PRAC 6540: Advanced Practice Care of Older Adults Practicum
PRAC 6540: Advanced Practice Care of Older Adults Practicum
Week 1: Preparing for Clinical
Welcome to Advanced Practice Care of Older Adults Practicum! The practicum experience allows you to refine your clinical nursing skills under the mentorship of a preceptor. As you engage with patients in the practicum setting, you “learn by doing the thing”—whether that thing be lab interpretation, diabetes management, wound care, or another Adult Gerontology Acute Care Nurse Practitioner (AGACNP) or Adult Gerontology Primary Care Nurse Practitioner (AGPCNP) clinical skill. PRAC 6540: Advanced Practice Care of Older Adults Practicum
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Throughout the next 11 weeks, you will evaluate your skill development, reflect on patient encounters, and generate goals related to your growth as an advanced practice nurse. This week, you start by assessing your strengths and opportunities related to AGACNP or AGPCNP skills and procedures. Based on the opportunity areas, you will then develop goals for your clinical practicum.
Learning Objectives
Students will:
- Assess strengths and opportunities for improvement related to clinical skills and procedures
- Develop goals for clinical practice
- Describe clinical hours and patient encounters
Learning Resources
PRAC 6540: Advanced Practice Care of Older Adults Practicum
Assignment 1: Practicum Site Information
Photo Credit: EscoLux / E+ / Getty Images
Prior to starting the course, you should have applied for a practicum site following the guidelines for AGACNP practice. Now it is time to make it official. For this Assignment, you provide your Clinical Faculty with information about your practicum site, your preceptor, and your clinical calendar.
To prepare:
- Verify that your practicum application has been approved by logging in to Meditrek.
- Access the Practicum Site Information Form from the Learning Resources.
Assignment
Complete the designated areas of the Practicum Site Information Form, including your practicum site and contact information, your preceptor and contact information, and a schedule of when you plan to engage in practicum activities onsite.PRAC 6540: Advanced Practice Care of Older Adults Practicum
By Day 3
Submit your completed Practicum Site Information Form.
Submit Your Assignment by Day 3
To participate in this Assignment:
Week 1 Assignment 1
Assignment 2: Clinical Skills and Procedures Self-Assessment
Photo Credit: AndreyPopov / iStock / Getty Images Plus / Getty Images
Before embarking on any professional or academic activity, it is important to understand the background, knowledge, and experience you bring to it. You might ask yourself “What do I already know? What do I need to know? And what do I want to know?” This critical self-reflection is especially important for developing clinical skills, such as those for advanced practice nursing.
The AGACNP Clinical Skills List and Resource Review document, provided in the Learning Resources, can be used to celebrate your progress throughout your practicum and identify skills gaps. The list covers all necessary skills you should demonstrate during your three practicum courses.
For this Assignment, you assess where you are now in your clinical skill development and make plans for your practicum. Specifically, you will identify strengths and opportunities for improvement regarding the required practicum skills and procedures.
To prepare:
- Review the resources and clinical skills in the AGACNP Clinical Skills List and Resource Review document. It is recommended that you print out this document to serve as a guide throughout your practicum.
- Download the Clinical Skills and Procedures Self-Assessment Form to complete this Assignment. PRAC 6540: Advanced Practice Care of Older Adults Practicum
Assignment
Using the Clinical Skills and Procedures Self-Assessment Form:
- Rate yourself according to your confidence level performing the procedures identified on the Clinical Skills and Procedures Self-Assessment Form.
- Based on your ratings, summarize your strengths and opportunities for improvement.
- Based on your self-assessment and theory of nursing practice, develop 3–4 goals and objectives for this practicum experience. Include them on the designated area of the form.
By Day 7
Submit your completed Clinical Skills and Procedures Self-Assessment Form.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
- Please save your Assignment using the naming convention “WK1Assgn2+last name+first initial.(extension)” as the name.
- Click the Week 1 Assignment 2 Rubric to review the Grading Criteria for the Assignment.
- Click the Week 1 Assignment 2 link. You will also be able to “View Rubric” for grading criteria from this area.
- Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn2+last name+first initial.(extension)” and click Open.
