Please Reply to the following 2 Discussion Posts

Please Reply to the following 2 Discussion Posts

Requirement

APA format with intext citation

Word count minimum of 150 words per post, not including references

References at least one high-level scholarly reference per post within the last 5 years in APA format.

Plagiarism free.

Turnitin receipt.

DISCUSSION POST # 1 Reply to Alia

I used the Body Systems Category Sheet for my SOAP notes since the beginning of our clinical rotations. It has helped me to stay organized by keeping track of the SOAP notes I have done and still need to complete by the end of the program. I need to prioritize women and pediatric patients by the end of the program. The clinic I have been using for the past two rotations does not see patients under 14 years-of-age, so I have no hands-on experience yet with small children as a Nurse Practitioner student. I was fortunately able to perform more women’s gynecological exams during this second rotation. I am currently working with my clinical coordinator at the OFE on approving a new preceptor at a much busier clinical site where I will be able to suture, perform more gynecological exams, and get to see a lot of pediatric patients. I am looking forward to starting with her for our next clinical rotation.

Specifically, I need the following SOAP Notes:

· Infant: wellness exam 

· Child: wellness exam, HEENT 

· Women’s: need 1 more, (1 of 2 completed) 

· Geriatric: 3 more 

Completed Categories:

· Adult

While I don’t have a specific memorable patient encounter this rotation, what I found most satisfying was seeing and building relationships with the patients that frequent this clinic. I enjoy seeing their progress on return visits. I found that establishing a strong and trusting patient-provider relationship is vital to foster effective communication, share personal information, and ask questions comfortably. Being able to build rapport supports an open dialogue and promotes a comprehensive understanding of the patient’s health needs. This has provided me the opportunity to have context behind their health assessments, diagnosis, and promote individualized treatment plans. Continuity of care and investing time and effort building relationships with returning patients provides patient-centered care that is compassionate, effective, and supportive (Khatri et al., 2023). 

 

DISCUSSION POST #2 Reply to Talia

The six SOAP notes I submitted for this section of the program were adult HEENT, adult endocrine T2 DM, women’s health, geriatric musculoskeletal, geriatric cardiovascular, and pediatric wellness visit. I will prioritize pediatric well visits and pediatric body systems for my next rotation. I have completed the requirement for adult SOAP notes and have four out of six geriatric SOAP notes. There are six total pediatric SOAP notes required with one being HEENT, one child well visit, one teen well visit, and one infant well visit. I have completed the child well visit SOAP note and will focus on completing the additional two from any system next session. I have also updated the SOAP audit tool to help keep track of what requirements are remaining.  

 

The most memorable patient encounter for this course was a 91-year-old with dementia who was experiencing hallucinations along with physical and cognitive decline. The patient was brought in by his daughter and reported having a recent fall. He claimed that there were people throwing rocks at him and that made him fall. His daughter was very concerned and wanted further testing. An MRI and labs were ordered, and the patient followed up in the office to review the results. The MRI was not indicative of anything other than normal atrophy and changes expected in a patient of advanced age. A referral for neuropsychology and social work was placed to provide additional support to the patient and his family. The symptoms described by the patient’s daughter brought me to consider the different types of dementia. Dementia with Lewy bodies is the second most common type of dementia after Alzheimer disease and is characterized by hallucinations, cognitive fluctuations, and sleep disturbances (Wolk & Dickerson, 2021). This was a good differential diagnosis for this patient.