Soap Note 2 Chronic Conditions

Soap Note 1 Chronic Conditions (15 Points)

Pick any Chronic Disease from Weeks 6-10

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)
 Follow the MRU Soap Note Rubric as a guide

Turn it in Score must be less than 20% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 20%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement

Soap Note 2 Chronic Conditions

Soap Note 2 Chronic Conditions (15 Points)

Pick any Chronic Disease from Weeks 6-10

Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)

Late Assignment Policy

Assignments turned in late will have 1 point taken off for every day assignment is late, after 7 days assignment will get grade of 0. No exceptions

Follow the MRU Soap Note Rubric as a guide:

Grading Rubric

Student______________________________________

This sheet is to help you understand what we are looking for, and what our margin remarks might be about on your write ups of patients. Since at all of the white-ups that you hand in are uniform, this represents what MUST be included in every write-up.

1)      Identifying Data (___5pts): The opening list of the note. It contains age, sex, race, marital status, etc. The patient complaint should be given in quotes. If the patient has more than one complaint, each complaint should be listed separately (1, 2, etc.) and each addressed in the subjective and under the appropriate number.

2)      Subjective Data (___30pts.): This is the historical part of the note. It contains the following:

a) Symptom analysis/HPI(Location, quality , quantity or severity, timing, setting, factors that make it better or worse, and associate manifestations.(10pts).

b) Review of systems of associated systems, reporting all pertinent positives and negatives (10pts).

c) Any PMH, family hx, social hx, allergies, medications related to the complaint/problem (10pts). If more than one chief complaint, each should be written u in this manner.

3)      Objective Data(__25pt.): Vital signs need to be present. Height and Weight should be included where appropriate.

a)      Appropriate systems are examined, listed in the note and consistent with those identified in 2b.(10pts).

b)      Pertinent positives and negatives must be documented for each relevant system.

c)        Any abnormalities must be fully described. Measure and record sizes of things (likes moles, scars). Avoid using “ok”, “clear”, “within normal limits”, positive/ negative, and normal/abnormal to describe things. (5pts).

4)      Assessment (___10pts.): Diagnoses should be clearly listed and worded appropriately.

5)      Plan (___15pts.): Be sure to include any teaching, health maintenance and counseling along with the pharmacological and non-pharmacological measures. If you have more than one diagnosis, it is helpful to have this section divided into separate numbered sections.

6)      Subjective/ Objective, Assessment and Management and Consistent (___10pts.): Does the note support the appropriate differential diagnosis process? Is there evidence that you know what systems and what symptoms go with which complaints? The assessment/diagnoses should be consistent with the subjective section and then the assessment and plan. The management should be consistent with the assessment/ diagnoses identified.

7)      Clarity of the Write-up(___5pts.): Is it literate, organized and complete?

Comments:

Total Score: ____________                                                          Instructor: __________________________________

Write a paper (1,250-1,500 words) describing the approach to care of cancer. In addition, include the following in your paper:

1. Describe the diagnosis and staging of cancer.
2. Describe at least three complications of cancer, the side effects of treatment, and methods to lessen physical and psychological effects.
3. Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a grading rubric. Instructors will be using the
rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to LopesWrite

Create a 10–15 slide PowerPoint presentation that compares how different  communities respond to crises, describes obstacles to providing health  care services related to community crises, and explains current  practices for providing health care services related to community  crises. Recommend an evidence-based nursing response for providing  health care services related to community crises.

As in acute nursing, emergencies do arise in the community/public  health arena. These emergencies can take the form of manmade or natural  disasters. Health care professionals have had to increase their  awareness of their duty to care during these situations. The need for  planning and preparing for these possible events is being reinforced  (Tomczyk, et al., 2008). Public health nurses bring specific skills to  disaster response. Their roles can range from first responders to policy  developers.

Reference 

Tomczyk, D., Alvarez, D., Borgman, P., Cartier,  M., Caulum, L., Galloway, C., … Meske, D. (2008). Caring for those who  care: The role of the occupational health nurse in disasters. AAOHN Journal, 56(6), 243–250. 

Preparation

Suppose you have been invited to participate in a roundtable  discussion meeting on the development of a community response to crises.  To prepare for this discussion, you have been asked to research ways  that other communities have provided health care services during crisis  situations, identify best practices, and develop a nursing response for  providing health care services. You would be presenting your research  and nursing response to the roundtable panel during the meeting.

