CASE STUDY: | Nursing

Clinical Requirement:

CASESTUDY.docx Working Through COMMON Pregnancy Case Studies and Other Issues in Advanced Nursing Practice The Assignment for this week is to provide you an opportunity to analyze one of five case studies provided.  These case studies involve common pregnancy and psychosocial issues encountered in advanced nursing primary care practice. You will use the case study template under weekly resources to develop your assignment. Resources Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.  WEEKLY RESOURCES To prepare: · Review the 5 case studies in this week’s Learning Resources. Select one of the cases to prepare your written assignment. · Review the Learning Resources for this week. Assignment Instructions: · Use the Case Study Template from the Learning Resources to complete the assignment. Your submission must include a brief case write-up, followed by the fully completed template, which must be integrated into the document rather than submitted separately. · Include a title page, a case summary in your own words, the completed template, and a reference page formatted in APA style. · Ensure your submission meets all criteria outlined in the template and rubric for completeness and accuracy. By Day 7 of Week 9 Submit your case study assignment by  Day 7 of Week 9. submission information Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the  Turnitin Drafts from the  Start Here area.  1. To submit your completed assignment, save your Assignment as  Wk9Assgn_LastName_Firstinitial 2. Then, click on  Start Assignment near the top of the page. 3. Next, click on  Upload File and select  Submit Assignment for review. Rubric NRNP_6552_Week9_Case_Study_Assignment_Rubric NRNP_6552_Week9_Case_Study_Assignment_Rubric Criteria Ratings Pts This criterion is linked to a Learning OutcomeAnalyzes subjective and objective data and outlines applicable diagnostic tests related to case studies. 30 to >26.7 ptsExcellentThe response provides clear, complete, and comprehensive descriptions of subjective and objective case data, appropriately outlining all diagnostic tests, clinical procedures and pharmacological interventions. 26.7 to >23.7 ptsGoodThe response provides clear, complete partial descriptions of the components of the subjective and objective case data, appropriately outlining most of the diagnostic tests, clinical procedures and pharmacological interventions. 23.7 to >20.7 ptsFairThe response provides some components of the subjective and objective case data, but they are incomplete, vague or inaccurate, outlining some of the diagnostic tests, clinical procedures and pharmacological interventions. 20.7 to >0 ptsPoorThe response provides unclear or incomplete components of subjective and objective case data. The diagnostic tests, clinical procedures and pharmacological interventions are missing, incorrect, or inappropriately applied. 30 pts This criterion is linked to a Learning OutcomeIdentifies differential diagnoses related to case studies. 30 to >26.76 ptsExcellentThe response contains at least 3 differential diagnoses relevant and applicable to the case. 26.76 to >23.7 ptsGoodThe response contains at least 2 differential diagnoses relevant and applicable to the case. 23.7 to >20.7 ptsFairThe response contains at least 1 differential diagnosis relevant and applicable to the case. 20.7 to >0 ptsPoorThe response contains few or no differential diagnoses and/or diagnoses are not relevant and applicable to the case. 30 pts This criterion is linked to a Learning OutcomeFormulates a treatment plan related to case studies based on scientific rationale, evidence- based standards of care, and practice guidelines. Integrates ethical, psychological, physical, financial issues and Social Determinants of Health in plan. 30 to >26.76 ptsExcellentFormulates a thorough treatment plan including explanations of appropriate diagnostic tests and treatment options. Fully incorporates syntheses representative of knowledge gained from the resources for the module and current credible sources, with no less than 75% of the treatment plan having exceptional depth and breadth. Supported by at least 3 current peer- reviewed, references or professional practice guidelines. 26.76 to >23.7 ptsGoodFormulates a partially complete treatment plan including partial explanations of appropriate diagnostic tests and treatment options. Somewhat incorporates syntheses representative of knowledge gained from the resources for the module and current credible sources with no less than 50% of the treatment plan having exceptional depth and breadth. Supported by at least 3 current peer- reviewed, references or professional practice guidelines. 23.7 to >20.7 ptsFairFormulates a minimally complete treatment plan including incomplete or vague explanations of appropriate diagnostic tests and treatment options. Lacking in synthesis of knowledge gained from the resources for the module and current credible sources. Supported by at least 2 current peer- reviewed, references or professional practice guidelines. 20.7 to >0 ptsPoorFormulates a treatment plan that contains incomplete explanations of appropriate diagnostic tests and treatment options and/ or explanations are missing. Lacks synthesis gained from the resources for the module and current credible sources. Supported by 1 or no current peer- reviewed, references or professional practice guidelines. 30 pts This criterion is linked to a Learning OutcomeWritten Expression and Formatting - English writing standards: Correct grammar, mechanics, and proper punctuation 5 to >4.45 ptsExcellentUses correct grammar, spelling, and punctuation with no errors. 4.45 to >3.95 ptsGoodContains a few (1 or 2) grammar, spelling, and punctuation errors. 3.95 to >3.45 ptsFairContains several (3 or 4) grammar, spelling, and punctuation errors. 3.45 to >0 ptsPoorContains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. 5 pts This criterion is linked to a Learning OutcomeWritten Expression and Formatting - The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. 5 to >4.45 ptsExcellentUses correct APA format with no errors. 4.45 to >3.95 ptsGoodContains a few (1 or 2) APA format errors. 3.95 to >3.45 ptsFairContains several (3 or 4) APA format errors. 3.45 to >0 ptsPoorContains many (≥ 5) APA format errors. 5 pts Case #4. Laura.  History of Present Illness (HPI): Laura is a 16-year-old Caucasian G1P0. She presents to your office after missing her second period. She is “worried” as she “always gets her period on time”. She is in high  school- about to enter the 11th grade. She lives with her grandmother and 2 older siblings. Her urine pregnancy test in clinic today is positive.  Laura is sexually active with her boyfriend; they do not use condoms. He “pulls out” as birth control. She reports being treated at the health department for chlamydia and gonorrhea earlier this year. She thinks her boyfriend was treated but he is not answering her calls since she told him about the missedperiods a few weeks ago. She reports daily nausea, vomiting and dysuria for the past 2 weeks. Prior medical history: None. Prior surgical history: None  Current medications: None. Allergies: None  OB- GYN History: Menarche age 12, cycle length-7 days- frequency every 30 days- 2 tampons per day.  History of chlamydia and gonorrhea (GC) in the past year. Last pap reported normal at the time of chlamydia/ GC diagnosis. Has not received Human Papillomavirus (HPV) vaccine.  LMP: Approximately 2 months ago. Contraception history: Withdrawal  Social history: Lives with her grandmother, siblings. Denies EtOH or recreational drug use. Currently smoking 1 pack of cigarettes/ day  Family history: Mother deceased at age 42- drug overdose. Father unknown.  Review of Systems (ROS): Unremarkable with exception of as noted in HPI.  Physical Exam (PE)  VS: BP: 110/68, P: 80, RR: 18, T: 37.1 Weight: 110 lbs. (states usual weight 120 lbs.).  Physical exam is unremarkable with exception of a cloudy, yellow mucoid cervical discharge on speculum exam; friable appearance of the cervix with cervical motion tenderness (CMT). You palpate an 8-week size uterus on bimanual.  Laura’s urine reveals 2+ ketones, 2+ nitrates, and 3+ leukocytes.  image1.jpeg