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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Define the Work Breakdown Structure (WBS) 2025

Team Project Part 2: Define the Work Breakdown Structure (WBS) In Part 2 of your Project, you will develop a work breakdown structure (WBS) that must be accomplished in order to complete the Casino Medical Center project. Use the Team Project Scenario document in this week’s Learning Resources to help define your deliverables. ( SEE ATTACHED FILE FOR TEAM PROJECT SCENARIO) Begin by deciding, with your team, the approach to developing a work breakdown structure you wish to use ( WE WILL USE THE TABULAR BREAKDOWN STRUCTURE ). This approach will guide your process and the final design of the WBS. Your team will identify project deliverables that need to be accomplished to achieve the project’s goals. For each deliverable, relevant subtasks or activities must be identified (the work that needs to be done). Using these activities, you create a WBS. This WBS will be the basis for creating a project plan and schedule in Microsoft Project. You and your team are not expected to know all of the deliverables and sub-activities that need to occur, but you should be able to use your combined experience, knowledge, and research to identify many of the necessary deliverables and supporting activities. Be sure to utilize course resources, as these resources should provide information on what to include in this part of the Team Project. As you and your team address the discussion question below, you will be able to write and submit a 2- to 3-page team paper that summarizes the group’s work and that includes WBS diagrams of at least five high-level deliverables. Deliverables to consider in defining the activities and tasks for the hypothetical project are included here. Your team will identify the unique deliverables for your project. Use specific names for the deliverables that reflect the project’s purpose. Project Deliverables Selection: Request for information & Request for Proposal Installation: Hardware & Application Configuration: Screens, Interfaces, & Reports Tested system: Test Scenarios, Integration test, & Customer acceptance test New workflow: Policies & Procedures and a Work Breakdown Structure diagram (Tabular Model) To prepare: Review this week’s Learning Resources on work breakdown structures. Thoroughly examine the Team Project Overview document in this week’s Learning Resources to familiarize yourself with the requirements of this Assignment. Engage in discussion with your team members on how you will collaborate, distribute work, and submit the Assignment. To complete Part 2 of your Team Project: Collaborate on a 2 to 3-page paper that summarizes the group’s work and includes a WBS diagram of at least five high-level deliverables and a list of relevant tasks and subtasks. Based on the Team Project Scenario (SEE ATTACHED FILE) Project Deliverables Selection: Request for information & Request for Proposal Installation: Hardware & Application Configuration: Screens, Interfaces, & Reports Tested system: Test Scenarios, Integration test, & Customer acceptance test New workflow: Policies & Procedures and Work Breakdown Structure diagram ( Tabular Model ) Required Readings Biafore, B. (2010). Microsoft Project 2010: The missing manual . Sebastopol, CA: O’Reilly. Chapter 4, “Breaking Work Into Task-Sized Chunks” (pp. 77–100) This chapter explains how to create a work breakdown structure and how to import a work breakdown structure into Microsoft Project. Coplan, S., & Masuda, D. (2011). Project management for healthcare information technology. New York, NY: McGraw-Hill. Chapter 3, “Project Management” “Prepare Work Breakdown Structure and WBS Dictionary” (pp. 53–56) This section of Chapter 3 reviews the core processes of preparing a work breakdown structure (WBS). The chapter provides an example of a WBS and details its essential components. Project Management Institute. (2013). A guide to the project management body of knowledge (PMBOK guide) (5th ed.). Newtown Square, PA: Author. Chapter 5, “Project Scope Management” 5.3, “Create WBS” (pp. 125–132) This section of Chapter 5 reviews the process of creating a work breakdown structure. Specifically, the chapter examines how to determine inputs, WBS tools and techniques, and outputs. Kendrick, T. (2009). Identifying & managing project risk: Essential tools for failure-proofing your project (2nd ed., Ebrary version). New York, NY: AMACOM. Retrieved from the Walden Library databases. Chapter 3, “Identifying Project Scope Risk” (pp. 40–69) This chapter examines methods of identifying scope risks and the types of scope risks pertaining to project deliverables. The chapter highlights a variety of sources of scope risk as well. Shirey, M. R. (2008). Project management tools for leaders and entrepreneurs. Clinical Nurse Specialist , 22 (3), 129–131. Retrieved from the Walden Library databases. The author of this article introduces project management tools that clinical nurse specialists may use to coordinate team work. The article highlights the usage of one such tool, the Gantt chart. Thomas, M., Jacques, P. H., Adams, J. R., & Kihneman-Wooten, J. (2008). Developing an effective project: Planning and team building combined. Project Management Journal , 39 (4), 105–113 . Retrieved from the Walden Library databases. This article analyzes project planning and control and the process of developing a project plan. The article also reports the results of research that sought to determine 137 organizations’ approaches to establishing projects. U.S. Government Accountability Office. (2009, March 2). Work breakdown structure. GAO Reports, 65–78. Retrieved from the Walden Library databases. This article examines the importance of a work breakdown structure (WBS) in project management. The chapter demonstrates how a WBS assists in resource identification, cost estimation, and risk determination. Wu, Z., Schmidt, L. P., & Wigstrom, M. S. (2010). Product development workflow management based on work breakdown structure. IIE Annual Conference. Proceedings, 1–5. Retrieved from the Walden Library databases. The authors of this article highlight the usage of WBS in managing complex product development projects. The authors examine how a WBS helps represent and manage the intricacies of tasks and activity relationships. Mathis, M. (n.d.). Work breakdown structure: Purpose, process and pitfalls. Retrieved March 13, 2013, from http://www.projectsmart.co.uk/work-breakdown-structure-purpose-process-pitfalls.html This article provides a general review of the WBS. The author focuses on the purpose, process, and pitfalls of a WBS. Document: Team Project Scenario (See ATTACHED PDF IN FILE AREA) This document presents a scenario your team will use for the Team Project Required Media Laureate Education (Producer). (2013c). Planning, part I: Defining project scope and activities [Video file]. Retrieved from https://class.waldenu.edu Note: The approximate length of this media piece is 6 minutes. In this presentation, the participants discuss defining project scope and project activities, using the work breakdown structure, and managing project risk through SWOT analysis.

