Guide for a Selected Chronic Condition
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GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx
GuideforaSelectedChronicCondition.docx
GuideforaSelectedChronicConditionTemplat_JanetHuxley.docx
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Intussusception |
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What is it? |
Intussusception occurs when a portion of the intestine folds like a telescope, with one segment slipping inside another segment. It can occur anywhere in the intestines. This causes an obstruction, preventing the passage of food that is being digested through the intestine. |
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Etiology |
The cause of intussusception is not known. Though rare, an increased incidence of developing intussusception may be seen in children: · Who have abdominal or intestinal tumors or masses · Who have appendicitis |
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Occurrence/Epidemiology |
Children less than 3 years old, can also occur in older children, teenagers, and adults. · Intussusception occurs more often in boys than girls.
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Clinical Presentation (subjective and physical examination) |
Subjective: Pain, Sudden loud crying, Straining, Draw knees up, Irritable.
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Objective: red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. |
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Diagnostic Testing |
X-Ray: may demonstrate an elongated soft tissue mass with a bowel obstruction proximal to it. |
Ultrasound: ‘Target Sign’ also known as the doughnut sign or bull's eye sign. appearance is generated by concentric alternating echogenic and hypoechogenic bands. |
Upper & Lower GI Series (Barium Swallow & Enema): giving the "coiled spring” appearance |
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3 Differential Diagnosis (include difference between each differential diagnosis & the main diagnosis) |
Intussusception: Pain, sudden crying, red mucus or jelly like stool, fever, lethargic, vomiting bile, diarrhea, sweating, dehydration, abdominal distention or lump. |
Gastroenteritis: vomiting that are typically nonbilious, often with anorexia, fever, lethargy, and diarrhea. No jelly like stool |
Gastric Volvulus: Epigastric pain tenderness and distention, vomiting, bloody diarrhea
No jelly like stool |
Appendicitis: abdominal pain that has migrated from a periumbilical position to the right lower quadrant. No jelly like stool or masses. |
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Non-Pharmacologic Management |
There are currently no nonpharmacological treatments. |
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Pharmacologic Management |
May fix itself while being diagnosed with barium enema. Air enema (aids in moving intestines back). Antibiotics if infection present Surgery: push the telescoped intestine back out. Rare cases a resection of intestines may happen, and stoma created.
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Follow Up |
With toleration of diet, patients treated with nonoperative reduction are usually discharged 12-18 hours after the therapeutic enema. After operative reduction, postoperative progress dictates the length of stay. |
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References |
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Blanco, F. C., Chahine, A. A., King, L., & Wilkes, G. (2017, July 3). Intussusception: Practice Essentials, Background, Etiology and Pathophysiology. Retrieved from http://emedicine.medscape.com/article/930708-overview#a1
Crawford, E. (2015). NP-Family Specialty Review and Study Guide: A Series from StatPearls. Retrieved from https://books.google.com/books?id=86ybCgAAQBAJ&dq=intussusception+np+questions&source=gbs_navlinks_s
Epocrates. (2017). Intussusception Differential Diagnosis - Epocrates Online. Retrieved from https://online.epocrates.com/diseases/67935/Intussusception/Differential-Diagnosis
Shah, V., & Amini, B. (2017). Intussusception | Radiology Reference Article | Radiopaedia.org. Retrieved from https://radiopaedia.org/articles/intussusception |
GuideforaSelectedChronicCondition.docx
Guide for a Selected Chronic Condition
The purpose of this assignment is to design a study guide that will assist you and your peers to translate relevant clinical guidelines and evidence-based research into evidence-based practice to promote health and prevent chronic health problems.
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You must choose one of the conditions below: · Diabetes Mellitus · Congestive Heart Failure · Chronic Kidney Disease · COPD |
Your study guide must include: · Definition, etiology · Occurrence/epidemiology · Clinical presentation · Diagnostic testing · Differential diagnosis · Non-pharmacological and pharmacological management and follow up |
Submission Instructions:
· The study guide is to be clear and concise and will provide a quick reference for a specific chronic disease.
· Include your resources and guidelines used for the elaboration of the study guide.
· Please use the attached template below to complete your assignment.
· Guide for a Selected Chronic Condition Template Download Guide for a Selected Chronic Condition Template
· Students will lose points for improper grammar, punctuation, misspelling, and references should be current (published within the last five years).
Grading Rubric
Your assignment will be graded according to the grading rubric, which is found by clicking on the three dots in the upper right corner and selecting "show rubric" from the menu.
Essay/Paper Rubric
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Essay/Paper Rubric |
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Criteria |
Ratings |
Points |
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Identification of Main Issues/Problems |
Distinguished Identify and demonstrate a sophisticated understanding of the issues/problems. 4 pts Excellent Identifies and demonstrate an accomplished understanding of most of issues/problems. 3 pts Fair Identifies and demonstrate an an acceptable understanding of most of issues/problems. 2 pts Poor Identifies and demonstrate an unacceptable understanding of most of issues/problems. 1 pts No Submission 0 pts |
/4 pts |
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Analysis and Evaluation of Issues/Probelms |
Distinguished Presents an insightful, thorough analysis and evaluation of issues/problems. 4 pts Excellent Presents a thorough analysis and evaluation of most of the issues/problems. 3 pts Fair Presents a superficial or incomplete analysis and evaluation of issues/problems. 2 pts Poor Presents unacceptable analysis and evaluation of issues/problems. 1 pts No Submission 0 pts |
/4 pts |
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Demonstrates a Conceptual Understanding |
Distinguished Provides a thorough, competent and interpretive responses to all issues/problems, and shows a high level of conceptual understanding. 4 pts Excellent Provides a competent and interpretive responses to all issues/problems, and shows a moderate level of conceptual understanding. 3 pts Fair Provides a competent responses to all issues/problems, but lacks interpretation and a moderate level of conceptual understanding. 2 pts Poor Provides an unacceptable response to all issues/problems, and lacks interpretation and a moderate level of conceptual understanding. 1 pts No Submission 0 pts |
/4 pts |
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Use of Citations to Course Readings and Additional Research/Literature |
Distinguished Effectively uses the literature and other resources to inform their work. Exceptional use of citations and extended referencing. 4 pts Excellent Effectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. 3 pts Fair Ineffectively uses the literature and other resources to inform their work. Moderate use of citations and extended referencing. 2 pts Poor Ineffectively uses the literature and other resources to inform their work. An unacceptable use of citations and extended referencing. 1 pts No Submission 0 pts |
/4 pts |
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Writing Mechanics and APA Formatting Guidelines |
Full Marks Demonstrate a high level of clarity, precision, and attention to detail. APA style is correct and writing is free of grammar and spelling errors. 4 pts Excellent Demonstrate a high level of clarity. APA style and writing mechanics need more precision and attention to detail. 3 pts Fair Demonstrate a moderate level of clarity. APA style and writing mechanics need more precision and attention to detail. 2 pts Poor Demonstrates issues in writing and communicating clearly. APA style and writing mechanics need serious attention. 1 pts No Submission 0 pts |
/4 pts |
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