PRAC 6552 Comprehensive Well-Woman Paper

PRAC 6552 Comprehensive Well-Woman Paper

PRAC 6552 Episodic/Focused SOAP Note Template

The comprehensive well-woman examination is an essential component of preventive and primary healthcare for women across their lifespan (Ahuja & Cron, 2021). It focuses on assessing overall health, identifying risk factors for disease, providing counseling on healthy lifestyle behaviors, and maintaining reproductive and sexual health. This paper presents a detailed evaluation of a 34-year-old female patient who attended a routine well-woman visit at a family practice clinic. The assessment includes her subjective and objective findings, laboratory results, diagnostic evaluations, differential diagnoses, and evidence-based management plan. The paper also explores preventive strategies, patient education, and follow-up care tailored to her individual needs.

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Patient Information:

Initials: A.B.             Age: 34 years old    Sex: Female             Race: African American Marital Status: Married

S.

CC (chief complaint): “I came in for my annual women’s health checkup and Pap smear.”

HPI: A.B. is a 34-year-old African American female presenting for a routine annual well-woman visit. She reports feeling generally healthy, with no current complaints of pain, abnormal bleeding, or genitourinary symptoms. Her last menstrual period (LMP) started 12 days ago and lasted five days, which she says is normal for her. She says she does not have intermenstrual spotting, dysmenorrhea, or bleeding after sex. The patient routinely utilizes combination oral contraceptive tablets for birth control and reports regular menstrual cycles occurring every 28 days. She works out three times a week, eats a nutritious diet, and stays at a healthy weight. She says she does not have exhaustion, fever, weight fluctuations, or night sweats. A.B. says they have not been to the hospital or an emergency room lately. She says she had her last Pap smear three years ago and everything came out normal. As part of her regular treatment, she asks for a fresh prescription for her birth control pills and a test for sexually transmitted infections (STIs).

Current Medications: Combined oral contraceptive (ethinyl estradiol/norethindrone 1/20 mcg daily), daily multivitamin.

Allergies: No known drug allergies (NKDA).

PMHx: The patient reports no history of chronic medical conditions such as hypertension, diabetes, thyroid disorders, or cardiovascular disease. Immunizations are current, including completion of the Tdap and HPV series. She has not experienced any central infections or hospitalizations. Her last Pap smear in 2022 was routine, with no evidence of dysplasia or malignancy.

Soc & Substance Hx: A.B. is a woman living with her husband and two children in a suburban neighborhood. She has a master’s degree in education and teaches high school full-time. She stays active by running and doing yoga three to four times a week and eating a balanced diet that includes a lot of fruits, vegetables, and lean meats. She always wears her seatbelt, has working smoke alarms in her house, and does not let her children see guns. She does not smoke or take illegal substances, and she drinks wine with friends. A.B. is a Christian and says that they have secure housing, good health insurance, and no money problems that would keep them from getting medical treatment.

Fam Hx: Mother has been diagnosed with hypertension at age 50; father has type 2 diabetes—no family history of breast, ovarian, or colon cancer. Siblings are healthy.

Surgical Hx: Mother has hypertension diagnosed at age 50; father has type 2 diabetes—no family history of breast, ovarian, or colon cancer. Siblings are healthy.

Mental Hx: Denies anxiety, depression, or other psychiatric disorders. Reports good sleep quality and effective stress management through exercise and journaling.

Violence Hx: Denies history of intimate partner violence, physical abuse, or sexual assault. Reports feeling safe at home and in her relationship.

Reproductive Hx: Menarche at age 12; cycles are regular every 28 days, lasting 4–5 days with moderate flow. Gravida 2, Para 2 (one vaginal delivery, one cesarean). No miscarriages or abortions. Currently not planning pregnancy within the following year. Sexually active with one male partner, uses oral contraceptives for birth control, and expresses satisfaction with the current method. Last Pap smear in 2022—routine—no history of abnormal Pap results or sexually transmitted infections.

