2025 GTPAL stand for gravida term preterm abortions living Gravida how many pregnancies a woman has

GTPAL assignment 2025

GTPAL stand for: gravida, term, preterm, abortions, living Gravida: how many pregnancies a woman has had. Term how many pregnancies delivered that have reached or surpassed 37 weeks. Term: deliver at 37 or greater weeks Preterm: how many pregnancies between 20-37 (actually 36 and 6/7) wks Abortion: pregnancy loss at less than 20 weeks. Abortions may also be induced by physicians or spontaneously. Living: how many children are living now?: *** Multiple births ( twins , triplets and higher multiples) count as one birth 1. This is mom’s 1st pregnancy: 2. 2nd pregnancy and she had an AB at 8 wks for the 1st pregnancy 3. 3rd pregnancy. 1st pregnancy delivered at 38 and 2nd pregnancy was twins delivered at 29 wks. 1 of those children died. 4. 2nd pregnancy. Delivered twins at 37 wks both live pregnancy. 5. 3rd pregnancy. Delivered triplets at 28 wks and 2 of the babies survived. Had an elective AB at 6 wks. 6. This is a woman’s 5 pregnancies, births at 41 week, 39 5/7 weeks, 38 6/7 and 36 5/7 weeks 1 induced abortion at 10 weeks , and 4 living children at this time. 7. a pregnant woman who carried one pregnancy to term with a surviving infant; carried one pregnancy to 35 weeks with surviving twins; carried one pregnancy to 9 weeks as an ectopic (tubal) pregnancy; and has 3 living children would have a GTPAL annotation of? 8. A woman who has given birth at term once and has had one miscarriage at 12 weeks would be recorded as? Rubric: This assignment is worth 5 points. 1 point for APA and style of paper. .5 point for each of the eight cases. Partial points are not awarded if you get part of a case incorrect you get the whole case incorrect. Use page 259 in your text book for further details. Explain your rationale. Demonstrations will be done in class.

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2025 Qualitative Research Write a fully developed and detailed APA essay addressing each of the following

qualitative research study 2025

Qualitative Research Write a fully developed and detailed APA essay addressing each of the following points/questions. 2500 word count; be sure to completely answer all the questions for each question in detail. Separate each section in your paper with a clear heading that allows your professor to know which bullet you are addressing in that section of your paper. Support your ideas with at least one (1) source using citations in your essay. Make sure to cite using the APA writing style for the essay. The cover page and reference page are required. Review the rubric criteria for this assignment. Conduct a literature search to select a qualitative research study on the topic identified in Module 1. (  The clinical question identified in this section is about chronic neck pain in adults). Conduct an initial critical appraisal of the study. Respond to the overview questions for the critical appraisal of qualitative studies, including: What type of qualitative research design was utilized to conduct the study? Are the results valid/trustworthy and credible? How were the participants chosen? How were accuracy and completeness of data assured? How plausible/believable are the results? Are implications of the research stated? May new insights increase sensitivity to others’ needs? May understandings enhance situational competence? What is the effect on the reader? Are the results plausible and believable? Is the reader imaginatively drawn to the experience? What are the results of the study? Does the research approach fit the purpose of the study? How does the researcher identify the study approach? Are the data collection and analysis techniques appropriate? Is the significance/importance of the study explicit? Does the literature support a need for the study? What is the study’s potential contribution? Is the sampling clear and guided by study needs? Does the researcher control selection of the sample? Do sample size and composition reflect the study needs? Is the phenomenon (human experience) clearly identified? Are data collection procedures clear? Are sources and means of verifying data explicit? Are researcher roles and activities explained? Are data analysis procedures described? Does analysis guide directions of sampling when it ends? Are data management processes described? What are the reported results (descriptive or interpretation)? How are specific findings presented? Are the data meanings derived from data described in context? Does the writing effectively promote understanding? Will the results help me care for my patients? Are the results relevant to persons in similar situations? Are the results relevant to patient values and/or circumstances? How may the results be applied to clinical practice? Please be sure to answer the questions thoroughly using complete sentences and APA format. Explain responses to yes/no questions in detail by presenting information found in the study to support your response. Provide a reference for the article according to APA format and a copy of the article. Assignment Expectations: Length: Clearly and fully answer all questions; attach a copy of the article Structure: Include a title page and reference page in APA format. Your essay must include an introduction and a conclusion. References: Use appropriate APA style in-text citations and references for all resources utilized to answer the questions. A minimum of one (1) scholarly source for the article is required for this assignment. Rubric: This assignment uses a rubric for scoring. Please review it as part of your assignment preparation and again prior to submission to ensure you have addressed its criteria at the highest level.

