CLASS NAME: PRIMARY CARE CHRONIC CONDITIONS ACROSS THE LIFESPAN
LESSON 1: Endocrine and Metabolic Disorders
ASSIGNMENT: SOAP Note for Hypothyroid
Introduction
At the end of this assignment, you will be able to:
• Demonstrate advanced skills in the physical assessment, pharmacology, and nursing interventions in the treatment of metabolic syndrome. (CO7)
• Use SOAP notes to record patient observations, assessments, and plans. (CO1, CO2, and CO8)
Assignment Guidelines
Assignment Guidelines
Complete a SOAP note for a 35-year-old female who presents to your office with signs and symptoms of hypothyroid. Be sure to include CC, complete subjective and objective data, diagnosis, differential diagnosis, diagnostics, treatment, and patient education. When will the patient follow-up?
Before attempting to complete your learning activities for this week, review the following learning materials.
Read the following in your Advanced Health Assessment & Clinical Diagnosis in Primary Care textbook:
Chapter 39, “Weight Loss/Gain (Unintentional)”
Read the following in your Primary Care: Interprofessional Collaborative Practice textbook:
• Chapter 186, “Diabetes Mellitus”
• Chapter 191, “Lipid Disorders”
• Chapter 192, “Metabolic Syndrome”
• Chapter 194, “Thyroid Disorders”
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• The book used for this class and for this assignment is cited here:
•
• Buttaro, T., Trybulski, J., Bailey, P., & Sandberg-Cook, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). St. Louis, MO: Elsevier Mosby.
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• Dains, J., Baumann, L., & Scheibel, P. (2019). Advanced health assessment & clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
•
Before you begin, please review what should be included in each component of your SOAP note.
Also, consider reviewing the SOAP note VIDEO below and article Links to an external site..
SOAP Notes Flip Tile Alternative Version
Also, consider reviewing the SOAP note video Links to an external site.and article Links to an external site..
RUBRIC
Criteria Expectations
SOAP Note content (>11–12 points)
All components of subjective and objective data are present and supportive of the assessment and treatment plan. Proper terminology is implemented throughout the assignment.
Structure and Mechanics (2 points)
Paper is well organized.
No or very few spelling, grammar, and/or punctuation errors.
Resources (1 point)
Correct APA citations and references provided.
RUBRIC
Criteria Expectations
Content Follows directions, answers all questions thoroughly and appropriately.
Grasp of significance Projects thorough knowledge and critical understanding of the significance of the assignment to professional development as an FNP.
Clarity and Logic All answers are correct with a clear and logical path to reach a solution to the problem presented.
Terminology Uses appropriate terminology correctly throughout.
References Contains no errors in grammar or spelling. Uses references and cites them properly using APA format.
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