NU671-8L Unit 7 Discussion – Clinical Experience Herzing
NU671-8L Unit 7 Discussion – Clinical Experience Herzing
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Initial Discussion Question/Prompt
Consider the following questions in your initial discussion
post:
Instructions:
·
Review the SOAP note accessed through the link below.
o Unit 7 SOAP Note Download Unit 7 SOAP Note
Utilize
the information below that is copied-and-pasted out of the SOAP Note Assignment
instructions to assist you in formatting your post:
Assessment
(A):
Diagnosis/Diagnoses:
Start with the presenting chief complaint diagnosis first. Number each diagnosis.
A
statement of current condition and all other chronic illnesses that were addressed during the visit must be included (i.e. HTN-well managed on
medication}.
Remember
the data you provide in the ‘S’ data set and the ‘O’ data set must support this diagnosis (or these diagnoses if more
than one is listed}. Pertinent positives and negatives must be found in the
write-up.
Plan
(P):
These are the interventions that relate to each individual,
numbered diagnosis.
Document
individual plans directly after each corresponding assessment (Ex. Assessment Plan).
Address the following aspects (they should be separated out as listed below):
Diagnostics: labs, diagnostics testing – tests that you planned for/ordered
during the encounter that you plan to review/evaluate relative to your work up
for the patient’s chief complaint
Therapeutic: changes in meds, skin
care, counseling, include full prescribing information for any pharmacologic
interventions including quantity and number of refills for any new or refilled
medications.
Educational: information clients need in order to address their health
problems. Include follow up care. Anticipatory guidance and counseling.
Consultation/Collaboration: referrals or consult while in clinic with
another provider. If no referral made was there a possible referral you could
make and why? Advance care planning.
NOTE: please input N/A where appropriate for the above 4
categories, do not assume that your clinical faculty person will know it was
not applicable.
Responses need to address all components of the question,
demonstrate critical thinking and analysis and include peer-reviewed journal
evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text
citations and corresponding references in APA format.
Please review the rubric to ensure that your response meets the
criteria.
Estimated time to complete: 2 hours
Discussion Peer/Participation Prompt
Please respond to at least 2 of
your peer’s posts with substantive comments using the following steps:
·
Construct a response – ideally one who utilized the same EBP
interventions that you did and one who did not.
o Substantive comments add to
the discussion and provide your fellow students with information that will
enhance the learning environment.
o References and citations
should conform to APA standards.
o Remember: Please respect the
opinions of others, even if their views differ. In other words, disagree
professionally and respectfully.
o Plagiarism is never
acceptable – give credit when credit is due – cite your sources.
Responses need to address all components of the question,
demonstrate critical thinking and analysis and include peer-reviewed journal
evidence to support the student’s position.
Please be sure to validate your opinions and ideas with in-text
citations and corresponding references in APA format.
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