Select two communities that have suffered a crisis of some kind  within ten years of each other. For example, you might choose to look at  New Orleans and Hurricane Katrina in comparison to New Jersey and  Hurricane Sandy. You might address the 2011 tornado outbreak and compare  the response of Joplin, Missouri with the response of Birmingham,  Alabama. Or, you might choose to look at the responses to volcano  eruptions in Hawaii as compared to Washington State. You are not limited  to natural disasters; feel free to explore environmental disasters and  outbreaks of disease. Try to choose the type of crisis situation that  could occur within your own community.

Once you have selected your two communities and their comparable  crisis situations, look in the Capella library and on the Internet for  scholarly journal articles on how health care professionals responded to  the crises.

Requirements

For this assessment, create a PowerPoint presentation that examines  provision of health care services related to community crises, from a  nursing perspective. In your PowerPoint, address the following:

• Compare the different approaches of two communities for responding to a community crisis.
• Explain how the crisis situation in each community affected the overall health of the community.
• Describe potential obstacles in your own community to providing health care services related to community crises.
• Explain current practices in your own community for providing health care services related to community crises.
• Recommend an evidence-based nursing response for providing health care services related to community crises.      
  • Your nursing response does not need to be overly detailed. In  real life, a nursing response would be the work of a committee or  another group, based on the research and recommendations of others.
  • Your nursing response should provide foundational research and  recommendations based on evidence. Consider things such as triage  points, communication methods, caring for staff, providing basic  necessities such as food and water, use of other organizations for  shelter, and so on.

Use the Notes section of each PowerPoint slide to expand your points and provide supporting evidence.

Additional Requirements

Complete your assessment using the following specifications:

• Include a title slide and reference slide.
• Number of slides: 10–15.
• At least 3 current scholarly or professional resources.
• APA format for in-text citations and references.
• Be creative. Consider your target audience.

Answer to this discussion post with a minimum of 200 words. cited and references, APA style. 

__________________________________________________________________________________________

Screening is an essential step as it helps clinical officers in the diagnosis of diseases. It helps to identify the cause of specific symptoms that a patient has. It is also helpful in the early detection and diagnosis of a disease, and therefore, it can be treated early. Many screening tools are normally used as the most important being population and risk assessment. When it comes to these two variables, the USPSTF recommends that the when it is screening for the women to check if they may be having diseases such as cancers, the care providers should screen all the population that have family members with that type of cancer. The example given is the case of breast cancer. In this case the whole population that is all women related to the one having breast cancer, ovarian, peritoneal or even tubal cancer should be screened. The screening should use one of the several tools that are designed for screening. This is aimed at ensuring that the increased risk of harmful mutation in breast cancer susceptibility genes is identified. The genes in question in this question are BRCA1 and BRCA2. Upon the screening, women with positive screening results should be given proper counselling on genetics in the event they are indeed confirmed to test positive for BRCA. 

Moreover, it is also essential to assess the risks that might be associated with certain diseases or disorders. This is important because it helps to create awareness on the risks and to identify who is more at risk of contracting it (Moyer, 2014). Thus, the people who are more at risk can take necessary caution and care to manage the risk. For example, according to the guide to preventive services 2014, older people, African Americans, and people with a family history of glaucoma are more at risk of having glaucoma. Therefore, they should be screened regularly (Force, 2014).

References:

Force, U. P. T. (2014). Guide to clinical preventive services. Available from https://www.ahrq.gov/sites/default/files/publications/files/cpsguide.pdf  [accessed on 14/6/2019]

Moyer, V. A. (2014). Screening for lung cancer: US Preventive Services Task Force recommendation statement. Annals of internal medicine, 160(5), 330-338.

Write a critical appraisal that demonstrates comprehension of two quantitative research studies. Use the “Research Critique Guidelines – Part II” document to organize your essay. Successful completion of this assignment requires that you provide a rationale, include examples, and reference content from the study in your responses.

Use the practice problem and two quantitative, peer‐reviewed research articles you identified in the Topic 1 assignment to complete this assignment.

In a 1,000–1,250 word essay, summarize two quantitative studies, explain the ways in which the findings might be used in nursing practice, and address ethical considerations associated with the conduct of the study.

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 LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.