Focused SOAP Note and Patient Case Presentation

Focused SOAP Note and Patient Case Presentation

Focused SOAP Note and Patient Case Presentation

Focused SOAP Note and Patient Case Presentation

Psychiatric notes are a way to reflect on your practicum experiences and connect them to the didactic learning you gain from your NRNP courses. Focused SOAP notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will document information about a patient that you examined during the last three weeks, using the Focused SOAP Note Template provided.

· Present the full complex case study. Include chief complaint; history of present illness; any pertinent past psychiatric, substance use, medical, social, family history; most recent mental status exam; current psychiatric diagnosis including differentials that were ruled out; and plan for treatment and management.

· Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.

· Be succinct in your presentation, and do not exceed 8 minutes. Specifically address the following for the patient, using your SOAP note as a guide:

· Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life?

· Objective: What observations did you make during the psychiatric assessment?

· Assessment: Discuss their mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses and why you chose them. List them from highest priority to lowest priority. What was your primary diagnosis and why? Describe how your primary diagnosis aligns with DSM-5 diagnostic criteria and supported by the patient’s symptoms.

· Plan: In your video, describe your treatment plan using clinical practice guidelines supported by evidence-based practice. Include a discussion on your chosen FDA-approved psychopharmacologic agents and include alternative treatments available and supported by valid research. All treatment choices must have a discussion of your rationale for the choice supported by valid research. What were your follow-up plan and parameters? What referrals would you make or recommend as a result of this treatment session?

· In your written plan include all the above as well as include one social determinant of health according to the HealthyPeople 2030 (you will need to research) as applied to this case in the realm of psychiatry and mental health. As a future advanced provider, what are one health promotion activity and one patient education consideration for this patient for improving health disparities and inequities in the realm of psychiatry and mental health? Demonstrate your critical thinking.

· Reflection notes: What would you do differently with this patient if you could conduct the session again? If you are able to follow up with your patient, explain whether these interventions were successful and why or why not. If you were not able to conduct a follow up, discuss what your next intervention would be.

CASE STUDY

F.K is a 21 y/o AA male who was transferred by CPD to the ER for psychiatric evaluation due to commanding auditory hallucination and bizarre behavior. Patient stated, “I here hear voices telling me to kill my momma.” Per mom, patient has been acting bizarre at home, reported suicidal thoughts and threatened mom and others with bodily harm. Patient noted to be labile, disorganized, manic, easily agitates and also responding to internal stimuli. Patient has psychiatry history of bipolar disorder. He takes Zyprexa 10 mg PO daily but has not been compliant with his medication has reported by mom. He was just discharged from a different psychiatric hospital with DX. of acute psychosis. Patient broke up with his girlfriend about 1 month ago. His UDS is positive for Benzodiazepine and THC. Alcohol level <10. No family history of psychiatry reported. No medical history reported. No drug/food allergies reported. Per mom, patient dropped out of college in his freshman year in college.

Chief Compliant “I here hear voices telling me to kill my momma.”

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so that it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Your assignment woes end here!

ROLE TRANS. Module 6 Discussion.

ROLE TRANS. Module 6 Discussion.

ROLE TRANS. Module 6 Discussion.

Quality of Care

Explain how to measure and monitor the quality of care delivered and the outcomes achieved by an Advanced Practice Nurse.

Submission Instructions:

• Initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.
   

  Who We Are
  We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help in your coursework.

  Do you handle any type of coursework?

  Yes. We have posted over our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill our Order Form. Filling the order form correctly will assist our team in referencing, specifications and future communication.

  

  Is it hard to Place an Order?

  ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

  1. Click on the  “Order Now” on the main Menu and a new page will appear with an order form to be filled.

  2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.

  3. Fill in your paper’s academic level, deadline and the required number of pages from the drop-down menus.

  4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

  100% Reliable Site. Make this your Home of Academic Papers.

  SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS: ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

  Always Order High-Quality Academic Papers from HERE 

  5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it. 

  We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so that it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

  Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

  Order Yours TodayOrder Different PaperUrgent Paper / EssayCheck Paper Cost (s)

   WhatsApp

  Your assignment woes end here!

•  

Effective Work Group Presentation

Effective Work Group Presentation

Effective Work Group Presentation

Assignment Content

1.

