Nurs6540 all assignments

Week 4
assignment 1

Assignment: Practicum – Week 3 SOAP Note
In addition to journal entries, SOAP Note submissions are a
way to reflect on your practicum experiences and connect these experiences to
your classroom experience. SOAP Notes, such as the ones required in this
course, are often used in clinical settings to document patient care. Refer to
this week’s Learning Resources for guidance on writing SOAP Notes.
Select a geriatric patient that you examined during the last
3 weeks. The patient you select should be currently taking at least five
prescription and/or over-the-counter drugs. With this patient in mind, address
the following in a SOAP Note:
Subjective: What was the patient’s subjective complaint?
What details did the patient provide regarding his or her personal and medical
history? Include a list of prescription and over-the-counter drugs the patient
is currently taking. Compare this list with the Beers Criteria and consider
alternative drugs if appropriate.
Objective: What observations did you make during the
physical assessment? What functional assessments were used?
Assessment: What were your differential diagnoses? Provide a
minimum of three possible diagnoses. List them from top priority to least
priority.
Plan: What was your plan for diagnostics and primary
diagnosis? What was your plan for treatment and management including
alternative therapies? What is your care plan for the patient? How would you
offer caregiver support?
Reflection notes: What would you do differently in a similar
patient evaluation? How might you improve your assessment, diagnosis, and/or
plan through interprofessional collaboration?
Refer to this week’s Learning Resources for guidance on
writing SOAP Notes.
By Day 7 of Week 4
This Assignment is due. You will submit this Week 3 SOAP
Note along with your Journal Entries (from Weeks 1, 2, and 4) by Day 7 of Week
4.
Week 4
assignment 2
Assignment: Practicum – Week 1 Journal Entry
As a future advanced practice nurse, it is important that
you are able to connect your classroom experience to your practicum experience.
By applying the concepts you study in the classroom to clinical settings, you
enhance your professional competency. Each week, you complete an Assignment
such as a Journal Entry or SOAP Note that prompts you to reflect on your
practicum experiences and relate them to the material presented in the
classroom. This week, you begin documenting your practicum experiences in your
Practicum Journal. Please use the Practicum Journal Template, located in this
week’s Learning Resources.
To prepare for this course’s Practicum Experience, address
the following in your practicum journal:
Select an aging theory to guide your practice.
Develop goals and objectives for the Practicum Experience in
this course. Be sure to consider geriatric competencies.
Create a timeline of practicum activities based on your
practicum requirements.
By Day 7 of Week 4
This Assignment is due. You will submit this Week 1 Journal
Entry along with the Week 2 and Week 3 Journal Entries and Week 3 SOAP Note by
day 7 of Week 4.
Assignment: Practicum – Week 2 Journal Entry
To prepare for this course’s Practicum Experience, reflect
on implications of age-related changes in geriatric patients. Explain how you
might differentiate between normal behaviors/disorders due to aging and
abnormal behavior/disorders that are not age related. Include how functional
assessments might help distinguish “normal” from “abnormal.”
By Day 7 of Week 4
This Assignment is due. You will submit this Week 2 Journal
Entry, the Week 1 and Week 4 Journal Entries, and the Week 3 SOAP Note by Day 7
of Week 4.
Assignment: Practicum – Week 4 Journal Entry
Reflect on medication adherence issues you have encountered
with geriatric patients in your practicum setting. Explain implications of
these issues on patient health, as well as strategies to improve medication
adherence for geriatric patients. If you did not have an opportunity to
evaluate a patient with this background during the last 4 weeks, you can select
a related case study or reflect on previous clinical experiences.
By Day 7 of Week 4
This Assignment is due. Please submit the Journal Entries
(Weeks 1, 2, and 4), and the Week 3 SOAP Note by Day 7 of Week 4 (this week).
Note: Be sure to submit your Assignment to the appropriate
submission link below.
Submissions should match the following:
Week 3 SOAP Note: Submit to the Week 4 Assignment – Part 1
submission link.
Weeks 1, 2, & 4 Journal Entry: Submit to the Week 4
Assignment – Part 2 submission link.
For the Journal Entries—which are assessed with a
Satisfactory (S) or Unsatisfactory (U) score—the numerical grade will show as 0
points and the “S” or “U” will be posted in the Feedback area by your
Instructor. These scores of 0 points do not affect your grade; they simply
allow for a placeholder to place the “S” or “U” scoring. This concept also
applies to Weeks 7 and 10.
Submission and Grading Information
To submit your completed Assignment for review and grading,
do the following:
Please save your Assignment using the following naming
convention: WK4AssgnPX+lastname+first initial.
Click the Assignment Week 4 – Part X link.
Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK4AssgnPX+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.
Click on the Submit button to complete your submission.
