NR601 All Assignments Latest 2020 JULY

NR601 Primary Care of the Maturing and Aged Family

Week 2 Assignment  

COPD Case Study Part 2

Purpose

Problem-based learning is a methodology designed to help students develop the reasoning process used in clinical practice through problem solving actual patient problems in the same manner as they occur in practice.  The purpose of this activity is to develop students’ clinical reasoning skills using a case-based learning exercise. Through participation in an online discussion forum, students identify learning issues in a self-directed manner which facilitates learning for the entire group.

Activity Learning Outcomes

Through this discussion, the student will demonstrate the ability to:

Demonstrate competence in the evaluation and management of common respiratory problems (WO 2.1) (CO 2,3,4,5)

Distinguish between obstructive and restrictive lung disease (CO 2, 4) Develop a management plan for the case study patient based on identified primary, secondary and differential diagnoses.?(WO 2.2) (CO 2,4) 

Interpret pulmonary function test results. (WO 2.3) (CO 2, 4)

Case Study - Part 2

You ordered a CXR and spirometry at the previous visit and he returns today to review the results. Physical exam and symptoms are unchanged since last visit. Vital signs at this visit are: Temp-98.3, P-68, RR-20, BP 152/90, Height 68.9in., Weight 258 pounds, O2sat 94% on RA

CXR Result:

No acute infiltrates or consolidations are seen. Cardiac and mediastinal silhouettes are normal. No hilar enlargement is evident. Osseous thorax is intact.

Requirements/Questions:

What is your primary (one) diagnosis for this patient at this time? (support the decision for your diagnosis with pertinent positives and negatives from the case)

Identify the corresponding ICD-10 code.

Provide a treatment plan for this patient's primary diagnosis which includes:

Medication*

Any additional testing necessary for this particular diagnosis*

Patient education

Referral

Follow up

 Provide an active problem list for this patient based on the information given in the case.

 Are there any changes that you would also make to this patient’s overall treatment plan at this time? Must provide an EBP argument for each treatment or testing decision.

*If part of the plan does not warrant an action, you must explain why. ALL medication and testing decisions (or decisions not to treat with medication or additional testing) MUST be supported with an evidence-based practice  (EBP) argument. Over-the-counter (OTC) and RXs must be written in full as if handing a script to the patient in the office.

Over-the-counter (OTC) and RXs must be written in full as if handing a prescription to the patient in the office.??

NR601 Primary Care of the Maturing and Aged Family

Week 4 Assignment  

Clinical VISE Assignment

Purpose:

The VISE assignment (Virtual Interactive Student Evaluation) is to evaluate student progress in clinical, based on per course clinical objectives.  This will be a mid-term check to identify and assist students who may be struggling with clinical critical thinking and communication.  Students who do not pass the VISE on the first attempt will be placed on a clinical PIP and given a second attempt at passing the VISE prior to course end.  The student must successfully pass the VISE to pass clinical within a course.

Directions:

These will be done by phone between the VP and the student sometime between the beginning of Week 3 and the end of Week 5. Immediately following the VISE the VP and student will do the mid-term phone call check in and review of clinical. VPs should have clinical logs pulled up to review with the student.

601 VISE-This virtual check builds upon skills learned in NR 511 and emphasizes appropriate conversation with patients, succinct data gathering, and the patient clinical experience.  The VP will enter the student’s clinical logs and pick one patient (with a minor acute illness) that the student has documented from clinical.  The VP will then review that log and note with the student that the patient is calling back for one of the following. 

Medication failure

Worsening of symptoms

Failure to improve

Allergic reaction/rash to medication

New symptom

The job of the student in this situation is not necessarily to pick treatment, but to data gather with the patient so that an appropriate decision can be made and also provide patient education on homecare or follow up.

Refer to the VISE rubric for more information.

NR601 Primary Care of the Maturing and Aged Family

Week 5 Assignment  

Case Study Assignment

Purpose

The purpose of this case study assignment is to?:

Analyze provided subjective and objective information to diagnose and develop a management plan for the selected case study patient.?

Apply national diabetes guidelines to a case study patient.?

Apply national guidelines to develop a management plan for all identified secondary diagnosis(es).

Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

Select appropriate health promotion and disease prevention strategies for patients with or at risk for a glucose metabolism disorder (WO5.1) (CO1,2,3,4,5)

Demonstrate competence in the evaluation and management of patients with glucose metabolism disorders (WO5.2) (CO1,2,3,4,)

Develop a management plan for the case study patient based on identified primary, secondary and differential diagnoses. (WO5.3) (CO1,2,3,4,5)

Apply polypharmacy knowledge to medication reconciliation for selected case study patient.(WO5.4) (CO 6)

This assignment is submitted through Turn It In (TII).* Students are allowed two opportunities to submit. The first Turn It In submission allows the student to view the Turn It In Score and edit the assignment if necessary. The second submission is considered the final submission and will be graded. Any further Turn IT In submissions will not be considered for grading.

*due to the amount of common case study content it is not unusual that the TII may exceed 25%. It is the original work, such as rationale statements and treatment plans that are evaluated for similarity by the faculty.

Requirements:

The assignment is a paper, which is to be written in APA format using the provided assignment template. The paper shall not exceed 10 pages, excluding title page and references. 

NR601 _week 5 case study paper template_Nov 19.docxPreview the document

Case Study Patient - March 2020Preview the document

Review the provided patient visit information. You are provided with the subjective and objective exam findings. As the provider, you are to diagnose the case study patient and develop the management plan for this case study patient.??Keep in mind this is a complex patient who has more than one diagnosis, which is common in primary care. 

Use the provided case study template for your paper. Review the APA Manual to adhere to APA formatting.?

Introduction: briefly discuss the purpose of this paper.??(no more than 5 sentences) 

Assessment:  review the provided case study information.?

Identify the primary and secondary diagnosis for the patient. Each diagnosis will include the following information:?

ICD 10 code.?

A brief pathophysiology statement which is no longer that two sentences, paraphrased and includes common signs and symptoms of the diagnosis and proper citation.?

The patient’s pertinent positive and negative findings, including a brief 1-2 sentence statement, which links the subjective and objective findings (including lab data and interpretation).?

An evidence-based rationale statement, which summarizes why the diagnosis was chosen.???

Do not include quotes, paraphrase all scholarly information and provide an in-text citation to your scholarly reference. Use the Reference Guidelines document for information on scholarly references.??

Plan: (there are five (5) sections to the management plan)

Diagnostics. List all labs and diagnostic test you would like to order. Each test includes a rationale statement following the listed lab, which includes the diagnosis requiring the test, the purpose of the test and how the test results will contribute to your management plan. Each rationale statement is cited.? Include all future follow up labs for each listed diagnosis.??

Medications: Each medication is listed in prescription format. Each prescribed and OTC medication is linked to a specific diagnosis and includes a paraphrased EBP rationale for prescribing.??

Education: section includes personalized detailed education on all five (5) subcategories: diagnosis, each medication purpose and side effects, diet, personalized appropriate exercise recommendations and warning sign for diagnosis and medications if applicable. All education steps are linked to a diagnosis, paraphrased, and include a paraphrased EBP rationale. Review the NR601 Clinical SOAP note guideline for more detailed information.??

Referrals: any recommended referrals are appropriate to the patient diagnosis and current condition, is linked to a specific diagnosis and includes a paraphrased EBP rationale with in text citation. Review the ADA guidelines for specific follow up recommendations.?

Follow up: Follow up includes a specific time, not a time range, to return to PCP office for next scheduled appointment. Includes EBP rationale with in text citation.??

Assessment of Comorbidities: in this section students will review the ADA Standards of Medical Care in Diabetes (the guidelines)?Assessment of Comorbidities section on comorbidities subsection and choose one listed comorbidity.? Students will discuss the significance of and the relationship between the patient’s primary diagnosis and the chosen comorbidity, explaining how one diagnosis affects the other diagnosis.? Any recommended screening, diagnostic testing, and referrals are also included.??

Medication costs: in this section students will research the costs of all prescribed and OTC monthly medications that you have prescribed and that the patient is currently taking that you would like to continue.? Students may use Good Rx, Epocrates or another resource (students may use local pharmacy websites) which provides medication costs. Students will list each medication, the monthly cost of the medication and the reference source. Students will calculate the monthly cost of the case study patient’s prescribed and OTC medications and provide the total costs of the month’s medications. Reflect on the monthly cost of the medications prescribed. Discuss if prescriptions were adjusted due to cost. Discuss if will you use medication pricing resources in future practice.?