For this assignment, you will develop a presentation on a realistic clinical case on a topic that is of interest to you. Develop your presentation based on
For this assignment, you will develop a presentation on a realistic clinical case on a topic that is of interest to you. Develop your presentation based on a clinical case (student nurse practitioner) that was seen during your experience or a topic that is of interest to you.
Content Requirements
You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the following:
- Subjective data: Demographics; Chief Complaint; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem; Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Health Screenings; Review of Systems (ROS)
- Objective data: Vital signs; Physical assessment, Labs (reviewed from the patient's medical records, if no lab/diagnostic labs were done recently to review, you must indicate that to receive credit).
- Assessment: Differential diagnosis; Primary Diagnosis
- Plan: Laboratory and diagnostic ; Pharmacologic treatment plan; Non-pharmacologic treatment plan; Anticipatory guidance (primary prevention strategies); Follow up plan.
- Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner
Submission Instructions:
- The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
- The presentation should consist of 10-15 slides and less than 5 minutes in length.
- Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).
- Follow the rubric to guarantee work is done correctly.
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Case Study Rubric |
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Criteria |
Ratings |
Pts |
|
Chief Complaint (Reason for seeking health care) – S |
4 pts Distinguished Includes a direct quote from patient about presenting problem 3 pts Excellent Includes a direct quote from patient and other unrelated information 2 pts Fair Includes information but information is NOT a direct quote 0 pts Poor Information is completely missing |
/ 4 pts |
|
Demographics – S |
2 pts Distinguished Begins with patient initials, age, race, ethnicity and gender (5 demographics) 1.5 pts Excellent Begins with 4 of the 5 patient demographics (patient initials, age, race, ethnicity and gender) 1 pts Fair Begins with 3 or less patient demographics (patient initials, age, race, ethnicity and gender) 0 pts Poor Information is completely missing |
/ 2 pts |
|
History of the Present Illness (HPI) – S |
4 pts Distinguished Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity) 3 pts Excellent Includes the presenting problem and 7 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity) 2 pts Fair Includes the presenting problem and 6 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity) 0 pts Poor Information is completely missing |
/ 4 pts |
|
Allergies – S |
2 pts Distinguished Includes NKA (including = Drug, Environemental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy) 1.5 pts Excellent If allergies are present, students lists type Drug, environemtal factor, herbal, food, latex name and includes severity of allergy OR description of allergy 1 pts Fair If allergies are present, students lists only the type of allergy name 0 pts Poor Information is completely missing |
/ 2 pts |
|
Review of Systems (ROS) – S |
9 pts Distinguished Includes a minimum of 3 assessments for each body system and assesses at least 9 body systems directed to chief complaint AND uses the words “admits” and “denies” 7 pts Excellent Includes 3 or fewer assessments for each body system and assesses 5-8 body systems directed to chief complaint AND uses the words “admits” and “denies” 5 pts Fair Includes 3 or fewer assessments for each body system and assesses less than 5 body systems directed to chief complaint OR student does not use the words “admits” and “denies” 0 pts Poor Information is completely missing |
/ 9 pts |
|
Vital Signs – O |
2 pts Distinguished Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.) 1.5 pts Excellent Includes 7 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.) 1 pts Fair Includes 6 or less vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.) 0 pts Poor Information is completely missing |
/ 2 pts |
|
Labs – O |
3 pts Distinguished Includes a list of the labs reviewed at the visit, values of lab results and highlights abnormal values OR acknowledges no labs/diagnostic tests were reviewed. 2 pts Excellent Includes a list of the labs reviewed at the visit, values of lab results but does not highlight abnormal values. 1 pts Fair Includes a list of the labs reviewed at the visit but does not include the values of lab results or highlight abnormal values. 0 pts Poor Information is completely missing |
/ 3 pts |
|
Medications – O |
4 pts Distinguished Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency) 2 pts Excellent Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including 3 of the 4: name, dose, medications route, frequency) 1 pts Fair Includes a list of all of the patient reported medications (including 2 of the 4: name, dose, route, frequency) 0 pts Poor Information is completely missing |
/ 4 pts |
|
Screenings – O |
