NRNP-6560/NRNP-6560A/ NRNP6560/ NRNP6560A
NRNP6560 Advanced Care of Adults in Acute Settings III
Week 1 Discussion
Risk Stratification
Photo Credit: Getty Images/Hero Images
Risk stratification is an important technique that allows patients to be classified according to their health risk status, taking into consideration many factors, such as diagnosis, age, BMI, comorbidities, labs and other assessment scores, health behaviors and health literacy, and social and caregiver support needs, to name a few. Utilizing such a framework or model can be used not only to identify patient-specific risks to refine treatment plants, but can also be applied to improve workflows, better manage population health, and effectively use resources.
For this Discussion, you will consider risk stratification in the preoperative environment.
To prepare:
Review the risk stratification video in this week’s Learning Resources.
You will receive a set of patient scenarios from your Instructor. Review each of the three patient scenarios provided. Identify each patient as high, intermediate, or low risk.
Consider patient education needs and strategies for each patient, as well as what the informed consent for each procedure would be.
Group A
A 60-year-old female with no previous cardiac history, except for preoperative for stratification for a new murmur, is sent to you. An echocardiogram is performed demonstrating an ejection fraction of 60%, and severe aortic stenosis. Her proposed surgery is a total knee replacement.
Jennifer Adams
Saba Ademe
Jason Bozzi
Monica Hodge
Anastasia Frazier
Kevin Hoffpauir
Rebecca Petros
Group B
A 25-year-old male is sent to you for preoperative risk stratification. His proposed surgery is an emergency cholecystectomy. He is active and has no exertional symptoms playing basketball for over an hour 3 times weekly. He has no previous cardiac, medical, or surgical history.
Iyore Iyamu
Madia Jamir
David Jedicka
Lisa Johnston
Ashley Kirk
Catherine Meneses
Angeline Miller
Barbara Offor
Group C
A 75-year-old female with a history of coronary artery disease with previous CABG and PCI, hypertension, and hyperlipidemia is sent to you for preoperative risk stratification. Her proposed surgery is hip replacement. You are unable to assess her functional status due to hip pain, which renders her mobility challenged. Her previous echocardiogram demonstrates an ejection fraction of 55–60% with no wall motion abnormality. She has no active anginal or exertional symptoms.
Belinda Siri Fundoh
Joseph Smith
Melanie Thomas
Joanne Trinidad
Jennifer Weiss
Viji Oullette
Jared Rex
Sara Ritenour
NRNP-6560/NRNP-6560A/ NRNP6560/ NRNP6560A
NRNP6560 Advanced Care of Adults in Acute Settings III
Week 2 I-Human Case Study
Assessing, Diagnosing, and Treating Patients With Acute Musculoskeletal Disorders
Musculoskeletal/orthopedic conditions often affect patients’ function and mobility. Changes in function and mobility sometimes are subtle and might not be identified immediately, requiring you to monitor patients closely for signs and symptoms. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat patients who present with orthopedic conditions.
Photo Credit: Getty Images/EyeEm
To prepare:
Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with acute musculoskeletal conditions.
Review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient's condition. Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with acute musculoskeletal/orthopedic conditions.
NRNP-6560/NRNP-6560A/ NRNP6560/ NRNP6560A
NRNP6560 Advanced Care of Adults in Acute Settings III
Week 3 I-Human Case Study
Assessing, Diagnosing, and Treating Patients With Immunologic, Autoimmune, and Transplant-Related Conditions
Immunologic, autoimmune, and organ transplant patients need continuous, long-term care. In comparison to healthier patient populations, they are more fragile and require very individualized care plans. For this Discussion, you explore special considerations when assessing, diagnosing, and treating these patients.
Photo Credit: [Eva Katalin Kondoros]/[iStock / Getty Images Plus]/Getty Images
To prepare:
Review this week’s Learning Resources. With immunologic, autoimmune, and transplant-related conditions in mind, consider how to assess, diagnose, and treat patients in acute care.
Review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient's condition. Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with immunologic, autoimmune, and transplant-related conditions.
The Assignment:
As you interact with this week’s i-Human patient, complete the assigned case study.
NRNP-6560/NRNP-6560A/ NRNP6560/ NRNP6560A
NRNP6560 Advanced Care of Adults in Acute Settings III
Week 5 I-Human Case Study
Assessing, Diagnosing, and Treating Patients With Acute Abdominal Conditions
Photo Credit: Jose Luis Pelaez Inc / DigitalVision / Getty Images
Acute abdominal disorders require a high level of care because many are life-threatening. To ensure that you immediately recognize classic signs and symptoms of these disorders, it is critical that you have strong assessment and diagnostic skills. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat patients who present with health conditions related to the acute abdomen.
To prepare:
Review this week’s Learning Resources. With abdominal disorders in mind, consider how to assess, diagnose, and treat patients in acute care.
Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient's condition. Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with acute abdominal conditions.
