Develop a Focused SOAP Note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

  • Subjective: What details did the patient provide regarding their chief complaint and symptomatology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
  • Objective: What observations did you make during the psychiatric assessment?  
  • Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, listed in order from highest to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5 criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
  • Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and non pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
  • Reflection notes: Reflect on this case. Discuss what you learned and what you might do differently. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), social determinates of health, health promotion, and disease prevention that takes into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).

all i need is paraphrazing this work sample.

Case study

Neurologic Function Case Study 

Pain and Neurologic Syndromes



For this case study, you will create a case related to the Neurological Functions.


Download this document, type your answers, and include references (including in-text citations per item). Then, upload it to this assignment page.  


Neurological Function 


Part 1:

Compare and contrast the 3 conditions in

of the charts below: 



Migraine Headaches 

Tension Headaches 


Risk Factors 








Clinical Manifestations 











Risk Factors 








Clinical Manifestations 




Part 2:

Choose a
pain or
neurologic syndrome to explore. You can also choose a diagnosis not listed (that coincides with your advanced practice specialty) as long as it relates to the neurological function.

Present a hypothetical case that includes the following:

1. Vital information about a person who might be predisposed to this condition (I.e., a person who may have risk factors for this condition). 

2. The pathophysiology of the disease, including clinical manifestations.

3. Which diagnostic tests you’d recommend and a rationale for the one(s) you choose.

4. How this condition compares to other differentials.

5. The evidence-based recommendations from the

AHRQ Guidelines
or guidelines recommended from a professional organization. Based on these recommendations, discuss how  to manage the condition best.

6. A patient safety issue that could be associated with the condition presented in this case.

These charts may help in organizing information to answer the narrative questions: 

Name of Condition: 

Risk factors 




Clinical manifestations 


Additional details (optional): 


Differential Diagnoses (See chart below) 


What makes this diagnosis unique from other differentials? 


Guidelines and recommendations for condition management

Potential related safety issues





Differential 1

Differential 2

Differential 3

Risk factors 










Clinical manifestations 





Additional details (optional): 





Unique characteristics 







The Case:

pn 2 m8 written


An 8-year-old girl comes to your ambulatory care clinic with complaints of left ear pain for the past 3 days. She had respiratory infection a week ago. On physical examination, the tympanic membrane is bulging.

Answer the following questions:

  1. What else should you ask the client?
  2. What teaching would you reinforce to prevent the recurrence of otitis media?
  3. What expected outcomes would be specific to this situation?


 To Prepare:

  • Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.
  • Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.
  • Consider the best method of disseminating the results of your presentation to an audience. 

The Assignment: (Evidence-Based Project)

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

  • Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)
  • Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.
  • Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.
  • Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.
  • Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.
  • Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.
  • Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.
  • Add a lessons learned section that includes the following:
    • A summary of the critical appraisal of the peer-reviewed articles you previously submitted
    • An explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)

References x 4 to include:



a written proposal that describes an assessment of the needs of the client(s) and why you feel this project would be beneficial to improve health outcomes. Include the goal of the project, the target audience, and what you expect the response to be.

This proposal must be at least 2 pages long, not counting reference pages, and be appropriately cited in APA format.


Post an explanation of the disease highlighted in the scenario you were provided. Include the following in your explanation:

· The role genetics plays in the disease.

· Why the patient is presenting with the specific symptoms described.

· The physiologic response to the stimulus presented in the scenario and why you think this response occurred.

· The cells that are involved in this process.

· How another characteristic (e.g., gender, genetics) would change your response.

Read a selection of your colleagues’ responses.


· McCance, K. L. & Huether, S. E. (2019). 
Pathophysiology: The biologic basis for disease in adults and children (8th ed.). St. Louis, MO: Mosby/Elsevier.

· Chapter 1: Cellular Biology; Summary Review

· Chapter 2: Altered Cellular and Tissue Biology: Environmental Agents (pp. 46-61; begin again with Manifestations of Cellular Injury pp. 83-97); Summary Review

· Chapter 3: The Cellular Environment: Fluids and Electrolytes, Acids, and Bases

· Chapter 4: Genes and Genetic Diseases (stop at Elements of formal genetics); Summary Review

· Chapter 5: Genes, Environment-Lifestyle, and Common Diseases (stop at Genetics of common diseases); Summary Review


To Prepare:

· Review the Resources and reflect on the web article 
Big Data Means Big Potential, Challenges for Nurse Execs.

· Reflect on your own experience with complex health information access and management and consider potential challenges and risks you may have experienced or observed.


Post a description of at least one potential benefit of using big data as part of a clinical system and explain why. Then, describe at least one potential challenge or risk of using big data as part of a clinical system and explain why. Propose at least one strategy you have experienced, observed, or researched that may effectively mitigate the challenges or risks of using big data you described. Be specific and provide examples.



Part A Critically Appraising Quantitative EBP

you will complete a literature review for a quantitative article by filling out the correct column of the literature review table using the template found in the course content. Review the instructions, rubric, and example in this week's course content before completing the literature review table.

1) Discuss the fundamental meaning of quantitative research in Melnyk and Fineout-Overholt (Chapter 5 & 17).

2) Utilize the strength-of-evidence pyramid adapted from (Melnyk & Fineout-Overholt, pg 116,Figure 4.2) and determine where qualitative and quantitative research sits within the pyramid using a compare and contrast methodology. Quick Link :

3) Attach your quantitative article with the completed literature review table to your discussion post and cite your article within your discussion and include an APA reference style at the end of your post.

Part B

1) Discuss the fundamental meaning of qualitative research in Melnyk and Fineout-Overholt (Chapter 6 & 18).

2) Utilize the strength-of-evidence pyramid (Melnyk & Fineout-Overholt, pg 116, Figure 4.2) and determine where qualitative and quantitative research sits within the pyramid using a compare and contrast methodology.

3) Attach your qualitative article with the completed literature review table to your discussion post and cite your article in your discussion with an APA reference style at the end of your post.

Research Type



Article, Source, year



Design and level of evidence

(Melnyk 4.2)

Variables, measurement

Results, findings




D1 Response (HealthAssess)

Describe the findings associated with malignant skin changes (for example: persistent sores, lump or swelling, bleeding lesions, etc.)

Response 1


My thoughts and concepts of trends in nursing have changed in different areas of nursing. I have learned that organizations such as the ANA are active in making changes for nurses and that nurses can also advocate and join the ANA.  I have also learned about new trends in nursing such as the demand for nurses to get their DNP, and how the mental health of health care workers will be a priority. With the many issues we face in nursing, I have learned that we can also speak to local legislative offices by sending letters, face-to-face appointments, and phone calls. The safe-patient ratio is still an issue that nurses are facing but I have learned that there are ways to battle that such as speaking to team leaders and also learning about the rules and regulations about staffing.  I think a  nurse-driven staffing committee that develops staffing plans that take the needs of the patient population into account and complement the knowledge and expertise of the staff should be required in hospitals. The American Nurses Association is in favor of laws and regulations at the state and federal levels that permit flexible nurse staffing plans and provide nurses the authority to design staffing plans that are unique to each unit. Direct care nurses are well-suited to contribute to the creation of staffing plans since optimal staffing is much more than just a matter of numbers.