- If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
- Click on the Submit button to complete your submission.PRAC 6540: Advanced Practice Care of Older Adults Practicum
Grading Criteria
To access your rubric:
Week 1 Assignment 2 Rubric
Submit Your Assignment by Day 7
To participate in this Assignment:
Week 1 Assignment 2
Assignment 3: Clinical Hour and Patient Logs
Photo Credit: auremar / Adobe Stock
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek. PRAC 6540: Advanced Practice Care of Older Adults Practicum
Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in Meditrek.
Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.
Your clinical hour log must include the following:
- Dates
- Course
- Clinical Faculty
- Preceptor
- Total Time (for the day)
- Notes/Comments (including the objective to which the log entry is aligned)
Patient Log
Throughout this course, you will also keep a log of patient encounters using Meditrek. If your catalog year is before Spring 2018, you must record at least 100 encounters with patients by the end of this practicum. If your catalog year is Spring 2018 or later, you must record at least 120 encounters with patients by the end of this practicum.
The patient log must include the following:PRAC 6540: Advanced Practice Care of Older Adults Practicum
- Date
- Course
- Clinical Faculty
- Preceptor
- Patient Number
- Client Information
- Visit Information
- Practice Management
- Diagnosis
- Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
- Treatment Plan and Notes
- IV Medication
By Day 7
Record your clinical hours and patient encounters in Meditrek.
Week 2: Establishing Communication With Your Clinical Faculty and Preceptor
| What do I have to do? | When do I have to do it? |
|---|---|
| Review your Learning Resources. | Days 1–7 |
| Reminder: Orientation Email | Complete your orientation email by Day 7. |
| Assignment: Clinical Hour and Patient Logs | Record your clinical hours and patient encounters in Meditrek by Day 7. |
PRAC 6540: Advanced Practice Care of Older Adults Practicum
Now that you have developed goals for your practicum, let those goals guide your activities. What are some steps you can take on the way to a larger goal? How might you gain confidence in a clinical skill or seek out more opportunities to practice? What external activities might boost your professionalism or enhance your skill set? As you settle in at your practicum site, keep these questions in mind.
This week, you continue engaging with patients at your practicum site, recording your time and experiences in your Clinical Hour and Patient Logs. Through the reading selections, you can deepen your understanding of psychosocial disorders in older adults.
Learning Objective
Students will:
- Describe clinical hours and patient encounters
Learning Resources
Assignment: Clinical Hour and Patient Logs
Photo Credit: auremar / Adobe Stock
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek. PRAC 6540: Advanced Practice Care of Older Adults Practicum
Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in Meditrek.
Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.
Your clinical hour log must include the following:
- Dates
- Course
- Clinical Faculty
- Preceptor
- Total Time (for the day)
- Notes/Comments (including the objective to which the log entry is aligned)
Patient Log
Throughout this course, you will also keep a log of patient encounters using Meditrek. If your catalog year is before Spring 2018, you must record at least 100 encounters with patients by the end of this practicum. If your catalog year is Spring 2018 or later, you must record at least 120 encounters with patients by the end of this practicum.
The patient log must include the following:PRAC 6540: Advanced Practice Care of Older Adults Practicum
- Date
- Course
- Clinical Faculty
- Preceptor
- Patient Number
- Client Information
- Visit Information
- Practice Management
- Diagnosis
- Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
- Treatment Plan and Notes
- IV Medication
By Day 7
Record your clinical hours and patient encounters in Meditrek.
Week 3: Procedures for the Advanced Care of Older Adults
| What do I have to do? | When do I have to do it? |
|---|---|
| Review your Learning Resources. | Days 1–7 |
| Quiz: Procedures | Complete by Day 7. |
| Assignment: Clinical Hour and Patient Logs | Record your clinical hours and patient encounters in Meditrek by Day 7. |
PRAC 6540: Advanced Practice Care of Older Adults Practicum
Knowledge of clinical procedures is best developed through practical application. Refer to your Clinical Skills List and Resource Review document often and take advantage of opportunities at your practicum site to develop your competency in various procedures. The readings here in the classroom are meant to bolster your knowledge of procedures, and you should refer to your clinical procedures textbook often and in varying content areas as needed.
This week, you take a quiz to support your fluency with commonly performed procedures in the treatment of older adults. As you progress in your clinical practicum, you continue to use Meditrek to record your time and patient encounters, thoughtfully, considering the skills that you are gaining.
