The purpose of this assignment is to provide students with an opportunity to develop critical thinking skills, clinical reasoning, and clinical judgment when providing an assessment with findings for adult and geriatric clients with Respiratory, Cardiovascular, Musculoskeletal, Abdomen, HEENT

This assignment will be

i.PowerPoint presentation

ii.Each PowerPoint will include:

a.Definition

b.Head to toe assessment by system

i.Review of system

ii.And Head to Toe assessment

c.Signs and Symptoms

d.Client Education

Instructions:

1. Students will work individually.

2. The assignment will be presented by:

a)PowerPoint will be based on a case scenario.

b)All topics need to be mastered to obtain a maximum grade.

3. Identify the disorder for which a patient would seek care and work it out.

4. Incorporate therapeutic communication techniques in the client-nurse relationship.

5. Include key elements/symptoms and behaviors you identified to substantiate your diagnosis and provide appropriate assessment findings.

6. A lottery will be done with the topics

6. Present by creating a case scenario with one of the following themes:

HEET

Acromegaly

Cushing Syndrome

Cachectic

Hyperthyroidism

Hypothyroidism

Fetal Alcohol Spectrum Disorders

Down Syndrome

Hydrocephaly

Eczema

Cataract

Conjunctivitis: All

Menier Disease

Otitis Media

Peripheral vascular

Peripheral Venous Disease

Peripheral Arterial Disease

Heart

Right Side Congestive Heart Failure

Left Side Congestive Heart Failure

Angina

Myocardial Infarction

Hypertension

Abdomen

Cholecystitis

Hepatitis A

Hepatitis B

Gastritis

Peptic Ulcer

Crohn Disease

Ulcerative Colitis

Appendicitis

Peritonitis

Intestinal Obstruction

Colon Cancer

Pyelonephritis

Cystitis

Ectopic Pregnancy

Stomach Cancer

Colon Cancer

Pancreatitis

Umbilical Hernia

Inguinal Hernia

Musculoskeletal

Rheumatoid Arthritis

Osteoarthritis

Osteoporosis

Bursitis

Epicondylitis

Scoliosis

Neuro

Bell Palsy

Hemorrhagic Stroke

Ischemic Stroke

Parkinson

Headache: All types

Epilepsy

Brain Cancer

Alzheimers

Male

Benign Prostatic Hyperplasia

Prostate Cancer

Hemorrhoids

Rectal Cancer

Sexually Transmitted Disease

Female

Breast Cancer

Leiomyoma

Polycystic Ovarian Syndrome

Pelvic Inflammatory Disease

Endometriosis

Sexually Transmitted Disease

Skin

Pressure Ulcers

Systemic Erythematous Lupus

Skin Cancer

Respiratory

Asthma

Pneumonia

COPD

Sinusitis

Covid 19

Upper Respiratory Infection

Lung Cancer

please i need you to be very detail on this one, my professor us very strict

FOLLOW THE RUBRIC!!!!

Step 1: You will use the

to:

1. Compose a written comprehensive psychiatric evaluation of a patient you have seen in the clinic.
2. Upload your completed comprehensive psychiatric evaluation as a Word doc. Scanned PDFs will not be accepted.
   • For the Comprehensive Evaluation Presentation Assignment: You will need to get it signed by your preceptor for the presentation (actual signature, not electronically typed).

Step 2: Each student will create a focused SOAP note video presentation in the next assignment. See for more details.

SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan.

S =	Subjective data: Patients Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS)
O =	Objective data: Medications; Allergies; Past medical history; Family psychiatric history; Past surgical history; Psychiatric history, Social history; Labs and screening tools; Vital signs; Physical exam, (Focused), and Mental Status Exam
A =	Assessment: Primary Diagnosis and two differential diagnoses including ICD-10 and DSM5 codes
P =	Plan: Pharmacologic and Non-pharmacologic treatment plan; diagnostic testing/screening tools, patient/family teaching, referral, and follow up

Patient 34 (NEW CONSULT)

Gender: Male
Age: 70
Ethnicity: Hispanic
Race: White
Insurance: Medicare
Reason for Visit: New Consult

Chief Complaint: Ive been feeling nervous and shaky.

HPI:
70-year-old male presents with a 3-month history of excessive worry, restlessness, and muscle tension. He reports poor sleep and constant concern about health and finances. Symptoms occur daily and impair functioning. Denies SI/HI or panic attacks.

Clinical Note:
Anxious, mildly tremulous, cooperative, thought process coherent.

Social Problems Addressed:
Emotional distress, Financial concerns, Health anxiety

Immunizations:
Missing influenza and shingles vaccines

CPT Code: 90792 + 90833

ICD-10 Diagnosis:
F41.1 Generalized Anxiety Disorder

Differential Diagnoses:

• F41.0 Panic Disorder
  Supporting: anxiety present but no episodic panic attacks
• F45.21 Illness Anxiety Disorder
  Supporting: health concerns present but generalized worry predominant
• F51.01 Insomnia Disorder
  Supporting: sleep disturbance present but secondary

Vitals:
BP: 142/86 | HR: 82 | RR: 16 | Temp: 98.3F | Ht: 58 | Wt: 175 lb | BMI: 26.6

Allergies: Diazepam excessive sedation

Procedures:
GAD-7 (score: 17), MSE, psychosocial assessment

Treatment Plan:

• Buspirone 5 mg PO BID, #60, 2 refills
• Education: delayed onset, adherence

Non-Pharmacological:
CBT to manage excessive worry
Relaxation techniques to reduce physical symptoms

Follow-Up:

4 weeks monitor anxiety symptoms

Keep in mind this is a healthy 70 year old, however add soome medical history like hospitalization for appendicities when he was young and maybe history of hypertension nothing else, dont compolicate it

please i need you to be very detail on this one, my professor us very strict

FOLLOW THE RUBRIC!!!!

