nurs 6551 application

Assignment 1: Application – Comprehensive Patient AssessmentWhen completing practicum requirements in clinical settings, you and your Preceptor might complete several patient assessments in the course of a day or even just a few hours. This schedule does not always allow for a thorough discussion or reflection on every patient you have seen. As a future advanced practice nurse, it is important that you take the time to reflect on a comprehensive patient assessment that includes everything from patient medical history to evaluations and follow-up care. For this Assignment, you begin to plan and write a comprehensive assessment paper that focuses on one female patient from your current practicum setting.To prepare Please ensure no plagiarism ·        Reflect on your Practicum Experience and select a female patient ( you can choose, HPV, fibroids, infertility, ovarian cyst, or chronic bacterial vaginosis as the topic)·        Think about the details of the patient’s background, medical history, physical exam, labs and diagnostics, diagnosis, treatment and management plan, as well as education strategies and follow-up care.To completeWrite an 8- to 10-page comprehensive paper that addresses the following:1. General patient informationa. Ageb. Race/ethnicityc. Partner status2. Current health statusa. Chief concern/complaint and history of present illness (include a completesymptom analysis of chief complaint(s) utilizing OLDCART for a sick/problemfocused visit)b. Last menstrual period or year of menopausec. DES exposure (if born between 1948 and 1971)d. Sexual activity statuse. Barrier preventionf. Sexual preferenceg. Satisfaction with sexual relations3. Contraception method (if any)4. Patient historya. Past medical history• Major medical events (including pediatric events)• Psychological and mental health• Surgeries and/or hospitalizations if pertinent• Medications, including prescriptions, over-the-counter medications, homeand herbal remedies, calcium, and vitamin supplements• Allergies, including drug, food, and environment• Health maintenance/screenings, including results of patient’s last Pap andmammogram as appropriate, as well as previous vaccinations (HPV,MMR, hepatitis B, last dT, and pneumovax/influenza as appropriate)b. Family medical historyc. Gynecologic history• Nullipara vs. multipara• History of sexually transmitted infections and sexually transmitteddiseases• Menarche and menstrual patterns• Menopause or peri-menopausal symptoms (if applicable)d. Obstetric history• Gravida and parity status (TPAL)• Pregnancy history, including history of preterm or low birth weight, otherpregnancy complications, history of sexually transmitted diseases, andany pertinent negativese. Personal social history (as appropriate to the current problem)• Cultural background• Education and economic condition• Abuse history including assault and forced sex (past and current)• Occupational health patterns• Environment• Current health habits and/or risk factors• Substance use (must include for every patient)• Tobacco including frequency and longevity• Alcohol including results of CAGE unless patient has never used• Recreational drug use (past and current)• Exercise and physical activity• Diet and nutrition• Sleep• Caffeine5. Review of systems (ROS)a. Must include reproductive system as well as other pertinent systems (systemsrelevant to HPI should be included under HPI)6. Physical exama. General exam, including vital signs, height, weight, and BMI on every patientb. Physical exam focused on episodic complaint (include numbers of weeksgestation, fundal height, and fetal heart tones for OB patients)7. Labs, tests, and other diagnosticsa. Pertinent labs, test, and other diagnostics (include routine tests such as triplescreen and urine dip for OB patients)8. Differential diagnosesa. Explain why this set of differential diagnoses should be considered and whyeach diagnosis should be ruled in or ruled out.9. Management plana. Diagnosisb. Treatmentc. Patient educationd. Follow-up careNote: The School 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 athttp://writingcenter.waldenu.edu/57.htm). All papers submitted must use this formatting. PLEASE REVIEW SAMPLE PAPER ATTACHED BELOW. This is the guide to this assignment