2-page case study analysis

Scenario 1: A 32-year-old female presents to the ED with a chief complaint of fever, chills, nausea, vomiting, and vaginal discharge. She states these symptoms started about 3 days ago, but she thought she had the flu. She has begun to have LLQ pain and notes bilateral lower back pain. She denies dysuria, foul-smelling urine, or frequency. States she is married and has sexual intercourse with her husband. PMH negative.

Labs: CBC-WBC 18, Hgb 16, HCT 44, Plat 325, ­ Neuts & Lymphs, sed rate 46 mm/hr, C-reactive protein 67 mg/L CMP within normal limit

Vital signs T 103.2 F Pulse 120 Resp 22 and PaO2

99% on room air. Cardio-respiratory exam WNL with the exception of tachycardia but no murmurs, rubs, clicks, or gallops. Abdominal exam + for LLQ pain on deep palpation but no rebound or rigidity. Pelvic exam demonstrates copious foul-smelling green drainage with a reddened cervix and + bilateral adnexal tenderness. + chandelier sign. Wet prep in ER + clue cells and gram stain in ER + gram-negative diplococci.

In your Case Study Analysis related to the scenario provided, explain the following:

• The factors that affect fertility (STDs).
• Why inflammatory markers rise in STD/PID.

As for all the case studies please focus on the following elements:

A detailed explanation of the pathophysiology

Clinical manifestations due to the pathophysiology

Genetic/ethnic considerations

Use research, current sources less than 5 years, and analysis to support your answers

rubric attached

Please see the attached Case study.

All Case studies /assignments must be done in APA format with a separate sheet for references. 

Managing care in a Culturally Considerate manner

CASE STUDY 2

Patient Profile
F.M. is a 68-year-old white man who comes to the emergency department (ED) in the early afternoon with a 2-day history of severe chest pain. The pain started on wakening the previous day. The pain increased during the night, but his wife could not convince him to go to the hospital. He comes to the ED today because the pain is severe and no longer relieved by rest.

Subjective Data

• Describes recurring chest pain for the past 6 months that was relieved by rest; the pain is a feeling of heaviness in chest with no radiating pain to arm or jaw or accompanying complaints of nausea or dizziness
• Recently the chest pain has become severe and is no longer relieved by rest; is now complaining of being slightly nauseated
• His father died of a heart attack at age 62
• Denies alcohol or drug use
• Smokes one pack of cigarettes per day
• Describes his lifestyle as sedentary

Objective Data

Physical Examination

• Blood pressure 180/96, pulse 98, temperature 99.8° F, respirations 20
• Height 5’11”, weight 210 lbs, BMI 29.3 kg/m2
• Alert and oriented to person, place, and time
• Skin diaphoretic and clammy
• Heart rhythm regular, no murmurs or extra heart sounds
• Lungs are clear to auscultation

Diagnostic Studies

• Hemoglobin 14 g/dL
• Chemistry panel is normal
• Cardiac markers – pending
• Electrocardiogram showing changes that correlate with non-ST-segment-elevation myocardial infarction (NSTEMI)

Collaborative Care

• 9% NaCl infusing into IV catheter at 75 mL/hr
• Nitroglycerin and morphine given with relief of pain

1. What are F.M.’s modifiable risk factors for coronary artery disease (CAD)? What are his non-modifiable risk factors?
2. What is the difference between chronic stable angina pain and pain associated with myocardial infarction?
3. What are diagnostic studies indicated for F.M.?
4. F.M. is diagnosed as having a myocardial infarction (MI).
5. What is the priority nursing care for F.M.?
6. What other interventions do you anticipate for F.M. at this time?

Forrmative and summative assessments should align with instructional objectives and provide instructors with a variety of ways to measure learning. Instructors have the responsibility to create a test blueprint before creating the assessment to guide them in item writing.

