soap 1 2025

Select a patient that you examined during the last three weeks. With this patient in mind, address the following in a SOAP Note: Subjective: What details did the patient provide regarding her personal and medical history? Objective: What observations did you make during the physical assessment? Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why? Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Reflection notes: What would you do differently in a similar patient evaluation? Patient Information: Chief Complaint vaginal discharge and odor History of Present Illness 21 yo presents with c/o vaginal discharge. she did have positive chlamydia on 1/5/17 and states that she and her partner were treated. She denies having intercourse since that time.. she has not had a TOC. describes discharge as being light and being present for 1 week. There is an odor but it is not a fishy odor.. She also wants to know if she is able to use represh products to prevent vaginal discharge. She denies any abdominal pain, fever Review of Systems Constitutional: Denies fevers chills Gastrointestinal: Denies nausea vomiting diarrhea, abdominal pain Genitourinary: Negative Gynecological: see HPI Neurologic: Negative Psychiatric: Denies anxiety and depression Physical Exam Vitals & Measurements HR: 77 (Peripheral) BP: 116/71 HT: 64.5 in WT: 175.8 lb BMI: 29.71 Gen.: Alert and oriented, not acute distress Abdominal: Nontender nondistended, bowel sounds present, incisions clean dry and intact Genitourinary: Vagina: Scant white discharge in the posterior fornix Cervix: Cervical mucus and Mirena IUD strings noted at the os Neurologic: Alert and oriented Assessment/Plan 1. Acute Chlamydia trachomatis infection of genitourinary site GCC obtained. encouraged condoms consistently. no signs of PID. ****pt contacted and informed of positive Chlamydia results. pt informed that medication has been sent her pharmacy. pt informed that she was given 500mg dosage so this time she will take two pills PO at the same time. pt informed that her partner can go to the health department for treatment. pt informed that the third party needs to be treated as well. pt educated on the importance of all parties being treated to reduced exposure and reinfection. pt verbalized understanding, no further questions at this time. 99214 office outpatient visit 25 minutes (Charge), Quantity: 1, Acute Chlamydia trachomatis infection of genitourinary site | Vaginal discharge 2. Vaginal discharge Affirm collected. treat per results.

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Qualitative Research Critique and Ethical Considerations 2025

Details: Use the practice problem and a qualitative, peer-reviewed research article you identified in the Topic 1 assignment to complete this assignment. In a 1000-1,250 word essay, summarize the study, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study. Refer to the resource “Research Critique Guidelines” for suggested headings and content for your paper. 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 Turnitin. Please refer to the directions in the Student Success Center.

Nursing Assignment Help 2025