Academic soap note | Nursing homework help

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Academic clinical SOAP notes provide a unique opportunity to practice and demonstrate advanced practice documentation skills, develop and demonstrate critical thinking and clinical reasoning skills, and practice identifying acute and chronic problems and formulating evidence-based plans of care.

This assignment uses a template. Refer to the “Academic SOAP Note Template,” located on the Student Success Center page under the AGACNP tab.

Develop a hospital follow-up progress SOAP note based on a clinical patient from your clinical/practicum setting. In your assessment, provide the following:

A one-sentence description of the primary working diagnosis, pending differential diagnoses, and the context or service in which the patient is being seen.
A one or two paragraph description of the current illness or hospital stay, including pertinent diagnostic findings or procedures. Include how many days the patient has been hospitalized, if applicable.
List of at least five systems affected by the working diagnosis. Provide two positive or negative effects that the working diagnosis has on each system.
List of at least five systems examined within the past 24 hours. Provide at least two pertinent positive or negative findings relevant to each system examined and include a full set of vital signs.
List of all admission diagnostics conducted for this visit or conducted within the past 24 hours.
List of all pertinent acute and chronic diagnoses in order of priority using ICD-10. Identify any differential diagnoses being eliminated.
Treatment plan that corresponds with the diagnosis. Provide information on admission type, types of diagnostics, any prescribed medications and dosages, and any relevant consults or follow-up procedures needed.
Discussion of any relevant ethical, legal, or geriatric-specific considerations.

Incorporate at least three peer-reviewed articles in the assessment or plan.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite Technical Support Articles is located in Class Resources if you need assistance.

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July 1, 2023

-Title slide
-Introduction to the disease and why you selected it
-Statistics, including prevalence and/or incidence data
-Risk factors
-Role of obesity (if not related, still include this slide but explain why obesity is not a factor)
-Role of nutrition in the prevention of this disease (primary prevention; if none, make sure to clearly support a statement that none exists)
-Role of nutrition in the management of this disease (secondary and/or tertiary prevention; if none, make sure to clearly support a statement that none exists)
-Review and critically evaluate 3 current (published within the last 5 years) peer reviewed journal articles about nutrition for your selected disease
-Discuss at least one public policy or community program that addresses nutrition for your selected disease (if one does not exist, propose a policy or program that could work in your community to address nutrition for this disease)
-Are there global differences in nutrition guidelines for this disease (compared to the US)?
-Implications for practice
-Conclusion
-Reference slide(s)

Include notes with each slide (within PowerPoint) to further elaborate and explain to me in detail your learning and understanding about each component of the project. This will count as the written portion of the project. This will only be submitted to me for grading. I will provide note pages (3 slides per page like my lectures) to the class and these will only include the content from each slide. Students can take notes on these during your presentation to enhance their learning.

Introduction slide includes background information about the disease, a clear definition of the disease, and explanation as to why the student has selected this disease.

Student has included relevant and current statistics on the disease, including incidence and prevalence data.

Student has listed and described with detail the risk factors for this disease, indicating which are modifiable and which are non-modifiable.

Student has clearly explained the role of obesity in the development of their selected disease.

Student has clearly described the role of nutrition in primary prevention of the disease. Elaboration on this has been included verbally during the presentation. Has not left out any well-known dietary components of prevention.

Student has clearly described the role of nutrition in secondary or tertiary prevention of the disease. Elaboration on this has been included verbally during the presentation. Has not left out any well-known dietary components of management (secondary prevention).

Student has reviewed and critically evaluated at least 3 current journal articles. Provides complete details on the role of nutrition based on study findings.

Student discusses at least one public policy or community program to address nutrition for the selected disease. Includes full details on the development, implementation, measurement of outcomes, and results. If this does not exist for this disease, student has presented at least one idea for a program or policy that could be implemented locally to address nutrition for this disease.

Student clearly addresses global differences in nutrition guidelines for prevention (primary, secondary, tertiary) of their disease related to nutrition.

Student clearly addresses implications for practice based on their findings from all research conducted for the project.

Student clearly summarizes their presentation with a conclusion slide

Includes all references cited in the presentation on the reference slide(s). Uses AMA format for all reference citations with only 1-2 errors. -Always cites within the slides as appropriate, using AMA format.

Student has provided additional details on each slide to elaborate on their understanding of the topic and component addressed on the slide. The expands on the information verbally presented. Written portion clearly demonstrates their understanding of the topic and use of critical thinking skills.

Free from errors with spelling/grammar on the slides Student has provided high quality writing on the included notes: -Uses a scholarly tone in all writing -The majority of the notes include original writing (few quotes) -Few, if any, grammar/spelling errors