Category: Nursing

The ability to communicate, interact with different cultures, and think critically is essential in the medical field. The interactive media scenario you will use for this assignment illustrates a situation that could easily arise when working in health care. To complete this assignment, access the “Allied Health Community” media link in the topic Materials and complete the following:
Click “Enter” to begin.
Click on the box that says “SCENARIOS.”
Click on “View Scenario” for the “Critical Decision Making for Providers.”
Examine how the described problem might happen in your facility and the impact it could have. Work through this situation by examining all of the choices presented in the scenario.
When you get to the end of the scenarios, one scenario will have the word “Transcultural” on the top right corner. Click on “Transcultural.” Read the scenario and answer the four questions that are provided.
While APA style is not required for this assignment, solid academic writing is expected and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide located in the Student Success Center.
https://lc.gcumedia.com/hlt307v/allied-health-community/allied-health-community-v1.1.html

create 5 powerpoint presentations about 4 different topics that are: health promotion model, modeling and role modeling, differences between the grand and middle range theories, and peaceful end of life theory.
The powerpoint are about theories and should be out of the book “Alligood, M. R. (2022). Nursing Theorists and Their Work (10th ed). St. Louis, MO: Elsevier Mosby.” Include two references including the book.

When you decide to purchase a new car, you first decide what is important to you. If mileage and dependability are the important factors, you will search for data focused more on these factors and less on color options and sound systems.
The same holds true when searching for research evidence to guide your clinical inquiry and professional decisions. Developing a formula for an answerable, researchable question that addresses your need will make the search process much more effective. One such formula is the PICO(T) format.
In this Discussion, you will transform a clinical inquiry into a searchable question in PICO(T) format, so you can search the electronic databases more effectively and efficiently. You will share this PICO(T) question and examine strategies you might use to increase the rigor and effectiveness of a database search on your PICO(T) question.
To Prepare:
Review the Resources and identify a clinical issue of interest that can form the basis of a clinical inquiry.
Review the materials offering guidance on using databases, performing keyword searches, and developing PICO(T) questions provided in the Resources.
Based on the clinical issue of interest and using keywords related to the clinical issue of interest, search at least two different databases in the Walden Library to identify at least four relevant peer-reviewed articles related to your clinical issue of interest. You should not be using systematic reviews for this assignment, select original research articles.
Review the Resources for guidance and develop a PICO(T) question of interest to you for further study. It is suggested that an Intervention-type PICOT question be developed as these seem to work best for this course.
*Library tip:
Walden Library recommends starting your search broadly with one concept or search word and adding more elements one at a time. Depending on your topic, the evidence will not necessarily address all the aspects of your PICO(T) question in one article. Select the most important concepts to search and find the best evidence available, even if that means assembling evidence from multiple articles.

150 words each minimum
1 reference each less than 5 years old with in text citation, can all be on the same document just separated

150 words each minimum
1 reference each less than 5 years old with in text citation, can all be on the same document just separated

SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below.
SOAP Note TemplateDownload SOAP Note Template
For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym:
S =Subjective data: Patient’s Chief Complaint (CC).
O =Objective data: Including client behavior, physical assessment, vital signs, and meds.
A =Assessment: Diagnosis of the patient’s condition. Include differential diagnosis.
P =Plan: Treatment, diagnostic testing, and follow up
Submission Instructions:
Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
Attention: Complete and submit the assignment using the appropriate template in MS Word by 11:59 PM ET Friday.
Grading Rubric
Your assignment will be graded according to the grading rubric.
STU FNP SOAP Note Rubric.pdfDownload STU FNP SOAP Note Rubric.pdf
View Rubric
SOAP Notes Rubric
SOAP Notes Rubric
CriteriaRatingsPts
Chief Complaint (Reason for seeking health care) – S4 pts
Distinguished
Includes a direct quote from patient about presenting problem3 pts
Excellent
Includes a direct quote from patient and other unrelated information2 pts
Fair
Includes information but information is NOT a direct quote0 pts
Poor
Information is completely missing/ 4 pts
Demographics – S
2 pts
Distinguished
Begins with patient initials, age, race, ethnicity and gender (5 demographics)1.5 pts
Excellent
Begins with 4 of the 5 patient demographics (patient initials, age, race, ethnicity and gender)1 pts
Fair
Begins with 3 or less patient demographics (patient initials, age, race, ethnicity and gender)0 pts
Poor
Information is completely missing/ 2 pts
History of the Present Illness (HPI) – S
5 pts
Distinguished
Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)3 pts
Excellent
Includes the presenting problem and 7 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)2 pts
Fair
Includes the presenting problem and 6 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)0 pts
Poor
Information is completely missing/ 5 pts
Allergies – S
2 pts
Distinguished
Includes NKA (including = Drug, Environemental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)1.5 pts
Excellent
If allergies are present, students lists type Drug, environemtal factor, herbal, food, latex name and includes severity of allergy OR description of allergy1 pts
Fair
If allergies are present, students lists only the type of allergy name0 pts
Poor
Information is completely missing/ 2 pts
Review of Systems (ROS) – S
12 pts
Distinguished
Includes a minimum of 3 assessments for each body system and assesses at least 9 body systems directed to chief complaint AND uses the words “admits” and “denies”6 pts
Excellent
Includes 3 or fewer assessments for each body system and assesses 5-8 body systems directed to chief complaint AND uses the words “admits” and “denies”3 pts
Fair
Includes 3 or fewer assessments for each body system and assesses less than 5 body systems directed to chief complaint OR student does not use the words “admits” and “denies”0 pts
Poor
Information is completely missing/ 12 pts
Vital Signs – O
2 pts
Distinguished
Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)1.5 pts
Excellent
Includes 7 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)1 pts
Fair
Includes 6 or less vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.)0 pts
Poor
Information is completely missing/ 2 pts
Labs – O
3 pts
Distinguished
Includes a list of the labs reviewed at the visit, values of lab results and highlights abnormal values OR acknowledges no labs/diagnostic tests were reviewed.2 pts
Excellent
Includes a list of the labs reviewed at the visit, values of lab results but does not highlight abnormal values.1 pts
Fair
Includes a list of the labs reviewed at the visit but does not include the values of lab results or highlight abnormal values.0 pts
Poor
Information is completely missing/ 3 pts
Medications – O
4 pts
Distinguished
Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)2 pts
Excellent
Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including 3 of the 4: name, dose, medications route, frequency)1 pts
Fair
Includes a list of all of the patient reported medications (including 2 of the 4: name, dose, route, frequency)0 pts
Poor
Information is completely missing/ 4 pts
Screenings – O
3 pts
Distinguished
Includes an assessment of at least 5 screening tests2 pts
Excellent
Includes an assessment of at least 4 screening tests1 pts
Fair
Includes an assessment of at least 3 screening tests0 pts
Poor
Information is completely missing/ 3 pts
Past Medical History – O
3 pts
Distinguished
Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current2 pts
Excellent
Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current1 pts
Fair
Includes each medical diagnosis but does not include year of diagnosis or whether the diagnosis is active or current0 pts
Poor
Information is completely missing/ 3 pts
Past Surgical History – O
3 pts
Distinguished
Includes, for each surgical procedure, the year of procedure and the indication for the procedure2 pts
Excellent
Includes, for each surgical procedure, the year of procedure OR indication of the procedure1 pts
Fair
Includes, for each surgical procedure but not the year of procedure or indication of the procedure0 pts
Poor
Information is completely missing/ 3 pts
Family History – O
3 pts
Distinguished
Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.2 pts
Excellent
Includes an assessment of at least 3 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.1 pts
Fair
Includes an assessment of at least 2 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.0 pts
Poor
Information is completely missing/ 3 pts
Social History – O
3 pts
Distinguished
Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation.2 pts
Excellent
Includes 10 of the 11 following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation.1 pts
Fair
Includes 9 or less of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation.0 pts
Poor
Information is completely missing/ 3 pts
Physical Examination – O
12 pts
Distinguished
Includes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaint6 pts
Excellent
Includes a minimum of 3 assessments for each body system and assesses at least 4 body systems directed to chief complaint3 pts
Fair
Includes a minimum of 2 assessments for each body system and assesses at least 4 body systems directed to chief complaint0 pts
Poor
Information is completely missing/ 12 pts
Diagnosis – A
5 pts
Distinguished
Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)3 pts
Excellent
Includes a clear outline of the accurate diagnoses addressed at the visit but does not list the diagnoses in descending order of priority2 pts
Fair
Includes an inaccurate diagnosis as the principal diagnosis0 pts
Poor
Information is completely missing/ 5 pts
Differential Diagnosis – A
5 pts
Distinguished
Includes at least 3 differential diagnoses for the principal diagnosis3 pts
Excellent
Includes 2 differential diagnoses for the principal diagnosis2 pts
Fair
Includes 1 differential diagnosis for the principal diagnosis0 pts
Poor
Information is completely missing/ 5 pts
Pharmacologic treatment plan – P
5 pts
Distinguished
Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.3 pts
Excellent
Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4 of the following 7: the drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.2 pts
Fair
Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes less than 4 of the following: the drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above.0 pts
Poor
Information is completely missing/ 5 pts
Diagnostic/Lab Testing – P
5 pts
Distinguished
Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”3 pts
Excellent
Includes appropriate diagnostic/lab testing 50% of the time OR acknowledges “no diagnostic testing clinically required at this time”2 pts
Fair
Includes appropriate diagnostic testing less than 50% of the time.0 pts
Poor
Information is completely missing/ 5 pts
Education – P
5 pts
Distinguished
Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives.3 pts
Excellent
Includes at least 2 strategies to promote and develop skills for managing their illness and at least 2 self-management methods on how to incorporate healthy behaviors into their lives.2 pts
Fair
Includes at least 1 strategies to promote and develop skills for managing their illness and at least 1 self-management methods on how to incorporate healthy behaviors into their lives.0 pts
Poor
Information is completely missing/ 5 pts
Anticipatory Guidance – P
4 pts
Distinguished
Includes at least 3 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening))2 pts
Excellent
Includes at least 2 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening))1 pts
Fair
Includes at least 1 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 1 secondary prevention strategies (related to age/condition (i.e. screening))0 pts
Poor
Information is completely missing/ 4 pts
Follow up plan – P
4 pts
Distinguished
Includes recommendation for follow up, including time frame (i.e. x # of days/weeks/months)2 pts
Excellent
Includes recommendation for follow up, but does not include time frame (i.e. x # of days/weeks/months)0 pts
Poor
Does not include follow up plan/ 4 pts
References
3 pts
Distinguished
High level of APA precision2 pts
Excellent
Moderate level of APA precision1 pts
Fair
Incorrect APA style0 pts
Poor
Information is completely missing/ 3 pts
Grammar
3 pts
Distinguished
Free of grammar and spelling errors2 pts
Excellent
Writing mechanics need more precision and attention to detail0 pts
Poor
Writing mechanics need serious attention

