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PRAC 6531: Primary Care of Adults Across the Lifespan Practicum

PRAC 6531: Primary Care of Adults Across the Lifespan Practicum PRAC 6531: Primary Care of Adults Across the Lifespan PracticumWeek 1: Competencies of Advanced Nursing PracticeWelcome to your Primary Care of Adults Across the Lifespan Practicum! The practicum experience is an experiential learning opportunity which allows you to gain and refine your clinical nursing skills under the mentorship of a Preceptor. As you engage with patients in the practicum setting, your involvement will extend your learning about a variety of primary healthcare needs and problems of the adult across the lifespan.Throughout the next 11 weeks, you will evaluate your skill development, reflect on patient encounters, and generate goals related to your growth as an advanced practice nurse. This week, you start by assessing your strengths and opportunities related to Family Nurse Practitioner (FNP) or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) clinical skills and procedures.Learning ObjectivesStudents will:Complete Practicum site formAssess clinical skills and procedures related to advanced nursing practiceAssess strengths and opportunities for improvement of clinical skillsDevelop measurable goals and objectives for the practicum experienceDescribe clinical hours and patient encountersPRAC 6531: Primary Care of Adults Across the Lifespan PracticumLearning ResourcesRequired Readings (click to expand/reduce)Advanced Nursing Practice Competencies and GuidelinesAmerican Association of Colleges of Nursing. (2010). Adult-Gerontology primary care nurse practitioner competencies. https://cdn.ymaws.com/www.nonpf.org/resource/resmgr/competencies/adult-geropccomps2010.pdf?hhSearchTerms=Adult-GeroPCComps2010+and+pdfNational Association of Clinical Nurse Specialists (NACNS). (2018). Family across the lifespan: The viability of taking pediatric and adult-gerontology certification examinations to attain CNS population certification in family across the lifespan. http://www.nacns.org/wp-content/uploads/2018/04/Report-FINAL-4-3-18.pdfORDER A PLAGIARISM-FREE PAPER HEREThe National Organization of Nurse Practitioner Faculties (NONPF) (n.d.). National Organization of Nurse Practitioner Faculties. https://www.nonpf.org/PRAC 6531: Primary Care of Adults Across the Lifespan PracticumThe National Organization of Nurse Practitioner Faculties. (2012). Nurse practitioner core competencies. https://www.pncb.org/sites/default/files/2017-02/NONPF_Core_Competencies.pdfPracticum ResourcesDocument: Practicum Site Information Form (Word document)Document: FNP Clinical Skills List and Resource Review (Word document)Document: FNP Procedures List and Resource Review (Word document)Document: FNP Clinical Skills and Procedures Self-Assessment Form (Word document)Document: AGPCNP Clinical Skills List and Resource Review (Word document)Document: AGPCNP Procedure List and Resource Review (Word document)Document: AGPCNP Clinical Skills and Procedures Self-Assessment Form (Word document)HSoft Corporation. (2019). Meditrek: Home. https://edu.meditrek.com/Default.htmlNote: Use this website to log into Meditrek to report your clinical hours and patient encounters.Walden University Field Experience. (2019a). Field experience: College of Nursing. https://academicguides.waldenu.edu/fieldexperience/son/homeWalden University Field Experience. (2019b). Student practicum resources: NP student orientation. https://academicguides.waldenu.edu/StudentPracticum/NP_StudentOrientationWalden University. (2019). MSN nurse practitioner practicum manual. https://academicguides.waldenu.edu/fieldexperience/son/formsanddocumentsAssignment 1: Practicum Site InformationPhoto Credit: EscoLux / E+ / Getty ImagesPrior to starting the course, you should have applied for a practicum site following the guidelines for AGACNP practice. Now it is time to make it official. For this Assignment, you provide your Clinical Faculty with information about your practicum site, your preceptor, and your clinical calendar.To prepare:Verify that your practicum application has been approved by logging in to Meditrek.Access the Practicum Site Information Form from the Learning Resources.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumAssignmentComplete the designated areas of the Practicum Site Information Form, including your practicum site and contact information, your preceptor and contact information, and a schedule of when you plan to engage in practicum activities onsite.By Day 2Submit your completed Practicum Site Information Form.Submit Your Assignment by Day 2To participate in this Assignment:Week 1 Assignment 1Assignment 2: Clinical Skills and Procedures Self-AssessmentPhoto Credit: AndreyPopov / iStock / Getty Images Plus / Getty ImagesBefore embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumThe Family Nurse Practitioner (FNP) Procedures List and Resource Review and FNP Clinical Skills and Procedures Self-Assessment Form or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) Clinical Skills Resource List and AGPCNP Clinical Skills and Procedures Self-Assessment Form provided in the Learning Resources can be used to celebrate your progress throughout your practicum and identify skills gaps. The lists cover all necessary skills you should demonstrate during your practicum course.For this Assignment, you assess where you are now in your clinical skill development and make plans for your practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills and procedures.In this practicum experience, when developing your goals and objectives, be sure to keep adult health guidelines and best practices in mind.To prepare:Review the resources and clinical skills in the Family Nurse Practitioner (FNP) Procedures List and Resource Review and FNP Clinical Skills and Procedures Self-Assessment Form or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) Clinical Skills Resource List and AGPCNP Clinical Skills and Procedures Self-Assessment Form specific to your selected NP track. It is recommended that you print out these documents to serve as guides throughout your practicum.Download the Clinical Skills and Procedures Self-Assessment Form that applies to your NP track to complete this Assignment.AssignmentUsing the Clinical Skills and Procedures Self-Assessment Form specific to your NP track (i.e., FNP or AGPCNP):Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.Based on your ratings, summarize your strengths and opportunities for improvement.Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form. PRAC 6531: Primary Care of Adults Across the Lifespan PracticumBy Day 7Submit your completed FNP or AGPCNP Clinical Skills and Procedures Self-Assessment Form.Submission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK1Assgn2+last name+first initial.