The Pediatric Case Study.
The Pediatric Case Study.
Give three (3) examples of both subjective and objective data for this case.
Include examples of pertinent positive and pertinent negative data associated with each.
Provide rationales for your examples.
NURS680A Advanced Health/Physical Assessment
Week 2 Discussion
A 52-year-old woman complains that she has been missing days of work almost every week, she states she is neglecting her family, and she is sleeping during the day but cannot sleep at night. She denies other health problems, medication, or environmental allergies.
Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
In SOAP format, list:
Pertinent positive and negative information
Differential and working diagnosis
Treatment plan, including: Pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
NURS680A Advanced Health/Physical Assessment
Week 3 Discussion
Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #3 28-year old male.
A 17-year old male presents with a complaint of a red itchy rash over his torso and back x 1 week which is keeping him up at night. He denies sick exposures or recent visit to wooded areas. Denies other complaints.
A 42-year old female presents with a complaint of a papule on her left forearm for the past 2 months that “looks funny”. Denies itching, scaling, drainage, or other complaints.
A 28-year old male complains of a scaly lesion over his left groin area and a painful “cut” between his “big” and second toe x 3 weeks.
For the case you have chosen, post to the discussion:
Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
In SOAP format, list:
Pertinent positive and negative information
Differential and working diagnosis
Treatment plan, including: Pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
In your peer replies, please reply to at least one peer who chose a different case study.
NURS680A Advanced Health/Physical Assessment
Week 4 Discussion
Discuss a HEENT case on a topic of interest and post for class discussion.
The case may be a real patient you have actually cared for or one that you heard about, read about, or made up. Suggested topics include:
Allergic rhinitis
Otitis media
Otitis external
Conjunctivitis (viral and bacterial)
Sinusitis
Bells palsy Paroditis
TMJ
Mononucleosis
Tonsillitis
Mouth cancer
Strep throat
Include a rationale as to why you think this is a good topic for graduate nursing students to learn.
Indicate if the case represents something you would expect to see in an outpatient or inpatient setting.
Which guidelines would you use to develop a treatment plan?
Respond to at least two (2) of your classmates’ or your instructor’s posts. Your responses should include elements such as follow-up questions, a further exploration of points made in the initial post, or requests for further clarification or explanation on some points made.
NURS680A Advanced Health/Physical Assessment
Week 5 Discussion
Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #3 28-year old male.
A 49-year old man reports feeling fullness in his right armpit and nipple discharge at his right areola. He denies other symptoms, significant medical history, or allergies.
A 31-year old Black woman reports her breasts get swollen, hard, and lumpy at times and she has pain that comes and goes. She has heard that Black women have a high rate of breast cancer.
A 27-year old woman complains of multiple small tender lumps in her right and left axillae. She explains that she has noticed that they seem to make “tunnels” and sometimes open and smell bad.
For the case you have chosen:
Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
In SOAP format, list:
Pertinent positive and negative information
Differential and working diagnosis
Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
In your peer replies, please reply to at least one peer who chose a different case study.
NURS680A Advanced Health/Physical Assessment
Week 6 Discussion
Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #3 28-year old male.
A 9-year old female presents with her mother complaining of a dry cough that “wakes up everyone in the house” each night for the last 2 weeks. Denies prior hx of the same.
A 29-year old newly immigrated woman complains of weakness, shortness of breath, cough and night sweats for the past month.
For the case you have chosen:
Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
In SOAP format, list:
Pertinent positive and negative information
Differential and working diagnosis
Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
In your peer replies, please reply to at least one peer who chose a different case study.
NURS680A Advanced Health/Physical Assessment
Week 7 Discussion
Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #3 28-year old male.
An 89-year old female complains of a “stabbing chest pain” and points to the area just below her scapula at the right mid-clavicular line. She states that she had an upper respiratory infection last week that “just seems to hang on.” No other complaints.
A 58-year old male presents with a complaint of severe chest pain over the past hour. He did not call 911 “because I don’t have the money for an ambulance.”
For the case you have chosen, post in the discussion:
Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
In SOAP format, list:
Pertinent positive and negative information
Differential and working diagnosis
Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
In your peer replies, please reply to at least one peer who chose a different case study.
