NR 601 Chamberlain WK5 Facilitating Effective Care for Diabetic Patients HW Purpose The purpose of this case study assignment is to : Analyze provided su

NR 601 Chamberlain WK5 Facilitating Effective Care for Diabetic Patients HW Purpose

The purpose of this case study assignment is to :

Analyze provided subjective and objective information to diagnose and develop a management plan for the selected case study patient. 
Apply national diabetes guidelines to a case study patient. 
Apply national guidelines to develop a management plan for all identified secondary diagnosis(es).
Activity Learning Outcomes

Through this assignment, the student will demonstrate the ability to:

Select appropriate health promotion and disease prevention strategies for patients with or at risk for a glucose metabolism disorder (WO5.1) (CO1,2,3,4,5)
Demonstrate competence in the evaluation and management of patients with glucose metabolism disorders (WO5.2) (CO1,2,3,4,)
Develop a management plan for the case study patient based on identified primary, secondary and differential diagnoses. (WO5.3) (CO1,2,3,4,5)
Apply polypharmacy knowledge to medication reconciliation for selected case study patient.(WO5.4) (CO 6)
Due Date:

Sunday 11:59 p.m. MT at the end of Week 5

This assignment is submitted through Turn It In (TII).* Students are allowed two opportunities to submit. The first Turn It In submission allows the student to view the Turn It In Score and edit the assignment if necessary. The second submission is considered the final submission and will be graded. Any further Turn IT In submissions will not be considered for grading.

*due to the amount of common case study content it is not unusual that the TII may exceed 25%. It is the original work, such as rationale statements and treatment plans that are evaluated for similarity by the faculty.

Total Points Possible: 160
Requirements:

The assignment is a paper, which is to be written in APA format using the provided assignment template. The paper shall not exceed 10 pages, excluding title page and references.

NR601 _week 5 case study paper template_Nov 19.docx

Case Study Patient – March 2020

Review the provided patient visit information. You are provided with the subjective and objective exam findings. As the provider, you are to diagnose the case study patient and develop the management plan for this case study patient.  Keep in mind this is a complex patient who has more than one diagnosis, which is common in primary care.

Use the provided case study template for your paper. Review the APA Manual to adhere to APA formatting. 

Introduction: briefly discuss the purpose of this paper.  (no more than 5 sentences)

Assessment: review the provided case study information. 

Identify the primary and secondary diagnosis for the patient. Each diagnosis will include the following information: 

ICD 10 code. 
A brief pathophysiology statement which is no longer that two sentences, paraphrased and includes common signs and symptoms of the diagnosis and proper citation. 
The patient’s pertinent positive and negative findings, including a brief 1-2 sentence statement, which links the subjective and objective findings (including lab data and interpretation). 
An evidence-based rationale statement, which summarizes why the diagnosis was chosen.   
Do not include quotes, paraphrase all scholarly information and provide an in-text citation to your scholarly reference. Use the Reference Guidelines document for information on scholarly references.  

Plan: (there are five (5) sections to the management plan)

Diagnostics. List all labs and diagnostic test you would like to order. Each test includes a rationale statement following the listed lab, which includes the diagnosis requiring the test, the purpose of the test and how the test results will contribute to your management plan. Each rationale statement is cited.  Include all future follow up labs for each listed diagnosis.  
Medications: Each medication is listed in prescription format. Each prescribed and OTC medication is linked to a specific diagnosis and includes a paraphrased EBP rationale for prescribing.  
Education: section includes personalized detailed education on all five (5) subcategories: diagnosis, each medication purpose and side effects, diet, personalized appropriate exercise recommendations and warning sign for diagnosis and medications if applicable. All education steps are linked to a diagnosis, paraphrased, and include a paraphrased EBP rationale. Review the NR601 Clinical SOAP note guideline for more detailed information.  
Referrals: any recommended referrals are appropriate to the patient diagnosis and current condition, is linked to a specific diagnosis and includes a paraphrased EBP rationale with in text citation. Review the ADA guidelines for specific follow up recommendations. 
Follow up: Follow up includes a specific time, not a time range, to return to PCP office for next scheduled appointment. Includes EBP rationale with in text citation.  

