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Week 4 assignment part
1

Assignment 1: Practicum – Week 3 SOAP Note

In addition to journal entries, SOAP Note submissions are a
way to reflect on your practicum experiences and connect these experiences to
your classroom experience. SOAP Notes, such as the ones required in this
course, are often used in clinical settings to document patient care. Refer to
this week’s Learning Resources for guidance on writing SOAP Notes.

Select a geriatric patient that you examined during the last
3 weeks. The patient you select should be currently taking at least five
prescription and/or over-the-counter drugs. With this patient in mind, address
the following in a SOAP Note:

Subjective: What was the patient’s subjective complaint?
What details did the patient provide regarding his or her personal and medical
history? Include a list of prescription and over-the-counter drugs the patient
is currently taking. Compare this list with the Beers Criteria and consider
alternative drugs if appropriate.

Objective: What observations did you make during the
physical assessment? What functional assessments were used?

Assessment: What were your differential diagnoses? Provide a
minimum of three possible diagnoses. List them from top priority to least
priority.

Plan: What was your plan for diagnostics and primary
diagnosis? What was your plan for treatment and management including
alternative therapies? What is your care plan for the patient? How would you
offer caregiver support?

Reflection notes: What would you do differently in a similar
patient evaluation? How might you improve your assessment, diagnosis, and/or
plan through interprofessional collaboration?

Refer to this week’s Learning Resources for guidance on
writing SOAP Notes.

By Day 7 of Week 4

This Assignment is due. You will submit this Week 3 SOAP
Note along with your Journal Entries (from Weeks 1, 2, and 4). Practicum Time
Log is Due in Week 3

Week 4 assignment
part 2

Assignment 2: Practicum – Week 3 Time Log

By Day 7 of Week 3

Submit your Practicum Time Log. The Practicum Time Log
template is located in the Week 1 Learning Resources. Contact the Instructor
with any questions.

Note: For the Practicum Time Logs—which are assessed with a
Satisfactory (S) or Unsatisfactory (U) score—the numerical grade will show as 0
points and the “S” or “U” will be posted in the Feedback area by your
Instructor. These scores of 0 points do not affect your grade; they simply
allow for a placeholder to place the “S” or “U” scoring. This concept also
applies to Weeks 7 and 11.

Submission

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the following naming
convention: “WK3Assgn2+lastname+first initial”.

Click the Week 3 Assignment 2 link.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK3Assgn2+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.

Click on the Submit button to complete your submission.

Assignment: Practicum – Week 4 Journal Entry

Reflect on medication adherence issues you have encountered
with geriatric patients in your practicum setting. Explain implications of
these issues on patient health, as well as strategies to improve medication
adherence for geriatric patients. If you did not have an opportunity to
evaluate a patient with this background during the last 4 weeks, you can select
a related case study or reflect on previous clinical experiences.

By Day 7 of Week 4

This Assignment is due. Please submit the Journal Entries
(Weeks 1, 2, and 4), and the Week 3 SOAP Note by Day 7 of Week 4 (this week).

Note: Be sure to submit your Assignment to the appropriate
submission link below.

Submissions should match the following:

Week 3 SOAP Note: Submit to the Week 4 Assignment – Part 1
submission link.

Weeks 1, 2, & 4 Journal Entry: Submit to the Week 4
Assignment – Part 2 submission link.

For the Journal Entries and Practicum Time Logs—which are
assessed with a Satisfactory (S) or Unsatisfactory (U) score—the numerical
grade will show as 0 points and the “S” or “U” will be posted in the Feedback
area by your Instructor. These scores of 0 points do not affect your grade;
they simply allow for a placeholder to place the “S” or “U” scoring. This concept
also applies to Weeks 3, 7 and 11.

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the following naming
convention: WK4AssgnPX+lastname+first initial.

Click the Assignment Week 4 – Part X link.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK4AssgnPX+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.

Click on the Submit button to complete your submission.

Week 6 assignment
part 1

Assignment 1: Application – PICO Analysis of Dementia,
Delirium, and Depression

A PICO analysis is used to pose a focused clinical question
to which you find appropriate evidence-based answers. The PICO question should
include the patient or population (P), anticipated intervention (I), comparison
group or current standard (C), and outcome desired (O). In this Assignment, you
develop a question related to dementia, delirium, or depression. Through your
PICO analysis, you explore various resources and examine current evidence to
answer the question you develop.

To prepare:

Select one of the following disorders as your topic:
dementia, delirium, or depression.

