PEDS 602 Week 3- Sick Child Clinical Case Presentation | PEDS 602_Sick Child Clinical Case Presentation

Document Content and Description Below

PEDS 602 Week 3: Sick Child Clinical Case Presentation – Chamberlain College of Nursing Week 3: Sick Child Clinical Case Presentation 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 RequirementsFor 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 BYFRIDAY 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: 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; 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. Search entries or author Filter replies by unreadUnread Collapse replies Expand replies Subscribed • Collapse SubdiscussionRachel Cox Rachel CoxMar 16, 2020Mar 16 at 4:33pm Manage Discussion Entry Patient Information: 7-year old, African American, Female Subjective. CC : Scalp itchy and painful with dry skin and significant hair loss HPI: Mother stated the condition has been present for 2 months and has gradually gotten worse. Current Medications: no current medications Allergies: Sulfa drugs PMHx: Up to date on vaccines, no surgical history, no past major illnesses. Soc Hx: currently in 2nd grade in a public school, has frequent sleepovers with friends, on a soccer team, enjoys reading. No one in house smokes, wears her seatbelt. Fam Hx: lives with her mom, brother, and two sisters. ROS: CONSTITUTIONAL: No weight loss, fever, chills, weakness or fatigue. HEENT: Eyes: No visual loss, blurred vision, double vision or yellow sclerae. Ears, Nose, Throat: No hearing loss, sneezing, congestion, runny nose or sore throat. SKIN: Scalp is dry with itchy, painful, scaly patches. Significant hair loss present on head CARDIOVASCULAR: No chest pain, chest pressure or chest discomfort. No palpitations or edema. RESPIRATORY: No shortness of breath, cough or sputum.GASTROINTESTINAL: No nausea, vomiting or diarrhea. No abdominal pain. GENITOURINARY: No urinary issues. NEUROLOGICAL: No headache, dizziness, syncope, numbness or tingling in the extremities. No change in bowel or bladder habits MUSCULOSKELETAL: No muscle, back pain, joint pain or stiffness. HEMATOLOGIC: No anemia, bleeding or bruising. LYMPHATICS: Enlarged occipital, postauricular, submandibular, and posterior cervical nodes. No history of splenectomy. PSYCHIATRIC: No history of depression or anxiety. ENDOCRINOLOGIC: No reports of sweating, cold or heat intolerance. No polyuria or polydipsia. ALLERGIES: No history of asthma, hives, or eczema. Objective. Physical exam: HEENT: Eyes: PERRLA, sclera is white and clear, conjunctiva pink and moist Ears, Nose, Throat: No drainage present in bilateral ears, no swelling, redness, drainage, effusion or cerumen present bilaterally. No hearing loss. No sneezing, congestion, or drainage present in nose. Posterior pharynx is pink & there is no post nasal drainage, tonsils are 2 +. SKIN: Scalp is dry with itchy, painful, scaly patches. Significant hair loss present on head CARDIOVASCULAR: S1, and S2 auscultated, regular rate RESPIRATORY: Lungs clear to auscultation in all lobes anterior and posteriorGASTROINTESTINAL: Bowel sounds present in all four quadrants. No abdominal pain or tenderness upon palpation. MUSCULOSKELETAL: Full ROM present in upper and lower extremities LYMPHATICS: Enlarged and tender bilateral occipital, postauricular, submandibular, and posterior cervical nodes. height: 3’10” weight: 55 lbs BMI: 18.3 Growth chart: 66% for weight, 13.5% for height Tanner staging: Stage 1 Diagnostic results: No diagnostic tests run o Collapse SubdiscussionJacqueline Costello Jacqueline Costello Mar 16, 2020Mar 16 at 5:12pm Manage Discussion Entry Hi Rachel, Thanks for starting us off this week and for the interesting case. Since you mentioned Tanner staging, is it considered normal for a 7 yr old to have their menses? Why or why not? At what age would it be considered precious puberty? [Show More]

Last updated: 2 years ago

Preview 1 out of 215 pages