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This part of the final project is a summary of your ongoing
work on the final paper; it should include three paragraphs, one
covering each selected work. You should also make sure to re-
state what your subject is.
Identify how the subject you chose in Part 1 appears in three
different examples, each from a different Humanities discipline
(visual art, music, dance, poetry, prose, theater, film, religion).
For instance, you could choose a poem, a painting and a scene
from a film, all of which express and represent the theme of
anger. Or, to be even more specific, if you choose the emotion
of "love," the final paper could analyze and discuss love as it is
expressed in Shakespeare's Sonnet 147 (literature), Boticelli's
Birth of Venus (visual art), and in the ballet Swan Lake (dance).
Write one short paragraph (3-5 sentences) about each of your
selections in which you:
· Identify a reliable and appropriate example (a good-quality
image, recording, video, etc.).
· Identify and cite the source, including the artist, creator etc.
as well as where you found the example.
· Explain why you find the example relevant for this
assignment.
· Identify one tool, concept or method from the Learning
Resources you might be able to use to talk about it.
STOP: Before you hand in your assignment, make sure to ask
yourself the following questions:
1. Have I chosen three examples from three different fields of
the Humanities?
2. Are each of the examples I chose specific, reliable,
appropriate, relevant to my topic?
3. Have I offered an explanation for each example that offers a
reason for including it?
4. Have I provided a specific and appropriate interpretative tool,
concept or method that I will likely use to interpret each
example?
5. Have I provided a list of resources and do all of my citations
conform to MLA 8th edition guidelines?
6. Have I proofread this assignment for grammatical, structural,
and spelling errors that might impede someone from
understanding what I am trying to say?
*** My topic is ANGER ***
Grading Rubric
Student______________________________________
This sheet is to help you understand what we are looking for,
and what our margin remarks might be about on your write ups
of patients. Since at all of the white-ups that you hand in are
uniform, this represents what MUST be included in every write-
up.
1) Identifying Data (___5pts): The opening list of the note. It
contains age, sex, race, marital status, etc. The patient
complaint should be given in quotes. If the patient has more
than one complaint, each complaint should be listed separately
(1, 2, etc.) and each addressed in the subjective and under the
appropriate number.
2) Subjective Data (___30pts.): This is the historical part of the
note. It contains the following:
a) Symptom analysis/HPI(Location, quality , quantity or
severity, timing, setting, factors that make it better or worse,
and associate manifestations.(10pts).
b) Review of systems of associated systems, reporting all
pertinent positives and negatives (10pts).
c) Any PMH, family hx, social hx, allergies, medications related
to the complaint/problem (10pts). If more than one chief
complaint, each should be written u in this manner.
3) Objective Data(__25pt.): Vital signs need to be present.
Height and Weight should be included where appropriate.
a) Appropriate systems are examined, listed in the note and
consistent with those identified in 2b.(10pts).
b) Pertinent positives and negatives must be documented for
each relevant system.
c) Any abnormalities must be fully described. Measure and
record sizes of things (likes moles, scars). Avoid using “ok”,
“clear”, “within normal limits”, positive/ negative, and
normal/abnormal to describe things. (5pts).
4) Assessment (___10pts.): Encounter paragraph and diagnoses
should be clearly listed and worded appropriately including
ICD10 codes.
5) Plan (___15pts.): Be sure to include any teaching, health
maintenance and counseling along with the pharmacological and
non-pharmacological measures. If you have more than one
diagnosis, it is helpful to have this section divided into separate
numbered sections.
6) Subjective/ Objective, Assessment and Management and
Consistent (___10pts.): Does the note support the appropriate
differential diagnosis process? Is there evidence that you know
what systems and what symptoms go with which complaints?
The assessment/diagnoses should be consistent with the
subjective section and then the assessment and plan. The
management should be consistent with the assessment/
diagnoses identified.
7) Clarity of the Write-up(___5pts.): Is it literate, organized and
complete?
Comments:
Total Score: ____________
Instructor: __________________________________
Guidelines for Focused SOAP Notes
· Label each section of the SOAP note (each body part and
system).
