NR 603 Week 2 Part Two: Case Study Follow Up Visit Discussion (2 Versions)
The purpose of this assignment is for students to:
- Improve their ability to formulate diagnoses based on clinical presentation of patients
- Improve their ability to understand and apply National Guidelines for the diagnosis and treatment of Pulmonary disorders
- Design a relevant treatment plan
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
- Utilize healthcare delivery system resources in a fiscally responsible manner in the diagnosis and treatment of patients and families across the lifespan. (PO 5)
- Develop management plans based on current scientific evidence and national guidelines. (PO 5)
- Educate patients on treatment decisions (WO1)
- Select an evidence-based article to support the plan of care for the case study patient. (WO2)
- Analyze national guidelines and apply them to specific case study situations. (WO3)
- Review appropriate antibiotic prescribing guidelines. (WO4)
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Name: Jennifer Lucas
Status: Online ⬤
Classes Taken: 3878
Michelle continues to work in the bakery and her asthma has been well controlled on a low-dose inhaled corticosteroid inhaler, Singular 10mg daily, and Albuterol prn which she uses 1-2 times per week. Michelle presents to the clinic with an acute illness that developed 2 days ago and has a respiratory rate of 24, mild SOB with exertion, O2 saturation of 94%, and complaint of inspiratory and expiratory wheezing. She is able to speak and states her temperature over the last 2 days has been 101 to 102 F. Cough is productive of white sputum. Influenza A is going around the bakery. Exam findings show a woman who appears her stated age and is alert and oriented and though calm, is having mild work of breathing. AR 110 BPM, BP is 150/85, RR: 24, Temp 101.4. She has a nonproductive, dry cough, is mildly short of breath, fair chest expansion, + inspiratory/expiratory wheezes, no rales, no rhonchi. Auscultation reveals no thrills, gallops or extra heart sounds. Apical rate is … at 110. Physical exam is otherwise unremarkable. The MA has swabbed her for Influenza A- test is positive.
- Determine appropriate treatment plan for Michelle. Discuss medications, doses, Durable Medical Equipment, and any testing, and apply these directly to her case. Provide your rationale with evidence.
- Decide whether she is safe to return home, include any prescriptions, or if a referral to a higher level of care is required. Discuss the criteria … to make your decision, how a referral is made and defend your position.
- Discuss relevant education and follow up plan.