Assessment of Comorbidities: in this section students will review the ADA Standards of Medical Care in Diabetes (the guidelines) Assessment of Comorbidities section on comorbidities subsection and choose one listed comorbidity.  Students will discuss the significance of and the relationship between the patient’s primary diagnosis and the chosen comorbidity, explaining how one diagnosis affects the other diagnosis.  Any recommended screening, diagnostic testing, and referrals are also included.  

Medication costs: in this section students will research the costs of all prescribed and OTC monthly medications that you have prescribed and that the patient is currently taking that you would like to continue.  Students may use Good Rx, Epocrates or another resource (students may use local pharmacy websites) which provides medication costs. Students will list each medication, the monthly cost of the medication and the reference source. Students will calculate the monthly cost of the case study patient’s prescribed and OTC medications and provide the total costs of the month’s medications. Reflect on the monthly cost of the medications prescribed. Discuss if prescriptions were adjusted due to cost. Discuss if will you use medication pricing resources in future practice. Running head: CASE STUDY
Assignment Title
Title page per APA format
•
This assignment template serves as a paper template to develop the week 5 case study and
may not be all inclusive. You must also refer to the assignment rubric for specific
requirements for this assignment. Your paper is graded to the rubric requirements. *
CASE STUDY TITLE
2
Title matches title on title page
The introductory paragraph is written here. Remember to remove all instructions from your
paper. These are in red ink.
Assessment
Primary Diagnosis diagnosis (ICD10 code)
pathophysiology A brief pathophysiology statement which is no longer that two sentences,
paraphrased and includes common signs and symptoms of the diagnosis. Includes citation to an
approved source (author, year). Review the Reference Guidelines for FNP Case Study document.
This applies to all sections of this paper.
pertinent positive findings includes citation to an approved source (author, year). Review the
Reference Guidelines for FNP Case Study documents. This applies to all sections of this paper.
pertinent negative findings includes citation to an approved source (author, year). Review the
Reference Guidelines for FNP Case Study documents. This applies to all sections of this paper.
rationale for the diagnosis includes a brief 1-2 sentence statement, which links the subjective
and objective case study findings including provided lab data and interpretation of the labs.
Include a statement linking those lab results to your ADA guideline reference. Includes citation
to the ADA guideline used to determine this diagnosis.
Secondary Diagnosis diagnosis (ICD10 code)
*You can have more than one secondary diagnosis. A minimum is required. Secondary diagnoses
are additional diagnoses you have identified from the exam, lab findings today or the PMH*
Pathophysiology A brief pathophysiology statement which is no longer that two sentences,
paraphrased and includes common signs and symptoms of the diagnosis (author, year).
pertinent positive findings as explained above (author, year).
CASE STUDY
3
pertinent negative findings as explained above (author, year).
rationale for the diagnosis-includes a brief 1-2 sentence statement, which links the subjective
and objective findings including any provided lab data and interpretation of the diagnostic testing. The
rationale includes a citation to a scholarly reference (author, year)
Plan
Diagnostics
Lab test (#1) (each lab/diagnostic test is listed individually with rationale to follow AND is
linked to a diagnosis listed in the assessment section of the paper. Include the timeframe of when the lab
is to be drawn. *This is labs or tests you will order in the future, not an explanation of the labs that have
already been completed.*
rationale: each rationale contains the EBP statement supporting the necessity of the test and
includes the name of the diagnosis which is listed in the assessment section.* If this diagnosis is not listed
in the assessment section then it must be added to order the diagnostic testing*. Includes a citation to an
approved reference from the Reference Guidelines for FNP Case Study document which supports not
only the test but the timing of the lab draw.
Lab test (#2) includes same criteria. Do the same for each lab you want to order.
Medications
*each medication is linked to a diagnosis listed in the assessment section of the paper
AND is listed individually with rationale, including the required OTC*
Medication (#1) – written in prescription format (see NR 601 Resources)
Rationale. The rationale for each medication includes the diagnosis which is listed in the
assessment section and contains the EBP statement supporting the necessity of the medication. If this
diagnosis is not listed in the assessment section then it must be added to include any medication. Includes
a citation to an approved reference from the Reference Guidelines for FNP Case Study document.
Medication (#2) includes same criteria. Do the same for each medication listed