· Do not use unnecessary words or complete sentences.
· Use Standard Abbreviations
S: SUBJECTIVE DATA (information the patient/caregiver tells
you).
Chief Complaint (CC): a statement describing the patient’s
symptoms, problems, condition, diagnosis, physician-
recommended return(s) for this patient visit. The patient’s own
words should be in quotes.
History of present illness (HPI): a chronological description of
the development of the patient's chief complaint from the first
symptom or from the previous encounter to the present. Include
the eight variables (Onset, Location, Duration, Characteristics,
Aggravating Factors, Relieving Factors, Treatment, Severity-
OLDCARTS), or an update on health status since the last
patient encounter.
Past Medical History (PMH): Update current medications,
allergies, prior illnesses and injuries, operations and
hospitalizations allergies, age-appropriate immunization status.
Family History (FH): Update significant medical informati on
about the patient's family (parents, siblings, and children).
Include specific diseases related to problems identified in CC,
HPI or ROS.
Social History(SH): An age-appropriate review of significant
activities that may include information such as marital status,
living arrangements, occupation, history of use of drugs,
alcohol or tobacco, extent of education and sexual history.
Review of Systems (ROS). There are 14 systems for review.
List positive findings and pertinent negatives in systems
directly related to the systems identified in the CC and
symptoms which have occurred since last visit; (1)
constitutional symptoms (e.g., fever, weight loss), (2) eyes, (3)
ears, nose, mouth and throat, (4) cardiovascular, (5) respiratory,
(6) gastrointestinal, (7) genitourinary, (8) musculoskeletal, (9-
}.integument (skin and/or breast), (10) neurological, (11)
psychiatric, (12) endocrine, (13) hematological/lymphatic, {14)
allergic/immunologic. The ROS should mirror the PE findings
section.
0: OBJECTIVE DATA (information you observe, assessment
findings, lab results).
Sufficient physical exam should be performed to evaluate areas
suggested by the history and patient's progress since last visit.
Document specific abnormal and relevant negative findings.
Abnormal or unexpected findings should be described. You
should include only the information which was provided in the
case study, do not include additional data.
Record observations for the following systems if applicable to
this patient encounter (there are 12 possible systems for
examination): Constitutional (e.g. vita! signs, general
appearance), Eyes, ENT/mouth, Cardiovascular, Respiratory,
GI, GU, Musculoskeletal, Skin, Neurological, Psychiatric,
Hematological/lymphatic/immunologic/lab testing. The
focused PE should only include systems for which you have
been given data.
NOTE: Cardiovascular and Respiratory systems should be
assessed on every patient regardless of the chief complaint.
Testing Results: Results of any diagnostic or lab testing ordered
during that patient visit.
A: ASSESSMENT: (this is your diagnosis (es) with the
appropriate ICD 10 code)
List and number the possible diagnoses (problems) you have
identified. These diagnoses are the conclusions you have drawn
from the subjective and objective data.
Remember:Your subjective and objective data should support
your diagnoses and your therapeutic plan.
Do not write that a diagnosis is to be "ruled out" rather state the
working definitions of each differential or primary diagnosis
(es).
For each diagnoses provide a cited rationale for choosing this
diagnosis. This rationale includes a one sentence cited
definition of the diagnosis (es) the pathophysiology, the
common signs and symptoms, the patients presenting signs and
symptoms and the focused PE findings and tests results that
support the dx. Include the interpretation of all lab data given in
the case study and explain how those results support your
chosen diagnosis.
P: PLAN (this is your treatment plan specific to this patient).
Each step of your plan must include an EBP citation.
1. Medications write out the prescription including dispensing
information and provide EBP to support ordering each
medication. Be sure to include both prescription and OTC
medications.
2. Additional diagnostic tests include EBP citations to support
ordering additional tests
3. Education this is part of the chart and should be brief, this is
not a patient education sheet and needs to have a reference.