For this Discussion, your instructor will assign you a case number.
Case 1Case 2Case 3
CasesJ.G. is a nurse practitioner working in a health clinic. Her clinic provides care to a majority of Hispanic migrant farmworkers during the summer months. Farmworkers in the area are susceptible to health problems because they are in a low-income bracket and may be exposed to unsanitary working and housing conditions. The workers do not tend to seek preventive care because of finances, transportation, and fear of deportation in many instances.
She struggles with the delivery of fragmented services within the migrant community because individuals move around frequently. In her encounters with the patients she serves, she has to stress early the importance of screening and follow-up care. She must also carefully assess the level of health literacy when providing education. In addition, She remains culturally sensitive to the beliefs and practices of the population she serves.
K.Y. is an employee-health nurse practitioner for a large corporation. Her role is to advocate for her clients by helping them improve their quality of life, both for the present and the future, through the identification of risk factors, health promotion, and other nursing interventions. The majority of the employees She sees are middle-age adults.
Her clients come to see her for a variety of reasons, including stress, mental illness, and on-the-job injuries. K.Y. assists her clients by providing education about healthy lifestyle choices, referrals to community resources, and counseling.
R.K. is a home health nurse practitioner who delivers primary care to a predominantly Medicare population. The role of the home health nurse practitioner is to provide assessments to individuals inclusive of the environment, provide direct skilled care and treatment, and provide education and referrals as needed. He must work closely with the patient and his or her caregiver in trying to prevent complications of illness.
R.K. specializes in providing wound care services in the home. He visits many diabetic patients living in a senior community. These patients are considered to be homebound and use wheelchairs or walkers to reach the common dining room where meals are served every evening. He is interested in assessing the nutritional content of the meals that are served.
Questions for the caseCreate a list of health hazards associated with the migrant population in general and the one referred on the case. Which would be your recommendations to the migrant population to prevent injuries related to those hazards and how to improve their health.
Make a summary of the typical biological changes in the middle-age adult.
Create a list of recommendations of major activities older adults can engage in to promote health and prevent frailty.
Once you received your case number; answer the specific question on the table above. Then, continue to discuss the 3 topics listed below for your case:
Discuss how you would advise young adults in selecting contraceptive methods. Do you have any personal, religious reservations, or discomforts that would interfere with your ability to advise clients and ask them how they would address these personal conflicts?
Have students develop a smoking cessation plan for a client.
Evaluate the impact of poverty on older adults. Make sure to include the impact on their physical and mental health and health promotion recommendations.
Submission Instructions:
Your instructor will assign you your case number and you will post on the case number you have been assigned.
You will reply to the other two case studies (One of each).
Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Attention: Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Friday.
You can expect feedback from the instructor within 48 to 72 hours from the Friday due date.
Grading Rubric
Your assignment will be graded according to the grading rubric.
Discussion Rubric
CriteriaRatingsPoints
Identification of Main Issues, Problems, and Concepts
Distinguished – 5 points
Identify and demonstrate a sophisticated understanding of the issues, problems, and concepts.
Excellent – 4 points
Identifies and demonstrate an accomplished understanding of most of issues, problems, and concepts.
Fair – 2 points
Identifies and demonstrate an acceptable understanding of most of issues, problems, and concepts.
Poor – 1 point
Identifies and demonstrate an unacceptable understanding of most of issues, problems, and concepts.
5 points
Use of Citations, Writing Mechanics and APA Formatting Guidelines
Distinguished – 3 points
Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. High level of APA precision and free of grammar and spelling errors.
Excellent – 2 points
Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. Moderate level of APA precision and free of grammar and spelling errors.
Fair – 1 point
Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. APA style and writing mechanics need more precision and attention to detail.
Poor – 0 points
Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. APA style and writing mechanics need serious attention.
3 points
Response to Posts of PeersDistinguished – 2 points
Student constructively responded to two other posts and either extended, expanded or provided a rebuttal to each.
Fair – 1 point
Student constructively responded to one other post and either extended, expanded or provided a rebuttal.
Poor – 0 points
Student provided no response to a peer’s post.