3 pts Distinguished Includes an assessment of at least 5 screening tests 2 pts Excellent Includes an assessment of at least 4 screening tests 1 pts Fair Includes each medical diagnosis but does not include year of diagnosis or whether the diagnosis is active or current OR does not include a medical diagnosis for each medication listed under medications. 0 pts Poor Information is completely missing |
/ 3 pts |
|
Past Medical History – O |
3 pts Distinguished Includes, for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current AND there is a medical diagnosis for each medication listed under medications 2 pts Excellent Includes, for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current AND there is a medical diagnosis for each medication listed under medications 1 pts Fair Includes, for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current AND there is a medical diagnosis for each medication listed under medications 0 pts Poor Information is completely missing |
/ 3 pts |
|
Past Surgical History – O |
3 pts Distinguished Includes, for each surgical procedure, the year of procedure and the indication for the procedure 2 pts Excellent Includes, for each surgical procedure, the year of procedure OR indication of the procedure 1 pts Fair Includes, for each surgical procedure but not the year of procedure or indication of the procedure 0 pts Poor Information is completely missing |
/ 3 pts |
|
Family History – O |
3 pts Distinguished Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer. 2 pts Excellent Includes an assessment of at least 3 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer. 1 pts Fair Includes an assessment of at least 2 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer. 0 pts Poor Information is completely missing |
/ 3 pts |
|
Social History – O |
3 pts Distinguished Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation. 2 pts Excellent Includes 10 of the 11 following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation. 1 pts Fair Includes 9 or less of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation. 0 pts Poor Information is completely missing |
/ 3 pts |
|
Physical Examination – O |
9 pts Distinguished Includes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaint 7 pts Excellent Includes a minimum of 3 assessments for each body system and assesses at least 4 body systems directed to chief complaint 5 pts Fair Includes a minimum of 2 assessments for each body system and assesses at least 4 body systems directed to chief complaint 0 pts Poor Information is completely missing |
/ 9 pts |
|
Diagnosis – A |
5 pts Distinguished Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority) 3 pts Excellent Includes a clear outline of the accurate diagnoses addressed at the visit but does not list the diagnoses in descending order of priority 2 pts Fair Includes an inaccurate diagnosis as the principal diagnosis 0 pts Poor Information is completely missing |
/ 5 pts |
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Differential Diagnosis – A |
5 pts Distinguished Includes at least 3 differential diagnoses for the principal diagnosis 3 pts Excellent Includes 2 differential diagnoses for the principal diagnosis 2 pts Fair Includes 1 differential diagnosis for the principal diagnosis 0 pts Poor Information is completely missing |
/ 5 pts |
|
Pharmacologic treatment plan – P |
4 pts Distinguished Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. 3 pts Excellent Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4 of the following 7: the drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. 2 pts Fair Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes less than 4 of the following: the drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. 0 pts Poor Information is completely missing |
/ 4 pts |
|
Diagnostic/Lab Testing – P |
5 pts Distinguished Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time” 3 pts Excellent Includes appropriate diagnostic/lab testing 50% of the time OR acknowledges “no diagnostic testing clinically required at this time” 2 pts Fair Includes appropriate diagnostic testing less than 50% of the time. 0 pts Poor Information is completely missing |
/ 5 pts |
|
Education – P |
5 pts Distinguished Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives. 3 pts Excellent Includes at least 2 strategies to promote and develop skills for managing their illness and at least 2 self-management methods on how to incorporate healthy behaviors into their lives. 2 pts Fair Includes at least 1 strategies to promote and dev Collepals.com Plagiarism Free Papers Are you looking for custom essay writing service or even dissertation writing services? Just request for our write my paper service, and we'll match you with the best essay writer in your subject! With an exceptional team of professional academic experts in a wide range of subjects, we can guarantee you an unrivaled quality of custom-written papers. Get ZERO PLAGIARISM, HUMAN WRITTEN ESSAYS Why Hire Collepals.com writers to do your paper? Quality- We are experienced and have access to ample research materials. We write plagiarism Free Content Confidential- We never share or sell your personal information to third parties. Support-Chat with us today! We are always waiting to answer all your questions.  Related Posts
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