NRNP 6552 Advanced Nurse Practice in Reproductive Health Care Weekly Discussions & Assignments

NRNP 6552 Advanced Nurse Practice in Reproductive Health Care Weekly Discussions & Assignments

NRNP 6552 Advanced Nurse Practice in Reproductive Health Care Weekly Discussions & Assignments

NRNP 6552 WEEK 1 DISCUSSION: SOCIAL DETERMINANTS OF HEALTH AMONG THE FEMALE POPULATION

An individual’s health is influenced by many factors. Nurse Practitioners must be versed in all factors and adept in assessing the impact of economic conditions, education, environment, and social conditions on health.

Social Determinants of Health (SDOH) have a major impact on people’s health, well-being, and quality of life. Examples of SDOH include:

Safe housing, transportation, and neighborhoods

Racism, discrimination, and violence

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Education, job opportunities, and income

Access to nutritious foods and physical activity opportunities

Polluted air and water

Language and literacy skills

For this Discussion, you will explore Social Determinants of Health and five areas that are impacted. For your community where you reside, assess these five areas. You will also explore available instruments to complete a full assessment of an individual’s SDOH.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To prepare:

Who is most affected?

What major challenges have you found?

What changes could you propose?

What risk assessment instruments would be appropriate to use when assessing your community?

Identify any potential health-related risks based upon the community age groups.

BY DAY 3

Post a brief summary of the findings of the Social Determinants of Health in your community for each of the five areas described above. When providing your summary, take into consideration the preparation questions above and incorporate those into the summary.

References should be used to support your findings.

Read a selection of your colleagues’ responses.

BY DAY 6

Respond to at least two of your colleagues’ posts on two different days and provide additional insight to your colleagues related to issues and topics they may want to also consider. Use the Learning Resources and/or the best available evidence from current literature to support your explanation.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!

NRNP_6552_Week1_Discussion_Rubric

NRNP_6552_Week1_Discussion_Rubric

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeMain Posting:

Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.

44 to >39.16 pts

Excellent Point range: 90–100

Thoroughly responds to the discussion question(s)… Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources… No less than 75% of post has exceptional depth and breadth… Supported by at least 3 current credible sources.

39.16 to >34.76 pts

Good Point range: 80–89

Responds to most of the discussion question(s)… Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module… 50% of the post has exceptional depth and breadth… Supported by at least 3 credible references.

34.76 to >30.36 pts

Fair Point range: 70–79

Responds to some of the discussion question(s)… One to two criteria are not addressed or are superficially addressed… Is somewhat lacking reflection and critical analysis and synthesis… Somewhat represents knowledge gained from the course readings for the module… Post is cited with fewer than 2 credible references.

30.36 to >0 pts

Poor Point range: 0–69

Does not respond to the discussion question(s)… Lacks depth or superficially addresses criteria… Lacks reflection and critical analysis and synthesis… Does not represent knowledge gained from the course readings for the module… Contains only 1 or no credible references.
44 pts

This criterion is linked to a Learning OutcomeMain Posting:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Written clearly and concisely… Contains no grammatical or spelling errors… Further adheres to current APA manual writing rules and style.

5.34 to >4.74 pts

Good Point range: 80–89

Written concisely… May contain one to two grammatical or spelling errors… Adheres to current APA manual writing rules and style.

4.74 to >4.14 pts

Fair Point range: 70–79

Written somewhat concisely… May contain more than two spelling or grammatical errors… Contains some APA formatting errors.

4.14 to >0 pts

Poor Point range: 0–69

Not written clearly or concisely… Contains more than two spelling or grammatical errors… Does not adhere to current APA manual writing rules and style.

6 pts

This criterion is linked to a Learning OutcomeMain Posting:

Timely and full participation
10 to >8.9 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts main discussion by due date.

8.9 to >7.9 pts

Good Point range: 80–89

Posts main discussion by due date… Meets requirements for full participation.

7.9 to >6.9 pts

Fair Point range: 70–79

Posts main discussion by due date.

6.9 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post main discussion by due date.

10 pts

This criterion is linked to a Learning OutcomeFirst Response:

Post to colleague’s main post that is reflective and justified with credible sources.

9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.
9 pts

This criterion is linked to a Learning OutcomeFirst Response:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.
6 pts

This criterion is linked to a Learning OutcomeFirst Response:

Timely and full participation
5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

Good Point range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post by due date.
5 pts

This criterion is linked to a Learning OutcomeSecond Response:

Post to colleague’s main post that is reflective and justified with credible sources.
9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.

9 pts

This criterion is linked to a Learning OutcomeSecond Response:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.
6 pts

This criterion is linked to a Learning OutcomeSecond Response:

Timely and full participation

5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

Good Point range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post by due date.

5 pts
Total Points: 100

NRNP 6552 MODULE 1 ASSIGNMENT: TAKING A HEALTH HISTORY: BUILDING A HEALTH HISTORY: ASKING DIFFICULT QUESTIONS

Much of an archeologist’s work is done under the mantra “proceed with caution.” Archeologists must dutifully secure permissions to access sites. They also must exercise extreme caution when excavating or analyzing in a lab to avoid potential damage to historical artifacts.

Likewise, nurse practitioners must proceed with caution when building a patient’s health history. Important questions can be difficult for both nurse and patient. Care must be taken to approach such questions with dignity, tact, and respect to create an environment conducive to productive conversations.

More importantly in today’s society, the possible Social Determinants of Health for each of our patient’s also needs to be taken into consideration

For this Assignment, you will develop a make-believe script to be used when you first encounter a patient for a well woman appointment.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Schuiling, K. D., & Likis, F. E. (2022). Gynecologic health care (4th ed.). Jones and Bartlett Learning.

Chapter 6, “Gynecologic Anatomy and Physiology” (pp. 87–98)

Chapter 7, “Gynecologic History and Physical Examination “a€¯(pp. 99–124) (Previously read in Week 1)

Chapter 9, “Periodic Screening and Health Maintenance” (pp. 149–164)

Chapter 12, “Sexuality and Sexual Health” (pp. 211–228)

Chapter 13, “Contraception” (pp. 236–266)

Chapter 14, “Menopause” (pp. 267–291)

Chapter 15, “Intimate Partner Violence” (pp. 295–307)

Chapter 16, “Sexual Assault” (pp. 313–329)

SCREENING GUIDELINES

American Academy of Family Physicians. (2021, August). Adult preventive health care schedule: recommendations from the USPSTF.Links to an external site. American Family Physician. https://www.aafp.org/dam/AAFP/documents/journals/afp/USPSTFHealthCareSchedule2021.pdf

American College of Obstetricians and Gynecologists (ACOG). (n.d.). Well-Woman Health CareLinks to an external site.. https://www.acog.org/topics/well-woman-health-care?utm_source=redirect&utm_medium=web&utm_campaign=otn

Agency for Healthcare Research and Quality (2014). Guide to Clinical Preventive Services, 2014.Links to an external site. https://www.ahrq.gov/prevention/guidelines/guide/index.html

U.S. Department of Health and Human Services, Centers for Disease Control and Prevention. (n.d.). A guide to taking a sexual history.Links to an external site. https://www.cdc.gov/std/treatment/SexualHistory.pdf

ADULT GERONTOLOGY RESOURCES

Shifren, J. L., & Gass, M. L. S. (2014). The North American Menopause Society Recommendations for Clinical Care of Midlife Women.Links to an external site. The Journal of The North American Menopause Society, 21(10), pp. 1-25. http://www.menopause.org/docs/default-source/2014/nams-recomm-for-clinical-care.pdf

RESOURCES FOR LGBTQ+

Aisner, A. J., Zappas, M., & Marks, A. (2020). Primary Care for Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning (LGBTQ) PatientsLinks to an external site.. The Journal for Nurse Practitioners, 16(4), 281–285. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1016/j.nurpra.2019.12.011

Office of Disease Prevention and Health Promotion (ODPHP). (2020, April 18). Lesbian, gay, bisexual, and transgender health.Links to an external site. https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health

Wingo, E., Ingraham, N., & Roberts, S. C. M. (2018). Reproductive Health Care Priorities and Barriers to Effective Care for LGBTQ People Assigned Female at Birth: A Qualitative StudyLinks to an external site.. Women’s Health Issues, 28(4), 350–357. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1016/j.whi.2018.03.002

APPS FOR COMMON SCREENINGS

The following common screening apps will require a download or install into your personal device for you to access. Note: Should you have any technical issues, you will need to contact the rightsholder of the app itself and not Walden Student Support for any assistance.

Alvar-Gonzalez, J. (2020). iContraception.Links to an external site. https://play.google.com/store/apps/details?id=com.itiox.icontraception&hl=en_US

Note: This download is available for Android devices only.

ITIOX Technologica S.L. (2020). iContraception.Links to an external site. https://apps.apple.com/us/app/icontraception/id668520861

Note: This download is available for iOS devices only.

Agency for Healthcare Research and Quality (AHRQ). (n.d.). ePSS Electronic Preventive Services Selector.Links to an external site. https://epss.ahrq.gov/PDA/index.jsp

Centers for Disease Control and Prevention (2020). CDC Vaccine Schedules.Links to an external site. https://www.cdc.gov/vaccines/schedules/hcp/schedule-app.html#download

Note: This webpage will provide you with downloads for both iOS and Android Devices.

