M1 Discussion
Patient Interview
What are the goals of a patient interview?
Name and described each component of the Patient History (Chief Complaint, History of Present Illness, etc.).
Describe an incident where you had used improper technique on measuring blood pressure, what did you learn from that incident?
Describe a barrier when you had assess a patient from a different culture.
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
M2 Discussion
Skin & Breast
This discussion contains 2 parts:
KM is a 38-year-old white woman with a 6-year history of psoriasis. Her family history includes allergies and asthma and her mother with psoriasis. KM returns today for an increase in symptoms, and she wants to improve the appearance of her skin. Please discuss the following:
What is the underlying cause of psoriasis?
What are the common signs and symptoms of this disease?
Define, Compare and Contrast the following conditions:
Fibrocystic breast disease
Fibroadenoma
Malignant breast tumor
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Grading Rubric
M3 Discussion
Lymphatic, Chest, & Heart
This Discussion has 3 parts:
Lymphatic
Define lymphedema.
What is elephantiasis?
Provide the differential diagnosis of mumps versus cervical adenitis.
Thorax and Lungs
Define and provide an example of a disease/situation where this sign/symptom might be present:
Dyspnea
Orthopnea
Apnea
Paroxysmal nocturnal dyspnea
Tachypnea
Bradypnea
Hyperpnea
Kussmaul breathing
Periodic breathing (Cheyne-Stokes).
Support your answer with a previous experience you have encountered in your career.
Cardiovascular System
Name and write the location of the five traditionally designated auscultatory areas and explain why it is heard there.
A pregnant patient (32 weeks’ gestation) is having difficulty with dependent edema and painful varicosities. What can you suggest to help this patient’s problem and explain rationale?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
M4 Discussion
GI & Musculoskeletal
This Discussion has 2 parts:
GI
Make a comprehensive list of relevant information to gather when assessing abdominal pain.
How do you assess for masses in the abdomen and how you would document such findings?
Describe your findings on a previous patient that you have encountered where you have palpated a mass in the abdomen.
Musculoskeletal
Define, Compare, and Contrast the following conditions:
Osteoarthritis
Rheumatoid Arthritis
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Grading Rubric
Your assignment will be graded according to the grading rubric.
M5 Discussion
Neurological
List the risk factors for cerebrovascular accidents and why?
What cultures are at higher risk and why?
Describe the 0 to 4+ scale for scoring deep tendon reflexes.
What would you expect to find in a patient with diabetic peripheral neuropathy?
Share any experience you have encountered and elaborate.
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
M5 Assignment
Case Study Presentation
Goal:
To conduct an assessment of health promotion while applying the nursing process and evidence based research to disseminate findings to course colleagues.
Case:
Jessica is a 32 y/old math teacher who presents to the ER with a friend for evaluation of sudden decrease of vision in the left eye. She denies any trauma or injury. It started this morning when she woke up and has progressively worsened over the past few hours. She had some blurring of her vision 1 month ago and thinks that may have been related to getting overheated, since it improved when she was able to get in a cool, air-conditioned environment. She has some pain if she tries to move her eye, but none when she just rests. She is also unable to determine colors. She denies tearing or redness or exposure to any chemicals. Nothing has made it better or worse.
She denies fever, chills, night sweats, weight loss, fatigue, headache, changes in hearing, sore throat, nasal or sinus congestion, neck pain or stiffness, chest pain or palpitations, shortness of breath or cough, abdominal pain, diarrhea, constipation, dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia, and polyphagia.
Patient is alert; she appears anxious. BP 135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white, conjunctivae clear. Unable to assess visual fields in the left side; visual fields on the right eye are intact. Pupil response to light is diminished in the left eye and brisk in the right eye. The optic disc is swollen. Full range of motions; no swelling or deformity. Mental status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus is present. Muscles with normal bulk and tone; Normal finger to nose, negative Romberg. Intact to temperature, vibration, and two-point discrimination in upper and lower extremities. Reflexes: 2+ and symmetric in biceps, triceps, brachioradialis, patellar, and Achiles tendons; no Babinski.
Submission Instructions:
Complete a comprehensive history and Physical Examination.
What physical findings are you looking for to help determine a presumptive nursing diagnosis?
Support your findings with peer reviewed articles.
Presentation is original work and logically organized in current APA style. Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
Power point presentation with 8 -10 slides, excluding the tile slide and the reference slide.
The presentation is clear and concise and students will lose points for improper grammar, punctuation, APA and misspelling.
Speaker notes expanded upon and clarified content on the slides.
M6 Discussion
Genitalia
Identify and explain positions other than the lithotomy in which a pelvic examination can be performed.
Why are women at a higher risk of UTI than males?
What would you educate to decrease the risk of UTI?
Summarize the pros and cons of newborn circumcision.
Describe the following signs on a female examination:
Goodell
Hegar’s
McDonald’s
Chadwick
Name the characteristics of the following type of hernias:
Indirect inguinal
Direct inguinal
Femoral
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
M7 Discussion
Colon
You are about to perform a rectal examination of an older adult.
What are the steps to examine this patient?
Explain your rationale.
What are some findings you can have while assessing the rectal sphincter?
Describe the differences during the rectal examination of acute prostatitis and benign prostatic hypertrophy.
What findings would expect on physical examination of acute prostatitis and benign prostatic hypertrophy?
Submission Instructions:
Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources. Your initial post is worth 8 points.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points (1 point per response.)
All replies must be constructive and use literature where possible.
Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.