Instructions:
Purpose
The purpose of this assignment is for learners to:
- Identify opportunities for improvement in their knowledge base.
- Improve their knowledge base and understanding of a disease process identified as an opportunity area on the APEA predictor exam.
- Have the opportunity to integrate knowledge and skills learned throughout all core courses in the FNP track and previous clinical courses.
- Demonstrate the ability to analyze the literature 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.
Activity Learning Outcomes
Through this discussion, the student will demonstrate the ability to:
- Interpret subjective and objective data to develop appropriate diagnoses and evidence based management plans for patients and families with complex or multiple diagnoses across the lifespan (CO 1).
- Develop management plans based on current scientific evidence and national guidelines (CO 4).
Due Date:
- Part 1: Tuesday by 11:59pm MT of Week 5
A 10% late penalty will be imposed for discussions posted after the deadline on Tuesday 1159PM MT of Week 5, regardless of the number of days late.
Total Points Possible: 130
Requirements
For Week 5 of the course the faculty will not be providing a case study. Instead you will choose from an area that you have an opportunity for improvement that was identified on your APEA predictor exam. You will research that area of content in relation to complaints and disorders that commonly occur in family practice. Please work up a case study that begins with a chief complaint commonly seen in primary care based on that body system. The case should be clear and include all elements of a normal case that might be presented in class (subjective, objective, assessment, diagnostic testing and 5 point plan in part 2.The clinical logs will be helpful for this process, or notes you have taken in clinical regarding cases. The case should be clear, organized, and meet the following guidelines:
Week 5 Part 1: Due by Tuesday 11:59 p.m. MT
Step 1. Review your Week 4 APEA Predictor Exam Results and focus on the “Percent Correct by Knowledge Area” Choose a knowledge area on which you scored the lowest to work on this week.
Step 2. Once you’ve chosen the subject, research and work up a common chief complaint from that system that you haven’t learned already in the program and present your findings in the discussion threads. Push yourself to explore diagnoses in this area that are still common to primary care, but not a repeat of content learned in this or other courses.
Step 3. Respond to at least one other student’s CC work up as well as any questions posed to you by faculty.
Work up includes:
Chief complaint, PMHx, Demographics, PSHx, allergies, lifestyle, HPI
Associated risk factors/demographics that contribute to the chief complaint and differential diagnoses
Three common differential diagnoses represented by the CC including pathophysiology and rationale in the identified body system i.e., if pulmonary was your body system than a chief complaint could be persistent cough and three pulmonary differentials;
Discuss how the three differential diagnoses differ from each other in: occurrence, pathophysiology and presentation (NOTE: Simply listing the diagnoses and their occurrence, pathophysiology and presentations separately does not confer an understanding of how they differ. Your discussion should compare and contrast these items against each other among the three differentials chosen);
Relevant testing required to diagnose/evaluate severity of the three differential diagnoses; and
Review of relevant National Guidelines related to the Diagnosis and Diagnostic testing for these diagnoses
Respond to at least one Student’s CC write up and all faculty questions posed directly to you.
**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.
| DISCUSSION CONTENT Category Points % Description Application of Course Knowledge 65 50% Post contributes clinically accurate perspectives/insights applicable to the results from the physical exam and diagnoses. Initial post includes the most likely diagnosis/specific treatment plan given case study information supported by rationale and answers all questions presented in the case. Demonstrates course knowledge/assigned readings by: linking tests/interventions accurately to diagnoses, applies learned knowledge specifically to the symptoms and patient information using original dialogue i.e., little to no direct quotes. Evidence Based resources 25 19% Discussion post supported by evidence from appropriate sources published within the last five years. Focus of journal articles represents a logical link between the article content and the case study information. In-text citations and full references are provided. Interactive Dialogue 30 23% Presents case study findings and responds substantively to at least one peer including evidence from appropriate sources, and all direct faculty questions posted. Substantive posts contribute new, novel perspectives to the discussion using original dialogue (not quotes from sources) 120 92% Total CONTENT Points= 120 pts DISCUSSION FORMAT Category Points % Description Organization 5 4% Discussion post presented in a logical, meaningful, and understandable sequence. Headings reflect separation of criterion outlined in assignment guidelines. **Direct quote should not exceed 15 words & must add substantively to the discussion APA/Grammar/Spelling 5 4% Discussion post has minimal grammar, spelling, syntax, punctuation and APA* errors. Direct quotes (if used) is limited to 1 short statement** which adds substantively to the post. * APA style references and in text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included. 10 8% Total FORMAT Points= 10 pts DISCUSSION TOTAL= 130 points |
