NR 508 Week 1 Discussions 1 (Part 1) Recent

Discussion part one

emily, a relatively healthy 5’5”, 32-year-old young woman weighing 190 pounds, presents to your clinic with hirsutism, anovulation, oligomenorrhea, and at times amenorrhea. biochemical blood tests reveal elevated luteinizing hormone (lh, without a mid-cycle surge) and androgen elevation. NR 508 Week 1 Discussions 1 (Part 1) Recent

she mentions that she also has a family history of irregular cycles, and that her grandmother experienced early menopause. she also states that she is sexually active, occasionally smokes (1 pack/month), and desires to be prescribed one medication to mitigate her symptoms, as well as, prevent her from becoming pregnant.

please provide a list of differential diagnoses, as well as an indication of your primary diagnosis.
once this has been completed, please indicate and describe your chosen pharmacological treatment with inclusion of dose and mechanism of action of your chosen prescription. NR 508 Week 1 Discussions 1 (Part 1) Recent

discussion part two

you diagnose emily with polycystic ovarian syndrome (pcos) and decide to prescribe drospirenone-ethinyl-estradiol as a way to control both the pcos symptoms, as well as to act as an oral contraceptive.

at what dose should this be prescribed?
what is the mechanism of drospirenone-ethinyl-estradiol, and why would, because of its mechanism, it be a good choice for her pcos symptoms (include the medication-altered physiology)?
how would you monitor for efficacy and toxicity? NR 508 Week 1 Discussions 1 (Part 1) Recent
at what dose should this be prescribed?

discussion part three

emily subsequently returns to your clinic 5 months later, and decides to inform you that within the first 3 months after treatment, she struggled with a severe bout of depression. instead of returning to your clinic to be prescribed, yet another pharmaceutical, she consulted her herbalist who told her about the anti-depressant, over-the-counter, herbal formulation, st. john’s wort. NR 508 Week 1 Discussions 1 (Part 1) Recent

she decided to begin taking st. john’s wort in conjunction with her prescribed oral contraceptive medication, and she has now reappeared at your clinic because she is pregnant, and is distraught about how this occurred since she took her oral contraceptive compliantly since its prescription.

why then, is she pregnant?
please include detailed pharmacological mechanisms of how this occurred, and your subsequent steps in her management. NR 508 Week 1 Discussions 1 (Part 1) Recent

Description

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:

SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspelling.
Please use a 34 year old female with migraines without aura. Chief complaint “I’m here for migraines, I have been taking ibuprofen around the clock but it’s not working as well as it used to.”
See attached documents.
- SOAP Note should be filled in on the attached word document entitled “SOAP NOTE TEMPLATE”
- Please closely follow all the instructions and expectations for the highlighted “Distinguished” column in the Rubric attached.

Description

SOAP Notes 3

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.

•Please note, You must receive a Turnitin similarity report that is less than or equal to 20% in order to post to the Discussion board.Your instructor will monitor your similarity report and you will automatically receive a 0 in the discussion if you post with a Turnitin similarity report that is greater than 20%. NR 508 Week 1 Discussions 1 (Part 1) Recent

Please find the attached documents: Form and Rubric

Graduate SOAP NOTE TEMPLATE.docx Download Graduate SOAP NOTE TEMPLATE.docx

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.
Complete and submit the assignment using the appropriate template in MS Word by 11:59 PM ET Sunday. NR 508 Week 1 Discussions 1 (Part 1) Recent

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Grading Rubric

Your assignment will be graded according to the grading rubric.

STU FNP SOAP Note Rubric (2).pdf Download STU FNP SOAP Note Rubric (2).pdf

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NR 508 Week 1 Discussions 1 (Part 1) Recent