Properly identifying the cause and type of a patient’s skin condition involves a process of elimination known as differential diagnosis. Using this process, a health professional can take a given set of physical abnormalities, vital signs, health assessment findings, and patient descriptions of symptoms, and incrementally narrow them down until one diagnosis is determined as the most likely cause.

In this Lab Assignment, you will examine several visual representations of various skin conditions, describe your observations, and use the techniques of differential diagnosis to determine the most likely condition.

To Prepare

• Review the Skin Conditions document provided in this week’s Learning Resources, and select one condition to closely examine for this Lab Assignment.
• Consider the abnormal physical characteristics you observe in the graphic you selected. How would you describe the characteristics using clinical terminologies?
• Explore different conditions that could be the cause of the skin abnormalities in the graphics you selected.
• Consider which of the conditions is most likely to be the correct diagnosis, and why.
• Search the Walden library for one evidence-based practice, peer-reviewed article based on the skin condition you chose for this Lab Assignment.
• Review the Comprehensive SOAP Exemplar found in this week’s Learning Resources to guide you as you prepare your SOAP note.
• Download the SOAP Template found in this week’s Learning Resources, and use this template to complete this Lab Assignment.

The Lab Assignment

• Choose one skin condition graphic (identify by number in your Chief Complaint) to document your assignment in the SOAP (Subjective, Objective, Assessment, and Plan) note format rather than the traditional narrative style. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in this week’s Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.
• Use clinical terminologies to explain the physical characteristics featured in the graphic. Formulate a differential diagnosis of three to five possible conditions for the skin graphic that you chose. Determine which is most likely to be the correct diagnosis and explain your reasoning using at least three different references, one reference from current evidence-based literature from your search and two different references from this week’s Learning Resources.
• BELOW I HAVE ATTACHED DOCUMENTS OF THE PICTURES OF THE SKING CONDITION. PLEASE CHOOSE ONE. I HAVE ALSO ATTACHED AN EXAMPLE OF A COMPLETED TEMPLET AND THE TEMPLETE YOU WILL USE TO COMPLKETE THIS ASSIGNMENT. 

Week 3 Contemporary Issue Position Essay

Choose a case from the AMA Journal of Ethics Case Index and take a position. For this assignment you will evaluate the ethical arguments for or against the issue. Identify the potential legal arguments (consider current federal guidelines), indicate any potential professional code conflicts you foresee, and support your position with an explanation of your own ethical/moral foundation.

In your 2-3 page paper:

• Identify the issue and state your ethical position.
• How might this scenario play out or impact you in your role as a nurse practitioner? 
• Defend your position with legal, ethical, and professional evidence.
• As part of your position, propose strategies and solutions for addressing the issues.
• What other ethical issues does this case bring to light, if any?

Support your position with at least one scholarly source (it may be your text).  Be sure to cite the article you choose, use APA format, and include a title page and reference page.

Review the rubric for further information on how your assignment will be graded.

Due: Sunday, 11:59 p.m. (Pacific time)

Points: 60

Scenario: 45-year-old woman presents with chief complaint of 3-day duration of shortness of breath, cough with thick green sputum production, and fevers. Patient has history of COPD with chronic cough but states the cough has gotten much worse and is interfering with her sleep. Sputum is thicker and harder for her to expectorate. CXR reveals flattened diaphragm and increased AP diameter. Auscultation demonstrates hyper resonance and coarse rales and rhonchi throughout all lung fields. 

Assignment (1- to 2-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following

• The      cardiovascular and cardiopulmonary pathophysiologic processes that result      in the patient presenting these symptoms.
• Any      racial/ethnic variables that may impact physiological functioning.
• How      these processes interact to affect the patient.

Submit your Case Study Analysis Assignment IN APA FORMATE, PLAGIRISIM NOT ALLOW

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. 

Responding to the peer discussions 

In a 5- to 10-slide PowerPoint presentation, address the following:

Provide an overview of the article you selected. (see article below)

Aznar-Martínez, B., Pérez-Testor, C., Davins, M., & Aramburu, I. (2016). Couple psychoanalytic  psychotherapy as the treatment of choice: Indications, challenges and benefits. Psychoanalytic  Psychology, 33(1), 1–20. https://doi-org.ezp.waldenulibrary.org/10.1037/a0038503

What population is under consideration?

What was the specific intervention that was used? Is this a new intervention or one that was already used?

What were the author’s claims?

Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own clients. If so, how? If not, why?

Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article. Support your position with evidence-based literature.

The presentation should be 5–10 slides, not including the title and reference slides. Include presenter notes (no more than ½ page per slide) and use tables and/or diagrams where appropriate. Be sure to support your work with specific citations from the article you selected. Support your approach with evidence-based literature.

Please ensure that your slides are not too crowded and that they address the above questions in a succinct and understandable manner.

I would advise that you use the questions as headings so you can respond to them appropriately.

Please read the article embedded in the weekly 3 lesson on how to appraise an article to help you analyze and appraise your chosen article appropriately. (see article below)

https://class.content.laureate.net/1e1ce6ecc1ae4b8d716fba6fdac46401.pdf