Week 6
assignment 1
Assignment 1: Application – PICO Analysis of Dementia,
Delirium, and Depression
A PICO analysis is used to pose a focused clinical question
to which you find appropriate evidence-based answers. The PICO question should
include the patient or population (P), anticipated intervention (I), comparison
group or current standard (C), and outcome desired (O). In this Assignment, you
develop a question related to dementia, delirium, or depression. Through your
PICO analysis, you explore various resources and examine current evidence to
answer the question you develop.
To prepare:
Select one of the following disorders as your topic:
dementia, delirium, or depression.
Review the guidelines in the “Literature Review Matrix”
document in this week’s Learning Resources.
Think about a research question around your issue as
indicated in Part I: PICO Analysis of Research Topic.
Consider the resources you will use, search terms and
criteria, and Boolean search strings as indicated in Part II: Search Strategy.
Using the Walden Library and other appropriate databases,
locate five articles related to your PICO question. At least one article must
be a systematic review. All of the articles should be primary sources.
Reflect on the five articles you selected as indicated in
Part III: Analysis of Literature. Consider the conceptual framework/theory,
main finding, research method, strengths of study, weaknesses, and level of
evidence for each article.
Consider how to use the summaries in Part III to create an
evidence table. Use this evidence table to determine appropriate treatment
options for patients who present with the disorder you selected as your topic.
To complete:
Formulate a question around the disorder you selected as
indicated in Part I: PICO Analysis of Research Topic.
Identify the resources you will use, search terms and
criteria, and Boolean search strings as indicated in Part II: Search Strategy.
Summarize the five articles you selected as indicated in Part
III: Analysis of Literature. Describe the conceptual framework/theory, main
finding, research method, strengths of study, weaknesses, and level of evidence
for each article.
Create an evidence table based on the article summaries in
Part III. Describe appropriate treatment options for patients based on this
evidence table.
By Day 7 of Week 6
This Assignment is due.
Submission and Grading Information
To submit your completed Assignment for review and grading,
do the following:
Please save your Assignment using the following naming
convention: “WK6Assgn1+lastname+first initial”.
Click the Week 6 Assignment 1 link.
Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK6Assgn1+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.
Click on the Submit button to complete your submission.
Week 7
assignment 1
Assignment: Practicum – Week 7 SOAP Note
Select a geriatric patient that you examined during the last
4 weeks. The patient you select should be currently taking at least five
prescription and/or over-the-counter drugs. With this patient in mind, address
the following in a SOAP Note:
Subjective: What was the patient’s subjective complaint?
What details did the patient provide regarding his or her personal and medical
history? Include a list of prescription and over-the-counter drugs the patient
is currently taking. Compare this list to the Beers Criteria and consider
alternative drugs if appropriate.
Objective: What observations did you make during the
physical assessment? What functional assessments were used?
Assessment: What were your differential diagnoses? Provide a
minimum of three possible diagnoses. List them from top priority to least
priority.
Plan: What was your plan for diagnostics and primary
diagnosis? What was your plan for treatment and management including
alternative therapies? What is your care plan for the patient? How would you
offer caregiver support?
Reflection notes: What would you do differently in a similar
patient evaluation? How might you improve your assessment, diagnosis, and/or
plan through interprofessional collaboration?
Refer to the Week 3 Learning Resources for guidance on
writing SOAP Notes.
By Day 7 of Week 7
This Assignment is due. You will submit this Week 7 SOAP
Note along with your Journal Entries (from Weeks 5 and 6) by Day 7 of Week 7
(this week).
Note: Be sure to submit your Assignment to the appropriate
submission link below.
Submissions should match the following:
Week 7 SOAP Note: Submit to the Week 7 Assignment – Part 1
submission link.
Weeks 5 and 6 Journal Entry: Submit to the Week 7 Assignment
– Part 2 submission link.
For the Journal Entries—which are assessed with a Satisfactory
(S) or Unsatisfactory (U) score—the numerical grade will show as 0 points and
the “S” or “U” will be posted in the Feedback area by your Instructor. These
scores of 0 points do not affect your grade; they simply allow for a
placeholder to place the “S” or “U” scoring. This concept also applies to Weeks
4 and 10.
Submission and Grading Information
To submit your completed Assignment for review and grading,
do the following:
Please save your Assignment using the following naming
convention: WK7AssgnPX+lastname+first initial.
Click the Assignment Week 7 – Part X link.
Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK7AssgnPX+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.
Click on the Submit button to complete your submission.
Week 7
assignment 2
Assignment: Practicum – Week 5 Journal Entry
Reflect on atypical presentations of disorders in geriatric
patients in your practicum setting. Many disorders manifest themselves in a way
that would be considered an atypical presentation—most likely different from
the way a textbook would describe the disorder’s possible presentations.
