NR511 Week 2 SNAPPS Oral Presentation

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NR511 Week 2 SNAPPS Oral Presentation – Step-by-Step Guide

The first step before starting to write the NR511 Week 2 SNAPPS Oral Presentation is 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 paper’s audience and purpose, as this will 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, review its use, including writing citations and referencing the resources used. You should also review the formatting requirements for the title page and headings in the paper, as outlined by Chamberlain University.

How to Research and Prepare for NR511 Week 2 SNAPPS Oral Presentation

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify a list of keywords related to your topic using various combinations. The first step is to visit the Chamberlain 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 the Chamberlain University Library, PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last 5 years and go through each to check for credibility. Ensure that you obtain the references in the required format, such as APA, so that you can 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. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next, create a detailed outline of the paper to help you develop headings and subheadings for the content. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NR511 Week 2 SNAPPS Oral Presentation

The introduction of the paper is the most crucial part, as it helps provide the context of your work and determines whether the reader will be interested in reading through to the end. Begin 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 NR511 Week 2 SNAPPS Oral Presentation

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, as well as how it relates 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 NR511 Week 2 SNAPPS Oral Presentation

In-text citations help readers give credit to the authors of the references they have used in their work. 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 Morelli et al. (2024), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Alawiye (2024) highlights 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 NR511 Week 2 SNAPPS Oral Presentation

When writing the conclusion of the paper, start by restating 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. Conclude with a call to action that leaves a lasting impression on the reader or offers recommendations.

How to Format the Reference List for NR511 Week 2 SNAPPS Oral Presentation

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

Morelli, S., Daniele, C., D’Avenio, G., Grigioni, M., & Giansanti, D. (2024). Optimizing telehealth: Leveraging Key Performance Indicators for enhanced telehealth and digital healthcare outcomes (Telemechron Study). Healthcare, 12(13), 1319. https://doi.org/10.3390/healthcare12131319

Alawiye, T. (2024). The impact of digital technology on healthcare delivery and patient outcomes. E-Health Telecommunication Systems and Networks, 13, 13-22. 10.4236/etsn.2024.132002.

NR511 Week 2 SNAPPS Oral Presentation Instructions

Include the following:

  1. Briefly summarize the client’s chief complaint and findings. Include the following components:
    • chief complaint (CC)
    • history of present illness (HPI)
    • pertinent and relevant review of systems (ROS)
    • pertinent and relevant physical exam (PE) findings
    • no additional or unnecessary data included. Have a look at NR511 Week 5 iHuman Assignment Vijay Rao.
  2. Present the differential diagnosis
    • provide three likely diagnoses for the chief complaint
    • relate each diagnosis to pertinent positive and negative findings
  3. Analyze the differential diagnosis.
    • for each differential, analyze signs and symptoms and describe which makes the diagnosis more likely or less likely
    • rank the diagnoses in order from most likely to least likely
  4. Ask probing questions
    • verbalize your knowledge gaps, points of confusion, or dilemmas by identifying three case-related questions
    • formulate questions based on what you did (or would) ask your preceptor about uncertainties, difficulties with the process, or alternative approaches
  5. Create a management plan: Provide a novice-level management plan. Include the following components:
    • methods for confirming the diagnosis
    • medications prescribed or recommended, including dosage and frequency
    • client education
    • follow-up, including timeframe and reasons to return sooner
    • considerations for cost, availability, or client preferences related to treatment selection
  6. Identify a self-directed learning topic related to the confirmed diagnosis to investigate further.

This should be a short and concise an oral presentation that last 5-7 minutes using the SNAPPS ORAL PRESENTATION TEMPLATE

2nd

Written Submission: Write a summary of your research for the self-directed learning topic identified in the SNAPPS presentation. in 5-7 paragraphs:

  1. summarize the topic
  2. reflect on how you will apply the learning to practice
  3. cite at least three relevant scholarly sources as defined by program expectations
  4. use the SNAPPS Written Assignment Template

NR511 Week 2 SNAPPS Oral Presentation Example

SNAPPS ORAL PRESENTATION TEMPLATE

This template should only be used to organize your oral presentation; IT SHOULD NOT BE SUBMITTED. 

SUMMARIZE

Using a patient seen in the practicum setting, summarize the history and physical examination (H&P) into an organized and concise format.