The Assignment:
As you interact with this week’s i-Human patient, complete the assigned case study.
NRNP-6560/NRNP-6560A/ NRNP6560/ NRNP6560A
NRNP6560 Advanced Care of Adults in Acute Settings III
Week 7 I-Human Case Study
Assessing, Diagnosing, and Treating Patients With Neurological Disorders
Neurological conditions often affect patients’ function and mobility. Changes in function and mobility sometimes are subtle and might not be identified immediately, requiring you to monitor patients closely for signs and symptoms. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat patients who present with neurological conditions.
Photo Credit: Getty Images/Cultura RF
To prepare:
Review this week’s Learning Resources. With neurological conditions in mind, consider how to assess, diagnose, and treat patients in acute care.
Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient's condition. Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with neurological conditions.
The Assignment:
As you interact with this week’s i-Human patient, complete the assigned case study.
NRNP-6560/NRNP-6560A/ NRNP6560/ NRNP6560A
NRNP6560 Advanced Care of Adults in Acute Settings III
Week 8 I-Human Case Study
Assessing, Diagnosing, and Treating Patients With Integument Conditions
J.V., a 50-year-old patient with history of eczema presents to you complaining of lesions on the right side of her face and neck. She thinks it is a flare-up of her eczema and is asking for a refill of her ointment, TAC 0.1%.
She complains of some “itching” and a bit of “tingling and pain” to the lesions. She’s a pharmaceutical worker and thinks that the pain maybe due to contaminant exposure, and denies any other associated symptoms.
A 46-year-old male presents to the office complaining of a pruritic skin rash that has been present for a few weeks. He initially noted the rash on his feet, but it then spread to between the fingers, his wrist, and waist. He notes that it does not seem to be on his face or trunk. He recently came home from a trip to Florida where he had stayed in multiple hotels. He takes occasional ibuprofen for knee pain, but denies taking other medications or having other health problems. He has no known drug allergies. The physical examination reveals several tiny vesicles and scales in between the fingers, on the feet and ankles, around the patient’s wrist and around the belt line.
How would you assess, diagnose, and treat these patients? For this assignment, you examine an integumentary patient case in i-Human.
To prepare:
Review this week’s Learning Resources. With integument conditions in mind, consider how to assess, diagnose, and treat patients in acute care.
Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient's condition. Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with integument conditions.
The Assignment:
As you interact with this week’s i-Human patient, complete the assigned case study.
NRNP-6560/NRNP-6560A/ NRNP6560/ NRNP6560A
NRNP6560 Advanced Care of Adults in Acute Settings III
Week 9 I-Human Case Study
Assessing, Diagnosing, and Treating Patients With Ectopic Pregnancies and Sexually Transmitted Infections
The Centers for Disease Control and Prevention estimates that there are 20 million new cases of sexually transmitted infections every year in the United States (CDC, 2017). STIs may present serious health implications for infected patients—especially for those who are unaware of their health condition. Although they may occur at any age, STIs disproportionately affect younger adults ages 15–24, who account for more than half of all new infections (CDC, 2017). Studies also show that women are at greater risk of contracting these infections, and also tend to have more severe health problems resulting from infections than men (U.S. Department of Health and Human Services, 2009). As an advanced practice nurse, it is important to emphasize the importance of prevention and STI testing for all individuals, regardless of age, sex, marital status, race, ethnicity, or socioeconomic status.
Reference:
Centers for Disease Control and Prevention. (2017). Sexually transmitted diseases. https://www.cdc.gov/std/life-stages-populations/adolescents-youngadults.htm
To prepare:
Review this week’s Learning Resources. With ectopic pregnancies and sexually transmitted infections in mind, consider how to assess, diagnose, and treat patients in pre- and post-operative care.
Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient's condition. Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with ectopic pregnancies and sexually transmitted infections.
The Assignment:
As you interact with this week’s i-Human patient, complete the assigned case study.
NRNP-6560/NRNP-6560A/ NRNP6560/ NRNP6560A
NRNP6560 Advanced Care of Adults in Acute Settings III
Week 11 Assignment
Study Plan
For this Assignment, you are to identify strengths and areas that need development and create a tailored study plan that you will use after this course to help you prepare for the National Certification Examination. This will serve as an action plan to help you track your goals, tasks, and progress as you near the examination.
To Prepare:
Reflect on your prior coursework. Identify content-area strengths and opportunities for improvement.
The Assignment:
Summarize your strengths and opportunities for improvement.
Create a study plan, including specific goals and the tasks you need to complete to accomplish each goal. Include a timetable for accomplishing them and a description of how you will measure your progress.
Describe resources you would use to accomplish your goals and tasks, such as ways to participate in a study group or review course, mnemonics and other mental strategies, and print or online resources you could use to study.
By Day 7
Submit your study plan.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
Please save your Assignment using the naming convention “WK11Assgn+last name+first initial.(extension)” as the name.
Click the Week 11 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 11 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK11Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