Top of Form

Imagine you have each been promoted as part of a new management team for a long-term care facility. During the past two months, you have noticed an increase in conflicts between your co-workers and other departments, such as pharmacy or dietary. Your boss sees this as an issue and has asked your management team to find a solution.

Create a 2 to 3-slide Microsoft® PowerPoint® presentation with detailed speaker notes that answers the following question

· How does a leader’s leadership style influence the work group?

Bottom of Form

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so that it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Your assignment woes end here!

Reply To A Discussion Board

Reply To A Discussion Board

Reply to classmate post:

(Word Limit for response: 250 words).

Please make sure to provide citations and references (in APA format) for your work.

Classmate post:

According to Medline Plus (2019), as many as 1 in 3 adults in the US suffer from high blood pressure. Many people suffering from hypertension do not know they suffer from the condition, partially because it does not come with distinct warning signs. As an emerging lifestyle disease, there is an increasing need for nurses and other care practitioners to be aware of special considerations that would ensure effective diagnosis and treatment of hypertension.

Risk Factors and Special Considerations for Care Planning and Management
It is prudent for nurses and physicians to encourage regular blood pressure measurement, especially for at-risk populations. Special attention and consideration should be taken for a patient that falls within the risk population. These include older people (above 65 years). Also, men are more likely to develop hypertension before 55, and women are more likely to develop hypertension after 55 years, indicating close proximity between gender and hypertension (Khadilkar et al., 2020). Hypertension is also more prevalent and common to African Americans than other races. People with obesity also have a higher likelihood of developing high blood pressure. Stress is also a risk factor for hypertension, and so are bad lifestyle habits like eating excessive salt (or not taking enough potassium), excessive alcohol consumption, tobacco smoking, and sedentary lifestyles. A family history also increases the risk of hypertension (Bhattarai et al., 2021).
However, apart from these risk factors, there are other psycho-social considerations that nurses and care practitioners should consider before making diagnosis or treatment plans. The primary consideration is the patient attitude toward healthcare professionals and conventional medicine, which is influenced by religion, cultural differences, and previous experiences with healthcare systems (Cuevas et al., 2018). Some patients have a non-scientific perception of what causes hypertension and its risk factors. For example, more traditional Asian communities believe an energy imbalance is the cause of hypertension and hold dearly to traditional medicines. Some downright reject mental health. It is important that nurses allow them religious practice while outlaying facts that may overlap with their religious beliefs. This means nurses should incorporate culturally sensitive responses to patient queries (Cuevas et al., 2018). Other important considerations include family dynamics (hierarchy determines healthcare decision-making). It is also important to consider aspects like income that limit access to healthcare and the patient’s mental health status.

Proposed Interventions
The best interventions for mitigating hypertension revolve around creating awareness because the condition is a silent killer (it does not come with distinct symptoms) and affects a very large population. Community awareness campaigns that inform the public on risk factors would go a long way in achieving this end, together with encouraging lifestyle changes such as:
• Eating a healthy diet- limiting the amount of salt intake, eating foods with lower quantities of saturated & trans fats, eating plenty of vegetables & fruits, and whole grains.
• Encouraging regular exercise- two and a half hours of moderate-intensity aerobic exercise every week or 75 minutes of high-intensity exercise weekly and strength training at least twice a week.
• Limiting alcohol consumption.
• Avoiding tobacco.
• Relaxing and managing stress.

References

Bhattarai, S., Tandstad, B., Shrestha, A., Karmacharya, B., & Sen, A. (2021). Socioeconomic Status and Its Relation to Hypertension in Rural Nepal. International Journal of Hypertension, 2021, 1–9. /orders/doi.org/10.1155/2021/5542438

Cuevas, A. G., Williams, D. R., & Albert, M. A. (2018). Psychosocial factors and hypertension: A review of the literature. Cardiology Clinics, 35(2), 223–230. /orders/doi.org/10.1016/j.ccl.2016.12.004

Khadilkar, S. V., Patel, R., & Singh, R. (2020). Considerations in the Management of Hypertension in Cerebral Vascular Diseases. Hypertension Journal, 6(2), 40–44. /orders/doi.org/10.15713/ins.johtn.0184

Medline Plus. (2019). How to Prevent High Blood Pressure. Medlineplus.gov; National Library of Medicine. /orders/medlineplus.gov/howtopreventhighbloodpressure.html

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so that it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Your assignment woes end here!

