Case study

Neurologic Function Case Study 

Pain and Neurologic Syndromes

  

Instructions  

For this case study, you will create a case related to the Neurological Functions.

  

Download this document, type your answers, and include references (including in-text citations per item). Then, upload it to this assignment page.  

  

Neurological Function 

 

Part 1:

Compare and contrast the 3 conditions in

one
of the charts below: 

PAIN SYNDROME

 

Migraine Headaches 

Tension Headaches 

Meningitis 

Risk Factors 

 

 

 

Pathophysiology 

 

 

 

Clinical Manifestations 

 

 

 

 

OR

NEUROLOGIC SYNDROME

 

Dementia 

Depression  

Anxiety

Risk Factors 

 

 

 

Pathophysiology 

 

 

 

Clinical Manifestations 

 

 

 

Part 2:

Choose a
pain or
neurologic syndrome to explore. You can also choose a diagnosis not listed (that coincides with your advanced practice specialty) as long as it relates to the neurological function.

Present a hypothetical case that includes the following:

1. Vital information about a person who might be predisposed to this condition (I.e., a person who may have risk factors for this condition). 

2. The pathophysiology of the disease, including clinical manifestations.

3. Which diagnostic tests you’d recommend and a rationale for the one(s) you choose.

4. How this condition compares to other differentials.

5. The evidence-based recommendations from the

AHRQ Guidelines
or guidelines recommended from a professional organization. Based on these recommendations, discuss how  to manage the condition best.

6. A patient safety issue that could be associated with the condition presented in this case.

These charts may help in organizing information to answer the narrative questions: 

Name of Condition: 

Risk factors 

 

Pathophysiology 

 

Clinical manifestations 

 

Additional details (optional): 

 

Differential Diagnoses (See chart below) 

 

What makes this diagnosis unique from other differentials? 

 

Guidelines and recommendations for condition management

Potential related safety issues

 

 

DIFFERENTIAL DIAGNOSIS CHART

Condition

Differential 1

Differential 2

Differential 3

Risk factors 

 

 

 

 

Pathophysiology 

 

 

 

 

Clinical manifestations 

 

 

 

 

Additional details (optional): 

 

 

 

 

Unique characteristics 

 

 

 

 

 

 

The Case:

Respiratory

Discuss what is happening on a cellular level with the disease process. Be careful to realize that patients have co-morbidities, and you may need to discuss the other diseases impact on the pathophysiology and care of the patient.  Three (3) resources after 2008 are required along with APA format. Add questions to paper

CASE STUDY: 
Asthma

 

Patient Profile:

    Miss Winters, age 25, comes to the emergency department with severe wheezing, dyspnea, and anxiety. She was in the ED only 6 hours ago with an acute asthma attack, which resolved with nebulized albuteral treatments.

 

Subjective Data:

-Admits to use of albuterol inhaler several times weekly for the last few months 

-Asthma symptoms occasionally awaken her at night (about 3 times a week), and she has cancelled several outings with her family due to her symptoms

          -Can now only speak in one to three word sentences

          -Is allergic to cigarette smoke

-Began to experience increased shortness of breath and chest tightness when she returned home

-Used albuterol inhaler repeatedly at home without relief

-History of pruritic skin lesions that have come and gone since childhood.

 

Objective Data:

            Physical Examination:

                -Using accessory muscles to breath

             -Audible inspiratory and expiratory wheezing to auscultation with no air movement in lower lobes of l

                     lungs

             -HR = 126/min; Resp = 40/min

             -Areas of dry, scaling skin in antecubital areas bilaterally with evidence of scratching

            
Diagnostic Studies:

                        ABGs: PO2  = 80 mm Hg

                                    PCO2  = 35mm Hg

                                    HCO3  = 24 mEq/L

                                    pH = 7.48

                        PEFR: 150 L/min (Personal best: 400 L/min)

                        Continuous pulse oximetry: 82-85

 

CRITICAL THINKING QUESTIONS:

 

1. Why did Ms. W. return to the ED? Explain the pathophysiology of this second exacerbation of asthma.

 

2. Describe the progression of breath sounds auscultated from early in an asthma attack through very severe respiratory impairment. How do the sounds change as the patient improves?

 

3. What is the significance of her dry, scaling, pruritic skin lesions? What is your diagnosis (no nursing dx please)? How do these types of lesions relate to asthma? What is their physiologic cause ?