Nurse Practitioners in Women’s Health. (n.d.). Well Woman Visit Mobile AppLinks to an external site.. https://npwh.org/page/mobile-app

CLINICAL GUIDELINE RESOURCES

American College of Obstetricians and Gynecologists (ACOG).Links to an external site. (2020). https://www.acog.org/

American Cancer Society, Inc. (ACS). (2020). Information and Resources about for Cancer: Breast, Colon, Lung, Prostate, Skin.Links to an external site. https://www.cancer.org/

Centers for Disease Control and Prevention. (CDC).Links to an external site. (n.d.). https://www.cdc.gov/

American Nurses Association (ANA).Links to an external site. (n.d.). https://www.nursingworld.org/

The American Association of Nurse Practitioners (AANP).Links to an external site. (2020). https://www.aanp.org/

HealthyPeople 2030. (2020). Healthy People 2030 Framework.Links to an external site. https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework

Required Media

Taking a Health History

Dr. Marianne Shaughnessy discusses one of the most critical components of the nurse/patient relationship—the health interview with the patient. She further discusses how to conduct a health history interview with demonstration (16 mins).

Women’s Issues and Tough ConversationsLinks to an external site.

In this interactive media program, Dr. Rebecca Lee and Cindy Nypaver describe their experiences related to women’s issues and tough conversations (5 mins).

Optional Resources

Note: In Weeks 1-10, these resources are optional for your review. In Week 11, you will be required to review each of the PowerPoint slides from the text Gynecologic Health Care (4th ed.).

Chapter 6, “Gynecologic Anatomy and Physiology” Download “Gynecologic Anatomy and Physiology”

Chapter 7, “Gynecologic History and Physical Examination”Download “Gynecologic History and Physical Examination”

Chapter 9, “Periodic Screening and Health Maintenance” Download “Periodic Screening and Health Maintenance”

Chapter 12, “Sexuality and Sexual Health” Download “Sexuality and Sexual Health”

Chapter 13, “Contraception” Download “Contraception”

Chapter 14, “Menopause”Download “Menopause”

Chapter 15, “Intimate Partner Violence”Download “Intimate Partner Violence”

Chapter 16, “Sexual Assault”Download “Sexual Assault”

To prepare:

Review the screening tools found in the Learning Resources and consider how you might use an app or tool to assist in screening.

Review the media programs related to a vaginal exam, pap test, and breast exam.

Review the health history guide presented in Chapter 7 of the Schuiling & Likis (2022) text and consider how you would create your own script for building a complete health history. (Note: You will also find the Health History Form in Chapter 7)

Provide all the components of a complete gynecologic health history. Include considerations for special populations such as LGBTQ+ individuals.

What health maintenance guidelines should be included for initial and follow up might be needed for follow-up assessments? (i.e., bone density test, Gardasil vaccine, pap smear, Mammorgram, etc.)?

Using the 5 areas of the Social Determinants of Health:

(Examples of SDOH include but not limited to)

Safe housing, transportation, and neighborhoods

Racism, discrimination, and violence

Education, job opportunities, and income

Access to nutritious foods and physical activity opportunities

Polluted air and water

Language and literacy skills

SDOH also contribute to wide health disparities and inequities.

What questions would you consider in your patient’s complete health history?

Develop your own script for building a complete health history and as you create your script, consider the difficult questions you want to include in your script. There is no sample template to provide to you. (Utilize chapter 7 of your Schuiling textbook to provide guidance). You are the one to develop the script. Think of it as you are writing a movie and you need to write the script for the movie. What lines would you provide for the actor to utilize when sitting down with a patient to perform a COMPLETE Medical History which also entails those DIFFICULT GYN questions. You do not need to provide the answers to the questions however, if you find that beneficial, you may do so.

Assignment: (1- to 2-page reflection)

In addition to your script for building a health history for this assignment, include a separate section called “Reflection” that includes the following:

A brief summary of your experiences in developing and implementing your script during your health history.

Explanations of what you might find difficult when asking these questions. What you found insightful and what would you say or do differently.

As a NP, what could you implement in your community to provide resources/assistance of the Social Determinants of Health.

ReminderLinks to an external site.: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting.

BY DAY 7 OF WEEK 2

Submit your Module 1 Assignment by Day 7 of Week 2.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as M1Assgn_LastName_Firstinitial

Then, click on Start Assignment near the top of the page.

Next, click on Upload File and select Submit Assignment for review.

Rubric

NRNP_6552_Module1_Assignment_Rubric

NRNP_6552_Module1_Assignment_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeDescribe the components of a comprehensive gynecologic complete health history. Include considerations for special populations such as LGBTQ+ individuals,,. What health maintenance guidelines should be included during the initial and follow up assessments. (i.e., bone density test, Gardasil vaccine, shingles, etc.)?..What questions would you consider in your patient’s assessment?

30 to >26.7 pts

Excellent

The response provides clear, complete, and appropriate descriptions of a comprehensive gynecologic complete health history. Health maintenance guidelines are clear and complete.

26.7 to >23.7 pts

Good

The response provides clear, complete, and most of the components of a comprehensive gynecologic complete health history. Most health maintenance guidelines are included and appropriate.

23.7 to >20.7 pts

Fair

The response provides components of the gynecologic health history but they are incomplete, vague or inaccurate. Health maintenance guidelines are somewhat complete or inappropriate applied.

20.7 to >0 pts

Poor

The response provides unclear, incomplete, or inappropriate components of the gynecologic health history. Health maintenance guidelines are missing, incorrect, or inappropriate applied.

30 pts

This criterion is linked to a Learning OutcomeBuilding a Health History: Asking Difficult Questions… Create your own script for building a health history. Consider the type of language you would use to help your patient be more comfortable). Ensure you include the difficult questions required to complete a thorough health history.

25 to >22.3 pts

Excellent

The script contains a complete set of questions, including difficult questions, necessary to build a health history. Questions are phrased in a manner that supports the patients comfort.

22.3 to >19.75 pts

Good

The script contains a mostly complete set of questions, including difficult questions, necessary to build a health history. Most questions are phrased in a manner that supports the patients comfort.

19.75 to >17.25 pts

Fair

The script containing some relevant questions, including a few difficult questions. Information collected provides a cursory health history. Questions are not phrased in a supportive tone.

17.25 to >0 pts

Poor

The script contains few or no relevant questions, including few or no difficult questions. Information collected is not sufficient to provide an adequate health history. Questions are not phrased in a supportive tone.
25 pts

This criterion is linked to a Learning OutcomeIn addition to your script for building a health history for this assignment, include a separate section called “Reflection”… Briefly reflect and provide a summary of your experiences in developing your script during your health history.

30 to >26.7 pts

Excellent

The response provides an accurate, clear, and complete summary of experiences in developing the script during the health history

26.7 to >23.7 pts

Good

The response provides an accurate summary of experiences in developing the script during the health history

23.7 to >20.7 pts

Fair

The response provides a vague, inaccurate, or incomplete summary of the experiences in developing the script during the health history

20.7 to >0 pts

Poor

The response provides a vague, inaccurate, or incomplete summary of the experiences in developing the script during the health history, or the summary is missing.

30 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization:

Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.

5 to >4.45 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity… A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4.45 to >3.95 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time… Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

3.95 to >3.45 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time… Purpose, introduction, and conclusion of the assignment is vague or off topic.

3.45 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time… No purpose statement, introduction, or conclusion was provided.
5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards:

Correct grammar, mechanics, and proper punctuation

5 to >4.45 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4.45 to >3.95 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.95 to >3.45 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

3.45 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 to >4.45 pts

Excellent

Uses correct APA format with no errors.

4.45 to >3.95 pts

Good

Contains a few (1 or 2) APA format errors.

3.95 to >3.45 pts

Fair

Contains several (3 or 4) APA format errors.

3.45 to >0 pts

Poor

Contains many (≥ 5) APA format errors.

5 pts

Total Points: 100

NRNP 6552 WEEK 3 CASE STUDY DISCUSSION: GYNECOLOGIC HEALTH

Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, diagnostic approaches, as well as the development of treatment plans.

For this Case Study Discussion, you will review a case study scenario to obtain information related to a comprehensive well-woman exam and determine differential diagnoses, diagnostics, and develop treatment and management plans.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To prepare:

By Day 1 of this week, you will be assigned to a specific case study scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your case study assignment from your Instructor.

Review the Learning Resources for this week and pay close attention to the media program related to the basic microscope skills. Also, consider re-reviewing the media programs found in Week 1 Learning Resources.

Carefully review the clinical guideline resources specific to your assigned case study.

Use the Focused SOAP Note Template found in the Learning Resources to support Discussion. Complete a FOCUSED SOAP note and critically analyze this and focus your attention on the diagnostic tests. Please post your SOAP note. This will help you develop your differential diagnosis and additional questions

BY DAY 3

Please post your FOCUSED SOAP NOTE with your differential diagnosis. Include the additional questions (additional questions ONLY related to the HPI/CC) you would ask the patient. Be sure to include an explanation of the tests you might recommend, ruling out any other issues or concerns and include your rationale. Be specific and provide examples. Use your Learning Resources and/or evidence from the literature to support your explanations. Your differential diagnosis, additional questions, additional diagnostic tests and rationales are what this assignment and grading is focused on. Your critical thinking for this assignment

Read a selection of your colleagues’ responses.

BY DAY 6

Respond to at least two of your colleagues’ posts on two different days and explain how you might think differently about the types of tests you might recommend and explain why. Use your Learning Resources and/or evidence from the literature to support your position.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!

NRNP_6552_Week3_Case_Study_Discussion_Rubric

NRNP_6552_Week3_Case_Study_Discussion_Rubric

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeMain Posting:

Response to the case study discussion questions includes appropriate diagnoses with explanations of appropriate diagnostic tests and treatment options as directed, is based on evidence-based research where appropriate, and is incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources.
44 to >39.16 pts

Excellent Point range: 90–100

Thoroughly responds to the discussion question(s)… Post includes appropriate diagnoses including explanations of appropriate diagnostic tests and treatment options… Incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources, with no less than 75% of post the post having exceptional depth and breadth… Supported by at least 3 current credible sources.