4. Referrals include citations to support a referral
5. Follow up. Patient follow-up should be specified with time or
circumstances of return. You must provide a reference for your
decision on when to follow up.
This part of the final project is a summary of your ongoing work o

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This part of the final project is a summary of your ongoing work o

  • 1. This part of the final project is a summary of your ongoing work on the final paper; it should include three paragraphs, one covering each selected work. You should also make sure to re- state what your subject is. Identify how the subject you chose in Part 1 appears in three different examples, each from a different Humanities discipline (visual art, music, dance, poetry, prose, theater, film, religion). For instance, you could choose a poem, a painting and a scene from a film, all of which express and represent the theme of anger. Or, to be even more specific, if you choose the emotion of "love," the final paper could analyze and discuss love as it is expressed in Shakespeare's Sonnet 147 (literature), Boticelli's Birth of Venus (visual art), and in the ballet Swan Lake (dance). Write one short paragraph (3-5 sentences) about each of your selections in which you: · Identify a reliable and appropriate example (a good-quality image, recording, video, etc.). · Identify and cite the source, including the artist, creator etc. as well as where you found the example. · Explain why you find the example relevant for this assignment. · Identify one tool, concept or method from the Learning Resources you might be able to use to talk about it. STOP: Before you hand in your assignment, make sure to ask yourself the following questions: 1. Have I chosen three examples from three different fields of the Humanities? 2. Are each of the examples I chose specific, reliable, appropriate, relevant to my topic? 3. Have I offered an explanation for each example that offers a reason for including it? 4. Have I provided a specific and appropriate interpretative tool, concept or method that I will likely use to interpret each example?
  • 2. 5. Have I provided a list of resources and do all of my citations conform to MLA 8th edition guidelines? 6. Have I proofread this assignment for grammatical, structural, and spelling errors that might impede someone from understanding what I am trying to say? *** My topic is ANGER *** Grading Rubric Student______________________________________ This sheet is to help you understand what we are looking for, and what our margin remarks might be about on your write ups of patients. Since at all of the white-ups that you hand in are uniform, this represents what MUST be included in every write- up. 1) Identifying Data (___5pts): The opening list of the note. It contains age, sex, race, marital status, etc. The patient complaint should be given in quotes. If the patient has more than one complaint, each complaint should be listed separately (1, 2, etc.) and each addressed in the subjective and under the appropriate number. 2) Subjective Data (___30pts.): This is the historical part of the note. It contains the following: a) Symptom analysis/HPI(Location, quality , quantity or severity, timing, setting, factors that make it better or worse, and associate manifestations.(10pts). b) Review of systems of associated systems, reporting all pertinent positives and negatives (10pts). c) Any PMH, family hx, social hx, allergies, medications related to the complaint/problem (10pts). If more than one chief complaint, each should be written u in this manner.
  • 3. 3) Objective Data(__25pt.): Vital signs need to be present. Height and Weight should be included where appropriate. a) Appropriate systems are examined, listed in the note and consistent with those identified in 2b.(10pts). b) Pertinent positives and negatives must be documented for each relevant system. c) Any abnormalities must be fully described. Measure and record sizes of things (likes moles, scars). Avoid using “ok”, “clear”, “within normal limits”, positive/ negative, and normal/abnormal to describe things. (5pts). 4) Assessment (___10pts.): Encounter paragraph and diagnoses should be clearly listed and worded appropriately including ICD10 codes. 5) Plan (___15pts.): Be sure to include any teaching, health maintenance and counseling along with the pharmacological and non-pharmacological measures. If you have more than one diagnosis, it is helpful to have this section divided into separate numbered sections. 6) Subjective/ Objective, Assessment and Management and Consistent (___10pts.): Does the note support the appropriate differential diagnosis process? Is there evidence that you know what systems and what symptoms go with which complaints? The assessment/diagnoses should be consistent with the subjective section and then the assessment and plan. The management should be consistent with the assessment/ diagnoses identified. 7) Clarity of the Write-up(___5pts.): Is it literate, organized and complete? Comments:
  • 4. Total Score: ____________ Instructor: __________________________________ Guidelines for Focused SOAP Notes · Label each section of the SOAP note (each body part and system). · Do not use unnecessary words or complete sentences. · Use Standard Abbreviations S: SUBJECTIVE DATA (information the patient/caregiver tells you). Chief Complaint (CC): a statement describing the patient’s symptoms, problems, condition, diagnosis, physician- recommended return(s) for this patient visit. The patient’s own words should be in quotes. History of present illness (HPI): a chronological description of the development of the patient's chief complaint from the first symptom or from the previous encounter to the present. Include the eight variables (Onset, Location, Duration, Characteristics, Aggravating Factors, Relieving Factors, Treatment, Severity- OLDCARTS), or an update on health status since the last patient encounter. Past Medical History (PMH): Update current medications, allergies, prior illnesses and injuries, operations and hospitalizations allergies, age-appropriate immunization status. Family History (FH): Update significant medical informati on about the patient's family (parents, siblings, and children). Include specific diseases related to problems identified in CC, HPI or ROS. Social History(SH): An age-appropriate review of significant activities that may include information such as marital status, living arrangements, occupation, history of use of drugs,
  • 5. alcohol or tobacco, extent of education and sexual history. Review of Systems (ROS). There are 14 systems for review. List positive findings and pertinent negatives in systems directly related to the systems identified in the CC and symptoms which have occurred since last visit; (1) constitutional symptoms (e.g., fever, weight loss), (2) eyes, (3) ears, nose, mouth and throat, (4) cardiovascular, (5) respiratory, (6) gastrointestinal, (7) genitourinary, (8) musculoskeletal, (9- }.integument (skin and/or breast), (10) neurological, (11) psychiatric, (12) endocrine, (13) hematological/lymphatic, {14) allergic/immunologic. The ROS should mirror the PE findings section. 0: OBJECTIVE DATA (information you observe, assessment findings, lab results). Sufficient physical exam should be performed to evaluate areas suggested by the history and patient's progress since last visit. Document specific abnormal and relevant negative findings. Abnormal or unexpected findings should be described. You should include only the information which was provided in the case study, do not include additional data. Record observations for the following systems if applicable to this patient encounter (there are 12 possible systems for examination): Constitutional (e.g. vita! signs, general appearance), Eyes, ENT/mouth, Cardiovascular, Respiratory, GI, GU, Musculoskeletal, Skin, Neurological, Psychiatric, Hematological/lymphatic/immunologic/lab testing. The focused PE should only include systems for which you have been given data. NOTE: Cardiovascular and Respiratory systems should be assessed on every patient regardless of the chief complaint. Testing Results: Results of any diagnostic or lab testing ordered during that patient visit. A: ASSESSMENT: (this is your diagnosis (es) with the appropriate ICD 10 code) List and number the possible diagnoses (problems) you have
  • 6. identified. These diagnoses are the conclusions you have drawn from the subjective and objective data. Remember:Your subjective and objective data should support your diagnoses and your therapeutic plan. Do not write that a diagnosis is to be "ruled out" rather state the working definitions of each differential or primary diagnosis (es). For each diagnoses provide a cited rationale for choosing this diagnosis. This rationale includes a one sentence cited definition of the diagnosis (es) the pathophysiology, the common signs and symptoms, the patients presenting signs and symptoms and the focused PE findings and tests results that support the dx. Include the interpretation of all lab data given in the case study and explain how those results support your chosen diagnosis. P: PLAN (this is your treatment plan specific to this patient). Each step of your plan must include an EBP citation. 1. Medications write out the prescription including dispensing information and provide EBP to support ordering each medication. Be sure to include both prescription and OTC medications. 2. Additional diagnostic tests include EBP citations to support ordering additional tests 3. Education this is part of the chart and should be brief, this is not a patient education sheet and needs to have a reference. 4. Referrals include citations to support a referral 5. Follow up. Patient follow-up should be specified with time or circumstances of return. You must provide a reference for your decision on when to follow up.