Abdominal Assessment Case Study SOAP Note
Subjective:
•CC: “My stomach hurts, I have diarrhea and nothing seems to help.”
•HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.
•PMH: HTN, Diabetes, hx of GI bleed 4 years ago
•Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs
•Allergies: NKDA
•FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD
•Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
Objective
:•VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
•Heart: RRR, no murmurs
•Lungs: CTA, chest wall symmetrical
•Skin: Intact without lesions, no urticaria
•Abd: soft, hyperactive bowel sounds, pos pain in the LLQ
•Diagnostics: None
Assessment:
•Left lower quadrant pain
•Gastroenteritis
PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.
The Assignment Instructions
Do this assignment in narrative form and not SOAP note form. Please follow the rubric.
Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why not?
What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? 
Identify three possible conditions that may be considered as a differential diagnosis for this patient. 
Explain your reasoning using at least three different references from current evidence-based literature.
  This is the link to download the book
https://www.sendspace.com/file/wd7quh
 
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Aacn Essential Paper
/in Uncategorized /by developerDelivery: 24 hours.
Make sure you can meet the delivery time
1) **********minimum 4 full pages**************************** (cover or reference page not included)
2)¨**********APA norms
3)********** It will be verified by Turnitin and SafeAssign
4) **********References from the last 5 years
_________________________________________
The purpose of this assignment is to provide a concise description and appraisal of the American Association of Colleges of Nursing (AACN) Essentials of master’s Education in Nursing (IX). Following APA guideline, provide a brief explanation on each of the essentials reflecting on each essential affects the clinical practice and the author’s interpretation of each essential
In the four pages, you must include abstract (brief – minimum1/2 page), introduction (brief- minimum 1/2 page), body (minimum 2 1/2 pages), conclusion (brief- minimum 1/2 page). There should
See attached document
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Aacn Essentials Informatics Self Assessment Graded
/in Uncategorized /by developerPurpose
This week’s graded discussion topic relates to the following Course Outcome (CO).
Discussion
Download and open the AACN Essentials Self-Assessment. (Links to an external site.) Complete the self-assessment of your current comfort levels and total your score. If you are willing, please share your results with your classmates in your discussion post. (Remember, this is the starting point for our course and the start of the knowledge we will learn over 8 weeks).
As you reflect on your score, identify areas where your knowledge could use improvement. Whether you are a new graduate or a seasoned nurse, it is important to keep in mind that all professional nurses are knowledge workers. Utilizing the readings from your textbook, describe your current knowledge base in informatics and how you can improve your knowledge as they relate to nursing informatics and AACN essential. What additional questions do you have as they relate to nursing informatics and the AACN essentials?
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Aacn Essentials Informatics Self Assessment
/in Uncategorized /by developerPurpose
This week’s graded discussion topic relates to the following Course Outcome (CO).
Discussion
Prior to posting your answer, complete the Week 8 AACN Essentials Self-Assessment (Links to an external site.) linked here. Compare your scores from Week 1 to Week 8. How far have you come? How will you apply this information to continue to improve your informatics knowledge in nursing practice?
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Aacn Essentials Of Masters Education In Nursing
/in Uncategorized /by developerThe purpose of this assignment is to provide a concise description and appraisal of the American Association of Colleges of Nursing (AACN) Essentials of master’s Education in Nursing. Following APA guideline, provide a brief explanation on each of the essentials reflecting on each essential affects the clinical practice and the author’s interpretation on each essential. Make sure to include a (Title page, abstract, introduction, body, conclusion, and reference page).
Title Page: Title of article, journal information and your name and date 1 point Your score Abstract: Brief summary of article (1-2 paragraphs) 1 points The Problem: (2 or 3 paragraphs) Is the problem clearly stated? Is the problem practically important? What is the purpose of the study? What is the hypothesis? Are the key terms defined? 3 points Review of Literature: (1 -2 paragraphs) Are the cited sources pertinent to the study? Is the review too broad or too narrow? Are the references recent? Is there any evidence of bias? 2 points Design and Procedures: (3-4 paragraphs) What research methodology was used? Was it a replica study or an original study? What measurement tools were used? How were the procedures structures? Was a pilot study conducted? What are the variables? How was sampling performed? 3 points Data analysis and Presentation: (1 – 2 paragraphs) 2 points How was data analyzed? Did findings support the hypothesis and purpose? Were weaknesses and problems discussed? Conclusions and Implications: (2-3 paragraphs) 3 points Are the conclusions of the study related to the original purpose? Were the implications discussed? Whom the results and conclusions will affect? What recommendations were made at the conclusion? What is your overall assessment of the study and the article?
