NURS6551 Week 6 Discussion latest

Week 6 Discussion: Breast Conditions

Throughout a woman’s life, her breasts go through many normal, healthy changes. However, patients do not always understand these changes and often visit health care providers for treatment. When examining these patients, you must be able to identify when a breast condition is the result of a safe and normal physiological change and when it is the result of an abnormal change requiring treatment and management. A diagnosis of a breast condition resulting from an abnormal change can be devastating for women, making emotional support as vital to women’s well-being as proper assessment, diagnosis, and management. For this Discussion, consider how you might diagnose, manage, and support the following two patients presenting with breast conditions:

Case Study 1:

You are seeing a 60-year-old Latina female, Gravida 4 Para 3104, who is concerned about a thick greenish discharge from her left breast for the past month. The discharge is spontaneous and associated with dull pain and burning. Upon questioning, she also tells you that she breastfed all her children and is currently not on any medications except for occasional Tylenol for arthritis. Her last mammogram, 14 months ago, was within normal limits. On exam, her left breast around the areola is slightly reddened and edematous. Upon palpation of the right quadrant, a greenish-black discharge exudes from the nipple. You note an ovoid, smooth, very mobile, non-tender 1 cm nodule in the RUIQ at 11:00 5 cm from the nipple. No adenopathy, dimpling, nipple discharge, or other associated findings. Her right breast is unremarkable. The patient expresses her desire to proactively decrease her risk for developing breast cancer.

Case Study 2:

You are seeing a 53-year-old African American female for a lump she found in her right breast two weeks ago in the shower. Her last mammogram was three years ago and she was told it was “benign.” She had two breast biopsies at ages 32 and 34 in her right and left breasts, respectively. At both times she had surgery for removal of fibroadenomas. She does not routinely do breast self-exams. Her mother had a mastectomy for breast cancer at age 63, and she heard that a paternal aunt had a breast removed for cancer when she was in her forties. Both mother and aunt are alive and well today. It was discovered on postmortem exam that her grandfather had prostate cancer. Menarche was at age 15 and she is still having monthly menses. She is Gravida 4 Para 3104 with her first childbirth at age 31. She was on oral contraception for 10 years, has no history of fertility treatments, and had a bilateral tubal ligation after the birth of her last child at age 35. Past medical history is noncontributory. She wants to know how likely it is that she will get breast cancer. Physical exam reveals breasts are symmetrical with no dimpling, retractions, or rash. Her right breast has a 2 cm non-tender, hard, fixed mass at 3:00 6 cm from her nipple. Left breast is non-tender without masses. No nipple discharge bilaterally. No anterior cervical, infra- or supraclavicular, or axillary adenopathy.

To prepare for NURS6551 Week 6 Discussion latest:

Review Chapter 15 of the Schuiling and Likis text.

Review and select one of the two provided case studies. Analyze the patient information.

Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.

Reflect on the appropriate clinical guidelines. Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or nonpharmacologic treatments.

Consider strategies for educating patients on the treatment and management of the disorder you identified as your primary diagnosis.

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Week 7 Discussion: Care Plans for Pregnancy

After confirming and dating a pregnancy, you must collaborate with patients to develop a personalized care plan. These pregnancy care plans are integral to prenatal care as they help to ensure the mother and child’s well-being throughout the entire pregnancy. Pregnancy can be a wonderful, yet difficult time for women as a woman’s body goes through many physical, mental, and emotional changes that might be challenging or even overwhelming for some. Whether or not these women share their concerns, as the advanced practice nurse, you must routinely watch for signs and symptoms of any developing physical or mental health issues. By collaborating with patients and discussing concerns, you can modify care plans and often address potential issues before they become a significant health problem. For this Discussion, consider pregnancy care plans for the women in the following case studies:

Case Study 1:

On 1-15-13, you are seeing a 25-year-old Caucasian female in the clinic because she believes she’s pregnant. Her LMP was 12-1-12. Her home pregnancy test was positive, and she has been having nausea and breast tenderness.

Case Study 2:

You are seeing a 28-year-old African American female, G6 P 3115, who is currently on oral combined hormonal contraception. She’s here because she and her partner would like to have another child. She heard “it takes a while to become pregnant after being on the Pill,” so she discontinued them three months ago. They haven’t been using any contraception since then. Upon questioning, she states that on the Pill, sometimes her menstrual periods are very light and once she didn’t have one at all. Her urine pregnancy test in the clinic is positive. Her LMP was 7-14-12. You are seeing her on 12-3-12.

