Herzing NU671 2021 June Discussions Latest (Full)

NU671 Clinical Decision-Making

Unit 1 Discussion

Nurse Practitioners as Providers

Ponder interactions you have had with primary care health care providers in recent years.

Now that you have reviewed models for clinical decision-making construct a discussion that reflects on an encounter you have had with a primary care provider.

Utilize one of the models presented in your lecture materials, or any other model that you may like, to frame your discussion of the experience with the primary care provider that you are reflecting on.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Review the reflection posts of your course colleagues and consider the knowledge you have gained from this week’s lecture.

Your thoughts about the model they chose to frame their discussion.

Consider you were the primary care provider that had seen your course colleague. Comment if there were any actions/activities you would have done differently or would not have done that the primary care provider did relative to your course colleagues encounter with them.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

NU671 Clinical Decision-Making

Unit 2 Discussion

New Patient Encounter

Review the SOAP note accessed through this link.  For purposes of the assignment, the patient is a ‘new patient’ in the practice.

New Patient SOAP Note download

Initial Post

Use your lecture materials to determine what CPT E&M Code to utilize for this ‘new patient’ encounter using the medical decision-making (complexity) approach.

Provide justification for the code you assigned by including the following information in your discussion:

The level of medical complexity encompassed by including the number of points for the diagnoses/management options and the amount/complexity of data reviewed; then identify the level of risk for complications, morbidity, mortality

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Consider the knowledge you have gained from this week’s lecture.

Construct a response – ideally one who assigned the same CPT E&M Code that you did and one that did not.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

NU671 Clinical Decision-Making

Unit 3 Discussion

ICD-10 Codes

Review the SOAP note accessed through the link below.

ICD-10 SOAP Note download

Initial Post

Use your lecture materials to determine what ICD-10 Codes to assign for this patient encounter.

In paragraph form, construct a discussion that supports the Codes you identified.

In the discussion explore how the ICD-10 Codes that you assigned impact third party payor reimbursement for this visit.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Consider the knowledge you have gained from this week’s lecture.

Construct a response to at least 2 of your peers commenting – ideally one who assigned the same ICD-10 Codes that you did and one who did not.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

NU671 Clinical Decision-Making

Unit 4 Discussion

Social Determinants of Health

Instructions:

Review the SOAP note accessed through the link below.

Social Determinants SOAP Note download

Consider the knowledge you have gained from this week’s lecture.

Use your lecture materials to determine three priority Social Determinants of Health (SDH) to assess for in the patient represented in the SOAP note. NOTE:  Priority may refer to a strength in an SDH category necessary for the individual to attain/maintain health OR the priority may be a challenge in an SDH category identified as needing support or intervention for the individual to attain/maintain health. 

In paragraph form, construct a discussion that identifies those priority SDHs using data from the objective and subjective data sets where appropriate to support your discussion.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct a response – ideally, one who identified the same 3 priority SDHs that you did and one who did not.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

NU671 Clinical Decision-Making

Unit 5 Discussion

Cultural and Spiritual Assessment

Conduct a comprehensive cultural and spiritual assessment on a patient that you see in your clinical experience this week.  If you were are not in clinical this week conduct this assessment on a professional colleague, friend, or family member.

Document the assessment in the context of a subjective data set that you will use as your discussion post.  Use one of mnemonics presented in this week’s lecture materials to guide your spiritual assessment.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct a response – ideally one who utilized the same mnemonic that you did and one who did not.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

NU671 Clinical Decision-Making

Unit 6 Discussion

Health Promotion

Initial Post

Review the health maintenance guidelines presented in this week’s lecture material.

Post a discussion on your observations about review of these guidelines with a patient that you and your preceptor have seen in clinic.

Include in the discussion:

The patient’s age, gender and applicable health maintenance guideline

The preceptor’s approach to the topic of the health maintenance guidelines

The patient’s response to or questions about health maintenance guidelines

An overview of the health promotion model, or change model, that you would utilize to frame your discussion with a patient about health maintenance guidelines applicable for their age, gender, and health status

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct a response – ideally one who utilized the same health promotion model that you did and one who did not.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

 

 

 

 

 

NU671 Clinical Decision-Making

Unit 7 Discussion

Evidence-Based Practice

Review the partial SOAP note accessed through this link.

EBP SOAP Note

Initial Post

Post a discussion constructed as the ‘P’ (treatment plan) that completes the partial SOAP note accessed through the link above.