Consider geriatric patients that you have observed with atypical presentations
of disorders. Describe a patient case including how the patient was diagnosed
and strategies that were used to overcome the atypical presentation. If you did
not have an opportunity to evaluate a patient with this background during the last
5 weeks, you can select a related case study or reflect on previous clinical
experiences.
By Day 7 of Week 7
This Assignment is due. You will submit this Week 5 Journal
Entry along with the Week 6 and the Week 7 SOAP Note by Day 7 of Week 7.
Assignment 2: Practicum – Week 6 Journal Entry
Reflect on geriatric patients from your practicum site that
you may have assessed for dementia, delirium, or depression. Explain the impact
of these types of disorders on frail elders. Then, describe a patient case
including the care plan for assessment, diagnoses, treatment, management, and
patient education. Explain whether the patient’s care plan was effective.
Include how you might proceed differently in the future. If you did not have an
opportunity to evaluate a patient with this background during the last 6 weeks,
you can select a related case study or reflect on previous clinical
experiences.
By Day 7 of Week 7
This Assignment is due. You will submit this Week 6 Journal
Entry along with the Week 5 Journal Entry and the Week 7 SOAP Note by Day 7 of
Week 7.
Week 8
assignment
Assignment 1: Application – Diagnosing and Treating Skin
Wounds
Skin wounds are sometimes challenging for health care
providers to diagnose and treat as many have similar presentations. For
advanced practice nurses, being able to identify various types of skin wounds,
including whether a wound is a colonization or an infection, is critical
because it impacts recommended patient care. In your role, you must be able to
evaluate skin wounds, determine the diagnosis, and develop an appropriate
treatment and management plan according to current evidence-based guidelines.
To prepare:
Review Chapter 46 of the Resnick text, as well as the Burr
article in this week’s Learning Resources.
Consider how to properly diagnose skin wounds in frail
elders, including how to distinguish between a colonization and infection.
Select a type of skin wound, such as bumps, bruises,
shingles, herpes, bullous pemphigoid, Stevens-Johnson syndrome, etc. Research
the guidelines for treatment of the skin wound you selected. Reflect on how you
would treat and/or dress this wound.
Think about factors that might contribute to the development
of the skin wound you selected. Consider strategies for the prevention and
improvement of this type of wound.
To complete:
Write a 2- to 3-page paper that addresses the following:
Explain how to properly diagnose skin wounds in frail
elders, including how to distinguish between a colonization and infection.
Describe the type of skin wound you selected.
Explain how you would treat and/or dress this wound based on
guidelines for treatment.
Explain factors that might contribute to the development of
the skin wound you selected. Include strategies for the prevention and
improvement of this type of wound.
By Day 7
This Assignment is due.
Note: The School of Nursing requires that all papers
submitted include a title page, introduction, summary, and references. The
Sample Paper provided at the Walden Writing Center provides an example of those
required elements (available at
http://academicguides.waldenu.edu/writingcenter/templates). All papers
submitted must use this formatting.
Submission and Grading Information
To submit your completed Assignment for review and grading,
do the following:
Please save your Assignment using the following naming
convention: “WK8Assgn1+lastname+first initial”.
Click the Week 8 Assignment 1 link.
Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK8Assgn1+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.
Click on the Submit button to complete your submission.
Week 10
assignment
Assignment 2: Practicum – Week 8 Journal Entry
Reflect on geriatric patients from your practicum site.
Consider frail elder patients that you have assessed for skin wounds such as
bumps, bruises, shingles, herpes, bullous pemphigoid, Stevens-Johnson syndrome,
etc. Explain the consequences of these types of wounds for frail elders. Then,
describe a patient case including the care plan for assessment, diagnoses,
treatment, management, and patient education. Explain whether the patient’s
care plan was effective. Include how you might proceed differently in the
future. If you did not have an opportunity to evaluate a patient with this
background during the last 8 weeks, you can select a related case study or
reflect on previous clinical experiences.
By Day 7 of Week 10
This Assignment is due. Please submit the Journal Entries
(Weeks 8, 9 and 10) by Day 7 of Week 10.
Assignment: Practicum – Week 9 Journal Entry
An advance directive is a legal document that defines a
patient’s wishes for medical care. This document is a way for patients to share
their wishes with family members and health care providers when their illness
or mental capacity prevents them from making decisions. As an advanced practice
nurse who has care discussions with patients and their families, you need to
not only be familiar with the process of completing an advance directive, but
also understand how this document might impact your role in patient care and
treatment.
Journal Entry Part 1
For the first part of your journal entry, reflect on the
Five Wishes presented on the Five Wishes website and PDF and complete your Five
Wishes. Explain your state’s requirements for advance directives, including
whether your Five Wishes can be turned into a formal document. Then, explain
how your experience of completing your Five Wishes advance directive will help
you guide discussions with patients and their families. Finally, explain how
you might apply the Five Wishes advance directives to your nursing practice.
