NSG 6440 Week 4 Assignment 2 Case Study
NSG 6440 Week 4 Assignment 2 Case Study
Presented a case study of a patient seen in the clinical setting.
Addressed assessment, diagnosis, and treatment plan based on national guidelines.
Noted the cultural influences that may affect this patient’s care or outcomes.
Used correct spelling, grammar, and professional vocabulary. Cited all sources using APA format.
Click the Assignment Files tab to submit your assignment.
The ability to critique and evaluate various types of research articles is fundamental to evidence-based practice and generating new research.
Select two of the attached articles – one quantitative study and one qualitative study. You will use these same articles for assignments in Weeks 3-5.
For each article, answer questions 1-5 from Box 3.3 Additional Questions for a Preliminary Review of a Study on p. 63 of Nursing Research (click the Exercise tab)
- Type your answers in a Microsoft® Word document using the template provided in the Class Messages.
- Include the article’s title before your answers.NSG 6440 Week 4 Assignment 2 Case Study
Provide APA-formatted in-text citations and references for all sources. Include an APA-formatted title page.
Click the Assignment Files tab to submit your assignment.
NSG 512 Week 1 Study Analysis Preliminary Study Review
The ability to critique and evaluate various types of research articles is fundamental to evidence-based practice and generating new research.
Select two of the attached articles – one quantitative study and one qualitative study. You will use these same articles for assignments in Weeks 3-5.NSG 6440 Week 4 Assignment 2 Case Study
For each article, answer questions 1-5 from Box 3.3 Additional Questions for a Preliminary Review of a Study on p. 63 of Nursing Research (click the Exercise tab)
- Type your answers in a Microsoft® Word document using the template provided in the Class Messages.
- Include the article’s title before your answers.
Provide APA-formatted in-text citations and references for all sources. Include an APA-formatted title page.
Click the Assignment Files tab to submit your assignment.
Description
please attach files to complete paper
Presentation of Case and Subjective Data
Clearly and thoroughly presents GYN problem or OB case and subjective data.
Objective Data
Clearly and thoroughly presents objective data. All of the relevant systems addressed based on the CC and HPI.
Assessment
Correct differential and medical diagnosis.
Plan
Correct plan of care for each issue. Thoroughly addressed (diagnostic studies, meds, education social and personal responses, health promotion/screening by age, ethical and cultural considerations, follow up, referrals). All components addressed.
Organization and Writing.
SOAP note/plan of care was thoroughly organized and well-written. All ideas were stated clearly and logically.
Writes relevant content.
Project was thoroughly on topic and relevant.
Formatting, spelling and grammar.
All formatting guidelines followed and template was used. No spelling or grammatical errors.
SOAP NOTE TEMPLATE
Please include a heart exam and lung exam on all clients regardless of the reason for seeking care. So, if someone presented with vaginal discharge, you would examine the General appearance, Heart and Lungs, abdomen and pelvis for a focused/episodic exam. The pertinent positive and negative findings should be relevant to the chief complaint and health history data. This template is a great example of information documented in a real chart in clinical practice. The only section that will not be included in a real chart is differential diagnosis. The term “Rule Out…” cannot be used as a diagnosis.
Subjective Data (20 pts.)
Chief Complaint (CC):
History of Present Illness (HPI):
Last Menstrual Period (LMP)
Allergies:
Past Medical History:
Family History:
Surgery History:
Obstetrical/GYN History:
Social History (alcohol, drug, or tobacco use):
Current medications:
Review of Systems (Remember to inquire about body systems relevant to the chief complaint and HPI)NSG 6440 Week 4 Assignment 2 Case Study
Objective Data (25 pts.)
Please remember to include an assessment of all relevant systems based on the CC and HPI.
Vital Signs/ Height/Weight:
General Appearance:
Assessment (20 pts.)
A: Differential Diagnosis
Please rule out all differential diagnosis with subjective and objective data and/or lab-work. Provide references.NSG 6440 Week 4 Assignment 2 Case Study
1.
2.
3.
B: Medical Diagnosis
Rule in diagnosis with subjective and objective data and lab-work. Please explain how you arrived at the diagnosis. Provide references.NSG 6440 Week 4 Assignment 2 Case Study
1.
PLAN (25 pts.)
A: Orders
1.Prescriptions with dosage, route, duration, amount prescribed, and if refills are provided
2.Diagnostic testing needed
3.Problem oriented education
4.Interpersonal/Social support/communication
5.Age appropriate Health Promotion/Maintenance/Screening Needs NSG 6440 Week 4 Assignment 2 Case Study
6.Referrals and follow up with rationales
Cultural Diversity: What cultural considerations would you suggest for this patient?
Patient/Family Education: If patient is currently on any medications, please address if you want them to discontinue or continue. You always want this to be clear at the end of the visit.
B: Follow-Up Plans (When will you schedule a follow-up appointment and what will you address in the subsequent visit —F/U in 2 weeks; Plan to check annual labs on RTC (return to clinic) with rationales
APA Format (10 pts.)
Include a title page and references with all of your papers. There should be at least four references from textbooks, journal articles, CDC or NIH that are not older than 5 years. Please do not use Wikipedia, WebMD, dictionaries, or any websites that are not evidence based.NSG 6440 Week 4 Assignment 2 Case Study