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Dave is a 46-year-old attorney with a family history of heart disease (his father had a heart attack at the age of 56) whose recent blood tests reveal high blood LDL cholesterol and triglyceride levels. His doctor has advised him to eat less fat in his di 2025

Dave is a 46-year-old attorney with a family history of heart disease (his father had a heart attack at the age of 56) whose recent blood tests reveal high blood LDL cholesterol and triglyceride levels. His doctor has advised him to eat less fat in his diet. Dave is a self-confessed “foodie” and he enjoys wine and cheese at several social functions each week. He cooks with “real” butter at home and uses half milk and half cream in his coffee. Although fairly inactive, Dave keeps his weight stable at 170 pounds. He is 5 feet 10 inches tall. 1. What factors may be contributing to Dave’s elevated cholesterol and triglyceride levels? 2. From the history given, identify the main sources of saturated fat in Dave’s diet. What are some reasonable changes he could make to lower his intake of saturated fat from these foods? 3. Assume Dave eats about 2000 kcalories a day and that his doctor has advised him to limit his fat intake to 35 percent of his daily kcalories. Refer to the “How to” feature (p. 155) of this chapter to calculate his personal Daily Value for fat. 4. According to the 2010 Dietary Guidelines for Americans, what is the maximum percentage of kcalories from saturated fat that Dave should consume each day? Remembering that 1 gram of fat contains 9 kcalories, calculate the maximum grams of saturated fat that Dave should eat each day based on his daily intake of 2000 kcalories. 5. Using information from Highlight 5, what additional advice would you offer Dave to improve his heart health? 6. Plan a one-day menu for Dave with higher amounts of healthful fatty acids and lower amounts of harmful fatty acids.

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Assignment: Evidence-Based Project, Part 1: Identifying Research Methodologies 2025

Is there a difference between “common practice” and “best practice”? When you first went to work for your current organization, experienced colleagues may have shared with you details about processes and procedures. Perhaps you even attended an orientation session to brief you on these matters. As a “rookie,” you likely kept the nature of your questions to those with answers that would best help you perform your new role. Over time and with experience, perhaps you recognized aspects of these processes and procedures that you wanted to question further. This is the realm of clinical inquiry. Clinical inquiry is the practice of asking questions about clinical practice. To continuously improve patient care, all nurses should consistently use clinical inquiry to question why they are doing something the way they are doing it. Do they know why it is done this way, or is it just because we have always done it this way? Is it a common practice or a best practice? In this Assignment, you will identify clinical areas of interest and inquiry and practice searching for research in support of maintaining or changing these practices. You will also analyze this research to compare research methodologies employed. To Prepare: Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry. Keep in mind that the clinical issue you identify for your research will stay the same for the entire course. Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least four 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 results of your peer-reviewed research and reflect on the process of using an unfiltered database to search for peer-reviewed research. Reflect on the types of research methodologies contained in the four relevant peer-reviewed articles you selected. Part 1: Identifying Research Methodologies After reading each of the four peer-reviewed articles you selected, use the Matrix Worksheet template to analyze the methodologies applied in each of the four peer-reviewed articles. Your analysis should include the following: The full citation of each peer-reviewed article in APA format. A brief (1-paragraph) statement explaining why you chose this peer-reviewed article and/or how it relates to your clinical issue of interest, including a brief explanation of the ethics of research related to your clinical issue of interest. A brief (1-2 paragraph) description of the aims of the research of each peer-reviewed article. A brief (1-2 paragraph) description of the research methodology used. Be sure to identify if the methodology used was qualitative, quantitative, or a mixed-methods approach. Be specific. A brief (1- to 2-paragraph) description of the strengths of each of the research methodologies used, including reliability and validity of how the methodology was applied in each of the peer-reviewed articles you selected.

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