Learning Objectives
Students will:
- Analyze clinical procedures in the treatment of older adults
- Describe clinical hours and patient encounters
Learning Resources
Quiz: Procedures
This 10-question Quiz reinforces the procedures you are learning about and applying at your practicum site.
To Prepare:
- Review the resources in your Clinical Skills List and Resource Review document.
By Day 7
Complete your Quiz.
Submission Information
Complete Your Quiz by Day 7
To submit your Quiz:
Week 3 Quiz
Assignment: Clinical Hour and Patient Logs
Photo Credit: auremar / Adobe Stock
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek. PRAC 6540: Advanced Practice Care of Older Adults Practicum
Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in Meditrek.
Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.
Your clinical hour log must include the following:
- Dates
- Course
- Clinical Faculty
- Preceptor
- Total Time (for the day)
- Notes/Comments (including the objective to which the log entry is aligned)
Patient Log
Throughout this course, you will also keep a log of patient encounters using Meditrek. If your catalog year is before Spring 2018, you must record at least 100 encounters with patients by the end of this practicum. If your catalog year is Spring 2018 or later, you must record at least 120 encounters with patients by the end of this practicum.PRAC 6540: Advanced Practice Care of Older Adults Practicum
The patient log must include the following:
- Date
- Course
- Clinical Faculty
- Preceptor
- Patient Number
- Client Information
- Visit Information
- Practice Management
- Diagnosis
- Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
- Treatment Plan and Notes
- IV Medication
By Day 7
Record your clinical hours and patient encounters in Meditrek.
Week 4: Grand Rounds: Complex Case Study Presentation
| What do I have to do? | When do I have to do it? |
|---|---|
| Review your Learning Resources. | Days 1–7 |
| Grand Rounds Discussion: Complex Case Study Presentation | Presenters post their videos by Day 3. Participants continue the discussion through Day 7. |
| Assignment: Clinical Hour and Patient Logs | Record your clinical hours and patient encounters in Meditrek by Day 7. |
Consider the experiences you have had thus far, either in the healthcare workplace or at your practicum site. As you likely know, a nurse’s job does not begin and end with one-to-one patient contact. It includes meetings, documentation, trainings, and collaboration. In particular, the nurse is a member of an interdisciplinary team and must use oral and written communication to inform others of a patient’s status. A central skill of advanced practice nursing, then, is the ability to present a patient’s history, symptoms, and other important information to relevant parties involved in treatment.
This week, in addition to your Meditrek tracking, you will engage in collegial dialogue and clinical conference with your peers regarding patients you have interacted with in your clinical practicum.
Learning Objectives
Students will:
- Complete a focused subjective, objective, assessment, plan (SOAP) for a clinical patient*
- Develop a case study presentation based on a clinical patient*
- Analyze cases involving advanced practice care of older adults
- Describe clinical hours and patient encounters
*Presenter only
Learning Resources
Grand Rounds Discussion: Complex Case Study Presentation
Photo Credit: [RGtimeline]/[iStock / Getty Images Plus]/Getty Images
In Weeks 4, 6, 8, and 9 of the course, you will participate in clinical discussions called grand rounds. In one of these 4 weeks, you will be a presenter as well as help facilitate the online discussion; in the others you will be an active discussion participant. When it is your week to present, you will create a SOAP note and a short didactic (teaching) video presenting a real (but de-identified) complex patient case from your practicum experience.
You should have received communication from your Instructor letting you know which week of the course you are assigned to present.
To prepare:
- Review this week’s Learning Resources and consider the insights they provide. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.PRAC 6540: Advanced Practice Care of Older Adults Practicum
- Select a patient from your clinical experience that presents with significant comorbidities. This should not be a patient with a single, straightforward condition, such as an ear infection, nor should it be a wellness visit. Create a focused SOAP note for this patient using the template in the Resources. All SOAP notes must be signed and each page must be initialed by your preceptor. When you submit your SOAP Note, you should include the complete SOAP Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your SOAP Note using SafeAssign.
Please Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies. - Based on this patient case, and using the focused SOAP note as a reference, develop a case study presentation that includes the history of present illness (HPI), appropriate positive and negative physical exam findings, past medical and surgical history, diagnostic results, diagnosis including differentials that were ruled out, and treatment plan.
- Your presentation should also include objectives for your audience (see the resource on Bloom’s Taxonomy), at least three possible discussion questions/prompts for your classmates to respond to, and at least five scholarly resources to support your diagnostic reasoning and treatment plan.