(extension)” as the name.Click the Week 1 Assignment 2 Rubric to review the Grading Criteria for the Assignment.Click the Week 1 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn2+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission.Grading CriteriaTo access your rubric:Week 1 Assignment 2 RubricCheck Your Assignment Draft for AuthenticityTo check your Assignment draft for authenticity:Submit your Week 1 Assignment draft and review the originality report.Submit Your Assignment by Day 7To participate in this Assignment:Week 1 Assignment 2PRAC 6531: Primary Care of Adults Across the Lifespan PracticumAssignment 3: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 100 patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)PRAC 6531: Primary Care of Adults Across the Lifespan PracticumTreatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.Week 2: Evaluation and Management of Integumentary ConditionsWhen setting sharp, clearly defined goals and objectives, you focus on what you wish to accomplish and how and when you will get there. Based on your assessment of your strengths and opportunities related to Family Nurse Practitioner (FNP) or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) clinical skills and procedures. you can develop goals and objectives for your clinical practicum that can guide your activities. What are some steps you can take on the way to a larger goal? How might you gain confidence in a clinical skill or seek out more opportunities to practice? What external activities might boost your professionalism or enhance your skill set? As you settle in at your practicum site, keep these questions in mind.This week, you continue engaging with patients at your practicum site, recording your time and experiences in your Clinical Hour and Patient Logs. Finally, through this week’s reading selections, you can deepen your understanding of integumentary conditions.Learning ObjectivesStudents will:Describe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Reminder: Orientation Call/E-MailPhoto Credit: Ellagrin / iStock / Getty Images Plus / Getty ImagesThis week, you must coordinate a conference call or email with your Clinical Faculty and preceptor. The purpose of this communication is for orientation and onboarding, goals discussion, and questions.By Day 7Complete your orientation email.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumAssignment: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 100 patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)PRAC 6531: Primary Care of Adults Across the Lifespan PracticumTreatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.Week 3: Evaluation and Management of Head, Eyes, Ears, Nose, and Throat ConditionsAs you reflect on the experiences you have had in your practicum journey so far, you have likely recognized the critical importance of communication skills. Whether speaking with other health professionals or educating patients and families, expressing your thoughts in a clear and concise manner can instill confidence and promote optimal outcomes. Written communication requires the same clarity and conciseness. No doubt you have seen extensive written documentation in the clinical setting and how it is relied on to inform and support diagnostic and treatment plans.This week, you will continue to engage with Meditrek, recording your clinical hours and patient encounters. You will also learn about evaluation and management of HEENT conditions in the reading selections, as well as conduct a patient evaluation of a patient from your practicum experience who has a HEENT condition. Based on diagnostic and treatment options you identify for the patient, you will identify a primary diagnosis, as well as a treatment and management plan.Learning ObjectivesStudents will:Describe clinical hours and patient encountersFormulate diagnoses for adult patientsJustify adult patient treatment optionsAdvocate health promotion and patient education strategies across the adult lifespanSynthesize the assessment and diagnosis of health conditions for a clinical patientPRAC 6531: Primary Care of Adults Across the Lifespan PracticumLearning ResourcesRequired Readings (click to expand/reduce)Required Media (click to expand/reduce)Assignment 1: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumEach log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 100 patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)PRAC 6531: Primary Care of Adults Across the Lifespan PracticumTreatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.Assignment 2: Episodic Visit: HEENT Focused NotePhoto Credit: PexelsFocused Notes are a way to reflect on your practicum experiences and connect the experiences to the learning you gain from your weekly learning resources. Focused Notes, such as the ones required in this practicum course, are often used in clinical settings to document patient care.For this Assignment, you will work with a patient with a HEENT condition that you examined during the last three weeks, and complete an Episodic/Focus Note Template Form where you will gather patient information and relevant diagnostic and treatment information and reflect on health promotion and disease prevention in light of patient factors such as age, ethnic group, past medical history (PMH), socioeconomic status, and cultural background. In this week’s Learning Resources, please refer to the Focused SOAP Note resources for guidance on writing Focused Notes.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumNote: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using SAFE ASSIGN.Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.To prepare:Use the Episodic/Focus Note Template found in the Learning Resources for this week to complete this assignment.Select a patient that you examined during the last three weeks that suffered from any HEENT condition. With this patient in mind, address the following in a Focused Note:Assignment:Subjective: What details did the patient provide regarding her personal and medical history?Objective: What observations did you make during the physical assessment?Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan.Reflection notes: What would you do differently in a similar patient evaluation?PRAC 6531: Primary Care of Adults Across the Lifespan PracticumNote: Your Focused Note Assignment must be signed by Day 7 of Week 3.By Day 7Submit your Episodic/Focused Note Assignment.(Note: You will submit two files, your Focused Note Assignment, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 3.)Submission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK3Assgn2+last name+first initial.(extension)” as the name.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumClick the Week 3 Assignment 2 Rubric to review the Grading Criteria for the Assignment.Click the Week 3 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK3Assgn2+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission. Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: PRAC_6531_Week3_Assignment2_RubricPRAC 6531: Primary Care of Adults Across the Lifespan PracticumGrid ViewList ViewExcellentGoodFairPoorOrganization of Write-upPoints Range: 27 (27%) – 30 (30%)All information organized in logical sequence; follows acceptable formatPoints Range: 24 (24%) – 26 (26%)Information generally organized in logical sequence; follows acceptable formatPoints Range: 21 (21%) – 23 (23%)Errors in format; information intermittently organizedPoints Range: 0 (0%) – 20 (20%)Errors in format; information disorganizedThoroughness of HistoryPoints Range: 18 (18%) – 20 (20%)PRAC 6531: Primary Care of Adults Across the Lifespan PracticumThoroughly documents all pertinent history components for type of note; includes critical as well as supportive informationPoints Range: 16 (16%) – 17 (17%)Documents most pertinent history components; includes critical informationPoints Range: 14 (14%) – 15 (15%)Fails to document most pertinent history components; Lacks some critical information or rambling in historyPoints Range: 0 (0%) – 13 (13%)Minimal history; critical information missingThoroughness of Physical ExamPoints Range: 9 (9%) – 10 (10%)Thoroughly documents all pertinent examination components for type of notePoints Range: 8 (8%) – 8 (8%)Documents most pertinent examination componentsPoints Range: 7 (7%) – 7 (7%)Documents some pertinent examination componentsPoints Range: 0 (0%) – 6 (6%)Physical examination cursory; misses several pertinent componentsDiagnostic ReasoningPoints Range: 9 (9%) – 10 (10%)Assessment consistent with prior documentation. Clear justification for diagnosis. Notes all secondary problems. Cost effective when ordering diagnostic testsPoints Range: 8 (8%) – 8 (8%)Assessment consistent with prior documentation. Clear justification for diagnosis. Notes most secondary problems.Points Range: 7 (7%) – 7 (7%)PRAC 6531: Primary Care of Adults Across the Lifespan PracticumAssessment mostly consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic testsPoints Range: 0 (0%) – 6 (6%)Assessment not consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic testsTreatmentPlan/PatientEducationPoints Range: 9 (9%) – 10 (10%)Treatment plan and patient education addresses all issues raised by diagnoses, excellent insight into patient’s needs. Evidence based decisions. Cost effective treatment. Reflection is thoughtful and in depth.Points Range: 8 (8%) – 8 (8%)Treatment plan and patient education addresses most issues raised by diagnoses. Reflection is thoughtful and in depth.Points Range: 7 (7%) – 7 (7%)Treatment plan and patient education fail to address most issues raised by diagnoses.Reflection is brief, vague. and does not discuss anything that would have been done in addition to or differently.Points Range: 0 (0%) – 6 (6%)Minimal treatment plan and/or patient education addressedReflection is absent.Written Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuation.Points Range: 9 (9%) – 10 (10%)Uses correct grammar, spelling, and punctuation with no errors.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPoints Range: 8 (8%) – 8 (8%)Contains a few (1-2) grammar, spelling, and punctuation errors.Points Range: 7 (7%) – 7 (7%)Contains several (3-4) grammar, spelling, and punctuation errors.Points Range: 0 (0%) – 6 (6%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Written Expression and FormattingThe assignment follows parenthetical/in-text citations, and at least 3 evidenced based references are listed.Points Range: 9 (9%) – 10 (10%)Contains parenthetical/in-text citations and at least 3 evidenced based references are listed.Points Range: 8 (8%) – 8 (8%)Contains parenthetical/in-text citations and at least 2 evidenced based references are listedPoints Range: 7 (7%) – 7 (7%)Contains parenthetical/in-text citations and at least 1 evidenced based reference is listedPoints Range: 0 (0%) – 6 (6%)Contains no parenthetical/in-text citations and 0 evidenced based references listed. Total Points: 100Name: PRAC_6531_Week3_Assignment2_RubricWeek 4: Evaluation and Management of Cardiovascular ConditionsMany of the factors that contribute to cardiovascular conditions are preventable or manageable. However, if left unmanaged, patients may suffer from serious complications. When evaluating patients, it is important to consider individual patient factors and behaviors that might increase patient risk of conditions such as hypertension. There are also other conditions that require advanced practice nurses to utilize appropriate and critical thinking to correctly diagnose cardiovascular or other vascular related conditions. For example, consider the following patient case study: Carlos Ferro was unknowingly suffering from a potentially life-threatening condition. He was diagnosed with exercise-induced asthma and was prescribed drugs to treat asthma exacerbations. However, when his symptoms did not improve, he made the decision to receive additional medical care. After three months of asthma treatments, Ferro discovered that he had been misdiagnosed. Ferro was actually experiencing symptoms of deep vein thrombosis in his leg and a pulmonary embolism in each lung (National Blood Clot Alliance, n.d.). Fortunately, Ferro’s misdiagnosis was identified and corrected with the appropriate treatments. However, blood clots are often misdiagnosed or unrecognized until severe medical complications arise. For this reason, as the advanced practice nurse caring for patients, it is critical that you immediately identify signs and symptoms of blood clots and other cardiovascular conditions.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumThis week, the reading selections in the Learning Resources will support your knowledge of the evaluation and management of cardiovascular conditions. If you encountered a patient at your practicum site with a cardiovascular condition, consider what patient factors and behaviors you think might impact the condition. Also, consider steps you might take to mitigate the risk of misdiagnosing a cardiovascular condition. As you progress in your clinical practicum, you continue to use Meditrek to record your time and patient encounters, thoughtfully considering the skills you are gaining.Learning ObjectiveStudents will:Describe clinical hours and patient encountersPRAC 6531: Primary Care of Adults Across the Lifespan PracticumLearning ResourcesRequired Readings (click to expand/reduce)Assignment: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed. PRAC 6531: Primary Care of Adults Across the Lifespan PracticumYour clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 100 patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)Treatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumWeek 5: Evaluation and Management of Respiratory ConditionsRespiratory conditions can often be well managed when properly diagnosed and treated. As an advanced practice nurse, you must know when to treat, when to order diagnostics, and when to refer for specialized care. Consider a 33-year-old patient, Eileen Rubin. Rubin presented with difficulty breathing and lower back pain. Rather than ordering diagnostics such as blood tests, chest x-rays, or pulmonary function testing, the provider prescribed muscle relaxers for the pain. After her condition worsened, she sought care from another provider who immediately ordered a chest x-ray and blood work. Following the diagnostic testing, she was admitted to the intensive care unit and was diagnosed with sepsis and acute respiratory distress syndrome. She spent weeks in a drug-induced coma and suffered from a collapse of both lungs (Rubin, 2012, pp. 34–36). As this case outlines, you must carefully diagnose and treat patients, as failure to order the proper diagnostic tests could result in the loss of a patient’s life.This week, the reading in the Learning Resources will support your knowledge of the evaluation and management of respiratory conditions. If you encounter a patient with a respiratory condition in a clinical setting, what steps might you take to ensure your careful diagnosis and treatment of such a condition? Also this week, as you approach the halfway point of your practicum, your Preceptor will assess your clinical skills in a Midterm Evaluation.