DO CASE STUDY 3 THROUGHOUT

ADVANCED HEALTH ASSESSMENT

Module 1 Discussion

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 Religious, Cultural, Spiritual Beliefs, History Taking, Physical Exam, & Documentation Strategies 

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. 

Answer the following questions. Please be specific and relate your questions to your specific case (s). Assignments per case study are below.

What are the barriers to interpersonal communication?

What are the procedures and examination techniques that you will use during the physical exam of your patient?

Describe the Subjective, Objective, Assessment, Planning (S.O.A.P.) approach for documenting patient data and explain what they are.

Submission Instructions:

You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned.

You will reply to your peers who have posted on the other two case studies (One of each).

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. 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. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response). 

All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each.

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.

Module 2 Discussion

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 Cultural, Spiritual, Nutritional, & Mental Health Disorders 

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. 

Answer the following questions about your specific case number assigned:

Discuss the specific socioeconomic, spiritual, lifestyle, and other cultural factors related to the health of the patient you selected.

Utilizing the five assessment domains, which ones would you utilize on your patient in conducting a comprehensive nutritional assessment?

Discuss the functional anatomy and physiology of a psychiatric mental health patient. Which key concepts must a nurse know in order to assess specific functions?

Submission Instructions:

You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned.

You will reply to your peers who have posted on the other two case studies (One of each).

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. 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. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response). 

All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each.

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.

1. Module 2 Assignment

For this assignment, list the parts of a comprehensive mental status examination (MSE) for mental health patients. Give examples of each and describe the significance to the advanced practice nurse.

Submission Instructions

The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.

The paper should be formatted per the current 7th edition APA and 3-4 pages in length, excluding the title, abstract, and references page. This paper requires an abstract.

Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

Complete and submit the assignment by 11:59 PM ET Sunday.

Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.

Module 3 Discussion

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 Skin, Eye, & Ear Disorders 

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. 

Answer the following questions for your specific case study assigned:

What other subjective data would you obtain specific to your case?

What other objective findings would you look for?

What diagnostic exams do you want to order?

Name 3 differential diagnoses based on this patient's presenting symptoms.

Give rationales for each differential diagnosis.

Submission Instructions:

You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned.

You will reply to your peers who have posted on the other two case studies (One of each).

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. 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. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response). 

All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each.

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.

1. Module 3 Assignment
2. Due: Sun, 5 Nov 2023 23:5905/11/2023
3. Ungraded

Telehealth Medicine

For this assignment, answer the following questions by using them as your headings for your paper.

What are the Pros and Cons of telehealth?

How will you approach and perform a telehealth assessment?

What are the limits to telehealth?

What is the difference between the provider's need for a successful telehealth visit versus the Patient's perspective?

 Submission Instructions

The paper is to be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.

The paper should be formatted per the current APA and 4-5 pages in length, excluding the title, abstract, and references page.

An abstract is required.

Incorporate a minimum of 5 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.

Complete and submit the assignment by 11:59 PM ET Sunday.

Late work policies, expectations regarding proper citations, acceptable means of responding to peer feedback, and other expectations are at the discretion of the instructor.

Module 4 Discussion

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 Throat, Respiratory & Cardiovascular Disorders 

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. 

Answer the below questions. Note that all your responses should apply to your specific patient from your assigned case study.

What other subjective data would you obtain?

What other objective findings would you look for?

What diagnostic exams do you want to order?

Name 3 differential diagnoses based on this patient's presenting symptoms.

Give rationales for each differential diagnosis.

Submission Instructions:

You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned.

You will reply to your peers who have posted on the other two case studies (One of each).

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. 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. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response). 

All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each.

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.

Module 4 Assignmen

 Presentation: Realistic Clinical Case Study

For this assignment, you will develop a presentation on a realistic clinical case on a topic that is of interest to you. You will prepare a PowerPoint Presentation with voice-over or you can use Canvas Studio's Screen Capture feature to record (voice-over) your presentation.

