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NR 511 Week 2 Discussion: SNAPPS Presentation (RATED A+)

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The purpose of the SNAPPS assignment is to provide a learner centered approach to case presentation where the student takes an active role. One of the most comment criticisms that we have … from you r preceptors at this level is that the students in the first clinical course do not know how to … their patient and present to the preceptor or group. This assignment is meant to help you to organize patient information in a meaningful way and fine tune your patient presentation skills. NR-511 Week 2 SNAPPS Presentation SUMMARIZE: Using a patient seen in the practicum setting, summarize the H&P into an organized and concise format. NARROW: Based on the H&P key findings, identify an appropriate differential. 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. 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. PLAN: At a novice level, propose an appropriate plan to confirm and/or manage the problem. SELF-DIRECTED LEARNING: Identify one issue for self-directed learning. Show Less

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SNAPPS ORAL PRESENTATION TEMPLATE

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


Knowing which antibiotic to use, allergy to sulpha or pcn
Rapid strep comes back negative but it’s clearly strep & give medication anyway



SUMMARIZE
Using a patient seen in - practicum setting, summarize - H&P into an organized &
concise format.

CC Sore throat, cough, congestion
28 year old female.

HPI statement
using O – Onset
OLDCARTS
data Sore Throat
This is a new problem. - current episode started yesterday. - problem has
been unchanged.

 L – Location

Nei-r side of throat is experiencing more pain than - o-r.

 D – Duration

Continuous for past 24 hours


 C – Character




Maximum temperature: low grade, 99.5. - fever has been present for
less than 1 day. Associated symptoms include congestion & coughing.
Pertinent negatives include no ear pain or shortness of breath. Pt reports
pain as 6/10 & scratchy & sore throat, & positive for nasal congestion &
cough.

,  A - Alleviating & Aggravating factors

Swallowing makes - sore throat worse, no reported alleviating
factors



 R – Radiation

denies

 T – Treatments

Pt tried OTC NSAIDS with mild relief

 S – Severity
 - pain is reported to be moderate & bo-rsome but does not
distruct ADLs




Pertinent ROS
Review of Systems
Constitutional: Positive for diaphoresis & fever. Negative for chills.
HENT: Positive for congestion, postnasal drip, sinus pressure & sore
throat. Negative for ear pain & sinus pain.
Respiratory: Positive for cough. Negative for shortness of breath &
wheezing.

, Pertinent PE
BP 129/81 | Pulse 95 | Temp 37.5 °C (99.5 °F) | Ht 175.3 cm (5' 9") | Wt
114.3 kg (252 lb) | LMP 01/08/2020 | BMI 37.21 kg/m²
Physical Exam
Vitals signs & nursing note reviewed.
Constitutional:
General: She is not in acute distress.
Appearance: Normal appearance. She is well-developed & well-groomed.
She is ill-appearing. She is not toxic-appearing.
HENT:
Head: Normocephalic & atraumatic.
Right Ear: Tympanic membrane & ear canal normal.
Left Ear: Tympanic membrane & ear canal normal.
Nose: Nose normal.
Mouth/Throat:
Lips: Pink.
Mouth: Mucous membranes are moist.
Pharynx: Oropharynx is clear. Uvula midline. Posterior oropharyngeal
ery-ma present.
Tonsils: No tonsillar exudate. Swelling: 1+ on - right. 1+ on - left.
Cardiovascular:
Rate & Rhythm: Normal rate & regular rhythm.
Heart sounds: Normal heart sounds.
Pulmonary:
Effort: Pulmonary effort is normal.
Breath sounds: Normal breath sounds.
Lymphadenopathy:
Cervical: Cervical adenopathy present.
Skin:
General: Skin is warm & dry.
Neurological:
General: No focal deficit present.
Mental Status: She is alert & oriented to person, place, & time.




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

1. Acute pharyngitis
2. Streptococcal pharyngitis
3. Acute nasopharyngitis [common cold]

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