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Submission Instructions:

• Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.
• You must use the template provided. Turnitin will recognize the template and not score against it.

Discussion on  Ion Channels and G Proteins

A Doctor of Nursing Practice (DNP) program requires students to manage many responsibilities (Cepeda-Lopez et al., 2023). In addition to coursework, students must complete clinical training and develop leadership skills. The weight of work induces stress, which makes concentration and productivity challenging. Mindfulness can provide great stress relief, improved focus, and emotional well-being. As a result, with mindfulness, students in the DNP program will find their abilities to study and learn improved, their time management skills enhanced, and their ability to provide better patient care.

Mindfulness means paying attention to the present moment and staying aware of thoughts and feelings without reacting too quickly (Li et al., 2020). As a DNP student, I often have a wide range of responsibilities on my mind, which makes concentration difficult. Mindfulness allows students to focus on one task rather than becoming overwhelmed by anything else that needs attention. By practicing mindfulness for studying purposes, I am likely to recall information, avoid distractions, and complete my work faster.

Mindfulness also regulates emotions. As a DNP student, I am under significant stress with assignments, clinical work, and examinations. This can make me feel frustrated, worried, or unsure of myself at times. However, with mindfulness, I will be able to better recognize my emotions and manage them calmly. Instead of becoming upset over a difficult task, they can take a deep breath and approach the situation with a clear mind. This helps them stay motivated and keep working toward their goals. Staying focused on their goals is how this amends further motivation to keep up with their work.

Clinical training is another important part of the DNP program. Mindfulness will help enhance my approach to patient care. It will allow me to listen more intently, understand patient concerns, and respond with compassion. Mindfulness keeps one focused on the important points and can recognize the minutest changes in a patient’s physical state. This can help prevent complications and improve patient outcomes. Mindfulness, in addition, encourages the student to be calm and composed, ensuring that patients feel comfortable and valued.

DNP students must use their time effectively. The students have to juggle their time between school, clinical duties, research, and personal responsibilities. Mindfulness develops effective time management as it helps the students to stay organized and keep their attention on their tasks (Wang et al., 2023). Because of mindfulness, students manage their activity and get it done on schedule, leading to decreased stress. Simple mindfulness activities such as conscious breathing or short breaks create a mindfulness context for disengaging from distracting thoughts and maintaining focus. A few minutes of mindfulness each day can help students feel that they have some control over their schedules.

Taking care of physical health is also important. The long hours I spend doing schoolwork and attending clinicals can become exhausting. Many students suffer from stress-induced sleeplessness, headaches, muscle tension, or pain. Mindfulness can alleviate many of these stress-related physical complications by fostering relaxation. Activities such as stretching, walking, or deep-breathing exercises relieve tension and enhance well-being (Zhou et al., 2022). The more energy a student has, the more they can focus on studying and caring for patients.

Mindfulness also positively changes relationships with classmates, instructors, and other health workers. As a DNP student, I will often work in teams and collaborate in research. Therefore, communication and teamwork skills greatly enhance success. Mindfulness will allow me to listen patiently and manage any conflicts with calmness. A student practicing mindfulness could form lasting bonds with others and enjoy the collaborative experience with colleagues. Such skills will be relevant in future leadership roles within nursing.

The daily practice of mindfulness can make major changes in a DNP student’s life. Stress relief, increased concentration, and emotional stability are some of its benefits. Better patient care, time management, physical health, and teamwork will follow. If I make mindfulness a daily habit, I can remain balanced and motivated and achieve success throughout my program and future career.

References

Cepeda-Lopez, A. C., Solís Domínguez, L., Villarreal Zambrano, S., Garza-Rodriguez, I. Y., Del Valle, A. C., & Quiroga-Garza, A. (2023). A comparative study of well-being, resilience, mindfulness, negative emotions, stress, and burnout among nurses after an online mind–body-based intervention during the first COVID-19 pandemic crisis. Frontiers in Psychology, 14, 848637. https://doi.org/10.3389/fpsyg.2023.848637

Li, L., Yao, C., Zhang, Y., & Chen, G. (2020). Trait forgiveness moderated the relationship between work stress and psychological distress among final-year nursing students: a pilot study. Frontiers in Psychology, 11, 1674. https://doi.org/10.3389/fpsyg.2020.01674

Wang, Q., Wang, F., Zhang, S., Liu, C., Feng, Y., & Chen, J. (2023). Effects of mindfulness-based interventions on stress and burnout in nurses: A systematic review and meta-analysis. Frontiers in Psychiatry, 14, 1218340. https://doi.org/10.3389/fpsyt.2023.1218340

