NURS 6512 week 4 ihuman – 36 y/o 5′ 0″ (152 cm) 144.0 lb (65.5 kg) with Itchy rash – I-HUMAN PATIENTS CASE STUDY: EVALUATING AND MANAGING INTEGUMENTARY CONDITIONS
History and physical exam
How can I help you today?
Do you have any other symptoms or concerns we should discuss?
Tell me how that makes you feel?
How does this affect your lifestyle?
What symptom is the most distressing for you?
Have you been having fevers?
Have you ever been exposed to poison ivy/oak/sumac?
Have you been exposed to mosquitoes or ticks? Any bites?
Have you…
All Physical Exams
Temperature
Vitals: Pulse
Vitals: Blood pressure
Vitals respiration
Vitals…
GET i-HUMAN HELP HERE
Key Findings and Problem Statement
Key. Einding
Blateral, circular thigh rash for two weeks
Constant Itching, severity 6/10
Frequent workouts in hot, humid environments
No exposure to irritants or new products
No fever, recent camping, travel, or insect bites
PMH of type 2 diabetes
No discharge, palpable nodules, or fluctuance in affected areas Additional past medical/family history
Medications/Allergies
Additional social history (habits)
ROS: Inquiry into constitutional symptoms
ROS:…
Case: Problem Statement
This patient is a 36-year-old overweight female with a PMH of type 2 diabetes who reports two weeks of progressively worsening 6/10 ichy, circular rashes on both thighs. She has used an over-the-counter topical steroid for three days and reports intensified redness and a burning sensation. Reports beginning workouts at an indoor pool. She denies fever, recent travel exposure to known irritants or new skin products, recent skin injuries, insect or animal bites, or any infections. Physical exam reveals multiple circular lesions on the bilateral thighs with raised borders, central clearing, and associated erythema and scaling. No discharge palpable nodules, fluctuance, vesicles, or pustules are present.
Management Plan
…
I-HUMAN PATIENTS CASE STUDY: EVALUATING AND MANAGING INTEGUMENTARY CONDITIONS
This course will require you to complete a series of case studies using the i-Human Patients software application. The i-Human Patients (IHP) Case Player enables you to interact with virtual patients for the purpose of learning patient-assessment and diagnostic-reasoning skills. With IHP, you will be able to independently interview, examine, diagnose, and treat virtual patients and receive expert feedback on your performance.
The integumentary system is susceptible to a variety of diseases, conditions, and injuries, ranging from the bothersome but relatively innocuous bacterial or fungal infections and categorized as disorders, to skin cancer and severe burns, which can be life threatening.
For this NURS 6512 week 4 ihuman – 36 y/o 5′ 0″ (152 cm) 144.0 lb (65.5 kg) with Itchy rash Assignment, you will examine an i-Human Patients case study. You will then work with an i-Human patient with an integumentary condition.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
By Day 1 of this week, your Instructor will assign an i-Human Patients case study for this Assignment.
Note:
Please see the
Course Announcements
section of the classroom for your i-Human Patients Assignment.
Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with integumentary conditions.
Access and review the assigned i-Human Patients case study. 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 most appropriate to gather more information about the patient’s condition.
Reflect on how the results would be used to make a diagnosis.
NURS 6512 week 4 ihuman – 36 y/o 5′ 0″ (152 cm) 144.0 lb (65.5 kg) with Itchy rash
Identify three to five (3–5) possible conditions that may be considered in a differential diagnosis for the patient.
Consider the 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 integumentary conditions.
Assignment
As you interact with this week’s i-Human Patients patient, complete the assigned case study. For guidance on using i-Human Patients, refer to the
i-Human Graduate Programs Help
link within the i-Human Patients platform.
By Day 7 of Week 4
Upload
your PDF from i-Human Patients to submit this Assignment.
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
WK4Assgn_LastName_FirstInitial
Then, click on
Start Assignment
near the top of the page.
Next, click on
Upload File
and select
Submit Assignment
for review.
By submitting this NURS 6512 week 4 ihuman – 36 y/o 5′ 0″ (152 cm) 144.0 lb (65.5 kg) with Itchy rash Assignment, you confirm that you have complied with Walden University’s Code of Conduct including the expectations for academic integrity while completing the i-Human Patients Assessment.