NURS680A Advanced Health/Physical Assessment
Week 8 Discussion
DQ1 Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, Prompt #1 66-year old woman.
A 42-year-old patient is 3 days post-op from abdominal cholecystectomyShe is currently taking only antibiotics and hydrocodone. Today she complains of left calf pain just below the knee and states it is swollen, warm, and painful to touch. She denies other symptoms, significant history, or allergies.
A 66-year old woman complains of shortness of breath, numbness and heaviness of her arms when walking up the hill to her house. The pain subsides when she stops to rest.
For the case you have chosen, post in the discussion:
Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.
In SOAP format, list:
Pertinent positive and negative information
Differential and working diagnosis
Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.
Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.
In your peer replies, please reply to at least one peer who chose a different case study.
DQ2 In the subject line of your post, please identify which prompt you are responding to, for example, Prompt #2.
Reflect on what you’ve learned in this course:
What were your strengths in this course?
What was challenging?
What new learning or insight was developed?
What new clinical skills have you gained?
NURS680A Advanced Health/Physical Assessment
Week 2 Assignment
SOAP Note Critique
Evaluate and critique a SOAP note for completeness and thoroughness.
Review this sample SOAP note . Explain what needs to be done to improve this note and why. Be sure and identify the following:
Eight (8) or more data points in the subjective history that need improvement
Seven (7) or more data points in the objective history that need improvement
For each diagnosis or differential diagnosis identified, is the pertinent positive and negative data thorough and accurate?
Your response should contain a discussion of National Guidelines and ARHQ Health Promotion recommendations (according to the United States Preventative Task Force [USPTF]) appropriate to the case.
Your response should contain a minimum of 300 words and follow APA formatting and citation.
NURS680A Advanced Health/Physical Assessment
Week 6 Assignment 1
Respiratory System (Shadow Health)
In this online assignment, you will:
Assess the repiratory system of your patient, Tina Jones.
Document your findings in the SOAP note template within Shadow Health for practice.
Complete self-reflection prompts to help you think more deeply about your performance in the assignment. Reflective writing develops clinical reasoning skills as you grow and improve as a clinician, and gives instructors insight into your learning process. The more detail and depth provided in your responses, the more you will benefit from this activity.
This assignment is to be completed in Shadow Health. Even though your activity and responses will be recorded in Shadow Health’s system, complete the assignment in Blackboard as follows:
Click on the assignment name above.
Select the “Write Submission” option.
Type the word “Confirmed.”
Click “Submit” to save.
This assignment will take you approximately 65-85 minutes to complete.
In order to use the voice-to-text functionality in Shadow Health (not required), you will need to use the latest version of Chrome web browser.
You are welcome to revisit your Shadow Health assignment as many times as as you like, up until the assignment due date deadline; to leave the assignment open, do not click on “Submit” until you are satisfied with your performance.
If you accidentally submit your assignment and would like to revisit it, contact the Shadow Health support team (see below). The assignment cannot be reopened after the assignment due date
NURS680A Advanced Health/Physical Assessment
Week 6 Assignment 2
Complete Subjective Medical History
You will select a “patient” (friend or family member) on whom you will perform a complete history.
For this assignment, the patient should be a healthy adult male or female ages (18–65) with a single chief complaint.
NOTE: DO NOT USE REAL NAMES OR INITIALS OR OTHERWISE IDENTIFY YOUR “PATIENT.” FAILURE TO MAINTAIN PRIVACY WILL RESULT IN A FAILING SCORE.
This assignment addresses the subjective medical history of a patient only. No physical exam is required.
The health history must contain all required elements as outlined in the rubric.
The assignment submission should be a single document that contains:
The Complete Subjective Medical History (see format below)
A discussion of National Guidelines and ARHQ Health Promotion recommendations (according to the United States Preventative Task Force [USPTF]) appropriate to the patient interviewed.
The history documentation must follow the provided format. HPI must be presented in a paragraph with the rest of the data including ROS in a “list” format.
No physical exam is required for this assignment; it is to cover subjective information only.
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