Follow the rubric to develop your SOAP notes for this term.
The focus is on your ability to integrate your subjective and objective information gathering into formulation of diagnoses and development of patient-centered, evidence-based plans of care for patients of all ages with multiple, complex mental health conditions. At the end of this term, your SOAP notes will have demonstrated your knowledge of evidence-based practice, clinical expertise, and patient/family preferences as expected for an independent nurse practitioner incorporating psychotherapy into practice.
All work should be original and submitted as a Word document unless otherwise indicated in the assignment instructions. ALL assignments need to be APA 7 format and accompanied title page in APA 7th edition format in order that the work would be properly identified for the student, the course, and the assignment. Work submitted without a title page will receive a grade of 0.
NU674 Unit 8 Assignment – Clinical: SOAP Note Ruburic
NU674 Unit 8 Assignment – Clinical: SOAP Note Ruburic
Criteria
This criterion is linked to a Learning OutcomeSubjective Information
3 pts
Level 5
Complete and concise summary of pts ertinent information.
This criterion is linked to a Learning OutcomeObjective Information
3 pts
Level 5
Complete and concise summary of ptsertinent information.
This criterion is linked to a Learning OutcomeAssessment: Problem Identification and Prioritization
3 pts
Level 5
Complete problem list generated and rationally prioritized; no extraneous information or issues listed.
This criterion is linked to a Learning OutcomeAssessment: Assessment of Current Psychiatric & Medical Condition(s) or Drug Therapy-related Problem
3 pts
Level 5
An optimal and thorough assessment is present for each problem.
This criterion is linked to a Learning OutcomeAssessment: Treatment Goals
3 pts
Level 5
Appropriate and relevant therapeutic goals for each identified problem.
This criterion is linked to a Learning OutcomePlan: Treatment Plan
3 pts
Level 5
Specific, appropriate and justified recommendations (including drug name, strength, route, frequency, and duration of therapy) for each identified problem.
This criterion is linked to a Learning OutcomePlan: Counseling, Referral, Monitoring & Follow-up
2 pts
Level 5
Specific patient education points, monitoring parameters, follow-up plan and (where applicable) referral plan for each identified problem.
