week 4 assign 1 SOAP 6512 2025

Assignment 1: Lab Assignment: Differential Diagnosis for Skin Conditions Photo Credit: Getty Images/iStockphoto Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause. In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition. To Prepare Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment. Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies? Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected. Consider which of the conditions is most likely to be the correct diagnosis, and why. Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment. Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note. Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment. The Lab Assignment Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources. Learning Resources Required Readings (click to expand/reduce) Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Chapter 9, “Skin, Hair, and Nails” This chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments. Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F. A. Davis. Credit Line: Advanced practice nursing procedures, 1st Edition by Colyar, M. R. Copyright 2015 by F. A. Davis Company. Reprinted by permission of F. A. Davis Company via the Copyright Clearance Center. This section explains the procedural knowledge needed prior to performing various dermatological procedures. Chapter 1, “Punch Biopsy” Chapter 2, “Skin Biopsy” Chapter 10, “Nail Removal” Chapter 15, “Skin Lesion Removals: Keloids, Moles, Corns, Calluses” Chapter 16, “Skin Tag (Acrochordon) Removal” Chapter 22, “Suture Insertion” Chapter 24, “Suture Removal” Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center. Chapter 28, “Rashes and Skin Lesions” This chapter explains the steps in an initial examination of someone with dermatological problems, including the type of information that needs to be gathered and assessed. Note: Download and use the Student Checklist and the Key Points when you conduct your assessment of the skin, hair, and nails in this Week’s Lab Assignment. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Skin, hair, and nails: Student checklist. In Seidel’s guide to physical examination (9th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center. Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019). Skin, hair, and nails: Key points. In Seidel’s guide to physical examination: An interprofessional approach (9th ed.). St. Louis, MO: Elsevier Mosby. Credit Line: Seidel’s Guide to Physical Examination, 9th Edition by Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. Copyright 2019 by Elsevier Health Sciences. Reprinted by permission of Elsevier Health Sciences via the Copyright Clearance Center. Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia, PA: F. A. Davis. Chapter 2, “The Comprehensive History and Physical Exam” (Previously read in Weeks 1 and 3) VisualDx. (n.d.). Clinical decision support. Retrieved June 11, 2019, from http://www.skinsight.com/info/for_professionals This interactive website allows you to explore skin conditions according to age, gender, and area of the body. Clothier, A. (2014). Assessing and managing skin tears in older people. Nurse Prescribing, 12 (6), 278–282. Document : Skin Conditions (Word document) This document contains five images of different skin conditions. You will use this information in this week’s Discussion. Document : Comprehensive SOAP Exemplar (Word document) Document : Comprehensive SOAP Template (Word document) Shadow Health Support and Orientation Resources Use the following resources to guide you through your Shadow Health orientation as well as other support resources: Frey, C. [Chris Frey]. (2015, September 4). Student orientation [Video file]. Retrieved from https://www.youtube.com/watch?v=Rfd_8pTJBkY Document: Shadow Health Support and Orientation Resources (PDF) Shadow Health. (n.d.). Shadow Health help desk. Retrieved from https://support.shadowhealth.com/hc/en-us Document : Shadow Health. (2014). Useful tips and tricks (Version 2) (PDF) Document : Shadow Health Nursing Documentation Tutorial (Word document) Document : Student Acknowledgement Form (Word document) Note : You will sign and date this form each time you complete your DCE Assignment in Shadow Health to acknowledge your commitment to Walden University’s Code of Conduct. Document : DCE (Shadow Health) Documentation Template for Health History (Word document) Use this template to complete your Assignment 2 for this week. Optional Resources LeBlond, R. F., Brown, D. D., & DeGowin, R. L. (2014). DeGowin’s diagnostic examination (10th ed.). New York, NY: McGraw Hill Medical. Chapter 6, “The Skin and Nails” In this chapter, the authors provide guidelines and procedures to aid in the diagnosis of skin and nail disorders. The chapter supplies descriptions and pictures of common skin and nail conditions. Ethicon, Inc. (n.d.-a). Absorbable synthetic suture material. Retrieved from https://web.archive.org/web/20170215015223/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/absorbable_suture_chart.pdf Ethicon, Inc. (2006). Dermabond topical skin adhesive application technique. Retrieved from https://web.archive.org/web/20150921174121/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/db_application_poster.pdf Ethicon, Inc. (2001). Ethicon needle sales types . Retrieved from https://web.archive.org/web/20150921171922/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/needle_template.pdf Ethicon, Inc. (n.d.