NRNP 6550 Week 3 Assignment – Assessing Diagnosing and Treating the iHuman Patient

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NRNP 6550 Week 3 Assignment – Assessing Diagnosing and Treating the iHuman Patient – Step-by-Step Guide

The first step before starting to write the NRNP 6550 Week 3 Assignment – Assessing Diagnosing and Treating the iHuman Patient, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NRNP 6550 Week 3 Assignment – Assessing Diagnosing and Treating the iHuman Patient

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last few years and review each one for credibility. Ensure that you obtain the references in the required format, for example, in APA, to save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NRNP 6550 Week 3 Assignment – Assessing Diagnosing and Treating the iHuman Patient

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested in reading through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NRNP 6550 Week 3 Assignment – Assessing Diagnosing and Treating the iHuman Patient

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence collected from the research, and ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between paragraphs by using transition words and a flow of ideas.

How to Write the In-text Citations for NRNP 6550 Week 3 Assignment – Assessing Diagnosing and Treating the iHuman Patient

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NRNP 6550 Week 3 Assignment – Assessing Diagnosing and Treating the iHuman Patient

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NRNP 6550 Week 3 Assignment – Assessing Diagnosing and Treating the iHuman Patient

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

NRNP 6550 Week 3 Assignment – Assessing Diagnosing and Treating the iHuman Patient Instructions

For this Assignment, you will examine this week’s i-Human patient case study and develop a treatment plan according to the patient’s primary diagnosis.  

To prepare:

  • Review this week’s Learning Resources. Consider how to assess, diagnose, and treat the iHuman patient.
  • Access this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from each patient
  • Consider what physical exams and diagnostic tests would be appropriate to help you 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 to consider in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
  • Develop a systems-based treatment plan for the patient that includes health promotion and patient education strategies.

To complete:

As you interact with this week’s i-Human patient, complete the assigned case study. 

NRNP 6550 Week 3 Assignment – Assessing Diagnosing and Treating the iHuman Patient Example

A 69-year old male presents in the clinic for evaluation of a five-day history of intermittent chest pain with episodes lasting not more than 5 minutes. The pain worsens with mild exertion but is relieved with rest. He also reports dyspnea and fatigue with exertion but denies a recent URI or viral illness. PMH is significant for aortic stenosis, coronary artery disease (CAD), hypertension, and hyperlipidemia. On physical exam, she has mild tachycardia (108bpm) and a grade II murmur.

Management Plan

Primary Diagnosis: Stable Angina

System: Neuro

Diagnosis (Problem): chest pain

Pending diagnostics: nuclear stress test

Pharmacological interventions:

Sublingual nitroglycerin 0.3-0.6 mg PRN for chest pain, maximum 3 doses in 15 min (Virani et al., 2023)

Supportive care:

Monitor for the following red flags: syncope, dizziness, lightheadedness, or altered mental status, and call 911 or seek emergency care immediately.

Encourage deep breathing exercises to manage stress, which can worsen angina.

HEENT

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: N/A

Supportive care:

Closely monitor for heart-failure related symptoms such as distended neck veins and seek emergency care immediately.

Report visual disturbance, new headaches, or jaw pain.

Avoid exposure to secondhand smoke and tobacco

System: Cardiovascular

Diagnosis (Problem): stable angina, HTN, CAD, hyperlipidemia, aortic stenosis

Pending diagnostics: none

Pharmacological interventions:

Metoprolol 25-50mg PO 12 hourly (Virani et al., 2023)

Nitroglycerin 0.3-0.6 mg sublingual PRN for chest pain, max 3 tabs/15 min (Virani et al., 2023)

Aspirin 81mg PO 24 hourly every day

Atorvastatin 40-80mg PO 24 hourly

Lisinopril 20mg PO daily every 24 hours

Supportive care:

Cardiology consult in 1 week

Sit or lie down before taking nitroglycerin and if the pain persists after one dose or is relieved by the third dose, patient should visit the ER or call 911 (Virani et al., 2023)

Encourage close and regular BP and heart rate monitoring. If heart rate <60bpm or blood pressure<100/60mmHg, hold metoprolol (Virani et al., 2023).