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2025 Now it s time to turn in your semester project Remember your project should include the following

Module 11 Course Project – Semester Project Completion 2025

Now, it’s time to turn in your semester project. Remember your project should include the following: * A Mental Health Concern – and the Patient or Community – for your project. * A brief history of the patient including diagnoses and medications – or a brief description of the community issue. * Any substance abuse, addiction or violence issues surrounding this mental health problem. Describe the attempted interventions that have been made for your patient or community, and identify what has been successful and what has not. Submit a rough draft of information gathered so far. * Describe your thoughts regarding your patient’s or community’s mental health issue. Are there any cognitive concerns? Think about interventions that may be helpful. Include sources for evidence-based practice. * List appropriate nursing interventions for your chosen patient or community. How will you evaluate effectiveness? Include an evaluation tool or rubric. * Complete your Semester Project by identifying mental health resources that can be used for your chosen patient or community. Finish with an educational tool for your patient or community.

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2025 Details This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a

This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. 2025

Details: This assignment will incorporate a common practical tool in helping clinicians begin to ethically analyze a case. Organizing the data in this way will help you apply the four principles of principlism. Based on the “Case Study: Healing and Autonomy” and other required topic study materials, you will complete the “Applying the Four Principles: Case Study” document that includes the following: Part 1: Chart This chart will formalize principlism and the four-boxes approach by organizing the data from the case study according to the relevant principles of biomedical ethics: autonomy, beneficence, nonmaleficence, and justice. Part 2: Evaluation This part includes questions, to be answered in a total of 500 words, that describe how principalism would be applied according to the Christian worldview. Remember to support your responses with the topic study materials. APA style is not required, but solid academic writing is expected. You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance. PHI-413V-RS-T3ApplyingFourPrinciplesCaseStudy.docx

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2025 Create a 1 2 page resource that will describe databases that are relevant to EBP around a diagnosis you

