SOAP note format

Clinical Case Presentations

Students must post one interesting case that he/she has seen in the clinical setting via Discussion Board in the online part of this course. The case should be an unusual diagnosis, or a complex case that required in-depth evaluation on the student’s part. The case should be posted in the SOAP format, with references for the patient diagnosis, differential diagnoses (there should be at least 3), and the treatment plan. Notes will be graded as “pass/fail”. In order to receive grade points for SOAP notes, the notes must be approved by the deadlines specified on the course assignments page. The student will lose the opportunity for points on any SOAP notes not approved by the specified deadlines. The posting does not have to be written in APA format, but should be written with correct spelling and grammar. References should be in APA format. The selected references should reflect current evidence – dated within the past 5 years. See rubric in the syllabus section  

(Week # 12: March 22 to March 29 – Main post under Assignment by Wed, March 25 at 11:59 PM EST).APA FORMAT ANSWER THE QUESTIONS AND TURNITING PROVE 

Students are required to post a minimum of three times per week (1 main post answering the question 100% before Wednesday at 11:59 PM EST and 2 peer responses by Sunday at 11:59 PM EST).The three posts in each individual discussion must be on separate days (same day postings / replies will not be accepted). 

Chapter 24 – Shamans. 

Chapter 25 – Faith and Prayer. 

Question(s):  Do you consider yourself a spiritual or religious person? Explain why? What is the importance of your faith in your daily life? 

 

CASE STUDY 4 – Reflecting on week 9’s lessons in the syllabus, select a patient population (young adult, adult or geriatric), and briefly analyze a common STDs & urological disorder (ex – UTI, Hematuria, Urolithiasis, Urinary Incontinence, Ac. Pyelonephritis, HIV, Bacterial vaginosis, Chlamydia, Gonorrhea, Trichomoniasis, Syphilis) that may affect this population. Briefly tell how it impacts the patient’s quality of life and analyze the current research evidence on this topic and gold standard of care if any for your chosen population. (You may use an example from your clinical rotation (past or present) that you have encountered). Describe how you, the FNP, can/or have made a difference in the care of patients with this specific condition and tell of one specific patient care teaching the patient can benefit from. Please post your CS directly in the thread so that your colleagues can see it and be sure to read and respond/comment on one of your colleagues posting.  

Respond using one or more of the following approaches:

Ask a probing question, substantiated with additional background information, and evidence.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.

Offer and support an alternative perspective using readings from the classroom or from your own review of the literature in the Walden Library.

Note: the answer of this post should be in a positive way 

                                                                  Main Post

                                                    

                                                     Roy’s Adaptation Model

 

There are nursing theorists who have formulated models that have guided nursing research for years. Many of these models present theories on how humans beings behave and adapt and how nursing is tied in to it all. For this discussion post, this writer explored Roy’s Adaptation Model which explains that humans are viewed as biopsychosocial adaptive systems who cope with who cope with environmental change through the process of adaptation (Polit & Beck, 2017). The systems that Roy refers to in human beings are the four subsystems of physiological/physical, self-concept or group identity, role function and interdependence These subsystems provide mechanisms on how humans deal with stimuli from our environment. This model is broken down to show how each change in our environment affects us and how the body deals with it. 

The Physiological subsystem

            This writer, researched how to apply Roy’s Adaptation Model to pregnant women who experience nausea vomiting. Many people were never able to explain how this process occurs and why does it happen to more than a few pregnant women in their first trimester of pregnancy. This article obtained from (Davis, 2014), utilized Roy’s theory to explain how the woman’s body deal with this change during pregnancy. The Physiological subsystem states that nausea and vomiting is related to the increased level of the Human Chorionic Gonadotropin hormone in the body when the woman is pregnant (Davis, 2014). The prolonged nausea and vomiting will subsequently affect the woman’s food intake as the inability to keep the food down deters women away from eating. This ultimately will lead the body into metabolic acidosis from the decreased intake in glucose, and the body now has to burn fat stores for energy (Davis, 2014). As a result of this pregnant women many times end up losing weight.