- Ensure that you have the appropriate lighting and equipment to record the presentation.
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Video Assignment for this week’s presenters:
Record yourself presenting the complex case study for your clinical patient. In your presentation: PRAC 6540: Advanced Practice Care of Older Adults Practicum
- Dress professionally with a lab coat and present yourself in a professional manner.
- Display your photo ID at the start of the video when you introduce yourself.
- Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
- State 3-4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing.
- Present the full complex case study. Include the history of present illness, appropriate positive and negative physical exam findings, past medical and surgical history, diagnostic results, diagnosis including differentials that were ruled out, and treatment plan.
- Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
- Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to after viewing your video.
- Be succinct in your presentation, and do not exceed 8 minutes.
A note on grading:
- Presenters: Review the Grand Rounds Presenter Rubric to ensure you meet the scoring criteria.
- Participants: Review the Grand Rounds Participant Rubric to ensure you meet the scoring criteria.
Week 4 Presenters:PRAC 6540: Advanced Practice Care of Older Adults Practicum
By Day 3
Post your video and your focused SOAP note to the grand rounds discussion forum. You must submit two files for the SOAP note, including a Word document and scanned pdf/images of each page that is initialed and signed by your preceptor. Then, actively respond to your colleagues as they post responses to your video.
Week 4 Participants:
By Day 7
Respond at least two times each to both of your colleagues who presented this week. The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to one of the three discussion prompts that your colleague provided in his or her video presentation. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.
Submission and Grading Information
Grading Criteria
To access your rubric:
Week 4 Grand Rounds Presenter Discussion Rubric
To access your rubric:
Week 4 Grand Rounds Participant Discussion Rubric
Post by Day 3 and Respond by Day 7
To Participate in this Discussion:
Week 4 Discussion
Assignment: Clinical Hour and Patient Logs
Photo Credit: auremar / Adobe Stock
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.
Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in Meditrek.
Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.
Your clinical hour log must include the following:
- Dates
- Course
- Clinical Faculty
- Preceptor
- Total Time (for the day)
- Notes/Comments (including the objective to which the log entry is aligned)
Patient Log
Throughout this course, you will also keep a log of patient encounters using Meditrek. If your catalog year is before Spring 2018, you must record at least 100 encounters with patients by the end of this practicum. If your catalog year is Spring 2018 or later, you must record at least 120 encounters with patients by the end of this practicum.
The patient log must include the following:PRAC 6540: Advanced Practice Care of Older Adults Practicum
- Date
- Course
- Clinical Faculty
- Preceptor
- Patient Number
- Client Information
- Visit Information
- Practice Management
- Diagnosis
- Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)
- Treatment Plan and Notes
- IV Medication
By Day 7
Record your clinical hours and patient encounters in Meditrek.
All people—including clinicians and professionals—can have personal “blind spots”; that is, individuals might not recognize an aspect of themselves that others see, positive or negative. That blind spot could relate to communication style, interpersonal skills, clinical skills, or discipline knowledge. Evaluative feedback is one way to see yourself from another perspective and uncover what those blind spots are. In this way, feedback from a trusted mentor such as your preceptor can be enlightening.PRAC 6540: Advanced Practice Care of Older Adults Practicum
This week, as you approach the halfway point of your practicum, your preceptor will assess your clinical skills in a Midterm Evaluation.
Learning Objectives
Students will:
- Compare preceptor evaluation with self-evaluation to assimilate level of clinical performance
- Describe clinical hours and patient encounters
Learning Resources
Assignment 1: Midterm Evaluation
Photo Credit: Getty Images/Blend Images
Now that you have been working at your practicum site for more than a month, it is time to test your skills. In preparation for your midterm evaluation, you may wish to review your AGACNP Clinical Skills List and Resource Review document, as well as revisit the goals and objectives you established in Week 1.
For this Assignment, your preceptor will assess your clinical skills in a midterm evaluation.
To prepare:
- Check with your preceptor to verify that the preceptor has received Meditrek credentials.
Following your midterm evaluation, your Clinical Faculty and preceptor will meet privately to discuss your results and feedback. Once you receive your feedback, compare your preceptor’s evaluation with your self-evaluation to better understand your clinical performance.
