Episodic Women’s Health SOAP Note Template

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Text Description automatically generated with medium confidence

 

Episodic Women’s Health SOAP Note Template

 

 

Encounter date:

 

Patient Initials: Gender: Age: Race/Ethnicity:

 

Subjective

 

Reason for Seeking Health Care:

 

History of Present Illness (HPI):

 

Allergies (Drug/Food/Latex/Environmental/Herbal):

 

Current Medications (including over the counter medications):

 

Past Medical History (PMH):

 

OB/GYN History:

 

Past Surgical History:

 

Family Medical History:

 

Social History:

 

Review of Systems (ROS)

Focus on systems affecting women’s health and inquire about systems relevant to the reason for the visit)

 

Physical Examination

Vital Signs

General Appearance

Include physical exam of all relevant systems based on the reason for the visit and the HPI. Perform a cardiopulmonary exam on all patients regardless of the reason for seeking care.

 

Significant Data/Contributing Dx/Labs/Misc

 

 

 

 

 

 

Assessment

Differential Diagnoses (3 minimum)

Primary Diagnoses

 

Plan

For each primary diagnosis, include laboratory/diagnostic tests, therapeutic/pharmacological therapy, referrals, and follow-up ordered and patient education done for this visit.

Include age-appropriate health promotion/maintenance/screening needs.

 

Remember that for every S (reason for the visit), there must be an O, A, and P (relevant exam, diagnosis, and plan). Always sign your notes.

 

DEA#: 101010101 STU Clinic LIC# 10000000

Tel: (000) 555-1234 FAX: (000) 555-12222

Patient Name: (Initials)______________________________ Age ___________

Date: _______________

RX ______________________________________

SIG:

Dispense: ___________ Refill: _________________

No Substitution

Signature: ____________________________________________________________

 

 

 

Signature (with appropriate credentials): __________________________________________

 

References (must use current evidence-based guidelines used to guide the care [Mandatory])

 

 

 

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Joseph, M. V. (2021). Episodic Women’s Health SOAP Note. Copyright ©

 

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The surrogate role is not one that is frequently mentioned in recent nursing practice literature. 

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The surrogate role is not one that is frequently mentioned in recent nursing practice literature.  Is that role as defined by Peplau relevant to nursing practice as currently experienced.  If so, in what way.  If not, why?

400 word, 1 reference

Write a scholarly paper for the capstone project:

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Write a scholarly paper for the capstone project:

Hypertension in Homeless Population

 

 

Build on the previous completed work that is attached

 

Requirements:

· 16 pages

· APA 7th ed.; size 12 font

· Minimum of six scholarly references within the last five years

· Follow and include the outline and sections

 

The capstone project OUTLINE AND SECTION:

1. Title page

2. Abstract

3. Background & Significance

4. Literature Review

5. Supporting Evidence

6. Purpose or Aims of the Study

7. Theoretical Model or Framework

8. Methods/Design/Sampling

9. Proposed Interventions

10. Expected Results/Outcomes

11. Anticipated Conclusion

12. Possible Limitations

13. Potential Implications to Practice

14. References

15. Poster

16. Appendices

 

Include:

· Clear, problem statement

· Establish synthesis of literature and evidence-based practice in all content sections.

· Apply concepts of cultural competency and cultural literacy within the background section and Purpose or Aims of the Study section.

· effective collaboration of the advanced nursing role through leadership, collaboration and improving outcomes in the proposed interventions section

Required Uniform Assignment: Health Promotion Project Guidelines

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NR222 Health and Wellness

Required Uniform Assignment: Health Promotion Project Guidelines

Purpose

This assignment allows the learner to apply knowledge gained about health promotion concepts and strategies, enhance written communication skills, and demonstrate a beginning understanding of cultural competency.

Course outcomes: This assignment enables the student to meet the following course outcomes:

1. Discuss the professional nurse’s role in health promotion activities. (PO 1 and 2)

3. Discuss health promotion, illness prevention, health maintenance, health restoration, and rehabilitation in relation to the nurse’s role in working with various populations. (PO 1, 2, and 8)

7. Identify health promotion strategies throughout the life span. (PO 1, 2, and 4)

Due date: Your faculty member will inform you when this assignment is due. The Late Assignment Policy applies to this assignment.

Total points possible: 100 points

Preparing the assignment

Follow these guidelines when completing this assignment. Speak with your faculty member if you have questions.

1) Identify a health problem or need for health promotion for a particular stage in the life span of a population from a specific culture in your area.

2) Choose one of the Leading Health Indicator (LHI) priorities from Healthy People. https://health.gov/healthypeople/objectives-and-data/leading-health-indicators

3) Research a topic related to health and wellness associated with one of the Healthy People topic areas.

4) Submit your topic to the instructor for approval at least 2 weeks prior to the final assignment due date, but earlier if desired. All topics must be approved.

5) You will develop an educational health promotion project addressing the population/culture in your area.

6) Use TurnItIn in time to make any edits that might be necessary based on the Similarity Index prior to submitting your paper to your faculty. Consult with your faculty about the acceptable Similarity Index for this paper.