CCK 4/19
CASE STUDY
4
Education section includes personalized detailed education on all five (5) subcategories: diagnosis, each
medication purpose and side effects, diet, personalized appropriate exercise recommendations and
warning sign for diagnosis and medications if applicable. You do not need an introduction paragraph. All
education steps are linked to a listed diagnosis, paraphrased, and include a paraphrased EBP rationale.
If this diagnosis is not listed in the assessment section then it must be added to include the education
content here. Each education section includes a citation to an approved reference from the Reference
Guidelines for FNP Case Study document
Diagnoses.
Includes personalized detailed education for each diagnosis listed in the assessment section. This
includes specific information for this particular client. Education includes a citation to an appropriate
reference. No listed education is common knowledge, all statements must include an in text citation to an
appropriate reference.
Medications.
includes personalized detailed education for each medication listed in the medication section.
Each medication is listed and then explained. No listed education is common knowledge, all statements
must include an in text citation to an appropriate reference.
Diet.
includes personalized detailed education for dietary recommendations as determined by the
listed diagnoses in the assessment section. This includes specific dietary information. A referral to cover
this requirement is not sufficient. If weight loss is recommended then specific weight loss targets must be
included. No listed education is common knowledge, all statements must include an in text citation to an
appropriate reference.
Exercise.
includes personalized detailed education for exercise recommendations as determined by the
listed diagnoses in the assessment section.. List specific exercises that are appropriate for this patient. No
CCK 4/19
CASE STUDY
5
listed education is common knowledge, all statements must include an in text citation to an appropriate
reference.
Warning Signs for diagnoses and mediations
includes personalized detailed education as determined by the listed diagnoses and medications.
No listed education is common knowledge, all statements must include an in text citation to an
appropriate reference.
Referral
Specialty practice or service (each referral is linked to a diagnosis listed in the assessment
section of the paper and is listed individually with rationale to follow)
rationale: each rationale contains the EBP statement supporting the necessity of the referral and
includes the name of the diagnosis which is listed in the assessment section. Includes a citation to an
approved reference from the Reference Guidelines for FNP Case Study document. Any referrals for the
listed primary diagnosis must be cited from the chosen ADA guideline.
Referral(#2) includes same criteria. Do the same for each referral
Follow up
Follow up includes a specific time frame (1week, 1 month) , not a time range, to return to PCP
office for next scheduled appointment. Includes EBP rationale with in text citation. Refer to the rubric for
full section requirements. Follow up does not include other upcoming plans. Diagnostics and referrals
are discussed within that section above.
Assessment of comorbidities
See rubric for section requirements.
Medication Cost
See rubric for section requirements.
CCK 4/19
CASE STUDY
6
Conclusion
A summary paragraph no more than 5 sentences
CCK 4/19
CASE STUDY
7
References
Are listed on a separate page and formatted per APA guidelines.
CCK 4/19
Week 5: Case Study Assignment
Submit Assignment
•
Due Sunday by 11:59pm
•
Points 160
•
Submitting a file upload
Purpose
The purpose of this case study assignment is to :
1. Analyze provided subjective and objective information to diagnose and develop a
management plan for the selected case study patient.
2. Apply national diabetes guidelines to a case study patient.
3. Apply national guidelines to develop a management plan for all identified secondary
diagnosis(es).
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Select appropriate health promotion and disease prevention strategies for patients with
or at risk for a glucose metabolism disorder (WO5.1) (CO1,2,3,4,5)
2. Demonstrate competence in the evaluation and management of patients with glucose
metabolism disorders (WO5.2) (CO1,2,3,4,)
3. Develop a management plan for the case study patient based on identified primary,
secondary and differential diagnoses. (WO5.3) (CO1,2,3,4,5)
4. Apply polypharmacy knowledge to medication reconciliation for selected case study
patient.(WO5.4) (CO 6)
Due Date:
Sunday 11:59 p.m. MT at the end of Week 5
This assignment is submitted through Turn It In (TII).* Students are allowed two
opportunities to submit. The first Turn It In submission allows the student to view the
Turn It In Score and edit the assignment if necessary. The second submission is
considered the final submission and will be graded. Any further Turn IT In submissions
will not be considered for grading.
*due to the amount of common case study content it is not unusual that the TII may
exceed 25%. It is the original work, such as rationale statements and treatment plans