Include in the discussion:

Your treatment plan for the first three diagnoses – structure your plan using the format outlined in your Typhon documentation policy (e.g. diagnostics, therapeutics, educational, consultation/collaboration)

Citations for each of the evidence-based practice (EBP) interventions included in your plan

For each article, you cited in support of an element of the plan, provide your thoughts about the strength of the evidence presented in the article(s)

Responses need to address all components of the question, demonstrate critical thinking and analysis, and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct a response – ideally one who utilized the same EBP interventions that you did and one who did not.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

 

 

 

 

NU671 Clinical Decision-Making

Unit 8 Discussion

Clinical Practice

Post a discussion constructed as the ‘P’ (treatment plan) that completes the partial SOAP note accessed through the link below.

Include in the discussion:

Your treatment plan for the diagnosis that relates to the “chief complaint” – structure your Plan using the format outlined in your Typhon documentation policy (e.g. diagnostics, therapeutics, educational, consultation/collaboration)

Citations for each of the guidelines/evidence used to support the elements of your Plan

Construct a narrative discussion that identifies how your Plan either aligns with or does not align with the diabetes management regimen that is documented in the subjective data set (the ‘S’)

Attached file:

Week 8 SOAP Note

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct a response – ideally one who developed a Plan that encompassed all the same interventions that you did and one who did not.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

 

 

 

 

NU671 Clinical Decision-Making

Unit 9 Discussion

Clinical Experience

You have been reviewing SOAP or partial SOAP notes in prior units.

For the patient encounter from your last week clinical experience construct a SOAP note.

Use your ‘model’ thinking as you construct each element of the SOAP note to ensure that each element of the note is consistent/congruent with the other sections and that you have adequate subjective and objective data that support your ‘assessment’.

Elements of the ‘plan’ need to reflect current EBP and CPGs. Be sure to include appropriately constructed in-text citations.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Estimated time to complete:  2 hours

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct a response to your peers commenting on the adequacy and accuracy of the elements of their SOAP note.  For example, if you note the presence of objective data in the ‘S’ or subjective data in the ‘O’ discuss this with your peers. 

For each colleague that you respond to list at least one subjective piece of data and/or one objective piece of data that supports the ‘A’ demonstrated in the note – or comment if there is no data/insufficient data to support the ‘A’.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

 

 

 

 

NU671 Clinical Decision-Making

Unit 10 Discussion

Social Determinants of Health

Reflect on a patient that you assessed during your clinical experience this week or last week.

Instructions:

Select one of the tools/instruments presented in Unit 2 Week 4, or one you locate on your own, and construct a discussion that encompasses your assessment findings relative to your patient’s social determinants of health.

Reconstruct the elements of your patient's ‘Plan’ that encompasses interventions aimed at challenges/issues identified for one of your patient’s social determinants of health categories.

Include citations for each of the resources you used to support the elements of your Plan.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct a response to your peers commenting on their Plan elements that relate to the identified social determinant of health.

For each colleague that you respond to recommend an additional intervention to address the identified social determinant of health and support the intervention, you add to the plan with a scholarly resource.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

NU671 Clinical Decision-Making

Unit 11 Discussion

Spiritual Assessment

Select one of the mnemonics presented in the Unit 5 articles, or one you locate on your own, and construct a spiritual assessment on one of the patients that you encountered last week and create a 'Subjective' data set for the patient.

Construct a discussion of your spiritual assessment findings and how you or the patient perceive they may impact the patient’s health care choices.

Outline a 'Plan' with interventions you would implement to support identified spiritual strengths or address/support spiritual challenges for your patient.

Include citations for each of the resources that you used to support those elements of your Plan.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct a response commenting on your peer's Plan elements that relate to their documented spiritual assessment.

For each colleague that you respond to recommend an additional intervention for their Plan and support it with a scholarly resource.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

NU671 Clinical Decision-Making

Unit 12 Discussion

Ethnicity and Culture

Review these videos:

Select one of the video scenarios for the purpose of constructing your discussion thread assignment.

Include in your discussion the following:

Your personal thoughts or experiences with patients of the same ethnic background as the patient in one of the videos.

Best practice strategies from the literature for the development of health care approaches for patients from the culture of the patient in the video you have expressed your personal thoughts and experiences with.

Support the discussion of best practice strategies with professional literature and be sure to include appropriate in-text citations.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct responses commenting on the best practice strategies for use in shared decision making with a patient of the ethnic background your course colleague has shared their thoughts and experiences about.