ROS:

  • GENERAL: The patient reports feeling healthy and energetic. Denies fever, chills, fatigue, or unintended weight changes. Maintains the ability to perform activities of daily living without limitation.
  • HEENT: Denies headaches, dizziness, vision changes, or eye pain. Wears corrective glasses for mild myopia; last eye exam in 2023 was standard. Denies nasal congestion, sinus pressure, tinnitus, sore throat, or dysphagia. Last dental exam was six months ago; no oral lesions or gum bleeding reported.
  • SKIN: No rashes, itching, dryness, or lesions. Denies changes in moles, hair loss, or nail discoloration. Uses sunscreen regularly and reports no new skin concerns.
  • CARDIOVASCULAR: Denies chest pain, palpitations, or dyspnea on exertion. Exercises regularly through jogging and yoga. No history of murmurs, edema, or claudication. Blood pressure and cholesterol were last checked in 2024—both within normal limits.
  • RESPIRATORY: Denies cough, wheezing, hemoptysis, or shortness of breath. No history of asthma or chronic respiratory illness. Non-smoker and not exposed to secondhand smoke.
  • GASTROINTESTINAL: Appetite is good; follows a balanced diet. Denies nausea, vomiting, abdominal pain, heartburn, or constipation. Reports normal bowel movements once daily without changes in stool color or consistency. No history of hemorrhoids or liver disease.
  • NEUROLOGICAL: Denies dizziness, fainting, seizures, weakness, or numbness. No tremors, headaches, or memory issues. Reports regular coordination and balance.
  • MUSCULOSKELETAL: Reports no joint pain, stiffness, or swelling. Denies muscle weakness, back pain, or limited range of motion. Exercises regularly without musculoskeletal limitations.
  • HEMATOLOGIC: Denies easy bruising, bleeding, or prior anemia. No history of blood transfusions.
  • LYMPHATICS: Denies swollen or tender glands. No history of lymphadenopathy.
  • PSYCHIATRIC: Denies depression, anxiety, irritability, or sleep disturbances. Reports good mood, adequate rest, and effective stress management.
  • ENDOCRINOLOGIC: Denies heat or cold intolerance, excessive thirst, polyuria, or unexplained weight changes. No history of thyroid disorders or hormonal therapy use.
  • GENITOURINARY/REPRODUCTIVE: Denies dysuria, hematuria, incontinence, or vaginal discharge. Regular menses, moderate flow, no pelvic pain. Sexually active with one partner, uses oral contraceptives, and is satisfied with the method.
  • ALLERGIES: Denies seasonal allergies, allergic rhinitis, or medication reactions. Up-to-date with hepatitis B vaccination and reports no immunosuppression.

O.

  • Vital signs: Temp 36.7 °C; BP 118/72 mmHg; HR 72 bpm; RR 14/min; SpO₂ 98% on room air; Height 165 cm; Weight 68 kg; BMI 25.0 kg/m². Patient appears well nourished, in no acute distress, oriented ×3, ambulatory without assistance, affect appropriate.
  • General: Well-appearing, cooperative, no acute distress. Face and speech are regular. Mood and affect appropriate to the situation.
  • Skin: Skin warm, dry, good turgor. No rash, petechiae, or ecchymoses. No suspicious new pigmented lesions. Nails are regular in color and shape; no clubbing. Hair normal distribution and texture.
  • HEENT:
  • Head: Normocephalic, atraumatic, no scalp lesions or masses.
  • Eyes: Visual acuity grossly intact with corrective lenses, conjunctiva clear, sclera non-icteric, pupils equal, round, reactive to light and accommodation (PERRL), extraocular movements intact, no discharge. Fundoscopic view is limited, but no visible hemorrhages or exudates on routine exam.
  • Ears: External ears normal, external auditory canals clear, tympanic membranes intact and mobile on pneumatic otoscopy. Hearing grossly intact to conversational tone.
  • Nose/Throat: Nasal mucosa pink, septum midline, no polyps or discharge. Oral mucosa moist, no ulcerations; oropharynx nonerythematous, no exudate. Dentition without obvious acute pathology.
  • Neck: Supple, full range of motion, no thyromegaly or cervical adenopathy. No carotid bruits.
  • Cardiovascular: Regular rate and rhythm, S1 and S2 normal, no murmurs, rubs, or gallops. No jugular venous distention. Peripheral pulses 2+ and symmetric in the upper and lower extremities. No peripheral edema.
  • Respiratory: Lungs clear to auscultation bilaterally, no wheezes, rales, or rhonchi. Chest expansion is symmetric. No increased work of breathing.
  • Abdomen: Soft, nondistended. Bowel sounds are present in all quadrants. Non-tender to light and deep palpation, no palpable masses, no hepatosplenomegaly, no CVA tenderness. No hernias appreciated.
  • Back / MSK: Spine without deformity or focal tenderness. Normal gait, station, and coordinated movements. Full range of motion of major joints without crepitus, swelling, or erythema. Strength 5/5 in all extremities.
  • Neurologic: Cranial nerves II–XII grossly intact. Sensation to light touch and pinprick intact in all extremities. Reflexes 2+ and symmetric. No pronator drift. Regular coordination and balance.
  • Psychiatric: Appropriate mood and affect, cooperative, normal judgment, and insight on exam. Oriented to time, place, and person.
  • Breast exam: Breasts are symmetric without dimpling or skin retraction. No discrete masses palpated. Non-tender to palpation; no nipple discharge. No axillary or supraclavicular lymphadenopathy. Pelvic exam: External genitalia: Labia majora/minora symmetric, perineum intact, no lesions or erythema. Speculum exam: Vaginal mucosa pink and moist. Cervix visualized, pink, no visible lesions, no purulent discharge. Cervical os closed. Bimanual exam: Uterus anteverted, smooth, size consistent with dates, mobile, non-tender. Adnexa non-tender, no palpable masses, no cervical motion tenderness.
  • Rectal: Normal sphincter tone; no palpable masses on rectovaginal exam.

