i-Human Dermatology

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INTRODUCTION

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A key skill for an advanced practice nurse is gathering patient information that can be used to inform diagnosis and treatment of conditions. Physical examination of a patient is often initiated by simple visual observations of external characteristics, including body language, demeanor, and cognitive ability, as well as the skin, hair, and nails (integumentary system). This information can contribute to the overall evaluation of a patient and guide assessment and diagnosis.

For this week, you will analyze a simulated case study about an adult i-Human patient with an integumentary condition and formulate a differential diagnosis, based on the patient’s information. Using the findings of your analysis, you will evaluate treatment options and then create an appropriate treatment plan for the patient.

LEARNING OBJECTIVES

Students will:

· Formulate differential diagnoses for adult patients with integumentary conditions

· Analyze pattern recognition in adult patient diagnoses

· Analyze the role of patient information in differential diagnosis

· Evaluate pharmacologic and non-pharmacologic treatment options for adult patients

· Create an appropriate treatment plan that includes health education and follow-up care

I-HUMAN CASE STUDY: EVALUATING AND MANAGING INTEGUMENTARY CONDITIONS

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This course will require you to complete a series of case studies using the i-Human software application. The i-Human Patients (IHP) Case Player enables you to interact with virtual patients for the purpose of learning patient-assessment and diagnostic-reasoning skills. With IHP, you will be able to independently interview, examine, diagnose, and treat virtual patients and receive expert feedback on your performance.

The integumentary system is susceptible to a variety of diseases, conditions, and injuries, ranging from the bothersome but relatively innocuous bacterial or fungal infections that are categorized as disorders to skin cancer and severe burns, which can be life-threatening.

For this Case Study Assignment, you will examine your first case study and work with a patient with an integumentary condition. You will formulate a differential diagnosis, evaluate treatment options, and then create an appropriate treatment plan for the patient.

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 this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with integumentary conditions.

· Access i-Human from this week’s Learning Resources and review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient.

· Consider what physical exams and diagnostic tests would be most appropriate to gather more information about the patient's condition.

· Reflect on how the results would be used to make a diagnosis.

· Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.

· Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.

· Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with integumentary conditions.

Assignment

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the  i-Human Graduate Programs Help link within the i-Human platform.

BY DAY 7

· Complete your Assignment in i-Human

· Upload your PDF from i-Human to this assignment 

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  WK2Assgn+last name+first initial

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_6531_Week2_Assignment_Rubric

NRNP_6531_Week2_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeHistory: Complete an appropriate health history (Scores are automatically calculated in iHuman platform). Evidence of Academic Integrity Issues will result in a grade of 0.

10 to >5.0 pts

Proficient

Achieve a score of 85-100%

5 to >1.0 pts

Competent

Achieve a score of 65-84%

1 to >0 pts

Novice

Achieve a score of less than 65%

10 pts

This criterion is linked to a Learning OutcomePhysical Exam: Complete an appropriate physical exam (Scores are automatically calculated in iHuman platform). Evidence of Academic Integrity Issues will result in a grade of 0.

10 to >5.0 pts

Proficient

Achieve a score of 85-100%

5 to >1.0 pts

Competent

Achieve a score of 65-84%

1 to >0 pts

Novice

Achieve a score of less than 65%

10 pts

This criterion is linked to a Learning OutcomeProblem Statement: Clearly written problem statement including subjective and objective data that supports the diagnosis.

5 to >3.0 pts

Proficient

Clearly written problem statement including all pertinent information related to chief complaint.

3 to >1.0 pts

Competent

Well written problem statement but missing 1-2 key components.

1 to >0 pts

Novice

Poorly written problem statement. Incomplete ideas and sentences. Lacks basic information.

5 pts

This criterion is linked to a Learning OutcomeHPI: Complete HPI including all 8 aspects of OLDCARTS and pertinent information related to chief complaint. Must be written in the i-Human patient EHR.

10 to >5.0 pts

Proficient

Clearly written HPI statement including all 8 aspects and pertinent information related to chief complaint. Includes pertinent positives and negatives.

5 to >1.0 pts

Competent

Well written HPI statement but missing 1-2 key components from the history. Missing pertinent positives and negatives.