Locating Credible Databases and Research 2025

Create a 1-2-page resource that will describe databases that are relevant to EBP around a diagnosis you chose and could be used to help a new hire nurse better engage in EBP. Evidence-based practice (EBP) integrates the best evidence available to guide optimal nursing care, with a goal to enhance safety and quality. EBP is crucial to nursing practice because it incorporates the best evidence from current literature, along with the expertise of the practicing nurse. The concern for quality care that flows from EBP generates a desired outcome. Without these factors, a nurse cannot be an effective leader. It is important to lead not only from this position but from knowledge and expertise. To gain the knowledge, you require a good understanding of how to search for scholarly resources, as well as identify which databases and websites are credible for the purposes of implementing evidence-based changes in practice. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: Competency 1: Interpret findings from scholarly quantitative, qualitative, and outcomes research articles and studies. Explain why the sources selected should provide the best evidence for the chosen diagnosis. Competency 2: Analyze the relevance and potential effectiveness of evidence when making a decision. Describe the best places to complete research and what types of resources one would want to access to find pertinent information for the diagnosis within the context of a specific health care setting. Competency 4: Plan care based on the best available evidence. Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis. Competency 5: Apply professional, scholarly communication strategies to lead practice changes based on evidence. Describe communication strategies to encourage nurses to research the diagnosis, as well as strategies to collaborate with the nurses to access resources. Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style. Professional Context As a baccalaureate-prepared nurse, you will be responsible for providing patient-centered, competent care based on current evidence-based best practices. You will be required to do research, analysis, and dissemination of best evidence to stay abreast of these best practices. Understanding where to go to find credible sources and locate evidence, as well as which search terms to use, is the foundation of incorporation of best practices. Scenario You are supervising three nurses working on the medical-surgical floor of a local teaching hospital. This hospital is nationally recognized as a leader in education and has a computer lab with an online library where staff has access to medical research databases (that is, CINAHL, PubMed, Medline, and Cochrane library) and online sources of all hospital policies, procedures, and guidelines, and computers at nurse workstations that also have access to these resources. (For this scenario, use the Capella University Library to simulate the hospital’s online library.) You have given the nurses their patient assignments and you have all participated in shift report. A new nurse who just completed orientation and training a week ago approaches you and tells you that one of the assigned patients has a diagnosis he or she is very unfamiliar with. Knowing that patient-centered care based on best practices is imperative to positive patient outcomes, you want to assist this nurse to find research that can be utilized to provide the best care for this patient. Describe how you would communicate with this nurse to encourage him or her to research the diagnosis. Assume you will assist in the quest to locate evidence, then describe where you would go within the facility and what resources you would look for. These resources may include websites, journals, facility policies or guidelines, or any other sources of online information. You may choose the diagnosis for the patient in this scenario. Choose something you would find interesting to research or that applies to a clinical problem you would be interested in addressing. Create a list of at least five sources that could be used to find evidence, with the best source listed first, and explain why the sources you chose are best to find evidence for the diagnosis you chose and the clinical scenario. You are only evaluating the sources of evidence (database, website, policy database or website, et cetera). You are not actually completing a search and selecting evidence. Consider the following examples: a nursing journal in CINAHL may not be the best source of evidence for information on how to administer medications through a central-venous catheter, whereas a hospital policy database found on a website may not be the best source of information on caring for a patient with a rare chromosomal abnormality. Preparation To help ensure you are prepared to complete this assessment, review the following resources related to the Capella library. These resources will provide you an overview of the types of tools, resources, and guides available in the library. This may be useful in forming a better understanding of the library to apply to the hypothetical situation laid out in the scenario of this assessment. BSN Program Library Research Guide . Evidence-Based Practice in Nursing & Health Sciences . Databases A-Z: Nursing & Health Sciences . Get Critical Search Skills . Remember, it is also appropriate to look toward databases and resources outside of the Capella library, such as organizational policies, professional organizations, and government health care resources. You are encouraged to complete the Evaluating the Credibility of Evidence activity. This activity offers an opportunity to practice evaluating the credibility of evidence. These skills will be necessary to complete Assessment 1 successfully and is for your own practice and self-assessment. Completing this activity is also a way to demonstrate course engagement. Instructions The purpose of this assessment is to understand where to find evidence that can be applied to clinical scenarios and to learn effective communication and collaboration with clinical staff during the process of evidence location. As a baccalaureate-prepared nurse, you will not only use research for self-improvement in your clinical role, but you will also serve as a mentor to supervised nursing staff. Therefore, you will need to be able to communicate and collaborate effectively to guide them toward resources to find research, as well as support them through the initial evidence location process. In doing so, nurses can gain access to evidence that can be analyzed and utilized to stay current on best practices. This allows them to provide safe, patient-centered care and improve patient outcomes. For this assessment: Describe your role as a baccalaureate-prepared nurse supervising clinical staff nurses with regard to communication and collaboration in locating evidence for application to a nursing practice scenario. Compile a list of five online databases or other online sources (that is, websites, journals, facility policies or guidelines, et cetera) that can be used to research evidence to apply to this scenario and describe to which of these you would direct a nurse colleague to search for evidence. Describe where you might go in the clinical setting to complete this research and how you would access the desired, relevant research within research databases or other online sources. Be sure to address the following in this assessment, which correspond to the grading criteria in the scoring guide. Please study the scoring guide carefully so that you will know what is needed for a distinguished score. Describe communication strategies to encourage nurses to research the diagnosis, as well as strategies to collaborate with the nurses to access resources. Describe the best places to complete research and what types of resources you would want to access to find pertinent information for the diagnosis within the context of a specific health care setting. Identify five sources of online information (medical journal databases, websites, hospital policy databases, et cetera) that could be used to locate evidence for a clinical diagnosis. Explain why the sources of online information selected should provide the best evidence for the chosen diagnosis. Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style. Note : While you are not selecting and evaluating specific evidence to help with the clinical diagnosis, you should still be citing the literature and best practices to support your description of your communication and collaboration approach. Additionally, it is appropriate to cite best practices related to EBP and evaluating databases to support your explanation as to why you selected the five sources of online information that you did. Submission Requirements Your assessment should meet the following requirements: Length of submission : 1–2 pages (not including the reference page) description of communication, collaboration, and evidence location process, including a list of databases or other sources with description of why they are appropriate for clinical scenario diagnosis (that is, something that would be useable in professional practice for other nurses). Be sure to include an APA-formatted reference page at the end of your submission. Number of references : Cite a minimum of three sources of scholarly or professional evidence that supports your findings and considerations. Resources should be no more than five years old. APA formatting : References and citations are formatted according to current APA style. Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

