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Sample Select a patient with a common condition(s) from your practicum experience this week. Submit a correctly formatted SOAP note on that patient in a Word document.
1) COPD
Constitutional:
Eyes:
Ears/Nose/Mouth/Throat:
Cardiovascular:
Pulmonary:
Gastrointestinal:
Genitourinary:
Musculoskeletal:
Integumentary & breast:
Neurological:
Psychiatric:
Endocrine:
Hematologic/Lymphatic:
Allergic/Immunologic:
Past Medical History:
Preventative care
Surgeries
Hospitalizations
LMP, pregnancy status, menopause, etc. for women
Allergies:
Food, drug, environmental
Medications
Family History
Social History
A student who completes this program will be able to:
PLO 1 – Demonstrate the ability to effectively engage in collaborative caring intra and inter-disciplinary relationships in the conduct of advanced nursing practice.
PLO 2 – Demonstrate leadership and effective management strategies for advanced nursing practice in a culture of caring, including proficiency in the use of information technology/technology resources to support practice and to ensure continuity for patient care.
PLO 3 – Synthesize concepts and theories from nursing and related disciplines to develop and integrate new approaches for nursing practice of the whole/healthy human being.
PLO 4 – Design and implement advocacy strategies that address healthcare policies and issues of social justice and equity in healthcare.
PLO 5 – Analyze socio-cultural, spiritual, ethical, economic, and political issues to improve healthcare outcomes and decrease healthcare costs.
PLO 6 – Apply the process of scientific inquiry to validate and contribute knowledge relevant to improving healthcare outcomes within a dynamic healthcare environment.
PLO 7 Provide leadership in a dynamic high tech environment with the knowledge to optimize healthcare outcomes and decrease costs within populations.
PLO 8 – Demonstrate expertise in a culture of caring and engage in critical dialogue a vision for advanced nursing practice.
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