39.16 to >34.76 pts

Good Point range: 80–89

Responds to most of the discussion question(s)… Post includes approprite diagnoses with explanations of appropriate diagnostic tests and treatment options… Somewhat incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources with no less than 50% of the post having exceptional depth and breadth… Supported by at least 3 credible references.

34.76 to >30.36 pts

Fair Point range: 70–79

Responds to some of the discussion question(s)… Post contains incomplete or vague diagnoses or explanations of appropriate diagnostic tests and treatment options… Is somewhat lacking in synthesis of knowledge gained from the course readings for the module and current credible sources… Post is cited with fewer than 2 credible references.

30.36 to >0 pts

Poor Point range: 0–69

Does not respond to the discussion question(s)… Post contains incomplete diagnoses or explanations of appropriate diagnostic tests and treatment options, or diagnoses and/or explanations are missing… Lacks synthesis gained from the course readings for the module and current credible sources… Contains only 1 or no credible references.

44 pts
This criterion is linked to a Learning OutcomeMain Posting:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Written clearly and concisely… Contains no grammatical or spelling errors… Further adheres to current APA manual writing rules and style.

5.34 to >4.74 pts

Good Point range: 80–89

Written concisely… May contain one to two grammatical or spelling errors… Adheres to current APA manual writing rules and style.

4.74 to >4.14 pts

Fair Point range: 70–79

Written somewhat concisely… May contain more than two spelling or grammatical errors… Contains some APA formatting errors.

4.14 to >0 pts

Poor Point range: 0–69

Not written clearly or concisely… Contains more than two spelling or grammatical errors… Does not adhere to current APA manual writing rules and style.
6 pts
This criterion is linked to a Learning OutcomeMain Posting:

Timely and full participation
10 to >8.9 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts main discussion by due date.

8.9 to >7.9 pts

Good Point range: 80–89

Posts main discussion by due date… Meets requirements for full participation.

7.9 to >6.9 pts

Fair Point range: 70–79

Posts main discussion by due date.

6.9 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post main discussion by due date.
10 pts
This criterion is linked to a Learning OutcomeFirst Response:

Post to colleague’s main post that is reflective and justified with credible sources.
9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.
9 pts

This criterion is linked to a Learning OutcomeFirst Response: Writing

6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.

6 pts

This criterion is linked to a Learning OutcomeFirst Response:

Timely and full participation
5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

Good Point range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

Poor< Point range: 0–69

Does not meet requirements for full participation… Does not post by due date.
5 pts

This criterion is linked to a Learning OutcomeSecond Response:

Post to colleague’s main post that is reflective and justified with credible sources.
9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.
9 pts
This criterion is linked to a Learning OutcomeSecond Response:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.
6 pts
This criterion is linked to a Learning OutcomeSecond Response:

Timely and full participation
5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

Good Point range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

PoorPoint range: 0–69

Does not meet requirements for full participation… Does not post by due date.

5 pts

Total Points: 100

NRNP 6552 WEEK 4 CASE STUDY: COMMON GYNECOLOGIC CONDITIONS, PART 1

Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, and diagnostic approaches, as well as to the development of treatment plans.

For this Case Study Discussion, you will once again review a case study scenario to obtain information related to a comprehensive well-woman exam and determine differential diagnoses, diagnostics, and develop treatment and management plans.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

To prepare:

By Day 1 of this week, you will be assigned to a specific case study scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

Review the Learning Resources for this week and specifically review the clinical guideline resources specific to your assigned case study.

Use the Focused SOAP Note Template found in the Learning Resources to support your Discussion. Complete a FOCUSED SOAP note and critically analyze this and focus your attention on the diagnostic tests. Please post your FOCUSED SOAP note. This information will help you develop your differential diagnosis and additional questions

BY DAY 3

Please post your FOCUSED SOAP NOTE and post your primary diagnosis. Include the additional questions (additional questions ONLY related to the HPI/CC) you would ask the patient and explain your reasons for asking the additional questions. Then, explain the types of symptoms you would ask. Be specific and provide examples. (Note: When asking questions, consider sociocultural factors that might influence your question decisions.)

Based on the preemptive diagnosis, explain which treatment options and diagnostic tests you might recommend. Use your Learning Resources and/or evidence from the literature to support your recommendations. Your primary diagnosis, additional questions, and types of symptoms are what this assignment and grading is focused on. Your critical thinking for this assignment

Read a selection of your colleagues’ responses.

BY DAY 6

Respond to at least two of your colleagues’ posts on two different days and explain how you might think differently about the types of diagnostic tests you would recommend and explain your reasoning. Use your Learning Resources and/or evidence from the literature to support your position.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!

STEPHANIE

Episodic/Focused SOAP Note Template

Patient Information:

S.L., 24, F, Caucasian

S.

CC: Routine Visit

HPI: Susan Lang is a 24-year-old Caucasian female presenting to the clinic for regular care. Susan relates she has been having some postcoital bleeding for the past 6 weeks and has had a sore throat for the past 3 weeks. She did have a fever for a day or two, but Tylenol took care of it and she thought it was allergies.

CAGE Questionnaire:

She has not felt the need to cut down on her drinking, feeling that “everyone drinks like she does.” She is occasionally awakened in the am sleeping next to a stranger but does not remember how it happened. She has been occasionally annoyed by her parent’s criticism about drinking but has been better since she moved into her apartment. She relates she does not feel guilty about drinking. She has never taken an “eye opener.”

Current Medications: OTC Pamprin for cramps during menstruation

Allergies: NKDA

PMHx: none

Soc & Substance Hx: works full-time as an administrative assistant, cigarette smoking at a rate of ½ packs per day (PPD) since age 14, / EtOH only on weekends, 6-8 hard liquor/ daily, and marijuana smoking

Fam Hx: No medical history

Surgical Hx: none

Mental Hx: none stated

Violence Hx: none stated

Reproductive Hx: Gyn history is the onset of menses at age 13, menses every 28-32 days, lasting 4-6 days, and using 3 tampons daily. She has some cramping during her menses for which she takes OTC. Pamprin. Susan relates she “sometimes” uses condoms but feels like she gets irritated by them. She does not desire pregnancy but is not sure what type of other options are available. She relates she has had 13 partners in the last 12 months, her partners have all been male except one in the past year. She has never received the Gardasil vaccine as her mother doesn’t believe it’s been tested enough and reports no history of STIs but doesn’t remember being tested in the past.

ROS:

GENERAL: No weight loss, fever, chills, weakness, or fatigue.

HEENT: Eyes: No visual loss, blurred vision, double vision, or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose, or sore throat.

SKIN: No rash or itching.

CARDIOVASCULAR: No chest pain, chest pressure, or chest discomfort. No palpitations or edema.

RESPIRATORY: No shortness of breath, cough, or sputum.

GASTROINTESTINAL: No anorexia, nausea, vomiting, or diarrhea. No abdominal pain or blood.

NEUROLOGICAL: No headache, dizziness, syncope, paralysis, ataxia, numbness, or tingling in the extremities. No change in bowel or bladder control.

MUSCULOSKELETAL: No muscle pain, back pain, joint pain, or stiffness.

HEMATOLOGIC: No anemia, bleeding, or bruising.

LYMPHATICS: No enlarged nodes. No history of splenectomy.

PSYCHIATRIC: No history of depression or anxiety.

ENDOCRINOLOGIC: No reports of sweating or cold or heat intolerance. No polyuria or polydipsia.

GENITOURINARY/REPRODUCTIVE: No burning on urination. No breast lumps, pain, or discharge. reports of vaginal discharge, Sexually active 13 partners in the last 12 months.

ALLERGIES: No history of asthma, hives, eczema, or rhinitis.

O.

Physical exam:

Vitals: 97.8, P 68, BP 112/64, Ht 5’6” Wt 118 lbs. BMI 19.04

HEENT: except for some anterior cervical adenopathy bilaterally, and throat

appears reddened.

Lung: clear to auscultation

CV: regular sinus rhythms without murmur or gallop

Abd: soft, non-tender, liver normal,

Breasts: fibrocystic changes bilaterally, no masses, dimpling, redness, or discharge,

no adenopathy, and bilateral nipple piercings.

VVBSU: slight frothy yellow discharge by the cervix, clitoral piercing noted

Cervix: friable, some petechia no cervical motion tenderness.

Uterus: mid-mobile, non-tender

Adnexa: without masses or tenderness

Extremities: full rom, skin clear, no edema, reflexes 1+.

Neurological: CN II-12 is grossly intact

Diagnostic results:

Pap returns as normal, with trichomonads noted

Throat culture returns positive for gonorrhea

Vaginal culture returns positive for chlamydia

Wet mount shows many WBCs, many trichomonads, positive clue cells,

positive amine (whiff test)

RPR negative, hepatitis c negative, HIV negative

A.

Encounter for gynecological examination (general) (routine) with abnormal findings-

With all women’s well exams, it is included to do a routine gynecological exam with a potential pap smear when indicated. For women under 21 who are not sexually active, the pap smear would not be indicated, those over 21 but under 30 will only need this exam every 3 years, and those over 30 with no abnormal results can wait every five years for the exam. For this patient, she is over 21 and sexually active with no known pap smear so one would be indicated for this visit. She is also at high risk for HPV due to her multiple partners and not receiving the vaccine. (Mishra et al.,2023.)

