ST Thomas University Realistic Clinical Case Study Presentation
Presentation: Realistic Clinical Case StudyFor 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 RequirementsYou will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the following: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)Objective data: Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Labs; Vital signs; Physical exam.Assessment: Primary Diagnosis; Differential diagnosisPlan: Diagnostic testing; Pharmacologic treatment plan; Non-pharmacologic treatment plan; Anticipatory guidance (primary prevention strategies); Follow up plan.Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitionerSubmission 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).Grading Rubric Your assignment will be graded according to the grading rubric.RubricCase Study RubricCase Study RubricCriteriaRatingsPtsThis criterion is linked to a learning outcomeChief Complaint (Reason for seeking health care) - S4.0 PtsDistinguishedIncludes a direct quote from patient about presenting problem3.0 PtsExcellentIncludes a direct quote from patient and other unrelated information2.0 PtsFairIncludes information but information is NOT a direct quote0.0 PtsPoorInformation is completely missing4.0 ptsThis criterion is linked to a learning outcomeDemographics - S2.0 PtsDistinguishedBegins with patient initials, age, race, ethnicity and gender (5 demographics)1.5 PtsExcellentBegins with 4 of the 5 patient demographics (patient initials, age, race, ethnicity and gender)1.0 PtsFairBegins with 3 or less patient demographics (patient initials, age, race, ethnicity and gender)0.0 PtsPoorInformation is completely missing2.0 ptsThis criterion is linked to a learning outcomeHistory of the Present Illness (HPI) - S4.0 PtsDistinguishedIncludes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)3.0 PtsExcellentIncludes 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)2.0 PtsFairIncludes 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)0.0 PtsPoorInformation is completely missing4.0 ptsThis criterion is linked to a learning outcomeAllergies - S2.0 PtsDistinguishedIncludes NKA (including = Drug, Environemental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)1.5 PtsExcellentIf allergies are present, students lists type Drug, environemtal factor, herbal, food, latex name and includes severity of allergy OR description of allergy1.0 PtsFairIf allergies are present, students lists only the type of allergy name0.0 PtsPoorInformation is completely missing2.0 ptsThis criterion is linked to a learning outcomeReview of Systems (ROS) - S9.0 PtsDistinguishedIncludes 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”7.0 PtsExcellentIncludes 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”5.0 PtsFairIncludes 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”0.0 PtsPoorInformation is completely missing9.0 ptsThis criterion is linked to a learning outcomeVital Signs - O2.0 PtsDistinguishedIncludes 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.)1.5 PtsExcellentIncludes 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.)1.0 PtsFairIncludes 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.)0.0 PtsPoorInformation is completely missing2.0 ptsThis criterion is linked to a learning outcomeLabs - O3.0 PtsDistinguishedIncludes 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.2.0 PtsExcellentIncludes a list of the labs reviewed at the visit, values of lab results but does not highlight abnormal values.1.0 PtsFairIncludes a list of the labs reviewed at the visit but does not include the values of lab results or highlight abnormal values.0.0 PtsPoorInformation is completely missing3.0 ptsThis criterion is linked to a learning outcomeMedications - O4.0 PtsDistinguishedIncludes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)2.0 PtsExcellentIncludes 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)1.0 PtsFairIncludes a list of all of the patient reported medications (including 2 of the 4: name, dose, route, frequency)0.0 PtsPoorInformation is completely missing4.0 ptsThis criterion is linked to a learning outcomeScreenings - O3.0 PtsDistinguishedIncludes an assessment of at least 5 screening tests2.0 PtsExcellentIncludes an assessment of at least 4 screening tests1.0 PtsFairIncludes 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.0.0 PtsPoorInformation is completely missing3.0 ptsThis criterion is linked to a learning outcomePast Medical History - O3.0 PtsDistinguishedIncludes, 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 medications2.0 PtsExcellentIncludes, 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 medications1.0 PtsFairIncludes, 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 medications0.0 PtsPoorInformation is completely missing3.0 ptsThis criterion is linked to a learning outcomePast Surgical History - O3.0 PtsDistinguishedIncludes, for each surgical procedure, the year of procedure and the indication for the procedure2.0 PtsExcellentIncludes, for each surgical procedure, the year of procedure OR indication of the procedure1.0 PtsFairIncludes, for each surgical procedure but not the year of procedure or indication of the procedure0.0 PtsPoorInformation is completely missing3.0 ptsThis criterion is linked to a learning outcomeFamily History - O3.0 