Comprehensive exam

Assignment 1: Application omprehensive Patient Assessment

When completing practicum requirements in clinical settings, you and your Preceptor might complete several patient assessments in the course of a day or even just a few hours. This schedule does not always allow for a thorough discussion or reflection on every patient you have seen. As a future advanced practice nurse, it is important that you take the time to reflect on a comprehensive patient assessment that includes everything from patient medical history to evaluations and follow-up care. For this Assignment, you begin to plan and write a comprehensive assessment paper that focuses on one female patient from your current practicum setting.

By Day 7 of Week 9

This Assignment is due. It is highly recommended that you begin planning and working on this Assignment as soon as it is viable.

To prepare

Reflect on your Practicum Experience and select a female patient whom you have examined with the support and guidance of your Preceptor.
Think about the details of the patientàbackground, medical history, physical exam, labs and diagnostics, diagnosis, treatment and management plan, as well as education strategies and follow-up care.

To complete

Write an 8- to 10-page comprehensive paper that addresses the following:

Age, race and ethnicity, and partner status of the patient
Current health status, including chief concern or complaint of the patient
Contraception method (if any)
Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem)
Review of systems
Physical exam
Labs, tests, and other diagnostics
Differential diagnoses
Management plan, including diagnosis, treatment, patient education, and follow-up care

Note: Refer to the Comprehensive Write-up Guide in this weekàLearning Resources for a detailed outline with additional guidance.

Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available athttp://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

FOLLOW THIS GUIDE. HEADINGS SHOULD BE LIKE ITS ON THE GUIDE. SETTING IS A OB/GYN OFFICE. SO SCENARIO HAS TO BE OB/GYN RELATED

Comprehensive Write-up Guide

Week 2 Assignment:

Comprehensive Patient Assessment When completing practicum requirements in clinical settings, you and your Preceptor might complete several patient assessments in the course of a day or even just a few hours. This schedule does not always allow for a thorough discussion or reflection on every patient you have seen. As a future advanced practice nurse, it is important that you take the time to reflect on a comprehensive patient assessment that includes everything from patient medical history to evaluations and follow-up care. For this Assignment, you begin to plan and write a comprehensive assessment paper that focuses on one female patient from your current practicum setting. To complete: Write an 8- to 10-page comprehensive paper that addresses the following:

1. General patient information a. Age b. Race/ethnicity c. Partner status

2. Current health status a. Chief concern/complaint and history of present illness (include a complete symptom analysis of chief complaint(s) utilizing OLDCART for a sick/problem focused visit) b. Last menstrual period or year of menopause c. DES exposure (if born between 1948 and 1971) d. Sexual activity status e. Barrier prevention f. Sexual preference g. Satisfaction with sexual relations

3. Contraception method (if any)

4. Patient history a. Past medical history
ajor medical events (including pediatric events) sychological and mental health urgeries and/or hospitalizations if pertinent
edications, including prescriptions, over-the-counter medications, home and herbal remedies, calcium, and vitamin supplements llergies, including drug, food, and environment 2013 Laureate Education, Inc. 2 ealth maintenance/screenings, including results of patientàlast Pap and mammogram as appropriate, as well as previous vaccinations (HPV, MMR, hepatitis B, last dT, and pneumovax/influenza as appropriate) b. Family medical history c. Gynecologic history ullipara vs. multipara istory of sexually transmitted infections and sexually transmitted diseases
enarche and menstrual patterns
enopause or peri-menopausal symptoms (if applicable) d. Obstetric history ravida and parity status (TPAL) regnancy history, including history of preterm or low birth weight, other pregnancy complications, history of sexually transmitted diseases, and any pertinent negatives e. Personal social history (as appropriate to the current problem) ultural background ducation and economic condition buse history including assault and forced sex (past and current) ccupational health patterns nvironment urrent health habits and/or risk factors ubstance use (must include for every patient) obacco including frequency and longevity lcohol including results of CAGE unless patient has never used ecreational drug use (past and current) xercise and physical activity iet and nutrition leep affeine

5. Review of systems (ROS) a. Must include reproductive system as well as other pertinent systems (systems relevant to HPI should be included under HPI)

6. Physical exam a. General exam, including vital signs, height, weight, and BMI on every patient b. Physical exam focused on episodic complaint (include numbers of weeks gestation, fundal height, and fetal heart tones for OB patients)

7. Labs, tests, and other diagnostics 2013 Laureate Education, Inc. 3 a. Pertinent labs, test, and other diagnostics (include routine tests such as triple screen and urine dip for OB patients)

8. Differential diagnoses a. Explain why this set of differential diagnoses should be considered and why each diagnosis should be ruled in or ruled out.

9. Management plan a. Diagnosis b. Treatment c. Patient education d. Follow-up care .

Reminder: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting. Please contact the course Instructor with any questions regarding this Assignment.