Diagnostics:

  • Point-of-care urine pregnancy test: negative.
  • Urine dip: specific gravity and leukocyte esterase/ nitrite negative; no hematuria.
  • Pap test (cervical cytology) collected and submitted to the lab.
  • Cervical/vaginal NAAT swabs obtained and sent for Chlamydia trachomatis and Neisseria gonorrhoeae.
  • HIV 4th-generation Ag/Ab test and syphilis serology ordered per screening protocol (results pending).
  • Routine labs not performed at point of care; prior BP and lipid screening from 2024 noted in chart as within normal limits.

A.

  1. Health Maintenance (Z00.00 – General adult medical examination without abnormal findings): The patient has no immediate concerns when she arrives for a thorough well-woman visit. Vital signs and physical examination results are within normal ranges. She keeps herself healthy by following safety procedures, exercising often, and eating a balanced diet. Given age and sexual activity, preventive procedures, including STI and cervical cancer screening, are reasonable (Alexander et al., 2023). To maintain optimum health and avoid early illness, it is advised to continue focusing on wellness promotion, managing contraceptives, and scheduling regular follow-ups every 12 months.
  2. Acute Self-Limited Problem (Z11.3 – STI Screening): Despite having no symptoms, the patient asks for an STI test as part of their regular preventative treatment. Upon examination, no abnormal pelvic pain, lesions, or vaginal discharge were seen. Even in the absence of symptoms, continuous sexual activity justifies screening for syphilis, gonorrhea, HIV, and chlamydia (Gottlieb et al., 2024). In order to promote preventative sexual health measures and ongoing patient education on safe sexual behaviors, laboratory testing will guarantee early diagnosis and treatment when necessary.
  3. Chronic Health Problem (Z30.41 – Surveillance of contraceptive pills): The patient reports no menstrual abnormalities or adverse effects from the frequent usage of combination oral contraceptive tablets. There are no reasons why continuing usage is not advised, and blood pressure is steady. To guarantee continued safety, assess adherence, and provide guidance on possible hazards, warning indicators, and missing doses, surveillance is required (Meadows et al., 2023). The patient is satisfied with the existing technique of contraception, and the condition is still under reasonable control. Periodic blood pressure checks and yearly prescription renewal follow-up are recommended.
  1. Health Maintenance (Z00.00 – General adult medical examination without abnormal findings)
    1. Laboratory Tests: Order baseline wellness laboratory workup, including Complete Blood Count (CBC), Comprehensive Metabolic Panel (CMP), fasting lipid profile, fasting blood glucose, and urinalysis to assess metabolic and organ function. Results will establish a baseline for future comparison and identify any early risk factors for chronic disease (Attanasio et al., 2022).
    2. Lifestyle Modifications: Reinforce the importance of maintaining regular physical activity, such as jogging and yoga, at least 150 minutes per week, per CDC recommendations (Meyer et al., 2025). Encourage a balanced diet rich in fruits, vegetables, lean proteins, and whole grains while limiting saturated fats, processed foods, and sodium. Advise on adequate hydration and portion control.
    3. Preventive Care: Schedule Pap smear and HPV co-testing in accordance with current cervical cancer screening guidelines (every 3–5 years if prior results are typical). Confirm that Tdap and influenza vaccines are up to date; recommend seasonal flu shot annually and COVID-19 booster if indicated.
    4. Patient Education: Discuss maintaining a healthy BMI (goal <25), benefits of routine exercise on cardiovascular and reproductive health, and the importance of preventive screenings for early disease detection (Ahuja & Cron, 2021). Educate on breast self-awareness and advise monthly self-breast exams.
    5. Follow-Up: Return for routine wellness exam in 12 months or earlier if new symptoms arise or lab abnormalities are detected.
  2. Acute Self-Limited Problem (Z11.3 – STI Screening)
    1. Laboratory Tests: Order STI panel: Chlamydia and Gonorrhea NAAT, HIV 4th generation antigen/antibody test, RPR for syphilis, and Hepatitis B and C screening (Gottlieb et al., 2024).
    2. Patient Counseling: Educate patient on rationale for STI screening, including asymptomatic infection risks and prevention of long-term complications (Brown et al., 2024). Reinforce confidentiality and how results will be communicated through a secure portal. Discuss the importance of mutual monogamy, consistent condom use, and prompt partner treatment if infection is detected.
    3. Lifestyle Modifications: Encourage continued adherence to safe sexual practices and discuss the benefits of regular testing.
    4. Follow-Up: Patient will be notified of results within one week. Schedule a follow-up visit or a telehealth consultation for any positive findings or if treatment becomes necessary.
  3. Chronic Health Problem (Z30.41 – Surveillance of contraceptive pills)
    1. Medications: Continue current combined oral contraceptive pill (ethinyl estradiol/norethindrone 1/20 mcg daily). Dispense 3-month supply with three refills, ensuring patient understanding of dosing schedule (Meadows et al., 2023).
    2. Patient Education: Review adherence importance and what to do in case of missed doses. Reinforce potential side effects and educate on ACHES warning signs (Abdominal pain, Chest pain, Headaches, Eye problems, Severe leg pain) (Ammerman et al., 2022). Emphasize the need for immediate care if symptoms occur.
    3. Co-ordination of Care: Ensure communication with the patient’s primary care provider and pharmacy for medication continuity.
    4. Follow-Up: Schedule follow-up in one year for contraceptive surveillance and blood pressure monitoring, or sooner if adverse effects, menstrual irregularities, or new health concerns arise.

