week 7 case study

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NURS_6512_Assessment_ReferenceSheet.pdf

NURS 6512: Assessment Reference Sheet Purpose To guide you in writing a clear, logical Assessment, including differential diagnoses, one final diagnosis supported by evidence, and required references supporting clinical reasoning.

Overview of Expectations - Include 3–5 differential diagnoses.

- Select ONE final diagnosis.

- Support all reasoning with subjective and objective findings.

- Use professional, concise clinical language.

- Include 3–5 peer-reviewed references (≤5 years old) to support diagnostic reasoning.

Differential Diagnoses (3–5 Required) Differential #1 Condition:

Rationale:

Subjective findings (supporting):

-

Subjective findings (non-supporting/absent):

-

Objective findings (supporting):

-

Objective findings (non-supporting/absent):

-

Differential #2 Condition:

Rationale:

Subjective findings (supporting):

-

Subjective findings (non-supporting/absent):

-

Objective findings (supporting):

-

Objective findings (non-supporting/absent):

-

Differential #3 Condition:

Rationale:

Subjective findings (supporting):

-

Subjective findings (non-supporting/absent):

-

Objective findings (supporting):

-

Objective findings (non-supporting/absent):

-

Differential #4 (Optional)

Differential #5 (Optional)

Final Diagnosis (ONE ONLY) Final Diagnosis: [Write the final diagnosis here]

Final Problem Statement Template [Initials/Name], [Age], presents with [chief complaint] characterized by [positive subjective findings] and denies [negative subjective findings]. Physical exam reveals [positive objective findings] with absence of [negative objective findings]. Pertinent history includes [relevant PMH, family history, or risk factors]. The overall clinical picture is most consistent with [final diagnosis].

Reference Requirements You must include 3–5 peer-reviewed journal references (published within the last 5 years) to support diagnostic reasoning in the Assessment. References must: - Align with the differential diagnoses and/or final diagnosis.

- Support pathophysiology, clinical presentation, or diagnostic criteria. - Be cited in APA 7th edition format. - Not include textbooks, blogs, or patient-education websites. Example acceptable sources: - Peer-reviewed journal articles - Clinical practice guidelines (ACC/AHA, ADA, IDSA, AAP, USPSTF) - Systematic reviews or meta-analyses