Soap Assessment Note

Soap Assessment Note

SOAP notes hold critical patient information in a simple format. If you are a nurse or a healthcare professional, you must occasionally or frequently encounter the need to use a SOAP note.  Healthcare providers use SOAP notes to document patient’s information in an organized way. SOAP note is an acronym that stands for Subjective, Objective, Assessment, and Plan (SOAP). A SOAP note is a widely used method of documentation for healthcare providers. Attached is a case study of a patient with a condition and you are required to prepare a SOAP note.  We can help you get a comprehensive assessment of soap notes. please place an order, and our experts will present you with a perfect SOAP note for any condition.

Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders

Assessing and Diagnosing Patients With Neurocognitive and Neurodevelopmental Disorders

Neurodevelopmental disorders begin in the developmental period of childhood and may continue through adulthood. They may range from the very specific to a general or global impairment, and often co-occur (APA, 2013). They include specific learning and language disorders, attention deficit hyperactivity disorder (ADHD), autism spectrum disorders, and intellectual disabilities. Neurocognitive disorders, on the other hand, represent a decline in one or more areas of prior mental function that is significant enough to impact independent functioning. They may occur at any time in life and be caused by factors such brain injury; diseases such as Alzheimer’s, Parkinson’s, or Huntington’s; infection; or stroke, among others.

For this Assignment, you will assess a patient in a case study who presents with a neurocognitive or neurodevelopmental disorder.

To Prepare:

  • Review this week’s Learning Resources and consider the insights they provide. Consider how neurocognitive impairments may have similar presentations to other psychological disorders.
  • Review the Comprehensive Psychiatric Evaluation template, which you will use to complete this Assignment.
  • By Day 1 of this week, select a specific video case study to use for this Assignment from the Video Case Selections choices in the Learning Resources. View your assigned video case and review the additional data for the case in the “Case History Reports” document, keeping the requirements of the evaluation template in mind.
  • Consider what history would be necessary to collect from this patient.
  • Consider what interview questions you would need to ask this patient.
  • Identify at least three possible differential diagnoses for the patient.

By Day 6 of Week 12

Complete and submit your Comprehensive Psychiatric Evaluation, including your differential diagnosis and critical-thinking process to formulate primary diagnosis.
Incorporate the following into your responses in the template:

  • 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 the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest priority to lowest priority. Compare the DSM-5 diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Reflection notes:What would you do differently with this client if you could conduct the session over? Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion and disease prevention taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

Name: Grace Nords

Gender: female

Age: 59 years old

T- 98.8 P- 86 R 18 134/88 Ht 5’11 Wt 180lbs

Background: Has bachelor’s degree in engineering. He is homosexual and dates casually, never married, no children. Has one younger sister. Sleeps 4-6 hours, appetite good. Denied legal issues; MOCA 27/30 difficulty with attention and delayed recall; ASRS-5 20/24; denied hx of drug use; enjoys one scotch drink on the weekends with a cigar. Allergies Morphine; history HTN blood pressure controlled with losartan 100mg daily, angina prescribed ASA 81mg po daily, metoprolol 25mg twice daily. Hypertriglyceridemia prescribed fenofibrate 160mg daily, has BPH prescribed tamsulosin 0.4mg po bedtime.

Links to the video

https://ezp.waldenulibrary.org/login?qurl=https://video.alexanderstreet.com/watch/training-title-50?account_id=14872&usage_group_id=95102

Academic Success and Professional Development Plan

Academic Success and Professional Development Plan

Strategies to Promote Academic Integrity and Professional Ethics

Nurse-scholars have a significant obligation to their community as well. Their work must have academic and
professional integrity. Their efforts are designed to add to the body of knowledge, advance the profession, and
ultimately help in the care of patients.

Strategies for Maintaining Integrity of Work

Writing Sample: The Connection Between Academic and Professional Integrity
Using the Academic and Professional Success Development Template you began in Week 1 and continued
working on in Week 2, write a 2- 3-paragraph analysis that includes the following:
Clearly and accurately explains in detail the relationship between academic integrity and writing.
Clearly and accurately explains in detail the relationship between professional practices and scholarly ethics.
Accurately cite at least 2 resources that fully support your arguments, being sure to use proper APA formatting.
Use Grammarly and SafeAssign to improve the product.y
Clearly and accurately describe in detail how Grammarly, SafeAssign, and paraphrasing contribute to
academic integrity. Include sufficient evidence that Grammarly and SafeAssign were utilized to improve
responses.