Review the guidelines in the “Literature Review Matrix”
document in this week’s Learning Resources.

Think about a research question around your issue as
indicated in Part I: PICO Analysis of Research Topic.

Consider the resources you will use, search terms and
criteria, and Boolean search strings as indicated in Part II: Search Strategy.

Using the Walden Library and other appropriate databases,
locate five articles related to your PICO question. At least one article must
be a systematic review. All of the articles should be primary sources.

Reflect on the five articles you selected as indicated in
Part III: Analysis of Literature. Consider the conceptual framework/theory,
main finding, research method, strengths of study, weaknesses, and level of
evidence for each article.

Consider how to use the summaries in Part III to create an
evidence table. Use this evidence table to determine appropriate treatment
options for patients who present with the disorder you selected as your topic.

To complete:

Formulate a question around the disorder you selected as
indicated in Part I: PICO Analysis of Research Topic.

Identify the resources you will use, search terms and
criteria, and Boolean search strings as indicated in Part II: Search Strategy.

Summarize the five articles you selected as indicated in
Part III: Analysis of Literature. Describe the conceptual framework/theory,
main finding, research method, strengths of study, weaknesses, and level of
evidence for each article.

Create an evidence table based on the article summaries in
Part III. Describe appropriate treatment options for patients based on this
evidence table.

By Day 7 of Week 6

This Assignment is due.

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the following naming
convention: “WK6Assgn1+lastname+first initial”.

Click the Week 6 Assignment 1 link.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK6Assgn1+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.

Click on the Submit button to complete your submission.

Week 6 assignment
part 2

Assignment 2: Practicum – Week 6 Journal Entry

Reflect on geriatric patients from your practicum site that
you may have assessed for dementia, delirium, or depression. Explain the impact
of these types of disorders on frail elders. Then, describe a patient case
including the care plan for assessment, diagnoses, treatment, management, and
patient education. Explain whether the patient’s care plan was effective.
Include how you might proceed differently in the future. If you did not have an
opportunity to evaluate a patient with this background during the last 6 weeks,
you can select a related case study or reflect on previous clinical
experiences.

By Day 7 of Week 8

This Assignment is due. You will submit this Week 6 Journal
Entry along with the Week 5 and Week 8 Journal Entries, the Week 7 SOAP Note.

Week 8 assignment
part 1

Assignment 1: Application – Diagnosing and Treating Skin
Wounds

Skin wounds are sometimes challenging for health care
providers to diagnose and treat as many have similar presentations. For
advanced practice nurses, being able to identify various types of skin wounds,
including whether a wound is a colonization or an infection, is critical
because it impacts recommended patient care. In your role, you must be able to
evaluate skin wounds, determine the diagnosis, and develop an appropriate
treatment and management plan according to current evidence-based guidelines.

To prepare:

Review Chapter 45 of the Flaherty and Resnick text, as well
as the Burr article in this week’s Learning Resources.

Consider how to properly diagnose skin wounds in frail
elders, including how to distinguish between a colonization and infection.

Select a type of skin wound, such as bumps, bruises,
shingles, herpes, bullous pemphigoid, Stevens-Johnson syndrome, etc. Research
the guidelines for treatment of the skin wound you selected. Reflect on how you
would treat and/or dress this wound.

Think about factors that might contribute to the development
of the skin wound you selected. Consider strategies for the prevention and
improvement of this type of wound.

To complete:

Write a 2- to 3-page paper that addresses the following:

Explain how to properly diagnose skin wounds in frail
elders, including how to distinguish between a colonization and infection.

Describe the type of skin wound you selected.

Explain how you would treat and/or dress this wound based on
guidelines for treatment.

Explain factors that might contribute to the development of
the skin wound you selected. Include strategies for the prevention and
improvement of this type of wound.

By Day 7

This Assignment is due.

Note: The School of Nursing requires that all papers
submitted include a title page, introduction, summary, and references. The
Sample Paper provided at the Walden Writing Center provides an example of those
required elements (available at
http://academicguides.waldenu.edu/writingcenter/templates). All papers
submitted must use this formatting.

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the following naming
convention: “WK8Assgn1+lastname+first initial”.

Click the Week 8 Assignment 1 link.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK8Assgn1+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.

Click on the Submit button to complete your submission.

