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.
Demonstrat...
This is a graded discussion: 100 points possible
due Mar 22
Week 3: Sick Child Clinical Case
Presentation
88 unread replies.4949 replies.
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
1. Integrate current evidence based clinical practice guidelines in the care of
childbearing and childrearing families.
2. Appropriately apply anticipatory guidance and health promotion in the care of
childbearing and childrearing families.
3. Assess growth and developmental milestones in the care of childbearing and
childrearing families.
4. Construct an evidence based reproductive health management plan.
5. 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, 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.
Clinical Case Presentation Summary Criteria:
By Sunday 11:59 p.m. MT, post a summary reply to your initial post and respond to
any faculty questions to your initial posting or question(s) posed to the general class.
Use references to support all of your responses.
Criteria for Summary Post should include all of the following required elements:
Summary post written in paragraph(s) type format (No SOAP note for Summary Post);
discuss primary and any applicable secondary diagnoses along with treatment plan
for each diagnosis. Scholarly and evidence based in-text citation support for all of the
listed diagnoses; Scholarly and evidence based in-text citation for each treatment plan.
Differential diagnoses are eliminated. Summarize your peer's posts to your
presentation.
*Remember not to use any patient identifiers in your posting (this would be full names or
disclosure of clinic name, preceptor name, et cetera). Please include age, gender, and
race.
**To see view the grading criteria/rubric, please click on the 3 dots in the box at
the end of the solid gray bar above the discussion board title and then Show
Rubric.
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Collapse SubdiscussionRachel Cox
Rachel Cox
Mar 16, 2020Mar 16 at 4:33pm
Manage Discussion Entry
Patient Information:
7-year old, African American, Female
Subjective.
CC : Scalp itchy and painful with dry skin and significant hair loss
HPI: Mother stated the condition has been present for 2 months and has gradually
gotten worse.
Current Medications: no current medications
Allergies: Sulfa drugs
PMHx: Up to date on vaccines, no surgical history, no past major illnesses.
Soc Hx: currently in 2nd grade in a public school, has frequent sleepovers with
friends, on a soccer team, enjoys reading. No one in house smokes, wears her
seatbelt.
Fam Hx: lives with her mom, brother, and two sisters.
ROS:
CONSTITUTIONAL: No weight loss, fever, chills, weakness or fatigue.
HEENT: Eyes: No visual loss, blurred vision, double vision or yellow sclerae. Ears,
Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat.
SKIN: Scalp is dry with itchy, painful, scaly patches. Significant hair loss present on
head
CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort. No
palpitations or edema.
, RESPIRATORY: No shortness of breath, cough or sputum.
GASTROINTESTINAL: No nausea, vomiting or diarrhea. No abdominal pain.
GENITOURINARY: No urinary issues.
NEUROLOGICAL: No headache, dizziness, syncope, numbness or tingling in the
extremities. No change in bowel or bladder habits
MUSCULOSKELETAL: No muscle, back pain, joint pain or stiffness.
HEMATOLOGIC: No anemia, bleeding or bruising.
LYMPHATICS: Enlarged occipital, postauricular, submandibular, and posterior
cervical nodes. No history of splenectomy.
PSYCHIATRIC: No history of depression or anxiety.
ENDOCRINOLOGIC: No reports of sweating, cold or heat intolerance. No polyuria
or polydipsia.
ALLERGIES: No history of asthma, hives, or eczema.
Objective.
Physical exam:
HEENT: Eyes: PERRLA, sclera is white and clear, conjunctiva pink and moist
Ears, Nose, Throat: No drainage present in bilateral ears, no swelling, redness,
drainage, effusion or cerumen present bilaterally. No hearing loss. No sneezing,
congestion, or drainage present in nose. Posterior pharynx is pink & there is no post
nasal drainage, tonsils are 2 +.
SKIN: Scalp is dry with itchy, painful, scaly patches. Significant hair loss present on
head
CARDIOVASCULAR: S1, and S2 auscultated, regular rate
RESPIRATORY: Lungs clear to auscultation in all lobes anterior and posterior
GASTROINTESTINAL: Bowel sounds present in all four quadrants. No abdominal
pain or tenderness upon palpation.
MUSCULOSKELETAL: Full ROM present in upper and lower extremities
LYMPHATICS: Enlarged and tender bilateral occipital, postauricular, submandibular,
and posterior cervical nodes.
height: 3’10”
weight: 55 lbs
BMI: 18.3
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