SOAP Note Assignment
Download and analyze the case study for this week. Create a SOAP note for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.
Visit the online library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.
Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.
Download the access codes.
Download the SOAP template to help you design a holistic patient care plan. Utilize the SOAP guidelines to assist you in creating your SOAP note and building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan. If the information is not in the provided scenario please consider it normal for SOAP note purposes, if it is abnormal please utilize what you know about the disease process and write what you would expect in the subjective and objective areas of your note.
Category: Nursing
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Title: SOAP Note for Disease Prevention, Health Promotion, and Acute Care
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Title: External Factors Influencing Decision Making in Nursing Management: An Interview with a Nurse Manager
Interview a nurse manager to explore the external factors that influence decision making such as health policy, regulatory requirements, accreditation, and health care financing.
1. Provide an overview of the role of the nurse manager interviewed. Summarize the information from the interview (do not report the interview question by question)
2. Perceptions related to impact on health policy on decision. 3. Perceptions related to impact of regulatory agencies on decision making. Perceptions related to impact of health care financing on decision making.
4. Analysis of the interview supported by the literature. -
“Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing: A Case Study Discussion” “Class Discussion Summary: Lessons Learned and Insights Gained”
Below are the assignment details for the discussion post. Please use credible references within the last 5 years.
Organizational Change and Ethical-Legal Influences in Advanced Practice Nursing Case Study
Discussion
Purpose
The purpose of this discussion is to discuss organizational changes and ethical-legal influences in a clinical scenario at an out-patient family practice. Students will explore potential effects on patient outcomes and ethical and legal implications for members of the heath care team as a result of illegal behaviors. Students will develop strategies that result in prevention of untoward outcomes that result in a positive practice culture.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
Demonstrate effective leadership styles in the management of organizational change (CO3)
Interpret various forms of ethical theories and application into practice (CO4)
Discuss practice guidelines and malpractice prevention (CO2)
Preparing the Discussion
You are a family nurse practitioner employed in a busy primary care office. The providers in the group include one physician and three nurse practitioners. The back office staff includes eight medical assistants who assist with patient care as well as filing, answering calls from patients, processing laboratory results and taking prescription renewal requests from patients and pharmacies. Stephanie, a medical assistant, has worked in the practice for 10 years and is very proficient at her job. She knows almost every patient in the practice, and has an excellent rapport with all of the providers.
Mrs. Smith was seen today in the office for an annual physical. Her last appointment was a year ago for the same reason. During this visit, Mrs. Smith brought an empty bottle of amoxicillin with her and asked if she could have a refill. You noted the patient’s name on the label, and the date on the bottle was 1 week ago. You also noted your name printed on the label as the prescriber. The patient admitted that she called last week concerned about her cough and spoke to Stephanie. You do not recall having discussed this patient with Stephanie nor do the other providers in the practice.
Case Study Questions:
What are the potential ethical and legal implications for each of the following practice members?
Medical assistant
Nurse Practitioner
Medical Director
Practice
What strategies would you implement to prevent further episodes of potentially illegal behavior?
What leadership qualities would you apply to effect a positive change in the practice? Be thinking about the culture of the practice.
A scholarly resource must be used for EACH discussion question each week.
Category Points % Description
DISCUSSION CONTENT
Potential ethical & legal implications for healthcare team members 30 30% Provides relevant evidence of scholarly inquiry of the potential ethical and legal implications for each of the practice members. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Strategies to prevent further conflict 30 30% Provides relevant evidence of scholarly inquiry of strategies to implement to prevent further episodes of potentially illegal behavior. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
Leadership qualities to effect positive change 15 15% Provides relevant evidence of scholarly inquiry of leadership qualities to apply to effect a positive change in the practice. Uses valid, relevant, and reliable outside sources to contribute to the threaded discussion.
75 75%
Total CONTENT Points= 75 pts
DISCUSSION FORMAT
Interactive Dialogue 20 20%
4 Required Elements:
Responds a minimum of two other posts to peers and/or faculty in the threaded discussion;
Responses to peer/faculty are substantive (adds importance, depth, and meaningfulness to the discussion)
Responds to all direct questions from faculty (if no question asked directly, student responded to questions posed to the entire class)
Summarizes what was learned from the lesson, readings, and other student posts for the week. The summary could be included in one of the three minimum posts.
Grammar, Syntax, Spelling, Punctuation 5 5% Grammar, syntax, spelling, and punctuation are accurate.
25 25%
Total FORMAT Points = 25 pts
100 100%
DISCUSSION TOTAL = 100 pts -
“The Moral and Ethical Considerations of Organ Conscription Policies: Balancing Efficiency and Fairness in Addressing the Organ Shortage Crisis”
Write a 2–3 page paper that examines the moral and ethical considerations of organ conscription policies and theories.
if 2 page. it needs to be a full 2 pages, not 1.5. can not exceed 3.