3-6 months monitoring of liver function (lipid profile) and renal function.

Take aspirin with food to reduce GI irritation.

Limit exertion/activity until symptoms resolve.

Counsel on weight loss reduction targeting 5-10% in body weight to reduce cardiac strain (Ferraro et al., 2020).

Encourage regular physical moderate-intensity exercise, including walking for at least 30 minutes

minutes/day as directed by cardiology

System: Pulmonary

Diagnosis (Problem): Exertional dyspnea with cardiac origin

Pending diagnostics: none

Pharmacological interventions: none

Supportive care:

Encourage tripod positioning during dyspnea episodes

Encourage increasing physical activity gradually based on tolerance (Virani et al., 2023).

Closely monitor for signs and symptoms of decompensated heart failure and seek emergency care: orthopnea, paroxysmal nocturnal dyspnea, wheezing, rapid weight gain, abdominal distension, and decreasing exercise tolerance (Ferraro et al., 2020).

System: Gastrointestinal

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: none

Supportive care:

Encourage dietary modification to promote a heart-healthy diet; low trans/saturated fats,

increase fiber intake, reduce sodium intake (Virani et al., 2023).

Encourage taking aspirin with food to reduce GI irritation/upset.

Encourage intake of vegetables, fruits, whole grains, and legumes

System: Genitourinary

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: none

Supportive care:

3-6 monthly renal panel to monitor kidney function (ACE use) (Virani et al., 2023).

Encourage medication adherence for adequate blood pressure control

Encourage hydration

System: Hematology

Diagnosis (Problem): atherosclerotic risk that requires antiplatelet therapy

Pending diagnostics: none

Pharmacological interventions: Aspirin 81 mg PO daily

Supportive care:

Encourage the patient to monitor for easy bruising or bleeding and seek help immediately.

Take aspirin with food to avoid GI irritation (Ferraro et al., 2020).

System: Endocrine

Diagnosis (Problem): overweight; BMI 29.6

Pending diagnostics: fasting glucose/HbA1C to rule out diabetes mellitus type 2

Pharmacological interventions: none

Supportive care:

Nutrition consult for dietary assessment and planning

Counselling on lifestyle modification; diet, exercise, and goals for weight loss (Ferraro et al., 2020).

System: Infectious Disease

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: none

Supportive care:

Encourage patient to maintain routine vaccinations: pneumococcal, influenza.

System: Integumentary

Diagnosis (Problem): deferred

Pending diagnostics: none

Pharmacological interventions: N/A

Supportive care:

Encourage the patient to observe good skin hygiene and care, particularly with aging skin.

Encourage the patient to monitor for changes in skin integrity with new medications or weight loss.

Disposition: patient is stable for home discharge with cardiology follow-up in 1 week. To undergo a stress test and follow-up for results before going for a cardiology consult. To call 911 or go to the ER if she experiences chest pain> 5 minutes not relieved by nitroglycerin, palpitation, syncope, fatigue at rest, or new or worsening dyspnea.

References

Ferraro, R., Latina, J. M., Alfaddagh, A., Michos, E. D., Blaha, M. J., Jones, S. R., & Arbab-Zadeh, A. (2020). Evaluation and management of patients with stable angina: beyond the ischemia paradigm: JACC state-of-the-art review. Journal of the American College of Cardiology, 76(19), 2252-2266. https://doi.org/10.1016/j.jacc.2020.08.078

Virani, S. S., Newby, L. K., Arnold, S. V., Bittner, V., Brewer, L. C., Demeter, S. H., … & Williams, M. S. (2023). 2023 AHA/ACC/ACCP/ASPC/NLA/PCNA guideline for the management of patients with chronic coronary disease: A report of the American Heart Association/American College of Cardiology Joint Committee on Clinical Practice Guidelines. Journal of the American College of Cardiology, 82(9), 833–955. https://doi.org/10.1016/j.jacc.2023.04.003