Health assessment

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A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw.

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each

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A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw.

Case Study Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.

10/26/23, 2:23 PM Week 9: Assignment 1

https://waldenu.instructure.com/courses/85632/assignments/884990?module_item_id=2747346 1/6

Due Saturday by 10:59pm Points 100 Submitting a text entry box or a file upload
Attempts 0 Allowed Attempts 2

Start Assignment

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magine not being able to form new memories. This is the reality patients with anterograde amnesia
ace. Although this form of amnesia is rare, it can result from severe brain trauma. Anterograde amnesia
emonstrates just how impactful brain disorders can be to a patient’s quality of living. Accurately

assessing neurological symptoms is a complex process that involves the analysis of many factors.

n this Case Study Assignment, you will consider case studies that describe abnormal findings in
patients seen in a clinical setting.

CASE STUDY ASSIGNMENT: ASSESSING
NEUROLOGICAL SYMPTOMS

RESOURCES

10/26/23, 2:23 PM Week 9: Assignment 1

https://waldenu.instructure.com/courses/85632/assignments/884990?module_item_id=2747346 2/6

By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment.
Please see the “Course Announcements” section of the classroom for your assignment from your
Instructor.
Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than
the traditional narrative style format. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused
SOAP Template in the Week 5 Learning Resources for guidance. Remember that all
Episodic/Focused SOAP notes have specific data included in every patient case.

With regard to the case study you were assigned:

Review this week’s Learning Resources, and consider the insights they provide about the case study.
Consider what history would be necessary to collect from the patient in the case study you were
assigned.
Consider what physical exams and diagnostic tests would be appropriate to gather more information
about the patient’s condition. How would the results be used to make a diagnosis?
Identify at least five possible conditions that may be considered in a differential diagnosis for the
patient.

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the
case study to which you were assigned using the episodic/focused note template provided in the Week 5
resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for
each case. List five different possible conditions for the patient’s differential diagnosis, and justify why
you selected each.

Submit your Assignment.

Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.

WEEKLY RESOURCES (https://waldenu.instructure.com/courses/85632/modules/items/2747349)

TO PREPARE

THE CASE STUDY ASSIGNMENT

BY DAY 6 OF WEEK 9

10/26/23, 2:23 PM Week 9: Assignment 1

https://waldenu.instructure.com/courses/85632/assignments/884990?module_item_id=2747346 3/6

NURS_6512_Week_9_Assignment1_Rubric

Before submitting your final assignment, you can check your draft for authenticity. To check
your draft, access the Turnitin Drafts from the Start Here area.

1. To submit your completed assignment, save your Assignment as WK9Assgn1+last
name+first initial.

2. Then, click on Start Assignment near the top of the page.
3. Next, click on Upload File and select Submit Assignment for review.

SUBMISSION INFORMATION

10/26/23, 2:23 PM Week 9: Assignment 1

https://waldenu.instructure.com/courses/85632/assignments/884990?module_item_id=2747346 4/6

Criteria Ratings Pts

50 pts

35 pts

Using the
Episodic/Focused
SOAP Template:
· Create
documentation or an
episodic/focused note
in SOAP format about
the patient in the case
study to which you
were assigned.
· Provide evidence
from the literature to
support diagnostic
tests that would be
appropriate for your
case.

50 to >44.0 pts
Excellent

The response
clearly, accurately,
and thoroughly
follows the SOAP
format to
document the
patient in the
assigned case
study. The
response
thoroughly and
accurately
provides detailed
evidence from the
literature to
support diagnostic
tests that would be
appropriate for the
patient in the
assigned case
study.

44 to >38.0 pts
Good

The response
accurately follows
the SOAP format
to document the
patient in the
assigned case
study. The
response
accurately
provides detailed
evidence from the
literature to
support diagnostic
tests that would
be appropriate for
the patient in the
assigned case
study.

38 to >32.0 pts
Fair

The response
follows the SOAP
format to
document the
patient in the
assigned case
study, with some
vagueness and
inaccuracy. The
response provides
evidence from the
literature to
support diagnostic
tests that would be
appropriate for the
patient in the
assigned case
study, with some
vagueness or
inaccuracy in the
evidence selected.

