Goal: Develop a clinical practice question using PICO(T) that focuses on a clinical issue to improve the quality of care.

Requirements:

1. As a team, you will identify a clinical problem/opportunity, draft a PICOT question.
2. Review the literature (using the articles you are reading for your weekly summaries, if possible), make recommendations.
3. Create a poster and add it onto your last slide of your PowerPoint presentation to disseminate your findings.

Submission Instructions:

• The presentation should be original work and logically organized in current APA style including citation of references.
• The presentation should be clear and concise and students will lose points for improper grammar, punctuation and misspelling
• Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. 
• PowerPoint presentation with 10-15 slides, excluding the tile slide and the reference slide.
• Speaker notes expanded upon and clarified content on the slides.

https://libguides.sullivan.edu/apa/formating this link is for APA STYLE THAT NEED ON MY ASSIGNMENT.

Please answer the questions below:

1.  You are assigned to care for Ms. C., an 81-year-old patient who was admitted today with symptoms of increasing shortness of breath over the last week. She is currently receiving oxygen through a nasal cannula at 3 L/min. You go into the room to assess her. You find that she is sitting up in bed at a 60-degree angle. She is restless and her respirations appear labored and rapid. Her skin is pale with circumoral cyanosis. You ask if she feels more short of breath. Because she is unable to catch her breath enough to speak, she nods her head yes. Which action should you take first? Why?

•      Listen to her breath sounds.

•      Ask when the shortness of breath started.

•      Increase her oxygen flow rate to 6 L/min.

•      Raise the head of the bed from 75 to 85 degrees

     Follow the discussion questions participation and submission guidelines.

·      Follow the 3 x 3 rule: minimum three paragraphs per DQ, with a minimum of three sentences each paragraph.

·      All answers or discussions comments submitted must be in APA format according to Publication Manual American Psychological Association (APA) (6th ed.) 2009 ISBN: 978-1-4338-0561-5

·      Minimum of two references, not older than 2015.

Please provide plagiarism report.

  

Case Study 1 & 2 (10 Points)

Students must review the case study and answer all questions with a scholarly response using APA and include 2 scholarly references. Answer both case studies on the same document and upload 1 document to Moodle.

The answers must be in your own words with reference to the journal or book where you found the evidence to your answer. Do not copy-paste or use past students’ work as all files submitted in this course are registered and saved in turn it in the program.

Answers must be scholarly and be 3-4 sentences in length with rationale and explanation. No Straight forward / Simple answer will be accepted. 

Turn it in Score must be less than 25 % or will not be accepted for credit, must be your own work and in your own words. You can resubmit, Final submission will be accepted if less than 25 %. Copy paste from websites or textbooks will not be accepted or tolerated. Please see College Handbook with reference to Academic Misconduct Statement.

All answers to case studies must have reference cited in the text for each answer and a minimum of 2 Scholarly References (Journals, books) (No websites) per case Study

Case Study 1

Mr. JS presents today to your office for a follow up appointment after a BP reading at home of

166/95 last week. He is a 52 y/o male with a PMH of HTN and Angina secondary to CAD, which

is well controlled, experiencing less than 1 attack per month.

On today examination, MR JS’s vital signs are as follows:

Temperature: 96.8º

Heart Rate: 68 bpm

Blood Pressure: 168/92

Respiration: 14

Ox Sat: 95% at room air

Pain: denies pain.

Labs:

Last LDL on records (6 months ago): 189

Current Medications:

Atorvastatin 40 mg/day

Metoprolol tartrate 10 mg/twice/day

CASE STUDY QUESTIONS:

1) According to the recently released American Heart Association guidelines on hypertension,

what should be the BP goal for a patient with chronic stable angina and hypertension?

2) In addition to diet and lifestyle modifications, what is the medication of choice to control the

BP of a patient with chronic stable angina? Provide rationale

3) Provide at least 3 (questions) you would ask your patient RELATED to the case presented and

provide rationale.

4) Please explain whether you would request any laboratory or screening tests for this patient

and why (if any)

5) How would you achieve the B/P goal recommended for this patient according to the

guidelines provided above?

6) Provide References in APA style

……………………………………………………………………………………………………………………………………………………..

Case Study 2

Testicular Cancer

Case Studies

A 21-year-old male noted pain in his right testicle while studying hard for his midterm college

examinations. On self-examination, he noted a “grape sized” mass in the right testicle. This

finding was corroborated by his healthcare provider. This young man had a history of delayed

descent of his right testicle until the age of 1 year old.

Studies Results

Routine laboratory studies Within normal limits (WNL)

Ultrasound the testicle Solid mass, right testicle associated with calcifications

HCG (human chorionic gonadotropin) 550mIU/mL (normal: <5)

CT scan of the abdomen Enlarged retroperitoneal lymph nodes

CT scan of the chest Multiple pulmonary nodules

Diagnostic Analysis

At semester break, this young man underwent right orchiectomy. Pathology was compatible with

embryonal cell carcinoma. CT directed biopsy of the most prominent pulmonary nodule

indicated embryonal cell carcinoma, compatible with metastatic testicular carcinoma. During a

leave of absence from college, and after banking his sperm, this young man underwent

aggressive chemotherapy. Repeat testing 12 weeks after chemotherapy showed complete

resolution of the pulmonary nodules and enlarged retroperitoneal lymph nodes.

Critical Thinking Questions

1. What impact did an undescended testicle have on this young man’s risk for developing

testicular cancer?

2. What might be the side effects of cytotoxic chemotherapy?

3. What was the purpose of preserving his sperm before chemotherapy?

4. Is this young man’s age typical for the development of testicular carcinoma?

 

For this assignment you will begin to create a concept map (final concept map assignment is due in week 9).

1.       Identify an individual in your personal life, from the media, a character in a movie, or from the course case studies that has been diagnosed with a medical condition you have some knowledge about (examples = diabetes, breast cancer, COPD)

2.       Summarize the individual/character and his/her medical diagnosis on the template provided.

3.  Provide examples of the subjective and objective symptoms related to the medical diagnosis under each corresponding Gordon’s Functional Pattern using the TEMPLATE provided (see handouts in learning resource folder for assistance).