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NRP556 Adult and Geriatric Management Ii

Week 3 Assignment

Summative Assessment: Case Study Episodic Assessment SOAP Note: Kate Parker

Assignment Content

This week is focused on common neurological conditions. Now it’s time to synthesize the subjective and objective information obtained in the visit to formulate?differential diagnoses and a final?diagnosis.

First, watch the introductory video about synthesizing information to diagnose a patient.

Review the Kate Parker case study.

Review the?pertinent subjective and objective findings for Kate Parker and synthesize the data to formulate a comprehensive list of differential diagnoses. Include your rationale for ruling each differential in or out and justify your clinical decision by citing and referencing evidence-based resources. Conclude the assignment with your final diagnosis and ICD-10 code.

Use the attached DDX SOAP Note template to complete this assignment. Cite?your references according to APA guidelines. Attach the references page to your DDX SOAP Note.

Format your assignment according to APA guidelines.

 

NRP556 Adult and Geriatric Management Ii

Week 5 Assignment

Summative Assessment Anemia Case Study

Assignment Content

This week you learned about common hematological problems, including patient diagnosis and management of various types of anemia. It is time to apply your skills by completing a case study.

Watch the introductory video about developing a treatment plan.

Anemia Case Study

Complete the case study by answering the questions associated with the scenario as if you are presenting to your preceptor.

Scenario

A 45-year-old perimenopausal Filipino female presents to the office with complaints of excessive fatigue and shortness of breath after activity, which is abnormal for her. The patient appears unusually tired and slightly pale. Additional history and examination rules out heart failure, acute illness, and kidney disease. She reports excessively heavy menstrual periods for the past six months. The CBC results indicate hemoglobin is 8.0 g/dL, which is a new finding, and the hematocrit is 24%. Previous hemoglobin levels have been 11 to 13g/dL. The patient’s vital signs are temperature 98.7°F, heart rate 92 bpm, respirations 28 breaths per minute, and blood pressure 138/72. As the practitioner, you are concerned about her new anemia and now need to diagnose and develop a treatment plan for this patient.

Case Questions

There are many types of anemia you may encounter in the primary care setting, such as anemia of chronic disease, iron deficiency, B-12/pernicious and folate deficiency, and thalassemias. Explain each type of anemia. What laboratory studies would you order, and how might they differ based on the type of anemia?

What type of anemia do you think this patient has? Are there any ethnic or cultural considerations you need to consider when diagnosing this patient?

What would your treatment plan be for this patient? Include medications, patient education, and a follow-up plan. Include evidence-based references to justify your actions.

 Cite a minimum of 2 to 3 peer-reviewed or similar sources to support your assignment.

Submit your assignment.

Resources

Center for Writing Excellence

Reference and Citation Generator

Grammar Assistance

 

NRP556 Adult and Geriatric Management Ii

Week 6 Assignment

i-Human Patients: Roger Miller

Assignment Content

Access i-Human Patients from the main course page.

Write a 300-word summary regarding your patient encounter with Roger Miller.

Include the following in your summary:

Highlight 2 or 3 takeaways to improve your clinical skills now that the diagnosis has been revealed.

 

NRP556 Adult and Geriatric Management Ii

Week 7 Assignment

Pain Management Case Study

Assignment Content

This week focused on common musculoskeletal complaints you are likely to encounter as a primary care provider, the development of comprehensive treatment plans for suspected diagnosis, and medication management. It is time to practice your skills by completing a case for an established patient.

Watch the introductory video about demonstrating lawful practice.

Pain Management Case Study

Read the case study below and answer the questions associated with the scenario. Cite references according to APA guidelines.

Scenario

A 41-year-old Hispanic male patient presents at the community walk-in clinic for an ER follow-up. He was seen yesterday for right knee pain after pivoting quickly during a soccer game. He hand carries an MRI report showing he was diagnosed with a full thickness ACL tear. He was discharged with a knee immobilizer, crutches, and ibuprofen for pain. He has a follow-up appointment with ortho in three days. He reports minimal relief with 800 mg ibuprofen qid, rest, ice, and elevation. Current pain level is reported at a 9 out of 10, and you note the patient to be uncomfortable and grimacing in pain.

Case Questions

You have decided to prescribe an opioid analgesic for this patient. What analgesic would you prescribe, and why?

Access your state’s prescribing guidelines. Based on these guidelines, how many days of the opioid would you provide? What resources are available to help you prescribe safely for this patient? Are there any database checks required by your state to help you identify potential issues with drug diversion? Summarize your state’s opioid prescribing guidelines. 

What are some additional nonpharmacological comfort measures to recommend for this patient?

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