NR 602 Primary Care of the Childbearing and Childrearing Family

NR 602 Primary Care of the Childbearing and Childrearing Family

NR 602 Primary Care of the Childbearing and Childrearing Family

Week 2 Discussion

Pediatric Grand Rounds Presentation and Discussion

Purpose

Through virtual presentation and supported conversation, this assignment seeks to improve the student’s clinical reasoning, self-assurance, and understanding of numerous pediatric and women’s health themes.

Description

In Weeks 2 and 6, you will create a Grand Rounds presentation on the topic assigned to you by the faculty member.

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Course Outcomes

Through this assignment, the student will demonstrate the ability to:

Describe the most commonly prescribed drugs use in primary care for the chose condition.

Utilize clinical guidelines, research articles or other materials to support your findings.

Identify any practice barriers, issues, or problems (including cultural diversity and healthcare literacy).

Discuss best practices for optimal outcomes.

Pediatric Grand Rounds due Week 2 (please see specific days/times below)

Women’s Health Grand Rounds due Week 6 (please see specific days/times below)

NR 602 Primary Care of the Childbearing and Childrearing Family

Requirements:

Keep in mind the following guidelines and grading criteria while taking part in this assignment:

The Grand Rounds presentation will consist of a pediatric topic that is assigned to you by your faculty in week one. The presentation is a video recording in Kaltura. Recording of the presentation should be interesting, professional, and focused to the topic. Wear your lab coat and name tag/badge during the recording. You must use a visual aid (pictures, charts/graphics, mindmap, algorithm, etc) within your powerpoint presentation.

Record and upload presentation by Wednesday, 11:59 p.m. MT. Begin facilitating discussion and continue to lead it throughout the week.

Participate in an ongoing interactive dialogue. The student responds substantively with additional insight to at least two different peer presentations on two (2) different days. Final peer response due Friday by 11:59 p.m. MT.

Participate in faculty-directed questions. The student responds substantively with additional insight to at least three faculty-directed questions. Student must answer any questions faculty asks on the student’s post and two other questions asked by faculty.

Utilize a minimal of six peer-reviewed scholarly articles from Chamberlain Online Library and/or current evidence-based clinical guidelines to support your findings.

Discuss Pathophysiology, epidemiology, risk factors, clinical physical assessment findings of the assigned topic.

List and discuss a minimum of three (3) differential diagnoses.

Discuss any applicable diagnostic studies to confirm the diagnosis of the assigned topic. If not diagnostic studies applicable state this in presentation and why it is not applicable to the assigned topic

Discuss prevention (if not applicable, discuss why).

Discuss Treatment including non-pharmacologic management and pharmacologic management. (if not applicable, discuss why Discuss patient and/or family education.

Discuss best practices for optimal outcomes.

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

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.

Week 3 Discussion: Sick Child Clinical Case Presentation

Purpose

The purpose of this assignment is for learners to:

Have the opportunity to integrate knowledge and skills learned throughout all core courses in the FNP track and previous clinical courses.

Demonstrate an advancing understanding of the care of women and children.

Demonstrate the ability to analyze previous patients seen in the clinical setting be able to perform an evidenced-based review of their case, diagnosis, and plan, while guiding and taking feedback from peers regarding the case

Demonstrate professional communication and leadership, while advancing the education of peers.

Course Outcomes

Integrate current evidence based clinical practice guidelines in the care of childbearing and childrearing families.

Appropriately apply anticipatory guidance and health promotion in the care of childbearing and childrearing families.

Assess growth and developmental milestones in the care of childbearing and childrearing families.

Construct an evidence based reproductive health management plan.

Identify and address healthcare needs of marginalized childbearing and childrearing families

Requirements

For Week 3 of the course you will be presenting your own case from clinical. The case should be clear, organized, and meet the following guidelines:

Initial Case Presentation:

Present only the subjective and objective data only on the patient organized as you would organize them in a SOAP (CC, HPI (no OLDCART for HPI); ROS, PE findings, and any lab or diagnostic findings for your patient.

**Do not put the diagnosis or plan in initial post. No Assessment/Plan in the initial post. No citations or references are required for your initial post, you will post references in your summary post.

WEEK 3: The case should be pediatric (a patient age 17 years or younger).

WEEK 3 specific guidelines: The case must not be something overly simple. The list of things that should not be covered include sore throat, URI, UTI (https://doi.org/10.1111/apa.14988), ear infection, or contact dermatitis (poison ivy). You need to present a case that intrigued you or presents new content in a different light. *One of the above diagnosis can be presented if the findings were unusual and you clear such case with your course faculty prior to posting (at least 2 days before posting). In the pediatric case you must also include in the objective data growth chart percentiles for height, weight, and BMI, and tanner staging. A patient you saw both for initial complaint and follow-up would be ideal, but not required.

Leading the Discussion: Post your subjective, objective, and diagnostic data for your patient by Wednesday at 11:59 PM MT.

Interactive Dialogue: As a student you will also be required to respond to at least two (2) other students initial case presentation. In your responses, you must include the following: Your top three (3) differentials based on the information provided and why (rationale based on presentation findings), the primary diagnosis you are leaning toward, how you would treat that diagnosis. Use references to support your response. *DEADLINE – YOUR RESPONSES TO 2 STUDENTS ARE DUE BY FRIDAY AT 11:59 p.m. (MT). **If all students have a response, then choose the student with the least responses to their posting.

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

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?

What parts of the physical exam will you focus on today to rule in or out your differentials?

Discussion Part Two (graded)

Physical Examination Riley:
V/S: Height: 81 cm (31.89 in), Weight: 13 kg (28.66 lbs), B/P: 94/60, T: 100.6, HR: 114 BMP/reg., Resp: 28, reg, non-labored, SpO2: 97%
17 months old, Height 51st percentile, Weight 87th percentile (CDC, 2016)

General: somewhat lethargic and cries some throughout exam. SKIN: Diffuse erythemamtous rash in fine popular patches across the torso and very erythematous to the cheeks. HEENT: Head normocephalic atraumiatic. Conjuctiva clear, non-icteric, but mildly injected PERRL. Unable to complete fundoscopic exam. Tympanic membranes intact with scant clear fluid posteriorly bill and mild injection. EAC unremarkable. Pinna/tragus w/o tenderness. Nares patent, mucosa mildly injected with sl. edema to the inferior and medial turbinates bill, moderate clear rhinorrhea. Pharynx with mild slight erythema, tonsils 2/4 bill. Oral exam unremarkable. Neck supple w/mild anterior cervical lymphadenopathy bill. Thyroid small, firm, equal bill. CARDIOPULMONARY: Heart RRR w/o murmur. Lungs with mild expiratory wheeze in posterior bases. Respirations even and unlabored. Abdomen rounded normative bowel sounds throughout, soft, non-tender, no masses or organomegaly.

Lab: WBC 6.9, Lymph 50%, Neutrophils 40%, Monocytes 6%, Eosinophils 3%

Discussion Questions Part Two

After reviewing the physical exam.

What were your ‘red flags’ on physical exam?

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