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NR 603 Week 2 Case Discussion Pulmonary - Part 1

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NR 603 Week 2 Case Discussion Pulmonary - Part 1 Purpose The purpose of this assignment is for students to: 1. Improve their ability to formulate diagnoses based on clinical presentation of patien... ts 2. Improve their ability to understand and apply National Guidelines for the diagnosis and treatment of Pulmonary disorders Activity Learning Outcomes Through this discussion, the student will demonstrate the ability to: 1. Utilize healthcare delivery system resources in a fiscally responsible manner in the diagnosis and treatment of patients and families across the lifespan. (PO 5) 2. Develop management plans based on current scientific evidence and national guidelines. (PO 5) 3. Educate patients on treatment decisions (WO1) 4. Select an evidence-based article to support the plan of care for the case study patient. (WO2) 5. Analyze national guidelines and apply them to specific case study situations. (WO3) 6. Review appropriate antibiotic prescribing guidelines. (WO4) Due Date: First Post due by Tuesday 11:59PM MT of Week 2 Requirements: Week 2: Case Discussion: Pulmonary Part One Setting: A free medical clinic that provides health care for the under-insured. Your next patient, Michelle G., age 40, is a regular of the clinic and the last patient of the day. The chart states she is here for recent episodes of shortness of breath. You enter the room and Michelle G is dressed in work clothes, standing up looking at a health poster on the wall. You introduce yourself and ask her what brings her to the clinic today. "I think I may have a cold. I've been having a hard time breathing on and off lately." HPI: "I notice I'm short of breath mostly at work but by the time I get home feel fine. No episodes of shortness of breath on the weekends that I can recall. But a few hours back at work and I start to feel like I cannot catch my breath again. A few months ago this happened and it was so bad I left work and went to urgent care where they gave me a breathing treatment of some kind and sent me home on an antibiotic. I would like you to give me another antibiotic. She denies sputum. No new allergy triggers noted. She denies heartburn. PMHx: Michelle G. reports her overall health as good. Childhood/previous illnesses: eczema as a child Chronic illnesses: Has seasonal allergies, spring is her worst season. Was seen by an allergy specialist ten years ago, Took allergy shots for five years with great results, now only takes Zyrtec when needed. Surgeries: Cholecystectomy Hospitalizations: childbirth x 3. Immunizations: up-to-date on all vaccinations. .............Continued........ [Show More]

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