-b). Ethicon sutures . Retrieved from https://web.archive.org/web/20150921202525/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/suture_chart_ethicon.pdf Ethicon, Inc. (2002). How to care for your wound after it’s treated with Dermabond topical skin adhesive . Retrieved from https://web.archive.org/web/20150926002534/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/db_wound_care.pdf Ethicon, Inc. (2005). Knot tying manual. Retrieved from https://web.archive.org/web/20160915214422/http://academicdepartments.musc.edu/surgery/education/resident_info/supplement/suture_manuals/knot_tying_manual.pdf Ethicon, Inc. (n.d.-c). Wound closure manual . Retrieved from http://www.uphs.upenn.edu/surgery/Education/facilities/measey/Wound_Closure_Manual.pdf Required Media (click to expand/reduce) Module 3 Introduction Dr. Tara Harris reviews the overall expectations for Module 3. Consider how you will manage your time as you review your media and Learning Resources for your Discussions, Case Study Lab Assignments, DCE Assignments, and your Midterm exam (12m). Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript Skin, Hair, and Nails – Week 4 (19m) Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript Online media for Seidel’s Guide to Physical Examination In addition to this week’s media, it is highly recommended that you access and view the online resources included with the text, Seidel’s Guide to Physical Examination . Focus on the videos and animations in Chapter 8 that relate to the assessment of the skin, hair, and nails. Note : To access the online resources included with the text, you need to complete the FREE online registration that is located at https://evolve.elsevier.com/cs/product/9780323172660?role=student . To Register to View the Content Go to https://evolve.elsevier.com/cs/product/9780323172660?role=student Enter the name of the textbook, Seidel’s Guide to Physical Examination (name of text without the edition number) in the Search textbox. Complete the registration process. To View the Content for this Text Go to https://evolve.elsevier.com/ Click on Student Site. Type in your username and password. Click on the Login button. Click on the plus sign icon for Resources on the left side of the screen. Click on the name of the textbook for this course. Expand the menu on the left to locate all the chapters. Navigate to the desired content (checklists, videos, animations, etc.). Note : Clicking on the URLs in the APA citations for the Resources from the textbook will not link directly to the desired online content. Use the online menu to navigate to the desired content. Suturing Tutorials The following suturing tutorials provide instruction on the basic interrupted suture, as well as the vertical and horizontal mattress suturing techniques Tulane Center for Advanced Medical Simulation & Team Training. (2010, July 8). Suturing technique [Video file]. Retrieved from https://www.youtube.com/watch?v=c-LDmCVtL0o Note : Approximate length of this media program is 5 minutes. Mikheil. (2014, April 22). Basic suturing: Simple, interrupted, vertical mattress, horizontal mattress [Video file] . Retrieved from https://www.youtube.com/watch?v=MFP90aQvEVM Note : Approximate length of this media program is 9 minutes. Incision and Drainage of an Abscess (a common procedure in primary care) New England Journal of Medicine (NEJM). (2013, September 30). NEJM abscess incision and drainage [Video file]. Retrieved from https://www.youtube.com/watch?v=MwgNdrA18fM&list=PL9UKTUFtRDcNq4–Vf2NYfUANEyObfeNm&index=8 Note : Approximate length of this media program is 10 minutes. Dermablade Use for Shave Biopsies Dermablade®. (2012, November 9). PersonnaBlades [Video file]. Retrieved from https://www.youtube.com/watch?v=D8u1Y18L9DQ Note : Approximate length of this media program is 5 minutes. Welcome to week 4 We are entering week 4. Students have 2 assignments due this week. You will choose a lesion to document the SOAP note and secondly, this week is our first Shadow Health Assignment. There are several student tips, how to upload the lab pass, etc. located in the course. Regarding the SOAP notes, there is not enough information. I advise you to make up the information that is not there (ie. Health hx, social hx, etc). This will allow you to critically think as you develop the notes. You need to know that the DCE score is not the only score that counts as your grade, it is only a portion of the grade. You must complete the documentation portion. Also, we have noted that in SH, the ROS is not located in the documentation portion but is located in the subjective data collection portion. Remember to document as the SOAP order. I advise you to review my SOAP document send last week for guidance. Last week we engulfed in great conversation on the risks of our findings about growth, measurements, and nutrition of children and their families. As practitioners, it’s important to communicate professionally, ask the right questions, and guide families as they strive to have healthier and happy lives. This week we will begin to review assessments of body systems. Skin, Hair, and Nails will be covered. I encourage you to perform the assessment of Skin, Hair, and Nails so that you may be proficient with it for the overall assessment. You are able to access the check lists by enrolling into the evolve website in your resources. You first assignment for this week is to be written in a SOAP Note format (NO NARRATIVES). There is a template/sample for you to follow posted in your announcements at the beginning of the semester. You will need to put in the missing information in the note (some may be made up ie meds, hx, parts of the ROS and PE). In the Assessment/Plan, you will document your differential diagnoses as per the assignment. I will comment on your notes and if needed, send you an email if I need to help you with them more. Assignment 1: The Lab Assignment · Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case. · Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references , one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.