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumLearning ObjectiveStudents will:Describe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Assignment 1: Midterm Evaluation in MeditrekPhoto Credit: PixabayNow that you have been working at your practicum site for more than a month, it is time to test your skills. In preparation for your midterm evaluation, you may wish to review your FNP Procedures List and Resource Review or AGPCNP Clinical Skills Resource List, as well as revisit the goals and objectives you established in Weeks 1 and 2.For this Assignment, your Preceptor will assess your clinical skills in a midterm evaluation.To prepare:Check with your Preceptor to verify that they have received Meditrek credentials.Following your midterm evaluation, your Clinical Faculty and Preceptor will meet privately to discuss your results and feedback. Once you receive your feedback, compare your Preceptor’s evaluation with your self-evaluation to better understand your clinical performance.By Day 7Your evaluation should be completed by your Preceptor.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumAssignment 2: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek. PRAC 6531: Primary Care of Adults Across the Lifespan PracticumStudents with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 100 patients by the end of this practicum.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumThe patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)Treatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumWeek 6: Evaluation and Management of Gastrointestinal Conditions What do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Assignment 1: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7.Assignment 2: Episodic Visit: Gastrointestinal Focused NoteSubmit Assignment 2 Focused Note by Day 7.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPatients with gastrointestinal (GI) conditions face many daily challenges as they adhere to treatment and management plans. Consider Nicole Pozzi, a patient diagnosed with Crohn’s disease at the age of 21. Pozzi explains that the condition is highly unpredictable; that she can be feeling fine one day, and then suddenly cannot move, eat, or sleep due to the intense stomach pain. Her symptoms first occurred when she was a child, leading to a battery of testing, including colonoscopies and endoscopies. When first diagnosed, she expressed she felt very alone and overwhelmed and missed out on a normal social life because she didn’t want to be that girl that had to run from dinner at a party or on a date. Ultimately, her treatment plan included a laparoscopic bowel resection surgery as well as an aggressive immunosuppressant IV therapy every 8 weeks at a hospital that makes her tired, nauseous, and fatigued. Her treatment plan also included changes to her diet and reducing job stress by changing to a less stressful career (Today Original, 2019).PRAC 6531: Primary Care of Adults Across the Lifespan PracticumBecause the condition is typically a combination of genetics, environmental triggers, and immune system responses, it is critical for the advanced practice nurse to be especially thorough when identifying a differential diagnosis and treatment options that can carry their own risks and complications. They also need to provide their patients support and encouragement as they identify ways to manage the sometimes emotional effects of lifestyle changes (Today Original, 2019).  PRAC 6531: Primary Care of Adults Across the Lifespan PracticumThis week, you will continue to engage with Meditrek, recording your clinical hours and patient encounters. You will also learn about evaluation and management of gastrointestinal conditions in the reading selections, as well as conduct a patient evaluation of a patient from your practicum experience who has a gastrointestinal condition. Based on diagnostic and treatment options you identify for the patient, you will identify a primary diagnosis, as well as a treatment and management plan.Learning ObjectivesStudents will:Describe clinical hours and patient encountersFormulate diagnoses for adult patientsJustify adult patient treatment optionsAdvocate health promotion and patient education strategies across the adult lifespanSynthesize the assessment and diagnosis of health conditions for a clinical patientPRAC 6531: Primary Care of Adults Across the Lifespan PracticumLearning ResourcesRequired Readings (click to expand/reduce)Assignment 1: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned) PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPatient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 100 patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)Treatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumAssignment 2: Episodic Visit: Gastrointestinal Focused NotePhoto Credit: PexelsFor this Assignment, you will work with a patient with a gastrointestinal condition that you examined during the last three weeks. You will complete your second Episodic/Focused Note Template Form for this course where you will gather patient information, relevant diagnostic and treatment information, and reflect on health promotion and disease prevention in light of patient factors, such as age, ethnic group, PMH, socioeconomic, cultural background, etc. In this week’s Learning Resources, please review the Focused Note resources for guidance on writing Focused Notes.Note: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using SAFE ASSIGN.Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.To prepare:PRAC 6531: Primary Care of Adults Across the Lifespan PracticumUse the Episodic/Focused Note Template found in the Learning Resources for this week to complete this Assignment.Select a patient that you examined during the last three weeks based on any gastrointestinal conditions. With this patient in mind, address the following in a Focused Note:Assignment:Subjective: What details did the patient provide regarding her personal and medical history?Objective: What observations did you make during the physical assessment?Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.Reflection notes: What would you do differently in a similar patient evaluation?Note: Your Focused Note Assignment must be signed by Day 7 of Week 6.By Day 7Submit your Episodic/Focused Note Assignment. (Note: You will submit two files, your Focused Note Assignment, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 6.)PRAC 6531: Primary Care of Adults Across the Lifespan PracticumSubmission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK6Assgn2+last name+first initial.(extension)” as the name.Click the Week 6 Assignment 2 Rubric to review the Grading Criteria for the Assignment.Click the Week 6 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK6Assgn2+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.Click on the Submit button to complete your submission. Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: PRAC_6531_Week6_Assignment2_RubricPRAC 6531: Primary Care of Adults Across the Lifespan PracticumGrid ViewList ViewExcellentGoodFairPoorOrganization of Write-upPoints Range: 27 (27%) – 30 (30%)All information organized in logical sequence; follows acceptable formatPoints Range: 24 (24%) – 26 (26%)Information generally organized in logical sequence; follows acceptable formatPoints Range: 21 (21%) – 23 (23%)PRAC 6531: Primary Care of Adults Across the Lifespan PracticumErrors in format; information intermittently organizedPoints Range: 0 (0%) – 20 (20%)Errors in format; information disorganizedThoroughness of HistoryPoints Range: 18 (18%) – 20 (20%)Thoroughly documents all pertinent history components for type of note; includes critical as well as supportive informationPoints Range: 16 (16%) – 17 (17%)Documents most pertinent history components; includes critical informationPoints Range: 14 (14%) – 15 (15%)Fails to document most pertinent history components; Lacks some critical information or rambling in historyPoints Range: 0 (0%) – 13 (13%)Minimal history; critical information missingThoroughness of Physical ExamPoints Range: 9 (9%) – 10 (10%)Thoroughly documents all pertinent examination components for type of notePoints Range: 8 (8%) – 8 (8%)Documents most pertinent examination componentsPoints Range: 7 (7%) – 7 (7%)Documents some pertinent examination componentsPoints Range: 0 (0%) – 6 (6%)Physical examination cursory; misses several pertinent componentsDiagnostic ReasoningPoints Range: 9 (9%) – 10 (10%)PRAC 6531: Primary Care of Adults Across the Lifespan PracticumAssessment consistent with prior documentation. Clear justification for diagnosis. Notes all secondary problems. Cost effective when ordering diagnostic testsPoints Range: 8 (8%) – 8 (8%)Assessment consistent with prior documentation. Clear justification for diagnosis. Notes most secondary problems.Points Range: 7 (7%) – 7 (7%)Assessment mostly consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic testsPoints Range: 0 (0%) – 6 (6%)Assessment not consistent with prior documentation. Fails to clearly justify diagnosis or note secondary problems or orders inappropriate diagnostic testsTreatmentPlan/PatientEducationPoints Range: 9 (9%) – 10 (10%)Treatment plan and patient education addresses all issues raised by diagnoses, excellent insight into patient’s needs. Evidence based decisions. Cost effective treatment. Reflection is thoughtful and in depth.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPoints Range: 8 (8%) – 8 (8%)Treatment plan and patient education addresses most issues raised by diagnoses. Reflection is thoughtful and in depth.Points Range: 7 (7%) – 7 (7%)Treatment plan and patient education fail to address most issues raised by diagnoses.Reflection is brief, vague. and does not discuss anything that would have been done in addition to or differently.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPoints Range: 0 (0%) – 6 (6%)Minimal treatment plan and/or patient education addressedReflection is absent.Written Expression and FormattingEnglish writing standards: Correct grammar, mechanics, and proper punctuation.Points Range: 9 (9%) – 10 (10%)Uses correct grammar, spelling, and punctuation with no errors.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPoints Range: 8 (8%) – 8 (8%)Contains a few (1-2) grammar, spelling, and punctuation errors.Points Range: 7 (7%) – 7 (7%)Contains several (3-4) grammar, spelling, and punctuation errors.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPoints Range: 0 (0%) – 6 (6%)Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.Written Expression and FormattingThe assignment follows parenthetical/in-text citations, and at least 3 evidenced based references are listed.Points Range: 9 (9%) – 10 (10%)Contains parenthetical/in-text citations and at least 3 evidenced based references are listed.Points Range: 8 (8%) – 8 (8%)Contains parenthetical/in-text citations and at least 2 evidenced based references are listedPoints Range: 7 (7%) – 7 (7%)Contains parenthetical/in-text citations and at least 1 evidenced based reference is listedPoints Range: 0 (0%) – 6 (6%)Contains no parenthetical/in-text citations and 0 evidenced based references listed. Total Points: 100Name: PRAC_6531_Week6_Assignment2_RubricWeek 7: Evaluation and Management of Renal and Genitourinary Conditions What do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Assignment: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumGenitourinary conditions such as prostate cancer often create a feeling of powerlessness, frustration, anxiety, and embarrassment in patients. For many patients, making health-related decisions is difficult when the implications of their diagnoses are severe. Having provider-patient conversations about symptoms, potential treatment options, and patient education can be overwhelming for patients under such stress. However, as the advanced practice nurse, it is essential that you can facilitate the treatment and management process through these difficult conversations. Your role in the clinical setting is unique, as it is not only your responsibility to evaluate, diagnose, manage, and educate patients on their conditions, but also to provide emotional and psychological support to patients and their families.This week, you will continue to engage with Meditrek, recording your clinical hours and patient encounters. You will also learn about evaluation and management of renal and genitourinary conditions in the reading selections. As you think about the patients in your clinical setting who may have a renal or genitourinary condition, what strategies would you use to facilitate the treatment and management process while providing emotional and psychological support?PRAC 6531: Primary Care of Adults Across the Lifespan PracticumLearning ObjectiveStudents will:Describe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Assignment: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek. PRAC 6531: Primary Care of Adults Across the Lifespan PracticumStudents with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 