CLINICAL CASE DECISION INSTRUCTIONS

Grading Criteria for Clinical Case Decisions:

The highest potential points for each Clinical Case Decision Question are 15-points.  Students are required to upload their response as a word document attachment to the assignment drop box.

Each uploaded response is worth a possible 15 points.

1. Your comments should be substantiated and substantive. Postings require two citations from 1 scholarly journal and/or 1 outside textbook. Textbooks assigned to this course may be used for an additional citation only.   
2. Each of the two references must be from a different reference source.
3. To gain full credit for the assignment, the response must be a full page, but no more than three (3) pages in length, which includes the reference list.
4. Students are required to use APA format, proper citations, and references.  Students using direct quotes from referenced sources in the body of the paper must include quotations.
5. Students will be assigned to a question.

Clinical Decision Cases

Begin with a Head-Toe assessment, you decide if it should be treated as episodic with rationale.

You have been assigned two (2) cases to provide analysis. All cases should include the following

a. Pathophysiology and pharmacology of the disease

b. Expected signs and symptoms of the disease.

c. Nursing Diagnosis with a plan of care.

C3. Mrs. Muller is a 78-year-old homemaker who arrives in the emergency department with a history of chest discomfort and indigestion two days ago that lasted about 12 hours. She was severely fatigued after this and within the past 2 hours has become increasingly short of breath. Her initial ECG shows that she recently experienced an anterior AMI. Her skin is cold, and she is very diaphoretic and cyanotic. She is diagnosed with acute heart failure and cardiogenic shock. 

a. What will be the intent of her management, and what will be included in her management plan?

C4. John lacerates his radial artery while cutting a bagel. He loses approximately one-fourth of his blood volume before arriving at the hospital. 

a. What physiological responses do you expect in response to this blood loss?

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You need to answer the questions brief and right to the point

Disease:  Prostatitis

1. Population most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)

2. Age related milestone for your chosen population

3. Socio-Demographic/Risk factors for getting the disease/condition

4. Impact on Quality Of Life

5. Current/new/recent research/Evidence Base Practice that will benefit/support this patient with the specific disease (If there are none please state so)

6. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)

7. Please tell what/how you (speak in the first person) as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self-help teaching that can help him/her minimize disease symptoms.

8. Red flags for this condition (what specific Sign/Symptoms require urgent/ER care) or when should you refer patient to specialist.

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CLINICAL CASE DECISION INSTRUCTIONS

Grading Criteria for Clinical Case Decisions:

The highest potential points for each Clinical Case Decision Question are 15-points.  Students are required to upload their response as a word document attachment to the assignment drop box.

Each uploaded response is worth a possible 15 points.

1. Your comments should be substantiated and substantive. Postings require two citations from 1 scholarly journal and/or 1 outside textbook. Textbooks assigned to this course may be used for an additional citation only.   
2. Each of the two references must be from a different reference source.
3. To gain full credit for the assignment, the response must be a full page, but no more than three (3) pages in length, which includes the reference list.
4. Students are required to use APA format, proper citations, and references.  Students using direct quotes from referenced sources in the body of the paper must include quotations.
5. Students will be assigned to a question.

Clinical Decision Case study.

Begin with a Head-Toe assessment, you decide if it should be treated as episodic with rationale.

You have been assigned two (2) cases to provide analysis. All cases should include the following

a. Pathophysiology and pharmacology of the disease

b. Expected signs and symptoms of the disease.

c. Nursing Diagnosis with a plan of care.

d. All questions pertaining to the case as listed under each case. 

You have been assigned two (2) cases to provide analysis. 

C1.  Mr. Bush, a 45-year-old middle school teacher arrives at the emergency department by EMS ground transport after he experienced severe mid-sternal chest pain at work. On arrival to the ED,

a.  What priority interventions you would initiate?

b. What information would you require to definitively determine what was causing Mr. Bush’s chest pain?

C2. Explain how diuretics, receptor antagonists, angiotensin converting enzyme antagonists, and angiotensin receptor antagonists reduce blood pressure in individuals with primary hypertension.

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 family nurse practitioner

You need to answer the questions brief and right to the point

Disease:  Prostatitis

1. Population most affected (ex: Older Adults, Middle Adults, Young Adults, Teenagers, Child, Infants)

2. Age related milestone for your chosen population

3. Socio-Demographic/Risk factors for getting the disease/condition

4. Impact on Quality Of Life

5. Current/new/recent research/Evidence Base Practice that will benefit/support this patient with the specific disease (If there are none please state so)

6. Recommendation for treatment or Gold standards for treatment if any (can be tied into the current research as above) (If there are no gold standards then please state so, but there should be some recommendations)

7. Please tell what/how you (speak in the first person) as the FNP caring for this patient with this specific disease can make a difference in his/her care and incorporate patient care/self-help teaching that can help him/her minimize disease symptoms.

8. Red flags for this condition (what specific Sign/Symptoms require urgent/ER care) or when should you refer patient to specialist.

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You are to do a power point presentation using the following headings below. Present a typical patient with this disease process and how they would present to the office and how you would work up, diagnose and treat. Pictures are encouraged. You will be graded on professionalism and content.

Presentations must include a Slides with the following information.

·       TITLE (slide 1)

·       DESCRIPTION  (Patient information)  (slide 2 etc.. and so on)

·       EPIDEMIOLOGY

·       ETIOLOGY

·       RISK FACTORS

·       ASSOCIATED CONDITIONS

·       HISTORY

·       PHYSICAL EXAM

·       DIFFERENTIAL DIAGNOSIS

·       TESTS

·       TREATMENT

·       PROGNOSIS

·       REFERENCES

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