nurs 6551 application

Assignment 1: Application – Comprehensive Patient Assessment

Don't use plagiarized sources. Get Your Custom Essay on
nurs 6551 application
For as low as $13/Page
Order Essay

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 paper that focuses on one female patient from your current practicum setting.


To prepare Please ensure no plagiarism 


·        Reflect on your Practicum Experience and select a female patient ( you can choose, HPV, fibroids, infertility, ovarian cyst, or chronic bacterial vaginosis as the topic)


·        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 paper that addresses the following:

1. General patient information

a. Age

b. Race/ethnicity

c. Partner status

2. Current health status

a. Chief concern/complaint and history of present illness (include a complete

symptom analysis of chief complaint(s) utilizing OLDCART for a sick/problem

focused visit)

b. Last menstrual period or year of menopause

c. DES exposure (if born between 1948 and 1971)

d. Sexual activity status

e. Barrier prevention

f. Sexual preference

g. Satisfaction with sexual relations

3. Contraception method (if any)


4. Patient history

a. Past medical history

• Major medical events (including pediatric events)

• Psychological and mental health

• Surgeries and/or hospitalizations if pertinent

• Medications, including prescriptions, over-the-counter medications, home

and herbal remedies, calcium, and vitamin supplements

• Allergies, including drug, food, and environment

• Health maintenance/screenings, including results of patient’s last Pap and

mammogram as appropriate, as well as previous vaccinations (HPV,

MMR, hepatitis B, last dT, and pneumovax/influenza as appropriate)

b. Family medical history

c. Gynecologic history

• Nullipara vs. multipara

• History of sexually transmitted infections and sexually transmitted


• Menarche and menstrual patterns

• Menopause or peri-menopausal symptoms (if applicable)

d. Obstetric history

• Gravida and parity status (TPAL)

• Pregnancy history, including history of preterm or low birth weight, other

pregnancy complications, history of sexually transmitted diseases, and

any pertinent negatives

e. Personal social history (as appropriate to the current problem)

• Cultural background

• Education and economic condition

• Abuse history including assault and forced sex (past and current)

• Occupational health patterns

• Environment

• Current health habits and/or risk factors

• Substance use (must include for every patient)

• Tobacco including frequency and longevity

• Alcohol including results of CAGE unless patient has never used

• Recreational drug use (past and current)

• Exercise and physical activity

• Diet and nutrition

• Sleep

• Caffeine

5. Review of systems (ROS)

a. Must include reproductive system as well as other pertinent systems (systems

relevant to HPI should be included under HPI)

6. Physical exam

a. General exam, including vital signs, height, weight, and BMI on every patient

b. Physical exam focused on episodic complaint (include numbers of weeks

gestation, fundal height, and fetal heart tones for OB patients)

7. Labs, tests, and other diagnostics

a. Pertinent labs, test, and other diagnostics (include routine tests such as triple

screen and urine dip for OB patients)

8. Differential diagnoses

a. Explain why this set of differential diagnoses should be considered and why

each diagnosis should be ruled in or ruled out.

9. Management plan

a. Diagnosis

b. Treatment

c. Patient education

d. Follow-up care



Note: The School of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at All papers submitted must use this formatting.


 PLEASE REVIEW SAMPLE PAPER ATTACHED BELOW. This is the guide to this assignment


Place your order
(550 words)

Approximate price: $22

Calculate the price of your order

550 words
We'll send you the first draft for approval by September 11, 2018 at 10:52 AM
Total price:
The price is based on these factors:
Academic level
Number of pages
Basic features
  • Free title page and bibliography
  • Unlimited revisions
  • Plagiarism-free guarantee
  • Money-back guarantee
  • 24/7 support
On-demand options
  • Writer’s samples
  • Part-by-part delivery
  • Overnight delivery
  • Copies of used sources
  • Expert Proofreading
Paper format
  • 275 words per page
  • 12 pt Arial/Times New Roman
  • Double line spacing
  • Any citation style (APA, MLA, Chicago/Turabian, Harvard)

Our guarantees

Delivering a high-quality product at a reasonable price is not enough anymore.
That’s why we have developed 5 beneficial guarantees that will make your experience with our service enjoyable, easy, and safe.

Money-back guarantee

You have to be 100% sure of the quality of your product to give a money-back guarantee. This describes us perfectly. Make sure that this guarantee is totally transparent.

Read more

Zero-plagiarism guarantee

Each paper is composed from scratch, according to your instructions. It is then checked by our plagiarism-detection software. There is no gap where plagiarism could squeeze in.

Read more

Free-revision policy

Thanks to our free revisions, there is no way for you to be unsatisfied. We will work on your paper until you are completely happy with the result.

Read more

Privacy policy

Your email is safe, as we store it according to international data protection rules. Your bank details are secure, as we use only reliable payment systems.

Read more

Fair-cooperation guarantee

By sending us your money, you buy the service we provide. Check out our terms and conditions if you prefer business talks to be laid out in official language.

Read more
Live Chat 1 {763} 309 4299EmailWhatsApp

Online Class Help Services Available from $100 to $150 Weekly We Handle Everything