100 patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)PRAC 6531: Primary Care of Adults Across the Lifespan PracticumTreatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.Week 8: Evaluation and Management of Endocrine, Metabolic, and Hematologic Conditions What do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Assignment: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7. Endocrine conditions, such as diabetes, often require extensive patient treatment and management. In the United States in 2018, over 34 million Americans had diabetes (American Diabetes Association, n.d.). Whenever treatment and management is involved, especially long-term treatment and management, patient education is critical. Through patient education and provider-patient collaboration, you can increase adherence to treatment and management plans, which is essential for patients with endocrine conditions, such as diabetes. Depending on the type of diabetes, some people can manage it with diet and exercise, or with oral medications, while others may also need to use insulin. It is not uncommon for medication treatments to change over time. It is important to work with patients to establish a regular pattern for daily activities, such as eating and taking medications. When developing care plans for patients, you must keep the projected outcomes of treatment in mind, as well as patient preferences and other factors that might impact adherence to treatment and management plans. PRAC 6531: Primary Care of Adults Across the Lifespan PracticumThis week, you will continue to engage with Meditrek, recording your clinical hours and patient encounters. You are continuing to strengthen your communication, diagnostic, procedural, and treatment planning skills at your practicum site. Also this week, you will learn about evaluation and management of hematologic conditions through your reading selections.Learning ObjectiveStudents will:Describe clinical hours and patient encountersLearning ResourcesRequired Readings (click to expand/reduce)Assignment: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek. PRAC 6531: Primary Care of Adults Across the Lifespan PracticumStudents with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 100 patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)Treatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumWeek 9: Evaluation and Management of Musculoskeletal Conditions What do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Assignment 1: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek by Day 7.Assignment 2: Episodic Visit: Musculoskeletal Focused NoteSubmit Assignment 2 Episodic/Focused Note by Day 7. In clinical settings, patients often present with musculoskeletal conditions such as chronic back pain. Drugs are typically prescribed to help manage this type of pain for patients. There are many different pain medicines, and each one has benefits and risks. To add to the complexity, each patient may also have a slightly different response to a pain reliever. When over-the-counter medications do not address a patient’s pain, more powerful prescription pain relievers, such as opioids, can be effective but also sometimes have serious side effects. There is also a risk of addiction. More than 70,000 people died in 2017 from drug overdoses, and almost 68% involved a prescription or illicit opioid. Drug overdose deaths continue to increase in the United States (Centers for Disease Control and Prevention, n.d.). PRAC 6531: Primary Care of Adults Across the Lifespan PracticumFor the advanced practice nurse, these statistics highlight the need to effectively screen for, diagnose, and manage opioid use. It is essential to carefully observe and watch for signs of drug abuse during patient evaluations. Because not all musculoskeletal conditions require narcotics, a thorough patient evaluation will help to ensure the development of an appropriate treatment plan with patient safety in mind.This week, you will continue to engage with Meditrek, recording your clinical hours and patient encounters. You will also learn about evaluation and management of musculoskeletal conditions in the reading selections as well as conduct a patient evaluation of a patient from your practicum experience who has a musculoskeletal condition. Based on diagnostic and treatment options you identify for the patient, you will identify a primary diagnosis, as well as a treatment and management plan.ReferenceCenters for Disease Control and Prevention (n.d.). CDC’s response to the opioid overdose epidemic.https://www.cdc.gov/opioids/Learning ObjectivesStudents will:Describe clinical hours and patient encountersFormulate diagnoses for adult patientsJustify adult patient treatment optionsAdvocate health promotion and patient education strategies across the adult lifespanSynthesize the assessment and diagnosis of health conditions for a clinical patientPRAC 6531: Primary Care of Adults Across the Lifespan PracticumLearning ResourcesRequired Readings (click to expand/reduce)Assignment 1: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following: PRAC 6531: Primary Care of Adults Across the Lifespan PracticumDatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 100 patients by the end of this practicum.The patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)Treatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek.Assignment 2: Episodic Visit: Musculoskeletal Focused NotePRAC 6531: Primary Care of Adults Across the Lifespan PracticumPhoto Credit: PexelsFor this Assignment, you will work with a patient with a musculoskeletal condition that you examined during the last three weeks. You will complete your third  Episodic/Focused Note Template Form for this course where you will gather patient information, relevant diagnostic and treatment information as well as reflect on health promotion and disease prevention in light of patient factors such as age, ethnic group, previous medical history (PMH), socio-economic, cultural background, etc. In this week’s Learning Resources, please review the Focused Note resources for guidance on writing Focused Notes.Note: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using SAFE ASSIGN.Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumTo prepare:  Use the Episodic/Focused Note Template found in the Learning Resources for this week to complete this assignment.Select a patient that you examined during the last three weeks based on musculoskeletal conditions. With this patient in mind, address the following in a Focused Note:Assignment:Subjective: What details did the patient provide regarding her personal and medical history?Objective: What observations did you make during the physical assessment?Assessment: What were your differential diagnoses? Provide a minimum of three possible diagnoses. List them from highest priority to lowest priority. What was your primary diagnosis and why?Plan: What was your plan for diagnostics and primary diagnosis? What was your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.Reflection notes: What would you do differently in a similar patient evaluation? PRAC 6531: Primary Care of Adults Across the Lifespan PracticumNote: Your Focused Note Assignment must be signed by Day 7 of Week 9.By Day 7Submit your Episodic/Focused Note Assignment.