To prepare:

Review Chapter 30 of the Schuiling and Likis text and Chapter 2 of the Tharpe et al. text.

Review and select one of the two provided case studies. Analyze the patient information.

Consider how to date the pregnancy and estimate the date of delivery for the patient in the case study you selected.

Based on the dating of the pregnancy, reflect on the appropriate clinical guidelines for procedures and screenings. Think about the implications of any missed procedures or screenings.

Determine a plan of care for the patient. Identify procedures, screenings, diagnostic testing, pharmacologic and nonpharmacologic treatments (if appropriate), management strategies, and patient education.

Week 8 Discussion: Health Promotion During Pregnancy

When caring for pregnant women, it is important to care for the whole person. This means you not only manage the pregnancy and treat conditions, but you also promote healthy behaviors and good lifestyle choices. Through health promotion, you can help to ensure the safety of both the mother and the baby. Your role in health promotion is to identify health risks that might result in pregnancy complications, educate patients on these risks, and provide the necessary support to help patients mitigate these risks. In this Discussion, you examine implications of drug use, alcohol consumption, dietary habits, and environmental exposures during pregnancy, and you consider ways to educate pregnant women about such risks.

To prepare:

Review Chapter 2 of the Tharpe et al. text and the article from the Centers for Disease Control and Prevention in this week’s Learning Resources.

Consider lifestyle changes that pregnant women must make in relation to smoking, drinking, taking drugs (legal and illegal), eating habits, and caring for pets. Select one of these topics to be the focus of an educational media piece you would create for health promotion during pregnancy.

Think about the patient population that you treat within your practicum setting. Consider ways to educate these patients on health promotion as it relates to the topic you selected. Then, consider the types of educational pieces, such as flyers, posters, public service announcements, or other media, that might be most effective with your patient population.

NURS 6551 Assignment: Practicum – Journal Entry

Assignment: Practicum – Journal Entry

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your Practicum Experience. By applying the concepts you study in the classroom to clinical settings, you enhance your professional competency. Each week you complete an Assignment such as Journal Entries or SOAP Notes that prompts you to reflect on your Practicum Experiences and relate them to the material presented in the classroom. This week you begin documenting your Practicum Experiences in your Practicum Journal.

To prepare for this NURS 6551 Assignment: Practicum – Journal Entry course’s Practicum Experience, address the following in your Practicum Journal:

Select and explain a nursing theory or feminist perspective to guide your clinical practice.
Develop goals and objectives for the Practicum Experience in this course. When developing your goals and objectives, be sure to keep women’s health guidelines and best practices in mind.

Assignment 2: Practicum – Journal Entry

To prepare for this course’s NURS 6551 Assignment: Practicum – Journal Entry, think about common screenings for women. Explain how screenings differ for younger women and older women, and explain the implications of these differences. If you have not yet been placed at a practicum site, please contact the course Instructor.

Assignment 1: Practicum – Focused SOAP Note and Time Log

In addition to Journal Entries, Focused SOAP Note submissions are a way to reflect on your Practicum Experiences and connect these experiences to your classroom experience. Focused SOAP Notes, such as the ones required in this course, are often used in clinical settings to document patient care. Please refer to this week’s Learning Resources for guidance on writing Focused SOAP Notes.

Select a patient that you examined during the last three weeks. With this patient in mind, address the following in a Focused SOAP Note:

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?

This Assignment is due on 09/10/19. You will submit your Journal Entries (Weeks 1 and 2), the Week 3 Focused SOAP Note.

NURS 6551 Practicum Journal Template Assignment Paper

Student Name:

E-mail Address:

Practicum Placement Agency’s Name:

Preceptor’s Name:

Preceptor’s Telephone:

Preceptor’s E-mail Address:

Journal Entries

Include references immediately following the content.
Use APA style for your journal entry and references.