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2025 Watch this video below on U tube YMH Boston 2013c May 22 Vignette 4 Introduction to a mental health

Week 1: Comprehensive Integrated Psychiatric Assessment 2025

Watch this video below on U tube YMH Boston. (2013c, May 22). Vignette 4 – Introduction to a mental health assessment [Video file] . Retrieved from https://www.youtube.com/watch?v=JCJOXQa9wcE Note: The approximate length of this media piece is 4 minutes. Based on the YMH Boston Vignette 4 video , post answers to the following questions: · What did the practitioner do well? · In what areas can the practitioner improve? · At this point in the clinical interview, do you have any compelling concerns? If so, what are they? · What would be your next question, and why?

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2025 Part 1 Executive Summary Using the Healthcare Budget Request Template develop a 1 to 2 page executive summary

Healthcare Budget Request – Executive Summary 2025

Part 1: Executive Summary Using the Healthcare Budget Request Template, develop a 1- to 2-page executive summary that describes the issue or opportunity that you are analyzing. Part 2: Workbook Template apply financial ratios and other calculations to make the business case for your idea. In this component of the assignment, you will customize a spreadsheet workbook and prepare it for use in your analysis.

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2025 Assignment Practicum Planning for the Practicum The practicum experience provides a significant opportunity to cultivate your professional growth