How do I record a Canvas Studio video with a webcam in a course?

Submission Instructions:

The presentation should be original work and logically organized, formatted, and cited in the current APA style, including citation of references.

The presentation should consist of 10-15 slides and be less than or about 5 minutes in length. 

Voice-Over is required. 

Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

Complete and submit the assignment by 11:59 PM ET Sunday.

Content Requirements:

You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will cover the below aspects. Also, review the distribution of your points based on the assignment rubrics below.

Subjective data: Chief Complaint; History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem; Review of Systems (ROS)

Objective data: Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Labs; Vital signs; Physical exam.

Assessment: Primary Diagnosis; Differential diagnosis

Plan: Diagnostic testing/Labs to order; Pharmacological treatment plan; Non-pharmacologic treatment plan; Patient education, Anticipatory guidance (primary/secondary prevention strategies); Follow-up plan.

Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner

Below is the distribution of your points based on assignment rubrics:

-Chief Complaint (Reason for seeking health care) 4/4

-Demographics 2/2

-History of the Present Illness (HPI) 4/4

-Allergies 2/2

-Review of Systems (ROS) 9/9

-Vital Signs 2/2

-Labs 3/3

-Medications 4/4

-Screenings 3/3

-Past Medical History 3/3

-Past Surgical History 3/3

-Social History 3/3

-Family History 3/3

-Physical Examination 9/9

-Diagnosis 5/5

-Differential Diagnosis 5/5

-Pharmacologic treatment plan 4/4

-Diagnostic/Lab Testing 5/5

-Education 5/5

-Anticipatory Guidance 4/4

-Follow up plan 4/4

-References 3/3

-Grammar 3/3

-Incorporation of Current Practice Guidelines 4/4

-Role of the Nurse Practitioner 4/4

Total Points-100/100

Module 5 Discussion

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 Gastrointestinal & Endocrine 

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. 

Answer the below questions. Note that all your responses should apply to your specific patient from your assigned case study.

What other subjective data would you obtain?

What other objective findings would you look for?

What diagnostic exams do you want to order?

Name 3 differential diagnoses based on this patient presenting symptoms.

Give rationales for each differential diagnosis.

Submission Instructions:

You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned.

You will reply to your peers who have posted on the other two case studies (One of each).

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. 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. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response). 

All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each.

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.

Module 6 Discussion

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 Neurological & Male Genitourinary Disorders 

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. 

Answer the below questions. Note that all your responses should apply to your specific patient from your assigned case study.

What other subjective data would you obtain?

What other objective findings would you look for?

What diagnostic exams do you want to order?

Name 3 differential diagnoses based on this patient presenting symptoms.

Give rationales for each differential diagnosis.

What teachings will you provide?

Submission Instructions:

You have been assigned your case number (See Announcement), and you will post about the case number you have been assigned.

You will reply to your peers that have posted on the other two case studies (One of each).

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. 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. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response). 

All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each.

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.

Module 7 Discussion

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 Female Genitourinary, & Musculoskeletal 

For this Discussion, you will take on the role of a clinician who is building a health history for one of the following cases. Your instructor will assign you your case number. 

Answer the below questions. Note that all your responses should apply to your specific patient from your assigned case study.

What other subjective data would you obtain?

What other objective findings would you look for?

What diagnostic exams do you want to order?

Name 3 differential diagnoses based on this patient's presenting symptoms.

Give rationales for each differential diagnosis.

What teachings will you provide?

Submission Instructions:

You have been assigned your case number (See Announcement), and you will post the case number you have been assigned.

You will reply to your peers who have posted on the other two case studies (One of each).

Your initial post should be at least 500 words, formatted and cited in the current APA style with support from at least 2 academic sources other than your textbook. 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. Use at least 1 academic source for each response to your peers other than your textbook. Your reply posts are worth 2 points (1 point per response). 

