{"id":9210,"date":"2024-01-23T02:18:16","date_gmt":"2024-01-23T02:18:16","guid":{"rendered":"https:\/\/www.writemyessays.app\/blog\/questions\/soap-note-based-on-the-case-study-below-assessing-diagnosing-and-treating-endocrine-metabolic-and-nutritional-disorders\/"},"modified":"2024-01-23T02:18:16","modified_gmt":"2024-01-23T02:18:16","slug":"soap-note-based-on-the-case-study-below-assessing-diagnosing-and-treating-endocrine-metabolic-and-nutritional-disorders","status":"publish","type":"questions","link":"https:\/\/www.writemyessays.app\/blog\/questions\/soap-note-based-on-the-case-study-below-assessing-diagnosing-and-treating-endocrine-metabolic-and-nutritional-disorders\/","title":{"rendered":"SOAP note based on the case study below.ASSESSING, DIAGNOSING, AND TREATING ENDOCRINE, METABOLIC, AND NUTRITIONAL DISORDERS"},"content":{"rendered":"<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><strong style=\"color: inherit; font-variant-caps: inherit; font-weight: bold; cursor: auto;\">The Assignment:<\/strong><\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">Complete the Focused SOAP Note Template provided for the patient in the case study. Be sure to address the following:<\/p>\n<ul style=\"margin-right: 0px; margin-bottom: 6px; margin-left: 25px; cursor: auto; color: inherit;\">\n<li style=\"cursor: auto; color: inherit;\">Subjective: What was the patient\u2019s subjective complaint? What details did the patient provide regarding their history of present illness and personal and medical history? Include a list of prescription and over-the-counter drugs the patient is currently taking. Compare this list to the American Geriatrics Society Beers Criteria\u00ae, and consider alternative drugs if appropriate.&nbsp;Provide a review of systems.<\/li>\n<li style=\"cursor: auto; color: inherit;\">Objective: What observations did you note from the physical assessment? What were the lab, imaging, or functional assessments results?<\/li>\n<li style=\"cursor: auto; color: inherit;\">Assessment: Provide a minimum of three differential diagnoses. List them from top priority to least priority.&nbsp;Compare the diagnostic criteria for each, and explain what rules each differential in or out. Explain you critical thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.<\/li>\n<li style=\"cursor: auto; color: inherit;\">Plan: Provide a detailed treatment plan for the patient that addresses each diagnosis, as applicable. Include documentation of diagnostic studies that will be obtained, referrals to other health-care providers, therapeutic interventions, education, disposition of the patient, caregiver support, and any planned follow-up visits. Provide a discussion of health promotion and disease prevention for the patient, taking into consideration patient factors, past medical history (PMH), and other risk factors. Finally, include a reflection statement on the case that describes insights or lessons learned.<strong style=\"font-weight: bold; cursor: auto; color: inherit;\"><\/strong><\/li>\n<li style=\"cursor: auto; color: inherit;\"><font size=\"6\">Provide at least three evidence-based <\/font><font size=\"4\">peer-reviewed journal articles or evidenced-based guidelines, which relate to this case to support your diagnostics and differentials diagnoses. Be sure they are current (no more than 5 years old) and support the <\/font>treatment plan in following current standards of care. Follow APA 7th edition formatting.<\/li>\n<\/ul>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\"><font size=\"5\">SOAP note files attached<\/font><\/p>\n<p style=\"margin: 12px 0px; cursor: auto; color: inherit;\">This week your readings will focus on<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">Endocrine, Metabolic, and Nutritional Disorders. Your<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span>assignment is to write a SOAP note based on the case study below. Review the guidelines for the SOAP note located within the module to ensure that you are addressing specific items in the note.&nbsp;<\/p>\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><br \/><\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><br \/><\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><br \/><\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">HPI: Ms. Donetz is a 73-year old Female who comes into your office with concerns of fatigue<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">and dry skin. She is a retired Banker. She is AAOx4, ambulatory, and lives by herself. She does<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">report increased fatigue no matter how much sleep she gets. She is also concerned that she<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">may need to come off of one of her meds because her hair is thinning. She had labs done and<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">also was informed they would review results at this visit. Other pertinent diagnoses include<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">Hypertension, Hyperlipidemia, and Vitamin D deficiency. She admits to not taking her vitamin D<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">daily as prescribed.<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">She makes no unusual motor movements and demonstrates no tics. She denies any visual or<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">auditory hallucinations. She denies any suicidal thoughts or ideations. She denies any falls or<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">pain.<\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">(All other Review of System and Physical Exam findings are negative other than stated.)