May 30, | nursing, med, NURS, Paper
PEDIATRIC FILLABLE SOAP NOTE TEMPLATE – 7 year old Caucasian male
PEDIATRIC FILLABLE SOAP NOTE TEMPLATE – 7 year old Caucasian male
STUDENT NAME: Amy Brown
DATE OF ASSIGNMENT: 03/12/2019
Patient Initials: M.L.
Date of Encounter: 03/07/2019
Sex: Male
Age/DOB/Place of Birth:
7 year old male
11/21/2011
Cape Coral, FL
SUBJECTIVE
Historian: Mother
Present Concerns/CC: 7 year old Caucasian male accompanied by his mother with complaints of seeing lights and spacing out. The mother states that her son stares into space and she tries to snap him out of it and nothing works.
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Child Profile: Child attends public school and is doing well according to his mother.
HPI:O: Child has been having episodes where he stares into space x6 months.
L: There is no specific location as the child does not know it is happening
D: Per the mother the episodes usually last 10-30 seconds
C: No specific character, the child is non responsive
A: Per the mother there does not seem to be any aggravating factors
R: No relieving factors, the child eventually snaps out of it
T: It does not occur at any specific time of the day
S: The episodes do not vary in severity
Medications: None
PEDIATRIC FILLABLE SOAP NOTE TEMPLATE – 7 year old Caucasian male
PMH: The child has been diagnosed with mild ADHD and there has been question whether or not the patient is autistic. He is currently receiving behavioral therapy for the ADHD and his mother states that it seems to be working well.
Allergies: None
Medication Intolerances: None noted
Chronic Illnesses/Major traumas: none
Hospitalizations/Surgeries: none
Immunizations: up to date
PEDIATRIC FILLABLE SOAP NOTE TEMPLATE
Eyes: No drainage from eyes. Denies any pain or itching to bilateral eyes. Patient does not use eye glasses.
2|PEDIATRIC SOAP NOTE
PEDIATRIC FILLABLE SOAP NOTE TEMPLATE
OBJECTIVE (plot height/weight/head circumference along with noting percentiles) PEDIATRIC FILLABLE SOAP NOTE TEMPLATE – 7 year old Caucasian male
Attach growth chart
Weight: 34.47 kg
Temp 98.4
BP 98/62
Height 124.46 cm
Pulse 82
Resp 22
OBJECTIVE: Physical Examination reveals a well-nourished male, well developed for age. Temp: 98.4 HR 82, RR 22, O2 and blood pressure 98/62 Weight: 34.47kg, height 124.46 cm. Normal neurological exam performed in the office, no signs or symptoms of seizures. Child does not fall over during the episodes nor does he remember them.
General Appearance and parent–child interaction: Maternal/Child both appear well kept and are in clean clothing, interaction is normal, mother is very attentive to child needs.
Skin General skin overview reveals no significant rash or other lesion
HEENT Normocephalic, PERRL, Conjunctiva clear with no drainage noted. Tympanic membrane normal on right ear and bulging on left ear, no exudation noted in right but left with exudation in ear canal, nasal passages clear, no gross oropharyngeal lesions, oral mucosa wet, no adenopathy noted.
Cardiovascular regular rate, capillary refill < 3sec. No gallop or murmur noted.
Respiratory Breath sounds equal bilaterally. Equal chest rise and fall.
Gastrointestinal Bowel sounds heard in all four quadrants. Soft, no tenderness or distention noted upon palpation. Patient negative for rebound tenderness. Negative for Murphy’s sign, Rovsing’s sign or tenderness at McBurney’s point.
Breast Deferred PEDIATRIC FILLABLE SOAP NOTE TEMPLATE – 7 year old Caucasian male
Genitourinary: No dysuria, urinary frequency, or urgency; No evidence of UTI, hematuria, pelvic pain, bleeding, no vulvar itching, pain or rash.
Musculoskeletal: Musculoskeletal- Patient demonstrates full range of motion with no signs of pain.
PEDIATRIC FILLABLE SOAP NOTE TEMPLATE
Neurological Alert and appropriate for age. No signs of focal motor or sensory deficit. Appropriate neurological exam for age.
Psychiatric Patient’s reactions are appropriate for age.