All replies must be constructive and literature must be used accordingly. Your replies must be at least 150 words each.

Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Friday.

You can expect feedback from the instructor within 48 to 72 hours from the Friday due date.

1. Module 7 Assignment i
2. Due: Sun, 3 Dec 2023 23:5903/12/2023

Physical Exam Video

Comprehensive Physical Examination Competency 

Use a Canvas Studio link or the Record Media option to record a video of yourself doing a complete physical examination that will be performed on a person who is 18 years old or older. The physical examination should be no longer than 30 minutes. How to Submit a Studio Video on Canvas Download How to Submit a Studio Video on Canvas  How do I record a Canvas Studio video with a webcam in a course?

Submission Instructions:

Submit a URL of a Canvas Studio recording or use the Media option. Do not embed a video.

Complete and submit the assignment by 11:59 PM ET Sunday, December 3rd.

Late work policies and expectations are at the discretion of the instructor.

Module 7 assignment ii

SOAP Note 

Module 7 Assignment i Cont'd.

SOAP is an acronym that stands for Subjective, Objective, Assessment, and Plan. The episodic SOAP note is to be written using the attached template below. SOAP Note TemplateDownload SOAP Note Template

For all the SOAP note assignments, you will write a SOAP note about one of your patients and use the following acronym and all rubric details below:

Submission Instructions:

Your SOAP note should be clear and concise and students will lose points for improper grammar, punctuation, and misspellings.

Complete and submit the assignment using the appropriate template in MS Word by 11:59 PM ET Sunday.

Follow these Rubrics for maximum points:

Chief Complaint 4 Points-Includes a direct quote from the patient about the presenting problem.

Demographics 2 Points-Begins with patient initials, age, race, ethnicity, and gender (5 demographics).

History of the Present Illness 5 Points-Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity).

Allergies 2 Points-Includes NKA (including = Drug, Environmental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy).

Review of Systems 12 Points-Includes a minimum of 3 assessments for each body system and assesses at least 9 body systems directed to chief complaint AND uses the words “admits” and “denies”.

Vital Signs 2 Points-Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population), and pain).

Labs 3 Points-Includes a list of the labs reviewed at the visit, values of lab results, and highlights abnormal values OR acknowledges no labs/diagnostic tests were reviewed.

Medications 4 Points-Includes a list of all of the patient-reported medications and the medical diagnosis for the medication (including name, dose, route, and frequency).

Screenings 3 Points-Includes an assessment of at least 5 screening tests

Past Medical History 3 Points-Includes (Major/Chronic, Trauma, Hospitalizations), for each medical diagnosis, year of diagnosis, and whether the diagnosis is active or current.

Past Surgical History 3 Points-Includes, for each surgical procedure, the year of the procedure, and the indication for the procedure.

Family History 3 Points-Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease, and cancer.

Social History 3 Points-Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation.

Physical Examination 12 Points-Includes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to the chief complaint.

Diagnosis 5 Points-Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority).

Differential Diagnosis 5 Points-Includes at least 3 differential diagnoses for the principal diagnosis

Pharmacologic Treatment Plan 5 Points-Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug name, dose, route, frequency, duration, and cost as well as education related to pharmacologic agents. If the diagnosis is a chronic problem, the student includes instructions on currently prescribed medications as above.

Diagnostic/Lab Testing 5 Points-Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”

Education 5 Points-Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives.

Anticipatory Guidance 4 Points-Includes at least 3 primary prevention strategies (related to age/condition (i.e., immunizations, pediatric and pre-natal milestone anticipatory guidance), and at least 2 secondary prevention strategies (related to age/condition (i.e., screening).

Follow-up plan 4 Points-Includes recommendation for follow-up, including time frame (i.e., x # of days/weeks/months).

References 3 Points-High level of APA precision.

Grammar 3 Points-Free of grammar and spelling errors.