Soap Note 1 Acute Conditions (15 Points) Due 06/15/2019

Pick any Acute Disease from Weeks 1-5 (see syllabus)
Soap notes will be uploaded to Moodle and put through TURN-It-In (anti-Plagiarism program)


Turn it in Score must be less than 50% or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 50%. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.
Late Assignment Policy
Assignments turned in late will have 1 point taken off for every day assignment is late, after 7 days assignment will get grade of 0. No exceptions 
Follow the MRU Soap Note Rubric as a guide:
Grading Rubric

Student______________________________________
This sheet is to help you understand what we are looking for, and what our margin remarks might be about on your write ups of patients. Since at all of the white-ups that you hand in are uniform, this represents what MUST be included in every write-up.

1)      Identifying Data (___5pts): The opening list of the note. It contains age, sex, race, marital status, etc. The patient complaint should be given in quotes. If the patient has more than one complaint, each complaint should be listed separately (1, 2, etc.) and each addressed in the subjective and under the appropriate number.

2)      Subjective Data (___30pts.): This is the historical part of the note. It contains the following:

a) Symptom analysis/HPI(Location, quality , quantity or severity, timing, setting, factors that make it better or worse, and associate manifestations.(10pts).
b) Review of systems of associated systems, reporting all pertinent positives and negatives (10pts).
c) Any PMH, family hx, social hx, allergies, medications related to the complaint/problem (10pts). If more than one chief complaint, each should be written u in this manner.

3)      Objective Data(__25pt.): Vital signs need to be present. Height and Weight should be included where appropriate.

a)      Appropriate systems are examined, listed in the note and consistent with those identified in 2b.(10pts).
b)      Pertinent positives and negatives must be documented for each relevant system.
c)        Any abnormalities must be fully described. Measure and record sizes of things (likes moles, scars). Avoid using “ok”, “clear”, “within normal limits”, positive/ negative, and normal/abnormal to describe things. (5pts).

4)      Assessment (___10pts.): Diagnoses should be clearly listed and worded appropriately.

5)      Plan (___15pts.): Be sure to include any teaching, health maintenance and counseling along with the pharmacological and non-pharmacological measures. If you have more than one diagnosis, it is helpful to have this section divided into separate numbered sections.

6)      Subjective/ Objective, Assessment and Management and Consistent (___10pts.): Does the note support the appropriate differential diagnosis process? Is there evidence that you know what systems and what symptoms go with which complaints? The assessment/diagnoses should be consistent with the subjective section and then the assessment and plan. The management should be consistent with the assessment/ diagnoses identified.

7)      Clarity of the Write-up(___5pts.): Is it literate, organized and complete?

Orientation to Baccalaureate Nursing

This course is the beginning of your BSN learning program. To successfully complete this course, you will be expected to:

  1. Articulate how the nurse functions as an evolving scholar.
  2. Analyze the role and expectations of the professional nurse leader within the global health care delivery system.
  3. Explain ways to promote safe, quality, evidence-based care to populations and communities in health care environments.
  4. Discuss the use of information management principles, techniques, and systems to manage knowledge, mitigate error, and support decision making.
  5. Communicate in a manner that is consistent with expectations of nursing professionals.
I NEED THIS 11/13/2020 BY 5PM
Please no plagiarism and make sure you are able to access all resources on your own before you bid. You need to have scholarly support for any claim of fact or recommendation regarding treatment. Grammar, Writing, and APA Format: I expect you to write professionally, which means APA format, complete sentences, proper paragraphs, and well-organized and well-documented presentation of ideas. Remember to use scholarly research from peer-reviewed articles that are current. Sources such as Wikipedia, Ask.com, PsychCentral, and similar sites are never acceptable. Each classmate’s document is attached so please respond separately.
Read your classmates’ postings. Respond to your classmates’ postings.

  • Share something you learned from your colleague in their letter or social media post.
  • Share positive feedback to a colleague about the issue they chose to write about and how they advocated for the issue.

