Select a patient that you examined as a nurse practitioner student during the last three weeks of clinical on OB/GYN Issue. With this patient in mind, address the following in a SOAP Note 1 OR 2 PAGES :
Subjective: What details did the patient provide regarding her personal and medical history?
Objective: What observations did you make during the physical assessment?
Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?
Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters for this patient , as well as a rationale for this treatment and management plan.
Very Important: Reflection notes: What would you do differently in a similar patient evaluation?
Gagan, M. J. (2009). The SOAP format enhances communication. Kai Tiaki Nursing New Zealand, 15(5), 15.
Tharpe, N. L., Farley, C., & Jordan, R. G. (2013). Clinical practice guidelines for midwifery & Women’s health (4th ed.). Burlington, MA: Jones & Bartlett Publishers.
Chapter 6, “Care of the Well Woman Across the Life Span” ,“Care of the Woman Interested in Barrier Methods of Birth Control” (pp. 275–278)
Chapter 7, “Care of the Woman with Reproductive Health Problems”
“Care of the Woman with Dysmenorrhea” (pp. 366–368)
“Care of the Woman with Premenstrual Symptoms, Syndrome (PMS), or Dysphoric Disorder (PMDD)” (pp. 414–418)
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Project Charter Template
Part 1: A project charter is an essential element in the design phase of project management. The project charter serves as a framework and outlines key details of the project. Ultimately, the project charter will give authority to the project manager once key stakeholders and leadership sign off. Complete the template below based on the running case study in the Class Resources.
|Project Start Date: Projected Finish Date:|
|Project Manager: (include name and e-mail)|
|Applicable Industry Standards:|
|Risks and/or Potential Issues:|
|Key milestones||Team Member Responsible||Planned Target Date||Actual Date|
|Project Team: Roles and Responsibilities:|
|Name and Signature||Role||Position||Contact Information|
Part 2: In 500-750 words, address the following:
1. Summarize the steps involved in initiating and designing a project in a health care setting.
2. Describe the influence of authority gradients on team selection and formulation. What is unique about this relative to health care quality and safety?
3. Explain how authority gradients influence team work and patient safety in a health care setting.
4. Research and describe two strategies for identifying and managing overlap in team member roles and accountabilities in a health care setting.
5. Describe one benefit and one challenge for each researched strategy.
This assignment requires one or two scholarly resources. Cite these references below.
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