Reflect on your practicum experience and select a female patient whom you have examined with the support and guidance of your Preceptor

COMPREHENSIVE WELL-WOMAN PAPER

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.

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

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

WEEKLY RESOURCES

· Fowler, G. C. (2019). Pfenninger and Fowler’s Procedures for Primary Care (4th ed.). Elsevier.

· Section 10, “Obstetrics”

· Chapter 162, “Dilation and Curettage” (pp. 1093–1099)

· Fanslow, J., Wise, M. R., & Marriott, J.(2019). Intimate partner violence and women’s reproductive healthLinks to an external site. . Obstetrics, Gynaecology & Reproductive Medicine, 29(12), 342–350. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1016/j.ogrm.2019.09.003

(Previously read in Week 2)

· Lockwood, C. J. (2019). Key points for today’s ‘well-woman’ exam: A guide for ob/gynsLinks to an external site. . Contemporary OB/GYN, 64(1), 23–29. https://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=134229869&site=ehost-live&scope=site&authtype=shib&custid=s6527200

(Previously read in Week 2)

· Document: Guidelines for Comprehensive History and Physical SOAP Note (Word document) Download Guidelines for Comprehensive History and Physical SOAP Note (Word document)

Practicum Resources

· Walden University Field Experience. (n.d.-a).   Field experience: College of NursingLinks to an external site. . https://academicguides.waldenu.edu/fieldexperience/son/home

· Walden University Field Experience. (n.d.-c). Student practicum resources: NP student orientation .Links to an external site. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientation

· Walden University Field Experience. (n.d.-b). MSN nurse practitioner practicum manual .Links to an external site. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocuments

· HSoft Corporation.Links to an external site. (n.d.). Meditrek Links to an external site. . https://edu.meditrek.com/Default.html Note: Use this website to log in to Meditrek to report your clinical hours and patient encounters.

Clinical Guideline Resources

As you review the following resources, you may want to include a topic in the search area to gather detailed information (e.g., breast cancer screening guidelines; for the CDC – zika in pregnancy, etc.).

· American Cancer Society.Links to an external site. (n.d.). https://www.cancer.org/

· American College of Obstetricians and GynecologistsLinks to an external site. . (n.d.). https://www.acog.org/

· ANA EnterpriseLinks to an external site. . (n.d.). https://www.nursingworld.org/

· Centers for Disease Control and Prevention.Links to an external site. (n.d.). https://www.cdc.gov/

· American Association of Nurse Practitioners.Links to an external site. (2020). https://www.aanp.org/

· HealthyPeople 2030. (2020). Healthy People 2030 framework .Links to an external site. https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework

· U.S. Preventive Services Task Force.Links to an external site. (n.d.-b). Search and filter all recommendation topics.Links to an external site. https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P&searchterm=

TO PREPARE

· 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 patient’s 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 week’s 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.

Reminder Links to an external site. : The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm).

Note: Your Comprehensive Well-Woman Paper must be signed by Day 7 of Week 10.

BY DAY 7

Submit your Comprehensive Well-Woman Paper by Day 7. ( Note: You will submit two files, your Comprehensive Well-Woman Paper, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 10.)

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

1. To submit your completed assignment, save your Assignment as WK10Assgn2_LastName_Firstinitial

2. Then, click on Start Assignment near the top of the page.

3. Next, click on Upload File and select Submit Assignment for review.

4. PRAC_6552_Week10_Assignment2_Rubric

PRAC_6552_Week10_Assignment2_Rubric

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