(Note: You will submit two files, your Focused Note Assignment, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 9.)Submission and Grading InformationTo submit your completed Assignment for review and grading, do the following:Please save your Assignment using the naming convention “WK9Assgn2+last name+first initial.(extension)” as the name.Click the Week 9 Assignment 2 Rubric to review the Grading Criteria for the Assignment.Click the Week 9 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK9Assgn2+last name+first initial.(extension)” and click Open.If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumClick on the Submit button to complete your submission.Week 10: Evaluation and Management of Neurologic Conditions What do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Assignment 1: Clinical Hour and Patient LogsRecord your clinical hours and patient encounters in Meditrek. All hours and patients for this practicum must be entered by Day 7 of this week.Assignment 2: Journal EntrySubmit your journal by Day 7.Assignment 3: Final EvaluationYour Preceptor will evaluate your clinical skills by Day 7. Stroke is the fifth leading cause of death and a leading cause of adult disability in the United States (American Stroke Association, n.d.), highlighting the importance of patient education for stroke prevention and management. Depending on the patient’s medical history, stroke prevention might be as simple as recommendations for changes in behavior and lifestyle. As an advanced practice nurse, patient adherence to treatment plans requires collaborating with and supporting your patient. PRAC 6531: Primary Care of Adults Across the Lifespan PracticumAdvanced practice nurses are in a field where advances in technology, diagnostic and treatment approaches, and regulations require a commitment to be a lifelong learner of these advances. Changes in treatment approaches and regulations occur regularly and staying abreast of such advances while also learning from the challenges and successes from your professional experiences will ensure informed and improved outcomes for your patients.This week, you will finish entering all clinical hours and patient encounters for this practicum into Meditrek. In a Journal Entry you will reflect on what you have learned and how you have grown because of the experiences at your practicum site and within this course. In addition, you will have an opportunity to demonstrate that growth in your Final Evaluation by your Preceptor in the Meditrek system. You will also learn evaluation and management techniques and strategies regarding the common neurologic symptom of dizziness, through a reading in this week’s Learning Resources. PRAC 6531: Primary Care of Adults Across the Lifespan PracticumLearning ObjectivesStudents will:Describe clinical hours and patient encountersAssess clinical skills and procedures related to advanced nursing practiceAssess strengths and improvement of clinical skillsAssess goals and objectives for the practicum experienceLearning ResourcesRequired Readings (click to expand/reduce)Assignment 1: Clinical Hour and Patient LogsPRAC 6531: Primary Care of Adults Across the Lifespan PracticumPhoto Credit: auremar / Adobe StockClinical HoursFor this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.Students with catalog years before Spring 2018 must complete a minimum of 144 practicum hours. Students with catalog years beginning Spring 2018 must complete a minimum of 160 practicum hours.Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.Your clinical hour log must include the following:DatesCourseClinical FacultyPreceptorTotal Time (for the day)Notes/Comments (including the objective to which the log entry is aligned)Patient LogThroughout this course, you will also keep a log of patient encounters using Meditrek. You must record at least 100 patients by the end of this practicum.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumThe patient log must include the following:DateCourseClinical FacultyPreceptorPatient NumberClient InformationVisit InformationPractice ManagementDiagnosisProcedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)Treatment Plan and NotesIV MedicationBy Day 7Record your clinical hours and patient encounters in Meditrek. All clinical hours and patient encounters for this practicum must be entered by Day 7 of this week.Assignment 2: Journal EntryPRAC 6531: Primary Care of Adults Across the Lifespan PracticumPhoto Credit: Image by Free-Photos from PixabayCritical reflection of your growth and development during your practicum experience in a clinical setting has the benefit of helping you to identify opportunities for improvement in your clinical skills, while also recognizing your clinical strengths and successes.This week, you will write a Journal Entry, reflecting on your clinical strengths and opportunities for improvement.To prepare:Refer to the “Advanced Nursing Practice Competencies and Guidelines” found in Week 1’s Learning Resources and consider the quality measures or indicators advanced nursing practice nurses must possess in your specialty of interest.Refer to your “Clinical Skills and Procedures Self-Assessment Form” you submitted in Week 1 and consider your strengths and opportunities for improvement.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumRefer to your Patient Log in Meditrek and consider the patient activities you have experienced in your practicum experience and reflect on your observations and experiences.Journal Entry (450–500 words):Learning from ExperiencesReflect on the three most challenging patients. What was most challenging for each?What did you learn from this experience?What resources did you have available?What evidence-based practice did you use for this patient?What new skills are you learning?What would you do differently?How are you managing patient flow and volume?Communicating and FeedbackReflect on how to improve on your skills and knowledge and how to communicate that back to your Preceptor.How are you doing? What is missing?What type of feedback are you receiving from your Preceptor?PRAC 6531: Primary Care of Adults Across the Lifespan PracticumBy Day 7Submit your Journal Entry Assignment.Submission and Grading InformationTo submit your completed Journal for review and grading, do the following:Click the Week 10 Journal Rubric to review the Grading Criteria for the Assignment.Click the Week 10 Journal link.Next, click Create Journal Link.In the title box, enter the title of the Journal Entry. Please title it: WK10Journal+last name+first initial.In the Entry Message box, type your Journal Entry or click Browse My Computer and select the document you saved as “WK10Journal+last name+first initial.