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Aacn Essentials Self Assessment And Patient Centered Care
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Aacn Essentials Self Assessment And Patient Centered Care 19340337
/in Uncategorized /by developerPurpose
This week’s graded discussion topic relates to the following Course Outcomes (COs).
Discussion
Download the Week 2 Self-Assessment of the AACN Essentials (Links to an external site.) Follow the directions on the form. Note your total score. Next, review this article:
Kramer, M., Schmalenberg, C., Maguire, P., Brewer, B., Burke, R., Chmielewski, L., … Meeks-Sjostrom, D. (2009). Walk the talk: Promoting control of nursing practice and a patient-centered culture. Critical Care Nurse, 29(3), 77–93. https://chamberlainuniversity.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=edswsc&AN=000266533800011&site=eds-live&scope=site (Links to an external site.)
After you have completed your self-assessment, answer the following questions:
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Aacn Essentials
/in Uncategorized /by developerThe purpose of this assignment is to provide a concise description and appraisal of the American Association of Colleges of Nursing (AACN) Essentials of Master’s Education in Nursing. Following APA guideline , provide a brief explanation on each of the essentials reflecting on each essential affects the clinical practice and the author’s interpretation on each essential. Make sure to include a (Title page, abstract, introduction, body, conclusion, and reference page).
this is a turniting assignment
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Aanc Paper With 6 Pages
/in Uncategorized /by developerPLEASE USE APA STYLE, ATTACHED IS THE RUBRICS, THIS PAPER WILL GO THRU TURNING, PLEASE NO MORE THAN 15% OF SIMILARITY. ANY QUESTION FEEL FREE TO ASK
QUESTION ( PLEASE DO 6 PAGES FOLLOWING THE RUBRICS )
The purpose of this assignment is to provide a concise description and appraisal of the American Association of Colleges of Nursing (AACN) Essentials of Master’s Education in Nursing. Following APA guideline , provide a brief explanation on each of the essentials reflecting on each essential affects the clinical practice and the author’s interpretation on each essential. Make sure to include a (Title page, abstract, introduction, body, conclusion, and reference page). Please submit it via Turnitin .
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Abdomen And Neurological System
/in Uncategorized /by developerAssignment Details
The purpose of this assignment is to practice the skills you have learned and demonstrate your ability to assess the abdomen and neurological system. For this assignment you will need to videotape yourself examining the abdomen on a volunteer of your choosing. This should take you between 30-45 minutes. When you are done you will document your findings. You will need to submit both your video and your documentation. Below are the required pieces in your assessment.
Abdomen:
Nervous system
Next, you will need to document your findings.
To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Resources.
Assignment Requirements
Before finalizing your work, you should:
Your writing Assignment should:
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Abdominal Assessment Case Study
/in Uncategorized /by developerAbdominal Assessment Case Study SOAP Note
Subjective:
•CC: “My stomach hurts, I have diarrhea and nothing seems to help.”
•HPI: JR, 47 yo WM, complains of having generalized abdominal pain that started 3 days ago. He has not taken any medications because he did not know what to take. He states the pain is a 5/10 today but has been as much as 9/10 when it first started. He has been able to eat, with some nausea afterwards.
•PMH: HTN, Diabetes, hx of GI bleed 4 years ago
•Medications: Lisinopril 10mg, Amlodipine 5 mg, Metformin 1000mg, Lantus 10 units qhs
•Allergies: NKDA
•FH: No hx of colon cancer, Father hx DMT2, HTN, Mother hx HTN, Hyperlipidemia, GERD
•Social: Denies tobacco use; occasional etoh, married, 3 children (1 girl, 2 boys)
Objective
:•VS: Temp 99.8; BP 160/86; RR 16; P 92; HT 5’10”; WT 248lbs
•Heart: RRR, no murmurs
•Lungs: CTA, chest wall symmetrical
•Skin: Intact without lesions, no urticaria
•Abd: soft, hyperactive bowel sounds, pos pain in the LLQ
•Diagnostics: None
Assessment:
•Left lower quadrant pain
•Gastroenteritis
PLAN: This section is not required for the assignments in this course (NURS 6512) but will be required for future courses.
The Assignment Instructions
Do this assignment in narrative form and not SOAP note form. Please follow the rubric.
Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why not?
What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not?
Identify three possible conditions that may be considered as a differential diagnosis for this patient.
Explain your reasoning using at least three different references from current evidence-based literature.
This is the link to download the book
https://www.sendspace.com/file/wd7quh
"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"