Orientations Case Study Part 1: My Question Picot Pico Quest

Orientations Case Study Part 1. My Questionpicot Pico Questionin Eld

Orientations. Case Study Part 1. My question PICOT (PICO) Question In elderly patients suffering from osteoarthritis, how does water exercise compared to land exercise influence pain alleviation after two months ? · 1. Introduction. Describe the health problem. Don't type "Introduction". (1 paragraph). Using data and statistics, support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable. 2. Describe the vulnerable population. (1-2 paragraph). What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified. 3. Provide a review of literature from scholarly journals (at least 2, one of those two should be systematic review supporting what you wish to accomplish) of evidence-based interventions that address the problem. (2 paragraph, one for each article). After completing a literature search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found and how this evidence supports your ideas. 4. Select and present an appropriate health promotion/disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal. (1-2 paragraph). For this assignment a conclusion paragraph is not required. Paper Requirements Three to five pages in length (excluding title page, references, and appendices) Follow APA format Cite a minimum of five research articles, including the two sources you will use as body of evidence in the literature search, in point 3. To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home. Assignment rubric Case Study Part II [100 Points Total] A. Project Content 90 points possible Score 1. Describe the health problem. Using data and statistics, support your claim that the issue you selected is a problem. What specifically will you address in your proposed health promotion program? Be sure your proposed outcome is realistic and measurable Did not identified the problem Poorly identified the problem and aspect to address Vaguely identified and discussed the problem and aspect to address Briefly identified and discussed the problem and aspect to address Thoroughly identified and discussed the problem and aspect to address 2. Describe the vulnerable population. What are the risk factors that make this a vulnerable population? Use evidence to support the risk factors you have identified. Did not identified or described population supported by evidence. Poorly identified or described population supported by evidence. Vaguely identified or described population supported by evidence. Briefly identified or described population supported by evidence. Thoroughly identified or described population supported by evidence. 3. Provide a review of literature from scholarly journals of evidence-based interventions that address the problem. After completing a library search related to effective interventions for your chosen health promotion activity, write a review that evaluates the strengths and weaknesses of all the sources you have found. You might consult research texts for information on how to write a review of the literature found in your search. Did not provide a review of literature from scholarly journals of evidence-based interventions that address the problem. Poorly provided a review of literature from scholarly journals of evidence-based interventions that address the problem. Vaguely provided a review of literature from scholarly journals of evidence-based interventions that address the problem. Briefly provided a review of literature from scholarly journals of evidence-based interventions that address the problem. Thoroughly provided a review of literature from scholarly journals of evidence-based interventions that address the problem. 4. Select and present an appropriate health promotion/ disease prevention theoretical or conceptual model that best serves as the guiding framework for the proposal. Did not select and present an appropriate health promotion/ disease prevention theoretical or conceptual model Poorly selected and present an appropriate health promotion/ disease prevention theoretical or conceptual model Vaguely selected and present an appropriate health promotion/ disease prevention theoretical or conceptual model Briefly selected and present an appropriate health promotion/ disease prevention theoretical or conceptual model Thoroughly selected and present an appropriate health promotion/ disease prevention theoretical or conceptual model 5. Provide an overview of your implementation plan complete with a summary of communication ideas and a timeline. Did not . provide an overview of your implementation plan complete with a summary of communication ideas and a timeline. Poorly provided an overview of your implementation plan complete with a summary of communication ideas and a timeline. Vaguely provided an overview of your implementation plan complete with a summary of communication ideas and a timeline. Briefly provided an overview of your implementation plan complete with a summary of communication ideas and a timeline. Thoroughly provided an overview of your implementation plan complete with a summary of communication ideas and a timeline. 6.Thoroughly describe the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. Did not describe the intended outcomes. Poorly described the intended outcomes. Vaguely described the intended outcomes. Briefly described the intended outcomes. Thoroughly described the intended outcomes. Describe the outcomes in detail concurrent with the SMART goal approach. 7. Provide a detailed plan for evaluation for each outcome. Did not. provide a detailed plan for evaluation for each outcome. Poorly provided a plan for evaluation for each outcome. Vaguely provided a plan for evaluation for each outcome. Briefly provided a plan for evaluation for each outcome. Provided a detailed plan for evaluation for each outcome. 8. Thoroughly describe possible barriers/ challenges to implementing the proposed project as well as strategies to address these barriers/ challenges. Did not describe possible barriers/ challenges to implementing the proposed project as well as strategies to address these barriers/ challenges. Poorly described possible barriers/ challenges to implementing the proposed project as well as strategies to address these barriers/ challenges. Vaguely described possible barriers/ challenges to implementing the proposed project as well as strategies to address these barriers/ challenges. Briefly described possible barriers/ challenges to implementing the proposed project as well as strategies to address these barriers/ challenges. Thoroughly described possible barriers/ challenges to implementing the proposed project as well as strategies to address these barriers/ challenges. Total Points ___/32 Percent Accomplished ___% A. Project Content Points (___% x 90 pts) ___ pts B. Organization and Formatting 10 points possible Score Organization Organizes project and writes well. No project or paper submitted. Project was unorganized and poorly written. Project was somewhat organized and overall writing left room for improvement. Project was well-organized, but overall writing left room for improvement. Project was thoroughly organized and well-written. States ideas clearly and logically. No project or paper submitted. Ideas were not stated clearly or logically. Some ideas were stated clearly or logically. Most ideas were stated clearly and logically. All ideas were stated clearly and logically. Writes relevant content. No project or paper submitted. Project was off topic and not relevant. Some portions of project were on topic and relevant. Project was mostly on topic and relevant. Project was thoroughly on topic and relevant. Formatting Uses Course Policies formatting guidelines. No project or paper submitted. No formatting guidelines were followed. Some guidelines were followed. Most guidelines were followed. All formatting guidelines were followed and the template was used. Avoids spelling and grammatical errors. No project or paper submitted. Greater than 6 spelling or grammatical errors. 4 to 6 spelling or grammatical errors. 1 to 3 spelling or grammatical errors. No spelling or grammatical errors. Total Points ___/10 Percent Accomplished ___% B. Organization and Formatting Points ( ___% 25 pts) ___ pts Total Points: (A +B) / 100 ___/100 GRADING SHEET FOR NUR 631 WRITTEN CASE STUDY Student Name: CCS# _1__ HISTORY DATA - 40 points HX pts____ Chief Concern (CC) (8) ____ Complete History of Present Illness (HPI) (12) ____ Pertinent PMH (meds, allergies, social risks) (4) ____ Review of Systems (Case data documented appropriately) (12) ____ Family History (with genogram) (4) ____ PHYSICAL EXAM - 40 points PE pts_____ Case data appropriately documented in FULL PE DIFFERENTIAL DIAGNOSIS - 10 points DD pts____ List 3 Differentials to explain primary problem (3@1ea=3) ____ Give a brief pathophysiologic description of each DD: (3) Etiology ____ Usual clinical findings or features ____ Pertinent positives/negatives listed to support primary DD (2) ____ List additional history questions to support primary DD (1) ____ List additional physical findings to support primary DD (1) ____ PLAN OF CARE -5 points Plan pts___ (specific treatments including meds - be specific with doses, times) Pharmacologic (2) ____ Non Pharmacologic (1) ____ Patient Education (1) ____ Follow Up (1) ____ *Neatness, typed, submitted on time, appropriate format, use of appropriate terminology, references - 5 points Form pts___ Total points _____ NUR 631 LAB Case Study 2 Fall 2022 History: Mr.