Reflection: This case emphasizes the importance of individualized health promotion and disease prevention strategies tailored to the patient’s age, ethnicity, and social determinants of health. As a 34-year-old African American woman, A.B. benefits from continued preventive screenings such as Pap smears, STI testing, and regular cardiovascular monitoring, given the higher prevalence of hypertension and diabetes within her ethnic group (Ammerman et al., 2022). Her active lifestyle, consistent contraceptive use, and stable socioeconomic background positively influence her health outcomes and adherence to care recommendations. However, cultural awareness and respect for her values and beliefs are vital in maintaining trust and engagement in ongoing care. If any signs of intimate partner violence (IPV) were identified, the plan of care would shift to prioritize safety, confidentiality, and multidisciplinary support (Attanasio et al., 2022). This would include referral to social services, mental health counseling, and community resources while maintaining a trauma-informed and nonjudgmental approach to her care.

Conclusion

A.B.’s thorough well-woman examination emphasizes the vital role that preventative healthcare plays in fostering women’s health throughout their lives. This interaction promotes informed contraceptive management, reproductive health maintenance, and early illness diagnosis via collaborative decision-making, evidence-based screening, and patient education. A.B. is positioned for ongoing wellness because of her proactive approach to her health and devotion to good habits. Constant communication between the patient and the medical staff will guarantee adequate follow-up and continuity of treatment. The strategy supports patient empowerment and self-efficacy, which are essential components of high-quality primary care for women, by placing a strong emphasis on lifestyle changes, sexual health education, and preventative screenings.

References

Ahuja, C., & Cron, J. (2021). Pelvic Examinations in the Adolescent and Young Adult Population: A Commentary on Why and When. Journal of Pediatric and Adolescent Gynecology, 34(6), 783–786. https://doi.org/10.1016/j.jpag.2021.07.004

Alexander, I. M., Johnson-Mallard, V., Kostas-Polston, E., Cappiello, J., & Hubbard, H. S. (2023). Women’s Healthcare in Advanced Practice Nursing. Springer Publishing Company.