CCCough, with yellow-grey mucus, Sore throat and Wheezing Chest pain
HPI statement using OLDCARTS dataThe patient reports that their symptoms began approximately one week ago with the gradual onset of a persistent cough, which has been getting progressively worse and chest pain. The discomfort associated with the cough is primarily located in the chest area, which they describe as a tightness or pressure. The cough, mucus production, and chest discomfort have been ongoing for the past week without significant improvement. The cough is productive, with the patient frequently coughing up yellowish-green mucus. They also mention occasional wheezing when breathing. The symptoms worsen when the patient engages in physical activity or lies down. In addition, exposure to cold air exacerbates the cough. The patient has tried over-the-counter cough syrup, but it provides only minimal relief. Rest does not alleviate the symptoms. The symptoms have been fairly consistent over the past week, with no specific pattern related to time of day. The patient rates the severity of their cough and discomfort 5/10, but they mention that it has been interfering with their daily activities.
Pertinent ROS  1. Respiratory:    – The patient reports a persistent cough with mucus production.    – They mention occasional wheezing when breathing.    – There is no history of shortness of breath at rest. 2. Constitutional:    – The patient has experienced a low-grade fever.    – They report decreased energy levels and overall fatigue, which they attribute to their symptoms. 3. Gastrointestinal:    – The patient denies any nausea, vomiting, diarrhea, or abdominal pain. 4. Cardiovascular:    – The patient does not report any palpitations or swelling in the legs.          
Pertinent PE    1. Respiratory:    – Auscultation of the chest reveals bilateral wheezing, suggesting airway constriction.    – Crackles are heard on lung auscultation, indicating the presence of mucus and inflammation in the airways.   2. General:    – The patient appears mildly fatigued but is alert and oriented, indicating a decrease in energy levels due to their illness.   3. Vital Signs:    – The patient’s vital signs are within normal limits except for a slightly elevated body temperature, consistent with a low-grade fever.    – Blood pressure, heart rate, and respiratory rate are within expected ranges for their age and health status.                
NARROW

Based on the H&P key findings, identify an appropriate differential.

Differential Diagnosis Acute Bronchitis Positive Findings: Persistent cough, mucus production, and bilateral wheezing heard on lung auscultation. Crackles on lung auscultation also support the presence of mucus or inflammation in the airways. The low-grade fever aligns with the inflammatory nature of acute bronchitis (Widysanto & Mathew, 2022). Negative Findings: There is no history of recent travel or exposure to individuals with similar symptoms, reducing the likelihood of an infectious cause. Vital signs, apart from a slightly elevated body temperature, are within normal limits.
Pneumonia Positive Findings: While some symptoms overlap with bronchitis, such as cough and fever, pertinent positive findings on physical examination include focal chest findings, such as localized crackles or an increased respiratory rate. Pneumonia often presents with more severe systemic symptoms, such as high fever and chills (Jain et al., 2023). The absence of these severe systemic symptoms in the patient’s presentation suggests a milder respiratory condition. Negative Findings- The absence of significant focal chest findings, severe systemic symptoms, or evidence of consolidation on imaging reduces the likelihood of pneumonia. Chronic Obstructive Pulmonary Disease (COPD) Exacerbation Positive Findings: The patient’s history of a chronic cough, especially if they are a smoker or have a history of smoking, may indicate underlying COPD. Bilateral wheezing and crackles on lung auscultation can be present in both bronchitis and COPD (Kelly et al., 2021). The patient’s decreased energy levels and fatigue may be consistent with a COPD exacerbation. Negative Findings: Unlike acute bronchitis, COPD is a chronic condition, and patients often have a prior diagnosis and a history of recurrent exacerbations. The patient’s age and risk factors, such as smoking history, play a role in considering COPD as a differential diagnosis.  
ANALYZE

Analyze the differential by comparing and contrasting the possibilities.  Use pertinent positive and negative findings to argue for or against each diagnosis in your differential. Rank your diagnoses in order of most likely to least likely.

Analysis of the Differential Diagnosis for Bronchitis Acute Bronchitis Positive Findings Supporting Diagnosis The chief complaint of a persistent cough, mucus production, and bilateral wheezing on lung auscultation aligns with the typical symptoms of acute bronchitis. Crackles heard during lung auscultation are evidence of inflammation and mucus in the airways. A low-grade fever is also consistent with the inflammatory nature of this condition. Negative Findings: The absence of significant focal chest findings, severe systemic symptoms, or a history of recent travel or exposure to infectious individuals makes other diagnoses, such as flu, COVID-19, or pneumonia, less likely.
Pneumonia Positive Findings Supporting Diagnosis While there is symptom overlap with bronchitis (cough, fever), localized crackles, focal chest findings, and a more severe presentation with high fever and chills may point toward pneumonia. Negative Findings: The absence of significant focal chest findings, severe systemic symptoms, or evidence of consolidation on imaging reduces the likelihood of pneumonia compared to bronchitis.
Chronic Obstructive Pulmonary Disease Positive Findings Supporting Diagnosis A chronic cough, particularly in patients with a history of smoking or known COPD, can be indicative of a COPD exacerbation. In addition, bilateral wheezing and crackles on lung auscultation may occur in both bronchitis and COPD exacerbations. The patient’s decreased energy levels and fatigue could be consistent with a COPD exacerbation. Negative Findings: COPD is typically a known chronic condition with a history of recurrent exacerbations, whereas bronchitis tends to have an acute onset. Patient age and risk factors, such as smoking history, play a significant role in considering COPD as a differential diagnosis.
Ranking the Diagnoses Based on the presented evidence, the differential diagnoses can be ranked in order of likelihood: Acute Bronchitis- This is the most likely diagnosis as it aligns well with the patient’s symptoms, history, and physical exam findings. COPD Exacerbation-While possible, it is less likely than acute bronchitis due to the patient’s age and the absence of a known history of COPD. Pneumonia-This diagnosis is the least likely given the absence of focal chest findings, severe systemic symptoms, and consolidation on imaging.
PROBE

Verbalize any knowledge gaps, points of confusion, or dilemmas that you have regarding your understanding of the case by identifying questions that you would (or did) ask your preceptor.