Role of Nurse in Informatics

Role of Nurse in Informatics

Nurse’s Role in Informatics

The Healthcare system depends on information technology. Healthcare informatics is critical in the nursing profession. One has to understand various issues about healthcare informatics from data privacy, ethical issues, ethical dilemma, and how to use healthcare informatics in a healthcare facility.

An essay

7 Pages

5 References

APA style

Attached is the question

Nursing Ethics Paper Ethical Dilemma Nursing

Nursing Ethics Paper Ethical Dilemma Nursing

Ethics is a very important topic for nurses. Nurses are expected to promote ethical practices in the workplace. Ethical nurses encounter fewer problems in the workplace. This is because any unethical practice may lead to actions that may include lawsuits, dismissal from a job, disciplinary measures, and suspension from work. Nurses learn ethics from multiple sources. For example, nursing ethics is part of the curriculum. Nurses also derive their ethical practices from cultural backgrounds. Additionally, professional organizations and employers have a code of ethics that nurses have to follow. Nursing ethics questions can be presented in multiple ways. You may be required to answer questions directly. Sometimes you are provided with a nursing ethics case study and you are required to apply ethical theories to answer the questions. Furthermore, you may be required to watch a documentary, a video clip, or imagine a scenario. Whichever the approach, you can get help to solve nursing ethics questions. We believe that when you learn how to solve nursing questions or ethical dilemmas, you will be in a position to handle them better on your own in the future. We ensure that you master the art of answering nursing ethics questions or ethical dilemmas that you may encounter in your workplace. Please feel free to place a nursing ethics order or nursing ethical dilemma. Our experts will help you solve them professionally. Once you know the trick, you can handle them in the future on your own. Thank you!

Nurse-to-Patient Ratios

Nurse-to-Patient Ratios

1. Background and Introduction: Identifies specific area of concern and rationale for selecting the issue.
Explains why the issue requires nursing leadership. Clarifies the purpose of the paper (last sentence stating
“the purpose of this paper is..”
2. Explanation of the issue: review of the problem, what has been done to address it, and opportunities in the
healthcare system for addressing the issue
3. Role of Nurse Leaders: Considers role of 2 or more roles nurse leaders can assume in addressing the issue,
identifies qualities needed by leaders to address the issue, addresses, different approaches and styles that
could be used by nurse leaders in the selected area
4. Conclusion: Provides an analysis of available evidence and its quality, insightful description of what the issue
means for the nursing profession now and in the future, opportunities for addressing this issue in the future
through practice, education and/or research

Personal Worldview Nursing Process Personal Statement

Personal Worldview Nursing Process Personal Statement

Being able to articulate your personal worldview can help you formulate a personal philosophy of practice and
enhance your influence on patients and the industry. In this assignment, you will have an opportunity to reflect
on your current and future practice and the ways worldview and nursing theory influence that practice.

Describe your personal worldview, including the religious, spiritual, and cultural elements that you think most
influence your personal philosophy of practice and attitude towards patient care.
Choose a specific nursing theory that is most in line with your personal philosophy of practice and approach to
patient care and discuss the similarities. Explain how the nursing theory reinforces your approach to care.
Include in your explanation a specific example of a past or current practice and how your worldview and the
nursing theory could assist you in resolving this issue.
Finally, explain how your worldview and the nursing theory will assist you in further developing your future
practice.
You are required to cite 7 to 10 sources to complete this assignment. Sources must be published within the last
5 years and appropriate for the assignment criteria and nursing content.

Write 5-7 pages

APA style format

Why I want to be a Registered Nurse Essay

Why I want to be a Registered Nurse Essay

Get help writing a statement of purpose essay or admission essay written by our professional essay writers who have great experience in delivering excellent essays to thousands of students globally.

Why I want to be a Nurse Essay

Why I want to be a Nurse Essay

Get help writing a statement of purpose essay or admission essay written by our professional essay writers who have great experience in delivering excellent essays to thousands of students globally.

Diabetes Management Case Study

Diabetes Management Case Study

Provided is a case study for a diabetic patient. Read the case then answer the questions while adhering to these additional instructions

  • APA style formating
  • Maximum eight pages
  • Use at least 5 scholarly articles.