<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Vital Signs: BP 137\/82, HR 89, RR 20, Temp 98.1<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">PMH: Hypertension, Hyperlipidemia, Vitamin D deficiency<\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Allergies: I.V. Contrast &#8211; rash, ACE Inhibitors &#8211; cough<\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Medications:<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Women\u2019s One A Day-Multivitamin daily<\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Chlorthalidone 25mg daily<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Fish Oil 1 tablet daily<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Amlodipine 5mg p.o. daily<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Losartan 100mg p.o. daily<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Atorvastatin 40mg p.o. at bedtime daily<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Ergocalciferol 50,000 units PO once a month<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Social History: as stated in Case Study<\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">ROS: as stated in Case study<\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Diagnostics\/Assessments done:<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">1.<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">CXR- Last CXR showed no cardiopulmonary findings. WNL<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">2.<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">TSH\/Free T4, T3- as noted below in lab results<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">3.<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">Basic Metabolic Panel and CBC as shown below<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">4.<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">Vitamin D Level- as noted below in lab results<\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">TEST<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">RESULT<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">REFERENCE<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">RANGE<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">GLUCOSE<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">85<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">65-99<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">SODIUM<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">134 L<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">135-146<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">POTASSIUM<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">4.2<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">3.5-5.3<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">CHLORIDE<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">104<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">98-110<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">CARBON<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">DIOXIDE<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">29<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">19-30<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">CALCIUM<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">9.0<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">8.6- 10.3<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">BUN<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">20<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">7-25<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">CREATININE<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">1.01<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">0.70-1.25<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">GLOMERULAR<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">FILTRATION<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">RATE (eGFR)<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">76<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">&gt;or=60<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">mL\/min\/1.73m2<\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">TEST<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">RESULT<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">REFERENCE<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">RANGE<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">TSH<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">23<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">0.4-4.0<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">FREE T4<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">0.05<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">0.9-2.4 mcg\/dl<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">T3<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">3.0<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">2.0-4.4 ng\/dl<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">Vitamin D 1,25<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">OH<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">14<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">36-144<\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">TEST<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">RESULT<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">REFERENCE<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/span><span style=\"cursor: auto; color: inherit;\">RANGE<\/span><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">WBC<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">7.3<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">3.4- 