For each colleague that you respond to recommend an additional best practice for competent cultural engagement with the patient.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

NU671 Clinical Decision-Making

Unit 13 Discussion

Data Set Analysis

Review the ‘S’ and ‘O’ data sets accessed through this link.

Data Set SOAP Note download

Construct a discussion that includes the following:

An ‘Assessment’ (‘A’ of a SOAP note) section that is supported by the data sets reviewed.

Assignment of an ICD-10 Code for each diagnosis you included in your ‘A’

Identification of the subjective and objective data for each of the ‘Assessments’ (diagnoses) you included in the ‘A’.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct responses to your peers, ideally one who determined the same list of diagnoses that you did and one who did not.

Include in your response discussion identification of the subjective and/or objective data OR absence of same that supports your agreement or disagreement with your course colleague.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

NU671 Clinical Decision-Making

Unit 14 Discussion

Current Procedural Terminology

Review the SOAP note accessed through this link.

 (Links to an external site.)Current Procedures SOAP Note download

Construct a discussion that includes the following:

Identification of the procedures performed in each patient encounter

Assignment of CPT code for each procedure identified

Resources utilized for locating assigned CPT codes; if an online resource includes the link to the site or page.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct responses to your peers ideally one who located/utilized the same resource(s) for locating CPT codes for the identified procedures and one who did not.

Include in your response discussion your impression of the value of the resource(s) for your role as an NP.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

NU671 Clinical Decision-Making

Unit 15 Discussion

Evaluation and Management

You work for a large healthcare system as a PMH NP.

In the mornings you work in the outpatient clinic.

You have 7 patients on your morning schedule – see below:

0800: Medication management for a 32 yo female with Schizophrenia, obesity, on oral contraceptives

0830: Established patient, hospital D/C follow-up for a 64 yo male with Major Depression with psychotic features, HTN, Type 2 DM, COPD

0900: Medication management for a 44 yo female with Schizoaffective D/O Bipolar type, migraine HAs

0930: Medication management for a 23 yo male with Bipolar I D/O with psychotic features

1000: New patient, hospital D/C follow-up for 25 yo male with Schizoaffective D/O, paranoid with AVH, substance use

1100: Medication management for a 37 yo female with Panic Disorder, endometriosis

1130: Medication management for a 16 yo male with ADHD, asthma

Reflect on the Cracking the Code presentation for E/M services from week 2. 

Consider the amount of time allotted for each visit and the anticipated elements of medical decision making that may be involved for each encounter.

Construct an initial discussion post that includes the following:

Assign an E/M CPT code for each patient visit.

Provide a justification for the code you assigned (e.g. based on time, based on anticipated medical complexity, etc.)

Indicate the anticipated reimbursement amount, based on the information provided in the week 2 Cracking the Code presentation.

Construct a discussion that includes the following:

Assignment of the Evaluation and Management (E&M) CPT Code for each of the patient encounters

Justification of the CPT Code you assigned for each patient encounter

Resources utilized for determining the E&M CPT codes; if an online resource include the link to the site.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

Please be sure to validate your opinions and ideas with in-text citations and corresponding references in APA format.

Please review the rubric to ensure that your response meets the criteria.

Please respond to at least 2 of your peer’s posts with substantive comments using the following steps:

Construct responses to your peers ideally one who assigned the same CPT E/M codes that you did and one who did not.

Substantive comments add to the discussion and provide your fellow students with information that will enhance the learning environment.

References and citations should conform to APA standards.

Remember: Please respect the opinions of others, even if their views differ. In other words, disagree professionally and respectfully.

Plagiarism is never acceptable – give credit when credit is due - cite your sources.

Responses need to address all components of the question, demonstrate critical thinking and analysis and include peer-reviewed journal evidence to support the student’s position.

 

NU671 Clinical Decision-Making

Unit 16 Discussion

Reflection

Here are the course learning objectives for your review:

Examine clinical decision-making models

Investigate healthcare coding systems

Identify key assessments that have the potential to impact the patient decision-making

Explore scholarly literature relative to patient care decision-making requirements

Integrate key concepts from clinical decision-making models to develop a personal approach to clinical decision-making

Test selected clinical decision-making models with hypothetical clinical scenarios

Instructions:

Construct a discussion that identifies how you feel the learning objectives were met supported with examples of course materials and course assignments.

For any course objectives, you feel were not met during the course please provide a discussion as to why it was not met.