Pediatric/Adolescent Assessment Tools:
Neurological assessment performed, all cranial nerves appear to be intact
ASSESSMENT (Diagnosis – 3 Differentials and Primary)
Ø Include at least three differential diagnoses with ICD-10 codes. (Includes Primary dx and 2 differentials) PEDIATRIC FILLABLE SOAP NOTE TEMPLATE – 7 year old Caucasian male
Ø Document Evidence based Rationale for ROS and each differential with pertinent positives and negatives
Ø Primary diagnosis
ü Is #1 on list of differentials
ü Evidence for primary diagnosis should be supported in the Subjective and Objective exams.
1) Transient alteration of awareness IDC 10: R40.4
2) Seizure ICD-10: G40.909
3) Autism ICD-10: F84.0
PEDIATRIC FILLABLE SOAP NOTE TEMPLATE
PLAN:
Refer to neurology for further evaluation.
Education: Have mother keep a journal of when episodes occur, what is going on around him and how long they last.
True absence seizures (“petit mal”) are seizures that cannot be predictably interrupted by calling the child’s name or by tactile stimulation. It appears as if the person is having staring spells or behavioral lacity or basically “spacing out”. This condition is very common in children who have been previously diagnosed with attention deficit hyperactivity disorder (ADHD). When an absence seizure occurs it usually occurs during conversation or physical activity and looks as if they are daydreaming. PEDIATRIC FILLABLE SOAP NOTE TEMPLATE – 7 year old Caucasian male. These seizures usually happen multiple times a day (Wilfong, Nordli Jr, & Eichler, 2018).
Follow up after he sees neurologist. If child has seizure prior to visit with neurology go to nearest emergency room.
References
American Academy of Pediatrics. (2018). Screening tools. Retrieved from https://www.aap.org/en-us/advocacy-and-policy/aap-health-initiatives/Screening/Pages/Screening-Tools.aspx
Charles Y. Hu. (2019, February 27). MedCalc: Interactive Growth Charts: Front Page. Retrieved from http://www.medcalc.com/growth/?fbclid=IwAR33JR9Z91rWZrWzp0Xvals3w0S4MT-9ZzjmmHe2JpWNPt9sZUlUDleFS5Q
Chiocca, E., RNC, MSN, CPNP. Advanced Pediatric Assessment, Second Edition. [South University]. Retrieved from https://digitalbookshelf.southuniversity.edu/#/books/9780826161765/
Wilfong, MD, A., Nordli Jr, MD, D., & Eichler, MD, MPH, A. (2018, September 23). Seizures and epilepsy in children: Classification, etiology, and clinical features. Retrieved from https://www.uptodate.com/contents/seizures-and-epilepsy-in-children-classification-etiology-and-clinical-features PEDIATRIC FILLABLE SOAP NOTE TEMPLATE – 7 year old Caucasian male
May 30, | nursing, med, NURS, Paper
NURS 6521: Advanced Pharmacology Syllabus
NURS 6521: Advanced Pharmacology Syllabus
Syllabus
Student Support and Calendar Information
So you have all key information available to you off-line, it is highly recommended that you print the following items for your reference:
This Syllabus, including the Course Schedule that is linked on this page as a PDF
Course Calendar
Support, Guidelines, and Policies
Credit Hours
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5 credits in 11 weeks
Walden University assigns credit hours based on the number and type of assignments that enable students to achieve the course learning objectives. In general, each semester credit equals about 42 hours of total student work and each quarter credit equals about 28 hours of total student work. This time requirement represents an approximate average for undergraduate work and the minimum expectations for graduate work. The number and kind of activities estimated to fulfill time requirements will vary by degree level and student learning style, and by student familiarity with the delivery method and course content. NURS 6521: Advanced Pharmacology Syllabus
Course Description
A solid foundation in the concepts and principles of drug therapy across the lifespan is essential to the work of advanced practice nurses. This course applies the advanced principles of pharmacology, including pharmacogenomics, pharmacokinetics, and pharmacodynamics, by analysis of common drug classes prescribed by advanced practice nurses across the life span. Factors influencing successful therapy, such as effectiveness, safety, acceptability, cost, genetic/environmental influences, complementary regimens, and patient behaviors are considered. Through this course, students prepare to examine complex decisions in the management and treatment of selected acute and chronic diseases across the life span through pharmacologic and non-pharmacologic agents NURS 6521: Advanced Pharmacology Syllabus. Advanced practice nursing students will have a more in-depth understanding of drug legislation and regulation for prescribing drugs.