10.8<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">RBC<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">4.31<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">4.5 \u2013 6.1<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">HEMOGLOBIN<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">14<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">13-17.2<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">HEMATOCRIT<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">42%<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">36-50<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">MCV<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">90<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">80-100<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">MCHC<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">34<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">32-36<\/span><br style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">PLATELET<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">272<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">150-400<\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><br \/><\/span><\/div>\n<div style=\"cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\"><br \/><\/span><\/div>\n<h3 style=\"margin: 5px 0px 2px; font-weight: 700; font-size: 1.3em; line-height: 1; cursor: auto;\" aria-expanded=\"true\" aria-selected=\"true\" aria-controls=\"kl_panel_0_content\"><span style=\"margin-top: -8px; cursor: auto; color: inherit;\"><\/span><a style=\"padding: 10px 10px 10px 30px; font-weight: 400; font-size: 1em; cursor: auto;\">Required Readings<\/a><\/h3>\n<h2 style=\"margin: 20px 0px 0px; padding: 5px; line-height: 30px; cursor: auto;\">\n<div style=\"cursor: auto; color: inherit;\">\n<div style=\"margin: 10px 0px 0px; line-height: 1.3; cursor: auto; color: inherit;\">\n<div style=\"margin: -2px 0px 0px; padding: 10px; line-height: 1.3; cursor: auto; color: inherit;\" aria-hidden=\"false\" aria-labelledby=\"kl_panel_0\">\n<ul style=\"margin-right: 0px; margin-bottom: 6px; margin-left: 25px; cursor: auto; color: inherit;\">\n<li style=\"font-size: 1rem; margin-bottom: 19.8984px; cursor: auto; color: inherit;\">Kennedy-Malone, L., &amp; Groenke-Duffy, E. (2023<em style=\"cursor: auto; color: inherit;\">).<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><\/em>Endocrine and metabolic disorders. In<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><em style=\"cursor: auto; color: inherit;\">Advanced practice nursing in the care of older adults<\/em><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span>(3<sup style=\"font-size: 12px; cursor: auto; color: inherit;\">rd<\/sup><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span>ed., pp. 437-480). F.A. Davis.<\/li>\n<li style=\"font-size: 1rem; margin-bottom: 19.8984px; cursor: auto; color: inherit;\">American Diabetes Association. (2020).<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><a style=\"cursor: auto;\"><span style=\"cursor: auto; color: inherit;\">Glycemic targets: Standards of medical care in diabetes\u20142020<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"margin: -1px; cursor: auto; color: inherit;\">Links to an external site.<\/span><\/span><\/a>.<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><em style=\"cursor: auto; color: inherit;\">Diabetes Care, 43<\/em>(Suppl. 1), S66\u2013S76. https:\/\/doi.org\/10.2337\/dc20-S006<\/li>\n<li style=\"font-size: 1rem; margin-bottom: 19.8984px; cursor: auto; color: inherit;\">Munshi, M., Nathan, D. M., Schmader, K. E., Mulder, J. E., &amp; Givens, J. (2019).<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><a style=\"cursor: auto;\"><span style=\"cursor: auto; color: inherit;\">Treatment of type 2 diabetes mellitus in the older patient<\/span><span style=\"cursor: auto; color: inherit;\"><span style=\"margin: -1px; cursor: auto; color: inherit;\">Links to an external site.<\/span><\/span><\/a>.<span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><em style=\"cursor: auto; color: inherit;\">UpToDate<\/em>. Retrieved June 8, 2020, from https:\/\/www.uptodate.com\/contents\/treatment-of-type-2-diabetes-mellitus-in-the-older-patient<\/li>\n<li style=\"font-size: 1rem; margin-bottom: 19.8984px; cursor: auto; color: inherit;\"><span style=\"color: inherit; font-weight: 700; font-size: 1rem; background-color: var(--color-6); font-variant-caps: inherit;\">NRNP_6540_Week9_Assignment_Rubric<\/span><\/li>\n<li style=\"margin-bottom: 19.8984px; cursor: auto; color: inherit;\"><span style=\"color: inherit; font-weight: 700; background-color: var(--color-6); font-variant-caps: inherit;\"><span style=\"font-size: 13.6px; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">10<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">to &gt;<span style=\"cursor: auto; color: inherit;\">9.0<\/span><\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span>pts<\/span><font size=\"2\"><span style=\"font-size: 13.6px; cursor: auto; color: inherit;\"><\/span><\/font>\n<div style=\"font-size: 13.6px; cursor: auto; color: inherit;\">Excellent<\/div>\n<div style=\"font-size: 13.6px; margin: 0.25rem 0px; font-weight: normal; cursor: auto; color: inherit;\">The response throughly and accurately describes the patient&#8217;s subjective complaint, history of present illness, current medications, allergies, medical history, and review of all systems that would inform a differential diagnosis. A thorough cross-check of medications against the Beers Criteria has been completed and appropriate alternative drugs recommended if applicable<\/div>\n<div style=\"margin: 0.25rem 0px; font-weight: normal; cursor: auto; color: inherit;\"><span style=\"font-size: 13.6px; font-weight: 700; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">10<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">to &gt;<span style=\"cursor: auto; color: inherit;\">9.0<\/span><\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span>pts<\/span><font size=\"2\"><span style=\"font-weight: 700; font-size: 13.6px; cursor: auto; color: inherit;\"><\/span><\/font><\/p>\n<div style=\"font-size: 13.6px; font-weight: 700; cursor: auto; color: inherit;\">Excellent<\/div>\n<div style=\"font-size: 13.6px; margin: 0.25rem 0px; cursor: auto; color: inherit;\">The response thoroughly and accurately documents the patient&#8217;s physical exam for pertinent systems. Diagnostic tests and their results are thoroughly and accurately documented.