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• Review the Focused SOAP Note template, which you will use to complete this Assignment. There is also a Focused SOAP Note Exemplar provided as a guide for Assignment expectations.
• Review the video, Case Study: Sherman Tremaine. You will use this case as the basis of this Assignment. In this video, a Walden faculty member is assessing a mock patient. The patient will be represented onscreen as an avatar.
• Consider what history would be necessary to collect from this patient.
• Consider what interview questions you would need to ask this patient.

The Assignment

Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
• Objective: What observations did you make during the psychiatric assessment?  
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Plan: What is your plan for psychotherapy? What is 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. Also incorporate one health promotion activity and one patient education strategy.
• Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
• Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

By Day 7 of Week 5

Submit your Focused SOAP Note.

Attached

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/: It is vital that nursing practice be guided by theories or framework. Select and discuss a Middle Range Theory that would be instrumental in the development of your proposed quality improvement project.

Following the guidelines bellow.

Use at least 500 words, APA 7 format and scholarly references NO older than  5 years old.

The possible project theme is: Determine the effectiveness of antineuropathic such as Gabapentin and pregabalin on the treatment of lumbar radiculopathy instead opioids as a first line treatment

Participation Requirements

The student must answer the graded discussion with a substantive reply to the graded discussion question(s)/topic(s) posted by the course instructor by Wednesday, 11:59 p.m. Eastern Time of each week. Two scholarly sources references are required, unless stated otherwise by your professor. 

The student provides a substantive response to the discussion question or topic on Wednesday day and posts a minimum of two additional responses to peers on another day(s). 

Remember that a new discussion rubric was approved by the professors, committee members, and a majority of the students. Please review the rubric before posting to ensure a maximum of points. 

Here are the categories of the new discussion rubric:

Initial Post relevance to the topic of discussion, applicability, and insight. (20%)

Quality of Written Communication Appropriateness of audience and words choice is specific, purposeful, dynamic, and varied. Grammar, spelling, punctuation. (20%)

Inclusion of DNP essentials explored in the discussion as well as the role-specific competencies as applicable.(10%)

Rigor, currency,  and relevance of the scholarly references. (Use articles that are below 5 years). (20%)

Peer & Professor Responses. The number of responses, quality of response posts. (20%)

Timeliness of the initial post and the answers to the peers. (10%)

Need help with a question.

Nursing Research and Evidence-Based Practice

Article Appraisal

INSTRUCTIONS

  Use your own words. Use short answers  when possible to answer the questions below 1-14. use word doc or pdf

· If   you directly quote more than 5 words from the article, include the phrase in   quotation marks and indicate the page number or section heading. 

· Points   will be deducted if you include paragraphs that contain more than one answer.   

Which article did you select? Provide the authors last names, year, and topic of the study.  this is the article below.

                                    Article

 Alyami, M., Serlachius, A., Mokhtar, I., & Broadbent, E. (2020). The association of illness perceptions and God locus of health control with self-care behaviours in patients with type 2 diabetes in Saudi Arabia. Health Psychology and Behavioral Medicine, 8(1), 329-348. https://doi.org/10.1080/21642850.2020.1805322 

1. In the first part of the article, what statistics did the researchers cite for why the topic of the study was important? What other reasons did the researchers give for why the topic was significant? (10 points)

2.  What was the statement of the research problem (gap in what is known)? (10 points)

3. What was the study’s purpose? (5 points)

4. What study design or type of study did the researchers say they implemented? (5 points)

5. Compare the label the researchers used to describe the study to the types of designs in our book and presentations. Was the study a descriptive, correlation, quasi-experimental, and experimental design? (10 points)

6. List the inclusion and exclusion criteria for the sample. (5 points)

7. What was one variable that was measured by the researchers? (5 points)

8. The variable identified above was measured using what specific method (piece of equipment, instrument, tool)? What information did the researchers provide about the reliability (Cronbach’s alpha) or precision (only for equipment) of the measurement method (10 points)

9. What percentage of the sample was comprised of women? (5 points)

10. Use the limitations identified by the researchers to determine one threat to internal or external validity. (10 points)

11. What were the implications for practice (5 points)

12. What were the recommendations for future research? (5 points)

13. State the study’s conclusions- what was learned? (5 points)

14. List at least 2 specific questions that you would like to ask the researchers about the article. (10 points)