Course Prerequisites
There are no prerequisites for this course.
Course Learning Outcomes
By the conclusion of this course, you should be able to:
Evaluate the impact of patient factors on pharmacokinetic and pharmacodynamic processes
Analyze pharmacotherapeutic treatments for body system disorders and the effects they have on patient outcomes
Analyze factors that impact patient drug therapy plans
Evaluate the impact of drug therapy on patient health outcomes
Apply decision-making strategies for the appropriate use of drugs based on classifications, indications, patient factors, and pathophysiology NURS 6521: Advanced Pharmacology Syllabus
Evaluate ethical and legal implications of prescribing drugs
SON Alignment of Learner Outcomes
Click on the following link to access the SON Alignment of Learner Outcomes:
Document: NURS 6521 SON Alignment of Learning Outcomes (PDF)
Course Materials
Please visit the University bookstore via your Walden student portal to ensure you are obtaining the correct version of any course texts and/or materials noted in the following section. When you receive your materials, make sure that all required items are included.
Course Text
Rosenthal, L. D., & Burchum, J. R. (2018). Lehne’s pharmacotherapeutics for advanced practice providers. St. Louis, MO: Elsevier.
Note: If the print edition of these books are referenced here, electronic versions also may be available and may be acceptable for use in this course. If an electronic version is listed, no print version is available. NURS 6521: Advanced Pharmacology Syllabus.
Other readings (journal articles, websites, book excerpts, etc.) are assigned throughout the course and may be found within each Module.
Course Readings List
The Course Readings List contains all of the required Walden Library resources for this course. Please click on the following link to access the list:
Course Readings List
Media
Assigned course media elements may be found in one or more modules of the course and are available via a streaming media player or a hyperlink to the individual item.
Dedicated Support for Course Media
You may use the following e-mail address and toll-free number for any questions or concerns you have about media in the course.
E-mail: [email protected]
Phone: 1-877-238-2963
Primary and Secondary Sources
Review the following information prior to selecting resources for assignments.
Primary: A primary source is an original document that is the first account of what happened. A research report is primary, and you can tell because it includes materials and methods demonstrating how the research was done. Some creative work is also primary, such as poetry, novels, and interviews of people who experienced something firsthand. In nursing, which is an evidence-based discipline, we strive to use primary research that is published in scholarly, peer-reviewed journals. NURS 6521: Advanced Pharmacology Syllabus
Scholarly, peer-reviewed journal: Scholarly journals publish papers by professional authors and experts in the field using a peer-review process to review the work and assure quality before publishing. The focus of a scholarly journal is to provide accurate information for scholars and other researchers. The focus is on content rather than advertising, a direct contrast to popular media. Scholarly journals publish both primary and secondary papers, the former usually noted as original research and the latter as reviews and commentaries. Letters to the editor may also be published but should be recognized as opinion pieces.
Note: When selecting articles for course assignments, you are advised (unless you are referencing seminal information) to focus on work published within the past five years.
Secondary: A secondary source is one step removed from the original source. This work interprets and often compiles other work, and it includes review articles, textbooks, fact sheets, and commentaries about a topic. It also includes news reports of original research. Secondary work is more prone to error and bias than primary work because it is being filtered through an additional person or persons. Review papers can be useful to glean information about a topic and to find other sources from the reference list, but it is the original, primary research that should be relied on most heavily in demonstrating scholarship, depth, and validation of factual information.
Course Assignments
Participation in weekly Discussions: The exchange of ideas among colleagues engaged in scholarly inquiry is a key aspect of learning and is a requisite activity in this course. You are expected to participate each week by posting a response to a prompt or question in the weekly Discussion area. In addition, you are expected to respond to your fellow students’ postings. To count as participation, responses need to be thoughtful; that is, they must refer to the week’s readings, relevant issues in the news, information obtained from other sources, and/or ideas expressed in the postings of other class members. You may ask questions or offer further information or links about the subject. Please pay attention to grammar and spelling, as consistently poorly written posts will receive grade penalties. In grading the required Discussion postings, your Instructor will be using the Discussion Posting and Response Rubric, located in the Course Information area. NURS 6521: Advanced Pharmacology SyllabusNote: Unless otherwise noted, initial postings to Discussions are due on or before Day 3, and response postings are due on or before Day 6. You are required to participate in the Discussion on at least three different days (a different day for main post and each response). It is important to adhere to the weekly time frame to allow others ample time to respond to your posting. In addition, you are expected to respond to questions directed toward your own initial posting in a timely manner.