Self-Concept

Nausea and vomiting in pregnancy as it relate to self-concept reflects more on the mother having to spend time nursing themselves back to a healthy state and not spending enough time bonding with their unborn child (Davis, 2014). At this stage many women, may feel the need to end their pregnancy because it is causing them so much discomfort (Davis, 2014). If the woman tries to remedy the problem by taking medications the feeling of guilt may arise as they feel that they have done something to harm their baby. The mother, if she experienced nausea and vomiting throughout the pregnancy may experience some bonding issue with the baby as she was ill throughout most of the pregnancy.

Role Function

Role function as it pertains to nausea and vomiting during pregnancy is explained as the woman feeling that she has lost self-control due to the inability to live up to her roles (Davis, 2014). For example, the woman may not be able to take care of household and career duties which may ultimately affect the control she has over her life.

Interdependence

Roy’s interdependence subsystem explains that while experiencing nausea and vomiting the pregnant woman’s relationship with her mother and spouse are many times disrupted. The cause of this is related to their unwillingness to believe her inability to cope with the ill feelings of nausea and vomiting (Davis, 2014). At many times, her family may believe her symptoms are not as severe as she portrays and this will affect the way they engage with each other.

Basing research off an established model

Basing research off an established model directs the researcher into an area that provides much support for their topic of interest. It provides information that support or offer a base on which the researcher can make comparisons. In addition, it opens up fresh and new perspectives that can enlighten the researcher.  Many of these theorists have tested these theories and applied these models to areas in real life. There is tested evidence available for the researcher to use in support of their research.

In conclusion, Roy’s Adaptive theory provided a new approach on viewing and interpreting many disease states or illnesses. This writer supports this theory, because much of what we experience as humans are rarely just physiological. Most of our illnesses can be explained thoroughly on how it affects our bodies physically but in addition to that, illnesses also affect us psychologically, emotionally, and socially.

 

References

 

Davis, M. (2014). Nausea and vomiting of pregnancy an evidence-based review. Journal of 

Perinatal & Neonatal Nursing, 18, 312-328.

 

Gigliotti, E. (2016). The value of nursing models in practice. Dokuz Eylul University School of 

Nursing Electronic Journal, 1(1), 42-50.

 

 Mete, S. (2014). Nursing Care of Nausea and Vomiting in Pregnancy: Roy Adaptation Model. 

Nursing Science Quarterly, 23(2), 148–155.

 

Polit, D. F., & Beck, C. T. (2017). Nursing research: Generating and assessing evidence for 

nursing practice (10th ed.). Philadelphia, PA: Wolters Kluwer.

Write a paper in which you address the following:

1.  Discuss your dissection of the sheep heart and the cardiovascular system of the fetal pig by doing the following:

a.  Describe the similarities and differences between the fetal pig heart and the sheep heart.

b.  Describe the four valves of the heart, including their name, location, and function.

c.  Discuss the similarities and differences between the left and right sides of the heart.

d.  Compare the structure of the atrioventricular valves to the structure of the semilunar valves.

e.  Describe the appearance of the papillary muscles.

f.  Describe the path that blood takes starting in the right atrium and ending in the superior/inferior vena cava.

2.  Discuss your dissection of the respiratory system of the fetal pig by doing the following:

a.  Compare the structure of the trachea to the structure of the esophagus.

b.  Describe how the structures of the respiratory system (i.e., trachea, bronchi, and lungs) relate to their functions.

c.  Describe the texture of the lungs.

d.  Describe the similarities and differences between the left lung and the right lung.

3.  Discuss your dissection of the sheep kidneys and the urinary system of the fetal pig by doing the following:

a.  Compare the structure of the fetal pig kidneys to the structure of the sheep kidneys.

b.  Describe the location of the kidneys in the fetal pig.

c.  Describe the path that urine takes to exit the body, starting in the kidney.

4.  Discuss your dissection of the components of the endocrine system of the fetal pig by doing the following:

a.  Describe the endocrine organs that are located in the throat region (e.g., function and appearance).

b.  Describe three endocrine organs that are located in the abdominal or pelvic cavities.

5.  Discuss your dissection of the digestive system of the fetal pig by doing the following:

a.  Describe the major digestive organs, including their name, location, relative size, and physical characteristics (e.g., color, shape, texture).

b.  Describe the accessory digestive organs, including their name, location, relative size, and physical characteristics (e.g., color, shape, texture).
 

B.  When you use sources, include all in-text citations and references in APA format.