i-Human Case Study: Evaluating and Managing Gastrointestinal or Genitourinary Conditions

This week’s focus is on genitourinary (GU) conditions, which commonly affect adults across the lifespan. Urinary frequency, for example, can result from a variety of conditions such as diabetes, urinary tract infections, benign prostatic hyperplasia, kidney infections, or even prostate cancer. Many of these conditions have serious implications and require a thorough patient evaluation. As an advanced practice nurse, it is essential to carefully assess a patient’s personal, medical, and family history before determining the most appropriate physical exams and diagnostic testing.

While your readings and course materials this week emphasize GU conditions, the i-Human case assignment is designed to reinforce your understanding of gastrointestinal (GI) conditions covered in Week 6. This intentional sequencing allows you to revisit and apply the GI concepts recently studied while continuing to build on new material related to GU.

For this Case Study Assignment, you will analyze an i-Human simulation of an adult patient presenting with a GI condition. Based on the case details, you will formulate a differential diagnosis, evaluate treatment options, and create an appropriate evidence-based treatment plan.

Resources

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

WEEKLY RESOURCES

To prepare:

· Be sure to review this week’s Learning Resources on genitourinary (GU) conditions, as you are still responsible for understanding and applying this content.

· Also refer back to the Week 6 Learning Resources on gastrointestinal (GI) conditions – they will be especially helpful for completing this week’s i-Human case study.

· Access i-Human from this week’s Learning Resources and review the assigned case study.

· Analyze the provided patient history, physical exam findings, and diagnostic test results to support clinical decision-making.

· As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Graduate Programs Help link within the i-Human platform.

Assignment Requirements:

Using the Management Plan Template provided in the learning resources, complete the following components:

1. Problem Statement

· Write a complete problem statement. Present the patient as you would to your preceptor, including subjective and objective findings.

2. Primary Diagnosis with Coding

· Identify the primary diagnosis with the corresponding ICD-10 code.

· Provide a rationale for the primary diagnosis.

· Include CPT codes for the office visit, preventive exam, and any procedures (e.g., vaccine, lab draw, ear lavage) performed during the visit.

3. Evidence-Based Guidelines

· Identify the clinical practice guidelines used to develop the primary diagnosis.

4. Differential Diagnoses

· List 3–5 differential diagnoses (distinct from the primary diagnosis).

· Provide a rationale for each diagnosis.

5. Management Plan

· Include prescribed and over-the-counter medications with drug name, dosage, route, and patient education.

· Detail nonpharmacological treatments and supportive care.

· Specify any required ancillary tests (e.g., ECG, spirometry, X-ray).

· List any necessary referrals (e.g., physical therapy, cardiology, hematology).

6. SDOH, Health Promotion, and Risk Factors

· Address social determinants of health (SDOH), including economic stability, education, healthcare access, neighborhood and environment, and social/community context.

· Outline health promotion strategies, including age-appropriate preventive screenings and immunizations.

· Discuss risk factors related to the primary diagnosis.

7. Patient Education

· Provide comprehensive patient education relevant to the current health visit.

8. Follow-Up

· Include the timeframe for the next visit and specific symptoms that would prompt an earlier return.

9. References

· Use a minimum of three scholarly references from the past five years.

Ensure that all responses are clear, evidence-based, and align with the rubric expectations. Submit the completed assignment in the required format and refer to the Management Plan Template for structure and guidance.

By Day 7

· Complete your Assignment in i-Human

· Submit the written case study assignment as a Word document

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 WK7Assgn+last name+first initial

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

NRNP_6531_Week7_iHuman_Assignment_Rubric

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