Planning for the Practicum 2025

Assignment: Practicum: Planning for the Practicum The practicum experience provides a significant opportunity to cultivate your professional growth and development. What skills, attributes, or categories of knowledge do you most need or want to nurture? How would improving in these areas enable you to be a more effective leader? And how would that allow you to facilitate the translation of evidence into practice? This course includes a 216-hour practicum as part of the 1,000 clinical hours that are required for the DNP credential. In your practicum experience for this course, you will examine the change process as it relates to the translation of evidence into practice. In addition, throughout your practicum experience you will pay close attention to the role of leadership in such endeavors and reflect on your own development of leadership competencies. This week you develop a plan for your practicum. Note: If you have not already done so, formalize the relationship with your practicum mentor. To prepare: Review the information presented in the Learning Resources, and consider what approach you would use (including specific steps of the process) to plan for and implement an aggregate-level change that facilitates the translation of evidence into practice. Begin with the analytical process required to identify the change that needs to be made. Think about learning objectives that would guide your practicum hours, as well as the activities you will undertake to achieve those objectives. Draft two or three learning objectives that are related to the AACN DNP Essentials, your practice area specialty competencies, and the focus of this course—planning for and implementing a sustainable change related to the translation of evidence into practice, as well as the development of leadership competencies to facilitate this. Refer to the Practicum Time Log and Journal document (see attached file). Develop a time line for your practicum experience. Note : You will submit your time log and a journal entry by the end of Weeks 3, 7, and 11. Note: It is important to formulate a big-picture view of this process. In Weeks 2 and 3, you will work with your practicum mentor to examine a change already underway or previously accomplished, and identify an additional aggregate-level change you would like to propose. You are not required to implement this change, but you do need to select an idea that is feasible, based on evidence, and appropriate for your practicum setting. By Wednesday 2/27/19 before midnight, write a 3-page essay in APA format with at least 5 scholarly references from the list of required readings below. Include the level one headers as numbered below. To complete: Write a 3-page paper that includes the following: 1) An outline or visual representation indicating how you would guide planning for and implementing change related to the translation of evidence into practice for your practicum setting 2) Three learning objectives for your practicum hours that are aligned to the AACN Essentials, your specialty area competencies, and the focus of this course (i.e., systems-related issues, translation of evidence into practice, intentional change, and leadership) (refer to the attached AACN Essential IV [Nursing Informatics]). 3) Key leadership and other activities you will undertake to fulfill your identified learning objectives 4) A proposed time line for accomplishing your practicum hours (divide 216 hours in 10 weeks to come up with how many hours per weeks in order to makeup the required 216 hours for this semester). By Wednesday 2/27/19 before midnight Submit this Assignment. Required Readings White, K. M., Dudley-Brown, S., & Terharr, M. F. (2016). Translation of evidence into nursing and health care practice (2nd ed.). New York, NY: Springer. · Review Chapter 3, “Change Theory and Models: Framework for Translation” As you review this chapter (assigned in a previous course), consider the foundational information about change. Also, pay attention to the frameworks and processes described, as they will be valuable as you proceed through this course. What insights arise regarding how you might be able to guide the implementation of change? American Association of Colleges of Nursing (AACN). (2006). The essentials of doctoral education for advanced nursing practice. Retrieved from http://www.aacn.nche.edu/publications/position/DNPEssentials.pdf (see attached file). Use the information in this report to guide the formulation of goals for your practicum experience. Bleich, M. R. (2011). IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health, 34(3), 169-170. doi:10.1002/nur.20433 (see attached file) ​IOM report, The Future of Nursing: Leading Change, Advancing Health: milestones and challenges in expanding nursing science. Research in Nursing & Health by Bleich, M. R., in Research in Nursing & Health, Vol. 34/Issue 3. Copyright 2011 by John Wiley & Sons – Journals. Reprinted by permission of John Wiley & Sons – Journals via the Copyright Clearance Center. Pritham, U. P. (2016). Assessing DNP impact using program evaluations to capture healthcare system change. The Nurse Practitioner, (4), 44. Kotter, J. P. (2007). Leading change: Why transformation efforts fail. Harvard Business Review, 85(1), 96-103. Retrieved from https://cb.hbsp.harvard.edu/cbmp/pl/76758028/76758030/42e82c2469b7f33387aa79dc5736bb1f In this foundational reading, Dr. John Kotter discusses errors commonly made as organizations undergo change, and he recommends steps leaders can take to help avoid them (see attached file). Moriber, N. A., Wallace-Kazer, M., Shea, J., Grossman, S., Wheeler, K., & Conelius, J. (2014). Transforming Doctoral Education Through the Clinical Electronic Portfolio. Nurse Educator, 39(5), 221-226. doi:10.1097/NNE.0000000000000053 Murphy, M. P., Staffileno, B. A., & Carlson, E. (2015). Original Article: Collaboration Among DNP- and PhD-Prepared Nurses: Opportunity to Drive Positive Change. Journal of Professional Nursing,31388-394. doi: 10.1016/j.profnurs.2015.03.001 Sherrod, B., & Goda, T. (2016). DNP-Prepared leaders guide healthcare system change. Nursing Management, (9). 13. Optional Resources Osters, S., & Tiu, F. S. (n.d.). Writing measurable learning outcomes. Retrieved from http://www.gavilan.edu/research/spd/Writing-Measurable-Learning-Outcomes.pdf (see attached file).

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2025 TOPIC Application of the t Test The Youth Risk Behavior Survey YRBSS is a national survey monitoring health behavior among youth