Encounter for Screening of Infections with a Predominately Sexual Mode of Transmission-

Screenings for sexually transmitted infections are important with every well-women exam. Understanding which patients are at risk and what preventative measures are needed is vital to any visit. The CDC has guidelines that help any provider decide which tests are needed and when they need to be screened. It is also important to provide all types of screening which would include blood testing, vaginal swabs, and urine samples to fully exclude all types of infections. (Territo & Burstein, 2023.) This patient has been with multiple partners with little to no forms of birth control and has some symptoms of an infection therefore it is imperative to test.

Gonococcal infection, unspecified-

Gonorrhea is a sexually transmitted infection caused by the bacterium Neisseria gonorrhoeae. Infection may involve the genitals, mouth, or rectum. Infected men may experience pain or burning with urination, discharge from the penis, or testicular pain. Infected women may experience burning with urination, vaginal discharge, vaginal bleeding between periods, or pelvic pain. Many of those infected, however, have no symptoms. (Van Ommen et al., 2023.) The patient does have symptoms that would match this infection and she did test positive for gonorrhea.

Trichomonas vulvovaginitis-

Trichomonas is caused by infection with the parasite Trichomonas vaginalis, which is transmitted almost exclusively through vaginal sexual intercourse. Common symptoms can include an unusual discharge from the penis or vagina, itching of the genitals, a burning sensation when urinating, and pain during sexual intercourse. (Kaplan, 2023.) The patient is at high risk for this due to her increased number of sexual partners and did test positive.

Chlamydial infection, unspecified-

Chlamydia is a sexually transmitted infection caused by the bacterium Chlamydia trachomatis. Most people who are infected have no symptoms. When symptoms do appear, they may occur only several weeks after infection; the incubation period between exposure and being able to infect others is thought to be on the order of two to six weeks. Symptoms in women may include vaginal discharge or burning with urination. (Van Ommen et al., 2023.) The patient does exhibit some of these symptoms and with testing was found positive for Chlamydia.

P.

Encounter for gynecological examination (general) (routine) with abnormal findings-

Pap returns as normal, follow-up in 3 years for next pap smear. Continue yearly well-women exams

(Mishra et al.,2023.)

Encounter for Screening of Infections with a Predominately Sexual Mode of Transmission-

They are testing for all at-risk infections including gonorrhea, chlamydia, Hep C, HIV, and HPV.

(Territo & Burstein, 2023.)

Gonococcal infection, unspecified-

Ceftriaxone 500 mg IM x 1 dose with a return to the clinic for a test-of-cure in 7 to 14 days

(Van Ommen et al., 2023.)

Trichomonas vulvovaginitis-

Metronidazole 500 mg po BID x 7 days

(Kaplan, 2023.)

Chlamydial infection, unspecified-

Doxycycline 100 mg PO BID x 7 days

(Van Ommen et al., 2023.)

Reflection

When reviewing this case there were a couple of questions missing that would provide more information for the visit. The patient did not give much of a history of any violence or safety. Considering she has stated that she is sexually active with multiple partners it would be important to ensure she is safe and feels safe in her relationships. When it comes to testing, I would add syphilis to the testing as it has had an increase in the last couple of years. I would also have a conversation about birth control forms, and possibly discuss a long-term birth control option.

Regarding the patient, plenty of health promotion and disease prevention can be done. Depending on her living conditions, she would need to be educated on fire safety, carbon monoxide safety, and safe living conditions. She has no medical conditions or diseases that warrant education on prevention. It is also important to discuss safe sex practices with each visit considering she is sexually active, with no real means of birth control, and has had multiple partners.

It is also important with a patient who has multiple positive infections to allow dignity. As providers, our job is to treat the patient and allow them to feel they are in a safe and non-judgmental environment. Therefore, it is important to remain objective and leave any prejudices outside the clinic. If these patients are judged or feel they are being judged for their actions they are less likely to seek treatment or continue treatment.

References

Kaplan, C. M. S. N. . M. H. S. . R. N. . A. W. (2023). Trichomonas. Salem Press Encyclopedia of Health.

Mishra, J., Kalantri, S., Raphael, V., Dey, B., Khonglah, Y., & Das, A. (2023). Prevalence of human papillomavirus infection in abnormal pap smears. CytoJournal, 1–7. https://doi.org/10.25259/Cytojournal_8_2021

Territo, H. M., & Burstein, G. R. (2023). Frontline STI Screening Starts with Primary Care. The Journal of Family Practice, 72(3 Suppl), S1–S2. https://doi.org/10.12788/jfp.0571

Van Ommen, C. E., Malleson, S., & Grennan, T. (2023). A practical approach to the diagnosis and management of chlamydia and gonorrhea. CMAJ : Canadian Medical Association Journal = Journal de l’Association Medicale Canadienne, 195(24), E844–E849. https://doi.org/10.1503/cmaj.221849

KANDICE

Week 4 Case Study: STI Investigation

In addition to the questions already asked, I would like to know the following:

CC:

“Postcoital bleeding and sore throat.”

HPI:

Susan Lang is a 24-year-old G? T? P? A? L? Caucasian female presenting to the clinic for regular care. She notes that she has been experiencing post-coital bleeding for approximately six weeks and a sore throat for the past three weeks along with a fever. She notes being sexually active with approximately 13 partners within the past year. She occasionally utilizes barrier protection.

Current Medications:

Pamprin PRN for menstrual cramping.

Tylenol PRN for fever reducer.

Allergies:

NKA

Latex?

PMHx:

Immunization status: Up to date, the patient notes that she has never received the Gardasil vaccine.

Past major illnesses/surgeries: None.

Soc & Substance Hx:

Occupation: Works full-time as an administrative assistant, and relates she loves her job.

Major hobbies: ?

Living status: ?

Family status: ?

Social: She jogs 3-4 times a week, wears seatbelts when in the car, and “occasionally” uses sunscreen.

Vaping, tobacco, and alcohol use: Remarkable for cigarette smoking at a rate of ½ packs per day (PPD) since age 14, / EtOH only on weekends, 6-8 hard liquor/ daily, and marijuana

CAGE Questionnaire:

She has not felt the need to cut down on her drinking, feeling that “everyone drinks like she does.” She is occasionally awakened in the am sleeping next to a stranger but does not remember how it happened.

She has been occasionally annoyed by her parent’s criticism about drinking but has been better since she moved into her apartment. She relates she does not feel guilty about drinking. She has never taken an “eye opener.”

Mental Hx:

Do you have a history of depression or anxiety?

Violence Hx:

Provide a domestic violence questionnaire.

GU/Gynecological Health History:

Menstrual history:

How old were you when you had your first period? 13

When was your last period?

What is the regularity, duration, flow, and symptoms? Menses’ every 28-32 days, lasting 4-6 days and using 3 tampons daily. She has some cramping during her menses for which she takes OTC. Pamprin.

Sexual Health:

What is your sexual orientation?

What types of intercourse are you engaged in? Oral, anal, vaginal, or other?

Do you have any pain with intercourse?

Do you have any other sexual concerns?

Contraceptive Use:

What type of contraceptives have you used, how long, any side effects? Susan relates she “sometimes” uses condoms but feels like she gets irritated by them. She does not desire pregnancy but is not sure what type of other options are available. She relates she has had 13 partners in the last 12 months, her partners have all been male except one in the past year.

What type of condoms are you using? Are they made from latex?

Have you used any other form of contraceptives? If so why did you discontinue?

Do you have a certain birth control that you are interested in?

Educate the patient on the need to use barrier protection to help prevent STIs.

Educate the patient that they are not a candidate for estrogen birth control due to active smoking status.

History of STI:

Have you had any previous vaginal infections or sexually transmitted diseases? Reports no history of STIs but doesn’t remember being tested in the past.

Have you had reoccurring vaginal infections?

Are you having any abnormal vaginal discharge, if so what color, is there a smell?

Are you experiencing any vaginal dryness or itchiness?

Do you have any vaginal/rectal sores or rashes? If so how long have you had symptoms?

Are you having any pelvic pain?

Have you ever been told that you have had pelvic inflammatory disease (PID)?

Were you ever treated for PID?

Have you ever been tested for HIV?

Are you having any pain with intercourse?

Urologic and Rectal Health:

Do you have a history of UTI/frequency?

Are you having any burning with urination?

Are you experiencing any urinary or bowel incontinence?

Cervical Cancer Screening:

Have you ever been screened for cervical cancer?

If so when was your last screening?

Did you have any abnormal results?

Have you had any follow-up visits since then?

When was your last pap smear?

Abnormal Symptoms:

Susan relates she has been having some postcoital bleeding for the past 6 weeks and has had a sore throat for the past 3 weeks. She did have a fever for a day or two, but Tylenol took care of it and she thought it was allergies.

Health Maintenance:

Alcohol use screening and counseling: Educated the patient on alcohol cessation.

Anxiety screening.

Educate the patient on contraception and contraceptive care.

Depression screening.

Folic acid supplementation.

Interpersonal & Domestic violence screening.

Obesity screening.

Substance use screening and assessment: Educated patient on smoking cessation.

Tobacco screening and assessment: Educated patient on smoking cessation.

Urinary incontinence screening.

Skin cancer screening

O.

Physical exam: Temperature 97.8, pulse 68, BP 112/64, height 5’6”, and weight 118 lbs. (which was the same as last year). BMI 19.04

HEENT: WNL except for some anterior cervical adenopathy bilaterally, and throat appears reddened.

· Lung: clear to auscultation

· CV: regular sinus rhythms without murmur or gallop

· Abd: soft, non-tender, liver normal,

· Breasts: fibrocystic changes bilaterally, no masses, dimpling, redness or discharge, no adenopathy, and bilateral nipple piercings.

· VVBSU: wnl, slight frothy yellow discharge by cervix, clitoral piercing noted

· Cervix: friable, some petechia no cervical motion tenderness.

