SU NSG6320 All Weeks Discussions Latestessa
NSG6320 Adult Health – Adults & GerontologyWeek 1 Discussion
Access the U.S. Preventive Services Task Force (USPSTF) at the site indicated and write a summary of one of the primary care recommendations below:
Depression
Aspirin to prevent colon cancer and CVD
Breast cancer
Smoking cessation
Screening for abnormal blood glucose and type 2 DM
Screening for prostate cancer
Screening for anemia in pregnant women
Screening for vitamin D
Screening for Hepatitis
Be sure to read the complete recommendation, not just the summary. Briefly, summarize the Final Recommendation Statement. Comment on the level and amount of evidence to support the recommendation. If all the topics listed are taken, choose another guideline that may be applicable to adults. Make sure the screening recommendation is an active recommendation. Summarize the recommendation and also comment on two of your classmates’ posts.
Review the following to learn more:
U.S. Preventive Services Task Force. (n.d.). Recommendations for Primary Care Practice. Retrieved from https://www.uspreventiveservicestaskforce.org/Page/Name/recommendations
NSG6320 Adult Health – Adults & Gerontology
Week 2 Discussion
This week, your DB activity is to list clinical pearls for your classmates. You may ask, “What is a clinical pearl?” A clinical pearl is a short, straightforward piece of clinical advice that you can apply to similar situations in clinical practice. Another way to explain this would be that a Clinical Pearl can be defined as something you learned from the Aquifer cases that you will apply in your clinical practice.
This week, you have two Aquifer cases assigned in the assignment folder. You are required to work through both cases. Your job is to identify two clinical pearls that you learned from each case and post them to the DB.
After posting you initial post, you should respond to two of your peers, as per the DB rubric.
NSG6320 Adult Health – Adults & Gerontology
Week 3 Discussion
For this assignment, you will review the latest evidence based guidelines as they pertain to the case below. Discussion of the case is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, case study discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
A patient comes in to see you complaining of a cough for three months. How does your assessment of this cough differ from a patient who has had a cough for five days?
Tasks:
What are the potential red flags?
What is important not to miss in your review of systems?
What are the differential diagnosis for a cough lasting three months?
What are the top three causes of a cough lasting three months?
Write a sample HPI for the above patient.
NSG6320 Adult Health – Adults & Gerontology
Week 4 Discussion
For this assignment, you will review the latest evidence based guidelines as they pertain to the case below. Discussion of the case is based on the course objectives and weekly content, which emphasize the core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, case study discussions are used to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills, and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
Go to Aquifer and read through the resource on cultural awareness under student learning resources.
After reading through this, how do you think culture may affect management of hypertension and dyslipidemias?
What would you need to do differently with a patient who is a different culture than you?
Discuss “implicit bias” as it pertains to healthcare.
How can we overcome implicit bias as healthcare providers?
NSG6320 Adult Health – Adults & Gerontology
Week 5 Discussion
Tasks:
Choose one of the three Aquifer cases from this week.
Discuss how that patient and the management may be affected by social determinants of health.
Feel free to be creative in assigning a cultural and/or socioeconomic background to your patient.
Also, consider the cultural assignment on Aquifer from last week.
NSG6320 Adult Health – Adults & Gerontology
Week 6 Discussion
A seventy-year-old female patient who is well known to you comes to see you because she feels like she may be drinking “too much” lately. She says she has a martini before dinner and usually 2-3 glasses of wine in the evening.
What is your response to her?
What evidence of this do you find?
She also wants to know if there are any medications that can help her with this.
What is your response?
NSG6320 Adult Health – Adults & Gerontology
Week 7 Discussion
Case 1
A forty-nine-year-old healthy Caucasian female has her routine labs done, which reveals the following:
ALT 381 ↑↑
AST 184 ↑↑
ALP 64
GGT 14
Alb, INR, plt normal
She has had liver tests in the past and her ALT and AST fluctuate from normal to 300 s.
Autoimmune markers negative. She is on no meds.
What is your next best action to take and why? Further history?
Diagnostics? What are some of your differentials?
Case 2
Mrs. Keppy is a fifty-five-year-old married female who comes to your office because her husband was recently diagnosed with hepatitis C. She wants to know if she should be tested and what she can expect from her husband’s diagnosis. What will you say to her regarding her risk factors and her husband’s treatment and prognosis?
NSG6320 Adult Health – Adults & Gerontology
Week 8 Discussion
A patient comes in to see you with new complaints of feeling weak and tired. She also admits to some new palpitations. You get an EKG to assess her heart rhythm and note very tall-peaked T waves.
In reviewing the endocrine disorders we studied this week, what are some of your differential diagnosis?
What would be the most important information to obtain in her history and review of systems?
What diagnostic tests would you order next?
NSG6320 Adult Health – Adults & Gerontology
Week 9 Discussion
What guidelines are available for the diagnosis and management of anemia? Choose one type of anemia and list 3 sets of guidelines you were able to find. Which of these did you find most helpful for clinical use and why? Which did you find least helpful?
Is anemia a normal finding in the geriatric population? What evidence did you find to back up your answer?
NSG6320 Adult Health – Adults & Gerontology
Week 10 Discussion
The Aquifer case this week is a fifty-five-year-old male with back pain. He is requesting something for pain.
Tasks:
What would you recommend for him that would be effective for his symptoms? What patient education would be necessary with this? How would you write that order? Write it just as you would on a prescription pad.
He call you the following day and states that the medication you ordered is making him nauseous. What would you tell him? Is there another alternative you could offer him? Mr. Farber is also concerned about a UTI due to his previous history. He states, “I had back pain with my last UTI, and now, I am concerned that I won’t know if I get another UTI.” What can you tell him?