Zhou, L., Sukpasjaroen, K., Wu, Y., Gao, L., Chankoson, T., & Cai, E. (2022). Perceived social support promotes nursing students’ psychological well-being: Explained with self-compassion and professional self-concept. Frontiers in Psychology, 13, 835134. https://doi.org/10.3389/fpsyg.2022.835134

The Doctor of Nursing Practice (DNP) is incomplete without mindfulness because it gives students strategies to deal with academic or professional challenges. Through mindfulness, the mind is aware of the events of the present without being caught in prejudices or negative emotional responses. This is especially helpful to the DNP students, given that such learners have numerous commitments such as class, clinical practice, and family. Through the practice of mindfulness, learners can use daily practicing daily practices such as guided meditation and mindfulness of breathing to reduce their stress and anxiety levels (McNulty et al., 2021). These techniques enable learners to reduce the rate of thinking, which is recurrent in most students, thus allowing them to understand better what has been taught and improve their concentration and performance. Hence, when practiced in the context of a rigorous DNP program, it can be a helpful method of combating burnout and keeping the students in good mental health to continue being productive throughout the program.

Mindfulness also contributes positively to mental health and enhances the memorability and the inherent meaning of a learning experience through a more excellent bond with the material learned. Doing mindful practices before starting your study sessions or classes sets a mental space for you to concentrate and absorb information. Take the example of beginning your study session with a brief mindful exercise to remove the clutter in your mind and direct it on what you should do. Firth et al. (2019), also find that mindfulness enhances academic performance by reducing stress and improving cognitive function. In addition, mindfulness makes the students more present, mindful, and alert during lectures and discussions, and it aids in comprehending complex nursing practice concepts essential to critical aspects of advanced nursing practice. Further, awareness of the moment can provide students with more sophisticated insight into the details of healthcare delivery, which is necessary for the leaders they will be at work.

Furthermore, mindfulness fosters emotional intelligence and interpersonal skills necessary for DNP students in various healthcare settings. Regular exercise in mindfulness enables the students to watch thoughts and feelings pass by without instantly expelling them. Therefore, this aspect of mindfulness can be applied to manage challenging situations calmly in all settings. This is especially important in healthcare, where professionals working under such stressful conditions must make crucial decisions or communicate quickly (Firth et al., 2019). Moreover, practicing mindfulness increases students’ ability to connect with patients, colleagues, and mentors, to be more mindful, and to be more compassionate and understanding.

This discussion relates to two DNP Essentials I and II. The former identifies the importance of evidence-based practice in nursing, and the latter demands that DNP preparation graduates be leaders in healthcare systems (Waldrop et al., 2023). Mindfulness enhances analytical reasoning and self-reflection to form the basis of evidence-based healthcare delivery. Moreover, this domain of mindfulness aligns with professionalism and awareness in health care environment competencies. Together, these essentials and competencies emphasize the importance of mindfulness in preparing DNP students to become advanced nursing practice careers.

References

Firth, A. M., Cavallini, I., Sütterlin, S., & Lugo, R. G. (2019). Mindfulness and self-efficacy in pain perception, stress, and academic performance. The influence of mindfulness on cognitive processes. Psychology research and behavior management, 565-574.

McNulty, D. (2021). DNP FINAL REPORT: The Impact of Mindfulness Training on Stress, Burnout, and Mindfulness.

Waldrop, J., Reynolds, S. S., McMillian-Bohler, J. M., Graton, M., & Ledbetter, L. (2023). Evaluation of DNP program essentials of doctoral nursing education: A scoping review. Journal of Professional Nursing, 46, 7-12. https://doi.org/10.1016/j.profnurs.2022.11.009

Problem-Focused SOAP Note Format

Demographic Data 

• Age and gender (must be HIPAA compliant) 

Subjective 

• Chief Complaint (CC): A short statement about why they are there 
• History of Present Illness (HPI):  Write your HPI in paragraph form. Start with the age, gender, and why they are there (example: 23-year-old female here for…). Elaborate using the acronym OLDCART: Onset, Location, Duration, Characteristics, Aggravating/Alleviating Factors, Relieving Factors, Treatment 
• Past Med. Hx (PMH): Medical or surgical problems, hospitalizations, medications, allergies, immunizations, and preventative health maintenance 
• Family Hx: any history of CA, DM, HTN, MI, CVA?  
• Social Hx: Including nutrition, exercise, substance use, sexual hx, occupation, school, etc. 
• Review of Systems (ROS) as appropriate: Include health maintenance (e.g., eye, dental, pap, vaccines, colonoscopy) 

Objective 

• Vital Signs 
• Physical findings listed by body systems, not paragraph form- Highlight abnormal findings 

Assessment (the diagnosis) 

• At least Two (2) differential diagnoses (if applicable) with rationale and pertinent positives and negatives for each 
• Final diagnosis with rationale, pertinent positives and negatives, and pathophysiological explanation 

