGHOUT ADVANCED HEALTH ASSESSMENT Module 1 Discussion No unread replies.No replies.     Religious, Cultural, Spiritual Beliefs, History Taking, Physical Exam, & Documentation Strategies  For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number.  Answer the following questions. Please be specific and relate your questions to your specific case (s). Assignments per case study are below. What are the barriers to interpersonal communication? What are the procedures and examination techniques that you will use during the physical exam of your patient? Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are. Submission Instructions: You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned. You will reply to your peers who have posted on the other two case studies (One of each). Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. Your initial post is worth 8 points. You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response).  All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each. Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday. You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

Assessment 2 Instructions: Applying Research Skills – ... 07/03/2023, 21:34 Course Navigation  Tutorials Support Log Out Elisha Cochran Trilla Mays Stephanie Guernsey   FACULTY COACH Assessment 2 Instructions: Applying Research Skills Create a 2-4 page annotated bibliography and summary based on...

Assessment 1 Instructions: Nursing Informatics in Health Care ... 09/04/2023, 18:12 Course Navigation  Tutorials Support Log Out Shawn Dwight 1155 Assessment 1 Instructions: Nursing Informatics in Health Care Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in...

You should respond to at least two of your peer...