1. Classmate (L. Sha)
Representative Lois Frankel
2305 Rayburn House Office Building                                                                                                                                     Washington, DC 20515-0921
Dear Ms. Frankel,
I am a behavioral health therapist whom has recently relocated to Palm Beach County, however, I work in Broward County at a homeless shelter. As I have worked in my field of behavioral health over the last thirty years, I have been afforded the opportunity to serve a diverse population of people ranging from childhood through old age, whom have experiences mental health, substance use and adverse conditions in a variety of settings throughout South Florida.
Often times, individuals whom are homeless suffer from chronic issues of mental health and/or substance use disorders, medical issues, and lacking skills for independent living which has impacted individuals of all ages, including families. Often times, people believe that assisting homeless individuals is simplistic with offering shelter and employment/vocational services would be sufficient to assist with creating independence, however, this is more often than not, the case.
It has been my observation and experience that homeless individuals and families are often stricken by trauma inducing events, chronic mental health and substance use issues, untreated medical issues, and other perpetuating factors such as lacking social, employment, and independent living skills that have led to and reinforce ongoing issues with homelessness. And now, with the Coronavirus pandemic leading to loss of life, employment, and at times causing individuals whom are isolated from their family and communities, it has been observed in the South Florida area, that the increase in homelessness has been on the rise.
Homeless individuals and families are typically complex in their presenting issues, and their needs can be varied and different from one individual to the next. I am advocating for change in our community to increase funding and coordination of care to offer more individuals not only shelter, but a comprehensive plan and coordination effort to offer service delivery based on the needs of the individual. It has been often observed that individuals in need of these services often “slip through the cracks,” leading to not only the individual, but the community to be negatively impacted in a multitude of ways. Some of these individuals are known to many service providers, however, due to the lack of follow up and coordination between services providers, these individuals often repeat services multiple times with minimal benefit at best.
Your attention to this chronic issue and need in our community is much appreciated.
Sincerely,
Luanne Shave
2. Classmate (T. Rob)
Senator Mark Warner
703 Hart Senate Office Building
Washington, DC 20510
Dear Mr. Warner,
I am writing in regard to provide help for children as well as adults who suffer from chronic illnesses such as Schizophrenia, Bipolar Disorder, and substance abuse issues. People who have an issue with this has become an ongoing issue in the DMV area. I think programs need to be put in place so that they can be around people who also suffer from the same issues as them. Our mental health is vital and should be taken care of.
Over the years working in this field of mental health I feel this group needs advocacy because this has been an area with high demand in the metropolitan area. Not only does it effect the individuals who are suffering from the illness but it has an impact on families as well as relationships with their significant others. People who suffer from mental health illnesses have a hard time building social skills and living an independent life that should be lived because of ongoing issues. It is important to advocate change for people who fall in this category.
It is important for this community to come together and put together the necessary funding that is needed to promote change. These families need more programs and counseling services for people who have to go through these every day issues. People who do receive treatment are in programs that are not beneficial for them and creates more problems down the line. Also families aren’t as knowledgeable on how to handle their loved ones who are suffering. Families also should be involved with the process as well.
Again, Thank you for taking the time to read my letter your attention is greatly needed for our community in this area.
Sincerely
Tierra Roberts
3. Classmate (T. Wea)
November 11, 2020
The Honorable Representative Katherine M. Clark
2448 Rayburn Office Building
Washington, DC 20515
Phone: (202) 225-2836
Dear Representative Katherine M. Clark,
My name is Tonya Weaver, and I am a community counselor who, also assist with school counseling with the public-school system located in Conyers, Georgia.  I am currently pursuing my master’s degree in clinical mental health counseling at Walden University.  I am writing to encourage you to cosponsor HR 431 the Elementary and Secondary School Counseling Act 2018.  This action will guarantee that children will have the opportunity to receive mental health services.
Due to recent events that is happening in our nation some kids are experiencing episodes of anxiety and depression at an alarming rate.  For this reason, there is a need for more counselors that will ensure children can receive the adequate help needed.  The Elementary and Secondary School Counseling Act is projected to provide granted funding to states to lower staffing ratios for school counselors (ACA, n.d.).  This act can be beneficial in helping to establish a productive and positive environment for children, parents, and teachers.  Additionally, this act can further help to ensure that the learning and teaching process is not hindered due to teachers being pulled away from their classrooms to address issues that are   beyond their scope of assisting.
I thank you for your unrelenting support regarding this matter.  Please consider passing the HR 431 the Elementary and Secondary School Counseling Act 2018. This act can be the framework for a healthy and successful future for the children.
Sincerely,
Tonya Weaver
References
American Counseling Association (n.d.). government affairs: Take action. Retrieved December 10, 2019, from https://www.counseling.org/government-affairs/actioncenter
Required Resources
Hanisch, S. E., Twomey, C. D., Szeto, A. C. H., Birner, U. W., Nowak, D., & Sabariego, C. (2016). The effectiveness of interventions targeting the stigma of mental illness at the workplace: A systematic review. BMC Psychiatry, 16, 1–11. doi:10.1186/s12888-015-0706-4
American Counseling Association. (n.d.). Government affairs: Take action. Retrieved December 10, 2019, from https://www.counseling.org/government-affairs/actioncenter
Required Media
Walden University (Producer). (2020e). Professional advocacy: Mental health counseling [Video file]. Minneapolis, MN: Author.

