Assignment NR 511 Wk1 P1
Assignment: NR 511 Wk1 P1
NR 511 Wk1 P1 Assignment: M.S., 44yr, F, Caucasian,
CC: “eye looks red” and “goop in my eye”
HPI:
O: This morning
L: Which eye is red?
D: Is the redness constant or intermittent?
C: Are there any other associated symptoms with your red eye?
A: Does anything make the redness worse?
R: Does anything make the redness better?
T: Have you treated the red eye in any way? Cold compress, medications, drops?
S: How severe or red is it comparatively to normal?
Do you wear eyeglasses or contact lenses (for the exams)?
Do you have any vision deficits?
Differential Diagnosis:
- Acute bacterial conjunctivitis (ICD-10 H10.30) – A contagious infection and inflammation often caused by gram-positive organisms (McCance & Huether, 2014).
Positives: May involve one or both eyes, inflammation of the eye, absence of fever, absence of itchiness and watery eyes
Negatives: Discharge
- Viral Conjunctiva (ICD-10.CM B30.9) – A contagious acute infection and inflammation of the conjunctiva, often caused by an adenovirus (McCance et al., 2014).
Positives: May involve one or both eyes, Inflammation of the eye, in close proximity with another person that may also have the same symptoms
Negatives: Discharge, absence of fever, absence of itchy eyes, absence of burning eyes
- Allergic Conjunctivitis (ICD.10 H10.11) – An acute inflammation of the eye related to a variety of antigens (McCance et al., 2014).
Positives: Inflammation of the eye, absence of discharge, co-habitat with 2 dogs and a cat, family members that smoke.
Negatives: absence of Bilateral eyes, absence of itchy and watery eyes
PE:
HEENT: Inspect face, throat, oral cavity, ears and eyes. Note the pharynx and tonsils. Inspect ears and eyes with otoscope and ophthalmoscope. Perform a visual field test. Palpate sinuses, lymph nodes, and neck.
Heart/Lungs: Auscultate heart and lungs
NR 511 Wk1 P1 Assignment
Assignment NR 511 Wk1 P1
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Dx Tests and Labs:
Conjunctival Smear – The initial smear examination of the sample can provide a rapid diagnosis. Smears may provide etiological diagnosis that may not require further diagnostic tests such as cultures (Sharma, 2012). The most commonly used stain that demonstrates and distinguish the presence of bacteria, fungi and parasites is the gram stain (Sharma, 2012). The quick results of the smear would provide quick diagnosis for the patient with minimal effort.
- S., 7yr, F, Caucasian
CC: “Red eye”
HPI:
O: 2 days ago
L: Bilateral eyes
D: Are the symptoms (itchy, burning, drainage, and redness) constant or intermittent?
C: Burning and Itching
A: Does anything make the symptoms worse?
R: Does anything help make the symptoms better?
T: Have you treated the red eyes, drainage itchiness in any way? Or taken any medications or drops?
S: How severe or bad are the symptoms?
Do you wear eyeglasses or contact lenses (for the exams)?
Do you have any vision deficits?
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Differential Diagnosis:
- Viral Conjunctivitis (ICD-10.CM B30.9) – A contagious acute infection and inflammation of the conjunctiva, often caused by an adenovirus (McCance et al., 2014).
Positives: Discharge, may involve one or both eyes, inflammation of the eye, started with left eye and spread to right eye, co-habitat with smokers, itchy eyes
Negatives: burning eyes
- Acute bilateral eyes bacterial Conjunctivitis (ICD-10. H10.233) – A highly contagious infection and inflammation often caused by gram-positive organisms (McCance & Huether, 2014).
Positives: Discharge, may involve one or both eyes, inflammation of the eye
Negatives: burning eyes
- Allergic Conjunctivitis (ICD.10 H10.11) – An acute inflammation of the eye related to a variety of antigens (McCance et al., 2014).
Positives: Inflammation of the eye, itching, burning sensation, bilateral eyes, co-habitat with 2 dogs and a cat, family members that smoke.
Negatives: Discharge
PE:
HEENT: Inspect face, throat, oral cavity, ears and eyes. Note the pharynx and tonsils. Inspect ears and eyes with otoscope and ophthalmoscope. Perform a visual acuity eye exam with a Snellen chart. Perform a visual field test. Palpate sinuses, lymph nodes, and neck.
Heart/Lungs: Auscultate heart and lungs
Dx tests and Labs:
Conjunctival Smear – The initial smear examination of the sample can provide a rapid diagnosis. Smears may provide etiological diagnosis that may not require further diagnostic tests such as cultures (Sharma, 2012). The most commonly used stain that demonstrates and distinguish the presence of bacteria, fungi and parasites is the gram stain (Sharma, 2012). The quick results of the smear would provide quick diagnosis for the patient with minimal effort.
NR 511 Wk1 P1 Assignment
Reference
McCance, K., Huether, S. (2014). Pathophysiology: The Biologic Basis for Disease in Adults and Children, 7th Edition. [Bookshelf Online]. Retrieved from https://online.vitalsource.com/#/books/9780323088541/
Sharma, S. (2012). Diagnosis of infectious diseases of the eye. Eye, 26(2), 177-84. doi:http://dx.doi.org.proxy.chamberlain.edu:8080/10.1038/eye.2011.275
Important information for writing discussion questions and participation
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to.
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
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Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
