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Posted: May 1st, 2022
Week 2: Respiratory Clinical Case APN
Week 2: Respiratory Clinical Case APN
Click here to download and analyze the case study for this week. Create a SOAP note for disease prevention, health promotion, and acute care of the patient in the clinical case. Your care plan should be based on current evidence and nursing standards of care.
Visit the online library and research for current scholarly evidence (no older than 5 years) to support your nursing actions. In addition, consider visiting government sites such as the CDC, WHO, AHRQ, Healthy People 2020. Provide a detailed scientific rationale justifying the inclusion of this evidence in your plan.
Next determine the ICD-10 classification (diagnoses). The International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM) is the official system used in the United States to classify and assign codes to health conditions and related information.
Click here to access the codes.
Download the SOAP template to help you design a holistic patient care plan. Utilize the SOAP guidelines to assist you in creating your SOAP note and building your plan of care. You are expected to develop a comprehensive SOAP note based on the given assessment, diagnosis, and advanced nursing interventions. Reflect on what you have learned about care plans through independent research and peer discussions and incorporate the knowledge that you have gained into your patient’s care plan. If the information is not in the provided scenario please consider it normal for SOAP note purposes, if it is abnormal please utilize what you know about the disease process and write what you would expect in the subjective and objective areas of your note.
Format
Your care plan should be formatted as a Microsoft Word document. Follow the current APA edition style. Your paper should be no longer than 3-4 pages excluding the title and the references and in 12pt font.
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Week 2: APN Respiratory Clinical Case Week 2: APN Respiratory Clinical Case Week 2: APN Respir
Download and examine the case study for this week by clicking here. In the clinical case, make a SOAP note for disease prevention, health promotion, and acute treatment of the patient. Your treatment plan should be based on current research and nursing best practices.
To support your nursing actions, go to the online library and look for recent scholarly evidence (no more than 5 years old). Visit government websites such as the CDC, WHO, AHRQ, and Healthy People 2020 for further information. Give a comprehensive scientific justification for including this evidence in your proposal.
Decide on the ICD-10 categorization next (diagnoses). The official classification system is the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-10-CM).
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