This week, you learned about the pediatric assessment and completed the Shadow H

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This week, you learned about the pediatric assessment and completed the Shadow Health focused exam of Danny Rivera. In this summative assessment, you create an episodic SOAP note for Danny Rivera and write a reflection addressing potential barriers to care and evidence-based practices related to the diagnoses. Complete Parts 1 and 2 below.
Part 1: SOAP Note
Review the Danny Rivera scenario in the Week 3 – Shadow Health Focused Exam: Cough assignment.
Use the SOAP Note Template and the SOAP Note Structure Guide to document your SOAP note for Danny Rivera.
Please use the SOAP Note Template and the SOAP Note Structure Guide for this class. The templates are a little different from the NRP 531 class. I had students using different templates in my last NRP 571 class. 😉 We will practice this under the week 3 discussion.
The assessment and plan sections will not be graded for correct diagnoses, but should be completed to ensure proper documentation of a complete SOAP note. For this week I wanted to make sure that when it says needs to be completed you need the reference support to show the rule in or out of the differentials you select. If this isn’t clear then the point loss won’t be on the answers, but rather the lack of completeness for this template. There is points allotted for that. You will also use this information to complete your E&M coding for the visit. Make sure to do the following:
Document all relevant information using appropriate terminology.
List the appropriate ICD-10 codes and E&M codes for the diagnoses.
Part 2: Reflection
Now that you have completed your SOAP note for Danny Rivera, it is time for reflection. This reflection is your opportunity to review what you learned about the patient, the process, and the outcomes in preparation for future patient encounters. The reflection must include a discussion about an evidence-based practice to improve the quality of care the patient receives.

Write a 700-word reflection providing rationale for your completed SOAP note with consideration for the interview information provided in the patient scenario. Address the following in your reflection:
Locate and review at least 1 current evidence-based article that discusses evidence-based guidelines or new research relating to each diagnosis. Provide a brief summary of the article(s).
Identify a minimum of 2 barriers to quality health care the patient can potentially experience per the information provided in the interview (e.g., cultural, linguistic, economic, previous conditions).
Explain how you, as the nurse practitioner, can address these barriers to improve the quality of care the patient receives.
Reference a minimum of 3 peer-reviewed articles to support your reflection.
Format your citations according to APA guidelines.
Submit your assessment.

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