 

4. Analyze the ABG. What type of acid-base disorder is present? Why? Is there any compensation?

 

5. Discuss the four categories of asthma diagnosis advocated in the 
Guidelines for the Diagnosis and Management of Asthma from the National Heart, Lung, and Blood Institute of the National Institutes of Health. Which classification best describes Ms. W.'s asthma?

 

6. According to the asthma treatment guidelines from #5: the “Step up-Step down” approach, what is the recommended treatment strategy for a patient currently at Ms. W.’s classification level once this current exacerbation is controlled? When would it be appropriate to reevaluate the interventions and possibly adjust the medications?

 

7. She lost her Peak Flow meter during a recent house move. Why would you want to order a new one for her? How is it used and how can it help increase her ability to control her asthma? Explain the red, yellow, and green zones. What is the significance of her PEFR level on her return to the Emergency Room?

 

BHA415 Topics In Healthcare Policy

11/10/23, 9:17 AM Case – BHA415 Topics in Health Care Policy (2023OCT09FT-1)

https://tlc.trident.edu/d2l/le/content/202602/viewContent/5126064/View 1/2

Module 3 – Case

HEALTH POLICIES AND VULNERABLE POPULATIONS

Case Assignment

You are a junior administrator in a small hospital. The clinical staff in the hospital have done a good job in ensuring that
patient care falls in line with the National Culturally and Linguistically Appropriate Services (CLAS) policy. However, in
a recent assessment of your facility, it was found that these competencies are lacking in the interactions of patients
with administrative services. Your supervisor has learned that you have taken this course and has asked you to
prepare a PowerPoint presentation to share with the various administrative departments such as billing, customer
service, scheduling, etc. Your presentation should include the following:

A thorough explanation of the CLAS Standards

Why culturally competent services are important throughout the hospital

Suggestions for how different departments can better serve the hospitals’ diverse clientele

A slide with resources for staff members

A slide with references

You must include speaker’s notes with your slides, which will elaborate on the content in each slide. Be sure to cite
your sources in your slides and speaker’s notes.

Assignment Expectations

1. Conduct additional research to gather sufficient information to justify/support your analysis.

2. Your presentation should be at least 8 slides, not including your cover slide and reference slide.

Listen

11/10/23, 9:17 AM Case – BHA415 Topics in Health Care Policy (2023OCT09FT-1)

https://tlc.trident.edu/d2l/le/content/202602/viewContent/5126064/View 2/2

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3. Support your presentation with a minimum of 3 reliable sources.

4. Please use Evaluating Internet Resources for evaluating information found on the internet to ensure that you are
using reliable sources: https://www.library.georgetown.edu/tutorials/research-guides/evaluating-internet-content

5. You may use Purdue OWL to assist in formatting your assignment:
https://owl.english.purdue.edu/owl/resource/560/01/.

6. Be sure that you do not cut and paste material into your slides, but use proper quotations where needed, and also
citations for all reference materials. The same expectations apply to PowerPoint presentations as to documents.

Emergency Preparedness & Health Policy

 

  • How your work environment prepares and responds to emergency preparedness (you may choose natural or man-made emergencies)? 
  • How do you see health policy impacting nursing practice in preparing for emergencies?

Please Reply to the following 2 Discussion posts:

Please see the attachment for instructions

pn 1 m11 written

 

  • What did you learn from this course that you did not already know?
  • How will you apply what you learned to your patient care?

Create a Reflection document

Please read carefully the instructions.

You need to create a Reflection documen following the instructions and answering of the attached document.

complete a Reflection Document analyzing how the assignment (attached Artifact: ConcofPathophys w5

PowerPoint) demonstrates achievement of the identified

PSLO/GEC/Essential.

question


Back to Module at a Glance

ACADEMIC SUCCESS AND PROFESSIONAL DEVELOPMENT PLAN PART 3: RESEARCH ANALYSIS

Architect Daniel Libeskind is credited with saying “To provide meaningful architecture is not to parody history, but to articulate it.” The suggestion is that his work does not copy the efforts of others but relies on it.

Understanding the work of others is critically important to new work. Contributions to the nursing body of knowledge can happen when you are able to analyze and articulate the efforts of previous research. Research analysis skills are therefore critical tools for your toolbox.

In this Assignment, you will locate relevant existing research. You also will analyze this research using a tool helpful for analysis.

RESOURCES


Be sure to review the Learning Resources before completing this activity. 
Click the weekly resources link to access the resources. 



