NRNP-6531
preet22
IHUMAN4INSTRUCTIONS.docxi-Human Case Study: Evaluating and Managing Cardiovascular Conditions
Because cardiovascular conditions are preventable and manageable, it is important that the advanced practice nurse use both their understanding of the cardiovascular system and the impact of patient factors and behaviors that might increase patient risk of such conditions. This critical information can guide you in immediately identifying signs and symptoms that can inform differential diagnoses and lead to identification of appropriate treatment options and a treatment plan.
For this Case Study Assignment, you will analyze an i-Human simulation case study about an adult patient with a cardiovascular condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and 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.
To prepare:
· Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with cardiovascular conditions.
· Access i-Human from this week’s Learning Resources and review the assigned case study.
· Analyze the provided patient history, physical exam findings, and diagnostic test results to support clinical decision-making.
· 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.
Assignment Requirements:
Using the Management Plan Template provided in the learning resources, complete the following components:
1. Problem Statement
· Write a complete problem statement. Present the patient as you would to your preceptor, including subjective and objective findings.
2. Primary Diagnosis with Coding
· Identify the primary diagnosis with the corresponding ICD-10 code.
· Provide a rationale for the primary diagnosis.
· Include CPT codes for the office visit, preventive exam, and any procedures (e.g., vaccine, lab draw, ear lavage) performed during the visit.
3. Evidence-Based Guidelines
· Identify the clinical practice guidelines used to develop the primary diagnosis.
4. Differential Diagnoses
· List 3–5 differential diagnoses (distinct from the primary diagnosis).
· Provide a rationale for each diagnosis.
5. Management Plan
· Include prescribed and over-the-counter medications with drug name, dosage, route, and patient education.
· Detail nonpharmacological treatments and supportive care.
· Specify any required ancillary tests (e.g., ECG, spirometry, X-ray).
· List any necessary referrals (e.g., physical therapy, cardiology, hematology).
6. SDOH, Health Promotion, and Risk Factors
· Address social determinants of health (SDOH), including economic stability, education, healthcare access, neighborhood and environment, and social/community context.
· Outline health promotion strategies, including age-appropriate preventive screenings and immunizations.
· Discuss risk factors related to the primary diagnosis.
7. Patient Education
· Provide comprehensive patient education relevant to the current health visit.
8. Follow-Up
· Include the timeframe for the next visit and specific symptoms that would prompt an earlier return.
9. References
· Use a minimum of three scholarly references from the past five years.
Ensure that all responses are clear, evidence-based, and align with the rubric expectations. Submit the completed assignment in the required format and refer to the Management Plan Template for structure and guidance.
Rubric
NRNP_6531_Week4_iHuman_Assignment_Rubric
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NRNP_6531_Week4_iHuman_Assignment_Rubric |
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Criteria |
Ratings |
Pts |
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This criterion is linked to a Learning OutcomeProblem Statement: Includes a clearly written problem statement that integrates subjective and objective data, effectively supporting the identified diagnosis. |
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10 pts |
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This criterion is linked to a Learning OutcomeCorrectly identify the primary diagnosis along with its corresponding ICD-10 code and list 3-5 differential diagnoses. Describe the key clinical presentations that led to your selection of these differentials. Explain your diagnostic reasoning by detailing how each differential was considered and subsequently ruled out to arrive at the final diagnosis. |
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15 pts |
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This criterion is linked to a Learning OutcomeIdentification and Application of Clinical Practice Guidelines: Identify the clinical practice guideline(s) used in diagnosing the primary condition. Explain how the guideline (s) informed your diagnostic decision-making, including key criteria for diagnosis and recommended assessments. Justify your approach by referencing specific guideline recommendations. |
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15 pts |
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This criterion is linked to a Learning OutcomeManagement Plan: Include appropriate, evidence-based medications (including over-the-counter options), written as complete prescriptions with proper medication education. Additionally, nonpharmacological treatments, necessary ancillary testing, and appropriate referrals are clearly outlined and relevant to the patient’s condition. |
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25 pts |
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This criterion is linked to a Learning OutcomeAddress all aspects of Social Determinants of Health (SDOH), health promotion and risk factors related to the primary diagnosis for the patient. |
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10 pts |
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This criterion is linked to a Learning OutcomeProvide clear, evidence-based patient education on the diagnosis, treatment plan, medication use, lifestyle modifications, and symptom management. Ensure the information is patient-centered, culturally appropriate, and addresses health literacy to support adherence and self-management. |
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15 pts |
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This criterion is linked to a Learning OutcomeFollow Up Instructions: Provide clear, detailed, and patient-centered follow-up instructions tailored to the diagnosis and treatment plan. Specify timing for follow-up visits, including when the patient should return for reassessment or ongoing management. Include red flag symptoms that require immediate medical attention and guidance on when to seek urgent or emergency care. |
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5 pts |
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This criterion is linked to a Learning OutcomeScholarly References and Clinical Practice Guidelines: Include a minimum of 3 scholarly references that are not older than 5 years. Include most recent clinical practice guidelines if applicable. |
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5 pts |
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Total Points: 100 |
EMAIL FROM PROF: MUST FOLLOW
ihuman scoring
I wanted to touch base before you start with the next ihuman...I see many of the same errors that result in dedication of points.