There is a serious shortage of donor organs. Need vastly outstrips supply, due not only to medical advances related to organ transplantation, but also because not enough people consent to be cadaveric donors (an organ donor who has already died). Munson (2014) points out that in the United States, approximately 10,000 patients die each year because an organ donor was not available, which is three times the number of people killed in the terrorist attacks on 9/11.
But what is an efficient and morally sound solution to this problem? The policy of presumed consent, where enacted, has scarcely increased supply, and other alternatives, such as allowing donors to sell their organs, raise strong moral objections. In light of this, some have advocated for a policy of conscription of cadaveric organs (Spital & Erin, 2002). This involves removing organs from the recently deceased without first obtaining consent of the donor or his or her family. Proponents of this policy argue that conscription would not only vastly increase the number of available organs, and hence save many lives, but that it is also more efficient and less costly than policies requiring prior consent. Finally, because with a conscription policy all people would share the burden of providing organs after death and all would stand to benefit should the need arise, the policy is fair and just. -
Title: Implementation of Health Promotion Plan for a Hypothetical Community Individual/Group
Prepare a 10–12 slide PowerPoint presentation with a voice-over and detailed speaker notes that reflects your hypothetical presentation. This presentation is the implementation of the plan you created in Assessment 1. (I have attatched Assesment 1) The speaker notes should be well organized. Be sure to include a transcript of the voice-over (please refer to the PowerPoint tutorial). The transcript can be submitted on a separate Word document.
Simulate the hypothetical face-to-face educational session addressing the health concern and health goals of your selected community individual or group.
Imagine collaborating with the hypothetical participant(s) in setting goals for the session, evaluating session outcomes, and suggesting possible revisions to improve future sessions.
As you begin to prepare this assessment, you are encouraged to complete the Vila Health: Conducting an Effective Educational Session activity. The information gained from completing this activity will help you succeed with the assessment as you consider key issues in conducting an effective educational session for a selected audience. Completing activities is also a way to demonstrate engagement.
Presentation Format and Length
You may use Microsoft PowerPoint (preferred) or other suitable presentation software to create your presentation. If you elect to use an application other than PowerPoint, check with your faculty to avoid potential file compatibility issues.
Present your health promotion plan to your hypothetical audience.
Tailor the presentation to the needs of your hypothetical audience.
Adhere to scholarly and disciplinary writing standards and APA formatting requirements.
Evaluate educational session outcomes and the attainment of agreed-upon health goals in collaboration with participants.
Which aspects of the session would you change?
How might those changes improve future outcomes?
Evaluate educational session outcomes in terms of progress made toward Healthy People 2030 objectives and leading health indicators.
What changes would you recommend to better align the session with Healthy People 2030 objectives and leading health indicators?
Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years).
The number of content slides in your presentation is dictated by nature and scope of your health promotion plan. Be sure to include title and references slides per the following:
Title slide:
Health promotion plan title.
Your name.
Date.
Course number and title.
References (at the end of your presentation).
Be sure to apply correct APA formatting to your references. -
“Self-Care Reflections: Exploring Healing Tasks for Personal Well-Being”
you will implement a healing task that addresses your metaphysical environment to promote your self-care. Healing Tasks: Self-Care Reflections
Objective: The objective of this assignment is to promote self-care and reflection among students by engaging in healing tasks. Students will select a healing task for self-care and write a reflective essay discussing their experience and insights gained. You may use your text for examples of healing tasks.
Assignment Components:
1. Selecting a Healing Task:
– Choose a healing task from the text or select one based on personal preference and interest.
– Ensure that the selected task aligns with principles of self-care and promotes relaxation, rejuvenation, or emotional well-being.
2. Completing the Healing Task:
– Engage in the selected healing task with intention and mindfulness.
– Dedicate sufficient time and space to fully immerse oneself in the experience.
3. Reflection:
– Reflect on the experience of completing the healing task.
– Discuss the thoughts, emotions, and sensations experienced during the task.
– Explore the impact of the healing task on one’s overall well-being, stress levels, and emotional resilience.
– Analyze any insights or lessons gained from the experience and how they can be applied to future self-care practices.
– Each reflection should be submitted in a typed APA format, double-spaced, using a standard font and size.
– The length of each reflection should be between 500-800 words.
– Ensure clarity, coherence, and organization in your writing, with a clear introduction, body paragraphs, and conclusion.
– Include personal insights, reflections, and connections to course concepts or readings where applicable.
