Presentation: Realistic Clinical Case Study
For this assignment, you will develop a presentation on a realistic clinical case on a topic that is of interest to you. And then, use Canvas Studio’s Screen Capture feature to record (voice-over) your presentation. How do I record a Canvas Studio video with a webcam in a course?
Links to an external site.
Content Requirements You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the following:
1. Subjective data: Chief Complaint; History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem; Review of Systems (ROS)
2. Objective data: Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Labs; Vital signs; Physical exam.
3. Assessment: Primary Diagnosis; Differential diagnosis 4. Plan: Diagnostic testing; Pharmacologic treatment plan;
Non-pharmacologic treatment plan; Anticipatory guidance (primary prevention strategies); Follow up plan.
5. Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner
Submission Instructions: • The presentation is original work and logically organized, formatted, and cited in
the current APA style, including citation of references. • The presentation should consist of 10-15 slides and less than 5 minutes in
length.
• Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).
• Complete and submit the assignment by 11:59 PM ET Sunday
Grading Rubric
Your assignment will be graded according to the grading rubric.
View Rubric Case Study Rubric
Case Study Rubric
Crite ria Ratings
P oi nt s
Chief Compl aint (Reaso n for seekin g health care) – S
Distinguished Includes a direct quote from patient about presenting problem 4 pts
Excellent Includes a direct quote from patient and other unrelated information 3 pts
Fair Includes information but information is NOT a direct quote 2 pts
Poor Information is completely missing 0 pts
/4 pt s
Demog raphics – S
Distinguished Begins with patient initials, age, race, ethnicity and gender (5 demographics) 2 pts
Excellent Begins with 4 of the 5 patient demographics (patient initials, age, race, ethnicity and gender) 1.5 pts
Fair Begins with 3 or less patient demographics (patient initials, age, race, ethnicity and gender) 1 pts
Poor Information is completely missing 0 pts
/2 pt s
History of the Present Illness (HPI) – S
Distinguished Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity) 4 pts
Excellent Includes the presenting problem and 7 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity) 3 pts
Fair Includes the presenting problem and 6 of the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity) 2 pts
Poor Information is completely missing 0 pts
/4 pt s
Allergie s – S
Distinguished Includes NKA (including = Drug, Environemental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy) 2 pts
Excellent If allergies are present, students lists type Drug, environemtal factor, herbal, food, latex name and includes severity of allergy OR description of allergy 1.5 pts
Fair If allergies are present, students lists only the type of allergy name 1 pts
Poor Information is completely missing 0 pts
/2 pt s
Review of System s (ROS) – S
Distinguished Includes a minimum of 3 assessments for each body system and assesses at least 9 body systems directed to chief complaint AND uses the words “admits” and “denies” 9 pts
Excellent Includes 3 or fewer assessments for each body system and assesses 5-8 body systems directed to chief complaint AND uses the words “admits” and “denies” 7 pts
Fair Includes 3 or fewer assessments for each body system and assesses less than 5 body systems directed to chief complaint OR student does not use the words “admits” and “denies” 5 pts
Poor Information is completely missing 0 pts
/9 pt s
Vital Signs – O
Distinguished Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.) 2 pts
Excellent Includes 7 vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.) 1.5 pts
Fair Includes 6 or less vital signs, (BP (with patient position), HR, RR, temperature (with Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or percentiles for pediatric population) and pain.) 1 pts
Poor Information is completely missing 0 pts
/2 pt s
Labs – O
Distinguished Includes a list of the labs reviewed at the visit, values of lab results and highlights abnormal values OR acknowledges no labs/diagnostic tests were reviewed. 3 pts
Excellent Includes a list of the labs reviewed at the visit, values of lab results but does not highlight abnormal values. 2 pts
Fair Includes a list of the labs reviewed at the visit but does not include the values of lab results or highlight abnormal values. 1 pts
Poor Information is completely missing 0 pts
/3 pt s
Medica tions – O
Distinguished Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency) 4 pts
Excellent Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including 3 of the 4: name, dose, medications route, frequency) 2 pts
Fair Includes a list of all of the patient reported medications (including 2 of the 4: name, dose, route, frequency) 1 pts
Poor Information is completely missing 0 pts
/4 pt s
Screeni ngs – O
Distinguished Includes an assessment of at least 5 screening tests 3 pts
Excellent Includes an assessment of at least 4 screening tests 2 pts
Fair Includes each medical diagnosis but does not include year of diagnosis or whether the diagnosis is active or current OR does not include a medical diagnosis for each medication listed under medications. 1 pts
Poor Information is completely missing 0 pts
/3 pt s
Past Medica l History – O
Distinguished Includes, for each medical diagnosis, year of diagnosis and whether the diagnosis is active or current AND there is a medical diagnosis for each medication listed under medications 3 pts
Excellent Includes, for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current AND there is a medical diagnosis for each medication listed under medications 2 pts
Fair Includes, for each medical diagnosis, either year of diagnosis OR whether the diagnosis is active or current AND there is a medical diagnosis for each medication listed under medications 1 pts
Poor Information is completely missing 0 pts
/3 pt s
Past Surgica l History – O
Distinguished Includes, for each surgical procedure, the year of procedure and the indication for the procedure 3 pts
Excellent Includes, for each surgical procedure, the year of procedure OR indication of the procedure 2 pts
Fair Includes, for each surgical procedure but not the year of procedure or indication of the procedure 1 pts
Poor Information is completely missing 0 pts
/3 pt s
Family History – O