The purpose of this assignment is to create a test blueprint based on the health care practice you selected in Topic 2 and the objectives you created in Topic 3. After the blueprint is developed, create a summative assessment that consists of five multiple-choice questions. Following each question, include a short narrative that addresses the following:

1. The domain of knowledge each question addresses.
2. A rationale for strategies used in the development of your test blueprint and multiple-choice questions.
3. An explanation of how the test blueprint guided the development of your summative assessment based on learning objectives.

Include the test blueprint, summative assessment, and associated narratives as one Word document. Add your test blueprint and summative assessment to your Nurse Educator Electronic Portfolio.

APA style is not required, but solid academic writing is expected

Directions

Please do not use any of the Nurse Daniel information for your own topic, nursing intervention, or change project. Nurse Daniel serves as an example only to illustrate the change process.

1. Please review the infographic as way to guide you in getting started with your assignment: Developing an Assignment with Integrity (Links to an external site.)
2. View a short tutorial with tips for completing this assignment: Evidence-Based Practice Change Process Assignment Tutorial (Links to an external site.) or by reading the transcript (Links to an external site.).
3. Download the EBP Change Process form (Links to an external site.) during Week 1. The use of this specific form is REQUIRED 
4. Identify a clinical topic and related nursing practice issue you think needs to be changed. 
5. Locate a systematic review on your topic from the CCN Library databases. Be sure this involves nursing actions.
6. Work through each step of the ACE Star Model as outlined on the assignment form (Star Points 1-5: Discovery, Summary, Translation, Implementation, and Evaluation). Respond to the instructions provided on the form.
7. Follow the activities and thinking of Nurse Daniel in Weeks 1-6 in the ‘Illustration’ part of each lesson. He will be working through a clinical topic and nursing practice issue to demonstrate a change (ACE Star Model and systematic review).
8. Work on a portion of the process each week, as the illustration unfolds.

Best Practices

• Please reach out to your instructor for feedback or assistance with your PICOT question as needed.
• Required and Additional Background Reading in Weeks 1 and 2 under Readings is available for more information on the ACE Star Model and the use of systematic reviews.
• Please see the grading criteria and rubrics on this page.
• Please use your browser’s File setting to save or print this page.

Scholarly Sources and Citations

• Please cite any references (in APA format) of your systematic review or other scholarly document (optional) as needed.
• Paraphrasing information, rather than quoting, is expected. No quotes for this assignment please!