NSG 500 Discussion 7

NSG 500 Discussion 7

NSG 500 Discussion 7

Choose a pediatric, adult, or older adult age population and a diagnosis that you have the least knowledge that presents as an acute abdomen. Using the textbook and an additional scholarly reference, identify the diagnosis, discuss the subjective and objective data, and any specific physical examination techniques or diagnostic studies that are pathognomonic for this condition.

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so that it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Your assignment woes end here!

Nurse Heart Failure Care Plan

Nurse Heart Failure Care Plan

Nurse Heart Failure Care Plan

Mr. Kaplan is a 78-year-old jewish white male, he is a retiree and was admitted to the hospital accompanied by his grandson. He is 100kg at a height of 180cm so his calculated body mass index (BMI) was 30.9 indicating that he was overweight. When admitted, the patient complained of shortness of breath for 4 weeks which was worsening on the day of admission and worsening cough. Besides, he also experienced orthopnea, fatigue, paroxysmal nocturnal dyspnea, and leg swelling up to his thigh. Mr. Perez was admitted to the hospital for the same problem 4 months ago.

Mr. Kaplan was diagnosed with heart failure on his last admission and he had also been diagnosed with hypertension for 20 years. Before being admitted to the hospital, the patient was taking Lasix 40mg, Eliquis 5 mg, metoprolol 50 mg, amlodipine 10mg, and simvastatin 40mg for his hypertension and heart failure. The patient is not allergic to any medication and he does not take any traditional medicines at home. His family history revealed that his father had died of ischemic heart disease 4 years ago while his brother has hypertension. As for his social history, he smoked 2-3 cigarettes a day for 35 years and the calculated smoking pack-years was 5 pack years. Besides, Mr. Kaplan also drinks occasionally.

On examination, Mr. Kaplan was found to be alert and conscious but he was having pedal edema up to his knee. Besides, the patient was noted with bibasal crepitations with no rhonchi. His body temperature was normal. However, his blood pressure was found to be elevated upon admission with a record of 179/100 mmHg with an irregular pulse rate at 85beats/min. His echocardiogram showed that he had left ventricle hypertrophy while a chest X-ray was conducted and revealed that the patient had cardiomegaly. Lab investigations such as full blood count, liver function test, urea, electrolyte test, and cardiac enzyme were done upon admission. His creatinine concentration was found to be 143µmol/L. Therefore, the calculated creatinine clearance was 68.8ml/min. Besides, there was also blood found in the urine and the echocardiography showed that the patient has sinus tachycardia and EF 45%. In addition, an ECG test was performed on day 1 and the result indicated that there was a T-wave inversion. The patient’s INR was 1.04 which was lower than normal while APTT was found to be slightly higher (59.4 seconds). Mr. Kaplan’s random blood glucose was found to be normal during his hospitalization.

Mr. Kaplan was diagnosed with congestive cardiac failure (CCF) with fluid overload. The patient also suffered from hypertension. The management plan included intravenous furosemide 40mg twice daily, Eliquis 5 mg daily, simvastatin 40 mg once at night and ramipril 2.5mg once a day. Besides, the patient was asked to restrict his fluid intake to 500ml per day and oxygen therapy was given to the patient at high flow at 40L/40% using a face mask when the patient was experiencing shortness of breath.

As for his clinical progression, on day 1, the patient complained of shortness of breath, leg swelling, and orthopnea. An echocardiogram showed that he had cardiomegaly. Treatment of CCF was given. Throughout the stay in the hospital, Mr. Kaplan had responded well to the heart failure therapy as there was no more complaint of chest pain or shortness of breath on day 13 and his pedal edema had gradually improved. However, the patient’s blood pressure from day 1 to 9 was fluctuating between the range of 102/67-179/100 mmHg therefore, hypertension treatment was given and blood pressure from day 10 onwards had been seen to fall within the normal range. Furthermore, Mr. Kaplan’s renal function became progressively worse from 143µmol/L on admission to 175µmol/L on day 11 and the calculated creatinine clearance on day 11 was 56.2ml/min. Discharge medications same as hospital regimen, O2 2L/m nasal cannula as needed for shortness of breath, follow up with cardiology in 3 weeks and nephrology in 2 weeks. Home with home health services

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so that it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Your assignment woes end here!

