FIU NGR 6601C 2021 Episodic Case Write Up with Analysis Fall Semester

FIU NGR 6601C 2021 Episodic Case Write Up with Analysis Fall Semester SOAP NOTE

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FIU NGR 6601C 2021 Episodic Case Write Up with Analysis Fall Semester SOAP NOTE

Case Write-up/ Episodic Notes with Analysis

  • Where do you get your subjects?
  • What should I write about?

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Instructions: Analysis

  • APA Style
  • Compare & contrast subjective, objective, assessment & plan with current literature. Information should be categorized & organized.
  • Brief description of illness, diagnosis , pertinent to age and visit ( 1-2 paragraphs).
  • Describe treatment based on recommended guidelines for that disease entity or complaint ( 1-2 paragraphs)
  • Discuss pharmacodynamics if applicable, implications and interactions with other medications that the patient is taking.
  • Discuss how the patient was treated in your clinical setting. Did they follow the recommended clinical guidelines. If they did not follow the clinical guidelines, then discuss why not.
  • Discuss what you learned from this case . Discuss if you would have done anything differently.
  • Culture: Address patients’ culture & how you had to be “culturally sensitive” towards the patient or if you performed any culturally sensitive interventions.
  • 2 -3 pages
  • 3 references required
  • Journals should be no older then 3 years
  • Use electronic journals, see syllabus for list Practice guidelines, Up-to-Date, DynaMed, NIH Guidelines, CDC Guidelines etc.…

Case Analysis SOAP GRADING RUBRIC

Guidelines:

1-Choose a client from your clinical setting & write up a case analysis (see below for content).

2- SOAP note from your clinical should be included (remove all patient identifiers)

5- Each SOAP is 5% of your total grade; attach grading rubric to each paper submitted.

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SUBJECTIVE Analysis (1 POINT) Score received
1- Compare & contrast subjective section with literature taking into consideration the following criteria;

a-Identified and collected the necessary data

b-Categorized and organized data using the appropriate format

c-Incorporated all pertinent data/facts

d- Used proper documentation

e- PATIENT’S CULTURE MUST BE NOTED

OBJECTIVE Analysis (1 POINT) Score received
1- Compare & contrast objective section with literature taking into consideration the following criteria

a. Identified and collected the necessary data

b. Categorized and organized data using the appropriate format

c.Incorporated all pertinent data/facts

d. Used proper documentation

ASSESSMENTAnalysis (1 POINT) Score received
1- Compare & contrast subjective section with literature taking into consideration the following criteria

a-Filtered relevant data from irrelevant data

b.-Interpreted relationships/patterns among data

(e.g., noted trends)

c.Integrated information to arrive at diagnosis

d.Identified risk factors

e.  Differentials listed & discussed in comparison to actual diagnosis

e. Used proper documentation

PLAN Analysis (1 POINT)  Score received
1- Compare & contrast subjective section with literature taking into consideration the following criteria

a. Recommended an appropriate plan for each problem

b-Included recommendations for non-drug and drug therapy

c-Included recommendations for monitoring

d- Included health education

e- Included followup& referrals

f- include cultural considerations of patient care

Incorporate the patient’s culture on the demographic section on  SOAP notes.  Additionally, in the intervention section the student should add a piece about how they had to be “culturally sensitive” towards the patient or if they performed any culturally specific interventions.

FORMAT ( 1 POINT) Score received
1- APA

2- References Current

3- Writing clear, concise

4- Summary/Conclusion

TOTAL

 

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NGR 6601C Advanced Family Health Nursing I (4).

Study of Advanced Family Practice Nursing and specialization, expansion and advancement of evidence-based knowledge and skills fundamental to the role of the Family Nurse Practitioner in primary care. Prerequisites: NGR 5035C, NGR 6172, NGR 5141. Corequisite: NGR
6601L.

FIU NGR 6601C 2021 Episodic Case Write Up with Analysis Fall Semester

NGR 6601L Advanced Family Health Nursing Practice I

(4). Clinical implementation of evidence-based knowledge and skills required to the advanced family practice nurse in the prevention, diagnosis and management of acute health conditions in Primary Care. Corequisite: NGR 6601C.

NGR 6602C Advanced Family Health Nursing II (4).

Continuing development of evidence-based knowledge and skills fundamental to the family nurse practitioner role in the care of clients and families experiencing chronic and multisystem illnesses. Prerequisites: NGR 6601C, NGR 6601L. Corequisite: NGR 6602L.

FIU NGR 6601C 2021 Episodic Case Write Up with Analysis Fall Semester

NGR 6602L Advanced Family Health Nursing Practice

II (4). Clinical implementation of evidence-based knowledge and skills in the diagnosis and management of chronic and/or multi-system health conditions of clients and families in Primary Care. Corequisite: NGR 6602.