Application and Interpretation of Public Health Data 2025

TOPIC: Application of the t-Test The Youth Risk Behavior Survey (YRBSS) is a national survey monitoring health behavior among youth and young adults. It is administered by the Centers for Disease Control and Prevention (CDC). For this assignment, use the “Youth Risk Behavior Surveillance System Dataset” provided to practice calculating and interpreting the t-test. Refer to the instructional videos in the topic resources and the Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences textbook as a guide. Part 1 Refer to the topic resources to review the documentation, questionnaires, and general information pertaining to the YRBSS and YRBS. Then use the 2015 “Youth Risk Behavior Surveillance System Dataset” and conduct a two-sample t-test to determine if weight (in kg) differs by sex. Submit the SPSS output for the t-test. Part 2 Create an 8-10 slide PowerPoint presentation to discuss the findings for the t-test. For the presentation of your PowerPoint, use Loom to create a voice-over or a video. Refer to the topic resources for additional guidance on recording your presentation with Loom. Include an additional slide for the Loom link at the beginning and an additional slide for references at the end. Include the following: Identify which of three t-tests was selected and explain why this is the best statistical test and whether the assumptions were met. What are the null and alternative hypotheses? What is the decision rule? What is the test statistic and p-value? Interpretation of the t-test results (What was done? What was found? What does it mean? What suggestions are there for the creation of a health promotion intervention?). General Requirements Submit the SPSS exported output and the PowerPoint to the dropbox. You are required to submit this assignment to LopesWrite. STUDY MATERIALS Read Chapters 7-12 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences. URL:http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php View the following tutorials from the SPSS Tutorials media. One-Sample t-Test Matched Pairs t-Test Independent Samples t-Test One-Way ANOVA Two-Way ANOVA-Between Groups URL: https://www.gcumedia.com/lms-resources/student-success-center/v3.1/#/media-element/CHSS;CONHCP/1DF486B2-8C58-E811-B595-005056BDD6DE View the following calculations in The Visual Learner: Statistics media. Introduction to t-test One Sample t-Test Two Sample t-Test One Way ANOVA Effect Size One Way ANOVA Two Way ANOVA Effect Size Two Way ANOVA URL: http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html Read “Changing the Face of Health Education via Health Interventions: Social Ecological Perspectives on New Media Technologies and Elementary Nutrition Education,” by Bissell, Baker, Pember, Zhang, and Yang, from Health Communication (2019). URL: https://doi-org.lopes.idm.oclc.org/10.1080/10410236.2018.1507659 Read “Can a Community-Led Intervention Offering Social Support and Health Education Improve Maternal Health? A Repeated Measures Evaluation of the PACT Project Run in a Socially Deprived London Borough,” from Brown, Luderowski, Namusisi-Riley, Moore-Shelley, and Bolton, from International Journal of Environmental and Public Health (2020). URL: https://search-proquest-com.lopes.idm.oclc.org/docview/2393647115?accountid=7374 Read “Choosing the Correct Statistical Test in SAS, STATA, SPSS and R,” by Leeper, from Choosing the Right Statistic , located on the UCLA Institute for Digital Research and Education Statistical Consulting website. URL: https://stats.idre.ucla.edu/other/mult-pkg/whatstat/ Read “Variables Associated With Job Satisfaction Among Mental Health Professionals,” by Fleur, Grenier, Bamvita, and Farand, from PLoS ONE (2018). URL: https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/docview/2122532147?accountid=7374 Examine the general information about the “Youth Risk Behavior Surveillance System” survey, located on the Adolescent and School Health (2018) page of the Centers for Disease Control and Prevention (CDC) website. URL: https://www.cdc.gov/healthyYouth/data/yrbs/index.htm Review the documentation and questionnaires provided in “YRBSS Data and Documentation” (2018), located on the National YRBS Datasets and Documentation page on the Centers for Disease Control and Prevention (CDC) website. URL: https://www.cdc.gov/healthyyouth/data/yrbs/data.htm Read “2015 YRBS Data User’s Guide” (2016), located on the Adolescent and School Health page of the Centers for Disease Control and Prevention (CDC) website. URL: https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2015/2015_yrbs-data-users_guide_smy_combined.pdf Read the “2015 State and Local Youth Risk Behavior Survey” (YRBS), located on the Adolescent and School Health page of the Centers for Disease Control and Prevention (CDC) website. URL: https://www.cdc.gov/healthyyouth/data/yrbs/questionnaires.htm Utilize topics from the Loom Help Center website for assistance on installing Loom software and software usage. URL: https://www.gcumedia.com/digital-resources/opentest-inc/2018/loom_1e.php View “Conducting a t-Test and ANOVA in SPSS,” by GCU Academics – Nursing (2020). Use this resource to assist you in completing the topic assignment. URL: https://www.gcumedia.com/lms-resources/student-success-center/?mediaElement=6616F929-5B03-EB11-9111-005056BDE9D6

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2025 Week 2 Case 2 Alzheimer s Ms Washington is a 67 year old African American female who is brought to your office

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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