Week 8 assignment
part 2

Assignment 2: Practicum – Week 8 Journal Entry

Reflect on geriatric patients from your practicum site.
Consider frail elder patients that you have assessed for skin wounds such as
bumps, bruises, shingles, herpes, bullous pemphigoid, Stevens-Johnson syndrome,
etc. Explain the consequences of these types of wounds for frail elders. Then,
describe a patient case including the care plan for assessment, diagnoses,
treatment, management, and patient education. Explain whether the patient’s
care plan was effective. Include how you might proceed differently in the future.
If you did not have an opportunity to evaluate a patient with this background
during the last 8 weeks, you can select a related case study or reflect on
previous clinical experiences.

By Day 7

This Assignment is due. Please submit the Journal Entries
(Weeks 5, 6, and 8), and the Week 7 SOAP Note by Day 7 of Week 8 (this week).

Note: Be sure to submit your Assignment to the appropriate
submission link below.

Submissions should match the following:

Week 7 SOAP Note: Submit to the Week 8 Assignment 2 – Part 1
submission link.

Weeks 5, 6, & 8 Journal Entry: Submit to the Week 8
Assignment 2 – Part 2 submission link.

For the Journal Entries and Practicum Time Logs—which are
assessed with a Satisfactory (S) or Unsatisfactory (U) score—the numerical
grade will show as 0 points and the “S” or “U” will be posted in the Feedback
area by your Instructor. These scores of 0 points do not affect your grade;
they simply allow for a placeholder to place the “S” or “U” scoring. This
concept also applies to Weeks 7 and 11.

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the following naming
convention: “WK8Assgn2PX+lastname+first initial”.

Click the Week 8 Assignment 2 – Part X link.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK8Assgn2PX+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.

Click on the Submit button to complete your submission.

Week 11 assignment part
1

Assignment 1: Practicum – Week 11 Journal Entry

Select a geriatric patient that you examined during the last
3 weeks. The patient you select should be currently taking at least five
prescription and/or over-the-counter drugs. With this patient in mind, address
the following in a SOAP Note:

Subjective: What was the patient’s subjective complaint?
What details did the patient provide regarding his or her personal and medical
history? Include a list of prescription and over-the-counter drugs the patient
is currently taking. Compare this list to the Beers Criteria and consider
alternative drugs if appropriate.

Objective: What observations did you make during the
physical assessment? What functional assessments were used?

Assessment: What were your differential diagnoses? Provide a
minimum of three possible diagnoses. List them from top priority to least
priority.

Plan: What was your plan for diagnostics and primary
diagnosis? What was your plan for treatment and management including
alternative therapies? What is your care plan for patient? How would you offer
caregiver support?

Reflection notes: What would you do differently in a similar
patient evaluation? How might you improve your assessment, diagnosis, and/or
plan through interprofessional collaboration?

Please refer to the Learning Resources in Week 3 for
guidance on writing SOAP Notes.

By Day 7 of Week 11

This Assignment is due. Please submit the Journal Entries
(Weeks 9 and 10), the Week 11 SOAP Note, and your practicum Time Log by Day 7
of Week 11 (this week).

Note: Be sure to submit your Assignment to the appropriate
submission link below.

Submissions should match the following:

Week 11 SOAP Note: Submit to the Week 11 Assignment – Part 1
submission link.

Weeks 10 & 11 Journal Entry: Submit to the Week 11
Assignment – Part 2 submission link.

Week 11 Practicum Time Log: Submit to the electronic
tracking system.

For the Journal Entries and Practicum Time Logs—which are
assessed with a Satisfactory (S) or Unsatisfactory (U) score—the numerical
grade will show as 0 points and the “S” or “U” will be posted in the Feedback
area by your Instructor. These scores of 0 points do not affect your grade;
they simply allow for a placeholder to place the “S” or “U” scoring. This
concept also applies to Weeks 7 and 11.

Submission and Grading Information

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the following naming convention:
“WK11Assgn1PX+lastname+first initial”.

Click the Week 11 Assignment 1 – Part X link.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK11Assgn1PX+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.

Click on the Submit button to complete your submission.

Week 11 assignment
part 2

Assignment 2: Practicum – Week 11 Time Log

By Day 7 of Week 11

Submit your Practicum Time Log. The Practicum Time Log
template is located in the Week 1 Learning Resources. Contact the Instructor
with any questions.

Submission

To submit your completed Assignment for review and grading,
do the following:

Please save your Assignment using the following naming
convention: “WK11Assgn2+lastname+first initial”.

Click the Week 11 Assignment 2 link.

Next, from the Attach File area, click on the Browse My
Computer button. Find the document you saved as “WK11Assgn2+last name+first
initial.(extension)” and click Open. If you are submitting multiple files,
repeat until all files are attached.

Click on the Submit button to complete your submission.

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