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Hypertension SOAP Note (Pertinent Experience)

CLASS NAME: PRACTICUM IMMERSION
LESSON: Practicum Cardiovascular Disorders
DISCUSSION 3.1: Hypertension SOAP Note (Pertinent Experience)

Introduction
The first lesson of module three explores disorders involving the cardiovascular system. You will learn the different epidemiology, pathophysiology, clinical presentation, management, and treatment of these conditions.
In this module, you will have another Board Vitals quiz that focuses on the cardiovascular system. So please make sure to review any previous readings from your previous courses. You will also have a discussion that has to do with hypertension. Please make sure that this is in the SOAP note format, and use current guidelines.
Make sure that you cite these guidelines as well to support your SOAP note treatment plan and diagnosis. You will also have your coding assignment. So please make sure to follow the rubric for this. Finally, you will have your second Typhon checkpoint. Make sure that you’re getting those hours in, and please reach out to your instructors for any questions.

Learning Outcomes
At the end of this lesson, you will be able to:
• Demonstrate advanced skills in physical assessment, pharmacology, and nursing interventions in the treatment of cardiovascular conditions. (CO7)
• Use SOAP notes to record patient observations, assessments, and plans. (CO1, CO2, and CO8)
Note: You will find a “(CO#)” after each learning objective stated in this course to indicate which Course Outcomes are being addressed. The Course Outcomes are outlined in the Syllabus.

Learning Materials
Please have all previous textbooks for NUR 676, 677, and 678 available for your optional readings during this course. You will have optional readings throughout the course relating to your BoardVitals quizzes.
Optional Readings:
Consider reading the following in your Buttaro textbook:
• Chapter 104, “Hypertension”

Introduction
At the end of this assignment, you will be able to:
• Demonstrate advanced skills in physical assessment, pharmacology, and nursing interventions in the treatment of cardiovascular conditions. (CO7)
• Use SOAP notes to record patient observations, assessments, and plans. (CO1, CO2, and CO8)
Discussion Guidelines
Initial Post
Respond to each of the following prompts:
1. Identify a patient with hypertension for whom you have provided care during practicum or other work experience.
2. Describe the treatment that you provided (or would provide) for hypertension and why this was chosen. Did you order any testing? Why? Any referrals?
3. Identify other differential diagnoses that may be considered for the complaint or symptom.
Initial posts should be 500 words. Please write following APA format and cite your references using APA style.

RUBRIC
Criteria Expectations
Content Follows directions, answers all questions thoroughly and appropriately; provides examples from personal experience where appropriate/ applicable.

Grasp of significance Projects knowledge and understanding of the significance of the assignment to professional development as an APN.
Evidence and documentation Provides thorough explanation of rationales and skillfully selects resources to substantiate conclusions.
Terminology Uses appropriate terminology correctly throughout.
Structure and mechanics Contains no spelling or grammatical errors No APA errors.

 

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