NSG 6440 Practicum IV Family Health – Primary Care Week 2 SOAP Note

NSG 6440 Practicum IV Family Health – Primary Care Week 2 SOAP Note

NSG 6440 Practicum IV Family Health – Primary Care Week 2 SOAP Note

NSG 6440 Practicum IV Family Health – Primary Care

Week 2 SOAP Note

SOAP Note

Using this template, complete one SOAP note from a patient in your current NSG6440 clinical experience. The completed note should be submitted to the Submissions Area.

Submission Details:

Name your SOAP note document SU_NSG6440_W2_SOAPLastName_FirstInitial.doc.

Submit your document to the Submissions Area by the due date assigned.

This is a Pass/Fail assignment. A minimum of 15 points are needed, based on the assignment rubric, to pass.

Name:		Pt. Encounter Number:
Date:		Age:		Sex:
	SUBJECTIVE
CC: Reason given by the patient for seeking medical care “in quotes”
HPI: Describe the course of the patient’s illness, including when it began, character of symptoms, location where the symptoms began, aggravating or alleviating factors, pertinent positives and negatives, other related diseases, past illnesses, and surgeries or past diagnostic testing related to the present illness.
Medications: (List with reason for med )
PMH Allergies:   Medication Intolerances:   Chronic Illnesses/Major traumas Hospitalizations/Surgeries “Have you ever been told that you have diabetes, HTN, peptic ulcer disease, asthma, lung disease, heart disease, cancer, TB, thyroid problems, kidney problems, or psychiatric diagnosis?”
Family History Does your mother, father, or siblings have any medical or psychiatric illnesses? Is anyone diagnosed with: lung disease, heart disease, HTN, cancer, TB, DM, or kidney disease?
Social History Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, and marijuana. Safety status
ROS
General Weight change, fatigue, fever, chills, night sweats, and energy level			Cardiovascular Chest pain, palpitations, PND, orthopnea, and edema
Skin Delayed healing, rashes, bruising, bleeding or skin discolorations, and any changes in lesions or moles			Respiratory Cough, wheezing, hemoptysis, dyspnea, pneumonia hx, and TB
Eyes Corrective lenses, blurring, and visual changes of any kind			Gastrointestinal Abdominal pain, N/V/D, constipation, hepatitis, hemorrhoids, eating disorders, ulcers, and black, tarry stools
Ears Ear pain, hearing loss, ringing in ears, and discharge			Genitourinary/Gynecological Urgency, frequency burning, change in color of urine. Contraception, sexual activity, STDs Female: last pap, breast, mammo, menstrual complaints, vaginal discharge, pregnancy hx Male: prostate, PSA, urinary complaints

Week 3 Knowledge Check

1. In which case is an offer irrevocable?

2. What does the mailbox rule, in the context of common law contracts, state?

3. Which of the following meets the consideration requirement of contracts?

4. When does fraudulent misrepresentation occur in the context of contracts?

5. Mr. Sanchez is a 70-year-old man with Parkinson’s disease. Jennifer, a full-time nurse, has been taking care of him for over four years. Mr. Sanchez depends on Jennifer and considers her to be a trustworthy caregiver. However, Jennifer informs Mr. Sanchez that she can no longer be his caregiver unless he promises to leave his estate to her in his will. Since Mr. Sanchez does not have anyone else to care for him, he accepts this agreement. Under which condition would a court of law allow Mr. Sanchez to void this agreement?

6. Which defense can be used when one party to an agreement threatens violence against another party to the agreement to persuade the latter to modify the agreement?

7. What is true about the statute of frauds for common law contracts?

8. According to the statute of frauds, what is one component that is consistently required for a contract to be valid?

9. To which of the following common law contracts will the statue of frauds best apply?

10. Gadgetbug Corp. and Alba Inc. are two companies that have entered into a contract. According to the terms of this contract, if any one party breaches the contract, it will pay the nonbreaching party a fixed amount of $50,000. What type of remedy for contract breaches is best illustrated in the scenario?

11. In the context of remedies to breach of contract, what is true about compensatory damages?

12. Identify the type of remedy for contract breaches in which a nonbreaching party also recovers damages for foreseeable indirect losses.

13. Identify the type of equitable remedy in which a court orders a party to refrain from taking a particular action.

14. Adrian, who runs a café, has a contract with Mariam, who is a supplier. The contract states that Mariam will provide hundred cartons of cocoa powder to Adrian every week for a set price. However, after making the contract, Mariam realizes that there is an error in it. The price is much lower than had been agreed. Mariam decides to have the terms of contract changed. The court rules that the price term of the contract be revised. What type of remedy is illustrated in the scenario?

15. What is true about specific performance as an equitable remedy for contract breaches?

16. What is true about the formation of a sole proprietorship?

17. Identify the true statement about general partnerships.

18. Anita and Sameera own a salon together. Anita manages the business and takes management decisions herself. On the other hand, Sameera has only invested capital in the business. According to the agreement, Anita assumes responsibility for all the debts and liabilities of the salon, but Sameera is liable only for the amount that she contributed to the business. What type of business form is illustrated in the scenario, assuming necessary documents are filed with the appropriate jurisdiction?

19. Which statement is true in the context of limited liability companies (LLCs)?

20. What is a characteristic of a manager-managed limited liability company (LLC)?

21. Which of the following business firms is most likely to be a limited liability partnership (LLP)?

22. Which of the following statements is true about corporations?

23. What is one of the characteristics of a typical privately held corporation?

Read Also: NSG 6440 Week 10 Discussion: Evidence-Based Clinical Intervention

24. Identify the true statement about corporations.

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ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.