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NUR601 week 5 Case Study Assignment Essay

NUR601 week 5 Case Study Assignment Essay

QUESTION

The assignment is
a paper which is to be written in APA format. This includes a title page and
reference page. 

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Review the
attached patient visit information. The patient has presented for an acute care
visit. You are provided with the subjective and objective exam findings. As the
provider, you are to diagnose and develop the management plan for this case
study patient.

 

Use the
categories below to create section headings for your paper.

 

Introduction:
briefly discuss the purpose of this paper.

 

Assessment:
review the provided case study information.

 

Identify the
primary, secondary and differential diagnoses for the patient. Use the 601 SOAP
note format as a guide to develop your diagnoses NUR601 week 5 Case Study Assignment Essay.

 

Each diagnosis
will include the following information:

 

1. ICD 10 code.

 

2. A brief pathophysiology statement which his
no longer that 2 sentences, paraphrased and includes common signs and symptoms
of the diagnosis.

 

3. The patient’s pertinent positive and
negative findings, including a brief 1-2 sentence statement which links the
subjective and objective findings (including lab data and interpretation).

 

4. A rationale statement which summarizes why
the diagnosis was chosen.

 

5. Do not include quotes, paraphrase all
scholarly information and provide an intext citation to your scholarly
reference. Use the Reference Guidelines document for information on scholarly
references.

 

Plan (there are
five (5) sections to the management plan)

 

1. Diagnostics. List all labs and diagnostic
test you would like to order. Each test includes a rationale statement which
includes the diagnosis for the test, the purpose of the test and how the test
results will contribute to your management plan. Each rationale statement is
cited.

 

2. Medications: Each medication is listed in
prescription format. Each prescribed and OTC medication is linked to a specific
diagnosis and includes a paraphrased EBP rationale for prescribing.

 

3. Education: section includes detailed
education on all five (5) subcategories: diagnosis, each medication purpose and
side effects, diet, personalized exercise recommendations and warning sign for
diagnosis and medications if applicable. All education steps are linked to a diagnosis,
paraphrased, and include a paraphrased EBP rationale. Review the NR601 SOAP
note guideline for more detailed information.

 

4. Referrals: any recommended referrals are
appropriate to the patient diagnosis and current condition, is linked to a specific
diagnosis and includes a paraphrased EBP rationale for ordering

 

5. Follow up: Follow up includes a specific
time frame to return to PCP office for next scheduled appointment. Includes EBP
rationale with in text citation.

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Medication costs:
in this section students will research the costs of all prescribed monthly
medications. Students may use Good Rx, Epocrates or another resource (can use
local pharmacy websites) which provides medication costs. Students will list
each medication, the monthly cost of the medication and the reference source.
Students will calculate the monthly cost of the case study patient’s prescribed
and OTC medications. Reflect on the monthly cost of the medications prescribed.
Discuss if prescriptions were adjusted due to cost. Discuss if will you use
medication pricing resources in future practice.

 

SOAP note: A
focused SOAP note, written on a separate page, follows the assignment. The SOAP
note is written following the provided SOAP note format.

 

· The subjective section is organized to
follow the SOAP note format. The ROS is focused, only pertinent body systems
are included.

 

· The objective section is maintained as
written, no additional information is added.

 

· The assessment section includes only
the diagnoses and ICD 10 codes. Diagnosed are labeled as primary, secondary or
differential diagnoses. Rationale is not required.

 

· The plan includes 5 sections.
Rationale is not required.

 

The assignment
will be submitted through TurnItIn.

 

Category

 

Points

 

%

 

Description

 

Assessment

 

50

 

25

 

Each diagnosis,
primary, secondary and differential includes the ICD10 codes in parentheses
next to each diagnosis. A one to two sentence paraphrased pathophysiology
statement explains the diagnosis. Include pertinent positive and negative
findings to support your diagnoses from the history and physical exam which
links this diagnosis to your patient. Each diagnoses must include an intext
citation to a scholarly reference.

 

Evidence-Based
Practice (EBP)

 

50

 

25

 

National
guidelines, including the American Diabetes Association Standards and Medical
Care in Diabetes-2017, are used as rationale to support the diagnosis and
develop the management plan. Every diagnoses must include an intext citation to
a scholarly reference. Each action step or order within all plan sections
includes an intext citation to an appropriate reference as listed in the
Reference Guidelines document.