Ammerman, B. A., Jones, H. M., Riske, J. C., & Kuzma, E. K. (2022). The Well-Woman Visit. Advances in Family Practice Nursing, 4(1), 91–115. https://doi.org/10.1016/j.yfpn.2021.12.005

Attanasio, L., Ranchoff, B., Jeung, C., Goff, S., & Geissler, K. (2022). Preventive care visits with OB/GYNs and generalist physicians among reproductive‐age women with chronic conditions. Health Services Research, 58(1), 207–215. https://doi.org/10.1111/1475-6773.14100

Brown, E., Fa, A., Galloway, M., & Ventolini, G. (2024). The adult annual visit, the well-woman exam: Customizing care for diverse populations. Elsevier EBooks, 51–85. https://doi.org/10.1016/b978-0-323-90263-2.00003-3

Gottlieb, S. L., Spielman, E., Laith Abu-Raddad, A. K. A., Bachmann, L. H., Karel Blondeel, C., X.-S., C., T., C., G. G., G., S., G., R., G., S., H., J., I., N., K., J. D., F. K., Maatouk, I., Mandil, A., Mello, M. B., & Miranda, A. E. (2024). WHO global research priorities for sexually transmitted infections. The Lancet Global Health, 12(9), e1544–e1551. https://doi.org/10.1016/s2214-109x(24)00266-3

Meadows, S. O., Collins, R. L., Schuler, M. S., Beckman, R. L., & Cefalu, M. (May 15, 2023). The Women’s Reproductive Health Survey (WRHS) of Active-Duty service members. https://pmc.ncbi.nlm.nih.gov/articles/PMC10187555/

Meyer, C. M., Rankin, K., Handler, A., Barshop, W., Levecke, M., & Floyd, B. (2025). Well-Woman Visits and Cervical Cancer Screening at the Intersection of Sexual Orientation and Race/Ethnicity Among Illinois Women. LGBT Health. https://doi.org/10.1177/23258292251379503

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Comprehensive Well-Woman Paper

  For a wide variety of medical conditions, early detection of the problem enables timely and more effectivetreatment. Annual well-woman exams are among the best tools available for health care professionals to identify potential diseases and medical conditions in women.

Advanced nurse practitioners can play an active role in these important visits. This role can include a physical examination as well as collection of details about such factors as nutrition habits, sexual activity, stress, and more. By participating in comprehensive well-woman exams, advanced nurse practitioners can help patients engage in preventative health.

For this Assignment, you will complete your well-woman exam using a focused note format in which you will gather patient information, relevant diagnostic and treatment information and reflect on health promotion and disease prevention in light of patient factors, such as age, ethnic group, past medical history (PMH), socio-economic status, cultural background, etc.

Note: All Focused Notes must be signed, and each page must be initialed by your preceptor. When you submit your Focused Notes, you should include the complete Focused Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your Focused Notes using Turnitin.

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.

Resources

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

WEEKLY RESOURCES

Learning Resources

Required Readings

  • Links to an external site.. Obstetrics, Gynaecology & Reproductive Medicine, 29 (12), 342–350. https://go.openathens.net/redirector/waldenu.edu?url=https://doi.org/10.1016/j.ogrm.2019.09.003

(Previously read in Week 2)

  • Links to an external site.. Contemporary OB/GYN, 64 (1), 23–29. https://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=134229869&site=ehost-live&scope=site&authtype=shib&custid=s6527200

(Previously read in Week 2)

Practicum Resources 

tO prepare

  • Reflect on your practicum experience and select a female patient whom you have examined with the support and guidance of your Preceptor.
  • Think about the details of the patient’s background, medical history, physical exam, labs and diagnostics, diagnosis, and treatment and management plan, and education strategies and follow-up care.
  • Use the “Guidelines for Comprehensive History and Physical SOAP Note” document found in this week’s Learning Resources to guide you as you complete this Assignment.

Assignment:

Write an 8- to 10-page Comprehensive Well-Woman Paper that addresses the following:

  • Age, race and ethnicity, and partner status of the patient
  • Current health status, including chief concern or complaint of the patient
  • Contraception method (if any)
  • Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem)
  • Review of systems
  • Physical exam
  • Labs, tests, and other diagnostics
  • Differential diagnoses
  • Management plan, including diagnosis, treatment, patient education, and follow-up care
  • Provide evidence-based guidelines to support treatment plan. Note: Use your Learning Resources and evidence from scholarly sources from your personal search to support your treatment plan of care.

