Each week, you are required to enter your patient encounters into CORE. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from CORE. 

At some point in every construction project, efforts turn from design and the focus moves to actual construction. With the vision in place and the tools secured, the blueprint can be finalized and approved. Then it is time to put on hardhats and begin work.

Throughout the course you have developed aspects of your Academic and Professional Development Plan. You have put a great deal of thought into your vision and goals, your academic and professional network of support, research strategies and other tools you will need, the integrity of your work, and the value of consulting the work of others. With your portfolio in place, it is now time to finalize your blueprint for success.

Much as builders remain cognizant of the building standards as they plan and begin construction, nurses must remain mindful of the formal standards of practice that govern their specialty. A good understanding of these standards can help ensure that your success plan includes any steps necessary to excel within your chosen specialty.

In this Assignment you will continue developing your Academic Success and Professional Development Plan by developing the final component: a review of your specialty standards of practice. You will also submit your final version of the document, including Parts 1–5.

To Prepare:

• Review the scope and standards of practice or competencies related to your chosen specialty.
• Download the Nursing Specialty Comparison Matrix.
• Examine professional organizations related to the specialization you have chosen and identify at least one to focus on for this assignment.
• Reflect on the thoughts you shared in the Discussion forum regarding your choice of a specialty, any challenges you have encountered in making this choice, and any feedback you have received from colleagues in the Discussion.

The Assignment:
Complete the following items and incorporate them into the final version of your Academic Success and Professional Development Plan.

• Write a paragraph that provides a detailed comparison at least two nursing specialties, including your selected specialization and second-preferred specialization.
• Write a clear and accurate 2- to 3-paragraph justification statement identifying your reasons for choosing your MSN specialization. Provide sufficient evidence of incorporating feedback you received from colleagues in this week’s Discussion Forum.
• Clearly identify and accurately describe in detail the professional organization related to the specialization you have chosen to focus on for this assignment and explain how you can become an active member of this organization.

Note: Your final version of the Academic Success and Professional Development Plan should include all components as presented the Academic Success and Professional Development Plan template. Make all corrections to each part based on faculty feedback and submit a final and edited copy of the template (Part 1-Part 6) in correct APA format.

Core Competencies to Improve Healthcare 

Review the discussion of the “Core Competencies for a New Vision for Health Professions Education” in your readings in (Rubenfeld & Scheffer, 2015, Box 4-1). Review these core competencies and complete evidence of mastery that includes:

• a discussion of how these core competencies relate to your particular area of nursing practice
• specific example(s) that describe how your workplace exemplifies one of the competencies and specific example(s) of how your workplace can improve meeting another competency 
• a chart that visually discusses/shows how you apply the five core competencies in your particular area of nursing practice that relate to critical thought and reflective cognitive processes. Be creative! You may add clipart, photos, multi-media files you have permission to use.

Reading and Resources

Read Chapter 4 In Rubenfeld, M. G., & Scheffer, B.K. (2015). Critical thinking TACTICS for nurses: Achieving the IOM competencies (3rd ed.). Sudbury, MA: Jones and Bartlett.

Read Robert, T., & Peterson, S. (2013). Critical thinking at the bedside: Providing safe passage to patients. MedSurg Nursing, (22),2, 85-91.

Read Lasater, K, & Nielsen, A. (2009). Reflective journaling for clinical judgment development and evaluation. Journal of Nursing Education, 48(1). 40-44. 

Additional Instructions:

1. All submissions should have a title page and reference page.
2. Utilize a minimum of two scholarly resources.
3. Adhere to grammar, spelling and punctuation criteria.
4. Adhere to APA compliance guidelines.
5. Adhere to the chosen Submission Option for Delivery of Activity guidelines.

Submission Options:

Choose One:

Instructions:

Paper

• 3 to 4-page paper. Include title and reference pages.

  Brief description of your patient’s health needs. Be specific. Then, explain the type of treatment regimen you would recommend for treating your patient, including the choice or pharmacotherapeutics you would recommend and explain why. Be sure to justify your response. Explain a patient education strategy you might recommend for assisting your patient with the management of their health needs. Be specific and provide examples.

HH is a 68 yo M who has been admitted to the medical ward with community-acquired pneumonia for the past 3 days. His PMH is significant for COPD, HTN, hyperlipidemia, and diabetes. He remains on empiric antibiotics, which include ceftriaxone 1 g IV qday (day 3) and azithromycin 500 mg IV qday (day 3). Since admission, his clinical status has improved, with decreased oxygen requirements. He is not tolerating a diet at this time with complaints of nausea and vomiting.

Ht: 5’8” Wt: 89 kg

Allergies: Penicillin (rash)

APA citation 4 to 5 references within 5 years.

Assignment: Well Woman Health Screenings

Please read the following two scenarios and choose ONLY ONE for your initial post; be sure to address all the questions posed and include at least three scholarly sources within your initial post.

Breast Cancer Screening

A 39-year-old female presents to your office for her annual well-woman exam. She reports that she has a maternal aunt and a cousin who have had breast cancer, so she does her self-breast exams every month. She would like to start getting mammograms, but her friends all say she doesn’t need to worry about a mammogram until she’s at least close to 50. 

1. What are the mammogram recommendations from American College of Obstetrics and Gynecology (ACOG), American Cancer Society (ACS), and United States Preventive Services Task Force (USPSTF)?

2. What is meant by shared decision-making regarding screening for breast cancer?

3. What are the screening recommendations regarding self-breast exams and clinical breast exams?

4. Based on the scenario provided, what recommendations would you give this patient?

5. What factored into your decision making?

Cervical Cancer Prevention/Screening

An 18-year-old is accompanied by her mother for her first visit to the gynecologist. She has never been sexually active. She has no concerns with her menses. Her mom reports that she brought her in “because she is 18 and when I turned 18, I had to get my first Pap smear.” Her mother requests the patient have a Pap smear and be tested for HPV “just in case.” The patient is up to date on all vaccines “mandatory for school” but has never had the HPV vaccine.

1. What are the recommendations on the HPV vaccine?

2. How would you counsel this patient about the HPV vaccine?

3. What are the current ASCCP guidelines for Pap smears and HPV testing?

4. How will you explain the rationale to the patient and the mother?

INSTRUCTIONS

– Please include at least 3 scholarly sources within your initial post.

– APA style.

– Turnitin Assignment (No plagiarism)

Note: My background for you to have as a reference: I am currently enrolled in the Psych Mental Health Nurse Practitioner Program, I am a Registered Nurse. I work in a Psychiatric Hospital.