32 to >0 pts
Poor

The response
incompletely
and
inaccurately
follows the
SOAP format to
document the
patient in the
assigned case
study. The
response
provides
incomplete,
inaccurate,
and/or missing
evidence from
the literature to
support
diagnostic tests
that would be
appropriate for
the patient in
the assigned
case study.

· List five different
possible conditions
for the patient’s
differential diagnosis,
and justify why you
selected each.

35 to >29.0 pts
Excellent

The response lists
five distinctly
different and
detailed possible
conditions for a
differential
diagnosis of the

29 to >23.0 pts
Good

The response lists
four to five
different possible
conditions for a
differential
diagnosis of the
patient in the

23 to >17.0 pts
Fair

The response lists
three to four
possible
conditions for a
differential
diagnosis of the
patient in the

17 to >0 pts
Poor

The response
lists three or
fewer, or is
missing,
possible
conditions for a
differential

10/26/23, 2:23 PM Week 9: Assignment 1

https://waldenu.instructure.com/courses/85632/assignments/884990?module_item_id=2747346 5/6

Criteria Ratings Pts

5 pts

patient in the
assigned case
study and provides
a thorough,
accurate, and
detailed
justification for
each of the five
conditions
selected.

assigned case
study and
provides an
accurate
justification for
each of the five
conditions
selected.

assigned case
study, with some
vagueness and/or
some inaccuracy
in the conditions
and/or justification
for each.

diagnosis of
the patient in
the assigned
case study,
with inaccurate
or missing
justification for
each condition
selected.

Written Expression
and Formatting –
Paragraph
Development and
Organization:
Paragraphs make
clear points that
support well-
developed ideas, flow
logically, and
demonstrate
continuity of ideas.
Sentences are
carefully focused–
neither long and
rambling nor short
and lacking
substance. A clear
and comprehensive
purpose statement
and introduction are
provided that
delineate all required
criteria.

5 to >4.0 pts
Excellent
Paragraphs and
sentences follow
writing standards for
flow, continuity, and
clarity. A clear and
comprehensive
purpose statement,
introduction, and
conclusion are
provided that
delineate all
required criteria.

4 to >3.0 pts
Good
Paragraphs and
sentences follow
writing standards
for flow,
continuity, and
clarity 80% of the
time. Purpose,
introduction, and
conclusion of the
assignment are
stated, yet are
brief and not
descriptive.

3 to >2.0 pts
Fair
Paragraphs and
sentences follow
writing standards
for flow,
continuity, and
clarity 60%–79%
of the time.
Purpose,
introduction, and
conclusion of the
assignment are
vague or off
topic.

2 to >0 pts
Poor
Paragraphs and
sentences
follow writing
standards for
flow, continuity,
and clarity <
60% of the time.
No purpose
statement,
introduction, or
conclusion were
provided.

10/26/23, 2:23 PM Week 9: Assignment 1

https://waldenu.instructure.com/courses/85632/assignments/884990?module_item_id=2747346 6/6

Total Points: 100

Criteria Ratings Pts

5 pts

5 pts

Written Expression
and Formatting –
English writing
standards: Correct
grammar, mechanics,
and proper
punctuation

5 to >4.0 pts
Excellent

Uses correct
grammar,
spelling, and
punctuation with
no errors.

4 to >3.0 pts
Good

Contains a few
(1 or 2)
grammar,
spelling, and
punctuation
errors.

3 to >2.0 pts
Fair

Contains several
(3 or 4)
grammar,
spelling, and
punctuation
errors.

2 to >0 pts
Poor

Contains many (≥ 5)
grammar, spelling,
and punctuation
errors that interfere
with the reader’s
understanding.

Written Expression
and Formatting – The
paper follows correct
APA format for title
page, headings, font,
spacing, margins,
indentations, page
numbers, running
heads,
parenthetical/in-text
citations, and
reference list.

5 to >4.0 pts
Excellent

Uses correct APA
format with no
errors.

4 to >3.0 pts
Good

Contains a few (1
or 2) APA format
errors.

3 to >2.0 pts
Fair

Contains several
(3 or 4) APA
format errors.

2 to >0 pts
Poor

Contains many
(≥ 5) APA format
errors.

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