Follow the Soap Note Rubric as a guide:

Use APA format and must include minimum of 2 Scholarly Citations.

Soap Note Rubric:

  

(Student Name)

Miami Regional University

Date of Encounter:

Preceptor/Clinical Site:

Clinical Instructor: 

Soap Note # 1     Main Diagnosis: Acute Myocardial Infarction

PATIENT INFORMATION

Name:

Age: 

Gender at Birth: 

Gender Identity: 

Source: 

Allergies: 

Current Medications: 

 

PMH: 

Immunizations: 

Preventive Care: 

Surgical History: 

Family History:

Social History: 

Sexual Orientation: 

Nutrition History: 

Subjective Data:

Chief Complaint: 

Symptom analysis/HPI:

The patient is … 

Review of Systems (ROS)

CONSTITUTIONAL: 

NEUROLOGIC: 

HEENT: 

RESPIRATORY: 

CARDIOVASCULAR: 

GASTROINTESTINAL: 

GENITOURINARY: 

MUSCULOSKELETAL: 

SKIN: 

Objective Data:

VITAL SIGNS: 

GENERAL APPEARANCE: 

NEUROLOGIC:

HEENT: 

CARDIOVASCULAR: 

RESPIRATORY: 

GASTROINTESTINAL: 

MUSKULOSKELETAL:

INTEGUMENTARY: 

ASSESSMENT:

Main Diagnosis

(Include the name of your Main Diagnosis along with its ICD10 I10. (Look at PDF example provided) Include the in-text reference/s as per APA style 6th or 7th Edition. 

Differential diagnosis (minimum 3)

–

–

–

PLAN:

Labs and Diagnostic Test to be ordered (if applicable)

· – 

· – 

Pharmacological treatment: 

–

Non-Pharmacologic treatment: 

Education (provide the most relevant ones tailored to your patient)

Follow-ups/Referrals

References (in APA Style)

Examples 

Codina Leik, M. T. (2014). Family Nurse Practitioner Certification Intensive Review (2nd ed.). 

ISBN 978-0-8261-3424-0

Domino, F., Baldor, R., Golding, J., Stephens, M. (2010). The 5-Minute Clinical Consult 2010

(25th ed.). Print (The 5-Minute Consult Series).

I attached one example:

Please no plagiarism!!!

 

Discussion: Diversity and Health Assessments

May 2012, Alice Randall wrote an article for The New York Times on the cultural factors that encouraged black women to maintain a weight above what is considered healthy. Randall explained—from her observations and her personal experience as a black woman—that many African-American communities and cultures consider women who are overweight to be more beautiful and desirable than women at a healthier weight. As she put it, “Many black women are fat because we want to be” (Randall, 2012).

Photo Credit: Getty Images

Randall’s statements sparked a great deal of controversy and debate; however, they emphasize an underlying reality in the healthcare field: different populations, cultures, and groups have diverse beliefs and practices that impact their health. Nurses and healthcare professionals should be aware of this reality and adapt their health assessment techniques and recommendations to accommodate diversity.

In this Discussion, you will consider different socioeconomic, spiritual, lifestyle, and other cultural factors that should be taken into considerations when building a health history for patients with diverse backgrounds. Your Instructor will assign a case study to you for this Discussion.

To prepare:

• Reflect on your experiences as a nurse and on the information provided in this week’s Learning Resources on diversity issues in health assessments.
• By Day 1 of this week, you will be assigned a case study by your Instructor. Note: Please see the “Course Announcements” section of the classroom for your case study assignment.
• Reflect on the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient assigned to you.
• Consider how you would build a health history for the patient. What questions would you ask, and how would you frame them to be sensitive to the patient’s background, lifestyle, and culture? Develop five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.
• Think about the challenges associated with communicating with patients from a variety of specific populations. What strategies can you as a nurse employ to be sensitive to different cultural factors while gathering the pertinent information?

By Day 3 of Week 2

Post an explanation of the specific socioeconomic, spiritual, lifestyle, and other cultural factors associated with the patient you were assigned. Explain the issues that you would need to be sensitive to when interacting with the patient, and why. Provide at least five targeted questions you would ask the patient to build his or her health history and to assess his or her health risks.

” NO Plagiarism” 

Apply Kant’s moral philosophy to judge the MAIN FINAL action. For “Gone Baby Gone” movie  judge Patrick’s final decision Judging any other action in the movie is an automatic zero. 500 + words minimum in MLA/APA format.

*You must apply Kant’s 3 premises and Michael Sandel’s 3 contrasts 50% points for both

https://www.youtube.com/watch?v=8rv-4aUbZxQ

 In the case of ” Gone Baby Gone” the philosophical process you will follow in this paper should sound as something like this:

1. According to Kant’s first premise Patrick behaved moral because he returned the victim he was hired to find and without condition this is the “right” conduct for any detective in cases of kidnapping (the “First Maxim”). Here Kant speaks of doing the right prior to good.

2. On Kant’s second premise Patrick acted moral because he respected the dignity of Amanda and he treated her as an end in herself and not as means to an end like everyone else was doing in the film (the “Second Maxim”). Here Kant speaks of humans as special creatures and ends in themselves. Humans are ends, not means to an end. Los seres humanos son un fin, no un medio para un fin.

3. The conclusion is that a detective act morally when he reports a kidnapping to the police and this behavior should establish a universal law governing all detectives in cases of kidnapping (the “Third Maxim”). Here Kant asks us to test the universality of our action. Will it be OK if everyone does what I am about to do?

  (You will apply Kant’s 3 premises and Sandel’s 3 contrasts to what the detective does at the very end of the film which is call the police and report the kidnapping. It should not be difficult but you must see the videos first and see what Kant moral philosophy is all about)

Kant’s Categorical Imperative

Nature of the concept

The concept of the categorical imperative is a syllogism

1.The first premise is that a person acts morally if his or her conduct would, without condition, be the “right” conduct for any person in similar circumstances (the “First Maxim”).

2.The second premise is that conduct is “right” if it treats others as ends in themselves and not as means to an end (the “Second Maxim”).

3.The conclusion is that a person acts morally when he or she acts as if his or her conduct was establishing a universal law governing others in similar circumstances (the “Third Maxim”).

  

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data-focused more on these factors and less on color options and sound systems.

The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.

In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.

To Prepare:

• Review the Resources and identify a clinical issue of interest that can form the basis of a      clinical inquiry.
• Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
• Based on the clinical issue of interest and using keywords related to the clinical issue of interest,      search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
• Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course. 

Assignment:

· Post a brief description of your clinical issue of interest. This clinical issue will remain the same for the entire course and will be the basis for the development of your PICOT question. 

· Describe your search results in terms of the number of articles returned on original research and how this changed as you added search terms using your Boolean operators. 

· Finally, explain strategies you might make to increase the rigor and effectiveness of a database search on your PICO(T) question. Be specific and provide examples.