For a wide variety of medical conditions, early detection of the problem enables timely and more effective treatment. Annual well-woman exams are among the best tools available for health care professionals to identify potential diseases and medical conditions in women.
Advanced nurse practitioners can play an active role in these important visits. This role can include a physical examination as well as collection of details about such factors as nutrition habits, sexual activity, stress, and more. By participating in comprehensive well-woman exams, advanced nurse practitioners can help patients engage in preventative health.
For this Assignment, you will complete your well-woman exam using a focused note format in which you will gather patient information, 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), socio-economic status, cultural background, etc.
- 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 patients background, medical history, physical exam, labs and diagnostics, diagnosis, and treatment and management plan, and education strategies and follow-up care.
- Use the Guidelines for Comprehensive History and Physical SOAP Note document found in this weeks Learning Resources to guide you as you complete this Assignment.
Assignment:
Write an 8- to 10-page Comprehensive Well-Woman 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
- Provide evidence-based guidelines to support treatment plan. Note: Use your Learning Resources and evidence from scholarly sources from your personal search to support your treatment plan of care.
Reflection
Reflect on some additional factors for your patient:
- What are implications if you have observed or know of some domestic violence? Would this change your plan of care? If so, how?
Use your Learning Resources and evidence from scholarly sources from your personal search to support your reflection. Include a title page, introduction, summary, and references.
Rubric:
Write an 8- to 10-page Comprehensive Well-Woman Exam 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) Social Determinants of Health assessment Review of systems Physical exam Labs, tests, and other diagnostics Differential diagnoses Management plan, including diagnosis, treatment, patient education, and follow-up care Provide evidence-based guidelines to support treatment plan.
Reflect on the following: Reflect on some additional factors for your patient: What are implications if you have observed or know of some domestic violence? Would this change your plan of care? If so, how?
Written Expression and Formatting Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focusedneither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
Written Expression and Formatting English writing standards: Correct grammar, mechanics, and proper punctuation
Written Expression and Formatting The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.
Requirements:
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