Reference no: EM131413996
Analyze and create a comprehensive plan of care for acute/chronic care, disease prevention, and health promotion for that patient and disorder. Your care plan should be based on current best practices and supported with citations from current literature, such as systematic reviews, published practice guidelines, standards of care from specialty organizations, and other research based resources.
In addition, you will provide a detailed scientific rationale that justifies the inclusion of this evidence in your plan. Your paper should adhere to APA format for title page, headings, citations, and references. The paper should be no more than 3 pages typed excluding title page and references.
Criteria:
SOAP note
Evaluation of priority diagnosis
Facilitators and barriers to disorder management
Genitourinary Clinical Case
Patient Setting:
28-year-old female presents to the clinic with a 2 day history of frequency, burning and pain upon urination; increased lower abdominal pain and vaginal discharge over the past week.
HPI
Complains of urinary symptoms similar to those of previous urinary tract infections (UTIs) which started approximately 2 days ago; also experiencing severe lower abdominal pain and noted brown fouls smelling discharge after having unprotected intercourse with her former boyfriend.
PMH
Recurrent UTIs (3 this year); gonorrhea X2, chlamydia X 1; Gravida IV Para III
Past Surgical History
Tubal ligation 2 years ago.
Family/Social History
Family: Single; history of multiple male sexual partners; currently lives with new boyfriend and 3 children.
Social: Denies smoking, alcohol and drug use.
Medication History
None
Trimethoprim (TOM)/ Sulfamethoxazole (SMX) rash
NKDA
ROS
Last pap 6 months ago, Denies breast discharge. Positive for Urine looking dark.
Physical exam
BP 100/80, HR 80,
RR 16,
T 99.7 F, Wt 120,
Ht 5' 0"
Gen: Female in moderate distress.
HEENT: WNL.
Cardio: Regular rate and rhythm normal S1 and S2.
Chest: WNL.
Abd: soft, tender, increased suprapubic tenderness.
GU: Cervical motion tenderness, adnexal tenderness, foul smelling vaginal drainage. Rectal: WNL.
EXT: WNL. NEURO: WNL.
Laboratory and Diagnostic Testing
Lkc differential: Neutraphils 68%, Bands 7%, Lymphs 13%, Monos 8%, EOS 2%
UA: Starw colored. Sp gr 1.015, Ph 8.0, Protein neg, Glucose neg, Ketones neg, Bacteria - many, Lkcs 10- 15, RBC 0-1
Urine gram stain - Gram negative rods
Vaginal discharge culture: Gram negative diplococci, Neisseria gonorrhoeae, sensitivities pending Positive monoclonal AB for Chlamydia, KOH preparation, Wet preparation and VDRL negative
|
Identify the mission and vision statement
: Find an organization related to your health care discipline and identify the mission and vision statement. Based on your experiences as a member of the health care team, explain how the values of the organization are or are not reflected in these ..
|
|
Does the diet make claims that are nutritionally false
: Does the diet make claims that are nutritionally false? i.e. claims to boost metabolism, lose weight without trying, block absorption of specific nutrients, or any other claims that sound too good to be true.
|
|
Prepares the nurse to effectively
: Describe how baccalaureate education prepares the nurse to effectively integrate evidenced-based research and utilize information literacy in the healthcare setting
|
|
Analyze the company’s hedging characteristics
: In Milestone Two, you will also analyze the company's hedging characteristics and other potential risks that might arise from this imperfect hedge.
|
|
Create a comprehensive plan of care for acute-chronic care
: Analyze and create a comprehensive plan of care for acute/chronic care, disease prevention, and health promotion for that patient and disorder. Your care plan should be based on current best practices and supported with citations from current lite..
|
|
Explain the agency problem of mncs
: Explain how the theory of comparative advantage relates to the need for international business.
|
|
Effective use of health services in puerto rico
: Mentions the care that supports the effective use of health services in Puerto Rico, for example, hospitals, laboratories, centers of images and studies, emergency and emergency rooms, among others
|
|
What alterations would you suggest in his treatment
: What alterations would you suggest in his treatment? Be sure to consider additional diagnoses and whether prophylaxis would be appropriate for NSAID-induced ulcers
|
|
Discuss topic of circumcision from a historical perspective
: Research and discuss the topic of circumcision from a historical perspective...relate five important discoveries you made. The definition of historical is any time before 1980.
|