Step 1: You will use the

to:

1. Compose a written comprehensive psychiatric evaluation of a patient you have seen in the clinic.
2. Upload your completed comprehensive psychiatric evaluation as a Word doc. Scanned PDFs will not be accepted.
   • For the Comprehensive Evaluation Presentation Assignment: You will need to get it signed by your preceptor for the presentation (actual signature, not electronically typed).

Step 2: Each student will create a focused SOAP note video presentation in the next assignment. See for more details.

SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan.

S =	Subjective data: Patients Chief Complaint (CC); History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem (OLDCARTS or PQRST); Review of Systems (ROS)
O =	Objective data: Medications; Allergies; Past medical history; Family psychiatric history; Past surgical history; Psychiatric history, Social history; Labs and screening tools; Vital signs; Physical exam, (Focused), and Mental Status Exam
A =	Assessment: Primary Diagnosis and two differential diagnoses including ICD-10 and DSM5 codes
P =	Plan: Pharmacologic and Non-pharmacologic treatment plan; diagnostic testing/screening tools, patient/family teaching, referral, and follow up

Patient 34 (NEW CONSULT)

Gender: Male
Age: 70
Ethnicity: Hispanic
Race: White
Insurance: Medicare
Reason for Visit: New Consult

Chief Complaint: Ive been feeling nervous and shaky.

HPI:
70-year-old male presents with a 3-month history of excessive worry, restlessness, and muscle tension. He reports poor sleep and constant concern about health and finances. Symptoms occur daily and impair functioning. Denies SI/HI or panic attacks.

Clinical Note:
Anxious, mildly tremulous, cooperative, thought process coherent.

Social Problems Addressed:
Emotional distress, Financial concerns, Health anxiety

Immunizations:
Missing influenza and shingles vaccines

CPT Code: 90792 + 90833

ICD-10 Diagnosis:
F41.1 Generalized Anxiety Disorder

Differential Diagnoses:

• F41.0 Panic Disorder
  Supporting: anxiety present but no episodic panic attacks
• F45.21 Illness Anxiety Disorder
  Supporting: health concerns present but generalized worry predominant
• F51.01 Insomnia Disorder
  Supporting: sleep disturbance present but secondary

Vitals:
BP: 142/86 | HR: 82 | RR: 16 | Temp: 98.3F | Ht: 58 | Wt: 175 lb | BMI: 26.6

Allergies: Diazepam excessive sedation

Procedures:
GAD-7 (score: 17), MSE, psychosocial assessment

Treatment Plan:

• Buspirone 5 mg PO BID, #60, 2 refills
• Education: delayed onset, adherence

Non-Pharmacological:
CBT to manage excessive worry
Relaxation techniques to reduce physical symptoms

Follow-Up:

4 weeks monitor anxiety symptoms

Keep in mind this is a healthy 70 year old, however add soome medical history like hospitalization for appendicities when he was young and maybe history of hypertension nothing else, dont compolicate it

Powerpoint presentation on your drug of choice: Prednisone. You are to be dressed in office attire. The purpose of the presentation is for you to educate your colleagues on the drug you have selected. The presentation must include information about the:

• Drug pharmacology, pharmacokinetics
• Brand name
• Generic name
• Dosing
• Indications for use
• Side effects
• Contraindications
• Pregnancy class
• You must also perform a cost analysis of the drug.
• Provide a patient case study on a patient in which you would utilize the drug you have selected and include at least two peer-reviewed evidence-based studies related to the drug.
• Describe the appropriate patient education.
• What is your role as a Nurse Practitioner for prescribing this medication to this patient on your case study presentation?
• Describe the monitoring and follow-up.

Submission Instructions:

• Logically organized in current APA style including citation of references.
• Incorporate a minimum of 4 current (published within last five years) scholarly journal articles within your work.
• PowerPoint presentation with 10-15 slides, excluding the title slide and the reference slide.

1. ApplicationofCourseKnowledge: Answer all questions/criteria with explanations and detail.

• • Describe a current safety concern in your practice environment.
  • Explain one HIT that could be applied to address the concern.
  • Explain how it could be applied to enhance safety.
  • Identify at least one possible unintended consequence of adopting the HIT.
  • Discuss at least one strategy for mitigating the unintended consequence.

1. Integration of Evidence: Integrate relevant scholarly sources as defined by :

• • Cite a scholarly source in the initial post.
  • Cite a scholarly source in one faculty response post.
  • Cite a scholarly source in one peer post.
  • Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
  • Include a minimum of three different scholarly sources per week. Cite all references and provide references for all citations.

1. Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice.

• • Peer Response: Respond to at least one peer.
  • Faculty Response: Respond to at least one faculty post.
  • Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice.

1. Professionalism in Communication: Communicate with minimal errors in English grammar, spelling, syntax, and punctuation.
2. Reference Citation:Use current APA format to format citations and references and is free of errors.
3. Wednesday Participation Requirement: Provideasubstantiveresponse to the gradeddiscussiontopic (notaresponseto a peer or faculty),byWednesday,11:59 p.m. MTofeach week.
4. Total Participation Requirement: Provide at least three substantive posts (one to the initial question or topic, one to a studentpeer,and one to a faculty question)on two different days during the week.