(extension)” and click Open.Click Post Entry. Rubric Detail Select Grid View or List View to change the rubric’s layout.ContentName: PRAC_6531_Week10_Assignment2_JournalEntry_RubricPRAC 6531: Primary Care of Adults Across the Lifespan PracticumGrid ViewList ViewExcellentGoodFairPoorAssimilation and Synthesis: Content ReflectionPoints Range: 50 (50%) – 50 (50%)Reflection demonstrates a high level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Insightful and relevant connections are made through contextual explanations and examples.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPoints Range: 40 (40%) – 49 (49%)Reflection demonstrates moderate level of critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Connections are made through explanations and/or examples.Points Range: 31 (31%) – 39 (39%)Reflection demonstrates minimal critical thinking in applying and integrating key course concepts and theories from readings, lectures, and/or discussions. Minimal connections made through explanations and/or examples.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPoints Range: 0 (0%) – 30 (30%)Reflection lacks critical thinking. Superficial connections are made with key course concepts and resources, and/or assignmentsAssimilation and Synthesis: Personal GrowthPoints Range: 30 (30%) – 30 (30%)Expresses solid evidence of reflection on own work. Demonstrates substantial personal growth and awareness of deeper meaning through inferences, well developed insights, and significant depth in awareness and challenges. Synthesizes current experience into future implications.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPoints Range: 20 (20%) – 29 (29%)Expresses moderate evidence of reflection on own work. Demonstrates satisfactory personal growth and awareness through some inferences, insights, and challenges. There is mention of the future implications of student’s current experience.Points Range: 10 (10%) – 19 (19%)Expresses minimal evidence of reflection on own work. Demonstrates less than adequate personal growth and awareness through limited or simplistic inferences made, insights, and/or challenges that are not well developed. Minimal thought of future implications of student’s current experience.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPoints Range: 0 (0%) – 9 (9%)Expresses inadequate evidence of reflection on own work. Personal growth and awareness are not evident and/or demonstrate an impersonal experience. Lacks personal insights, challenges, inferences, and/or future implications are overlooked.Written Expression and FormattingPoints Range: 15 (15%) – 15 (15%)Well written and clearly organized using standard English, characterized by elements of a strong writing style and basically free from grammar, punctuation, usage, and spelling errors.Points Range: 11 (11%) – 14 (14%)Above average writing style and logically organized using standard English with minor errors in grammar, punctuation, usage, and spelling.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumPoints Range: 6 (6%) – 10 (10%)Average writing style that is sometimes unclear and/or with some errors in grammar, punctuation, usage, and spelling.Points Range: 0 (0%) – 5 (5%)Poor writing style lacking in standard English, clarity, language used, and/or frequent errors in grammar, punctuation, usage, and spelling. Needs work.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumAPAPoints Range: 5 (5%) – 5 (5%)No APA errorsPoints Range: 4 (4%) – 4 (4%)Contains 1-2 APA errorsPoints Range: 2 (2%) – 3 (3%)Contains 3-5 APA errorsPoints Range: 0 (0%) – 1 (1%)Contains > 5 APA errors Total Points: 100Name: PRAC_6531_Week10_Assignment2_JournalEntry_RubricAssignment 3: Final Evaluation and Student Feedback in MeditrekPhoto Credit: PixabayBy Day 7, your Preceptor will be required to complete their Final Evaluation and you will be required to complete your Student Feedback.Ensure that both you and your Preceptor have submitted the required online evaluations in the Meditrek system. Be sure you have completed all fields in the log and ask your Preceptor to verify your completed hours in Meditrek. If feedback is not received, you will receive an Incomplete (I) as a grade. There is nothing to submit in the classroom for this assignment. You only must submit to Meditrek.PRAC 6531: Primary Care of Adults Across the Lifespan PracticumBy Day 7Make sure that both you and your students’ Preceptors have submitted the required online evaluations in the Meditrek system.Students will be required to make sure they have completed all fields in the log and ask their Preceptor to verify their completed hours in Meditrek. If they do not receive feedback, they will receive an Incomplete (I) as a grade. There is nothing to submit in the classroom for this assignment.Make sure to communicate with each student’s Preceptor following the Final Clinical Evaluation. Document the date and time when you talked with or e-mailed the Preceptor, the Preceptor’s name, and the number of hours and patient encounters for the student. Input the Final Evaluation grade in Blackboard.Week 11: Evaluation and Management of Mental Health Conditions What do I have to do?When do I have to do it?Review your Learning Resources.Days 1–7Retrieve your Patient LogLog into Meditrek and print out your Patient Log for this quarter. Welcome to the last week of your practicum! As you have proceeded through the practicum experience, you have been regularly challenged to reflect on your growth and development as you made progress on your goals. Additionally, you have been evaluated and gained feedback from your Preceptor. As you end this practicum, consider what you have gained from the experiences in your practicum setting. What were the challenges and how did you manage them? What were the successes and what lessons can you take from those experiences and apply to future experiences? Use your reflections to seek opportunities for growth in the areas you found challenging, while simultaneously celebrating your successes.This week, your Preceptor must sign off on your clinical hour log in Meditrek. Additionally, you must log in to Meditrek, print out your Patient Log, and keep the log to provide it to healthcare organizations when requested.Learning ObjectiveStudents will:Describe clinical hours and patient encountersPRAC 6531: Primary Care of Adults Across the Lifespan PracticumLearning ResourcesRequired Readings (click to expand/reduce)Reminder: Clinical Hour and Patient LogsPhoto Credit: auremar / Adobe StockThis week, your preceptor must sign off on your clinical hour log in Meditrek. Contact your preceptor if you do not see this approval.Additionally, be sure to log in to Meditrek at some point during the week and print out your Patient Log for this quarter. You will need to keep this log and provide it to healthcare organizations when requested, in order to secure privileges. It serves as a record of the patients you have seen.PRAC 6531: Primary Care of Adults Across the Lifespan Practicum

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