7) For writing assistance, visit the Writing Center page https://mychamberlain.sharepoint.com/sites/StudentResourceCenter/WC.

8) Include the following sections (detailed criteria listed below and in the Grading Rubric).

a. Introduction and Conclusion- 15 points/15%

· Introduction establishes the purpose of the paper and describes why topic is important to health promotion in the target population in your area.

· Introduction stimulates the reader’s interest.

· Conclusion includes the main ideas from the body of the paper.

· Conclusion includes the major support points from the body of the paper.

b. Relate Topic to Target Population- 25 points/25%

· Describes the topic and target cultural population.

· Includes statistics to support significance of the topic.

· Explains how the project relates to the selected Healthy People topic area.

· Applies health promotion concepts.

c. Summary of Articles- 25 points/25%

· A minimum of three (3) scholarly articles, from the last 5 years, are used as sources.

· Articles meet criteria of being from scholarly journals and include health promotion and wellness content.

· At least one article is related to the chosen cultural group.

· Summaries all key points and findings from the articles.

· Includes statistics to support significance of the topic.

· Discusses how information from the articles is used in the Health Promotion Project, including specific examples.

d. Health Promotion Discussion – 25 points/25%

· Describes approaches to educate the target population about the topic.

· The approaches are appropriate for the cultural target population.

· Identifies specific ways to promote lifestyle changes within the target population.

· Applies health promotion strategies.

e. APA Style and Organization – 10 points/10%

· TurnItIn is used prior to submitting paper for grading.

· Revisions are made based on TurnItIn originality report.

· References are submitted with assignment.

· Use current APA format and is free of errors.

· Grammar and mechanics are free of errors.

· Paper is 3-4 pages, excluding title and reference pages.

· Information is organized around required components and flows in a logical sequence.

 

 

 

NR283 Pathophysiology

RUA: Pathophysiological Processes Guidelines

 

 

NR222 Health and Wellness

Required Uniform Assignment: Health Promotion Paper Guidelines

 

NR283 Pathophysiological Processes Guidelines V2.docx Revised: 04/2018

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NR222 Health Promotion Project Guidelines V6.docx ®2022 Chamberlain University. All Rights Reserved

 

41

 

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Grading Rubric

Criteria are met when the student’s application of knowledge within the paper demonstrates achievement of the outcomes for this assignment.

Assignment Section and

Required Criteria

(Points possible/% of total points available)

 Highest Level of Performance High Level of Performance Satisfactory Level of Performance Unsatisfactory Level of Performance Section not present in paper
Introduction and Conclusion

(15 points/15%)

 15 points 13 points 12 points 8 points 0 points
Required criteria

1. Introduction establishes the purpose of the paper and describes why topic is important to health promotion in the target population in your area.

2. Introduction stimulates the reader’s interest.

3. Conclusion includes the main ideas from the body of the paper.

4. Conclusion includes the major support points from the body of the paper.

 Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no fewer than 2 requirements for section. Includes 1 or fewer requirements for section. No requirements for this section presented.
Relate Topic to Target Population

(25 points/25%)

 25 points 20 points 15 points 10 points 0 points
Required criteria

1. Describes the topic and target cultural population.

2. Includes statistics to support significance of the topic.

3. Explains how the project relates to the selected Healthy People topic area.

4. Applies health promotion concepts.

 Includes no fewer than 4 requirements for section. Includes no fewer than 3 requirements for section. Includes no less than 2 requirements for section. Includes 1 or fewer requirements for section.

 

 No requirements for this section presented.
Summary of Articles

(25 points/25%)

 25 points 23 points 21 points 10 points 0 points
Required criteria

1. A minimum of three (3) scholarly articles, from the last 5 years, are used as sources.

2. Articles meet criteria of being from scholarly journals and include health promotion and wellness content.

3. At least one article is related to the chosen cultural group.

4. Summaries all key points and findings from the articles.

5. Includes statistics to support significance of the topic.

6. Discusses how information from the articles is used in the Health Promotion Project, including specific examples.

 Includes no fewer than 6 requirements for section. Includes no fewer than 5 requirements for section. Includes no fewer than 4 requirements for section.

 

 Includes 1-3 requirements for section.

 

 No requirements for this section presented.

 
Health Promotion Discussion

(25 points/25%)

 25 points 23 points 21 points 10 points 0 points
Required criteria

1. Describes approaches to educate the target population about the topic.

2. The approaches are appropriate for the cultural target population.

3. Identifies specific ways to promote lifestyle changes within the target population.

4. Applies health promotion strategies.

 Includes no fewer than 4 requirements for section.

 

 Includes no fewer than 3 requirements for section.

 

 Includes no fewer than 2 requirements for section. Includes 1 or fewer requirement for section.

 

 No requirements for this section presented.

 
APA Style and Organization

(10 points/10%)

 10 points 9 points 8 points 4 points 0 points
Required criteria

1. TurnItIn is used prior to submitting paper for grading.

2. Revisions are made based on TurnItIn originality report.

3. References are submitted with assignment.

4. Uses current APA format and is free of errors.

5. Grammar and mechanics are free of errors.

6. Paper is 3-4 pages, excluding title and reference pages.

7. Information is organized around required components and flows in a logical sequence.

 Includes no fewer than 7 requirements for section.