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Week 10 journal Reflect patients with a cardiovascular, neurological,respiratory, GI disorder during your a practicum experience describe personal and medical history drug therapy and treatment and follow-up care and explain how that might have impacted or influence her care…

Assignment: Practicum Experience Journal Entry

As a future advanced practice nurse, it is important that you are able to connect your classroom experience to your Practicum Experience. By applying the concepts that you study in the classroom to clinical settings, you enhance your professional competency. Each week, you complete an Assignment such as Journal Entries and SOAP Notes that prompts you to reflect on your Practicum Experiences and relate them to the material presented in the classroom. This week, you begin documenting your Practicum Experiences in your Practicum Journal.

To prepare for this courses Practicum Experience, address the following in your Practicum Journal:
Select and describe a nursing theory to guide your practice.

Develop goals and objectives for your Practicum Experience in this course. When developing your goals and objectives, be sure to keep the seven domains of practice in mind.

Create a timeline of practicum activities based on your practicum requirements.

Walden University
Nurse Practitioner Program
Clinical Requirements

NURS 6551 Practicum Journal Template Assignment Paper

PRACTICUM EXPERIENCE

A practicum is a distinctly defined supervised on-site experience in which students develop applied skills and integrate professional knowledge in the provision of advanced practice nursing care.

All nurse practitioner students must complete four practicum courses, with a minimum of 576 hours of supervised clinical experience (144 hours in each course). The didactic (classroom) and clinical components of the courses are integrated. The courses vary by specialization:

Students in the Adult Gerontology-Acute Care Nurse Practitioner (AG-ACNP) specialization must complete NURS 6531, 6540, 6550, and 6560.
Students in the Adult Gerontology Nurse Practitioner (AGNP) specialization must complete NURS 6531, 6540, 6551, and 6561.
Students in the Family Nurse Practitioner (FNP) specialization must complete NURS 6531, 6541, 6551, and 6561.

**Students should see and document on at least 1 patient per hour of their 144 required clinic hours (144 hours = 144 patients) in each course. Additional requirements are as follows:
Students in NURS 6541 (Pediatrics) should see a minimum of 140 children from newborn up to age 17 years. NURS 6551 Practicum Journal Template.

Students in NURS6551 (Primary Care of Women) students should see a minimum of 104 GYN patients and 40 OB patients.

Student may only document 4 hours of observational status per course.
Behaviors constituting clinical failure include, but are not limited to, the following:
Demonstration of unsafe performance and/or decision-making skills.
Failure to complete clinically related class assignments and/or clinical log.
Failure to complete the required clinical hours and patients numbers
Falsification of clinical hours, records, or documentation.

NURS 6551 Practicum Experience Assignment

To prepare for this course’s Practicum Experience, address the following in your Practicum Journal:

By Day 7 of Week 3

This Assignment is due. You will submit this Week 1 Journal Entry along with the Week 2 Journal Entry, the Week 3 SOAP Note, and your Practicum Time Log on Day 7 of Week 3.

NURS 6551 Practicum – Focused SOAP Note and Time Log

Assignment 1: Practicum – Journal Entry

Reflect on a patient who presented with a vaginal discharge during your Practicum Experience. Describe key signs and symptoms that were consistent with a sexually transmitted infection (STI) versus a non-STI related infection. If you diagnosed the patient with an STI, describe your experience in telling the patient that she had an STI, as well as the patient’s reaction to the diagnosis. Explain how the diagnosis might impact the patient’s life short-term and long-term. Include an explanation of the patient’s medical history, drug therapy and treatments, and follow-up care. If you did not have an opportunity to evaluate a patient with this background during the last four weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

Assignment 1: Practicum – Journal Entry

Reflect on a patient who presented with endometriosis, ovarian cysts, or amenorrhea during your Practicum Experience. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain how treatment modalities differ for endometriosis, ovarian cysts, and amenorrhea, as well as the implications of these differences when diagnosing and treating patients. If you did not have an opportunity to evaluate a patient with this background during the last five weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

Assignment: Practicum – Journal Entry

Reflect on a patient who presented with a breast condition during your Practicum Experience. Describe the patient’s personal and medical history, drug therapy and treatments, and follow-up care. Then, explain your patient education strategies for patients with or at risk of breast conditions. Include a description of how you might teach patients to perform breast self-examinations. If you did not have an opportunity to evaluate a patient with this background during the last six weeks, you may select a related case study from a reputable source or reflect on previous clinical experiences.