WEEKLY RESOURCES

· Al-Jundi, A., & Sakka, S. (2017).
Critical appraisal of clinical research
Links to an external site.
.
 Journal of Clinical and Diagnostic Research: JCDR, 11(5), JE01–JE05. https://doi.org/10.7860/JCDR/2017/26047.9942

· Shellenbarger, T. (2016). 
Simplifying synthesis
Links to an external site.
. Nurse Author & Editor, 26(3). Retrieved from http://naepub.com/reporting-research/2016-26-3-3/ 

· Walden University Library. (n.d.). 
Databases A-Z: Nursing
Links to an external site.
. Retrieved October 4, 2019 from https://academicguides.waldenu.edu/az.php?s=19981

· Walden University Library. (n.d.). 
Evaluating resources: Journals
Links to an external site.
. Retrieved October 4, 2019, from https://academicguides.waldenu.edu/library/evaluating/resource-types/journals

· Walden University Library. (n.d.). 
Instructional media: Fundamentals of library research
Links to an external site.
. Retrieved October 4, 2019 from https://academicguides.waldenu.edu/library/instructionalmedia/researchfundamentals

·
Walden University Writing Center.
Links to an external site.
 (n.d.). Retrieved November 14, 2018, from https://academicguides.waldenu.edu/writingcenter/home

· Walden University Writing Center. (n.d.). 
Common assignments: Synthesizing your sources
Links to an external site.
. https://academicguides.waldenu.edu/writingcenter/assignments/literaturereview/synthesizing

· Walden University Writing Center. (n.d.). 
Scholarly writing: Overview
Links to an external site.
. Retrieved November 14, 2018, from https://academicguides.waldenu.edu/writingcenter/scholarly

· Walden University Writing Center. (n.d.). 
Webinars: Technical information
Links to an external site.
. Retrieved November 14, 2018, from https://academicguides.waldenu.edu/writingcenter/webinars/technical

· Document: 
Academic Success and Professional Development Plan Template
 Download Academic Success and Professional Development Plan Template(Word document)

· Document: 
Introduction to Scholarly Writing: Tips for success
 Download Introduction to Scholarly Writing: Tips for success(PDF)

To Prepare:

·
Reflect on the strategies presented in the Resources this Module's Learning Resources in support of locating and analyzing research.

·
Use the Walden Library to identify and read one peer-reviewed research article focused on a topic in your specialty field that interests you.

·
Review the article you selected and reflect on the professional practice use of theories/concepts described by the article.

The Assignment:

Using the “Module 3 | Part 3” section of your 
Academic Success and Professional Development Plan Template presented in the Resources, conduct an analysis of the elements of the research article you identified. Be sure to include the following:

·
Your topic of interest.

·
A correctly formatted APA citation of the article you selected, along with link or search details.

·
Identify a professional practice use of the theories/concepts presented in the article.

·
Analysis of the article using the “Research Analysis Matrix” section of the template

·
Write a 1-paragraph justification stating whether you would recommend this article to inform professional practice.

·
Write a 2- to 3-paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following:

·
Describe your approach to identifying and analyzing peer-reviewed research.

·
Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research.

·
Identify at least one resource you intend to use in the future to find peer-reviewed research.


Note: Add your work for this Assignment to the original document you began in the Module 1 Assignment, which was built from the Academic Success and Professional Development Plan Template.

BY DAY 7 OF WEEK 5

Submit your analysis, including your completed section of the 
Academic Success and Professional Development Plan Template sections and your matrix and summary.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. 

1.
To submit your completed assignment, save your Assignment as MD3Assgn_LastName_Firstinitial

2.
Then, click on Start Assignment near the top of the page.

3.
Next, click on Upload File and select Submit Assignment for review.


Rubric

NURS_6003_Module03_Week05_Assignment_Rubric

NURS_6003_Module03_Week05_Assignment_Rubric

Criteria

Ratings

Pts

This criterion is linked to a Learning OutcomeUsing the Week 3 Part 3, section of your Academic Success and Professional Development Plan Template complete Step 1. Conduct an analysis of the elements of the research article you identified. Be sure to include the following:· The topic of interest you have selected. · Correctly formatted APA citation of the article you selected, along with link or search details. · Identify one or more professional practice uses of the theories/concepts presented in the article.

25 to >22.0 pts

Excellent

The response clearly identifies the topic of interest selected. … The response accurately and completely provides a citation of the article selected, including an accurate and complete link or thorough search details. … The response clearly identifies and describes in detail a professional practice use of the theories/concepts presented in the article.