that are evaluated for similarity by the faculty.
Total Points Possible: 160
Requirements:
The assignment is a paper, which is to be written in APA format using the provided
assignment template. The paper shall not exceed 10 pages, excluding title page and
references.
NR601 _week 5 case study paper template_Nov 19.docx
Case Study Patient – March 2020
Review the provided patient visit information. You are provided with the subjective and
objective exam findings. As the provider, you are to diagnose the case study patient and
develop the management plan for this case study patient. Keep in mind this is a
complex patient who has more than one diagnosis, which is common in primary care.
Use the provided case study template for your paper. Review the APA Manual to
adhere to APA formatting.
Introduction: briefly discuss the purpose of this paper. (no more than 5 sentences)
Assessment: review the provided case study information.
Identify the primary and secondary diagnosis for the patient. Each diagnosis will include
the following information:
1. ICD 10 code.
2. A brief pathophysiology statement which is no longer that two sentences, paraphrased
and includes common signs and symptoms of the diagnosis and proper citation.
3. The patient’s pertinent positive and negative findings, including a brief 1-2 sentence
statement, which links the subjective and objective findings (including lab data and
interpretation).
4. An evidence-based rationale statement, which summarizes why the diagnosis was
chosen.
5. Do not include quotes, paraphrase all scholarly information and provide an in-text
citation to your scholarly reference. Use the Reference Guidelines document for
information on scholarly references.
Plan: (there are five (5) sections to the management plan)
1. Diagnostics. List all labs and diagnostic test you would like to order. Each test includes
a rationale statement following the listed lab, which includes the diagnosis requiring the
test, the purpose of the test and how the test results will contribute to your
management plan. Each rationale statement is cited. Include all future follow up labs
for each listed diagnosis.
2. Medications: Each medication is listed in prescription format. Each prescribed and
OTC medication is linked to a specific diagnosis and includes a paraphrased EBP
rationale for prescribing.
3. Education: section includes personalized detailed education on all five (5)
subcategories: diagnosis, each medication purpose and side effects, diet, personalized
appropriate exercise recommendations and warning sign for diagnosis and
medications if applicable. All education steps are linked to a diagnosis, paraphrased,
and include a paraphrased EBP rationale. Review the NR601 Clinical SOAP note
guideline for more detailed information.
4. Referrals: any recommended referrals are appropriate to the patient diagnosis and
current condition, is linked to a specific diagnosis and includes a paraphrased EBP
rationale with in text citation. Review the ADA guidelines for specific follow up
recommendations.
5. Follow up: Follow up includes a specific time, not a time range, to return to PCP office
for next scheduled appointment. Includes EBP rationale with in text citation.
Assessment of Comorbidities: in this section students will review the ADA Standards
of Medical Care in Diabetes (the guidelines) Assessment of Comorbidities section on
comorbidities subsection and choose one listed comorbidity. Students will discuss the
significance of and the relationship between the patient’s primary diagnosis and the
chosen comorbidity, explaining how one diagnosis affects the other diagnosis. Any
recommended screening, diagnostic testing, and referrals are also included.
Medication costs: in this section students will research the costs of all prescribed and
OTC monthly medications that you have prescribed and that the patient is currently
taking that you would like to continue. Students may use Good Rx, Epocrates or
another resource (students may use local pharmacy websites) which provides
medication costs. Students will list each medication, the monthly cost of the medication
and the reference source. Students will calculate the monthly cost of the case study
patient’s prescribed and OTC medications and provide the total costs of the month’s
medications. Reflect on the monthly cost of the medications prescribed. Discuss if
prescriptions were adjusted due to cost. Discuss if will you use medication pricing
resources in future practice.
ASSIGNMENT CONTENT
Category
Points
%
Description
Presentation of the case study patient’s
primary diagnosis includes the
following required elements:
Assessment:
Primary
diagnosis
24
15
Diagnosis is consistent with the cited
guideline recommendations or scholarly
reference, ICD10 code is listed,
rationale statement includes a one to
two sentence paraphrased
pathophysiology statement. The
rationale statement includes pertinent
positive and negative subjective and
objective findings from the history and
physical exam, which links this
diagnosis to the case study patient.
Pertinent lab results are included and
interpreted within the rationale
statement.
Presentation of the case study patient’s
secondary diagnosis (es) include (s)the
following required elements:
Assessment:
Secondary
diagnosis (es)
16
10
Diagnosis is consistent with the cited
guideline recommendations or scholarly
reference, ICD10 code is listed,
rationale statement includes a one to
two sentence paraphrased
pathophysiology statement. The
rationale statement includes pertinent
positive and negative subjective and
objective findings from the history and
physical exam, which links this
diagnosis to the case study patient.
Pertinent lab results are included and
interpreted within the rationale
statement.
National guidelines are used to support
all diagnoses and develop the
management plan.
Evidence-Based
Practice (EBP)
Plan: Diagnostics
Plan: Medications
40
25
The American Diabetes Association
Standards and Medical Care in
Diabetes-2019 or later, (or article
related to 2019 or later Guidelines) are
used to support the primary diagnosis
and develop the management plan.
Every diagnosis rationale must include
an in-text citation to a scholarly
reference as listed in the Reference
Guidelines document. Each action step
or order within all plan sections
includes an in-text citation to an
appropriate reference as listed in the
Reference Guidelines document.
Reference interpretation is accurate.
8
8
5
All ordered diagnostics tests are linked
to a diagnosis listed in the assessment
section and include a paraphrased EBP
rationale with citation and include date
when test should be performed (ie:
today, 1 week, 1 month). Further
testing/diagnostics for the differential
diagnosis is included. Plans are
consistent with the cited guideline
recommendations or scholarly
reference.
5
The plan includes both prescribed and
OTC medications written in
prescription format. The plan includes
a minimum of one OTC
medication. Each prescribed and OTC
medication is linked to a diagnosis
listed in the assessment section
Diagnosis is clearly stated in the
rationale statement. And includes a
paraphrased rationale EBP rationale
All education steps are linked to a
diagnosis, paraphrased, and include an
EBP rationale.
This section is written exactly how you
would discuss the education to the
patient. Use vocabulary which the
patient can understand, not medical
terminology.
Plan: Education
8
5
Section includes personalized detailed
education on diagnoses, medications,
diet, exercise and any warning signs.
Personalized diet and exercise
recommendations are appropriate for
the case study patient and include
specific instructions for the case study
patient such as a specific exerciselength of time to exercise and
frequency/week. Any published diet
recommendations, such as a
Mediterranean diet, will include a
rationale statement as to why this
recommendation is beneficial for the
case study patient.
Plans are consistent with the guideline
recommendations or scholarly
reference.
All recommended referrals are
appropriate for the patient diagnoses:
Plan: Referrals
8
5
each referral is linked to a specific
diagnosis each which was listed in the
assessment section and includes a
paraphrased EBP rationale. All
referrals related to the primary
diagnosis are obtained from the ADA
guidelines.
Plans are consistent with the cited
guideline recommendations or scholarly
reference
Plan: Follow up
8
5
Follow up includes a specific time/date
to return to PCP office. EBP rationale
with in text citation is included. Only
follow up information is listed in this
section. Additional information, such as
future testing, education or referrals are
not listed in follow up but within the
appropriate paper sections. Plans are
EBP and consistent with the guideline
recommendations.
The ADA guidelines includes a
Comprehensive Medical Evaluation and
Assessment of Comorbidities section
which includes comorbidities that
providers should consider when
managing disorders of glucose
metabolism.
Assessment of
comorbidities
16
10
Choose one of the listed comorbidities
from the ASSESSMENT OF
COMORBIDITIES subsection*
Explain the significance of and the
relationship between your primary
diagnosis and your chosen comorbidity.
Explain how one diagnosis affects the
other diagnosis in no more than 3-5
sentences. Include any recommended
screening, diagnostic testing, and
referrals in no more than 2-3
sentences.
* the chosen comorbidity cannot be any
secondary diagnosis already discussed
in your paper’s assessment section.
All monthly medication costs are calculated,
including the current medications the patient
may be already taking.
A total cost for all the month’s medication is
included.
Medication costs
8
All medications including OTCs are
included.
5
Medication cost reference source is
included. Summary/reflection statement
regarding medication costs and any
medications changes based on cost or
polypharmacy concerns is included.
Total CONTENT Points= [144 pts]
ASSIGNMENT FORMAT
Category
Grammar,
Syntax, APA
Organization
Points
8
8
%
Description
5
APA format, grammar, spelling, and/or
punctuation are accurate, or with zero
to one error. All referenced information
is cited, “according to” is not used. All
cited information is paraphrased, no
quotes are included in the paper.
5
Paper is developed in a logical,
meaningful, and understandable
sequence.
Provided assignment template is used to
develop the paper. The rational…
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