**Academic Integrity**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Rubric

Week 6: EBP Change Process Assignment Grading RubricWeek 6: EBP Change Process Assignment Grading RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomeSelected Systematic ReviewA systematic review from the CCN Library databases was selected, identified, and was appropriate for the selected nursing change process.25 ptsOne systematic review from the CCN Library databases was identified and was clearly appropriate.22 ptsA systematic review was selected from the CCN Library databases and was mostly appropriate for a nursing change process.20 ptsA systematic review was selected from the CCN Library databases and was fairly appropriate for a nursing change process.10 ptsA systematic review was selected, but not from the CCN Library databases and/or was not appropriate for this assignment.0 ptsNo systematic review selected or used.25 pts
This criterion is linked to a Learning OutcomeStar Point 1 (Discovery)The topic, nursing practice issue, rationale and scope of the problem were clearly identified and described.25 ptsStar Point 1 elements in the first column were thoroughly addressed.22 ptsStar Point 1 elements in the first column were mostly well addressed.20 ptsStar Point 1 was missing one element in the first column or one lacked detail.10 ptsStar Point 1 was missing more than one element in the first column and others lacked detail.0 ptsThe ACE Star Model Star Point 1 was not completed.25 pts
This criterion is linked to a Learning OutcomeStar Point 2 (Summary)The NURSING practice problem, NURSING related PICOT question, a systematic review from any database in the Chamberlain Library, and other optional references, evidence summary, strength, and solutions, are listed and described.35 ptsStar Point 2 elements in the first column were thoroughly addressed.31 ptsStar Point 2 elements in the first column were mostly well addressed.28 ptsStar Point 2 was missing one element in the first column or one lacked detail.13 ptsStar Point 2 was missing more than one element in the first column and others lacked detail. or were inappropriate.0 ptsThe ACE Star Model Star Point 2 was not completed.35 pts
This criterion is linked to a Learning OutcomeStar Point 3 (Translation)Care standards, practice guidelines, or protocols; stakeholders and their roles and responsibilities; the nursing role; rationale for including certain stakeholders, and cost analysis plan are addressed.35 ptsStar Point 3 elements in the first column were thoroughly addressed.31 ptsStar Point 3 elements in the first column were mostly well addressed.28 ptsStar Point 3. was missing one element in the first column or one lacked detail.13 ptsStar Point 3 was missing more than one element in the first column and others lacked detail.0 ptsThe ACE Star Model Star Point 3 was not completed.35 pts
This criterion is linked to a Learning OutcomeStar Point 4 (Implementation)Permission process, education plan, timeline, measurable outcomes, forms, resources, and stakeholder meetings, are addressed.35 ptsStar Point 4 elements in the first column were thoroughly addressed.31 ptsStar Point 4 elements in the first column were mostly well addressed28 ptsStar Point 4 was missing one element in the first column or one lacked detail.13 ptsStar Point 4 was missing more than one element in the first column and others lacked detail.0 ptsThe ACE Star Model Star Point 4 was not completed.35 pts
This criterion is linked to a Learning OutcomeStar Point 5 (Evaluation)Reporting results, process and next steps are addressed.35 ptsStar Point 5 elements in the first column were thoroughly addressed.31 ptsStar Point 5 elements in the first column were mostly well addressed28 ptsStar Point 5 was missing one element in the first column or one lacked detail.13 ptsStar Point 5 was missing more than one element in the first column and others lacked detail.0 ptsThe ACE Star Model Star Point 5 was not completed.35 pts
This criterion is linked to a Learning OutcomePresentationInformation was presented clearly and thoughts were well organized and logical.20 ptsInformation was presented clearly and thoughts were well organized and logical throughout.18 ptsInformation was presented clearly and thoughts were mainly organized and logical throughout.16 ptsInformation was presented clearly and thoughts were somewhat organized and logical throughout.8 ptsInformation was not consistently clear and/or was not consistently organized and logical.0 ptsInformation was disorganized and difficult to understand.20 pts
This criterion is linked to a Learning OutcomeMechanics/APAThe systematic review and any other scholarly resources were properly listed in APA format.
The writing includes error free grammar and spelling, and complete sentence structure.15 ptsExcellent mechanics and APA formatting with minimal errors in grammar, spelling, and sentence structure.13 ptsGood mechanics and formatting considering the elements listed in the first column12 ptsFair mechanics and formatting considering the elements listed in the first column6 ptsPoor mechanics and formatting considering the elements listed in the first column0 ptsVery poor mechanics and formatting such that information is difficult to read.15 pts
This criterion is linked to a Learning OutcomeAssignment Form Used0 pts0 points deductedCorrect assignment form used0 pts22.5 points (10%) deductedIncorrect form used resulting in point deduction0 pts
This criterion is linked to a Learning OutcomeLate Deduction0 pts0 points deductedSubmitted on time0 ptsNot submitted on time – Point deduction1 day late =11.25 deduction; 2 days=22.5 deduction; 3 days=33.75 deduction; 4 days =45 deduction; 5 days = 56.25 deduction; 6 days =67.5 deduction; 7 days =78.75 deduction; Score of 0 if more than 7 days late0 pts
Total Points: 225PreviousNext
 

1. A.Discuss the historical application of statistics in the field of health care. B.Describe an example, other than Florence Nightingale’s contributions, where the statistical application has greatly influenced or changed health care operations or practice.

2. A.Discuss why it is important for a person working in health care to understand statistical concepts. B.Provide an example of how statistical data is used in your organization or specialty area (PSYCHIATRY, AND BEHAVIORAL HEALTH) today and what you are expected to do with this information as a practitioner.