Please note: a similarity score greater than 15% will receive an automatic deduction of 10% from the overall grade of the paper. Students are responsible for ensuring papers meet the similarity criteria. Students have the ability to resubmit the paper to TurnItIn three times before the due date; as such, faculty will not review the similarity issues-only the score reflected in Canvas. Assessment Criteria:
– Depth of reflection: The extent to which the student engages in critical self-reflection and explores the impact of the healing task on their well-being.
– Integration of course concepts: The ability to connect personal experiences to relevant course concepts, theories, or readings.
– Clarity and coherence of writing: The clarity, organization, and coherence of the reflective essay.
– Application of learning: The student’s ability to apply insights gained from the healing tasks to future self-care practices.
– Adherence to submission guidelines: The student’s adherence to submission guidelines regarding format, length, and deadlines.
– Use APA 7th edition citation style for referencing sources and citations, title pare, reference page, and headers. -Resources published 2019-2024 peer reviewed nursing article -
Cultural Communication in Cuban Culture: Exploring Purnell’s Domains and its Impact on Nursing and Healthcare
This is a formal paper that requires correct grammar, punctuation, and APA format. This paper will also be used to post for a Group Discussion to the Cultural Communication Discussion. You do not need to do a running head for this paper, nor do you need an abstract. Use the following headings as a template and answer all questions. This paper is worth 20 points (20%) of your course grade. Eighteen of the points (18%) are for thorough content in the paper. The other 2 points (2%) are allotted for the correct use of APA format for at least three references and three citations in the body of the paper. One citation must come from a refereed journal article, one from a textbook, and one from an Internet source. You do not have to submit your paper through Turnitin but you may if you wish. This paper has no page limit, but most students complete it in 5 to 7 pages excluding the reference list.
Discuss your own culture’s pattern of communication using Purnell’s Domains of Culture as a guide. When your personal communication practices differ from what is in the scholarly literature, posit why. See the variant cultural characteristics as a guide. Speak to each one of the following points:
Identify your cultural ancestry. If you have more than one cultural ancestry, chose the one with which you most closely associate.
Explore the willingness of individuals in your culture to share thoughts, feelings, and ideas. Identify any area of discussion that would be considered taboo?
Explore the practice and meaning of touch in your culture. Include information regarding touch between family members, friends, members of the opposite sex, and health-care providers.
Identify personal spatial and distancing strategies used when communicating with others in your culture. Discuss differences between friends and families versus strangers.
Discuss your culture’s use of eye contact. Include information regarding practices between family members, friends, strangers, and persons of different age groups.
Explore the meaning of gestures and facial expressions in your culture. Do specific gestures or facial expressions have special meanings? How are emotions displayed?
Are there acceptable ways of standing and greeting people in your culture?
Discuss the prevailing temporal relation of your culture. Is the culture’s worldview past, present, or future-oriented? Temporality also includes punctuality.
Discuss the impact of your culture on your nursing and/or health care. Be specific, not something that is very general.
As an a additional instruction : the culture to write about is Cuban Culture. -
Caring for African American, Mexican, & Navajo Populations: Understanding the Importance of Folk Medicine, Cultural Beliefs, and Communication Barriers Introduction Cultural competence is an essential aspect of providing effective healthcare to diverse populations. As healthcare
Caring for African American, Mexican, & Navajo Populations
After studying Module 1: Lecture Materials & Resources, discuss the following:
Describe the importance of folk medicine practices and folk healers to African Americans in the rural setting.
Mrs. M., a Mexican American who just gave birth, tells the nurse not to include certain foods on her meal tray because her mother told her to avoid those foods while breastfeeding. The nurse tells her that she doesn’t have to avoid any foods and should eat whatever she desires. What concept does this demonstrate?
Describe at least two communication barriers encountered by non-Navajo nurses when providing care to Navajo clients.
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. -
“Disaster Recovery Plan: Addressing Health Disparities and Improving Access to Community Services” Part 1: Disaster Recovery Plan Introduction: Natural disasters can have a devastating impact on communities, often disproportionately affecting vulnerable populations and exacerbating existing health
Develop a disaster recovery plan to reduce health disparities and improve access to community services after a disaster. Then develop and record a 10–12 slide presentation
of the plan with audio and speaker notes for the local system, city officials, and the disaster relief team. *****2 parts. First, creating the diaster recovery plan. Second, develop the power point presentatino of the recovery plan***** PLEASE read all attachements and instructions carefully -
Title: The Nurse’s Role in Decision Making for Selecting Information Systems in Healthcare In today’s rapidly evolving healthcare landscape, the use of technology and information systems has become increasingly prevalent. These systems play a crucial role in improving patient care, increasing
After studying Module 4: Lecture Materials & Resources, discuss what the nursing’s role is and/or should be in decision making regarding selecting information systems.
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.
https://www.ajmc.com/view/the-value-of-health-information-technology-filling-the-knowledge-gap