1. Could the Patient’s Travel or Recent Exposures Be Relevant? In this case, the absence of a history of recent travel or exposure to individuals with similar symptoms was noted. However, could there be any specific travel history or environmental exposures that were initially overlooked or not thoroughly explored? How might these factors impact the differential diagnosis? Clarifying this could be crucial, especially if there is a possibility of exposure to certain infections or allergens that mimic bronchitis symptoms.
2. Should we consider further imaging for a more definitive diagnosis? While the physical examination findings provided valuable information, including bilateral wheezing and crackles, the absence of focal chest findings raises the question of whether additional diagnostic tests, such as a chest X-ray or CT scan, are warranted. How do we decide whether further imaging is necessary, and at what point should it be considered to rule out conditions like pneumonia or other lung pathologies? Balancing the benefits of additional information against potential risks and costs is essential.
3. What role does the patient’s smoking history play in the differential diagnosis? The patient’s chronic cough raises questions about their smoking history. How might this information impact the likelihood of COPD exacerbation as a differential diagnosis? Understanding the significance of smoking history in this context is crucial for accurate diagnosis and treatment planning.
PLAN

At a novice level, propose an appropriate plan to confirm and/or manage the problem. 

Novice-Level Management Plan for Bronchitis   The diagnosis of bronchitis is made clinically based on the patient’s history, physical examination, and typical symptoms (Widysanto & Mathew, 2022). However, if there is uncertainty or if other conditions are suspected, further testing is considered, such as a chest X-ray and laboratory tests to rule out pneumonia or other underlying issues. For acute bronchitis, the main treatment is symptom management. Over-the-counter medications such as cough suppressants (e.g., dextromethorphan) and expectorants (e.g., guaifenesin) can be recommended based on the patient’s age and preferences. Educating the patient about the viral nature of acute bronchitis and the importance of rest, hydration, and a balanced diet to aid recovery is crucial. Emphasize the need to refrain from smoking or exposure to secondhand smoke, as these can exacerbate symptoms and prolong healing. In addition, explain the proper use of any prescribed medications, including inhalers, to ensure the patient understands how to manage their symptoms effectively. Schedule a follow-up appointment within 1-2 weeks to assess the patient’s progress and ensure that symptoms are improving.  
SELF-DIRECTED LEARNING

Identify one issue for self-directed learning.

Self-Directed Learning; Antibiotic Stewardship in the Management of Acute Bronchitis
One critical aspect of healthcare practice that demands ongoing attention is the appropriate use of antibiotics. For patients with acute bronchitis, which is primarily viral in origin, antibiotics are generally not indicated (Worrall, 2019). Antibiotic resistance is a growing global concern, driven in part by the overuse and misuse of antibiotics. Acute bronchitis is one of the most common respiratory infections for which antibiotics are inappropriately prescribed (Baillie et al., 2022). Understanding the principles of antibiotic stewardship in managing bronchitis is crucial for healthcare providers to optimize patient care, prevent unnecessary antibiotic exposure, and mitigate the development of antibiotic resistance.  

References

Baillie, E. J., Merlo, G., Magin, P., Tapley, A., Mulquiney, K. J., Davis, J. S., Fielding, A., Davey, A., Holliday, E., Ball, J., Spike, N., FitzGerald, K., & van Driel, M. L. (2022). Antibiotic prescribing for upper respiratory tract infections and acute bronchitis: a longitudinal analysis of general practitioner trainees. Family Practice, 39(6), 1063–1069. https://doi.org/10.1093/fampra/cmac052

Jain, V., Vashisht, R., Yilmaz, G., & Bhardwaj, A. (2023). Pneumonia Pathology. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK526116/

Kelly, N., Winning, L., Irwin, C., Lundy, F. T., Linden, D., McGarvey, L., Linden, G. J., & El Karim, I. A. (2021). Periodontal status and chronic obstructive pulmonary disease (COPD) exacerbations: a systematic review. BMC Oral Health, 21(1). https://doi.org/10.1186/s12903-021-01757-z

Widysanto, A., & Mathew, G. (2022). Chronic Bronchitis. StatPearls Publishing.

Worrall, G. (2019). Acute bronchitis. Canadian Family Physician, 54(2), 238. https://www.ncbi.nlm.nih.gov/pubmed/18272643