NRP 555 University of Phoenix Adult And Geriatric Management Essay

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Health Medical

NRP 555

University of Phoenix



Assignment Content

  1. Now that you have completed your SOAP Note for Lauren Mesa, it is time for reflection. This reflection is your opportunity to review what you learned about the patient, the process, and the outcomes in preparation for future patient encounters. The reflection must include a discussion about an evidence-based practice to improve the quality of care the patient receives.
    Write a 700-word reflection providing rationale for your completed SOAP Note. Consider the interview information provided in the patient scenario. Include the following in your reflection:
    • List 5 open-ended questions you would ask using descriptive language familiar to the patient during the HPI exam relevant to the chief complaint, including all pertinent and positive negatives. Provide a rationale for each question you ask by explaining why it is appropriate and how it aligns to the chief complaint.
    • Provide a minimum of 3 rationales for the physical exam components performed.
    • Locate and review a current evidence-based article that discusses evidence-based guidelines or new research relating to each diagnosis. Provide a brief summary of the article(s) in your reflection.
    • Identify a minimum of 2 barriers to quality health care the patient can potentially experience per the information provided in the interview (e.g., cultural, linguistic, economic, previous conditions, etc.).
    • As the FNP, explain how you can address these barriers to improve the quality of care the patient receives. Use a minimum of 2 peer reviewed articles to support your answers.

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Reflection-Lauren Mesa
Open-ended questions
a. How often do you experience headache and sore/burning throat during spring? The
question is relevant as it aims to enable a medical professional to gain the severity of
allergies and how it is affecting the chief complaint.
b. How long does it take for you to stop coughing and sneezing? It is vital to establish the
degree to which the respiratory system has been complicated and linked to seasonal
c. Besides Afrin nasal spray, have you used any different OTC medication? It is necessary
to establish if the patient has tried varieties of medicines with the hope of finding a
solution to her allergy complications.
d. Do you experience any difficulties such as vomiting, skin rashes, or other irritations after
using 1000 mg of acetaminophen? The question needs to establish if the patient
experiences any side effects following the use of acetaminophen. This forms the concrete
foundation to change the medication.
e. Do you get concerned with the continued state of your allergies? Some patients fail to
develop depression complications as a result of allergies. Therefore, the question is
necessary to diagnose the patient for the possibility of developing psychological
complications so that the best evidence-based care can be instituted.
Three Rationales fo...

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