22 to >19.0 pts

Good

The response partially identifies the topic of interest selected. … The response provides a partial citation of the article selected, including a partial link or search details. … The response partially identifies and describes a professional practice use of the theories/concepts presented in the article.

19 to >17.0 pts

Fair

The response vaguely identifies the topic of interest selected. … The response vaguely or inaccurately provides a citation of the article selected, including vague or inaccurate search details. … The response vaguely or inaccurately identifies and describes a professional practice use of the theories/concepts presented in the article.

17 to >0 pts

Poor

The response vaguely and inaccurately identifies the topic of interest selected or is missing. … The response vaguely and inaccurately provides a citation of the article selected, including vague and inaccurate search details, or is missing. … The response vaguely and inaccurately identifies and describes a professional practice use of the theories/concepts presented in the article or is missing.

25 pts

This criterion is linked to a Learning OutcomeAnalysis of the article using the Research Analysis Matrix section of the template for:Strengths of the ResearchLimitations of the ResearchRelevancy to the Topic of Interest. · Write a one-paragraph justification explaining whether or not you would recommend the use of this article to inform professional practice.

20 to >17.0 pts

Excellent

The response clearly and accurately provides a detailed analysis of the article using the Research Analysis Matrix section of the template. … The response clearly and accurately explains in detail the justification of whether to recommend the use of the article to inform professional practice.

17 to >15.0 pts

Good

The response provides a partial analysis of the article using the Research Analysis Matrix section of the template. … The response partially explains the justification of whether or not to recommend the use of the article to inform professional practice.

15 to >13.0 pts

Fair

The response provides a vague or inaccurate analysis of the article using the Research Analysis Matrix section of the template. … The response vaguely or inaccurately explains the justification of whether or not to recommend the use of the article to inform professional practice.

13 to >0 pts

Poor

The response provides a vague and inaccurate analysis of the article using the Research Analysis Matrix section of the template or is missing. … The response vaguely and inaccurately explains the justification of whether or not to recommend the use of the article to inform professional practice or is missing.

20 pts

This criterion is linked to a Learning OutcomePart 3, Step 2: Write a 2-3 paragraph summary that you will add to your Academic Success and Professional Development Plan that includes the following: · Describe your approach to identifying and analyzing peer-reviewed research· Identify at least two strategies that you would use that you found to be effective in finding peer-reviewed research. · Identify at least one resource you intend to use in the future to find peer-reviewed research.

45 to >40.0 pts

Excellent

The response clearly and accurately describes in detail the approach to identifying and analyzing peer-reviewed research. The response clearly identifies and accurately describes in detail at least two strategies used to be effective in finding peer-reviewed research. … The response clearly identifies and accurately describes in detail at least one resource you intend to use in the future to find peer-reviewed research.

40 to >35.0 pts

Good

The response partially describes the approach to identifying and analyzing peer-reviewed research. The response partially identifies and describes at least two strategies used to be effective in finding peer-reviewed research. … The response partially identifies and describes in detail at least one resource you intend to use in the future to find peer-reviewed research.

35 to >31.0 pts

Fair

The response vaguely or inaccurately describes the approach to identifying and analyzing peer-reviewed research. The response vaguely or inaccurately identifies and describes at least two strategies used to be effective in finding peer-reviewed research. … The response vaguely or inaccurately identifies describes in detail at least one resource you intend to use in the future to find peer-reviewed research.

31 to >0 pts

Poor

The response vaguely and inaccurately describes the approach to identifying and analyzing peer-reviewed research or is missing. The response vaguely and inaccurately identifies and describes at least two strategies used to be effective in finding peer-reviewed research or is missing. … The response vaguely or inaccurately identifies describes in detail or is missing at least one resource you intend to use in the future to find peer-reviewed research.

45 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. which delineates all required criteria.

5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity.

4 to >3.0 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.

3 to >2.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%- 79% of the time.

2 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts

Good

Contains a few (1-2) grammar, spelling, and punctuation errors.

3 to >2.0 pts

Fair

Contains several (3-4) grammar, spelling, and punctuation errors.

2 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

Total Points: 100

Due 9/26/2023….please complete comprehensive SOAP….NO PLAGARISM

  Patient: 17-year-old male with a diagnosis of testicular torsion

******Please use OLDCARTS  for the history of the present illness*****

answer everything and remove all instructions on the template