Plan 

• Dx Plan (lab, x-ray) 
• Tx Plan (meds): including medication(s) prescribed (if any), dosage, frequency, duration, and refill(s) (if any) 
• Pt. Education, including specific medication teaching points 
• Referral/Follow-up 
• Health maintenance: including when screenings eye, dental, pap, vaccines, immunizations, etc. are next due 

Reference 

• Compare care given to the patient with the National Standards of Care/National Guidelines. Cite accordingly. 

complete doc attavhed

Liver injury labs are as follows ammonia levels, INR, fibrinogen, glucose, and lactate. Other abs include Alanine transaminase (ALT): 0 to 55 units per liter (U/L) Aspartate transaminase (AST): 0 to 48 U/L. Alkaline phosphatase (ALP): 30 to 129 U/L. Gamma-glutamyltransferase (GGT): 8 to 61 U/L. Bilirubin: 0.1 to 1.2 milligrams per deciliter (mg/dL). Prothrombin time (PT): 10.9 to 12.5 seconds. Albumin: 3.5 to 5.0 grams per deciliter (g/dL). Total proteins: 6.3 to 7.9 g/dL. Once diagnosed liver injury the medications can be adjusted based on the lab results. Also discontinuing of any acetaminophen orders also any other nephrotoxic medications will also be recommended (2022). rising burden of liver disease is mainly a reflection of the three the most common causes: alcohol-related liver disease, non-alcoholic fatty liver disease and viral hepatitis, although autoimmune liver disease is also a significant contributor.4 The burden of liver disease in children differs from that in adults, as although non-alcoholic fatty liver disease (NAFLD) is seen in all ages, reflecting the rise in childhood obesity, disease associated with injecting drug use and alcohol are rarely encountered (Newsome et al., 2018). Acute hepatitis A virus (HAV) infection highly contagious. People who get hepatitis A may feel sick for a few weeks or several months but usually recover completely and do not have lasting liver damage. In rare cases, hepatitis A can cause liver failure and even death. This is more common in older people and in people with other serious health issues, such as chronic liver disease (2022).

           Hepatitis A virus (HAV) is one of the well-known viruses that cause hepatitis all around the globe. Although this illness has decreased in developed countries due to extensive immunization, numerous developing and under-developed countries are struggling with this virus, HAV can be contained and prevented with vaccination. HAV can spread through oral fecal contact and through contaminated foods and water. Acute viral hepatitis is a systemic illness that mainly affects the liver. Hepatitis A virus (HAV), hepatitis B virus (HBV), hepatitis D virus (HDV), and hepatitis E virus (HEV) are the viruses that cause almost all instances of acute viral hepatitis, Hepatitis can be present with little or no symptoms, although it frequently results in jaundice, anorexia, and malaise. Hepatitis infection is divided into two types: acute and chronic. Acute hepatitis remains for less than six months, whereas chronic hepatitis stays for an extended period (Torre et al, 2021). In conclusion, vaccination is key to control the spreading of the virus not only for HAV but for all other hepatitis viruses. Immunization has to be considered an important step, and this system will enable the early detection of epidemiologic transitions and the implementation of preventative efforts before HAV infection becomes a public health issue.

References

Newsome, P. N., Cramb, R., Davison, S. M., Dillon, J. F., Foulerton, M., Godfrey, E. M., Hall, R., Harrower, U., Hudson, M., Langford, A., Mackie, A., Mitchell-Thain, R., Sennett, K., Sheron, N. C., Verne, J., Walmsley, M., & Yeoman, A. (2018, January). Guidelines on the management of abnormal liver blood tests. Gut. https://pmc.ncbi.nlm.nih.gov/articles/PMC5754852/

https://my.clevelandclinic.org/health/diagnostics/17662-liver-function-tests. Liver Function Tests. (2022, November 9).

Hepatitis A basics | hepatitis A | CDC. (2025a, January 31). https://www.cdc.gov/hepatitis-a/about/index.html

Gholizadeh, O., Akbarzadeh, S., Ghazanfari Hashemi, M., Gholami, M., Amini, P., Yekanipour, Z., Tabatabaie, R., Yasamineh, S., Hosseini, P., & Poortahmasebi, V. (2023). Hepatitis A: Viral Structure, Classification, Life Cycle, Clinical Symptoms, Diagnosis Error, and Vaccination. The Canadian journal of infectious diseases & medical microbiology = Journal canadien des maladies infectieuses et de la microbiologie medicale, 2023, 4263309. https://doi.org/10.1155/2023/4263309

Torre P., Aglitti A., Masarone M., Persico M., (2021) Viral hepatitis: milestones, unresolved issues, and future goals. World Journal of Gastroenterology.;27(28):4603–4638. doi: 10.3748/wjg. v27.i28.4603