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Assignment: Literature Review: The Use of Clinical Systems to Improve Outcomes and Efficiencies 2025

Module 4 Assignment is due by Day 7 of Week 8. In this Assignment, you will review four (4) existing research focused on the application of clinical systems and reflect on the impact of clinical systems on outcomes and efficiencies within the context of nursing practice and healthcare delivery. After reviewing, you will summarize your findings. Read the assignment instructions and rubric carefully. In a 4- to 5-page paper, synthesize the peer-reviewed research you reviewed. Format your Assignment as an Annotated Bibliography . Be sure to address the following: Identify the four (4) peer-reviewed, current (published within the last 5 years), scholarly articles. The research should provide evidence to support the use of one type of clinical system to improve outcomes and/or efficiencies. Cite each in APA format. Include an introduction explaining the purpose of the paper. Summarize each study . Avoid direct quotations . Paraphrase, explain, and integrate information obtained from peer-reviewed research with appropriate citation to demonstrate your knowledge, synthesis, and critical thinking. For each study , explain the improvement to outcomes, efficiencies , and lessons learned from the application of the clinical system. Be specific and provide examples. In your conclusion , synthesize the findings from the 4 peer-reviewed research articles. Use APA format and include a title page. For information about annotated bibliographies , visit https://academicguides.waldenu.edu/writingcenter/assignments/annotatedbibliographies Use the Safe Assign Drafts to check your match percentage before submitting your work. Use appropriate APA headings to organize your paper by topics and subtopics. Proofread for any grammar, citation, and reference list APA issues. Below are helpful links: https://academicguides.waldenu.edu/writingcenter/assignments/literaturereview https://academicguides.waldenu.edu/writingcenter/evidence https://academicguides.waldenu.edu/writingcenter/apa/references https://academicguides.waldenu.edu/writingcenter/apa/citations Please reach out to me if you have questions via the Contact the Instructor section, email [email protected] , or phone 646-468-1953. Thanks. Stay well.

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DiscussionCN 6 2025

In Melnyk & Fineout-Overholt (2019) textbook Box 23.1 on page 682, select one of the Fifteen Ethical Principles of the Universal Declaration on Bioethics and Human Rights. State the principle and describe the importance of the selected principle to ethical research. In addition, describe how a researcher would ensure that this principle would be protected for human subjects in a research study. Expectations Initial Post: Length: A minimum of 250 words, not including references Citations: At least one high-level scholarly reference in APA format from within the last 5 years

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Case Study Assignment: Assessing Neurological Symptoms 2025

Imagine not being able to form new memories. This is the reality patients with anterograde amnesia face. Although this form of amnesia is rare, it can result from severe brain trauma. Anterograde amnesia demonstrates just how impactful brain disorders can be to a patient’s quality of living. Accurately assessing neurological symptoms is a complex process that involves the analysis of many factors. In this Case Study Assignment, you will consider case studies that describe abnormal findings in patients seen in a clinical setting. Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format. Remember that all Episodic/Focused SOAP notes have specific data included in every patient case. Consider what history would be necessary to collect from the patient in the case study you were assigned. Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis? Identify at least five possible conditions that may be considered in a differential diagnosis for the patient. The Case Study Assignment Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each. Attached is the templet to use CASE STUDY 2: Forgetfulness A 70-year-old female comes to your clinic with complaints of forgetfulness. She noticed it about a year ago and it has progressively gotten worse. She sometimes forgets what she is going to do when she gets to another room. Her family has noticed the problem with her forgetfulness, but she is still able to manage her finances and drive, per her report.

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