NURS 6551 Practicum – Focused SOAP Note and Time Log

Assignment 1: Practicum – Focused SOAP Note and Time Log

Select a patient whom you examined during the last three weeks. With this patient in mind, address the following in a Focused SOAP Note:

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?

This NURS 6551 Practicum – Focused SOAP Note and Time Log Assignment is due. You will submit your Journal Entries (Weeks 4, 5, and 6), the Week 7 Focused SOAP Note, and your Practicum Time Log by Day 7 of Week 7 (this week).

NURS 6551 Practicum – Focused SOAP Note and Time Log

JOURNAL SAMPLE

PLEASE DO NOT USE THIS AND RE-WRITE IT. WRITE SOMETHING NEW PLEASE THIS IS A SCHOOL SAMPLE

Introduction

A common presentation seen by practitioners is a bacterial discharge with a foul-odor. Often times practitioners are able to determine a diagnosis based on the patient’s history and their presenting symptoms. Before prescribing antibiotics, practitioners should perform a thorough assessment and perform a physical examination, including vaginal exam, prior to determining a diagnosis and prescribing medications.

Patient Presentation

This week a patient presented to the office with complaints of a white-green, foul smelling vaginal discharge with some itching. The patient is a 29-year-old G1P1 patient who is also single currently. The patient reports that she has noticed the discharge for a few days and states it is a medium amount and has not seen any blood associated with it. She states that she has felt moderate, constant suprapubic pain that has not radiated anywhere. Patient attempted taking Motrin for the pain, but states she felt no relief and the pain intensified when she had bowel movements and had to bear down. Patient denied fever, dysuria, urinary frequency, or other pain. Patient had Mirena IUD placed 2 years ago after she delivered her baby and reports an irregular period occurring every 50-60 days that is very light with spotting. She reports this last happening 5 weeks ago. She also is due for her routine PAP smear. Currently, the patient reports she has an active sex life and has recently had a new partner. She reports that during intercourse, the condom broke roughly one month ago. She is concerned that she may have a sexually transmitted infection (STI) and worries about potty training on the toilet and transmitting it to her daughter.

Examination

The patient stated she was “not ready” for a genital examination at this visit, she would rather be diagnosed based on symptoms and given medications to “cure” her. After being explained the importance of the examination, she agreed to have it done, admitting she was embarrassed. On examination, her vital signs were stable and was afebrile. She had bowel sounds present in all four quadrants, it was soft, non-distended, and non-tender except for the suprapubic area but had no guarding. The pelvic examination showed that the uterus was a normal size with no masses.

During the vaginal examination, the unopened cervix was visualized and there was greenish, malodorous discharge coming from the os. The IUD strings were also visible from the os once the discharge was cleared. There was also a foreign body identified in the vaginal canal that appeared to be a piece of a tampon after it was removed with forceps.

Treatment

Treatment will be dependent on the examination findings and diagnosis. The cervix was swabbed and samples were sent to the lab. The cervical ox was cleaned with a chlorohexidine sponge. The patient was given a pregnancy test as the condom broke, despite the presence of the IUD, which was negative. The patient believes in holistic treatment options and would prefer to try essential oils and herbs to cure the infection before she puts any medication, even antibiotics, into her body. She stated that if in 3 days she is still having these symptoms, she will call back to have the prescription sent to a pharmacy she prefers.

The patient was educated on the importance of being treated as soon as possible and the risk of toxic shock syndrome and sepsis. Education on signs and symptoms of both toxic shock syndrome and sepsis were provided. The provider called in the prescription to the pharmacy and told the patient to pick it up that way, should her symptoms get worse, she has it available.

Impact of Diagnosis

The patient was mortified that there was a tampon found in her vaginal cavity. She was confused on how it could have gotten there, and why she would not have known that it was still there, especially since she has had sexual intercourse since she had last inserted a tampon. The patient stated that she uses natural cotton tampons and that there is no string attached to the tampon, so at times it can be difficult to remove, but she tries her best to ensure she has taken the entire tampon out.

Follow-up

The provider called the patient to see if she wanted to make another appointment and to see if she picked up the prescription. The patient did not answer the phone, nor did she call back this week. The practitioner stated that she calls in prescriptions and other medications after educating the patient, even if the patient refuses, just in case they change their mind at a later time and decide to take the medications, it is readily available to them. I feel this is smart as it not only covers the patient, but also the provider.

