SOAP Note

This assignment will demonstrate your ability to provide age-appropriate anticipatory guidance while recognizing the need to refer patients that are outside of the scope of practice of the family nurse practitioner. This will be demonstrated by completing a SOAP note based on the virtual reality patient you evaluated in Unit 6.

The core aspects of the SOAP note are described in detail below.

For ease of learning, a SOAP note template has been provided. This assignment requires proper citation and referencing because this is an academic paper.

S: Subjective information. Everything the patient tells you. This includes several areas including the chief complaint (CC), the history of present illness (HPI), medical history, surgical history, family history, social history, medications, allergies, and other information gathered from the patient. A commonly used mnemonic to explore the core elements of the history of present illness (HPI) is OLD CARTS, which includes: onset, location, duration, characteristics, aggravating factors, relieving factors, treatments, and severity.

O: Objective is what you see, hear, feel or smell. Your physical exam includes vital signs.

A: Assessment/your differentials.

P: Plan of care including health promotion and disease prevention for the patient related to their age and gender.

If there are any questions, please contact your instructor.

PLEASE FOLLOW THE SOAP NOTE AS STATED , IT HAS TO BE EXACTLY IN THIS SOAP NOTE TEMPLATE FORMAT , MAKE SURE TO FILL ALL THE REQUIRED ENTRIES ON THE SOAP NOTE , THAT NOTHING OF WHAT IT IS ASKED FOR IN THE TEMPLATE IS MISSING

.Unit 6

?Case: Samuel Olsen

?Scenario QUESTION: Samuel is a two-year-old with his mother Anna at the primary care clinic with a two-day history of decreased appetite, fever, pulling at both ears and “fussiness.” 

[PCS spark Patient]

E-Health Instruments: Empowering Consumers in Their Health Journey

Instructions:

In this essay, you will explore the diverse landscape of e-health instruments available to consumers. Your task is to:

• Describe the main types of e-health instruments used in the consumer sphere. Classify them into meaningful categories based on their functionalities or target areas (e.g., monitoring devices, fitness trackers, mental health apps).

• Provide examples: Briefly discuss several specific examples within each category, highlighting their key features and potential uses.

• Analyze benefits: Focus on one e-health instrument of your choice. In-depth, critically analyze its potential benefits for consumers, considering aspects like accessibility, empowerment, and improved health outcomes. Refer to relevant academic research and evidence to support your arguments.

Specific Requirements:

• Structure: Organize your essay using clear headings, subheadings, and transitions to ensure logical flow and easy understanding.

• Referencing: Use APA style to cite at least three academic sources (e.g., peer-reviewed journal articles, relevant textbook chapters) that support your claims and enhance the depth of your discussion. 

• Cover page: Use the provided SEU cover page for submission.

• Formatting: Adhere to standard academic formatting guidelines, including double-spacing, clear font, and proper margins.

Additional Notes:

• Feel free to draw insights and references from the assigned textbook and other sources.

• While focusing on one instrument for in-depth analysis, ensure your overview section adequately covers the main categories and examples of other widely used e-health tools.

• Tailor your writing style to an academic audience, maintaining a neutral and objective tone while providing compelling arguments and insightful analysis.

This assignment is an opportunity to showcase your understanding of e-health technologies, their impact on consumer empowerment, and your ability to critically evaluate their potential benefits based on evidence-based research.

Preparing the Assignment

The National Committee for Quality Assurance (NCQA) was formed to ensure the quality of patient care and measurement of patient outcomes with set standards.

Healthcare Effectiveness Data and Information Set (HEDIS) is a performance measurement tool used by millions of health insurance plans. There are 6 domains of care:

Effectiveness of Care

Access/Availability of Care

• Experience of Care
• Utilization and Risk Adjusted Utilization
• Health Plan Descriptive Information
• Measures Collected Using Electronic Clinical Data Systems
• You may access the 6 domains of care by clicking this link:
• (NCQA, n.d. https://www.ncqa.org/hedis/Links to an external site.)

As an APN, productivity will be an important measurement for the practice to determine reimbursement and salary. Fee-for-service practices will require a set number of patients per day to maintain productivity. A capitated practice will require the APN to have a large panel of patients but also will focus on controlling costs. This can be accomplished through effective primary care that is accessible, convenient for the patients, and has a method of measuring the quality of care.

Write a formal paper in APA format with a title page, introduction, the three required elements below, conclusion, and reference page.

You are now employed as an NP in primary care. Choose one performance measure from one of the six domains of care, i.e. Adult BMI Assessment, Prenatal, and Postpartum care, etc.

Develop three different patient interventions for that one performance measure and how you would specifically implement the intervention and measure the outcomes for that particular performance measure in clinical practice.

How would these primary care interventions result in improved patient outcomes and healthcare cost savings?

How can these interventions result in improved NP patient ratings?