Nursing Week 3: Case Discussion: Cardiovascular

Nursing Week 3: Case Discussion: Cardiovascular

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Nursing Week 3: Case Discussion: Cardiovascular

Nursing Week 3: Case Discussion: Cardiovascular

Total Points Possible:  100

DISCUSSION CONTENT Category Points % Description Application of Course Knowledge 50 50% Post contributes clinically accurate perspectives/insights applicable to the results from the physical exam and diagnoses. Initial post includes the most likely diagnosis/specific treatment plan given case study information supported by rationale and answers all questions presented in the case. Demonstrates course knowledge/assigned readings by: linking tests/interventions accurately to diagnoses, applies learned knowledge specifically to the symptoms and patient information using original dialogue i.e., little to no direct quotes. Evidence Based resources 20 20% Discussion post supported by evidence from appropriate sources published within the last five years. Focus of journal articles represents a logical link between the article content and the case study information.  In-text citations and full references are provided. Interactive Dialogue 20 20% Presents case study findings and responds substantively to at least one peer including evidence from appropriate sources, and all direct faculty questions posted. Substantive posts contribute new, novel perspectives to the discussion using original dialogue (not quotes from sources)  Nursing Week 3: Case Discussion: Cardiovascular           90 90% Total CONTENT Points= 90 pts DISCUSSION FORMAT Category Points % Description Organization 5 5% Discussion post presented in a logical, meaningful, and understandable sequence. Headings reflect separation of criterion outlined in assignment guidelines. **Direct quote should not exceed 15 words & must add substantively to the discussion APA/Grammar/Spelling 5 5% Discussion post has minimal grammar, spelling, syntax, punctuation and APA* errors. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post. * APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.   10 10% Total FORMAT Points= 10 pts       DISCUSSION TOTAL= 60 points

 

Requirements:  Nursing Week 3: Case Discussion: Cardiovascular

Setting: large rural clinic; family practice clinic that employs physicians, physician assistants and nurse practitioners.

You open the chart to review for your next patient, and you see it is Lorene M. Lorene is a 60 year-old African American female with a history of hypertension and known documented metabolic syndrome following lifestyle changes per her request. You note she is not due for a follow up at this time, so you look at the chief complaint.

CC: Shoulder discomfort and SOB with exercise 3 days ago.

You enter the room and introduce yourself to Lorene who is sitting in the chair. You ask what brings her in today. She smiles, shaking her head and says “My daughter made me come, I feel fine. I am way too busy to be here today. Since my last visit, three months ago, I joined a gym and with the support of my daughter, we are going two days a week.” However, three days ago Lorene felt short of breath while in dance class. She developed what she calls as “a discomfort” that radiated back and up between her shoulder blades while at the peak of her exercise routine. She also felt a little nauseous and sweaty. Once she stopped dancing, all symptoms resolved in about 3 minutes and they have not re-occurred.

PMHx: Reports general health as good. She has been trying to lose weight through exercise and avoiding processed foods. She admits that food is a large part of her background and heritage in social activities and so it is difficult to make healthy choices. She had been feeling great since starting to work out and has lost 2 inches around the abdomen. She describes having lots of energy until this episode three days ago.  Now she is a little concerned because she feels a little more tired than usual. She has not participated in anything strenuous and has not worked out since

Childhood/previous illnesses: chicken pox.

Chronic illnesses: Hypertension, Metabolic Syndrome, and Dyslipidemia.(Lifestyle management was initiated per patient preference) Gestational Diabetes with 3 pregnancies managed with Insulin

Nursing Week 3: Case Discussion: Cardiovascular

 

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