Random observation
Students will conduct a random observation on a subject of their choice and submit their observation. Random observations could be conducted in any social setting such as work place, a family or friend gathering, a party, an event of a volunteer or non-profit organization, a religious or traditional ritual occasion etc. First, students are expected to read;
1) Geertz, C. (1973). Thick description, The interpretation of cultures. New York: Basic. and
2) Mills, C. W. (1959). The promise. The sociological imagination, 3-24.
Second, apply the two readings to their observations. In other words, they are expected to see the general (bigger picture) by looking at particular (the expectation is to find (indicate) as many larger social phenomena as possible, which appear to be role players in shaping the particular case you will be observing)
Third, apply “thick description” to their observations by taking Geertz’s points into consideration.
Expectations of the assignment will become clear once you read those two pieces and attend the lecture on sociological imagination.
Observations should be at least 1500 word (5 pages long), have a cover page, 1 inch margin, double space, Times New Roman 12. (APA or Chicago)
2.      Cruise the APUS Library search tools shown in the list below.  Share in your forum post at least 3 databases, search engines, or portals that you explored. Indicate which one(s) might be the most helpful to your research.  Use this assignment to explore at least one search tool new to you.
3.   Sometimes looking at poor examples of a piece of writing can help us build better examples.  In this part of the forum, we are going to look at some research questions that are not particularly well-designed.  We’ll see why these are problematic and look at improved versions.
 
You will see a table showing questions that are identified as being problematic and then revised to be well-designed.  The problems identified in these questions are shown here:

  • Too narrow
  • Unfocused/too broad
  • Too objective
  • Too simple

 
After you have looked at the well-designed version of the questions and read the rationale for the changes, post your views on why the problematic research questions should be revised.  For example, explain why a research question that is too narrow is a problem and, at the other end of the spectrum, why a research question that is too broad is not a good idea.  Explain why being too objective could be an issue and why a question that is too simple is less than desirable.
As you address these undesirable traits, try drafting poorly designed questions from your field of study.  For instance, if your field is environmental management, a research question that is too broad might be something like this:  What are the effects of climate change?  A question that is too simple might be:   How are cities addressing issues of climate change?  Although you may not come up with examples of problematic research questions from your field for all 4 traits, do your best. Try to share at least 2 examples.
Should be at least 250 words.

Please answer the following question:

  • How does culture influence health?
  • Give examples of dominant ethnic and biomedical cultural influences on the health of individuals or populations?

m3d2

Discuss  and provide 2 specific ways Early Conceptualization About Nursing Theory can be applied to advanced practice nursing. Identify one MSN Essential that most relates to this particular topic.

* find the MSN Essentials which help to guide and shape graduate nursing education. Select 1 of these essentials that most closely reflect the concepts of this theory.**

Please make sure that your submission adheres to the following:

3. All discussion posts must be minimum 250 words, references must be cited in APA format, and must include minimum of 2 scholarly resources published within the past 5-7 years.  Please be sure to cite your reference(s) in APA format, at the end of your posting. Students must respond at least to 2 classmates and response posts must be minimum 100 words.Hide 

write a paper using journals and research articles, explore the following; Nursing influence on patient outcomes, registered nurse role and responsibility, adapting to health changes and meeting the needs of the patients, burnout, lateral violence, continuing education, feel free to add in any other points beyond this list if applicable..

*A well-written paper; 1,000 words, APA format, minimum 6-10 cited references (the only acceptable web-based sources are .edu or .org), 

proper grammar and professional writing style..

COMPARE AND CONTRAST NURSING RESEARCH TO THAT OF OTHER FIELDS OF STUDY.

Topic 1: Nursing Research
Nursing research differs from research in other fields in that nursing draws data and develops interventions from a broad knowledge base (e.g. social science, biology, chemistry, etc.). The advantage of interdisciplinary and multidisciplinary collaboration is increasingly apparent. Review Bringing Science to Life: The Interdisciplinary Advantage (NINR, 2011).
After reviewing, please address the following:

  • Compare and contrast nursing research to that of other fields of study.
  • Appraise the role of the NP in the process of collaboration with researchers in other fields.
  • Distinguish the role of the NP in clinical trials.

 
At least 3 references no older than 5 years with intext citation APA format with at least 300 words or more

Persuasive Request To Pursue Research

Typically, before a writer would expend energy on a researched proposal, he or she would ask for permission from a decision-maker to start their project. You practiced writing a short persuasive memo in the Discussion. Now use what you learned in terms of persuasive writing in this Assignment.
You will write a memo as if writing to your decision-maker requesting permission to move forward with your topic for the researched business problem proposal, and provide evidence to support the viability of your topic.
Checklist:

  • Contains no fewer than 500 and no more than 700 words.
  • Follows correct memo format, including headings.
  • Describes the problem or project you want to work on and explains its significance.
  • Integrates at least two viable sources into the request to demonstrate research is available to support the topic.APA formatted in-text citations and references pages are required.
  • Contains no grammatical or mechanical errors.

You can pick a topic from the attached proposal PDF file. Use the grading rubric to ensure a passing grade. TURNITIN MUST BE UNDER 15%
Acceptable references:
Primary (original sources) written by experts in the field of study. Secondary sources supported by research in primary sources. Credible sources (experts in the area of study) Peer Reviewed journal articles are REQUIRED. Educational/university websites (edu) may be appropriate. Finally, .gov and .org are usually okay, but be careful.