Reflection

Reflect on some additional factors for your patient:

  • What are implications if you have observed or know of some domestic violence? Would this change your plan of care? If so, how?

Use your Learning Resources and evidence from scholarly sources from your personal search to support your reflection.

Reminder

Links to an external site.: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at http://writingcenter.waldenu.edu/57.htm).

Note: Your Comprehensive Well-Woman Paper must be signed by Day 7 of Week 10.

By Day 7

Submit your Comprehensive Well-Woman Paper by Day 7. (Note: You will submit two files, your Comprehensive Well-Woman Paper, and a Word document of pdf/images of each page that is initialed and signed by your preceptor by Day 7 of Week 10.)

submission information

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 WK10Assgn2_LastName_Firstinitial
  2. Then, click on Start Assignment near the top of the page.
  3. Next, click on Upload File and select Submit Assignment for review.

Rubric

PRAC_6552_Week10_Assignment2_Rubric

PRAC_6552_Week10_Assignment2_Rubric
Criteria Ratings Pts
This criterion is linked to a Learning Outcome Write an 8- to 10-page Comprehensive Well-Woman Exam that addresses the following: • Age, race and ethnicity, and partner status of the patient• Current health status, including chief concern or complaint of the patient• Contraception method (if any) • Patient history, including medical history, family medical history, gynecologic history, obstetric history, and personal social history (as appropriate to current problem) • Social Determinants of Health assessment• Review of systems• Physical exam• Labs, tests, and other diagnostics• Differential diagnoses• Management plan, including diagnosis, treatment, patient education, and follow-up care• Provide evidence-based guidelines to support treatment plan. 45 to >40.0 pts Excellent All required points are addressed, with results that are presented fully and clearly … Provides 5 current and credible scholarly sources to support the treatment plan of care.

40 to >35.0 pts Good At least 8 points are addressed with results that are presented clearly. … Provides at least 4 current and credible scholarly sources to support the treatment plan of care.

35 to >34.0 pts Fair No fewer than 7 points are addressed. One or more results presented in a manner that is vague or incomplete. … Provides at least 3 current and credible scholarly sources to support the treatment plan of care.

34 to >0 pts Poor Fewer than 7 points are addressed. One or more results are presented in a manner that is vague, incomplete, or inaccurate. … Provides at least 2 current and credible scholarly sources to support the treatment plan of care.

 45 pts
This criterion is linked to a Learning Outcome Reflect on the following: Reflect on some additional factors for your patient: • What are implications if you have observed or know of some domestic violence? Would this change your plan of care? If so, how? 40 to >39.0 pts Excellent Reflection is clearly presented, with implications that are well-formed, clear, and fully expressed. … Provides at least 3 current and credible scholarly sources to support reflection.

39 to >31.0 pts Good Reflection is clearly presented, with implications that are clearly expressed. … Provides at least 3 current and credible scholarly sources to support reflection.

31 to >30.0 pts Fair Reflection is presented in manner that is vague or unclear. Implications are not fully or clearly expressed. … Provides at least 2 current and credible scholarly source to support reflection.

30 to >0 pts Poor Reflection is presented in manner that is vague or unclear. Implications are unclear, or one or both implications not expressed. … Provides at least 1 current and credible scholarly source to support reflection.

 40 pts
This criterion is linked to a Learning Outcome 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 is provided which delineates 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 is provided which delineates all required criteria.

4 to >3.5 pts Good Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. … Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

3.5 to >3.0 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 is vague or off topic.

3 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 was provided.

 5 pts
This criterion is linked to a Learning Outcome 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 >3.5 pts Good Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts Fair Contains several (3 or 4) grammar, spelling, and punctuation errors.

3 to >0 pts Poor Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

 5 pts
This criterion is linked to a Learning Outcome Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 to >4.0 pts Excellent Uses correct APA format with no errors.

4 to >3.5 pts Good Contains a few (1 or 2) APA format errors.

3.5 to >3.0 pts Fair Contains several (3 or 4) APA format errors.

3 to >0 pts Poor Contains many (≥5) APA format errors.

 5 pts

Total Points: 100

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