Recorded in the patient's own words, a composite [88]-year-old's goals, fears, tradeoffs and resulting orders make up NU584's Unit 7 summary, with a daughter's differing view kept separate. Searches like "nu 584 unit 7 assignment example", "nu584 unit 7 sample" and "nu584 unit 7 example" land here.
What a finished NU584 Unit 7 goals-of-care summary looks like
Two pages in the format of a primary care goals-of-care note. A header lists the date as [bracketed], the participants, the patient's decision-making capacity for this conversation and her named health care agent. The body follows the domains Ariadne Labs laid out in its Serious Illness Conversation Guide: her understanding of her illness in her words, how much information she wants, the prognosis shared as a range with uncertainty stated, her goals, her fears, what gives her strength, the abilities she cannot imagine living without, and the tradeoffs she would and would not accept. Her words are quoted where they matter; the clinician's paraphrase is marked as paraphrase. The daughter's view appears in its own paragraph. A final section lists the actions: a POLST under whatever name [State] uses, a palliative care referral and a dated review.
How a NU584 Unit 7 example is structured
The note is ordered so the patient speaks before anyone interprets her. Capacity is documented first, briefly, because everything after depends on her being the decision-maker. The conversation domains follow in the guide's sequence, and each paragraph separates what she said from what the clinician inferred. Critical abilities and tradeoffs carry the most weight: she would accept a hospital stay if it could return her home and walking, and she would decline intubation and CPR. The daughter's wish for full treatment is recorded without being blended into her mother's goals, and the note describes how the clinician acknowledged it and returned to the patient's stated priorities. Recommendations appear only after the goals, framed as flowing from them. The action list turns the conversation into orders and referrals that the next clinician will actually see.
Capacity stated up front
A two-line capacity statement, specific to this conversation, precedes the goals. It establishes whose wishes the rest of the note records and why they govern.
Her words, then ours
Quotations carry her understanding, goals and fears, and every paraphrase is labeled as one. The distinction lets a later reader tell what she said from what the clinician concluded.
Abilities she will not trade
Being home, making her own tea and knowing her family are recorded as the abilities that define an acceptable life for her. The treatment decisions that follow are tested against them.
A daughter's view, kept separate
The daughter's request for full treatment appears in its own paragraph with her reasons. Recording it faithfully without merging it into the patient's goals protects both women.
Orders that match the words
A POLST on the [State] form, a palliative care referral and a review date turn the conversation into instructions. Each order is linked back to the goal it serves.
Where marks go in NU584 Unit 7
Whose voice the note records is the question most rubrics for this NU584 summary turn on, and a note that summarizes the family's wishes, or the clinician's recommendation, in place of the patient's own words fails the unit's main test. Graders expect a recognized conversation framework named and followed, with prognosis shared honestly and uncertainty acknowledged. A summary that records only a relative's request for full treatment, silent on the patient's own statements, takes a heavy deduction. Missing capacity documentation is a serious gap, since it determines whether her statements govern. Actions must follow from the goals; a full code status left unchanged after she declined CPR reads as a contradiction. Unlabeled paraphrase, a missing health care agent and no review date cost smaller amounts.
Get a NU584 Unit 7 example written to your instructions
Send the Unit 7 scenario as your section posted it, including who is present and anything the patient says, with the rubric and the conversation framework your course teaches. The sample summary puts the patient's words first, keeps family views separate, and converts the goals into orders. It is free the first time, ready in 24-48h.
NU584 Unit 7 questions, answered
Should the summary quote the patient directly?
Where her words carry the decision, yes. Direct quotation of goals, fears and limits lets any later reader see exactly what was said, and it guards against a clinician's interpretation drifting into the record. Paraphrase the rest and label it as paraphrase. Graders often reward that distinction because it shows the note was written for the next clinician.
What if the family disagrees with the patient?
Record both views accurately and separately, then document how the disagreement was addressed. When the patient has capacity, her decisions govern, and the note should say so plainly. Acknowledging the family's fear or grief belongs in the note as well. Blending the two views into one, or omitting the family's, leaves the next clinician unprepared.
Is a POLST the same as an advance directive?
No. An advance directive, such as a living will or health care power of attorney, is completed by the patient and states wishes or names an agent. A POLST, by contrast, is a set of portable medical orders a clinician signs, meant for people with serious illness, and it moves with the patient between settings. States use different names and forms, so the sample brackets the state.