case study

Neurologic Function Case Study

Part 1:

Compare and contrast the 3 conditions (pain) in the chart. (I attached the chart)

Part 2:

Choose a pain syndrome to explore (pick one of them).

Present a hypothetical case that includes the following:

1. 1. Vital information about a person who might be predisposed to this condition (I.e., a person who may have risk factors for this condition).
2. 2. The pathophysiology of the disease, including clinical manifestations.
3. 3. Which diagnostic tests you’d recommend and a rationale for the one(s) you choose.
4. 4. How this condition compares to other differentials. (use differential chart)
5. 5. The evidence-based recommendations from the AHRQ guidelines (https://www.ahrq.gov/gam/index.html) or guidelines recommended from a professional organization. Based on these recommendations, discuss how  to manage the condition best.
6. 6. A patient safety issue that could be associated with the condition presented in this case.

Part 3:

Answer these reflection questions:

1. 1. What information would a master’s prepared nurse gather from a patient with this condition?
2. 2. How could the master’s prepared nurse use this information to design a patient education session for someone with this condition?
3. 3. What was the most confusing or challenging information presented in this case?

Expectations: 

• -Use medical terminology and appropriate graduate level writing.
• -Your resources must include research articles and reference to non-research evidence-based.
• -AHRQ guidelines
• -Use APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page listing those sources. Cite a minimum of three resources.

Neurologic Function Case Study

Part 1:

Compare and contrast the 3 conditions (pain) in the chart. (I attached the chart)

Part 2:

Choose a pain syndrome to explore.

Present a hypothetical case that includes the following:

1. 1. Vital information about a person who might be predisposed to this condition (I.e., a person who may have risk factors for this condition).
2. 2. The pathophysiology of the disease, including clinical manifestations.
3. 3. Which diagnostic tests you’d recommend and a rationale for the one(s) you choose.
4. 4. How this condition compares to other differentials. (use differential chart)
5. 5. The evidence-based recommendations from the AHRQ guidelines (https://www.ahrq.gov/gam/index.html) or guidelines recommended from a professional organization. Based on these recommendations, discuss how  to manage the condition best.
6. 6. A patient safety issue that could be associated with the condition presented in this case.

Part 3:

Answer these reflection questions:

1. 1. What information would a master’s prepared nurse gather from a patient with this condition?
2. 2. How could the master’s prepared nurse use this information to design a patient education session for someone with this condition?
3. 3. What was the most confusing or challenging information presented in this case?

Expectations: 

• -Use medical terminology and appropriate graduate level writing.
• -Your resources must include research articles and reference to non-research evidence-based.
• -AHRQ guidelines
• -Use APA format to style your paper and to cite your sources. Your source(s) should be integrated into the paragraphs. Use internal citations pointing to evidence in the literature and supporting your ideas. You will need to include a reference page listing those sources. Cite a minimum of three resources.

Purpose

The purpose of this assignment is to apply hypersensitivity pathophysiological concepts to explain assessment findings of a patient with Allergic Rhinitis. Students will examine all aspects of the patient’s assessment including: Chief Complaint (CC), History of Present Illness (HPI), Past Medical History (PMH), Family History (FH), Social History (SH), Review of Systems (ROS), and Medications and then answer the questions that follow on the provided Comprehensive Case Study template.

Activity Learning Outcomes

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

1. Analyze the case to arrive at the type of hypersensitivity reaction that the patient is exhibiting. (CO1)
2. Explain the pathophysiology of the identified hypersensitivity reaction. (CO1)
3. Identify all subjective and objective information provided in the case. (CO3)
4. Explain, using pathophysiology, the rationale for each subjective and objective finding. (CO1, CO3)
5. Identify two types of medications that are strongly recommended for the treatment of allergic rhinitis according to the clinical practice guidelines on the management of allergic rhinitis. (CO2, CO5)
6. Explain the mechanism of action of the two medication classifications and include how the symptoms of allergic rhinitis are alleviated when taken. (CO2, CO5)

Due Date

Sunday by 11:59 PM MT of Week 1

Total Points Possible

This assignment is worth 100 points.

Preparing the Assignment

Content Criteria:

1. Read the case study listed below.
2. Refer to the rubric for grading requirements.
3. Utilizing the Week 1 Case Study TemplateLinks to an external site., provide your responses to the case study questions listed below.
4. You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.
5. You must use the Clinical Practice Guideline (CPG) for the management of allergic rhinitis to answer the treatment recommendation questions. The guideline can be found at the following web address: https://journals.sagepub.com/doi/10.1177/0194599814561600Links to an external site..You may also use a medication administration reference such as Epocrates to provide medication names.
6. Proper APA format (in-text citations, reference page, spelling, English language, and grammar) must be used.