Rubric – NURS 6512 week 4 ihuman – 36 y/o 5′ 0″ (152 cm) 144.0 lb (65.5 kg) with Itchy rash
NURS_6512_Week 4_Assignment_Rubric
NURS_6512_Week 4_Assignment_Rubric
Criteria
Ratings
Pts
This criterion is linked to a Learning Outcome
History: Complete an appropriate health history. (Scores are automatically calculated in the i-Human platform.)
20
pts
Excellent
Achieves a score of 85–100%
15
pts
Good
Achieves a score of 84–75%
10
pts
Fair
Achieves a score of 74–65%
5
pts
Poor
Achieves a score of 64–55%
0
pts
Unsatisfactory
Achieves a score of 54% or below
20
pts
This criterion is linked to a Learning Outcome
Physical Exam: Complete an appropriate physical exam. (Scores are automatically calculated in the i-Human platform.)
20
pts
Excellent
Achieves a score of 85–100%
15
pts
Good
Achieves a score of 84–75%
10
pts
Fair
Achieves a score of 74–65%
5
pts
Poor
Achieves a score of 64–55%
0
pts
Unsatisfactory
Achieves a score of 54% or below
20
pts
This criterion is linked to a Learning Outcome
EMR Documentation History of Present Illness: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only
10
pts
Excellent
Complete HPI meeting all 5 criteria.
8
pts
Good
4 requirements are met.
6
pts
Fair
3 requirements are met.
4
pts
Poor
1–2 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
10
pts
This criterion is linked to a Learning Outcome
EMR Documentation Subjective Data Document Current Medications, Review of System: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only
10
pts
Excellent
Complete HPI meeting all 5 criteria.
8
pts
Good
4 requirements are met.
6
pts
Fair
3 requirements are met.
4
pts
Poor
1–2 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
10
pts
This criterion is linked to a Learning Outcome
EMR Documentation Objective Data Document Physical Exam Findings: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Objective findings only
10
pts
Excellent
Complete HPI meeting all 5 criteria.
8
pts
Good
4 requirements are met.
6
pts
Fair
3 requirements are met.
4
pts
Poor
1–2 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
10
pts
This criterion is linked to a Learning Outcome
Key Findings: Organize the key findings with the most important first and least important last.
5
pts
Excellent
The key findings are complete and appropriately organized.
4
pts
Good
The key findings are complete but the organization is not correct.
3
pts
Fair
There are 1–2 key findings missing or organized inappropriately.
2
pts
Poor
There are 3 key findings missing and organization is incorrect.
0
pts
Unsatisfactory
There are more than 3 key findings missing and organization is incorrect.
5
pts
This criterion is linked to a Learning Outcome
Problem Statement: Document a brief and accurate problem statement using professional language that includes the following: 1.) Name or initials, age; 2.) Chief complaint; 3.) Positive and negative subjective findings; 4.) Positive and negative objective findings.
5
pts
Excellent
All requirements are met.
4
pts
Good
3 requirements are met.
3
pts
Fair
2 requirements are met.
2
pts
Poor
1 requirement is met.
0
pts
Unsatisfactory
No requirements are met.
5
pts
This criterion is linked to a Learning Outcome
Management Plan: Use the expert diagnosis provided to create a pertinent, comprehensive, evidenced-based management plan. Address the following criteria in the plan: 1.) Diagnostic tests; 2.) Medications (write out a complete order, even for OTC meds); 3.) Suggested consults/referrals; 4.) Patient education; 5.) Follow up, including time interval and specific symptoms to prompt a return visit sooner; 6.) Provide rationales for each intervention and include references to support your plan. Clinical practice guidelines should be utilized as applicable.
15
pts
Excellent
All requirements are met.
13
pts
Good
5 requirements are met.
10
pts
Fair
4 requirements are met.
7
pts
Poor
1-3 requirements are met.
0
pts
Unsatisfactory
No requirements are met.
15
pts
This criterion is linked to a Learning Outcome
References and Format: Current APA citations for references in management plan. Use of clinical practice guidelines when applicable.
5
pts
Excellent
0–1 errors Clinical practice guidelines used when applicable.
4
pts
Good
2–3 errors Clinical practice guidelines used when applicable.
3
pts
Fair
4–5 errors Clinical practice guidelines not used when applicable.
2
pts
Poor
6–7 errors Clinical practice guidelines not used when applicable.
0
pts
Unsatisfactory
More than 7 errors; clinical practice guidelines not used when applicable.
5
pts
Total Points:
100 NURS 6512 week 4 ihuman – 36 y/o 5′ 0″ (152 cm) 144.0 lb (65.5 kg) with Itchy rash
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