Comprehensive Patient Assessment Essay Assignment Paper

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Comprehensive Patient Assessment Essay Assignment Paper

When completing practicum requirements in clinical settings, you and your Preceptor might complete several patient assessments in the course of a day or even just a few hours. This schedule does not always allow for a thorough discussion or reflection on every patient you have seen. As a future advanced practice nurse, it is important that you take the time to reflect on a comprehensive patient assessment that includes everything from patient medical history to evaluations and follow-up care. For this Assignment, you begin to plan and write a comprehensive assessment that focuses on one female patient from your current practicum setting.

To prepare

  • Reflect on your Practicum Experience and select a female patient whom you have examined with the support and guidance of your Preceptor.
  • Think about the details of the patient’s background, medical history, physical exam, labs and diagnostics, diagnosis, treatment and management plan, as well as education strategies and follow-up care.

To complete

Write an 8- to 10-page comprehensive assessment that addresses the following:

  • Age, race and ethnicity, and partner status of the patient
  • Current health status, including chief concern or complaint of the patient
  • Contraception method (if any)
  • Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem)
  • Review of systems
  • Physical exam
  • Labs, tests, and other diagnostics
  • Differential diagnoses
  • Management plan, including diagnosis, treatment, patient education, and follow-up care

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