1 to >0 pts

Novice

Poorly written HPI statement. Incomplete ideas and sentences. Lacks basic history taking skills. Missing pertinent positives and negatives.

10 pts

This criterion is linked to a Learning OutcomePrimary Diagnosis with ICD-10 Code and Clinical Practice Guideline, 3-5 Differential Diagnoses , and Coding: What were the key clinical presentations in this patient that led you to choose these differentials; then how did you rule them out to reach your primary diagnosis?

15 to >9.0 pts

Proficient

Correct primary diagnosis identified. Appropriate guidelines used to develop primary diagnosis included. Appropriate rationale and resources included. Appropriate and clearly written differential diagnoses. A minimum of three differentials with appropriate rationale included. Appropriate codes included.

9 to >3.0 pts

Competent

Correct primary diagnosis identified. Appropriate guidelines, rationale and resources included. Well written differential diagnoses. May be missing 1-2 critical components. Priority list may be out of order. At least 2 differentials are included, and rationale is generally appropriate. Most codes correct but some errors.

3 to >0 pts

Novice

Primary diagnosis is wrong. Missing guidelines, rationale, or resources. Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components. 0 to 2 differentials are included, and rationale is lacking or not appropriate. Codes are incorrect.

15 pts

This criterion is linked to a Learning OutcomeManagement Plan: Medications ordered (including over the counter) are appropriate, evidence based, written as a complete prescription, and includes appropriate medication education. Nonpharmacological treatment, additional ancillary testing and referrals ordered are appropriate.

20 to >14.0 pts

Proficient

Medications prescribed are appropriate, evidenced based, and full prescription is included and dosing correct. Full patient education information is included.

14 to >7.0 pts

Competent

Medications prescribed are appropriate, may not be evidenced based, and missing 1 or 2 elements of the prescription. Dosing is correct. Some patient education information is missing.

7 to >0 pts

Novice

Medications prescribed are inappropriate, are not evidenced based, and missing more than 3 elements of the prescription. Dosing is incorrect. Patient education information is inaccurate or missing important elements.

20 pts

This criterion is linked to a Learning OutcomeSocial Determinants of Health (SDOH), health promotion and risk factors are addressed

10 to >5.0 pts

Proficient

All aspects of SDOH, health promotion and risk factors are addressed.

5 to >1.0 pts

Competent

Some aspects of SDOH, health promotion and risk factors are addressed.

1 to >0 pts

Novice

Many missing aspects of SDOH, health promotion and risk factors.

10 pts

This criterion is linked to a Learning OutcomePatient Education

10 to >5.0 pts

Proficient

Comprehensive patient education is included related to current health visit

5 to >1.0 pts

Competent

Patient education is present but missing 1 or 2 key pieces of information related to current visit.

1 to >0 pts

Novice

Patient education is missing many aspects related to current visit.

10 pts

This criterion is linked to a Learning OutcomeFollow Up Instructions

5 to >3.0 pts

Proficient

Follow up instructions are complete and include time to next visit and specific symptoms to prompt a return visit sooner.

3 to >1.0 pts

Competent

Follow up instructions are generally complete but missing 1 or 2 aspects. Symptoms that would prompt a return visit sooner are included but some are missing.

1 to >0 pts

Novice

Follow up instructions are missing important timing aspects. Symptoms prompting return visit sooner are incomplete or missing.

5 pts

This criterion is linked to a Learning OutcomeScholarly References and Clinical Practice Guidelines: The assignment includes a minimum of 3 scholarly references that are not older than 5 years. Most recent clinical practice guidelines are included if applicable.

5 to >3.0 pts

Excellent

Contains parenthetical/in-text citations and at least 3 evidenced based references less than 5 years old are listed. Clinical practice guidelines are cited if applicable.

3 to >1.0 pts

Good

Contains parenthetical/in-text citations and at least 2 evidenced based references less than 5 years old are listed. Clinical practice guidelines are cited if applicable.

1 to >0 pts

Poor

Contains no parenthetical/in-text citations and 0 evidenced based references listed. Clinical practice guidelines are not cited if applicable.

5 pts

Total Points: 100

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