State and explain any diagnostic measures utilized with this disease process.

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Adult Health

Case study Paper

Category

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Points

Percentage

Description

Pathology:

15 pts

· Define the patient’s disease process

· Explain the etiology of the disease process.

· Thoroughly explain signs and symptoms of disease process.

· State and explain any diagnostic measures utilized with this disease process.

· Cite sources

Assessment Data

10pt

· Clearly explain the difference between subjective and objection data.

· Identify Subjection and objection data that would be important to understand.

· Explain the information that would be information to understand from the chart.

· Identify the information from the chart that would be most helpful

· Identify what labs would be important to your assessment and why.

Medications

10pt

· Understand & explain first line treatment for the disease.

· Understand & explain second line treatment and why you would use second line treatment.

· Explain the patient’s medication: minimum of 3-5 medications.

· Explain the class of medication.

· Explain alternative therapies.

· Explain any Black Box warnings, contraindications, and nursing considerations for the medications.

· Identify 3-5 common side effects.

· Identify any medication interactions

· State the common indication for the prescribed medication.

· Explain 2 challenges that might prevent them from taking medication as prescribed.

· Cite sources

Diagnosis

10pt

· Provide 3 nursing diagnosis for the patients (primary physical, psychosocial and education) pertinent to this client’s medical diagnosis.

· List health assessment priorities for the nursing diagnosis.

· State 5 or more appropriate interventions with evidence-based practiced rationale for each action stated for each of the 3 primary nursing diagnosis (cite sources).

· Explain relevant lab work that is required with this medical diagnosis.

· Cite sources

Plan of care

15pt

· Explain what the patient is at risk for.

· Articulate safety concerns or issues at home.

· Explain 2 challenges that might prevent the patient from seeking medical care.

· Articulate all patient education for the patient and treatment plan.

· Explain an understanding of the diagnosis and treatment.

· Identify 2 short-term goals & 2 long-term goals.

· Identify 2 outcomes for the patients.

· Cite sources.

Discharge Instructions

10pt

· Articulate appropriate discharge instructions for these patients.

· Articulate appropriate follow-up care.

· Cite sources.

SOAPIE Note

10pt

The required elements include the following:

· Clear statement of subjective findings.

· Clear statement of objective findings.

· Clear statement of assessment findings.

· Clear statement of plan.

· Clear statement of interventions

· Clear statement of Evaluation

APA

20pts

All information taken from another source must be included on a reference listing using the 7th edition APA as per the Stratford University policy as of October 5th, 2020.

You are NOT allowed to use your book as a source Reference: You must use Peer Reviewed Sources/Articles.

Total

100

100

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