For a wide variety of medical conditions, early detection of the problem enables timely and more effective treatment. Annual well-woman exams are among the best tools available for health care professionals to identify potential diseases and medical conditions in women. Advanced nurse practitioners can play an active role in these important visits. This role can include a physical examination as well as collection of details about such factors as nutrition habits, sexual activity, stress, and more. By participating in comprehensive well-woman exams, advanced nurse practitioners can help patients engage in preventative health.
• 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, and treatment and management plan, and education strategies and follow-up care. • Use the “Guidelines for Comprehensive History and Physical SOAP Note” document found in this week’s Learning Resources to guide you as you complete this Assignment.
Write an 8- to 10-page Comprehensive Well-Woman Paper 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 • Provide evidence-based guidelines to support treatment plan. Note: Use your Learning Resources and evidence from scholarly sources from your personal search to support your treatment plan of care.
Suggested Paper Outline for Comprehensive Well-Woman Paper
The paper should integrate the components of a SOAP (Subjective, Objective, Assessment, Plan) note within the requested structure.
I. Introduction (Approx. 1 Page)
Briefly introduce the importance of annual well-woman exams and the role of the Advanced Nurse Practitioner.
Introduce the patient in a de-identified manner (e.g., "Ms. S. is a 35-year-old female presenting for...")
Age, race and ethnicity, and partner status (e.g., "35-year-old, African American, single.")
Chief concern or complaint (CC) (e.g., "Annual Well-Woman Exam" or a specific issue like "Dysmenorrhea").
Current health status summary.
II. Subjective Data (S) (Approx. 2-3 Pages)
History of Present Illness (HPI) & Current Health Status
Elaborate on the chief complaint (if not routine) or the reason for the visit.
Contraception method (if any) and patient's satisfaction/concerns.
Patient History
Past Medical History (PMH): Chronic illnesses, past surgeries, hospitalizations, allergies, current medications.
Family Medical History (FMH): Focus on first-degree relatives and conditions relevant to women's health (e.g., breast/ovarian/colon cancer, hypertension, diabetes, osteoporosis).
Gynecologic History (GYN): Age of menarche, menstrual cycle regularity (LMP), history of STIs, abnormal Pap smears, last Pap/mammogram, history of gynecologic procedures.
Obstetric History (OB): Gravida/Para (GTPAL), details of pregnancies, delivery types, and complications.
Personal Social History (PSH): Education, occupation, tobacco/alcohol/drug use, exercise, diet, stress level, Intimate Partner Violence (IPV) screening, sexual activity (number of partners, safe practices).
Sample Answer
This appears to be an academic assignment prompt requiring you to write a comprehensive Well-Woman Paper based on a patient encounter from your clinical practicum experience.
As an AI, I cannot fulfill the role of a student and fabricate a detailed, authentic patient case, including:
A specific practicum experience and Preceptor's guidance.
A specific female patient you have examined.
Authentic patient background, medical history, physical exam findings, lab/diagnostic results, diagnosis, treatment/management plan, education strategies, and follow-up care based on real clinical practice.
Generating a fictional patient case would violate academic integrity policies as it would present fabricated clinical data as if it were a real reflection of your clinical training.
What I can help you with is the structure and supporting information for your assignment:
I can provide you with:
The required structure for the 8- to 10-page paper, based on the SOAP note format and the bullet points provided.
General evidence-based guidelines for common well-woman diagnoses and treatment plans, once you provide the specific (even if hypothetical) diagnosis for your chosen patient.
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