2 points

Thank you for your discussion board post on the Federal Emergency Management Agency (FEMA) and their roles in disaster planning and recovery this week in our threads. I appreciate you sharing what you learned about the agency. Now, FEMA has been scrutinized as slow to respond, which is what happened after Hurricane Katrina. It turned into a political blame game. According to Appleton, (2009), President George W. Bush had originally praised his director of FEMA, Michael D. Brown, but as criticism mounted, Brown was forced to resign, as was the New Orleans Police Department Superintendent.” DO SOME ADDITIONAL RESEARCH AND LET THE CLASS KNOW WHAT HAPPENED AT THE ST RITA NURSING HOME IN BERNARD PARISH? It is a good lesson on professional ethics. I look forward to your response.

In this assignment, you will select a current medical ethics issue to research and write about for your research paper.
Select a topic related to one of the following current medical ethics issues:
End of Life
Eugenics and Human Genetics
Medical Research
Reproductive Issues
Organ Donation and Transplantation
Public Health Issues
Access to Health Care
Biotechnology
One of your own choosing (with approval)
Complete and submit this template Download this template stating your specific issue (for instance, if you choose to write about End of Life, the particular case might be physician-assisted suicide) and explain why you have chosen this issue to research. Make sure there are competing positions on this issue that reflect differing ethical principles or interpretations.
Include references for three sources that could be used in the final paper. All sources should be less than five years old unless recent research is not available, and at least one reference must be a peer-reviewed article from a professional journal. Do not use Wikipedia or an encyclopedia as they are not considered reliable academic sources and will not be accepted.
Submissions should follow APA when citing.
Rubric
PHIL_434_OL – Term Paper Topic Submission
PHIL_434_OL – Term Paper Topic Submission
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeTopic
24 to >18.96 ptsMeets Expectations
A topic is clearly identified.
18.96 to >14.16 ptsApproaches Expectations
A topic is identified but may be poorly worded or described.
14.16 to >0 ptsDoes Not Meet Expectations
A topic is not clearly identified or missing.
24 pts
This criterion is linked to a Learning OutcomePurpose Identified
24 to >18.96 ptsMeets Expectations
The writer’s purpose is clearly stated and explained in detail. Contemporary relevance is clearly explained, and intended goals are thoroughly explored.
18.96 to >14.16 ptsApproaches Expectations
The writer’s purpose is stated and explained but may be lacking detail or cohesiveness. Contemporary relevance is generally explained, and intended goals are somewhat explored.
14.16 to >0 ptsDoes Not Meet Expectations
The writer’s purpose is not stated or explained or is unclear. Contemporary relevance is not explained or not apparent, and intended goals are not explored.
24 pts
This criterion is linked to a Learning OutcomeMechanics and APA Formatting
12 to >9.48 ptsMeets Expectations
The assignment is free from errors in formatting, citation, and references. No grammatical, spelling, or punctuation errors.
9.48 to >7.08 ptsApproaches Expectations
The assignment has a few grammatical, spelling, or punctuation errors.
7.08 to >0 ptsDoes Not Meet Expectations
Mechanical errors significantly interfere with the readability of the paper.
12 pts
Total Points: 60
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Diversity has a significant influence on health care. Studying transcultural health care helps health professionals understand different cultures in order to provide holistic and individualized health care. Review the Purnell Model for Cultural Competence, including the theory, framework and 12 domains. Write 750-1,000-word paper exploring the Purnell Model for Cultural Competence. Include the following:
Explain culturally sensitive care and its application within health care.
Explain the theory and organizational framework of the Purnell Model, and discuss its relevance to transcultural health care.
Describe Purnell’s 12 domains of culture, and assess how each of these domains plays an active role in the diversity of health care in your specific field.
Discuss how this model can be applied when working with different cultures in order to become a more culturally competent health care provider.
Cite at least three references, including the course textbook.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.