nr 602 week 3 sick child clinical case presentation
nr 602 primary care of the childbearing and childrearing family
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WEEK 3: SICK CHILD CLINICAL CASE PRESENTATION
Chamberlain College of Nursing, Course Code: NR 602, Course Title: Primary Care
of the Childbearing and Childrearing Family
NR602: Pediatric Study
Topics
, PURPOSE
The purpose of this assignment is for learners to:
• Have the opportunity to integrate knowledge and skills learned throughout all core courses in the
FNP track and previous clinical courses.
• Demonstrate an advancing understanding of the care of women and children.
• Demonstrate the ability to analyze previous patients seen in the clinical setting be able to
perform an evidenced- based review of their case, diagnosis, and plan, while guiding and taking
feedback from peers regarding the case
• Demonstrate professional communication and leadership, while advancing the education of peers.
Course Outcomes
1. Integrate current evidence based clinical practice guidelines in the care of childbearing and
childrearing families.
2. Appropriately apply anticipatory guidance and health promotion in the care of childbearing and
childrearing families.
3. Assess growth and developmental milestones in the care of childbearing and childrearing families.
4. Construct an evidence based reproductive health management plan.
5. Identify and address healthcare needs of marginalized childbearing and childrearing families
Requirements
For Week 3 of the course you will be presenting your own case from clinical. The case should be clear,
organized, and meet the following guidelines:
Initial Case Presentation:
Present only the subjective and objective data only on the patient organized as you would organize them in a
SOAP (CC, HPI (no OLDCART for HPI); ROS, PE findings, and any lab or diagnostic findings for your patient.
**Do not put the diagnosis or plan in initial post. No Assessment/Plan in the initial post. No citations or
references are required for your initial post, you will post references in your summary post.
WEEK 3: The case should be pediatric (a patient age 17 years or younger).
WEEK 3 specific guidelines: The case must not be something overly simple. The list of things that should not
be covered include sore throat, URI, UTI, ear infection, or contact dermatitis (poison ivy). You need to
present a case that intrigued you or presents new content in a different light. *One of the above diagnosis
can be presented if the findings were unusual and you clear such case with your course faculty prior to
posting (at least 2 days before posting). In the pediatric case you must also include in the objective data
growth chart percentiles for height, weight, and BMI, and tanner staging. A patient you saw both for initial
complaint and follow-up would be ideal, but not required.
Leading the Discussion: Post your subjective, objective, and diagnostic data for your patient by Wednesday
at 11:59 PM MT.
Interactive Dialogue: As a student you will also be required to respond to at least two (2) other students
initial case presentation. In your responses, you must include the following: Your top three (3) differentials
based on the information provided and why (rationale based on presentation findings), the primary
diagnosis you are leaning toward, how you would treat that diagnosis. Use references to support your
response. *DEADLINE - YOUR RESPONSES TO 2 STUDENTS ARE DUE BY FRIDAY AT 11:59 p.m. (MT). **If all
students have a response, then choose the student with the least responses to their posting.
Clinical Case Presentation Summary Criteria:
NR602: Pediatric Study
Topics
,By Sunday 11:59 p.m. MT, post a summary reply to your initial post and respond to any faculty questions
to your initial posting or question(s) posed to the general class. Use references to support all of your
responses.
Criteria for Summary Post should include all of the following required elements: Summary post written in
paragraph(s) type format (No SOAP note for Summary Post); discuss primary and any applicable secondary
diagnoses along with treatment plan for each diagnosis. Scholarly and evidence based in-text citation
support for all of the listed diagnoses;
NR602: Pediatric Study
Topics
, Scholarly and evidence based in-text citation for each treatment plan. Differential diagnoses are
eliminated. Summarize your peer's posts to your presentation.
*Remember not to use any patient identifiers in your posting (this would be full names or disclosure
of clinic name, preceptor name, et cetera). Please include age, gender, and race.
**To see view the grading criteria/rubric, please click on the 3 dots in the box at the end of the solid gray bar
above the discussion board title and then Show Rubric.
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Collapse SubdiscussionKristan Bannister
KRISTAN BANNISTER
Nov 10, 2019Nov 10 at
12:37pm Manage Discussion
Entry
NR603 Week 3 Sick Child Clinical Case Presentation
Patient Information: The patient S.P. is a 6-year-old Hispanic female who presented to the primary care
clinic with her mother.
Chief Complaint: S.P. reported “tummy pain” to her mother, along with a low-grade temp of 99.8, positive
for nausea, vomiting and diarrhea for 3 days.
History of Presenting Illness: S.P. mother reports that the abdominal discomfort began and diarrhea, to
her knowledge, approximately three days ago. Approximately one day later, the nausea, vomiting
presented. The fever was first noticed yesterday, although S. P’s mother did not take her temperature
prior, so she is unsure if she was febrile at time of symptoms first presenting. The last temperature
recorded was 99.8 at home. The diarrhea is reported as semi watery in consistency, with occurrences
approximately four times per day. No blood in stools reported. S.P does not appear to be urinating as
much according to mother. S. P’s mother reports that S.P. is not eating and drinking as she previously
was, and not engaging with usual activities of play. Mother is unaware of any weight loss. S. P’s mother
has held her from school at the onset of her noticing the fever. Treatment measures include supportive
care, which consists of soup, juice, and Tylenol PRN.
Review of Symptoms:
Constitutional: Positive fatigue and
fever. HEENT: Denies symptoms
Skin: Negative for rash, itching. Skin warm,
dry. Cardiovascular: No concerns reported
Respiratory: No concerns reported
Gastrointestinal: Positive for generalized GI discomfort and diarrhea x3 days; Positive for nausea,
vomiting x2 days. Negative for hematochezia.
Genitourinary: Decreased urinary output reported.
Neurological: No headache, dizziness reported. No change in
bowel control. Lymphatic: No issues reported.
Allergies: No known drug or food allergies
NR602: Pediatric Study
Topics
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