 

Plan: diagnostics

 

10

 

5

 

Each test
includes a rationale statement which includes the diagnosis for the test, the
purpose of the test and how the test results will contribute to your management
plan. Each rationale statement is cited NUR601 week 5 Case Study Assignment Essay.

 

Plan: medications

 

10

 

5

 

Each prescribed
and OTC medication is linked to a diagnosis, and includes a paraphrased EBP
rationale and in text citation. Diagnosis is clearly stated in the rationale
statement.

 

Plan: education

 

10

 

5

 

All education
steps are linked to a diagnosis, paraphrased, and include an EBP rationale.
Section includes detailed education on diagnosis, medications, diet, exercise
and warning signs.

 

Plan: Referrals

 

10

 

5

 

All recommended
referrals are appropriate for the patient diagnosis and condition, is linked to
a specific diagnosis and includes a paraphrased EBP rationale for ordering

 

Plan: Follow up

 

10

 

5

 

Follow up
includes a specific time frame to return to PCP office for next scheduled
appointment.

 

Medication costs

 

10

 

5

 

All prescribed
medications costs are calculated to evaluate the monthly medication cost for
the patient.

 

SOAP note

 

20

 

10

 

A SOAP note,
written in a separate page, follows the assignment. The SOAP note is written
following the provided SOAP note format.

 

Grammar, Syntax,
APA

 

10

 

5

 

APA format,
grammar, spelling, and/or punctuation are accurate, or with zero to one errors.

 

Organization

 

10

 

5

 

 

Total

 

200

 

100

 

A quality
assignment will meet or exceed all of the above requirements.

 

Grading Rubric

 

Criterion

 

Exceptional

 

Outstanding or
highest level of performance

 

Exceeds

 

Very good or high
level of performance

 

Meets

 

Satisfactory
level of performance

 

NeedsImprovement

 

Poor or failing
level of performance

 

Developing

 

Unsatisfactory
level of performance

 

Content

 

Possible Points =
180

 

 

 

 

 

 

 

 

 

Assessment

 

50 Points

 

44 Points

 

41 Points

 

20 Points

 

0 Points

 

All three
diagnostic categories are present.

 

 

Each diagnosis,
primary, secondary and differential, includes the ICD10 codes in parentheses
next to each diagnosis.

 

 

Each diagnosis
includes a one to two sentence paraphrased pathophysiology statement explains
the diagnosis and a rationale statement. The rationale statement includes
pertinent positive and negative subjective and objective findings from the
history and physical exam which links this diagnosis to your patient. All lab
results are interpreted within the rationale statement NUR601 week 5 Case Study Assignment Essay.

 

All three diagnostic
categories are present.

 

 

Each diagnosis,
primary, secondary and differential includes the ICD10 codes in parentheses
next to each diagnosis.

 

 

Each diagnosis
includes a one to two sentence paraphrased pathophysiology statement explains
the diagnosis and a rationale statement.

 

The rationale
statement includes pertinent positive and negative subjective and objective
findings from the history and physical exam which links this diagnosis to your
patient.

 

All lab results
are not interpreted within the rationale statement.

 

All three
diagnostic categories are present.

 

 

Each diagnosis,
primary, secondary and differential includes the ICD10 codes in parentheses
next to each diagnosis.

 

 

The
pathophysiology statement is not present or not paraphrased,

 

The rationale
statement includes pertinent positive and negative subjective and objective
findings from the history and physical exam which links this diagnosis to your
patient.

 

All lab results
are not interpreted within the rationale statement.

 

All three
diagnostic categories are not developed: a primary, secondary or differential
diagnosis category is not included.

 

 

Diagnoses are not
present.

 

Evidence-Based
Practice

 

50 Points

 

44 Points

 

41 Points

 

20 Points

 

0 Points

 

National
guidelines, including the American Diabetes Association Standards and Medical
Care in Diabetes-2017, are used to support the primary diagnosis and develop
the plan.

 

 

Every diagnosis
rationale must include an intext citation to a scholarly reference. Each action
step or order within all plan sections includes an intext citation to an
appropriate reference as listed in the Reference Guidelines document. All cited
information is paraphrased, no quotes included.

 

National
guidelines, including the American Diabetes Association Standards and Medical
Care in Diabetes-2017, are used to support the primary diagnosis and develop
the plan.

 

 

Every diagnosis
rationale must include an intext citation to a scholarly reference.

 

 

One or two steps
or orders within all plan sections may be missing an intext citation to an
appropriate reference as listed in the Reference Guidelines document. All cited
information is paraphrased, no quotes included.