Clinical Evaluation Grades
Your clinical instructor will complete an evaluation with feedback from your preceptor and evaluation of your work. Meditrek calculates an average score which will be used to determine the score that will be entered into Blackboard for your evaluation grade. The table is listed below.
PRAC 6540: Advanced Practice Care of Older Adults Practicum
| Average Score in Meditrek – Clinical Instructor Evaluation | Gradebook score (out of 100) |
|---|---|
| 4.0 | 100 |
| 3.0 – 3.99 | 90 |
| 2.0 – 2.99 | 70 |
| 1.0 – 1.99 | 60 |
By Day 7
Your evaluation should be completed by your preceptor.
Assignment 2: Clinical Hour and Patient Logs
Photo Credit: auremar / Adobe Stock
Clinical Hours
For this course, all practicum activity hours are logged within the Meditrek system. Hours completed must be logged in Meditrek within 48 hours of completion in order to be counted. You may only log hours with preceptors that are approved in Meditrek.
Students with catalog years before Spring 2018 must complete a minimum of 576 hours of supervised clinical experience (144 hours in each practicum course). Students with catalog years beginning Spring 2018 must complete a minimum of 640 hours of supervised clinical experience (160 hours in each practicum course). By the end of Week 1, make sure you confirm your preceptor and clinical faculty are set up in Meditrek. PRAC 6540: Advanced Practice Care of Older Adults Practicum
Each log entry must be linked with an individual practicum Learning Objective or a graduate Program Objective. You should track your hours in Meditrek as they are completed.
Your clinical hour log must include the following:
- Dates
- Course
- Clinical Faculty
- Preceptor
- Total Time (for the day)
- Notes/Comments (including the objective to which the log entry is aligned)
Patient Log
Throughout this course, you will also keep a log of patient encounters using Meditrek. If your catalog year is before Spring 2018, you must record at least 100 encounters with patients by the end of this practicum. If your catalog year is Spring 2018 or later, you must record at least 120 encounters with patients by the end of this practicum.
The patient log must include the following:
- Date
- Course
- Clinical Faculty
- Preceptor
- Patient Number
- Client Information
- Visit Information
- Practice Management
- Diagnosis
- Procedure (Note: Make sure that, as you perform procedures at your practicum site, you also note those on your printed-out Clinical Skills List.)PRAC 6540: Advanced Practice Care of Older Adults Practicum
- Treatment Plan and Notes
- IV Medication
By Day 7
Record your clinical hours and patient encounters in Meditrek.
Based on your midterm evaluation, how do you feel about your progress toward your goals? Are you receiving a diversity of experiences at your practicum site to add to your clinical toolbox? What procedures are you confident in, and what do you need to hone as an advanced practice nurse? As you progress in your practicum, reach out to your Clinical Faculty and preceptor with questions you have.
This week, you will continue to engage with Meditrek, recording your clinical hours and patient encounters. You will also participate in a grand rounds discussion.
Learning Objectives
Students will:
- Complete a focused SOAP note for a clinical patient*
- Develop a case study presentation based on a clinical patient*
- Analyze cases involving advanced practice care of older adults
- Describe clinical hours and patient encounters
*Presenter only
Learning Resources
Grand Rounds Discussion: Complex Case Study Presentation
Photo Credit: [RGtimeline]/[iStock / Getty Images Plus]/Getty Images
This week you participate in the second of four clinical discussions called grand rounds. In one of these 4 weeks, you will be a presenter as well as help facilitate the online discussion; in the others you will be an active discussion participant. When it is your week to present, you will create a focused SOAP note and a short didactic (teaching) video presenting a real (but de-identified) complex patient case from your practicum experience.
You should have received communication from your Instructor letting you know which week of the course you are assigned to present.PRAC 6540: Advanced Practice Care of Older Adults Practicum
To prepare:
- Review this week’s Learning Resources and consider the insights they provide. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
- Select a patient from your clinical experience that presents with significant comorbidities. This should not be a patient with a single, straightforward condition, such as an ear infection, nor should it be a wellness visit. Create a focused SOAP note for this patient using the template in the Resources. All SOAP notes must be signed and each page must be initialed by your preceptor. When you submit your SOAP Note, you should include the complete SOAP Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your SOAP Note using SafeAssign.
