Category Archives: NR 602

NR 602 Week 1 Case Study Discussion Initial Visit Meet the Family latest

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 NR 602 Week 1 Case Study Discussion Initial Visit Meet the Family latest

 Case Study Discussion – Part 1

Please prepare yourself to complete the well-woman exam and one of the well-child exams of your choosing. 
 

Per patient- give additional HPI information and questions you would like as well as PMH, Family History, and ROS. Begin to lay out the objective portion of your note for each patient.

What is your differential diagnosis list for this visits thus far with rational for each of your two patients?

For the child you choose, please list all of the appropriate anticipatory guidance that should be done at a well visit for that age. Expand on one of the topics from your list and provide the education you would offer with citations.

Case Study Discussion – Part 2

For the patients you have chosen what are your primary and secondary diagnoses now with ICD-10 codes with rationale?

What other diagnostics, preventive screenings, or preventive health actions are you considering for your patients at this time and why?

Case Study Discussion – Part 3

Written summation of case in SOAP format.

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NR 602 Week 2 Case Study Discussion Gathering A History On An Adolescent latest

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 NR 602 Week 2 Case Study Discussion Gathering A History On An Adolescent latest

 Case Study Discussion – Part 1

What is one important item you learned about gathering a history on an adolescent? For a sports physical?
 

Did you pick up any ‘red flags’ in the historical data?

What information should always be gathered on an adolescent that you have not previously seen?

………. makes a sports physical unique from other exams?

What are your differential diagnoses?

What further history should be gathered today and why?

Case Study Discussion – Part 2

Physical Examination of Lily:

V/S: Height- 160 cm, Weight- 45 kg, B/P 114/60, HR 90, RR 16, T 98.7, SpO2 99%

Awake, alert, oriented, cooperative. Difficulty with eye contact. Answers questions in short 1-2 word answers. HEENT: Head is normocephalic

Case Study Discussion – Part 3

Written summation of case in SOAP format.

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NR 602 Week 3 PBL Case Study Discussion Assessment of a Child latest

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 NR 602 Week 3 PBL Case Study Discussion Assessment of a Child latest

 Child with Fever and Respiratory or Skin Issues

Kayla brings Riley, now 17 months, in for complaint of fever and rash.  The fever began “a couple of days ago” and is of normal levels in the morning then gets as high as 103 to 104 degrees in the afternoons.  Riley has also had clear rhinorrhea and in the last 24 hours he has developed a red, diffuse rash to the torso and abdomen that does not itch and a dry cough in the last day. Mother reports he is drinking, but not as well as usual.  He did have a good wet diaper this morning, but is not really eating much and is not playing.

Medications: Mother is giving OTC Robitussin cough and cold at 1 tsp last night and this morning.  Liquid Tylenol ½ a tsp last night and this morning.
 

She is very concerned about the level of the fever and the fact that after 3 days he is not improving.
Discussion Questions Part One

We will begin by focusing on gathering history in an ill child.

What ‘red flags’ did you note in the historical data?
 

What data is most important to include in this particular case and which historical data that might be gathered on a well-child exam can be left out of this ill visit?
 

What are your differential diagnoses? 

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NR 602 Week 4 Case Study Discussion Women’s Health latest

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NR 602 Week 4 Case Study Discussion Women’s Health latest

 Case Study Discussion – Part 1

What further historical questions are needed to properly care for her?

………. are your differential diagnoses?

What is your rationale for these diagnoses?

Case Study Discussion – Part 2

What is the primary diagnosis for Kayla with rationale?

What is the differential diagnosis with rationale?

Case Study Discussion – Part 3

Written summation of case in SOAP format.

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NR 602 Week 5 Case Study Discussion Issues in Growth and Behavior latest

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NR 602 Week 5 Case Study Discussion Issues in Growth and Behavior latest

 Case Study Discussion – Part 1

What additional OLDCART and ROS information would you like? Why?

Differential diagnoses with rationale?

Further history and ROS needed to more fully develop your differential diagnoses?

Case Study Discussion – Part 2

Please add the following to your response:

Primary diagnoses and differential diagnosis with rational and the following in brief for your primary diagnosis:

Case Study Discussion – Part 3

Written summation of case in SOAP format.

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NR 602 Week 6 Case Study Discussion Symptom Evaluation GI, GU, Endocrinology, Neuromuscular latest

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 NR 602 Week 6 Case Study Discussion Symptom Evaluation GI, GU, Endocrinology, Neuromuscular latest

 Case Study Discussion – Part 1

What further OLDCART and ROS information is important today specific to their chief complaints? What are their chief complaints/concerns?

What are the differential diagnoses based on the chief complaints for Lily and Riley with rationale?

Case Study Discussion – Part 2

Assessment
 Primary diagnoses for Lily and Riley with rationale

 Differential diagnoses with rationale

 Plan for one primary diagnoses based on one current evidence-based journal article

 Further diagnostic work-up not included above

 Medications

 Referrals

 Conservative measures

 Patient education

 Follow-up plan

Case Study Discussion – Part 3

Written summation of case in SOAP format. 

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NR 602 Week 8 Reflection latest

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NR 602 Week 8 Reflection latest

Over the past eight weeks the curriculum in this class, the instructor, my classmates, and my clinical preceptor have all taught me many things. This course has prepared me to meet the MSN program outcome #6, the MSN Essential VII, and the Nurse Practitioner Core Competencies # 8 in many ways.

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