Week 8 SOAP Note Assignment 3 NSG 6435
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the Pediatric SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Discussion: Infectious Diseases in Children
The discussion assignment provides a forum for discussing relevant topics for this week on the basis of the course competencies covered.
To support your work, use your course and textbook readings and the South University Online Library. As in all assignments, cite your sources in your work and provide references for the citations in APA format.
Start reviewing and responding to the postings of your classmates as early in the week as possible. Respond to at least two of your classmates’ initial postings. Participate in the discussion by asking a question, providing a statement of clarification, providing a point of view with a rationale, challenging an aspect of the discussion, or indicating a relationship between two or more lines of reasoning in the discussion. Cite sources in your responses to your classmates. Complete your participation for this assignment.
Using your course and textbook readings and the South University Online Library, perform research on the following:
- Assessment, diagnostic testing, and management of infectious conditions in a pediatric patient
- Differential diagnoses for presentation of symptoms involving infectious diseases in pediatric patients
After completing your research, consider this scenario: An eighteen-month-old child, well-known to your practice, presents with a seven-day history of fever ranging from 101 to 104.7 degrees Fahrenheit. On the fourth day of the fever, the emergency department had performed the following tests:
- A blood and urine culture
- A complete blood count
- A comprehensive metabolic panel
- The culture reports were found to be negative.
Today, the vitals of the child are the following:
- Temperature: 101.5 degrees Fahrenheit
- Heart rate: 120 beats/minute
- Respiratory rate: 20 breaths/minute
- Blood pressure: 90/40
Physical examination of the child indicates the following positive findings:
- Injected conjunctiva
- Palmar redness
- Magenta-colored lips
- Red macula
- Excoriating rashes in the diaper area
On the basis of the above information, respond to the following:
- What will be your differential diagnoses for this patient?
- What specific physical exam findings support these differential diagnoses?
- Of the differential diagnoses you listed, which would be the most concerning?
- What additional diagnostic tests will you recommend? Why?
- What would be your focus for caregiver education?