Clinical guidelines are a synthesis of evidence that experts in the field will put together to guide care. Stat Pearls, medscape, up-to-date, etc. are not a clinical guideline. These are educational websites and really tertiary information, and you need to be careful using them. Medscape especially has outdated information at times. However, they should reference the actual guideline. To obtain a clinical guideline you need to look at the experts. Who are experts? American College of Cardiology is an expert in cardiology. American Diabetes Association is the expert in diabetes. After you find the guideline, you need to discuss how you applied it in the case.
Plan: Medications- many did not write as a script as directed in the rubric. Make sure you have all aspects of that scrip including how much to dispense. There are both pharmacological and non pharmacological plans in all cases.
Education-I saw a lot of generic basic education. Please really center your education on the patient you are "seeing" and the diagnosis...and include anything else that might influence the diagnosis. In this case diabetes could influence the diagnosis.
Follow up-be very specific and educational in your follow up plan...write is as a plan. If this happens, do this, or if that happens do this, etc. Red flags should be included.
Make decisions-This is an exercise in synthesizing information and making clinical decisions. I am not looking for all the medications that treat this disease. The idea is to prescibe what you think is appropriate for the patient.
Follow APA-font, spacing, etc. You can use bullets and lists, but do so following APA. You should not have differing spacing or font, or change in size of font within paper. Some things can be bolded if needed. Please review these guidelines. It increased professionalism within the paper. for this assignment, since it is a document, it should have a proper cover page as well.
IDC 10 codes are diagnostic, CPT codes are office billing code, review the welcome PPT for references sites for these.
Finally, we only allow one attempt at this case. If you did not submit the correct assignment, I cannot allow resubmissions. You can make up the grade by doing well on the future assignments.
NRNP 6531 i-Human Template
Management Plan Template ( Must use these headings)
1. Problem Statement
a. How would you present this patient to your preceptor? Include both subjective and objective findings
2. Primary Diagnosis with coding
a. Primary diagnosis with ICD-10 code
b. Rationale for primary diagnosis
c. Include CPT code/s for office visit or preventive exam. Also include any CPT codes for procedures performed during this visit – ie: vaccine, lab draw, ear lavage
3. Evidence-based guidelines
a. Which guidelines were used to develop the primary diagnosis?
4. Differential Diagnoses
a. Include 3 -5 differential diagnoses (different from the primary diagnosis)
b. Rationale for each diagnosis
5. Management Plan: Medications, nonpharmacological treatment, ancillary tests, and referrals
a. Drug name, dosage, route. Include any supplements or OTC medications. Include education for medications prescribed
b. Nonpharmacological treatment/supportive care
c. Any ancillary testing needed – ie: ECG, Spirometry, X-ray
d. Referrals – any specialty referrals – ie: physical therapy, cardiology, hematology
6. SDOH, health promotion and risk factors
a. SDOH – Address economic stability, education access and quality, healthcare access and quality, neighborhood and environment, and social and community domains for the patient
b. Health promotion - include all age-appropriate preventive health screenings and immunizations
c. Risk factors – Address patient risk factors related to primary diagnosis
7. Patient Education
a. Include comprehensive patient education related to current health visit
8. Follow up
a. Include time to next visit and specific symptoms to prompt a return visit sooner.
9. References
a. Must use a minimum of 3 scholarly references within the past 5 years