· Uterus: mid mobile, non-tender

· Adnexa: without masses or tenderness

· Perineum: wnl

· Rectum: wnl

· Extremities: full rom, skin clear, no edema, reflexes 1+.

· Neurological: CN II-12 grossly intact.

Diagnostic results:

Pap returns as normal, with trichomonads noted.

Throat culture returns positive for gonorrhea.

Vaginal culture returns positive for chlamydia.

Wet mount shows many WBCs, many trichomonads, positive clue cells, and positive amine (whiff test).

RPR negative, hepatitis c negative, HIV negative

A.

Primary and Differential Diagnoses

Trichomonas

Chlamydia

Gonorrhea

Trichomonas is an STD caused by infection with Trichomonas vaginalis parasite (Centers for Disease Control and Prevention [CDC], 2022a). Symptoms vary from person to person and may include Itching, burning, redness, soreness, dyspareunia; and a clear, white, yellowish, or greenish vaginal discharge with a fishy smell. Without treatment, the infection can last for months or even years (CDC, 2022a). Patients should be advised to not have sex until they and their sex partners are treated. Trichomonas has a high rate of reinfection, retesting is recommended three months after initial treatment for all sexually active women (CDC, 2022a). Patients who have tested positive for trichomonas should also be tested for syphilis (CDC, 2022a).

Chlamydia most frequently reported bacterial infectious disease in the United States (Centers for Disease Control and Prevention [CDC], 2022b) Most people are asymptomatic however some early symptoms may include vaginal discharge and pain with urination (CDC, 2022b). Treatment includes Doxycycline 100 mg PO 2 times a day for 7 days; patients should be advised to not have sex until they and their sex partners are treated. Because of the high rate of reinfection, retesting is recommended three months after initial treatment (CDC, 2022a).

Gonorrhea is a sexually transmitted disease that infects the mucous membranes of the reproductive tract; it can also infect the mucous membranes of the eyes, mouth, throat, and rectum (Centers for Disease Control and Prevention [CDC], 2023b). Many infections are asymptomatic; early symptoms may include dysuria, increased vaginal discharge, and vaginal bleeding between periods (CDC, 2023b). Treatment includes a single dose of Ceftriaxone 500 mg IM. Test-of-cure is needed 7-14 days after treatment for people who are treated for pharyngeal (infection of the throat) gonorrhea (CDC, 2023b).

Plan

Trichomonas

Urine pregnancy test.

Syphilis testing.

Therapeutic interventions: Metronidazole 500 mg 2 times/day for 7 days.

Education: Do not have sex again until you and your sex partners are treated (when therapy has been completed and any symptoms have resolved). The best way to prevent genital trichomoniasis is through consistent and correct use of condoms (external or internal).

Follow-up visits: Retest for trichomonas in three months NAAT.

Educated the patient on the need to use barrier protection to minimize risks of reoccurring STI.

Initiate HPV series.

Educate the patient on contraceptives.

Order contraceptives based on patient preference.

Chlamydia

Therapeutic interventions: Doxycycline 100 mg orally 2 times/day for 7 days.

Education: Complete all antibiotics. Do not have sex again until you and your sex partners are treated (when therapy has been completed and any symptoms have resolved).

Follow-up visits: Retest for chlamydia in three months.

Gonorrhea

Therapeutic interventions: A single 500 mg intramuscular dose of ceftriaxone.

Education: Wait one-week post injection before having intercourse.

Follow-up visits: A test-of-cure is needed 7-14 days after treatment for people who are treated for pharyngeal (infection of the throat) gonorrhea. Retested three months after treatment of the initial infection.

References

Centers for Disease Control and Prevention. (2022a, June 28). STD Facts – Trichomoniasis. https://www.cdc.gov/std/trichomonas/stdfact-trichomoniasis.htmLinks to an external site.

Centers for Disease Control and Prevention. (2022b, August 15). Chlamydial Infections – STI Treatment Guidelines. https://www.cdc.gov/std/treatment-guidelines/chlamydia.htmLinks to an external site.

Centers for Disease Control and Prevention. (2023a, March 29). CDC Contraceptive Guidance. https://www.cdc.gov/reproductivehealth/contraception/contraception_guidance.htmLinks to an external site.

Centers for Disease Control and Prevention. (2023b, November 29). Detailed STD Facts – Gonorrhea. https://www.cdc.gov/std/gonorrhea/stdfact-gonorrhea-detailed.htmLinks to an external site.

Reply

NRNP 6552 Week 5 CASE STUDY DISCUSSION: COMMON GYNECOLOGIC CONDITIONS, PART 2

Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, diagnostic approaches, as well as to the development of treatment plans.

For this Case Study Discussion, you will develop a case study that demonstrates a gynecological disease process from your practicum experience or your professional practice that would be quite challenging for you as a clinician. You will then explore this case study to determine the diagnosis, diagnostic tests, and treatment options for the patient

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Schuiling, K. D., & Likis, F. E. (2022). Gynecologic health care (4th ed.). Jones and Bartlett Learning.

Chapter 23, “Urinary Tract Infections” (pp. 469–478)

Chapter 24, “Urinary Incontinence” (pp. 479–492)

Chapter 23, “Menstrual-Cycle Pain and Premenstrual Syndrome” (pp. 495–510)

Chapter 26, “Normal and Abnormal Uterine Bleeding” (pp. 511–526)

RESOURCES FOR LGBTQ+

Aisner, A. J., Zappas, M., & Marks, A. (2020). Primary Care for Lesbian, Gay, Bisexual, Transgender, and Queer/Questioning (LGBTQ) PatientsLinks to an external site.. The Journal for Nurse Practitioners, 16(4), 281–285. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1016/j.nurpra.2019.12.011

Office of Disease Prevention and Health Promotion (ODPHP). (2020, April 18). Lesbian, gay, bisexual, and transgender healthLinks to an external site.. https://www.healthypeople.gov/2020/topics-objectives/topic/lesbian-gay-bisexual-and-transgender-health

Sadlak, C. A., Boyd, C. J., & Lesbian, Gay, Bisexual, Transgender, Queer (LGBTQ)

Health Expert Panel (2016). American Academy of Nursing on Policy: Health care services for transgender individuals: Position statementLinks to an external site.. https://www.nursingoutlook.org/action/showPdf?pii=S0029-6554%2816%2930120-8

Wingo, E., Ingraham, N., & Roberts, S. C. M. (2018). Reproductive Health Care Priorities and Barriers to Effective Care for LGBTQ People Assigned Female at Birth: A Qualitative StudyLinks to an external site.. Women’s Health Issues, 28(4), 350–357. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1016/j.whi.2018.03.002

FNP RESOURCES

American Academy of Nurse Practitioners Certification Board (AANPCB). (2018). Welcome to the American Academy of Nurse Practitioners Certification BoardLinks to an external site.. https://www.aanpcert.org/

American Academy of Nurse Practitioners National Certification Board, Inc. (AANPCB). (2018). FNP & AGNP Certification Candidate HandbookLinks to an external site.. https://www.aanpcert.org/resource/documents/AGNP%20FNP%20Candidate%20Handbook.pdf

CLINICAL GUIDELINE RESOURCES

As you review the following resources, you may want to include a topic in the search area to gather detailed information (e.g., breast cancer screening guidelines; CDC for zika in pregnancy, etc.).

American Cancer Society, Inc. (ACS). (2020). Information and Resources about Cancer: Breast, Colon, Lung, Prostate, SkinLinks to an external site.. https://www.cancer.org/

American College of Obstetricians and Gynecologists (ACOG)Links to an external site.. (2020). https://www.acog.org/

American Nurses Association (ANA). (n.d.). Lead the profession to share the future of nursing and health careLinks to an external site.. https://www.nursingworld.org/

Centers for Disease Control and Prevention. (CDC). (n.d.). CDC in actionLinks to an external site.. https://www.cdc.gov

HealthyPeople 2030. (2020). Healthy People 2030 FrameworkLinks to an external site.. https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework

The American Association of Nurse Practitioners (AANP). (2020). What’s Happening at your associationLinks to an external site.. https://www.aanp.org/

Document: Focused SOAP Note Template Download Focused SOAP Note Template(Word document)

Optional Resources

Kelsey, B. M. & Nagtalon-Ramos, J. (2021). Midwifery & Women’s Health Nurse Practitioner Certification Review Guide (5th ed.). Jones & Bartlett Learning.

Note: In Weeks 1-10, these resources are optional for your review. In Week 11, you will be required to review each of the PowerPoint slides from the text Gynecologic Health Care (4th ed.).

Chapter 23, “Urinary Tract Infections Download Urinary Tract Infections”

Chapter 24, “Urinary Incontinence Download Urinary Incontinence”

Chapter 25, “Menstrual-Cycle Pain and Premenstrual Syndrome Download Menstrual-Cycle Pain and Premenstrual Syndrome”

Chapter 26, “Normal and Abnormal Uterine Bleeding Download Normal and Abnormal Uterine Bleeding”

To prepare:

Consider a case study related to a patient that demonstrates a gynecological disease process in your practicum experience or professional practice that would be your biggest challenge as a clinician. Note: Possibly use your “FNP or AGPCNP Skills and Procedures Self-Assessment” in your practicum experience to guide your case study selection.

Review the Learning Resources for this week and specifically review the clinical guideline resources specific to your proposed case study.

Use the Focused SOAP Note Template found in the Learning Resources to support your discussion. Complete a Focused SOAP note and critically analyze this and focus your attention on the diagnostic tests.

BY DAY 3

Based on your case study, post the following:

POST A Focused SOAP NOTE only and describe your case study.

Provide a differential diagnosis (dx) with a minimum of 3 possible conditions or diseases.

Define what you believe is the most important diagnosis. Be sure to include the priority in conducting your assessment.