 

 Includes no fewer than 6 requirements for section. Includes no fewer than 5 requirements for section. Includes 1-4 requirements for section. No requirements for this section presented.

 
Total Points Possible = 100 points

 

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identify at least 3 key concepts from the selected part of the textbook and provide clear and correct explanations. Writing shows a clear logical link between those concepts.

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identify at least 3 key concepts from the selected part of the textbook and provide clear and correct explanations. Writing shows a clear logical link between those concepts. Synthesize information from multiple sources (lectures, readings, activities) and derive a conclusion in your own words. The terminology used is clearly defined.

Reflection Essay . This is an individual assignment. You need to write a short essay reflecting your thoughts on that section (Chapter 5-8). . 

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Reflection Essay . This is an individual assignment. You need to write a short essay reflecting your thoughts on that section (Chapter 5-8). .

The reflection exercise will allow you to think critically and creatively, analyze a real-world situation, and come up with a reasonable conclusion. A good reflection is a well and clearly written document that demonstrates your understanding of that chapters by synthesizing and analyzing information from multiple sources (lectures, assigned readings, discussions, etc.).

 

Notes:

· The reflection should be 500-600 words.

· A part of points will be taken off for each criterion that was not met.

· References (Cited properly, using APA citation style: library.cornell.edu/newhelp/res_strategy/citing/apa.html#apa)

· Late submission will be subjected to a point reduction each day after the deadline until it runs down to zero.

Rubric

Reflection Rubric

Reflection Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeDescription of criterion
50 pts

Full Marks

Identify at least 3 key concepts from the selected part of the textbook and provide clear and correct explanations. Writing shows a clear logical link between those concepts. Synthesize information from multiple sources (lectures, readings, activities) and derive a conclusion in your own words. The terminology used is clearly defined. Notes: – The reflection should be 500-600 words. – A part of points will be taken off for each criterion that was not met. – A late submission will be subjected to a point reduction each day after the deadline until it runs down to zero.

 30 pts

Partial Marks

Response provides most of the content required by the prompt, but requires further improvement in clarity of argument and relevancy.

 0 pts

No Marks

No posting, or response but with minimum effort.

 

 50 pts
Total Points: 50

 

 

Book:Dixon B. (2016). Health information exchange. Academic Press. San Diego, CA. ISBN: 9780128031353

 

Login: Perlego

 

Username: egbeyemi@dupe@yahoo.com

Password: Uisspringfield24*

For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified.

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For this assessment, use the context of the organization where you conducted your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific patient or organizational outcome or objective based on the information gathered in your interview.

The goal of this assessment is to clearly lay out the improvement objective for your planned interdisciplinary intervention of the issue you identified. Additionally, be sure to further build on the leadership, change, and collaboration research you completed in the previous assessment. Look for specific, real-world ways in which those strategies and best practices could be applied to encourage buy-in for the plan or facilitate the implementation of the plan for the best possible outcome.

Using the Interdisciplinary Plan Proposal Template [DOCX] Download Interdisciplinary Plan Proposal Template [DOCX]will help you stay organized and concise. As you complete each section of the template, make sure you apply APA format to in-text citations for the evidence and best practices that inform your plan, as well as the reference list at the end.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

  • Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
  • Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
  • Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
  • Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.
  • Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.
  • Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2–4 pages in length. Be sure to include a reference page at the end of the plan.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
  • APA formatting: Make sure that in-text citations and reference list follow current APA style.

For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach.

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For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.

When submitting your plan, use the Interview and Issue Identification Template [DOCX],  Download Interview and Issue Identification Template [DOCX],which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.

Additionally, be sure to address the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

  • Summarize an interview focused on past or current issues at a health care organization.
  • Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
  • Describe potential change theories and leadership strategies that could inform an interdisciplinary solution to an organizational issue.
  • Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
  • Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.
  • Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
  • APA formatting: Make sure that in-text citations and reference list follow current APA style.

When taking care of patients, why do you think it is important to utilize the appropriate resources?

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  1. When taking care of patients, why do you think it is important to utilize the appropriate resources?
  2. How do you think evidence from nursing journals affects patient care?
  3. What role does using the right evidence play in being a professional nursing student?
  4. What role does understanding plagiarism and academic integrity play in being a professional nursing student?

As a new member of the global work team, establishing team communication guidelines is a must. You decide that this is a good time to discuss the team’s charter with your colleagues. Discuss the following questions with your team:

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As a new member of the global work team, establishing team communication guidelines is a must. You decide that this is a good time to discuss the team’s charter with your colleagues. Discuss the following questions with your team:

  • What are the specific considerations of working on a multicultural team? Identify at least 2.
  • How should the team address the differences between in-person and virtual communication vehicles?
  • What issues could arise in relation to cultural differences in time, personal space, and cultural symbolism?
  • How will the team resolve any individual or group conflicts?

The materials found in the MUSE may help you with this assignment such as the article Teamwork Communication Strategies.