 

National
guidelines, including the American Diabetes Association Standards and Medical
Care in Diabetes-2017, are used to support the primary diagnosis and develop
the plan.

 

 

Every diagnosis
rationale does not include an intext citation to an appropriate reference as
listed in the Reference Guidelines document.

 

 

One or two steps
or orders within all plan sections may be missing an intext citation to an
appropriate reference as listed in the Reference Guidelines document. All cited
information is paraphrased, no quotes included.

 

The American
Diabetes Association Standards and Medical Care in Diabetes-2017 is not used as
reference.

 

 

Every diagnosis
rationale does not include an intext citation to an appropriate reference as
listed in the Reference Guidelines document.

 

 

Two steps or
orders within any plan section are be missing an intext citation to an
appropriate reference as listed in the Reference Guidelines document.

 

Scholarly
information includes quotations.

 

National
guidelines, including the American Diabetes Association Standards and Medical
Care in Diabetes-2017 are not used as references.

 

 

 

10 Points

 

9 Points

 

8 Points

 

4 Points

 

0 Points

 

Plan: Diagnostics

 

All ordered
diagnostics tests are linked to a diagnosis and include a paraphrased EBP
rationale.

 

All ordered
diagnostics tests include an EBP rationale.

 

 

A diagnosis is
not included within the rationale statement.

 

All ordered
diagnostics tests are linked to a diagnosis;

 

EBP rationale
with in text citation is missing; NUR601 week 5 Case Study Assignment Essay

 

OR

 

Rationale is a
quotation.

 

Diagnostic tests
include an intext citation to a non-scholarly internet or application source.

 

Diagnostic tests
are not included

 

OR

 

Diagnostic tests
do not include an intext citation.

 

 

10 Points

 

9 Points

 

8 Points

 

4 Points

 

0 Points

 

Plan: Medications

 

Each prescribed
and OTC medication is linked to a diagnosis, and include a paraphrased
rationale EBP rationale and in text citation. Diagnosis is clearly stated in
the rationale statement.

 

All prescribed
and OTC medication include a paraphrased EBP rationale and in text citation.
The diagnosis is not clearly listed within the rationale statement.

 

Each prescribed
and OTC medication is linked to a specific diagnosis. The diagnosis is clearly
listed within the rationale statement. An EBP rationale is not included

 

OR

 

Rationale is a
quotation.

 

Prescribed and
OTC medications are listed.

 

Not every
medication is linked to a diagnosis, and include a paraphrased rationale EBP
rationale and in text citation.

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Prescribed and
OTC medications are not included in the case study.

 

 

10 Points

 

9 Points

 

8 Points

 

4 Points

 

0 Points

 

Plan: Education

 

All education
steps linked to a diagnosis, paraphrased, and include an EBP rationale. Section
includes personalized detailed education on diagnosis, medications, diet,
exercise and warning signs.

 

All education
steps are linked to a diagnosis, paraphrased and include an EBP rationale. One
or 2 educational areas are not detailed or personalized to the patient.

 

 

All education
steps are linked to a diagnosis and includes an EBP rationale.

 

OR

 

EBP rationale

 

is a quotation.

 

OR

 

Three (3) or more
education areas do not include personalized detailed information.

 

Any education
step is not linked to a diagnosis, paraphrased or an EBP rational is not
provided.

 

Education section
is not present.

 

 

10 Points

 

9 Points

 

8 Points

 

4 Points

 

0 Points

 

Plan: Referral

 

All recommended
referrals are appropriate for the patient diagnosis and condition, is linked to
a specific diagnosis and includes a paraphrased EBP rationale for ordering.

 

Some recommended
referrals are appropriate for the patient diagnosis and condition, is linked to
a specific diagnosis and includes a paraphrased EBP rationale for ordering.

 

All recommended
referrals are appropriate for the patient diagnosis and condition, includes a
paraphrased EBP rationale for ordering, specific diagnosis is not stated for
every referral.

 

OR

 

EBP rationale

 

is a quotation.

 

Some recommended
referrals are appropriate for the patient diagnosis and condition

 

Does not include
a paraphrased EBP rationale for ordering.

 

 

Referral section
is not present.

 

 

10 Points

 

9 Points

 

8 Points

 

4 Points

 

0 Points

 

Plan: Follow Up

 

Follow up
includes a specific time frame to return to PCP office. Includes EBP rationale
with in text citation NUR601 week 5 Case Study Assignment Essay.

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