Complete this worksheet related to a NICU related topic with an abundance of resources.

This  part 1 of a continued project.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 

***Must have a medical background to be able to complete this assignment without it sounding ridiculous. I have uploaded an outline. 

For this assessment the patient will be a 63 year old female with a cystocele, and chief complaint urinary incontinence. The rest of the info can be made up such as medical history meds labs just make it believable to the pt age and diagnosis. 

Comprehensive Patient Assessment

When completing practicum requirements in clinical settings, you and your Preceptor might complete several patient assessments in the course of a day or even just a few hours. This schedule does not always allow for a thorough discussion or reflection on every patient you have seen. As a future advanced practice nurse, it is important that you take the time to reflect on a comprehensive patient assessment that includes everything from patient medical history to evaluations and follow-up care. For this Assignment, you begin to plan and write a comprehensive assessment paper that focuses on one female patient from your current practicum setting.

By Day 7 of Week 9

This Assignment is due. It is highly recommended that you begin planning and working on this Assignment as soon as it is viable.

To prepare

· Reflect on your Practicum Experience and select a female patient whom you have examined with the support and guidance of your Preceptor.

· Think about the details of the patient’s background, medical history, physical exam, labs and diagnostics, diagnosis, treatment and management plan, as well as education strategies and follow-up care.

To complete

Write an 8- to 10-page comprehensive paper that addresses the following:

· Age, race and ethnicity, and partner status of the patient

· Current health status, including chief concern or complaint of the patient

· Contraception method (if any)

· Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem)

· Review of systems

· Physical exam

· Labs, tests, and other diagnostics

· Differential diagnoses

· Management plan, including diagnosis, treatment, patient education, and follow-up care

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

 

Select a patient that you examined during the last four weeks. With this patient in mind, address the following in a SOAP Note:

• Subjective: What details did the patient provide regarding or 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?

(THE TOPIC HERE IS URINARY TRACT INFECTION (UTI) )

please use this format

  

Comprehensive SOAP Template

Patient Initials:  Age:  Gender: F

Introduction –Purpose:

SUBJECTIVE DATA: 

Chief Complaint (CC): 

History of Present Illness (HPI): 

Medications: 

Allergies: Seafood, iodine

Past Medical History (PMH):

Past Surgical History (PSH): Denies.

Sexual/Reproductive History (Obstetric): 

Personal/Social History: 

Immunization History and Preventive Care: 

Significant Family History: 

.

Review of Systems: 

General: 

HEENT: 

Respiratory: 

Cardiovascular: 

Breasts: 

Gastrointestinal: 

Genitourinary: 

Musculoskeletal: 

Psychiatric: 

Neurological: 

Dermatological: 

Hematological and Lymphatic: 

Endocrine: 

Allergy and Immunology: 

OBJECTIVE DATA: 

Physical Exam:

Vital signs: 

General appearance:

HEENT: 

Neck: 

Lymphatics: 

Breasts: 

Chest: 

Heart: 

Abdomen: 

  Neurological:

  Musculoskeletal:

 Extremities: 

 Skin: 

Labs, X-rays, and Diagnostics 

ASSESSMENT:

Priority Diagnosis  

Differential Diagnosis

For each priority diagnosis, list at least three differential diagnoses, each of which must be supported with evidence and guidelines. For holistic care, you need to include previous diagnoses and indicate whether these are controlled or not controlled. These should also be included in your treatment plan.

PLAN:

Treatment Plan: If applicable, include both pharmacological and non-pharmacological strategies, alternative therapies, follow-up recommendations, referrals, consultations, and any additional labs, x-ray, or other diagnostics. Support the treatment plan with evidence and guidelines.

Health Promotion: Include exercise, diet, and safety recommendations, as well as any other health promotion strategies for the patient/family. Support the health promotion recommendations and strategies with evidence and guidelines.

Disease Prevention: As appropriate for the patient’s age, include disease prevention recommendations and strategies such as fasting lipid profile, mammography, colonoscopy, immunizations, etc. Support the disease prevention recommendations and strategies with evidence and guidelines.

REFLECTION:Reflect on your clinical experience, and consider the following questions: What did you learn from this experience? What would you do differently? Do you agree with your preceptor based on the evidence? 

 

                                                                      References

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Assignment is attached and I need no later than Tuesday morning

Instructions are attached in the document:

Additional information listed below:

The “Table of Normal Values” needs to include 4 columns

• Column 1 – Name of test (i.e. BP, Hematocrit, PaCo2 etc) use the same tests and values from the chart in assignment
• Column 2 – The test values for M.K. (Patient)
• Column 3 – Normal Values for patient based 
• Column 4 – reference for where values were found

Treatment Options: Part 2 (A)

• Answers to these questions must be in paragraph form

Reference Section (APA Format)

Answers to all questions: Part 2 (B)

• These answers do not need to be in paragraph format

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"