Distinguished Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer. 3 pts
Excellent Includes an assessment of at least 3 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer. 2 pts
Fair Includes an assessment of at least 2 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer. 1 pts
Poor Information is completely missing 0 pts
/3 pt s
Social History – O
Distinguished Includes all 11 of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation. 3 pts
Excellent Includes 10 of the 11 following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation. 2 pts
Fair Includes 9 or less of the following: tobacco use, drug use, alcohol use, marital status, employment status, current and previous occupation, sexual orientation, sexually active, contraceptive use, and living situation. 1 pts
Poor Information is completely missing 0 pts
/3 pt s
Physic al Examin ation – O
Distinguished Includes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaint 9 pts
Excellent Includes a minimum of 3 assessments for each body system and assesses at least 4 body systems directed to chief complaint 7 pts
Fair Includes a minimum of 2 assessments for each body system and assesses at least 4 body systems directed to chief complaint 5 pts
Poor Information is completely missing 0 pts
/9 pt s
Diagno sis – A
Distinguished Includes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority) 5 pts
Excellent Includes a clear outline of the accurate diagnoses addressed at the visit but does not list the diagnoses in descending order of priority 3 pts
Fair Includes an inaccurate diagnosis as the principal diagnosis 2 pts
Poor Information is completely missing 0 pts
/5 pt s
Differe ntial Diagno sis – A
Distinguished Includes at least 3 differential diagnoses for the principal diagnosis 5 pts
Excellent Includes 2 differential diagnoses for the principal diagnosis 3 pts
Fair Includes 1 differential diagnosis for the principal diagnosis 2 pts
Poor Information is completely missing 0 pts
/5 pt s
Pharm acologi c treatm ent plan – P
Distinguished Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes ALL of the following: drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. 4 pts
Excellent Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes 4 of the following 7: the drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. 3 pts
Fair Includes a detailed pharmacologic treatment plan for each of the diagnoses listed under “assessment”. The plan includes less than 4 of the following: the drug name, dose, route, frequency, duration and cost as well as education related to pharmacologic agent. If the diagnosis is a chronic problem, student includes instructions on currently prescribed medications as above. 2 pts
Poor Information is completely missing 0 pts
/4 pt s
Diagno stic/ Lab Testing – P
Distinguished Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time” 5 pts
Excellent Includes appropriate diagnostic/lab testing 50% of the time OR acknowledges “no diagnostic testing clinically required at this time” 3 pts
Fair Includes appropriate diagnostic testing less than 50% of the time. 2 pts
Poor Information is completely missing 0 pts
/5 pt s
Educati on – P
Distinguished Includes at least 3 strategies to promote and develop skills for managing their illness and at least 3 self-management methods on how to incorporate healthy behaviors into their lives. 5 pts
Excellent Includes at least 2 strategies to promote and develop skills for managing their illness and at least 2 self-management methods on how to incorporate healthy behaviors into their lives. 3 pts
Fair Includes at least 1 strategies to promote and develop skills for managing their illness and at least 1 self-management methods on how to incorporate healthy behaviors into their lives. 2 pts
Poor Information is completely missing 0 pts
/5 pt s
Anticip atory Guidan ce – P
Distinguished Includes at least 3 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening)) 4 pts
Excellent Includes at least 2 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 2 secondary prevention strategies (related to age/condition (i.e. screening)) 2 pts
Fair Includes at least 1 primary prevention strategies (related to age/condition (i.e. immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at least 1 secondary prevention strategies (related to age/condition (i.e. screening)) 1 pts
Poor Information is completely missing 0 pts
/4 pt s
Follow up plan – P
Distinguished Includes recommendation for follow up, including time frame (i.e. x # of days/ weeks/months) 4 pts
Excellent Includes recommendation for follow up, but does not include time frame (i.e. x # of days/weeks/months) 2 pts
Poor Does not include follow up plan 0 pts
/4 pt s
Refere nces
Distinguished High level of APA precision 3 pts
Excellent Moderate level of APA precision 2 pts
Fair Incorrect APA style 1 pts
Poor Information is completely missing 0 pts
/3 pt s
Gramm ar
Distinguished Free of grammar and spelling errors 3 pts
Excellent Writing mechanics need more precision and attention to detail 2 pts
Poor Writing mechanics need serious attention 0 pts
/3 pt s
Incorp oration of Current Practic e Guideli nes
Distinguished Includes recommendations from at least 1 professional set of practice guidelines (although not the current version) 4 pts
Excellent Includes 2 or fewer recommendations from at least 1 current, professional set of practice guidelines 3 pts
Fair Includes recommendations from at least 1 professional set of practice guidelines (although not the current version) 2 pts
Poor Information is completely missing or student includes a non-credible set of treatment guidelines 0 pts
/4 pt s
Role of the Nurse Practiti oner
Distinguished Includes a discussion of the role of NP pertaining to the assessment, work up, collaboration and management of the case presented AND gives at least 1 example pertaining to each of the 4 areas (assessment, work up, collaboration and management). 4 pts
Excellent Includes a discussion of the role of NP pertaining to the assessment, work up, collaboration and management of the case presented AND gives atleast 1 example pertaining to 2 of the 4 areas (assessment, work up, collaboration and management). 3 pts
Fair Does not include a discussion of the role of NP pertaining to the assessment, work up, collaboration and management of the case presented OR give at least 1 example pertaining to 3 or more of the following areas (assessment, work up, collaboration and management). 2 pts
Poor Information is completely missing 0 pts
/4 pt s