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References

Ahmed, N. M. (2019). Effect of Nursing Intervention on Knowledge about Genital Hygienic Practices Regarding Vaginal Infection among Intrauterine Device Users and Non-Users. International Journal of Nursing Didactics,09(01), 01-11. doi:10.15520/ijnd.v9i01.2398

Bacon, J. (2018). Foreign Body, Vagina. emedicinehealth. Retrieved from https://www.emedicinehealth.com/foreign_body_vagina/article_em.htm#vagina_foreign_body_facts

Kapoor, B., Kapoor, A., Shah, S., & Vora, N. (2016). Study Of Prevalence Of Various Disorders And Presenting Complaints In Patients Of Vaginal Discharge. Journal of Evolution of Medical and Dental Sciences,5(01), 87-91. doi:10.14260/jemds/2016/20 NURS 6551 Practicum Journal Template Assignment Paper

Nurs 6551: Primary Care of Women – Sample SOAP Note

SOAP Note Week 3

Date: xxxx

Name: TS Age: 33 Gender: Female Race: Caucasian

SUBJECTIVE

Chief Complaint: TS came to the clinic with complains of unusual bleeding and discharge, difficulty urinating, pain around vaginal area, pain during intercourse and abnormal pap results.

HPI: The patient presented with painful urination, vaginal discharge and coitus pain. She also noted an increase in vaginal bleeding, Pap tests taken have been abnormal and pelvic area has also been experiencing pain. This has been going on for two weeks, for which she has been using OTC Ibuprofen.

PMH:

Allergies: None

Current Medication: Ibuprofen 600mg BD.

Immunization: Up to date

Previous Routine Tests: A normal pap smear 6 months ago

Past Illnesses: Recurrent UTI.

Hospitalizations: None.

Pregnancy History: G0 P0 A0

Family History: Mother has Type 2 Diabetes, Father has Hypertension, No siblings; She lives with husband who has Arthritis.

Social History: She is an occasional smoker and is a social drinker. She denies use of illicit drugs. She tries to stay active by doing Zumba dance during free times. She works as a Lyricist for a music company.

ROS:

Constitutional: The patient appears unwell and is worried that the symptoms are gradually increasing and it has even started to affect his day to day life because of the pain. She denies incidences of fever, diarrhea, nausea and weight gain or loss.

HEENT: No headache, head bruises or rashes. Hearing capability seems normal. Uses reading glasses.

Cardiovascular: Normal heart rate and denies any murmurs, gallops and clicks.

Respiratory: The chest rises and falls rhythmically with the patient not complaining of wheezing, and coughing.

Gastrointestinal: Denies diarrhea, abnormal bowel movements and pain in the abdomen.

Genitourinary: Complains of pain while urinating, painful coitus, pain in the pelvic area, vaginal discharge and abnormal bleeding. Patient denies hematuria, urgency and frequency in urination.

Musculoskeletal: The patient denies any pain in the muscles, back pain or pain in the joints.

Neurologic: The patient has no deformities with the balance and is sensitive to the stimuli.

Psychiatric: Denies insomnia, nightmares, suicidal thoughts and abnormal headache.

OBJECTIVE:

Constitutional: T 97.5F, BP 114/71, HR 77, RR 23, Ht 4” 5’, Wt 146lbs

General: The patient is well groomed and responds questions. She looks distressed.

Head: No deformities or poor hair growth observed.

Eyes: Sclera white, normal light sensitivity and no abnormal discharge, no redness

Ears: Bilaterally intact, TM intact, no discharge

Nose: Pink and Moist mucosa, no sneezing or excessive discharge or congestion, no polyps

Throat: No Inflammation, swelling or dislocation.

Mouth: Oral mucosa is pink and moist

Cardiovascular: RRR, no murmurs, clicks or gallops. S1 and S2 present, capillary refill <3 seconds.

Respiratory: Chest clear, no wheezing or rales

Gastrointestinal: No diarrhea or constipation; generalized tenderness; bowel sounds present in all 4 quadrants.

Genitourinary: Painful urination, painful coitus, pain in the pelvic area, vaginal discharge and abnormal bleeding, no hematuria, urgency and frequency in urination.

Musculoskeletal: Normal gait, no muscular tenderness or swelling

Neurologic: The patient has normal gait, responds effectively to all temperature extremes.