Explain which diagnostic tests and treatment options you would recommend for your patient and explain your reasoning.

Also, share with your colleagues your experiences as well as what you learned from these experiences.

Use your Learning Resources and/or evidence from the literature to support your thinking and perspectives.

Read a selection of your colleagues’ responses.

BY DAY 6

Respond to at least two of your colleagues’ posts on two different days and explain how you might think differently about the types of tests or treatment options that your colleagues suggested and why. Use your learning resources and/or evidence from the literature to support your position.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!

NRNP_6552_Week5_Case_Study_Discussion_Rubric

NRNP_6552_Week5_Case_Study_Discussion_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeMain Posting:

Response to the case study discussion questions includes appropriate diagnoses with explanations of appropriate diagnostic tests and treatment options as directed, is based on evidence-based research where appropriate, and is incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources.
44 to >39.16 pts

Excellent Point range: 90–100

Thoroughly responds to the discussion question(s)… Post includes appropriate diagnoses including explanations of appropriate diagnostic tests and treatment options… Incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources, with no less than 75% of post the post having exceptional depth and breadth… Supported by at least 3 current credible sources.

39.16 to >34.76 pts

Good Point range: 80–89

Responds to most of the discussion question(s)… Post includes appropriate diagnoses with explanations of appropriate diagnostic tests and treatment options… Somewhat incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources with no less than 50% of the post having exceptional depth and breadth… Supported by at least 3 credible references.

34.76 to >30.36 pts

Fair Point range: 70–79

Responds to some of the discussion question(s)… Post contains incomplete or vague diagnoses or explanations of appropriate diagnostic tests and treatment options… Is somewhat lacking in synthesis of knowledge gained from the course readings for the module and current credible sources… Post is cited with fewer than 2 credible references.

30.36 to >0 pts

Poor Point range: 0–69

Does not respond to the discussion question(s)… Post contains incomplete diagnoses or explanations of appropriate diagnostic tests and treatment options, or diagnoses and/or explanations are missing… Lacks synthesis gained from the course readings for the module and current credible sources… Contains only 1 or no credible references.
44 pts
This criterion is linked to a Learning OutcomeMain Posting:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Written clearly and concisely… Contains no grammatical or spelling errors… Further adheres to current APA manual writing rules and style.

5.34 to >4.74 pts

Good Point range: 80–89

Written concisely… May contain one to two grammatical or spelling errors… Adheres to current APA manual writing rules and style.

4.74 to >4.14 pts

Fair Point range: 70–79

Written somewhat concisely… May contain more than two spelling or grammatical errors… Contains some APA formatting errors.

4.14 to >0 pts

Poor Point range: 0–69

Not written clearly or concisely… Contains more than two spelling or grammatical errors… Does not adhere to current APA manual writing rules and style.
6 pts
This criterion is linked to a Learning OutcomeMain Posting:

Timely and full participation

10 to >8.9 pts

ExcellentPoint range: 90–100

Meets requirements for timely, full, and active participation… Posts main discussion by due date.

8.9 to >7.9 pts

Good Point range: 80–89

Posts main discussion by due date… Meets requirements for full participation.

7.9 to >6.9 pts

Fair >Point range: 70–79

Posts main discussion by due date.

6.9 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post main discussion by due date.
10 pts
This criterion is linked to a Learning OutcomeFirst Response:

Post to colleague’s main post that is reflective and justified with credible sources.
9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.

9 pts
This criterion is linked to a Learning OutcomeFirst Response:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.

6 pts

This criterion is linked to a Learning OutcomeFirst Response:

Timely and full participation
5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

Good Point range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post by due date.
5 pts
This criterion is linked to a Learning OutcomeSecond Response:

Post to colleague’s main post that is reflective and justified with credible sources.
9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.
9 pts

This criterion is linked to a Learning OutcomeSecond Response:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.
6 pts

This criterion is linked to a Learning OutcomeSecond Response:

Timely and full participation

5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

Good Point range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post by due date.
5 pts

Total Points: 100

ORDER A CUSTOMIZED, PLAGIARISM-FREE NRNP 6552 Advanced Nurse Practice in Reproductive Health Care Weekly Discussions & Assignments HERE

NRNP 6552 WEEK 7 DISCUSSION: HEALTH CONDITIONS AND IMPLICATIONS FOR WOMEN

Some health issues, including heart disease, depression, and autoimmune disease, present more frequently in women than in men. Others, including ovarian cancer and pregnancy issues, are obviously exclusive to the female population. Nurse practitioners focused on women’s healthcare become well-versed in these health issues and apply their expertise to helping to screen for and offer care for patients with these conditions.

For this Discussion, you will select a specific women’s health issue. You will research this issue, and share common symptoms, recommended diagnostic tests, and common treatments.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Schuiling, K. D., & Likis, F. E. (2022). Gynecologic health care (4th ed.). Jones and Bartlett Learning.

Chapter 29, “Gynecologic Cancers” (pp. 569-597)

Chapter 30, “Chronic Pelvic Pain” (pp. 601-616)

ADULT GERONTOLOGY RESOURCES

van Dijk, G. M., Kavousi, M., Troup, J., & Franco, O. H. (2015). Health issues for menopausal women: The top 11 conditions have common solutionsLinks to an external site.. Maturitas, 80(1), 24–30. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1016/j.maturitas.2014.09.013

North American Menopause Society. (2020). Sexual health & menopause.Links to an external site. http://www.menopause.org/for-women/sexual-health-menopause-online/how-to-navigate-this-online-resource

CLINICAL GUIDELINE RESOURCES

As you review the following resources, you may want to include a topic in the search area to gather detailed information (e.g., breast cancer screening guidelines; CDC – for zika in pregnancy, etc.).

American College of Obstetricians and Gynecologists (ACOG).Links to an external site. (2020). https://www.acog.org/

American Cancer Society, Inc. (ACS). (2020). Information and Resources about Cancer: Breast, Colon, Lung, Prostate, Skin.Links to an external site. https://www.cancer.org/

American Nurses Association (ANA). (n.d.). Lead the profession to share the future of nursing and health care.Links to an external site. https://www.nursingworld.org/

Centers for Disease Control and Prevention. (CDC). (n.d.). CDC in action.Links to an external site. https://www.cdc.gov/

HealthyPeople 2030. (2020). Healthy People 2030 Framework.Links to an external site. https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework

The American Association of Nurse Practitioners (AANP). (2020). What’s Happening at your association.Links to an external site. https://www.aanp.org/

Optional Resources

Note: In Weeks 1-10, these resources are optional for your review. In Week 11, you will be required to review each of the PowerPoint slides from the text Gynecologic Health Care (4th ed.).

Chapter 29, “Gynecologic Cancers” Download “Gynecologic Cancers”

Chapter 30, “Chronic Pelvic Pain”

To prepare:

Review the Learning Resources for this week and consider the different types of women’s health issues.

Choose one of the women’s health issue from the following list and once you have selected an issue, search the Walden Library and/or the Internet regarding the health issue symptoms, diagnostic tests, and common treatments:

Osteoporosis

Bladder Issues

Pre-diabetes

Thyroid

Hypertension

Seizure Disorders

Psychiatric Disorders

PART 1: BY DAY 3

Based on the issue you chose, post a description and explanation of common symptoms, recommended diagnostic tests, and common treatments. Be specific and provide examples. Use the evidence from your search of the literature to support your explanation of the woman’s health issue you chose.

PART 2: BY DAY 5

Next, based off the one women’s health issue you picked listed below, post your responses to the following questions that corresponds to your women’s health issue.

Osteoporosis – What are your options for primary prevention? How would you educate someone on the treatment?

Bladder Issues – What exactly are the symptoms? What about Interstitial cystitis (IC) and pelvic pain?

Thyroid – What symptoms occur in women? What can you discern from that? What about infertility?

Pre-diabetes – Are there menstrual irregularities? What types of medication are they taking? What about pregnancy plans?

Hypertension – What medications are appropriate for a woman of reproductive age? Should you counsel the woman on appropriate dieting?

Seizure Disorders – What special implications do you need to consider in this particular population?

Psychiatric Disorders – Specify the types of disorders i.e., anxiety/depression/substance abuse/eating disorders

Read a selection of your colleagues’ responses.

BY DAY 7

Respond to at least two of your colleagues’ posts on two different days and provide additional insight that might be useful and appropriate for the issue addressed. Use your learning resources and/or evidence from the literature to support your position.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!

This week you will use the discussion board to talk about related women’s health issues. This assignment will have THREE parts- See below. You must post 2 separate times for Part I and Part II.

You must pick from the following list of topics:

Osteoporosis

Bladder Issues

Pre-diabetes

Thyroid

Hypertension

Seizure Disorders

Psychiatric Disorders

NRNP_6552_Week7_Discussion_Rubric

NRNP_6552_Week7_Discussion_Rubric

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeMain Posting:

Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.
44 to >39.16 pts

Excellent Point range: 90–100

Thoroughly responds to the discussion question(s)… Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources… No less than 75% of post has exceptional depth and breadth… Supported by at least 3 current credible sources.

39.16 to >34.76 pts

Good Point range: 80–89

Responds to most of the discussion question(s)… Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module… 50% of the post has exceptional depth and breadth… Supported by at least 3 credible references.

34.76 to >30.36 pts

Fair Point range: 70–79

Responds to some of the discussion question(s)… One to two criteria are not addressed or are superficially addressed… Is somewhat lacking reflection and critical analysis and synthesis… Somewhat represents knowledge gained from the course readings for the module… Post is cited with fewer than 2 credible references.

