Week 8 Assignment: Assessing, Diagnosing, and Treating Patients With Complex Conditions Walden
Week 8 Assignment: Assessing, Diagnosing, and Treating Patients With Complex Conditions Walden
For this Assignment, you will be assigned a complex patient case study with conditions related to any of the topics covered in Weeks 4–6. This includes cardiovascular, pulmonary, gastrointestinal, renal, musculoskeletal, and neurological conditions.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
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Learning Resources
Required Readings
- Leik, M. T. C. (2021). Family nurse practitioner certification intensive review (4th ed.). Springer Publishing Company.
- Ch. 12, Nervous System Review
- Ch. 14, Musculoskeletal System Review
- Buppert, C. (2021). Nurse practitioner’s business practice and legal guide (7th ed.). Jones & Bartlett.
- “Musculoskeletal Examination” (pp. 197–198)
- “Neurological Examination” (pp. 198–199)
Note: The textbook listed below is from NRNP 6531. Review the chapters assigned in this textbook as needed to refresh your knowledge.
- Buttaro, T. M., Polgar-Bailey, P., Sandberg-Cook, J., & Trybulski, J. (2021). Primary care: Interprofessional collaborative practice (6th ed.). Elsevier.
- Ch. 154, Ankle and Foot Pain
- Ch. 155, Bone Lesions: Neoplasms and Tumor Mimickers
- Ch. 156, Bursitis
- Ch. 157, Fibromyalgia and Myofascial Pain Syndrome
- Ch. 158, Gout
- Ch. 159, Septic Arthritis
- Ch. 160, Low Back Pain
- Ch. 161, Hip Pain
- Ch. 162, Knee Pain
- Ch. 163, Metabolic Bone Disease: Osteoporosis and Paget Disease of the Bone
- Ch. 164, Neck Pain
- Ch. 165, Osteoarthritis
- Ch. 166, Osteomyelitis
- Ch. 167, Shoulder Pain
- Ch. 168, Sprains, Strains, and Fractures
- Ch. 169, Elbow Pain
- Ch. 170, Hand and Wrist Pain
- Ch. 171, Amyotrophic Lateral Sclerosis
- Ch. 172, Bell’s Palsy
- Ch. 173, Cerebrovascular Events
- Ch. 174, Dementia
- Ch. 175, Dizziness and Vertigo
- Ch. 176, Guillain-Barré Syndrome
- Ch. 177, Headache
- Ch. 178, Infections of the Central Nervous System
- Ch. 179, Movement Disorders and Essential Tremor
- Ch. 180, Multiple Sclerosis
- Ch. 181, Parkinson Disease
- Ch. 182, Seizure Disorder
- Ch. 183, Trigeminal Neuralgia
- Ch. 184, Intracranial Tumors
- Ch. 195, Polymyalgia Rheumatica and Giant Cell Arteritis
- Ch. 196, Raynaud’s Phenomenon
- Ch. 197, Rheumatoid Arthritis
- Ch. 198, Seronegative Spondyloarthropathies
- Ch. 199, Systemic Lupus Erythematosus
- Ch. 200, Vasculitis
Required Media
- Assessment and Management of Patients with Neurologic Problems
Dr. Nancy Lenaghan discusses the assessment and management of patients with neurological issues. (45m)
Recommended Media
- Musculoskeletal Disorders
Dr. Helene Creger discusses musculoskeletal disorders and what to look for as you assess your patient. (20m) - Neurologic Disorders
Dr. Anna Liza D. Villena discusses neurologic disorders and what to look for as you assess your patient. (46m) - Real World NP. (2019, December 16).Concussion evaluation for nurse practitioners in primary care
- Links to an external site. [Video]. YouTube. https://youtu.be/Hy_6fZcqUkE
- Real World NP. (2020, April 28). Ortho in primary care: Hacks for new nurse practitioners
- Links to an external site. [Video]. YouTube. https://youtu.be/kXauZY0v_nk
To Prepare:
- Review this and previous weeks’ Learning Resources as needed.
- Review the case study provided by your Instructor. Based on the provided patient information, think about the health history you would need to collect from the patient.
- Consider what physical exams and diagnostic tests would be appropriate in order to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
- Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
- Consider each patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
- Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with their condition(s).
The Assignment:
Use the Focused SOAP Note Template to address the following:
- Subjective: What details are provided regarding the patient’s personal and medical history?
- Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities or psychosocial issues.
- Assessment: Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why?
- Plan: Explain your plan for diagnostics and primary diagnosis. What would your plan be for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
- Reflection notes: Describe your “aha!” moments from analyzing this case.
By Day 7
Submit your focused SOAP note.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.
- To submit your completed assignment, save your Assignment as WK6Assgn_LastName_Firstinitial
- Then, click on Start Assignment near the top of the page.
- Next, click on Upload File and select Submit Assignment for review.
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Rubric
Assignment_Rubric
Criteria | Ratings | Pts | ||||
---|---|---|---|---|---|---|
This criterion is linked to a Learning Outcome Create documentation in the Focused SOAP Note Template about the patient in the case study to which you were assigned. In the Subjective section, provide: • Chief complaint• History of present illness (HPI) • Current medications• Allergies• Patient medical history (PMHx) • Review of systems |
|
10 pts | ||||
This criterion is linked to a Learning Outcome In the Objective section, provide: • Physical exam documentation of systems pertinent to the chief complaint, HPI, and history• Diagnostic results, including any labs, imaging, or other assessments needed to develop the differential diagnoses |
|
10 pts | ||||
This criterion is linked to a Learning Outcome In the Assessment section, provide: • At least three differentials with supporting evidence. Explain what rules each differential in or out and justify your primary diagnosis selection. Include pertinent positives and pertinent negatives for the specific patient case. |
|
25 pts | ||||
This criterion is linked to a Learning Outcome In the Plan section, provide: • A detailed treatment plan for the patient that addresses each diagnosis, as applicable. Includes documentation of diagnostic studies that will be obtained, referrals to other healthcare providers, therapeutic interventions, education, disposition of the patient, and any planned follow up visits. • A discussion related to health promotion and disease prevention taking into consideration patient factors, PMH, and other risk factors. • Reflections on the case describing insights or lessons learned. |
|
30 pts | ||||
This criterion is linked to a Learning Outcome Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differentials diagnoses. Be sure they are current (no more than 5 years old) and support the treatment plan in following current standards of care. |
|
10 pts | ||||
This criterion is linked to a Learning Outcome Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria. |
|
5 pts | ||||
This criterion is linked to a Learning Outcome Written Expression and Formatting – English Writing Standards: Correct grammar, mechanics, and proper punctuation |
|
5 pts | ||||
This criterion is linked to a Learning Outcome Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/narrative in-text citations, and reference list. |
|
5 pts | ||||
Total Points: 100 |