Assignments: The Assignments provide you with the opportunity to apply the skills and knowledge gained through the Learning Resources and the practicum experience. See the Assignment area of specific weeks for detailed descriptions of the assignments. In grading the required Assignments, your Instructor will be using rubrics located in the Course Information area.Note: The course Assignments will require that you completely and accurately demonstrate critical thinking via assimilation and synthesis of ideas when using credible, outside and course specific resources (i.e. video, required readings, textbook), when comparing different points of view, highlighting similarities, differences, and connections, and/or when lending support to your Assignment responses.
Portfolio Assignment: Each course in the Master of Science in Nursing (MSN) program for the following specializations includes a Portfolio Assignment: Nursing Education, Nurse Executive, Nursing Informatics, and Public Health Nursing. The Portfolio Assignment is designed to measure specific professional knowledge and skills as outlined in the American Association of Colleges of Nursing (AACN) Master’s Essentials. Students submit the Portfolio Assignment in the online classroom and a criterion-based scoring rubric is used to grade the assignment. The rubric is aligned with American Association of Colleges of Nursing (AACN) Master’s Essentials and provides specific and informative feedback on your performance. The Portfolio Assignment is evaluated by the course Instructor.
Grading Criteria and Total Components of a Grade
Course grades will be based on participation (postings) and completion of assignments listed below.
Note: All assignments must be completed to pass the course.
Letter grades will be assigned as follows:
90%–100% = A
80%–89% = B
70%–79% = C
< 70% = F
Please see below for the policy on Incomplete (I) grades.
Assignment
Total Points
Percentage
(Weighted)
Discussions
Participation in Discussions*
(4 @ 100 pts. each)
400
25%
Assignments
Week 1 Assignment (100 pts.)
Week 2 Assignment (100 pts.)
Week 3 Assignment (100 pts.)
Week 5 Assignment (100 pts.)
Week 8 Assignment (100 pts.)
Week 9 Assignment (100 pts.)
NURS 6521: Advanced Pharmacology Syllabus
600
25%
Exams
Midterm Exam (100 pts.)
Final Exam (100 pts.)
200
50%
Total
1,200
100%
* Each Discussion requires that you make one initial posting and at least two response postings to colleagues. See the Discussion Posting and Response Rubric for posting details.
Incomplete Grade Policy
Per University policy, Incomplete grades can be granted only to students who have already met the minimum criteria for active weekly participation in a course (including weekly postings in online courses) and have completed at least 80% of other coursework. Incompletes can be awarded when, because of extenuating circumstances, a student has not met additional course requirements, including but not limited to written assignments, group projects, and research papers, as applicable. All Incomplete grades are awarded at the discretion of the course faculty. (Reproduced from Student Catalog)
Students who are eligible for an Incomplete must contact the Course Faculty to request the grade as soon as possible. Students who do not meet the criteria listed above will not be allowed to earn an Incomplete. If the Incomplete is approved, the Faculty Member will work with the student to outline the due date(s) for remaining work. Under no circumstances will the new due dates extend beyond 50 days from the last day of the term. Faculty will then have 10 days to assess the work and post the permanent grade before the University-allotted Incomplete time limit of 60 days expires. All Incomplete grades not resolved within the time allotted will convert to permanent grades of F.
Instructor Feedback Schedule
The Instructor will log in to the course during the week to monitor the weekly Discussion area. Feedback will be provided via the My Grades area, the Discussion area, and/or the Announcements page.
You can expect your weekly assignment grades to be posted within 10 calendar days of a due date. Instructor feedback and explanation is provided whenever full credit is not achieved. Depending on the nature of the feedback, Instructor responses may be posted to the Discussion area or included in the My Grades area. The goal of your Instructor is to act as a discussion and learning facilitator rather than a lecturer. The Instructor will not respond to every posting by every individual, so please feel free to ask your Instructor if you would like some personal feedback on a particular assignment posting or any time you have any questions regarding your assignments or your grade.
