SOAP note 2025

Week 2 Case 2: Alzheimer’s Ms. Washington is a 67-year-old African American female who is brought to your office by her daughter with concerns of “forgetfulness.” She has lived with her daughter for 4 years now, and her daughter reports noticing she asks the same questions even after they have been answered. She even reports her mom getting lost in Walmart recently. Ms. Washington has lived with her daughter since losing her husband of 57 years, about 4 years ago. Her daughter states her mother is a retired teacher and usually very astute but notices more forgetfulness. According to Ms. Washington’s daughter, Angela, her mom has been demonstrating increased forgetfulness of more recent things but can easily recall historical moments and events. She also reports that sometimes her mom has difficulty “finding the right words” in a conversation, and then will shift to an entirely different line of conversation. She also said her mother will “laugh off” things when she forgets important appointments and/or become upset or critical of others who try to point these things out. Note: Be sure to review the Mini-Mental State Exam (MMSE) and how to interpret results. Use the MMSE, in the attached document, to determine the patient’s MMSE score in the video. Make sure you document the patient’s score in your SOAP note document: Mental State Assessment Tests . Ms. Washington is a 67-year-old female who is alert, cooperative with today’s clinical interview. Her eye contact is fair. Speech is clear and coherent but tangential at times. She makes no unusual motor movements and demonstrates no tics. She denies any visual or auditory hallucinations. She denies any suicidal thoughts or ideations. She is alert and oriented to person, partially oriented to place but is disoriented to time and place. (She reported that she thought was headed to work but “wound up here,” referring to your office, at which point she begins to laugh it off.) She denies any falls or pain. All other Review of System and Physical Exam findings are negative other than stated. PMH: Hypertension, Hyperlipidemia, Osteoporosis Allergies: Penicillin, Lisinopril Medications: Amlodipine 10mg daily HCTZ 12.5mg daily Multivitamin daily Atorvastatin 40mg daily Alendronate 70mg orally once a week Social History: As stated in Case Study ROS: As stated in Case study Diagnostics/Assessments done: CXR—no cardiopulmonary findings. WNL CT head—diffuse Cerebral Atrophy MMSE—Ms. Washington scores 18 out of 30 with primary deficits in orientation, registration, attention and calculation, and recall. The score suggests moderate dementia. The Assignment: Complete the Focused SOAP Note Template provided for the patient in the case study. Be sure to address the following: Subjective: What was the patient’s subjective complaint? What details did the patient provide regarding their history of present illness and personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list to the American Geriatrics Society Beers Criteria®, and consider alternative drugs if appropriate. Provide a review of systems. Objective: What observations did you note from the physical assessment? What were the lab, imaging, or functional assessments results? How would you interpret and address the results of the Mini-Mental State Examination (MMSE)? Assessment: Provide a minimum of three differential diagnoses. List them from top priority to least priority. Compare the diagnostic criteria for each, and explain what rules each differential in or out. Explain you critical thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case. Plan: Provide a detailed treatment plan for the patient that addresses each diagnosis, as applicable. Include documentation of diagnostic studies that will be obtained, referrals to other healthcare providers, therapeutic interventions, education, disposition of the patient, caregiver support, and any planned follow-up visits. Provide a discussion of health promotion and disease prevention for the patient, taking into consideration patient factors, past medical history (PMH), and other risk factors. Finally, include a reflection statement on the case that describes insights or lessons learned. Provide at least three evidence-based peer-reviewed journal articles or evidenced-based guidelines, which relate to this case to support your diagnostics and differentials diagnoses. Be sure they are current (no more than 5 years old) and support the treatment plan in following current standards of care. Follow APA 7th edition formatting.

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Nursing Practice Course Outline: Course Outcomes and Learning Objectives 2025

This assignment is for Master’s in Nursing Education Class. PLEASE READ THE QUESTION CAREFULLY Course design is guided by curriculum outcomes, and course outlines must be developed to ensure that learners are meeting the intended outcomes . Curriculum development and course design are influenced by many factors, such as program level and setting. The course design process begins with broad program or organizational outcomes and narrows to specific objectives to guide instruction. The purpose of this assignment is to develop a course outline for one topic related to nursing practice (e.g., leadership, pediatric nursing, community health, psychiatric nursing, theoretical nursing, etc.) that includes all key elements (name of the course, course outcomes, topical outlines/modules, and assessments including assigned weight). Incorporate at least two of the QSEN competencies in your course and four-course objectives . You will choose a health care practice for this assignment and build upon it throughout the course in order to achieve an understanding of the curriculum development process. 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. This is the book we are referring in class. Billings, D. M., & Halstead, J. A. (2019). Teaching in nursing: A guide for faculty (6th ed.). Saunders. ISBN-13: 9780323554725

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Case Study 2025

A 23-year-old male patient is admitted with a fracture of C6 and C7 that has resulted in quadriplegia. He was injured during a football game at the university where he is currently a senior. His career as a quarterback had been very promising. At the time of the injury, contract negotiations were in progress with a leading professional football team. 1. Use Roy’s criteria to identify focal and contextual stimuli for each of the four adaptive modes. 2. Consider what adaptations would be necessary in each of the following four adaptive modes: (1) physiological, (2) self-concept, (3) interdependence, and (4) role function. 3. Create a nursing intervention for each of the adaptive modes to promote adaptation. I just need the answer for each question, with 3 references, and please no plagiarism is acceptable.