<\/div>\n<div style=\"margin: 0.25rem 0px; cursor: auto; color: inherit;\"><span style=\"font-size: 13.6px; font-weight: 700; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">25<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">to &gt;<span style=\"cursor: auto; color: inherit;\">23.0<\/span><\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span>pts<\/span><font size=\"2\"><span style=\"font-weight: 700; font-size: 13.6px; cursor: auto; color: inherit;\"><\/span><\/font><\/p>\n<div style=\"font-size: 13.6px; font-weight: 700; cursor: auto; color: inherit;\">Excellent<\/div>\n<div style=\"font-size: 13.6px; margin: 0.25rem 0px; cursor: auto; color: inherit;\">The response lists in order of priority at least three distinctly different and detailed possible conditions for a differential diagnosis of the patient in the assigned case study, and provides a thorough, accurate, and detailed justification for each of the conditions selected<\/div>\n<div style=\"margin: 0.25rem 0px; cursor: auto; color: inherit;\"><span style=\"font-size: 13.6px; font-weight: 700; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">0<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">to &gt;<span style=\"cursor: auto; color: inherit;\">27.0<\/span><\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span>pts<\/span><font size=\"2\"><span style=\"font-weight: 700; font-size: 13.6px; cursor: auto; color: inherit;\"><\/span><\/font><\/p>\n<div style=\"font-size: 13.6px; font-weight: 700; cursor: auto; color: inherit;\">Excellent<\/div>\n<div style=\"font-size: 13.6px; margin: 0.25rem 0px; cursor: auto; color: inherit;\">The response thoroughly and accurately outlines a treatment plan for the patient that addresses each diagnosis and includes diagnostic studies neeed, referrals, therapeutic interventions, patient education and disposition, and planned follow-up visits. A thorough and accurate discussion of health promotion and disease prevention related to the case is provided. Reflections on the case demonstrate strong critical thinking and synthesis of ideas.<\/div>\n<div style=\"margin: 0.25rem 0px; cursor: auto; color: inherit;\"><span style=\"font-size: 13.6px; font-weight: 700; cursor: auto; color: inherit;\"><span style=\"cursor: auto; color: inherit;\">10<\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span><span style=\"cursor: auto; color: inherit;\">to &gt;<span style=\"cursor: auto; color: inherit;\">9.0<\/span><\/span><span style=\"cursor: auto; color: inherit;\">&nbsp;<\/span>pts<\/span><font size=\"2\"><span style=\"font-weight: 700; font-size: 13.6px; cursor: auto; color: inherit;\"><\/span><\/font><\/p>\n<div style=\"font-size: 13.6px; font-weight: 700; cursor: auto; color: inherit;\">Excellent<\/div>\n<div style=\"margin: 0.25rem 0px; cursor: auto; color: inherit;\"><font size=\"2\">The response provides at least three current, evidence-based resources from the literature to support the treatment plan for the patient in the assigned case study. Each resource represents the latest in standards of care and provides strong justification for treatment decisions<\/font><\/div>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n<p><\/span><\/li>\n<\/ul>\n<\/div>\n<\/div>\n<\/div>\n<\/h2>\n<\/div>\n<\/div>\n<\/div>\n<\/div>\n","protected":false},"excerpt":{"rendered":"<p>The Assignment: Complete the Focused SOAP Note Template provided for the patient in the case study. Be sure to address the following: Subjective: What was the patient\u2019s subjective complaint? What details did the patient provide regarding their history of present illness and personal and medical history? Include a list of prescription and over-the-counter drugs the [&hellip;]<\/p>\n","protected":false},"author":2,"featured_media":0,"comment_status":"open","ping_status":"closed","template":"","meta":[],"disciplines":[13],"paper_types":[],"tagged":[],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/9210"}],"collection":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions"}],"about":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/types\/questions"}],"author":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/users\/2"}],"replies":[{"embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/comments?post=9210"}],"version-history":[{"count":0,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/questions\/9210\/revisions"}],"wp:attachment":[{"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/media?parent=9210"}],"wp:term":[{"taxonomy":"disciplines","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/disciplines?post=9210"},{"taxonomy":"paper_types","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/paper_types?post=9210"},{"taxonomy":"tagged","embeddable":true,"href":"https:\/\/www.writemyessays.app\/blog\/wp-json\/wp\/v2\/tagged?post=9210"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}