Psychiatric: No insomnia, nightmares, suicidal thoughts.

Labs: Pap smear, endometrial biopsy, Curettage and dilation, transvaginal ultrasound and Computed tomography.

ASSESSMENT

Diagnosis: Endometrial cancer

Endometrial cancer: This refers to a type of cancer that majorly affects the uterine lining makes the cells to grow abnormally to the point where they can affect other body parts (Shafer & Van Le, 2013). During early onset of the condition, there will be excessive vaginal bleeding that does not have a relationship with menstrual periods. The other symptoms include painful sex, pain while urinating, vaginal discharge and painful pelvic area (Kulkarni & Harshavardhan, 2017). The Pap smear showed abnormal results of glandular cells that are abnormal. All the other tests were positive for endometrial cancer.

Endometrial Hyperplasia: Common presentation is abnormal uterine bleeding. In premenopausal women, the symptoms include irregular heavy menstruation or amenorrhea in some cases. Endometrial biopsy differentiates endometrial hyperplasia from cancer. However there in 42.6% cases of endometrial cancer, the initial diagnosis was hyperlasia with atapia (Endometrial Cancer, 2018).

Endometriosis: Symptoms include pain, dyspareunia and painful defecation. It is common in young premenopausal women. Physical examination reveals tenderness and nodularity. Pelvic ultrasound can be done to confirm endometrioma (Endometrial Cancer, 2018). NURS 6551 Practicum Journal Template Assignment Paper

PLAN:

The ideal treatment for this cancer is through surgery where the tumor will be removed (Shafer & Van Le, 2013). Additionally, some of the healthy tissues that surround the tumor will be removed since they could be containing some cancer cells. Simple Hysterectomy will be ideal for the patient due to the extent of the spread of the cells (Eifel, 2015). In this case, the cervix and uterus will be removed since the cancer cells have not spread so much to the other parts of the reproductive system.

The patient will have to keep visiting the health facility after the procedure for routine maintenance and test to ascertain that the tumor does not regenerate. NURS 6551 Practicum Experience Assignment

Reflection notes:

In this case, the diagnosis itself is a big shock to the patient. Also, the pain suffered by TS is limiting her from his daily activities. Ignoring these could attribute to mood disorders or depression. She should be introduced to support groups with people going through the same diagnosis. This will also help her overcome the mental and physical pain caused by the disease.

References

Eifel, P. J. (2015). Treatment of Endometrial Cancer. Pelvic Cancer Surgery, 315-325. doi:10.1007/978-1-4471-4258-4_30

Endometrial cancer. (n.d.). Retrieved March 18, 2018, from https://online.epocrates.com/diseases/26635/Endometrial-cancer/Differential-Diagnosis

Kulkarni, Y., & Harshavardhan. (2017). Recurrent Endometrial Cancer. Current Concepts in Endometrial Cancer, 107-116. doi:10.1007/978-981-10-3108-3_9. NURS 6551 Practicum Experience Assignment

Shafer, A., & Van Le, L. (2013). Endometrial Hyperplasia and Endometrial Cancer. Gynecological Cancer Management, 53-66. doi:10.1002/9781444307542.ch5.

Evaluation Criteria for Applications and Formal Papers – NURS6551 Week 6 Discussion latest

Levels of Achievement
Criteria
Outstanding Performance
Excellent Performance
Competent Performance
Proficient Performance
Room for Improvement

QUALITY OF WORK SUBMITTED – 1. The extent to which work meets the assigned criteria and work reflects graduate level critical and analytic thinking (0-30 Points)
30 to 30 points Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics
25 to 29 points Assignment exceeds expectations. All topics are addressed with a minimum of 75% containing exceptional breadth and depth about each of the assignment topics
20 to 24 points Assignment meets expectations. All topics are addressed with a minimum of 50% containing good breadth and depth about each of the assignment topics.

16 to 19 points Assignment meets most of the expectations. One required topic is either not addressed or inadequately addressed.
0 to 15 points Assignment superficially meets some of the expectations. Two or more required topics are either not addressed or inadequately addressed.
QUALITY OF WORK SUBMITTED: Purpose of the paper is clear (0-5 Points)
5 to 5 points A clear and comprehensive purpose statement is provided which delineates all required criteria.