J is a 56-year-old male, who presented to your office today for complaints of chest pain. He states that his pain has been occurring intermittently for 3 days. When he points to the area where he is describing, it is by his left areola. He states he has been fatigued, and very “winded†with any exertion. He denies any recent travel and denies any sick contacts at home. He has been vaccinated for COVID with 3 vaccines. He denies any history of PE/DVT. Denies any extremity swelling or pain. Denies cough. He has had poor appetite over the past 3 days. Denies nausea, vomiting or diarrhea. He admits that last evening while sitting on his couch, he has “pins and needles†in his left arm, which went all the way to his fingertips. He smokes 1 pack of cigarettes a day. Has a “chronic cough†he states. PMHX: HTN, HLD, CAD, DM, COPD (not on home oxygen), GERD Medications: Lisinopril 10mg Once daily, Norvasc 5mg Daily, Lipitor 40mg once daily, Pepcid 20mg BID, Ventolin Inh. PRN Q6hours, Metformin 500mg BID Surgical HX: CABGX) FHX: Mother(87yo) COPD, HTN, CAD, Father (89yo) Deceased d/t MI, Wife (50yo) HTN, COPD, Daughter (30yo) Healthy, Son (32yo) Schizophrenia, Daughter (34yo) HIV Social HX: Smokes 1PPD of cigarettes, occasional cocaine use, ETOH use (6-9 beers/week) VS: Temp 97.7 oral, HR 86, BP 155/65, RR 16, SPO2 97% RA HT:5’7â€, WT: 260lbs Physical Exam: This is a 56yo Caucasian male, appears states age. Tobacco-stained fingernails. A&OX3, Well dressed. Oral mucosa pink, moist, intact. Poor dentition with multiple areas of plaque/dental caries. EOMI, PERRLA 2+ BL, Neck supple, no palpable thyroid. No JVD or cervical lymphadenopathy. Chest wall without pain to palpation, no rashes/lesions noted. Lungs with scattered wheezes/rhonchi that clear with coughing. No egophony, bronchophony, or whispered pectoriloquy. Heart with normal s1/s2, no murmur appreciated to auscultation. 2+ pulses in BL upper and lower extremities. Calves are symmetric, temperature intact BL, with negative homan’s sign BL. 1+ edema in BL lower extremities. ROM intact in all joints. ABD is SNTTP, BS X 4. Diagnostic Studies: EKG Normal Sinus Rhythm, Hgb 10.5, Plts 250, BUN 25, CREA 0.9, Na 135, K 3.7, Glucose 140, BNP 98. Instructions: Reformat the above data as follows from Bates: You must include a full ROS and Physical Exam for full Credit 1). CC: HPI PMH (include surgeries and traumatic injuries) Current medications Allergies Psychosocial Family History – genogram (you can draw it and place on last page, or create in word document) ROS – complete information Physical Exam – complete information 2). List 3 Differential Diagnoses in descending order of suspicion (Number these as #1, #2, #3, your #1 should be your primary working DX) 3). List the pertinent positives/negatives to support your differentials. (at least 3 of each) 4). List additional history data that would support your primary differential diagnosis and why? (At least 10 history questions listed) 5). List any additional physical components that would support your primary differential diagnosis and why? (At least 5 PE findings that would better help you diagnose your primary differential) 6). Select your primary differential diagnosis as #1 and include 2 other differentials: a) Give a brief pathophysiologic description of each disorder (