30.36 to >0 pts

Poor Point range: 0–69

Does not respond to the discussion question(s)… Lacks depth or superficially addresses criteria… Lacks reflection and critical analysis and synthesis… Does not represent knowledge gained from the course readings for the module… Contains only 1 or no credible references.
44 pts
This criterion is linked to a Learning OutcomeMain Posting:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Written clearly and concisely… Contains no grammatical or spelling errors… Further adheres to current APA manual writing rules and style.

5.34 to >4.74 pts

Good Point range: 80–89

Written concisely… May contain one to two grammatical or spelling errors… Adheres to current APA manual writing rules and style.

4.74 to >4.14 pts

Fair Point range: 70–79

Written somewhat concisely… May contain more than two spelling or grammatical errors… Contains some APA formatting errors.

4.14 to >0 pts

Poor Point range: 0–69

Not written clearly or concisely… Contains more than two spelling or grammatical errors… Does not adhere to current APA manual writing rules and style.
6 pts
This criterion is linked to a Learning OutcomeMain Posting:

Timely and full participation
10 to >8.9 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts main discussion by due date.

8.9 to >7.9 pts

Good Point range: 80–89

Posts main discussion by due date… Meets requirements for full participation.

7.9 to >6.9 pts

Fair Point range: 70–79

Posts main discussion by due date.

6.9 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post main discussion by due date.

10 pts
This criterion is linked to a Learning OutcomeFirst Response:

Post to colleague’s main post that is reflective and justified with credible sources.

9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.

9 pts
This criterion is linked to a Learning OutcomeFirst Response:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.

6 pts

This criterion is linked to a Learning OutcomeFirst Response:

Timely and full participation
5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

Good Point range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post by due date.

5 pts
This criterion is linked to a Learning OutcomeSecond Response:

Post to colleague’s main post that is reflective and justified with credible sources.
9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.
9 pts
This criterion is linked to a Learning OutcomeSecond Response:

Writing

6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.
6 pts

This criterion is linked to a Learning OutcomeSecond Response:

Timely and full participation
5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

Good Point range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post by due date.

5 pts

Total Points: 100

NRNP 6552 WEEK 8 CASE STUDY DISCUSSION: COMMON HEALTH CONDITIONS WITH IMPLICATIONS FOR WOMEN

Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, and diagnostic approaches, as well as to the development of treatment plans.

For this Case Study Discussion, you will propose a differential diagnosis with a minimum of 3 possible conditions or diseases. You will prioritize these diagnoses and explain which you would recommend.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Schuiling, K. D., & Likis, F. E. (2022). Gynecologic health care (4th ed.). Jones and Bartlett Learning.

Chapter 17, “Breast Conditions” (pp. 337-349)

Chapter 32, “Anatomy and Physiologic Adaptations of Normal Pregnancy” (pp. 677–673)

Chapter 19, “Pregnancy Diagnosis, Decision-Making support, and Resolution” (pp. 367-379

GENERAL GUIDELINES FOR HEALTH SCREENINGS

American Academy of Family Practice (AAFP). (2020). Browse AAFP clinical recommendationsLinks to an external site.. https://www.aafp.org/home.html

American Cancer Society, Inc. (ACS). (2020). Cancer A-ZLinks to an external site.. https://www.cancer.org/

Note: As you review this resource, select the “Cancer A-Z” topic in the navigation to review information and Resources about for Cancer: Breast, Colon, Lung, Prostate, Skin.

American College of Obstetricians and Gynecologists (ACOG). (2020). Clinical topicsLinks to an external site.. https://www.acog.org/

Note: As you review this source, make sure to navigate to the “Topics” section in the navigation to review the clinical topics.

HealthyPeople 2030. (2020). Healthy People 2030 FrameworkLinks to an external site.. https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework

U.S. Preventive Services Task Force (USPTFS). (2017, September). Search and Filter All Recommendation TopicsLinks to an external site.. https://www.uspreventiveservicestaskforce.org/uspstf/topic_search_results?topic_status=P&searchterm=

FNP RESOURCES

Centers for Disease Control and Prevention. (CDC). (n.d.). Disease & conditionsLinks to an external site.. https://www.cdc.gov/DiseasesConditions/

The American Association of Nurse Practitioners (AANP). (2020). AANP practice: Clinical Resources, Business, acumen and opportunities for professional recognitionLinks to an external site.. https://www.aanp.org/practice

GERIATRIC RESOURCES

Nicholas, J. A., & Hall, W. J. (2011). Screening and preventive services for older adultsLinks to an external site.. The Mount Sinai Journal of Medicine, New York, 78(4), 498–508. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1002/msj.20275

Document: Focused SOAP Note Template Download Focused SOAP Note Template(Word document)

Document: General Guidelines for Health Screenings Matrix Template Download General Guidelines for Health Screenings Matrix Template(Word document)

Required Media

Common Health Conditions

Dr. Anne Salomone reviews and discusses the topics found in Weeks 7 & 8 (40 mins).

Optional Resources

Note: In Weeks 1-10, these resources are optional for your review. In Week 11, you will be required to review each of the PowerPoint slides from the text Gynecologic Health Care (4th ed.).

Chapter 17, “Breast Conditions Download Breast Conditions”

Chapter 32, “Anatomy and Physiologic Adaptations of Normal Pregnancy Download Anatomy and Physiologic Adaptations of Normal Pregnancy”

Chapter 19, “Pregnancy Diagnosis, Decision-Making support, and Resolution Download Pregnancy Diagnosis, Decision-Making support, and Resolution”

To prepare:

By Day 1 of this week, you will be assigned to a specific scenario for this Discussion. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.

Review the Learning Resources for this week as well as Weeks 5 and 6 and specifically review the clinical guideline resources specific to your assigned case study.

Use the Focused SOAP Note Template found in the Learning Resources to support Discussion. Based on the case study scenario provided, complete a SOAP note and critically analyze this and focus your attention on the diagnostic tests.

BY DAY 3

Based on your assigned case study, post a Focused SOAP NOTE with the following:

Differential diagnosis (dx) with a minimum of 3 possible conditions or diseases.

Define what you believe is the most important diagnosis. Be sure to include the first priority in conducting your assessment.

Explain which diagnostic tests and treatment options you would recommend for your patient and explain your reasoning.

Your differential diagnosis, what you believe the most important diagnosis is and why, additional diagnostic tests and treatments and rationales are what this assignment and grading is focused on. Your critical thinking for this assignment

Read a selection of your colleagues’ responses.

BY DAY 6

Respond to at least two of your colleagues’ posts on two different days and explain how you might think differently about the types of tests or treatment options your colleagues suggested and why. Use your learning resources and/or evidence from the literature to support your position.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!

NRNP_6552_Week8_Case_Study_Discussion_Rubric

NRNP_6552_Week8_Case_Study_Discussion_Rubric

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeMain Posting:

Response to the case study discussion questions includes appropriate diagnoses with explanations of appropriate diagnostic tests and treatment options as directed, is based on evidence-based research where appropriate, and is incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources.
44 to >39.16 pts

Excellent Point range: 90–100

Thoroughly responds to the discussion question(s)… Post includes appropriate diagnoses including explanations of appropriate diagnostic tests and treatment options… Incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources, with no less than 75% of post the post having exceptional depth and breadth… Supported by at least 3 current credible sources.

39.16 to >34.76 pts

Good Point range: 80–89

Responds to most of the discussion question(s).. Post includes appropriate diagnoses with explanations of appropriate diagnostic tests and treatment options… Somewhat incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources with no less than 50% of the post having exceptional depth and breadth… Supported by at least 3 credible references.

34.76 to >30.36 pts

Fair Point range: 70–79

Responds to some of the discussion question(s)… Post contains incomplete or vague diagnoses or explanations of appropriate diagnostic tests and treatment options… Is somewhat lacking in synthesis of knowledge gained from the course readings for the module and current credible sources… Post is cited with fewer than 2 credible references.

30.36 to >0 pts

Poor Point range: 0–69

Does not respond to the discussion question(s)… Post contains incomplete diagnoses or explanations of appropriate diagnostic tests and treatment options, or diagnoses and/or explanations are missing… Lacks synthesis gained from the course readings for the module and current credible sources… Contains only 1 or no credible references.

44 pts

This criterion is linked to a Learning OutcomeMain Posting:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Written clearly and concisely… Contains no grammatical or spelling errors… Further adheres to current APA manual writing rules and style.

5.34 to >4.74 pts

Good Point range: 80–89

Written concisely… May contain one to two grammatical or spelling errors… Adheres to current APA manual writing rules and style.

4.74 to >4.14 pts

Fair Point range: 70–79

Written somewhat concisely… May contain more than two spelling or grammatical errors… Contains some APA formatting errors.

4.14 to >0 pts

Poor Point range: 0–69

Not written clearly or concisely… Contains more than two spelling or grammatical errors… Does not adhere to current APA manual writing rules and style.

6 pts
This criterion is linked to a Learning OutcomeMain Posting:

Timely and full participation
10 to >8.9 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts main discussion by due date.

8.9 to >7.9 pts

Good Point range: 80–89

Posts main discussion by due date… Meets requirements for full participation.

7.9 to >6.9 pts

Fair Point range: 70–79

Posts main discussion by due date.

6.9 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post main discussion by due date.

10 pts
This criterion is linked to a Learning OutcomeFirst Response:

Post to colleague’s main post that is reflective and justified with credible sources.

9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.

9 pts
This criterion is linked to a Learning OutcomeFirst Response:

Writing

6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.

6 pts

This criterion is linked to a Learning OutcomeFirst Response:

Timely and full participation

5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

Good Point range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post by due date.

5 pts

This criterion is linked to a Learning OutcomeSecond Response:

Post to colleague’s main post that is reflective and justified with credible sources.

