NURS 6512 Week 7 I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM
i-Human Case Week #7
56 y/o
5′ 5″ (165 cm)
188.0 lb (85.5 kg)
Reason for encounter
Blood pressure recheck
Location
Outpatient clinic with laboratory capabilities
CLICK HERE TO GET iHUMAN HELP
Key Findings
Prior elevated blood pressure reading without diagnosis of HTN
Asymptomatic
High-fat, high-salt diet
Physical inactivity
PMH of hypothyroidism
Family history of heart disease
Denies polyuria, polydipsia, polyphagia
Vital signs within normal limits
Obese BMI
Xanthoma, arcus senilis
Remaining physical exam unremarkable
Medications/Allergies
Additional social history
ROS: Inquiry into constitutional symptoms
ROS: Inquiry into endocrine symptoms
ROS: Inquiry into gastrointestinal symptoms
ROS: Inquiry into respiratory symptoms
Communication: Elicit the patient’s perspective
Case: Problem Statement
This patient is a 56-year-old obese female with a PMH of hypothyroidism who presents for a blood pressure recheck after attending a workplace health fair 3 weeks ago (BP reading was 132/74). She is asymptomatic and reports consuming a high-fat, high-salt diet, physical inactivity, and a family history of heart disease. She denies polydipsia, polyuria polyphagia, chest pain, and shortness of breath. Physical exam shows stable vital signs with BP 118/72, bilateral eye xanthoma, and arcus senilis. The remaining physical exam is unremarkable
NURS 6512 Week 7 I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM
I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM
This course requires 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.
In order to adequately assess the chest region of a patient, advanced practice nurses need to be aware of a patient’s history, potential abnormal findings, and what physical exams and diagnostic tests should be conducted to determine the causes and severity of abnormalities.
Take a moment to observe your breathing. Notice the sensation of your chest expanding as air flows into your lungs. Feel your chest contract as you exhale. How might this experience be different for someone with chronic lung disease or someone experiencing an asthma attack?
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 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 and consider the insights they provide related to the cardiovascular system.
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 7 I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM
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 cardiovascular 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 7
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
WK7Assgn_LastName_FirstInitial
Then, click on
Start Assignment
near the top of the page.
Next, click on
Upload File
and select
Submit Assignment
for review.
Rubric
NURS_6512_Week 7_Assignment_Rubric
NURS_6512_Week 7_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. NURS 6512 Week 7 I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM
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 7 I-HUMAN PATIENTS CASE STUDY: ASSESSING THE CARDIOVASCULAR SYSTEM
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