NURS680A 2020 November All Weeks Discussions Latest

NURS680A Advanced Health/Physical Assessment

Week 1 Discussion     

The Pediatric Case Study.

Give three (3) examples of both subjective and objective data for this case.

Include examples of pertinent positive and pertinent negative data associated with each.

Provide rationales for your examples.

 

NURS680A Advanced Health/Physical Assessment

Week 2 Discussion     

A 52-year-old woman complains that she has been missing days of work almost every week, she states she is neglecting her family, and she is sleeping during the day but cannot sleep at night. She denies other health problems, medication, or environmental allergies.

Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.

In SOAP format, list:

Pertinent positive and negative information

Differential and working diagnosis

Treatment plan, including: Pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

 

NURS680A Advanced Health/Physical Assessment

Week 3 Discussion     

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #3  28-year old male.

A 17-year old male presents with a complaint of a red itchy rash over his torso and back x 1 week which is keeping him up at night. He denies sick exposures or recent visit to wooded areas. Denies other complaints.

A 42-year old female presents with a complaint of a papule on her left forearm for the past 2 months that “looks funny”. Denies itching, scaling, drainage, or other complaints.

A 28-year old male complains of a scaly lesion over his left groin area and a painful “cut” between his “big” and second toe x 3 weeks.

For the case you have chosen, post to the discussion:

Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.

In SOAP format, list:

Pertinent positive and negative information

Differential and working diagnosis

Treatment plan, including: Pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different case study.

 

NURS680A Advanced Health/Physical Assessment

Week 4 Discussion     

Discuss a HEENT case on a topic of interest and post for class discussion.

The case may be a real patient you have actually cared for or one that you heard about, read about, or made up. Suggested topics include:

Allergic rhinitis

Otitis media

Otitis external

Conjunctivitis (viral and bacterial)

Sinusitis

Bells palsy           Paroditis

TMJ

Mononucleosis

Tonsillitis

Mouth cancer

Strep throat

Include a rationale as to why you think this is a good topic for graduate nursing students to learn.

Indicate if the case represents something you would expect to see in an outpatient or inpatient setting.

Which guidelines would you use to develop a treatment plan?

Respond to at least two (2) of your classmates’ or your instructor’s posts. Your responses should include elements such as follow-up questions, a further exploration of points made in the initial post, or requests for further clarification or explanation on some points made.

 

NURS680A Advanced Health/Physical Assessment

Week 5 Discussion

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #3  28-year old male.

A 49-year old man reports feeling fullness in his right armpit and nipple discharge at his right areola. He denies other symptoms, significant medical history, or allergies.

A 31-year old Black woman reports her breasts get swollen, hard, and lumpy at times and she has pain that comes and goes. She has heard that Black women have a high rate of breast cancer.

A 27-year old woman complains of multiple small tender lumps in her right and left axillae. She explains that she has noticed that they seem to make "tunnels" and sometimes open and smell bad.

For the case you have chosen:

Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.

In SOAP format, list:

Pertinent positive and negative information

Differential and working diagnosis

Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different case study.

 

 

 

 

NURS680A Advanced Health/Physical Assessment

Week 6 Discussion     

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #3  28-year old male.

A 9-year old female presents with her mother complaining of a dry cough that “wakes up everyone in the house” each night for the last 2 weeks. Denies prior hx of the same.

A 29-year old newly immigrated woman complains of weakness, shortness of breath, cough and night sweats for the past month.

For the case you have chosen:

Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.

In SOAP format, list:

Pertinent positive and negative information

Differential and working diagnosis

Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different case study.

 

NURS680A Advanced Health/Physical Assessment

Week 7 Discussion

Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, choice #3  28-year old male.

An 89-year old female complains of a “stabbing chest pain” and points to the area just below her scapula at the right mid-clavicular line. She states that she had an upper respiratory infection last week that “just seems to hang on.” No other complaints.

A 58-year old male presents with a complaint of severe chest pain over the past hour. He did not call 911 “because I don’t have the money for an ambulance.”

For the case you have chosen, post in the discussion:

Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.

In SOAP format, list:

Pertinent positive and negative information

Differential and working diagnosis

Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different case study.

 

NURS680A Advanced Health/Physical Assessment

Week 8 Discussion

DQ1 Select one of the following case studies to address. In the subject line of your post, please identify which prompt you are responding to, for example, Prompt #1 66-year old woman.

A 42-year-old patient is 3 days post-op from abdominal cholecystectomyShe is currently taking only antibiotics and hydrocodone. Today she complains of left calf pain just below the knee and states it is swollen, warm, and painful to touch. She denies other symptoms, significant history, or allergies.

A 66-year old woman complains of shortness of breath, numbness and heaviness of her arms when walking up the hill to her house. The pain subsides when she stops to rest.

For the case you have chosen, post in the discussion:

Discuss what questions you would ask the patient, what physical exam elements you would include, and what further testing you would want to have performed.

In SOAP format, list:

Pertinent positive and negative information

Differential and working diagnosis

Treatment plan, including: pharmacotherapy with complementary and OTC therapy, diagnostics (labs and testing), health education and lifestyle changes, age-appropriate preventive care, and follow-up to this visit.

Use at least one scholarly source other than your textbook to connect your response to national guidelines and evidence-based research in support of your ideas.

In your peer replies, please reply to at least one peer who chose a different case study.

DQ2 In the subject line of your post, please identify which prompt you are responding to, for example, Prompt #2.

Reflect on what you've learned in this course:

What were your strengths in this course?

What was challenging?

What new learning or insight was developed?

What new clinical skills have you gained?