Article 5

Article 5

Article 5

Find and read a nursing scholarly article that relates to your clinical practice and is found in a peer-reviewed journal. Follow the instructions for the format and write a 1-page summary.

Submission Instructions:

Must be a research article.

Write a 1-page summary using an outline of the steps of the research process, discuss the study type, purpose, and research question(s).

The summary is to be clear and concise and students will lose points for improper grammar, punctuation and misspelling.

The summary should be formatted per current APA and 1 page in length, excluding the title, abstract and references page.

Incorporate a minimum of 2 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so that it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Your assignment woes end here!

Homework

Homework

Receptors trigger one of two effector pathways resulting in changes in neuronal activity. These changes will, ultimately, effect gene expression. Which effector pathway is characterized by ion flux through transmitter-activated channels resulting in an altered membrane potential and neuronal activity?

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so that it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Your assignment woes end here!

Interaction Between Nurse Informaticists And Other Specialists Peer Responses

Informaticists And Other Specialists Peer Responses

Two colleagues offering one or more additional interaction strategies in support of the examples/observations shared or by offering further insight to the thoughts shared about the future of these interactions.

We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so that it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

Your assignment woes end here!

1st Discussion

Imagine you are working on the night shifts in a nursing home. This is your sixth straight day and you’re feeling very tired. One of the residents, Mannie, an 85-year-old male, has been in the home for ten years after having a stroke. Mary needs to be turned every 2-hours to avoid him developing pressure sores, but you and the other nurse you are working with decides to turn him irregularly. Your justifications of these decisions are to avoid disturbing his sleep as well as to protect your backs. At the end of the shift, you turn Mannie and record in his notes that you have done every 2-hours throughout the night. He has not developed a pressure sore, so what is the harm? Now consider this: you turn him at the end of the night and discover that a small area has broken down on his left hip. Is this your fault? If the manager asks if you have turned him every 2-hours, as stated in the care plan, what will you say? You could say you turned him every 2-hours – this would not change anything for Mannie but would make your life easier. Alternatively, you go to turn him at the end of the night shift only to discover that he has died sometime during the night. Mannie has been dead for a while based on how cold he is. You know you can just claim that you found him earlier in the night and prepare his body quickly before the day staff comes in to work. Surely this will not change anything; no one will be hurt, will they?

After reading the article, take some time to reflect on cultural diversity in healthcare, then answer substantively to the following questions.

1. Which, if any, of these scenarios are acceptable? Does the blame attached to any of them change because of the outcome?
2. What does your choice of actions say about you?
3. What values are being displayed here? Explain.
    

   Who We Are
   We are a professional custom writing website. If you have searched for a question and bumped into our website just know you are in the right place to get help in your coursework.

   Do you handle any type of coursework?

   Yes. We have posted over our previous orders to display our experience. Since we have done this question before, we can also do it for you. To make sure we do it perfectly, please fill our Order Form. Filling the order form correctly will assist our team in referencing, specifications and future communication.

   

   Is it hard to Place an Order?

   ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

   1. Click on the  “Order Now” on the main Menu and a new page will appear with an order form to be filled.

   2. Fill in your paper’s requirements in the “PAPER INFORMATION” section and the system will calculate your order price/cost.

   3. Fill in your paper’s academic level, deadline and the required number of pages from the drop-down menus.

   4. Click “FINAL STEP” to enter your registration details and get an account with us for record-keeping and then, click on “PROCEED TO CHECKOUT” at the bottom of the page.

   100% Reliable Site. Make this your Home of Academic Papers.

   SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS: ORDER NOW FOR AN ORIGINAL PAPER ASSIGNMENT

   Always Order High-Quality Academic Papers from HERE 

   5. From there, the payment sections will show, follow the guided payment process and your order will be available for our writing team to work on it. 

   We will process your orders through multiple stages and checks to ensure that what we are delivering to you, in the end, is something that is precise as you envisioned it. All of our essay writing service products are 100% original, ensuring that there is no plagiarism in them. The sources are well-researched and cited so that it is interesting. Our goal is to help as many students as possible with their assignments, i.e. our prices are affordable and services premium.

   Looking for a Similar Assignment? Order a custom-written, plagiarism-free paper

   Order Yours TodayOrder Different PaperUrgent Paper / EssayCheck Paper Cost (s)

    WhatsApp

   Your assignment woes end here!