Case Study Scenario

A 35-year-old woman presents to the primary care office with a history of nasal congestion that has worsened over time and recurrent sinus infections. She considered herself healthy until about 12 months ago when she began experiencing rhinorrhea, sneezing, and nasal stuffiness that “seems to never go away”. She noticed that her rhinorrhea greatly improved when she attended her family reunion on a two-week Caribbean cruise but returned after being home a few days. She lives with her husband and 5- year-old child. They have two household pets: a dog that has lived with them for the last 4 years and a cat who joined the family 1 year ago. Upon exam, the NP observed eyelid redness and swelling, conjunctival swelling and erythema, allergic shiners (lower lid venous swelling), Allergic crease (lateral crease on the nose) and inflamed nares.

Case Study Questions

Pathophysiology & Clinical Findings of the Disease

1. Identify the correct hypersensitivity reaction.
2. Explain the pathophysiology associated with the chosen hypersensitivity reaction.
3. Identify at least three subjective findings from the case.
4. Identify at least three objective findings from the case.

Management of the Disease

*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.

1. Identify two strongly recommended medication classes for the treatment of the condition and provide an example (drug name) for each.
2. Describe the mechanism of action for each of the medication classes identified above.
3. Identify two treatment options that are NOT recommended (I.e., recommended against).

ASSIGNMENT CONTENTCategoryPoints%Description

Pathophysiology & Clinical Findings of the Disease

45

45%

The student:

• Identifies the correct hypersensitivity reaction.
• Explains the pathophysiology associated with the chosen hypersensitivity reaction.
• Supports the pathophysiology statement with at least one appropriate, scholarly reference (textbook is acceptable for pathophysiology statements only).
• Identifies at least three subjective findings from the case.Identifies at least three objective findings from the case.

(5 Required Elements)

Management of the Disease 

45

45%

The student:

• Utilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment recommendations.
• Identifies two strongly recommended medication classes for the treatment of the condition and provides an example (drug name) for each.
• Describes the mechanism of action for each of the medications identified.Identifies two treatment options that are NOT recommended (I.e.,recommended against).

90

90%

Total CONTENT Points = 90 pts

ASSIGNMENT FORMAT

CategoryPoints%DescriptionOrganization, spelling, grammar & APA format

10

10%

The student:

• Uses the week 1 case study template for case study responses.
• Provides correct in-text citations for responses which match the reference page.
• Has minimal spelling, grammar & APA format errors.

1010%Total FORMAT Points = 10 pts100100%ASSIGNMENT TOTAL = 100 points

Rubric

NR507 Week 1 Case Study

NR507 Week 1 Case Study

CriteriaRatingsPts

This criterion is linked to a Learning OutcomePathophysiology & Clinical Findings of the Disease

The student:- Identifies the correct hypersensitivity reaction.- Explains the pathophysiology associated with the chosen hypersensitivity reaction.- Supports the pathophysiology statement with at least one appropriate, scholarly reference (textbook is acceptable for pathophysiology statements only).- Identifies at least three subjective findings from the case.- Identifies at least three objective findings from the case.(5 Required Elements)

45 pts

All 5 required elements are present

41 pts

1 required element is missing.

37 pts

2 required elements are missing

23 pts

3-4 required elements are missing.

0 pts

All 5 required elements are missing.

45 pts

This criterion is linked to a Learning OutcomeManagement of the Disease

The student:- Utilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment recommendations.- Identifies two strongly recommended medication classes for the treatment of the condition and provides an example (drug name) for each.- Describes the mechanism of action for each of the medications identified.- Identifies two treatment options that are NOT recommended (I.e., recommended against).

45 pts

All 4 elements are present

41 pts

1 required element is missing

37 pts

2 required elements are missing

23 pts

3 required elements are missing

0 pts

All 4 required elements are missing

45 pts

This criterion is linked to a Learning OutcomeOrganization, spelling, grammar & APA format

The student:- Uses the week 1 case study template for case study responses.- Provides correct in-text citations for responses which match the reference page.- Has minimal spelling, grammar & APA format errors.

10 pts

Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 0-2 errors in spelling, grammar or APA format.

9 pts

Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 3-5 errors in spelling, grammar or APA format.

8 pts

Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 6-8 errors in spelling, grammar or APA format.

5 pts

Case study template is not used for responses OR In-text citations are incorrect or do not match the reference page AND There are 0-5 errors in spelling, grammar or APA format.

0 pts

Case study template is not used for responses AND/OR In-text citations are incorrect or do not match the reference page AND There are 6 or more errors in spelling, grammar or APA format.