Include how this advance directive might benefit patients in decision making
for specialized areas of care.
Journal Entry Part 2
For the second part of your journal entry, reflect on
geriatric patients from your practicum site with disorders related to
specialized areas of care, such as oncology, nephrology, urology, gynecology,
and neurology. Describe a case of a frail elder patient who must make decisions
related to specialized areas of care. Then, explain potential patient outcomes
and include whether treatments would be beneficial and how they would impact
the patient’s quality of life. Finally, describe the patient’s wishes in terms
of treatments and interventions for the disorder (Was there an advanced
directive?) and how the patient might want to spend any remaining time. Include
how environmental factors, such as family, caregivers, ethnicity, culture,
religion, and/or personal values, might impact decision making for treatments
and interventions. If you did not have an opportunity to evaluate a patient
with this background during the last 9 weeks, you can select a related case
study or reflect on previous clinical experiences.
By Day 7 of Week 10
This Assignment is due. You will submit this Week 9 Journal
Entry, Week 8 Journal Entry and the Week 10 Journal Entry by Day 7 of Week 10.
Assignment: Practicum – Week 10 Journal Entry
Elder abuse is any intentional or negligent behavior that
results in physical, sexual, emotional, pharmacological, and/or financial
abuse. Unfortunately, abuse is sometimes difficult to identify, and elders are
often hesitant or unable to report abuse themselves (Administration on Aging,
n.d.). This makes it important for health care providers to regularly monitor
for signs of abuse and react according to local and state laws.
Journal Entry Part 1
For the first part of your journal entry, select and
describe one of the following types of elder abuse: physical, sexual,
mental/emotional/verbal, pharmacological, or financial. Explain strategies for
identifying this abuse. Then, explain how you would proceed based on your local
and state laws once you have identified this abuse in a patient. Describe
resources in your community that assist victims of this type of abuse and
explain how you, as the advanced practice nurse, might apply these resources
for abused elders who are identified in the clinical setting.
Journal Entry Part 2
For the second part of your journal entry, reflect on the
different cultures—ethnic, religious, regional, or generational—of the elder
patient population at your practicum site. Describe the cultures you have
observed and explain the influence of these cultures on the prevalence and
detection of elder abuse. Then, explain how culture might impact the way you
would implement resources for preventing or addressing abuse.
By Day 7 of Week 10
This Assignment is due. You will submit this Week 10 Journal
Entry, Week 8 Journal Entry and the Week 9 Journal Entry by Day 7 of Week 10.
For the Journal Entries —which are assessed with a
Satisfactory (S) or Unsatisfactory (U) score—the numerical grade will show as 0
points and the “S” or “U” will be posted in the Feedback area by your
Instructor. These scores of 0 points do not affect your grade; they simply
allow for a placeholder to place the “S” or “U” scoring. This concept also
applies to Weeks 4 and 7.
Submission and Grading Information
To submit your completed Assignment for review and grading,
do the following:
Please save your Assignment using the following naming
convention: WK10Assgn+lastname+first initial.
Click the Assignment Week 10 link.
Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK10Assgn+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.
Click on the Submit button to complete your submission.
Week 11
assignment
Assignment: Practicum – Week 11 SOAP Note
Select a geriatric patient that you examined during the last
3 weeks. The patient you select should be currently taking at least five
prescription and/or over-the-counter drugs. With this patient in mind, address
the following in a SOAP Note:
Subjective: What was the patient’s subjective complaint?
What details did the patient provide regarding his or her personal and medical
history? Include a list of prescription and over-the-counter drugs the patient
is currently taking. Compare this list to the Beers Criteria and consider
alternative drugs if appropriate.
Objective: What observations did you make during the
physical assessment? What functional assessments were used?
Assessment: What were your differential diagnoses? Provide a
minimum of three possible diagnoses. List them from top priority to least
priority.
Plan: What was your plan for diagnostics and primary
diagnosis? What was your plan for treatment and management including
alternative therapies? What is your care plan for patient? How would you offer
caregiver support?
Reflection notes: What would you do differently in a similar
patient evaluation? How might you improve your assessment, diagnosis, and/or
plan through interprofessional collaboration?
Please refer to the Learning Resources in Week 3 for
guidance on writing SOAP Notes.
By Day 7 of Week 11
This Assignment is due.
Submission and Grading Information
To submit your completed Assignment for review and grading,
do the following:
Please save your Assignment using the following naming
convention: “WK11AssgnPX+lastname+first initial”.
Click the Week 11 Assignment – Part X link.
Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK11AssgnPX+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.
Click on the Submit button to complete your submission.