The purpose of this assignment is to encourage analysis of one patient, beginning with the history and progressing to the physical examination, the pathophysiological processes and mechanisms of human disease, and clinical signs, symptoms, and diagnostic data consistent with the pathology of common health problems, and then, determine appropriate medical treatment and nursing care based on best practices found in the literature.
This assignment emphasizes critical thinking and problem-solving through the correlation of cellular and multisystem pathology with related assessment and diagnostic data, medical treatment, and nursing management.
Directions: Each student will have the opportunity to earn a total of 250 points by completing a comprehensive history and physical case study analysis that incorporate topics presented in the course.
You should include at least five current references (less than five years old) of which three must be journal articles (not nursing textbooks).
The paper is in APA format. APA format requires that you use correct grammar and spelling and double-space your entire paper. Average length of paper: 10 to 12 pages.
Pathophysiology and Assessment of a Specific Disease Process
• Definition and description of disease
• Risk factors
• Dynamics of the disease in relation to cellular disruption and effects upon major body systems
• History and physical assessment data: What are the pertinent positives and negatives found in the assessment data? Relate findings to the pathophysiology of the disease
• Diagnostics studies (lab, radiology, etc.): Relate the findings to the pathological process. You must identify the rationale for the abnormalities
This criterion is linked to a Learning Outcome Medical Management
What was the rationale for ordered medical treatment? What was the patient’s response to treatment? If the patient was not improving, what more would you do as a patient advocate to improve patient outcomes? Include in your discussion all of the following if appropriate: pharmacological therapy, medical and/or surgical intervention, and rehabilitative techniques.
What were the major nursing diagnoses and primary interventions for this patient? Include the patient’s response/outcomes. Reflecting back on this patient case study, what would you have done differently? Explain your answer. Include in your discussion of nursing management the following: pertinent nursing diagnoses and interventions, changes in health status related to interventions, and evaluation of collaborative management and patient outcomes.
Case Study Presentation
Create a presentation of your case study outlining the key elements and criteria and highlighting assessment findings and pathology associated with the diseases discussed. Minimum of 10 slides. The presentation should be created as a PowerPoint.
Answers are supported by references and the paper follows APA format.