Episodic Visit: Common Gynecologic Health Conditions Focused Note
Patient histories are a building block of the diagnosis and treatment. By effectively interviewing patients in their care, advanced practice nurses can piece together facts to construct a relevant history that can lead to assessment and treatment.
For this Focused Note Assignment, you will select a patient with common gynecologic health conditions from your clinical experience and construct a patient history, assess and diagnose the patient’s health condition(s), and justify the best treatment option(s) for the patient.
o prepare:
• Use the Focused SOAP Note Template found in this week’s Learning Resources to complete this Assignment.
• Select a patient with common gynecologic health conditions whom you examined during the last three weeks in your practicum experience. With this patient in mind, address the following in your Focused Note Template:
Assignment:
• 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, as well as a rationale for this treatment and management plan.
• Reflection notes: What would you do differently in a similar patient evaluation?
Clinical Guideline Resources
As you review the following resources, you may want to include a topic in the search area to gather detailed information (e.g., breast cancer screening guidelines; for the CDC -zika in pregnancy, etc.).
American Cancer Society. (n.d.). https://www.cancer.org/
American College of Obstetricians and Gynecologists. (n.d.). https://www.acog.org/
Centers for Disease Control and Prevention. (n.d.). https://www.cdc.gov/
ANA Enterprise. (n.d.). https://www.nursingworld.org/
HealthyPeople 2030. (2020). Healthy People 2030 framework.
https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework
The American Association of Nurse Practitioners. (2020). https://www.aanp.org/
U.S. Preventive Services Task Force. (n.d.-a). https://www.uspreventiveservicestaskforce.org/uspstf/
Episodic Visit: Common Gynecologic Health Conditions Focused Note
APA
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