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Week 7 Discussion: TV as Art 2025

Required Resources Read/review the following resources for this activity: Textbook: Chapter 13, 14 Minimum of 1 primary or scholarly source (from actor/director or critic – either will count as your scholarly source requirement for discussions) Initial Post Instructions Many people would say that the 1999 premier of The Sopranos was a turning point in the development of television as an art form. Choose a television or streaming show that you feel perpetuates the idea that television is indeed a form of art. For the initial post, address the following: Include the name of the show and the director. Explain why you think this program is art. What impact does the example have on viewers’ lives? What were some influences of this work? Include a statement from an actor, director, or critic of the program that supports your points. Follow-Up Post Instructions Respond to at least one peer. Respond to one peer who chose an option different from yours. Further the dialogue by providing more information and clarification. Follow up post: Dora Hello Class and Professor, I am going to be the stereotypical nursing student here by talking about Grey’s Anatomy. This television show has been airing for 17 seasons. Many shows struggle to maintain approval for further seasons and episodes while this is one that has done so without difficulty. This show proves itself as an art form as it emotionally moves its viewers: as Martin and Jacobus state, “The power of the image to excite a viewer, combined with music and sound, is more and more becoming an intense experience as the technology of the medium develops” (2019, pp. 331). The show emotionally draw’s many in as it expresses a multitude of issues such as health problems, addiction, death of loved ones, racial inequalities. This show has impacted viewers’ lives as it provides a relation to such issues and shows people they are not alone in their struggles. They advocate for change and improvement in healthcare and overall in public issues. One professor from the University of Illinois performed a study on the impact of Grey’s Anatomy and stated, “the more episodes viewers watched, the more likely they were to perceive the show as credible, and then the more likely they were to perceive the show as credible, the more likely they were to perceive real world doctors as their doctors to be courageous, which that led to patient satisfaction” (2020). The show recently had its focal point for season 17 set on COVID-19 and I myself found the episodes highly realistic. I saw personal protective equipment shortages, healthcare workers struggling with burnout, healthcare workers emotionally processing the constant deaths of their patients: all of these I had dealt with during the COVID outbreak and it moved me. This moved me to know that someone was shining a light on the difficulties we faced every day when we clocked in. Grey’s Anatomy has been influenced by many real life diseases and occurrences for episodes. The show has shown real diseases ranging anywhere from cancer to Kawasaki’s disease. Some may be rare and some are ever so common. The show has been a major influence for further medical shows to go on and have a fan base to continue seasons. The show has realistic outcomes and not every episode is a happy ending which furthers the connection viewer’s have with the show. When the creator and executive producer was asked about how the show relates to real world diversity, Shonda Rhimes states, “It’s who is telling the stories,” she says, “because the people telling the stories are the people deciding who you see onscreen, they’re the people who are deciding who are in the writers rooms, they’re the people deciding on the crew” (Shonda Rhimes on Raising the Next Generation of TV Producers, 2021). Martin, F. D., & Jacobus, L. A. (2019). The humanities through the arts. New York: McGraw-Hill Education. Author, G. (2020, September 3). Grey’s Anatomy’s Real World Effect. Prospective Doctor. https://www.prospectivedoctor.com/greys-anatomys-real-world-effect/ (Links to an external site.) Shonda Rhimes on Raising the Next Generation of TV Producers. (2021). TIME.Com. https://time.com/collection-post/4081997/shonda-rhimes-viola-davis-scandal-kerry-washington/ Writing Requirements Minimum of 2 posts (1 initial & 1 follow-up) Minimum of 2 sources cited (assigned readings/online lessons and an outside source) APA format for in-text citations and list of references

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case study 4 pages 2025

Case Study 1: Disorders of Hemostasis Leona is 52 years old and smokes. She is also overweight and has atherosclerosis. When she was given a 2-week vacation from work, she packed up her bags and flew from Minnesota to Sydney, Australia, for the trip she always wanted to take. Unfortunately, just 3 days after she arrived, she was hospitalized when her left calf became inflamed, causing her considerable pain. The physician attending to her told her she developed a deep vein thrombosis. Explain, using your knowledge of hypercoagulability, why the trip to Australia contributed to Leona’s DVT? Why was Leona already at risk for thrombus development? How does Leona’s atherosclerosis affect platelet function? Conversely, what is the effect of increased platelet activity on the development of atherosclerosis? How do atherosclerosis and immobility promote changes in blood coagulation? When Leona was in hospital, she received heparin therapy. Explain why this course of action was taken to treat her DVT. Why was she not given heparin tablets to take back to the hotel with her?

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