PRAC 6541 WEEK 10 EPISODIC VISIT ASSIGNMENT: GASTROINTESTINAL OR GENITOURINARY CONDITION FOCUSED NOTE

EPISODIC VISIT: GASTROINTESTINAL OR GENITOURINARY CONDITION FOCUSED NOTE

Focused Notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly Learning Resources. Focused Notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will work with a pediatric patient with gastrointestinal or genitourinary condition that you examined during the last 3 weeks, and complete a Focused SOAP Note Template in which you will gather patient information, relevant diagnostic and treatment information, and reflect on health promotion and disease prevention in light of patient factors, such as age, ethnic group, past medical history (PMH), socio-economic status, cultural background, etc. In this week’s Learning Resources as well as prior week’s resources, please refer to the Focused Note resources for guidance on writing Focused Notes.

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Note: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using Turnitin.

Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Schwartz, H. P., Haberman, B. E., & Ruddy, R. M. (2011). Hyperbilirubinemia: Current guidelines and emerging therapies. Download Hyperbilirubinemia: Current guidelines and emerging therapies. Pediatric Emergency Care, 27(9), 884–889. https://journals.lww.com/pec-online/Abstract/2011/09000/Hyperbilirubinemia__Current_Guidelines_and.21.aspx

Credit Line: Hyperbilirubinemia: current guidelines and emerging therapies by Schwartz, H.P., Haberman, B.E., & Ruddy, R.M., in Pediatric Emergency Care, Vol. 27/ Issue 9. Copyright 2011 by Lippincott Williams & Wilkins, Inc. Reprinted by permission of Lippincott Williams & Wilkins, Inc. via the Copyright Clearance Center.Links to an external site.

Document: Focused SOAP Note Checklist Download Focused SOAP Note Checklist(Word document)

Document: Focused SOAP Note Template Download Focused SOAP Note Template(Word document)

Links to an external site.

Practicum Resources

HSoft?Corporation. (2019).?Welcome to MeditrekLinks to an external site.. https://edu.meditrek.com/Default.html

Note: Use this website to log in to?Meditrek?to report your clinical hours and patient?encounters.Links to an external site.

Walden University. (2019). MSN nurse practitioner practicum manualLinks to an external site.. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocumentsLinks to an external site.

Walden University Field Experience. (2019a). Field experience: College of Nursing.Links to an external site.?https://academicguides.waldenu.edu/fieldexperience/son/homeLinks to an external site.

Walden University Field Experience. (2019b). Student practicum resources: NP student orientationLinks to an external site..

https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

To prepare:?

Review the Focused Note Checklist provided in this week’s Learning Resources and consider how you will develop your Focused Note for this week’s Assignment.

Use the Focused SOAP Note Template found in the Learning Resources for this week to complete this Assignment.?

Select a patient with gastrointestinal or genitourinary condition that you examined during the last 3 weeks. With this patient in mind, address the following in a Focused Note.?

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Assignment

Subjective: What details did the patient or parent provide regarding the personal and medical history? Include any discrepancies between the details provided by the child and details provided by the parent as well as possible reasons for these discrepancies.

Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any growth and development or psychosocial issues.

Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority and include their ICD-10 codes for the diagnosis. What was your primary diagnosis and why?

Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.

Reflection notes: What was your “aha” moment? What would you do differently in a similar patient evaluation?

Note: Your Focused Note Assignment must be signed by Day 7 of Week 9.

BY DAY 7

Submit your Gastrointestinal or Genitourinary Condition Focused Note Assignment. (Note: You will submit two files, your Focused Note Assignment, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 9.)

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK9Assgn2+last name+first initial.

Then, click on Start Assignment near the top of the page.

Next, click on Upload File and select Submit Assignment for review.