Course Procedures
All class Discussions take place in the weekly Discussion areas.
You are encouraged to post course-related questions to the Contact the Instructor area as they may be of interest to all; however, if your question is urgent, it is often best to e-mail the Instructor. If your e-mailed question is thought to be of benefit to all, it may be responded to by the Instructor via e-mail to all or posted as an announcement.
Instructor feedback on content and writing issues that is thought to be of benefit to the entire class may be posted to the Contact the Instructor area; however, most personal critique will be done privately in the Grade Center. Be sure to check the Grade Center for comments every week even if you received full credit.
Please feel free to use the Class Café to initiate and participate in conversations not directly related to the course. This is an excellent opportunity to get to know other students better. The Instructor will browse the Class Café occasionally but generally will not respond to conversations posted there unless students have specific questions for him or her.
Check the e-mail account you use for official Walden University business on a regular basis. The expectation is that you are checking this e-mail account daily during the week. If you experience difficulty sending or receiving Walden e-mail, please contact the Customer Care Team right away. Contact information for the Customer Care Team is located in the Student Support area.
Review all materials in the Course Information area, as well as the materials contained under each of the weekly buttons.
Note: There are Optional Readings located within the Learning Resources section of each week in the course. You are encouraged to explore these readings, as needed, in order to enhance your understanding of the course content.
Preferred Methods for Delivering Assignments
Be sure that you post to the correct Discussion area each week. Do not e-mail postings to the Instructor. For all initial Discussion postings, make sure that the first sentence of your posting reads Main Question Post. For your responses to others’ response postings, make sure that the first sentence of your response reads Response. These actions will ensure easily identifiable subject lines for your postings and responses.
Application Assignments are submitted to the SafeAssign link and named according to the week in which the Assignment is submitted. Directions for naming each Application Assignment are included in each week’s Assignment area. Please be sure that all written Application Assignments are saved and submitted as a “.doc” file.
All e-mail correspondence must contain in the subject line “ABCD 1234-XX-NAME” (ABCD = course prefix, 1234 = course number, XX = section number) followed by a brief description of the subject. This subject line convention ensures that your e-mail will be easily identified and responded to in a timely manner. It is required that the e-mail contain a signature that matches the official name used in the course. NURS 6521: Advanced Pharmacology Syllabus
Late Assignment Policy
Students are expected to submit assignments by the due dates noted in the course. In extenuating circumstances, such as illness, the student must contact the Instructor as soon as possible to discuss the situation. In those circumstances, faculty will determine the appropriate course of action for the student. NURS 6521: Advanced Pharmacology Syllabus. Depending on the situation, these actions may include recommendations to drop the course (if within the University drop/withdrawal period), acceptance of some or all of the overdue assignments with or without penalties, or failure to accept assignments.
Assignments submitted late without prior agreement of the Instructor, outside of an emergency absence, or in violation of agreements for late submission, will receive a grade reduction for the assignment amounting up to 20%. After 5 days, the assignment will not be graded. Students should be aware that late assignments may not receive the same level of written feedback as do assignments submitted on time.
Keeping Your Coursework
You will have access to the course and your coursework from the course start date until 60 days after the course ends. After this time, you will no longer be able to access the course or related materials. For this reason, we strongly recommend that you retain copies of your completed assignments and any documents you wish to keep. The University is not responsible for lost or missing coursework.
Course Evaluation
At or near the end of the course, you will receive an e-mail inviting you to submit an online evaluation of the course and instruction. All submitted course evaluations are confidential, and only aggregate data and comments will be shared with the Instructor and Program Director. Your feedback is vitally important to Walden University in its efforts to continuously improve programs.
Students With Disabilities
Students in this course who have a disability that might prevent them from fully demonstrating their abilities should contact the director of Disability Services at [email protected] or at 1-800-925-3368, ext. 312-1205 and +1-612-925-3368 or https://www.waldenu.edu/contact for international toll-free numbers as soon as possible to initiate disability verification and discuss accommodations that may be necessary to ensure full participation in the successful completion of course requirements.
