Category: Nursing

Attaching the instructions and template below.

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—3 references APA 7 th edition

This assignment includes both the written SOAP note and the medication analysis presentation. Currently working on an Adult-Gerontology Primary Care Nurse Practitioner program and doing clinicals in a SNF/LTC setting.

The SOAP is a formal SOAP note with full history information as noted in the template provided. Please refer to the sample/template as an example of the level of documentation expected. This is NOT a copy of the clinic/office record, but an expanded note to demonstrate clinical reasoning skills. Each SOAP note should follow the template provided.

The SOAP should include a section of reflection titled Personal Progress Note answering the following questions:

1. What went well with this encounter?

2. What would you do differently if you could redo this encounter?

3. What else did you learn from this encounter?

4. What helped you prepare for this encounter?

MAP in PowerPoint: The student will populate the power point template provided on and address the questions accordingly. For this assignment patient must be taking AT LEAST 5 MEDICATIONS*(Prescription and/or over the counter). Students must integrate at least 3 peer-reviewed journal article references into their presentation and may utilize textbooks and drug references. The students optimization plans must integrate the information from the 3 peer-reviewed sources. Clinical practice guidelines (e.g., ADA guidelines for DM, JNC 8, etc.) are preferred; if a CPG is not available, use of the next highest possible level of evidence is advised.

Medication Analysis Presentations will first present the patient scenario in an abbreviated SOAP format presentation (much like a verbal SOAP) AND will address the following questions regarding their patients medication regimen:

1. Medication Overview in Table Format (see Power Point Template)
2. Identify the major Goals of Therapy/Care and list which medications are effective or ineffective for the patient*.
3. What safety issues related to the patients medications would the provider identify as being the most relevant at this visit? Include any potential adverse effects, current adverse effects and any drug-drug concerns found within the current medication list/regimen. (Note that omission of significant safety concerns may result in assignment failure (consider potential interactions, adverse effects, etc.)
4. How knowledgeable is the patient about his/her medications?
5. What additional medication education could support the patients adherence and/or empowerment?
6. Given the patients comorbidities and goals of care, are there any ways that his/her medication list could be optimized* (e.g., changes in dose, medication additions, medication removals, adjustments to time or manner of administration, etc.)?
7. *(Integrate at least 3 primary sources such as clinical practice guidelines or peer reviewed journal articles in your rationale)

References: (this list should include references from the grid and the analysis) Three primary sources are required in the section about optimizing the patients medication regimen. It is acceptable to re-use sources from the grid. Finally, a reference page must be completed in APA format with references from the grid and analysis.

must complete sentinel u assignment and upload report. bibliography is based on sentinel u assignment.

Please read the following case study details. Then answer the questions below.

Setting

You are a nurse caring for children in a rural clinic. This clinic serves most of the areas population and provides comprehensive pediatric healthcare. This includes things such as: primary and urgent care needs, vaccinations, and care for all ages of children.

Introduction

Kristen has Sawyers 4-year-old well child visit schedule next week in the clinic, but today she brings him in for an acute arm injury. Sawyer is tearful and wants to be held by mom. He has a bloody washcloth in place acting as a bandage to his left forearm.

Chief Complaint

Sawyer was playing outside and fell. He gashed his arm open and it was bleeding pretty bad. I tried to stop the bleeding and brought him straight here!

Medical History

4-year-old male

Pre-term birth at 35.6 weeks

NKDA

No meds

No pertinent medical history

Weight: 43 lbs.

Height: 42 inches

Due for routine check-up

5 cm laceration noted to LFA

Visible dirt in wound

Bleeding controlled well at this time with bandage in place

Wound requires wound care and repair

Questions

1. Based on the chief complaint and provided information what is the priority nursing interventions for Sawyer?
2. Choose a pediatric pain scale from your reading and explain how you would utilize this scale to assess Sawyers pain. What type of pain management would be likely used in this situation?
3. Describe what distraction techniques could be utilized during the procedure? How could a child life specialist be of assistance if available?
4. Based on Sawyers age and developmental level, how would you approach learning with him? Give 2-3 examples of education you would give him.
5. Based on Sawyers age, what vaccines should you anticipate giving?
6. Add a question: After you have analyzed the content from the discussion board, please add a question to the end of your initial post regarding the reading material for the week.

Please be sure to validate your opinions and ideas with citations and references.

• This final presentation will be a cohesive poster that ties all the health promotion topic assignments from the semester together. All key assignments from the semester will be summarized on the poster and discussed in your video.
• Background/Summary of your topic
• Your theory and theorist connected to your topic
• The unique tool/technique connected to your topic
• And your health promotion education you created
• This scientific poster will be presented in the assigned discussion board group as an oral presentation, recorded on PowerPoint as a voiceover or through another platform such as Panopto or any recording software product of your choice. The poster by itself will also be submitted in it’s own dropbox for instructor review.
• Posters can be created using PowerPoint, Canva, or any poster creation software that you prefer that allows you to meet the requirements of the assignment.
• PLEASE make sure to review the rubric closely, and include all the information in the poster.
• Quality of information – All assignments from the semester are highlighted adequately
• Professionalism – Vocabulary, style, etc….
• Graphics – Minimum of 3 graphics that are directly related to the poster and your topic
• Presentation – Between 6 and 8 minutes, Quality sound, etc…
• APA – No errors in APA references, spelling, grammar, etc….
• Remember – this is NOT a PPT presentation, but rather a recorded discussion of what is on your poster and what you worked on throughout the semester. Approach this as if you are presenting the poster and discussing your work at a conference of your peers!

certification speciality is Adult-Gerontology Acute Care

Business Case Proposal Problem Identification: Hospital-acquired pressure injuries (HAPIs) still occur on the medical-surgical unit, even though they are largely preventable. They harm patients causing more pain, raising the risk of infection, and lengthening hospital stays. They also create a financial burden: advanced-stage pressure injuries are not reimbursed by the Centers for Medicare & Medicaid Services (CMS) and are expensive to treat. Even a few cases on one unit can lead to significant unreimbursed costs. Because most prevention happens at the bedside, this problem is well suited to a unit-level intervention Current situation: Currently, Braden Scale assessments are completed on admission, and repositioning is recommended every two hours. However, reassessment and documentation practices are inconsistent, and there is limited auditing or real-time accountability. As a result, prevention measures are not always reliably implemented, allowing avoidable pressure injuries to occur. Evidence based: The proposed intervention is implementation of a standardized pressure injury prevention bundle that includes: Braden reassessment every shift Scheduled repositioning reminders in the electronic health record Skin inspection during bedside shift report Routine compliance audits with feedback Research supports that structured prevention bundles with monitoring significantly reduce HAPI rates. Impact: This intervention is expected to reduce pressure injury incidence, improve patient outcomes, and shorten length of stay. Financially, preventing even one advanced-stage pressure injury can offset implementation costs by avoiding treatment expenses and non-reimbursed complications. Studies demonstrate that prevention programs reduce injury rates and generate measurable cost savings at the unit level References: Padula, W. V., Black, J. M., Davidson, P. M., Kang, S. Y., & Pronovost, P. J. (2019). Adverse effects of hospital-acquired pressure ulcers on patients and hospitals. Journal of Patient Safety, 15(3), 192199.

reflection discussion about Advanced practice in primary care pediatrics