Please Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies. - Based on this patient case, and using the focused SOAP note as a reference, develop a case study presentation that includes the history of present illness (HPI), appropriate positive and negative physical exam findings, past medical and surgical history, diagnostic results, diagnosis including differentials that were ruled out, and treatment plan.PRAC 6540: Advanced Practice Care of Older Adults Practicum
- Your presentation should also include objectives for your audience (see the resource on Bloom’s Taxonomy), at least three possible discussion questions/prompts for your classmates to respond to, and at least five scholarly resources to support your diagnostic reasoning and treatment plan.
- Ensure that you have the appropriate lighting and equipment to record the presentation.
Video Assignment for this week’s presenters:
Record yourself presenting the complex case study for your clinical patient. In your presentation:
- Dress professionally with a lab coat and present yourself in a professional manner.
- Display your photo ID at the start of the video when you introduce yourself.
- Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).
- State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing.
- Present the full complex case study. Include the history of present illness, appropriate positive and negative physical exam findings, past medical and surgical history, diagnostic results, diagnosis including differentials that were ruled out, and treatment plan.PRAC 6540: Advanced Practice Care of Older Adults Practicum
- Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
- Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to after viewing your video.
- Be succinct in your presentation, and do not exceed 8 minutes.
A note on grading:
- Presenters: Review the Grand Rounds Presenter Rubric to ensure you meet the scoring criteria.
- Participants: Review the Grand Rounds Participant Rubric to ensure you meet the scoring criteria.
Week 6 Presenters:
By Day 3
Post your video and your focused SOAP note to the grand rounds discussion forum. You must submit two files for the SOAP note, including a Word document and scanned pdf/images of each page that is initialed and signed by your preceptor. Then, actively respond to your colleagues as they post responses to your video.
Week 6 Participants:
By Day 7
Respond at least two times each to both of your colleagues who presented this week. The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to one of the three discussion prompts that your colleague provided in his or her video presentation. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.
Rubric Detail
Select Grid View or List View to change the rubric’s layout.PRAC 6540: Advanced Practice Care of Older Adults Practicum
Content
| Excellent | Good | Fair | Poor | |
|---|---|---|---|---|
| Photo ID Display and Professional Attire |
Points Range: 5 (5%) – 5 (5%)
Photo ID is displayed. The student is dressed professionally with a lab coat.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
Photo ID is not displayed. Student must remedy this before grade is posted. The student is not dressed professionally with a lab coat.
|
| Time |
Points Range: 5 (5%) – 5 (5%)
The video does not exceed the 8-minute time limit.PRAC 6540: Advanced Practice Care of Older Adults Practicum
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)PRAC 6540: Advanced Practice Care of Older Adults Practicum
|
Points Range: 0 (0%) – 0 (0%)
The video exceeds the 8-minute time limit. (Note: Information presented after the 8 minutes will not be evaluated for grade inclusion.)
|
| Objectives for the presentation |
Points Range: 5 (5%) – 5 (5%)
3-4 objectives provided and written in terms of what the audience will know or be able to do after viewing. Appropriate Bloom’s verbs are used. Objectives are targeted and clear.PRAC 6540: Advanced Practice Care of Older Adults Practicum
|
Points Range: 4 (4%) – 4 (4%)
3-4 objectives provided and written in terms of what the audience will know or be able to do after viewing. Appropriate Bloom’s verbs are used.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 3 (3%)
Fewer than 3 objectives provided. Objectives for the presentation are vague, unclear, or missing.PRAC 6540: Advanced Practice Care of Older Adults Practicum
|
| Description of chief complaint and the 7 elements of the history of present illness |
Points Range: 5 (5%) – 5 (5%)
The student provides an accurate, clear, and complete description of the chief complaint and the 7 elements of the History of Present Illness.
|
Points Range: 4 (4%) – 4 (4%)
The student provides an accurate description of the chief complaint and the 7 elements of the History of Present Illness.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 3 (3%)
The student provides a vague, inaccurate, or incomplete description of the chief complaint and the 7 elements of the History of Present Illness, or description is missing.
|
| Description of past medical and surgical history |
Points Range: 5 (5%) – 5 (5%)
The student provides an accurate, clear, and complete description of past medical and surgical history.PRAC 6540: Advanced Practice Care of Older Adults Practicum
|
Points Range: 4 (4%) – 4 (4%)
The student provides an accurate description of past medical and surgical history.