10 pts

This criterion is linked to a Learning OutcomeLate penalty deductions

Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.

0 pts

Manual Deductions

0 pts

Manual Deductions

0 pts

Total Points: 100

PreviousNext

1. Read the case study below.
2. In your initial discussion post, answer the questions related to the case scenario and support your response with at least one evidence-based reference by Wed., 11:59 pm MT.
3. Provides a minimum of two responses weekly on separate days; e.g., replies to a post from a peer; AND faculty member’s question; OR two peers if no faculty question using appropriate resources, before Sun., 11:59 pm MT.

Case Scenario

A 76-year -old man is brought to the primary care office by his wife with concerns about his worsening memory. He is a retired lawyer who has recently been getting lost in the neighborhood where he has lived for 35 years. He was recently found wandering and has often been brought home by neighbors. When asked about this, he becomes angry and defensive and states that he was just trying to go to the store and get some bread.

His wife expressed concerns about his ability to make decisions as she came home two days ago to find that he allowed an unknown individual into the home to convince him to buy a home security system which they already have. He has also had trouble dressing himself and balancing his checkbook. At this point, she is considering hiring a day-time caregiver help him with dressing, meals and general supervision why she is at work.

Past Medical History: Gastroesophageal reflux (treated with diet); is negative for hypertension, hyperlipidemia, stroke or head injury or depression

Allergies: No known allergies

Medications: None

Family History

• Father deceased at age 78 of decline related to Alzheimer’s disease
• Mother deceased at age 80 of natural causes
• No siblings

Social History

• Denies smoking
• Denies alcohol or recreational drug use
• Retired lawyer
• Hobby: Golf at least twice a week

Review of Systems

• Constitutional: Denies fatigue or insomnia
• HEENT: Denies nasal congestion, rhinorrhea or sore throat.
• Chest: Denies dyspnea or coughing
• Heart: Denies chest pain, chest pressure or palpitations.
• Lymph: Denies lymph node swelling.
• Musculoskeletal: denies falls or loss of balance; denies joint point or swelling

General Physical Exam  

• Constitutional: Alert, angry but cooperative
• Vital Signs: BP-128/72, T-98.6 F, P-76, RR-20
• Wt. 178 lbs., Ht. 6’0″, BMI 24.1

HEENT

• Head normocephalic; Pupils equal and reactive to light bilaterally; EOM’s intact

Neck/Lymph Nodes

• No abnormalities noted

Lungs 

• Bilateral breath sounds clear throughout lung fields.

Heart 

• S1 and S2 regular rate and rhythm, no rubs or murmurs.

Integumentary System 

• Warm, dry and intact. Nail beds pink without clubbing.

Neurological

• Deep tendon reflexes (DTRs): 2/2; muscle tone and strength 5/5; no gait abnormalities; sensation intact bilaterally; no aphasia

Diagnostics

• Mini-Mental State Examination (MMSE): Baseline score 12 out of 30 (moderate dementia)
• MRI: hippocampal atrophy
• Based on the clinical presentation and diagnostic findings, the patient is diagnosed with Alzheimer’s type dementia.

Discussion Questions

1. Compare and contrast the pathophysiology between Alzheimer’s disease and frontotemporal dementia.
2. Identify the clinical findings from the case that supports a diagnosis of Alzheimer’s disease.
3. Explain one hypothesis that explains the development of Alzheimer’s disease
4. Discuss the patient’s likely stage of Alzheimer’s disease.

Please see instructions attached. 

Hi writer please see attach document for the  case study with instructions including rubric 

References no later than 5 years please. 

Concept: Delegation

 Case Study

You are working the night shift on a medical unit and have been assigned charge nurse responsibilities. You are working with four RNs, one LPN, and two UAPs. A client becomes pulseless and is not breathing, and the nurse assigned to the client’s care calls a code. The nurse is occupied at this client’s bedside for 1.5 hours until the resuscitation effort is completed, and the client is transferred to the intensive care unit. This nurse also has four other assigned clients. In addition to the nurse assigned to care for the client requiring resuscitation, two of the other nurses working on your unit are assisting in the code.

Review the case study and write an essay (suggested length of 2–3 pages, excluding title page and reference page) in which you do the following:

1. Discuss what tasks could you delegate to the UAPs?
2. The LPN working on the unit is a new graduate and has been employed for only 4 weeks. How would you collaborate with this nurse when delegating tasks for completion?
3. Discuss how you will maintain the safety of the other clients on your unit while three nurses are occupied with the client requiring resuscitation?

Explain how might effective delegation to other team members contribute to care of the clients on the unit? (Remember, this is not a question about the patient that is coded, but how you will handle the unit while you are short staffed).