Announcement – Week 3 hope you all had a good weekend ! This week you have your first soap note due. It should be on the HEENT

Announcement – Week 3

hope you all had a good weekend !

This week you have your first soap note due. It should be on the HEENT system.

Make sure your Cheif complaint is in line with your HPI, physical exam, DD, treatment and plan.

It is like telling a story.

If you have any question please reach out. Please make sure it is on this weeks reading. All pages must be signed by the preceptor.

Episodic Visit: HEENT Focused Note

Focused Notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly learning resources. Focused Notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.

For this Assignment, you will work with a patient with a HEENT condition that you examined during the last three weeks, and complete an Episodic/Focus Note Template Form where you will gather patient information and relevant diagnostic and treatment information and reflect on health promotion and disease prevention in light of patient factors such as age, ethnic group, past medical history (PMH), socioeconomic status, and cultural background. In this week’s Learning Resources, please refer to the Focused SOAP Note resources for guidance on writing Focused Notes.

Note: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using Turnitin.

Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.

 

Resources

· Fowler, G. C. (2020). 
Pfenninger and Fowler’s procedures for primary care (4th ed.). Elsevier.

· Section 4: Eyes, Ears, Nose, and Throat

· Chapter 62, “Cerumen Impaction Removal” (pp. 388–392)

· Section 13: Urgent Care

· Chapter 200, “Corneal Abrasions and Removal of Corneal or Conjunctival Foreign Bodies” (pp. 1338–1344)

· Chapter 201, “Slit-Lamp Examination” (pp. 1345–1349)

· Chapter 202, “Auricular Hematoma Evacuation” (pp. 1350–1354)

· Chapter 204, “Removal of Foreign Bodies from the Ear and Nose” (pp. 1359–1364)

· Chapter 205, “Management of Epistaxis (pp. 1365–1371)

Practicum Resources

· HSoft Corporation. (2019). 


Meditrek: Home

.Links to an external site.
 

Note:
 Use this website to log into Meditrek to report your clinical hours and patient encounters. 

· Walden University Field Experience. (2019a). 


Field experience: College of NursingLinks to an external site.


. 

· Walden University Field Experience. (2019b). 


Student practicum resources: NP student orientation.

Links to an external site.
 

· Walden University. (2019). 


MSN nurse practitioner practicum manual

.Links to an external site.
 

·
Document: 

Episodic/Focus Note Template (Word document)

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources. 


WEEKLY RESOURCES

To prepare:

· Use the Episodic/Focus Note Template found in the Learning Resources for this week to complete this assignment.

· Select a patient that you examined during the last three weeks that suffered from any HEENT condition. With this patient in mind, address the following in a Focused Note:

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?

Note: Your Focused Note Assignment must be signed by Day 7 of Week 3.

By Day 7

Submit your Episodic/Focused Note Assignment.

Share This Post

Email
WhatsApp
Facebook
Twitter
LinkedIn
Pinterest
Reddit

Order a Similar Paper and get 15% Discount on your First Order

Related Questions

Purpose: The purpose of this assignment is to assess your ability to conduct a systematic and comprehensive head-to-toe physical assessment. This will

Purpose: The purpose of this assignment is to assess your ability to conduct a systematic and comprehensive head-to-toe physical assessment. This will help reinforce critical thinking, clinical reasoning, and documentation skills essential for nursing practice. By completing this assignment, you will demonstrate proficiency in assessing various body systems, identifying normal

COMPLETE USING DOCUMENT POSTED WITH ASSIGNMENT Thumbnails/thumbnail.png Determining Anesthesia Service Payments and Modifiers As a new medical

COMPLETE USING DOCUMENT POSTED WITH ASSIGNMENT Thumbnails/thumbnail.png Determining Anesthesia Service Payments and Modifiers As a new medical coder for an Anesthesiologist group, it is important that you practice calculating service payments by assigning the appropriate anesthesia code(s) and modifier(s), as well as determining the base and time unit values, any

COMPLETE ALL QUESTIONS Thumbnails/thumbnail.png 1) The ICD-10-CM Official Guidelines for Coding and Reporting are approved by the FILL IN

COMPLETE ALL QUESTIONS Thumbnails/thumbnail.png 1) The ICD-10-CM Official Guidelines for Coding and Reporting are approved by the FILL IN BLANK  parties for ICD-10-CM to accompany and complement the official conventions and instructions provided within ICD-10-CM. 2) Official coding guidelines use the term FILL IN BLANK  when referring to face-to-face contact between patients and health

  Questions Discussion Board: Instructions Purpose: The purpose of this assignment is to familiarize you the complexity of quantitative statistical

  Questions Discussion Board: Instructions Purpose: The purpose of this assignment is to familiarize you the complexity of quantitative statistical analysis. Instructions: For this discussion, please complete the following: Review the assigned chapters in Polit and Beck (2017): i.e., chapters 18-20. Identify five different facts or pieces of information that