9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.
9 pts
This criterion is linked to a Learning OutcomeSecond Response:

Writing

6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.
6 pts
This criterion is linked to a Learning OutcomeSecond Response:

Timely and full participation
5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

GoodPoint range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post by due date.
5 pts

Total Points: 100

NRNP 6552 WEEK 9 CASE STUDY DISCUSSION: WORKING THROUGH ETHICAL DILEMMAS AND OTHER ISSUES IN ADVANCED NURSING PRACTICE

The Discussion for this week is to provide you an opportunity to discuss with your colleagues the case studies presented in the interactive media program. These case studies involve ethical dilemmas or other issues encountered in advanced nursing practice.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Schuiling, K. D., & Likis, F. E. (2022). Gynecologic health care (4th ed.). Jones and Bartlett Learning.

Chapter 3,” Women’s Growth and Development Across the Life Spans) pp. 39–49)

Chapter 13, “Contraception” (pp. 236–266)

Morreim, H., Antiel, R. M., Zacharias, D. G., & Hall, D. E. (2014). Should age be a basis for rationing health care?Links to an external site. The Virtual Mentor: VM, 16(5), 339–347. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1001/virtualmentor.2014.16.05.ecas2-1405

World Health Organization. (2020). Ageing and life courseLinks to an external site.. https://www.who.int/ageing/en/

ADULT GERONTOLOGY RESOURCES

Harrison, B. J., Hilton, T. N., Rivière, R. N., Ferraro, Z. M., Deonandan, R., & Walker, M. C. (2017). Advanced maternal age: Ethical and medical considerations for assisted reproductive technologyLinks to an external site.. International Journal of Women’s Health, 9, 561–570.

CLINICAL GUIDELINE RESOURCES

As you review the following resources, you may want to include a topic in the search area to gather detailed information (e.g., breast cancer screening guidelines; CDC – for zika in pregnancy, etc.).

American College of Obstetricians and Gynecologists (ACOG).Links to an external site. (2020). https://www.acog.org/

American Cancer Society, Inc. (ACS). (2020). Information and Resources about Cancer: Breast, Colon, Lung, Prostate, Skin.Links to an external site. https://www.cancer.org/

American Nurses Association (ANA). (n.d.). Lead the profession to share the future of nursing and health careLinks to an external site.. https://www.nursingworld.org/

Centers for Disease Control and Prevention. (CDC). (n.d.). CDC in actionLinks to an external site.. https://www.cdc.gov/

HealthyPeople 2030. (2020). Healthy People 2030 FrameworkLinks to an external site.. https://www.healthypeople.gov/2020/About-Healthy-People/Development-Healthy-People-2030/Framework

The American Association of Nurse Practitioners (AANP). (2020). What’s Happening at your associationLinks to an external site.. https://www.aanp.org/

Required Media

Unfolding Case Study 1 – Issues in Advanced Nursing PracticeLinks to an external site.

In this interactive media program, you will be presented with various case studies with a variety of decision paths to take as an Advanced Nurse Practitioner.

Unfolding Case Study 2 – Ethical Dilemmas in Advance Nursing PracticeLinks to an external site.

In this interactive media program, you will be presented with various case studies with a variety of decision paths to take as an Advanced Nurse Practitioner.

Optional Resources

Note: In Weeks 1-10, these resources are optional for your review. In Week 11, you will be required to review each of the PowerPoint slides from the text Gynecologic Health Care (4th ed.).

Chapter 3, “Women’s Growth and Development Across the Life Spans” Download “Women’s Growth and Development Across the Life Spans”

Chapter 13, “Contraception” Download “Contraception”

BY DAY 3

To prepare:

Review the interactive case studies in this week’s Learning Resources. Select one of the cases to prepare your discussion post. Your post should address the following:

Summary of your chosen case study

What is your differential diagnosis?

Why did you make this diagnosis decision?

What is your treatment plan?

What evidence-based research can you provide to support your decision (choice for differential diagnosis and plan/intervention)?

What resources did you use to meet your best practice guidelines?

Address the ethical dilemmas and/or other issues for your case study:

Ethical issues

Psychological issues

Physical issues

Financial issues

BY DAY 6

Respond to at least two of your colleagues’ posts (from a different group) on two different days and provide additional insight that might be useful and appropriate for the issue addressed. Use your learning resources and/or evidence from the literature to support your position.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the Reply button to complete your initial post. Remember, once you click on Post Reply, you cannot delete or edit your own posts and you cannot post anonymously. Please check your post carefully before clicking on Post Reply!

NRNP_6552_Week9_Case_Study_Discussion_Rubric

NRNP_6552_Week9_Case_Study_Discussion_Rubric

Criteria Ratings Pts
This criterion is linked to a Learning OutcomeMain Posting:

Response to the case study discussion questions includes appropriate diagnoses with explanations of appropriate diagnostic tests and treatment options as directed, is based on evidence-based research where appropriate, and is incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources.

44 to >39.16 pts

Excellent Point range: 90–100

Thoroughly responds to the discussion question(s)… Post includes appropriate diagnoses including explanations of appropriate diagnostic tests and treatment options… Incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources, with no less than 75% of post the post having exceptional depth and breadth… Supported by at least 3 current credible sources.

39.16 to >34.76 pts

Good Point range: 80–89

Responds to most of the discussion question(s).. Post includes appropriate diagnoses with explanations of appropriate diagnostic tests and treatment options… Somewhat incorporates syntheses representative of knowledge gained from the course readings for the module and current credible sources with no less than 50% of the post having exceptional depth and breadth… Supported by at least 3 credible references.

34.76 to >30.36 pts

Fair Point range: 70–79

Responds to some of the discussion question(s)… Post contains incomplete or vague diagnoses or explanations of appropriate diagnostic tests and treatment options… Is somewhat lacking in synthesis of knowledge gained from the course readings for the module and current credible sources… Post is cited with fewer than 2 credible references.

30.36 to >0 pts

Poor Point range: 0–69

Does not respond to the discussion question(s)… Post contains incomplete diagnoses or explanations of appropriate diagnostic tests and treatment options, or diagnoses and/or explanations are missing… Lacks synthesis gained from the course readings for the module and current credible sources… Contains only 1 or no credible references.
44 pts

This criterion is linked to a Learning OutcomeMain Posting:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Written clearly and concisely… Contains no grammatical or spelling errors… Further adheres to current APA manual writing rules and style.

5.34 to >4.74 pts

Good Point range: 80–89

Written concisely… May contain one to two grammatical or spelling errors… Adheres to current APA manual writing rules and style.

4.74 to >4.14 pts

Fair Point range: 70–79

Written somewhat concisely… May contain more than two spelling or grammatical errors… Contains some APA formatting errors.

4.14 to >0 pts

Poor Point range: 0–69

Not written clearly or concisely… Contains more than two spelling or grammatical errors… Does not adhere to current APA manual writing rules and style.
6 pts
This criterion is linked to a Learning OutcomeMain Posting:

Timely and full participation
10 to >8.9 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts main discussion by due date.

8.9 to >7.9 pts

Good Point range: 80–89

Posts main discussion by due date… Meets requirements for full participation.

7.9 to >6.9 pts

Fair Point range: 70–79

Posts main discussion by due date.

6.9 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post main discussion by due date.
10 pts
This criterion is linked to a Learning OutcomeFirst Response:

Post to colleague’s main post that is reflective and justified with credible sources.

9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.
9 pts
This criterion is linked to a Learning OutcomeFirst Response:

Writing
6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.
6 pts
This criterion is linked to a Learning OutcomeFirst Response:

Timely and full participation

5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

Good Point range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post by due date.

5 pts

This criterion is linked to a Learning OutcomeSecond Response:

Post to colleague’s main post that is reflective and justified with credible sources.

9 to >8.01 pts

Excellent Point range: 90–100

Response exhibits critical thinking and application to practice settings… Responds to questions posed by faculty… The use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives.

8.01 to >7.11 pts

Good Point range: 80–89

Response has some depth and may exhibit critical thinking or application to practice setting.

7.11 to >6.21 pts

Fair Point range: 70–79

Response is on topic, may have some depth.

6.21 to >0 pts

Poor Point range: 0–69

Response may not be on topic, lacks depth.
9 pts

This criterion is linked to a Learning OutcomeSecond Response:

Writing

6 to >5.34 pts

Excellent Point range: 90–100

Communication is professional and respectful to colleagues… Response to faculty questions are fully answered, if posed… Provides clear, concise opinions and ideas that are supported by two or more credible sources… Response is effectively written in Standard, Edited English.

5.34 to >4.74 pts

Good Point range: 80–89

Communication is mostly professional and respectful to colleagues… Response to faculty questions are mostly answered, if posed… Provides opinions and ideas that are supported by few credible sources… Response is written in Standard, Edited English.

4.74 to >4.14 pts

Fair Point range: 70–79

Response posed in the discussion may lack effective professional communication… Response to faculty questions are somewhat answered, if posed… Few or no credible sources are cited.

4.14 to >0 pts

Poor Point range: 0–69

Responses posted in the discussion lack effective communication… Response to faculty questions are missing… No credible sources are cited.
6 pts
This criterion is linked to a Learning OutcomeSecond Response:

Timely and full participation
5 to >4.45 pts

Excellent Point range: 90–100

Meets requirements for timely, full, and active participation… Posts by due date.

4.45 to >3.95 pts

Good Point range: 80–89

Meets requirements for full participation… Posts by due date.

3.95 to >3.45 pts

Fair Point range: 70–79

Posts by due date.

3.45 to >0 pts

Poor Point range: 0–69

Does not meet requirements for full participation… Does not post by due date.
5 pts

Total Points: 10