urgent due in 10 hours
Gurunanak@1
IHUM.docxPatient name - Annie Chambers.
Annie Chambers 25 y/ o 5'5" (165 cm) 120.0 Ib (54.5 kg) Reason for encounter New rash. Location Out patient clinic with x- ray, ECG and Laboratory capabilities
Patient Information • Name: Annie Chambers • Age: 25 years old • Height: 5'5" (165 cm) • Weight: 120 lbs (54.5 kg) • Reason for Encounter: New rash • Location: Outpatient clinic with x-ray, ECG, and laboratory capabilities
Dx- Contact Dermatitis
This course will require you to complete a series of case studies using the i-Human Patients 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 and categorized as disorders, to skin cancer and severe burns, which can be life threatening.
For this Assignment, you will examine an i-Human Patients case study. You will then work with an i-Human patient with an integumentary condition.
RESOURCES
· Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2023). Seidel's guide to physical examination: An interprofessional approach (10th ed.). Elsevier Mosby.
· Chapter 9, “Skin, Hair, and Nails” This chapter reviews the basic anatomy and physiology of skin, hair, and nails. The chapter also describes guidelines for proper skin, hair, and nails assessments.
· Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). F. A. Davis Company.
· Chapter 2, “The Comprehensive History and Physical Exam”
Be sure to review the Learning Resources before completing this activity. Click the weekly resources link to access the resources.
To prepare:
· By Day 1 of this week, your Instructor will assign an i-Human Patients case study for this Assignment. Note: Please see the Course Announcements section of the classroom for your i-Human Patients Assignment. – done
· Access and review the assigned i-Human Patients case study. Based on the provided patient information, think about the health history you would need to collect from the patient. – done
NEED SOAP NOTE
SUBJECTIVE -
OBJECTIVE =
ASSESSMENT =
PLAN
· 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 (3–5) 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 Patients patient, complete the assigned case study. For guidance on using i-Human Patients, refer to the i-Human Graduate Programs Help link within the i-Human Patients platform.
NURS_6512_Week 4_Assignment_Rubric
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NURS_6512_Week 4_Assignment_Rubric |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomeHistory: Complete an appropriate health history. (Scores are automatically calculated in the i-Human platform.) |
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20 pts |
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This criterion is linked to a Learning OutcomePhysical Exam: Complete an appropriate physical exam. (Scores are automatically calculated in the i-Human platform.) |
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20 pts |
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This criterion is linked to a Learning OutcomeEMR Documentation History of Present Illness: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only |
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10 pts |
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This criterion is linked to a Learning OutcomeEMR Documentation Subjective Data Document Current Medications, Review of System: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only |
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10 pts |
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This criterion is linked to a Learning OutcomeEMR Documentation Objective Data Document Physical Exam Findings: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Objective findings only |
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10 pts |
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This criterion is linked to a Learning OutcomeKey Findings: Organize the key findings with the most important first and least important last. |
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5 pts |
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This criterion is linked to a Learning OutcomeProblem Statement: Document a brief and accurate problem statement using professional language that includes the following: 1.) Name or initials, age; 2.) Chief complaint; 3.) Positive and negative subjective findings; 4.) Positive and negative objective findings. |
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5 pts |
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This criterion is linked to a Learning OutcomeManagement Plan: Use the expert diagnosis provided to create a pertinent, comprehensive, evidenced-based management plan. Address the following criteria in the plan: 1.) Diagnostic tests; 2.) Medications (write out a complete order, even for OTC meds); 3.) Suggested consults/referrals; 4.) Patient education; 5.) Follow up, including time interval and specific symptoms to prompt a return visit sooner; 6.) Provide rationales for each intervention and include references to support your plan. Clinical practice guidelines should be utilized as applicable. |
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15 pts |
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This criterion is linked to a Learning OutcomeReferences and Format: Current APA citations for references in management plan. Use of clinical practice guidelines when applicable. |
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5 pts |
