Discussion: Personal and medical history
Discussion: Personal and medical history
Discussion: Personal and medical history
Discussion: Personal and medical history.
Permalink: http://topclassesays.com/discussion-perso…-medical-history/
>gynecologic health
Gynecologic Health
Select a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES :
> 
> 
> 
> 
> 
> 
Subjective: What details did the patient provide regarding her personal and medical history?
> 
> 
> 
> 
> 
> 
Objective: What observations did you make during the physical assessment?
> 
> 
> 
> 
> 
> 
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. 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, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.
> 
> 
> 
> 
> 
> 
Very Important: Reflection notes: What would you do differently in a similar patient evaluation?
> 
> 
> 
> 
> 
> 
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. 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, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.
> 
> 
> 
> 
> 
> 
Reference
> 
> 
> 
> 
> 
> 
Gagan, M. J. (2009). The SOAP format enhances communication. Kai Tiaki Nursing New Zealand, 15(5), 15.
> 
> 
> 
> 
> 
> 
Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
> 
Chapter 6, “Care of the Well Woman Across the Life Span” ,“Care of the Woman Interested in Barrier Methods of Birth Control” (pp. 275–278)
> 
> 
> 
> 
> 
> 
Chapter 7, “Care of the Woman with Reproductive Health Problems”
> 
> 
> 
> 
> 
> 
>“care
“Care of the Woman with Dysmenorrhea” (pp. 366–368)
> 
> 
> 
> 
> 
> 
“Care of the Woman with Premenstrual Symptoms, Syndrome (PMS), or Dysphoric Disorder (PMDD)” (pp. 414–418)
Use the following coupon code :
NPS10
The post Discussion: Personal and medical history appeared first on NursingPaperSlayers.