PtsDistinguishedIncludes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.2.0 PtsExcellentIncludes an assessment of at least 3 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.1.0 PtsFairIncludes an assessment of at least 2 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.0.0 PtsPoorInformation is completely missing3.0 ptsThis criterion is linked to a learning outcomeSocial History - O3.0 PtsDistinguishedIncludes 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.2.0 PtsExcellentIncludes 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.1.0 PtsFairIncludes 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.0.0 PtsPoorInformation is completely missing3.0 ptsThis criterion is linked to a learning outcomePhysical Examination - O9.0 PtsDistinguishedIncludes a minimum of 4 assessments for each body system and assesses at least 5 body systems directed to chief complaint7.0 PtsExcellentIncludes a minimum of 3 assessments for each body system and assesses at least 4 body systems directed to chief complaint5.0 PtsFairIncludes a minimum of 2 assessments for each body system and assesses at least 4 body systems directed to chief complaint0.0 PtsPoorInformation is completely missing9.0 ptsThis criterion is linked to a learning outcomeDiagnosis - A5.0 PtsDistinguishedIncludes a clear outline of the accurate principal diagnosis AND lists the remaining diagnoses addressed at the visit (in descending priority)3.0 PtsExcellentIncludes a clear outline of the accurate diagnoses addressed at the visit but does not list the diagnoses in descending order of priority2.0 PtsFairIncludes an inaccurate diagnosis as the principal diagnosis0.0 PtsPoorInformation is completely missing5.0 ptsThis criterion is linked to a learning outcomeDifferential Diagnosis - A5.0 PtsDistinguishedIncludes at least 3 differential diagnoses for the principal diagnosis3.0 PtsExcellentIncludes 2 differential diagnoses for the principal diagnosis2.0 PtsFairIncludes 1 differential diagnosis for the principal diagnosis0.0 PtsPoorInformation is completely missing5.0 ptsThis criterion is linked to a learning outcomePharmacologic treatment plan - P4.0 PtsDistinguishedIncludes 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.3.0 PtsExcellentIncludes 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.2.0 PtsFairIncludes 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.0.0 PtsPoorInformation is completely missing4.0 ptsThis criterion is linked to a learning outcomeDiagnostic/Lab Testing - P5.0 PtsDistinguishedIncludes appropriate diagnostic/lab testing 100% of the time OR acknowledges “no diagnostic testing clinically required at this time”3.0 PtsExcellentIncludes appropriate diagnostic/lab testing 50% of the time OR acknowledges “no diagnostic testing clinically required at this time”2.0 PtsFairIncludes appropriate diagnostic testing less than 50% of the time.0.0 PtsPoorInformation is completely missing5.0 ptsThis criterion is linked to a learning outcomeEducation - P5.0 PtsDistinguishedIncludes 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.3.0 PtsExcellentIncludes 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.2.0 PtsFairIncludes 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.0.0 PtsPoorInformation is completely missing5.0 ptsThis criterion is linked to a learning outcomeAnticipatory Guidance - P4.0 PtsDistinguishedIncludes 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))2.0 PtsExcellentIncludes 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))1.0 PtsFairIncludes 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))0.0 PtsPoorInformation is completely missing4.0 ptsThis criterion is linked to a learning outcomeFollow up plan - P4.0 PtsDistinguishedIncludes recommendation for follow up, including time frame (i.e. x # of days/weeks/months)2.0 PtsExcellentIncludes recommendation for follow up, but does not include time frame (i.e. x # of days/weeks/months)0.0 PtsPoorDoes not include follow up plan4.0 ptsThis criterion is linked to a learning outcomeReferences3.0 PtsDistinguishedHigh level of APA precision2.0 PtsExcellentModerate level of APA precision1.0 PtsFairIncorrect APA style0.0 PtsPoorInformation is completely missing3.0 ptsThis criterion is linked to a learning outcomeGrammar3.0 PtsDistinguishedFree of grammar and spelling errors2.0 PtsExcellentWriting mechanics need more precision and attention to detail0.0 PtsPoorWriting mechanics need serious attention3.0 ptsThis criterion is linked to a learning outcomeIncorporation of Current Practice Guidelines4.0 PtsDistinguishedIncludes recommendations from at least 1 professional set of practice guidelines (although not the current version)3.0 PtsExcellentIncludes 2 or fewer recommendations from at least 1 current, professional set of practice guidelines2.0 PtsFairIncludes recommendations from at least 1 professional set of practice guidelines (although not the current version)0.0 PtsPoorInformation is completely missing or student includes a non-credible set of treatment guidelines4.0 ptsThis criterion is linked to a learning outcomeRole of the Nurse Practitioner4.0 PtsDistinguishedIncludes 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).3.0 PtsExcellentIncludes 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).2.0 PtsFairDoes 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).0.0 PtsPoorInformation is completely missing4.0 pt