5 to 5 points A clear and comprehensive purpose statement is provided which delineates all required criteria.
4 to 4 points Purpose of the assignment is stated, yet is brief and not descriptive.
1 to 3 points Purpose of the assignment is vague.
0 to 0 points No purpose statement was provided. NURS6551 Week 6 Discussion latest

ASSIMILATION AND SYNTHESIS OF IDEAS The extent to which the work reflects the students ability to- 1. Understand and interpret the assignments key concepts (0- 10 Points)
10 to 10 points Demonstrates the ability to critically appraise and intellectually explore key concepts.
9 to 9 points Demonstrates the ability to critically appraise and intellectually explore key concepts.
8 to 8 points Demonstrates a clear understanding of key concepts.
5 to 7 points Shows some degree of understanding of key concepts.
0 to 4 points Shows a lack of understanding of key concepts, deviates from topics. NURS6551 Week 6 Discussion latest

ASSIMILATION AND SYNTHESIS OF IDEAS 2. Apply and integrate material in course resources (i.e. video, required readings, and textbook) and credible outside resources (0-20 Points)
20 to 20 points Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.
15 to 19 points Demonstrates and applies exceptional support of major points and integrates 2 or more credible outside sources, in addition to 3-4 course resources to support point of view.
10 to 14 points Integrates specific information from 1 credible outside resource and 3 to 4 course resources to support major points and point of view. NURS6551 Week 6 Discussion latest

3 to 9 points Minimally includes and integrates specific information from 2-3 resources to support major points and point of view.
0 to 2 points Includes and integrates specific information from 0 to 1 resource to support major points and point of view.
ASSIMILATION AND SYNTHESIS OF IDEAS 3. Synthesize (combines various components or different ideas into a new whole) material in course resources (i.e. video, required readings, and textbook) by comparing different points of view and highlighting similarities, differences, and connections. (0-20 Points) NURS6551 Week 6 Discussion latest

20 to 20 points Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice.
18 to 19 points Synthesizes and justifies (defends, explains, validates, confirms) information gleaned from sources to support major points presented. Applies meaning to the field of advanced nursing practice. NURS6551 Week 6 Discussion latest

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16 to 17 points Summarizes information gleaned from sources to support major points, but does not synthesize.
14 to 15 points Identifies but does not interpret or apply concepts, and/or strategies correctly; ideas unclear and/or underdeveloped.
0 to 13 points Rarely or does not interpret, apply, and synthesize concepts, and/or strategies.
WRITTEN EXPRESSION AND FORMATTING 1. Paragraph and Sentence Structure: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are clearly structured and carefully focused–neither long and rambling nor short and lacking substance. (0-5 Points) NURS6551 Week 6 Discussion latest

5 to 5 points Paragraphs and sentences follow writing standards.
5 to 5 points Paragraphs and sentences follow writing standards.
4 to 4 points Paragraphs and sentences follow writing standards 80% of the time.
3 to 3 points Paragraphs and sentences follow writing standards 70% of the time. NURS6551 Week 6 Discussion latest
0 to 2 points Paragraphs and sentences follow writing standards < 70% of the time. WRITTEN EXPRESSION AND FORMATTING 2. English writing standards: Correct grammar, mechanics, and proper punctuation (0-5 Points) NURS6551 Week 6 Discussion latest

5 to 5 points Uses correct grammar, spelling, and punctuation with no errors.
5 to 5 points Uses correct grammar, spelling, and punctuation with no errors.
4 to 4 points Contains a few (1- 2) grammar, spelling, and punctuation errors.
3 to 3 points Contains several (3-4) grammar, spelling, and punctuation errors. 3
0 to 2 points Contains many (= 5) grammar, spelling, and punctuation errors that interfere with the readers understanding. NURS6551 Week 6 Discussion latest

WRITTEN EXPRESSION AND FORMATTING 3. The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in- text citations, and reference list (0-5 Points)
5 to 5 points Uses correct APA format with no errors.
5 to 5 points Uses correct APA format with no errors.
4 to 4 points Contains a few (1- 2) APA format errors.
3 to 3 points Contains several (3-4) APA format errors.
0 to 2 points Contains many (= 5) APA format errors. NURS6551 Week 6 Discussion latest

NURS6551 Week 6 Discussion latest