|
Points Range: 0 (0%) – 0 (0%)PRAC 6540: Advanced Practice Care of Older Adults Practicum
|
Points Range: 0 (0%) – 3 (3%)
The student provides a vague, inaccurate, or incomplete description of past medical and surgical history, or description is missing.
|
| Discussion of current medications |
Points Range: 5 (5%) – 5 (5%)
The student provides an accurate, clear, and complete discussion of current medications.
|
Points Range: 4 (4%) – 4 (4%)
The student provides an accurate discussion of current medications.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 3 (3%)
The student provides a vague, inaccurate, or incomplete discussion of current medications, or discussion is missing.
|
| Discussion of physical exam findings |
Points Range: 5 (5%) – 5 (5%)
The student provides an accurate, clear, and complete discussion of physical exam findings, including both the positives and pertinent negatives.
|
Points Range: 4 (4%) – 4 (4%)
The student provides an accurate discussion of physical exam findings, including both the positives and pertinent negatives.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 3 (3%)
The student provides a vague, inaccurate, or incomplete discussion of physical exam findings. The student may not address both positives and pertinent negatives. Or, the discussion is missing.
|
| Discussion of diagnostics with results |
Points Range: 9 (9%) – 10 (10%)
The student provides an accurate, clear, and complete discussion of diagnostics with results.PRAC 6540: Advanced Practice Care of Older Adults Practicum
|
Points Range: 8 (8%) – 8 (8%)
The student provides an accurate discussion of diagnostics with results.
|
Points Range: 7 (7%) – 7 (7%)
The student provides a vague, inaccurate, or incomplete discussion of diagnostics with results.PRAC 6540: Advanced Practice Care of Older Adults Practicum
|
Points Range: 0 (0%) – 6 (6%)
All or most of the discussion is missing.
|
| Diagnosis with differentials |
Points Range: 9 (9%) – 10 (10%)
The student provides an accurate, clear, and complete diagnosis with differentials.
|
Points Range: 8 (8%) – 8 (8%)
The student provides an accurate diagnosis with differentials.
|
Points Range: 7 (7%) – 7 (7%)
The student provides a vague, inaccurate, or incomplete diagnosis with differentials.
|
Points Range: 0 (0%) – 6 (6%)
All or most of the discussion is missing.
|
| Treatment plan |
Points Range: 14 (14%) – 15 (15%)
The student provides an appropriate, clear, and complete treatment plan.PRAC 6540: Advanced Practice Care of Older Adults Practicum
|
Points Range: 12 (12%) – 13 (13%)
The student provides an appropriate treatment plan.
|
Points Range: 11 (11%) – 11 (11%)
The student provides a vague, inappropriate, or incomplete treatment plan.PRAC 6540: Advanced Practice Care of Older Adults Practicum
|
Points Range: 0 (0%) – 10 (10%)
A treatment plan is mostly or entirely missing.
|
| Focused SOAP Note |
Points Range: 14 (14%) – 15 (15%)
The response clearly, accurately, and thoroughly follows the SOAP format to document the selected patient case.
|
Points Range: 12 (12%) – 13 (13%)
The response accurately follows the SOAP format to document the selected patient case.PRAC 6540: Advanced Practice Care of Older Adults Practicum
|
Points Range: 11 (11%) – 11 (11%)
The response follows the SOAP format to document the selected patient case, with some vagueness and inaccuracy.
|
Points Range: 0 (0%) – 10 (10%)
The response incompletely and inaccurately follows the SOAP format to document the selected patient case.
|
| Presentation style |
Points Range: 5 (5%) – 5 (5%)
Presentation style is exceptionally clear, professional, and focused.
|
Points Range: 4 (4%) – 4 (4%)
Presentation syle is clear, professional, and focused.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 3 (3%)
Presentation style is unclear, unprofessional, and/or unfocused.
|
| Discussion Facilitation |
Points Range: 9 (9%) – 10 (10%)
Presentors effectively lead, sustain, and engage the discussion from Day 4 through Day 7.
|
Points Range: 8 (8%) – 8 (8%)
Presentors lead, sustain, and engage the discussion from Day 4 through Day 7.
|
Points Range: 7 (7%) – 7 (7%)
Presentors lead, sustain, and engage the discussion at least three out of four days between Days 4 and 7.
|
Points Range: 0 (0%) – 6 (6%)
Presentors did not sustain and engage the discussion through Day 7.
|
| Total Points: 100 |
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