Classroom Participation
In accordance with U.S. Department of Education guidance regarding class participation, Walden University requires that all students submit at least one of their required Week 1 assignments (which includes posting to the Discussion Board) within each course(s) during the first 7 calendar days of class NURS 6521: Advanced Pharmacology Syllabus. For courses with two-week units, posting to the Discussion Board by Day 7 meets this requirement. The first calendar day of class is the official start date of the course as posted on your myWalden academic page.
Assignments submitted prior to the official start date will not count toward your participation.
Financial Aid cannot be released without class participation as defined above.
Students who are taking their first class with Walden and do not submit at least one of their required Week 1 assignments (or at least one Discussion post) by the end of the 7th day will be administratively withdrawn from the university.
Students who have already taken and successfully completed at least one or more class(es) with Walden, and who do not participate within the first 7 days, will be dropped from that class.
If you have any questions about your assignments, or you are unable to complete your assignments, please contact your Faculty Member.
Checklist
The module course checklist below outlines the assignments due for the course.
For full assignment details and directions, refer to each module of the course. All assignments are due by 11:59 p.m. Mountain Time (MT) on the day assigned (which is 1:59 a.m. Eastern Time (ET) the next day). The time stamp in the classroom will reflect Eastern Time (ET), regardless of your time zone. As long as your submission time stamp is no later than 1:59 a.m. Eastern Time (ET), you have submitted on time.
To View the Calendar
To view the Course Calendar:
Course Calendar
To View a Printable Course Schedule
For full assignment details and directions, refer to each Module of the course.
Click on the NURS 6521 Course Schedule (PDF) link to access the Course Schedule.
Document: NURS 6521 Course Schedule (PDF)
Checklist
Week
Assignment
Title
Module 1: Foundational Concepts of Advanced Pharmacology
Week 1
Basic Pharmacotherapeutic Concepts/Ethical and Legal Aspects of Prescribing
Learning Resources
Required Readings
Required Media
Discussion
Pharmacokinetics and Pharmacodynamics
Assignment
Ethical and Legal Implications of Prescribing Drugs
Module 2: Cardiovascular and Respiratory Systems
Week 2
Cardiovascular System
Learning Resources
Required Readings
Required Media
Assignment
Pharmacotherapy for Cardiovascular Disorders
Week 3
Respiratory System NURS 6521: Advanced Pharmacology Syllabus
Learning Resources
Required Readings
Required Media
Assignment
Asthma and Stepwise Management
Module 3: Gastrointestinal and Hepatobiliary Systems
Week 4
Gastrointestinal and Hepatobiliary Disorders
Learning Resources
Required Readings
Required Media
Assignment
Pharmacotherapy for Gastrointestinal and Hepatobiliary Disorders
Module 4: Endocrine System
Week 5
Endocrine System Disorders and the Treatment of Diabetes
Learning Resources
Required Readings
Required Media
Discussion
Diabetes and Drug Treatments
Module 5: Neurologic and Musculoskeletal Systems
Week 6
Neurologic and Musculoskeletal Disorders
Learning Resources
Required Readings
Required Media
Assignment
Decision Tree for Neurologic and Musculoskeletal Disorders (start)
Week 7
Midterm Exam
Midterm Exam
Module 6: Psychological Disorders
Week 8
Pharmacology for Psychological Disorders
Learning Resources
Required Readings
Required Media
Discussion
Decision Making When Treating Psychological Disorders
Assignment
Decision Tree for Neurologic and Musculoskeletal Disorders (submit)
Module 7: Women’s and Men’s Health, Infections, and Hematologic Systems
Week 9
Women’s and Men’s Health
Learning Resources
Required Readings
Required Media
Discussion
Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders
Week 10
Infections and Hematologic Systems
Learning Resources
Required Readings
Required Media
Discussion
Women’s and Men’s Health, Infectious Disease, and Hematologic Disorders
Module 8: Pediatrics NURS 6521: Advanced Pharmacology Syllabus
Week 11
Pediatrics
Learning Resources
Required Readings
Required Media
Assignment
Off-Label Drug Use in Pediatrics
Final Exam
Bibliography
The bibliography contains the references for all learning materials in the course. For your convenience, a link has been provided to download and save the bibliography. NURS 6521: Advanced Pharmacology Syllabus
