NSG 6440 Practicum IV Family Health – Primary Care Week 8 SOAP Note

NSG 6440 Practicum IV Family Health – Primary Care Week 8 SOAP Note

NSG 6440 Practicum IV Family Health – Primary Care Week 8 SOAP Note

NSG 6440 Practicum IV Family Health – Primary Care

Week 8 SOAP Note


Using this template, complete one SOAP note from a patient in your current NSG6440 clinical experience. The completed note should be submitted to the Submissions Area.

Submission Details:

Name your SOAP note document SU_NSG6440_W8_SOAPLastName_FirstInitial.doc.

Submit your document to the Submissions Area by the due date assigned.

This is a Pass/Fail assignment. A minimum of 15 points are needed, based on the assignment rubric, to pass.

Name: Pt. Encounter Number:
Date: Age: Sex:

Reason given by the patient for seeking medical care “in quotes”


Describe the course of the patient’s illness, including when it began, character of symptoms, location where the symptoms began, aggravating or alleviating factors, pertinent positives and negatives, other related diseases, past illnesses, and surgeries or past diagnostic testing related to the present illness.

Medications: (List with reason for med )



Medication Intolerances:


Chronic Illnesses/Major traumas Hospitalizations/Surgeries

“Have you ever been told that you have diabetes, HTN, peptic ulcer disease, asthma, lung disease, heart disease, cancer, TB, thyroid problems, kidney problems, or psychiatric diagnosis?”

Family History

Does your mother, father, or siblings have any medical or psychiatric illnesses? Is anyone diagnosed with: lung disease, heart disease, HTN, cancer, TB, DM, or kidney disease?

Social History

Education level, occupational history, current living situation/partner/marital status, substance use/abuse, ETOH, tobacco, and marijuana. Safety status


Weight change, fatigue, fever, chills, night sweats, and energy level


Chest pain, palpitations, PND, orthopnea, and edema


Delayed healing, rashes, bruising, bleeding or skin discolorations, and any changes in lesions or moles


Cough, wheezing, hemoptysis, dyspnea, pneumonia hx, and TB


Corrective lenses, blurring, and visual changes of any kind


Abdominal pain, N/V/D, constipation, hepatitis, hemorrhoids, eating disorders, ulcers, and black, tarry stools


Ear pain, hearing loss, ringing in ears, and discharge


Urgency, frequency burning, change in color of urine.

Contraception, sexual activity, STDs

Female: last pap, breast, mammo, menstrual complaints, vaginal discharge, pregnancy hx

Male: prostate, PSA, urinary complaints

NSG 6440 Week 8 Discussion

Complete The Growth and Development APEA module. Pick one of the following topics that were reviewed: Newborn assessment, Nutrition, Child, Adolescent, or Immunization. Please choose on that has not been previously covered by a peer.

Also Check Out: NSG 6440 Practicum IV Family Health – Primary Care Week 6 SOAP Note

It is worth noting that mental disorders not only affect the patient but also the family. Therefore, families are obliged to offer housing, financial aid, daily living help, medications as well as emotional support to their loved ones having a mental disorder (Javed & Herrman, 2017).  However, the responsibilities that are imposed on the family can complicate life and lead to negative outcomes.

The major benefits which are accrued to involving the family in the care of a person that has been diagnosed with a mental disorder are associated with the fact that they are the first point of contact. Consequently, family support plays a significant role in ensuring medication adherence and preventing relapse (Humphreys, 2018). Mental illness has negative outcomes such as expensive treatment, loss of important time that could have been spent on constructive duties and involvement with the law enforcement agencies due to unruly behavior (Javed & Herrman, 2017).  I have witnessed families preventing their loved ones from getting involved with the criminal justice department by giving the patients psychosocial support through engaging them in social activities.

Despite the benefits that are accrued to the involvement of patients and their families in their care is controversial to a certain extent. Some of the family members do not understand the treatment outcomes as well as the depth of the illness (Javed & Herrman, 2017).  On top of that, the majority of the people do not recognize mental illness to be like any other illness and some of them stigmatize the patients (Humphreys, 2018). Some of the Mental family nurses are not competent enough concerning the concept of family involvement. I had a major challenge of finding a way to make sure that the family involvement of one of my patients is optimum. It stems from the fact that there is a need to understand how the family operates. Family wrangles are a major stumbling block in this initiative.

In conclusion, family involvement in the provision of care to patients with mental health conditions is necessary to promote recovery but it bears many barriers and drawbacks. Therefore, careful assessment of the family situation and structure is key for their successful involvement.
















Humphreys, D. (2018). Family Involvement in Collaborative Adult Community Mental Health Treatment. Mental Health Foundation, , ,1-25

Javed, A., & Herrman, H. (2017). Involving patients, carers and families: an international perspective on emerging priorities. BJPsych International14(1), 1-4.


    Discussion Questions (DQ)

    Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

    NSG 6440 Practicum IV Family Health – Primary Care Week 8 SOAP Note

    NSG 6440 Practicum IV Family Health – Primary Care Week 8 SOAP Note

    Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

    One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

    I encourage you to incorporate the readings from the week (as applicable) into your responses.

    Weekly Participation

    Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

    In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

    Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

    Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

    APA Format and Writing Quality

    Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

    Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

    I highly recommend using the APA Publication Manual, 6th edition.

    Use of Direct Quotes

    I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

    As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

    It is best to paraphrase content and cite your source.

    LopesWrite Policy

    For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

    Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

    Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

    Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

    Late Policy

    The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

    Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

    If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

    I do not accept assignments that are two or more weeks late unless we have worked out an extension.

    As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.


    Communication is so very important. There are multiple ways to communicate with me:

    Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

    Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.