NUR 606 Week 15 Final Assignment: Population-Specific Case Study

Overview

Think about all you have learned in regard to taking care of pediatric patients and consider the case presentation that follows. Answer all the questions completely and use peer-reviewed evidence to support your answers.

Visit 1

Baby C is three months old, and her mom has brought her into the office because she has had severe watery diarrhea for the past three days, accompanied by fever for the past 24 hours. She has been well until this point and is up to date on her immunizations. Upon exam, she is apathetic and responds weakly to stimulation. The condition has been diagnosed as gastroenteritis.

List the major losses her body is experiencing as a result of her diarrhea and fever.
What symptoms would you expect Baby C to exhibit? How will you assess these symptoms in an infant. (Hint: Think about what questions would be important for you to ask her caregiver.)
What signs would you expect Baby C to exhibit? What will you be looking for on your exam of this infant? Include the specific signs you would expect for an infant as opposed to an adult.
Explain several reasons why infants become dehydrated quickly.
What are the most likely etiologies for Baby C’s diarrhea? What role would you expect diagnostic testing to play in caring for Baby C?
Thinking about the common etiologies from question 5, what differential diagnoses would be appropriate for Baby C? List at least three and explain your rationale.
Baby C’s mother asks if she should give her water or Pedialyte to help replenish the fluids lost through diarrhea. What is your best response to her?

Visit 2

Baby C recovered from her bout with gastroenteritis and has been doing well since. She has come to the office for her well child check, and her mother is concerned because she has a moist, red, vesicular rash on her cheeks, the backs of her hands, and her arms. Her mother said she has been constantly trying to scratch the rash and often has difficulty sleeping. Mom reluctantly admits that she has been giving her diphenhydramine to help her sleep, and it seems to help with the itching as well. Her father has a family history of allergic rhinitis and asthma.

Based on Baby C’s signs and symptoms and what we have learned about immune, inflammatory, and skin disorders, what are some differential diagnoses that would be appropriate for Baby C? List at least three and explain your rationale.
Based on the information presented, what is the most likely etiology for Baby C’s rash? Is it infectious or non-infectious? Explain your rationale.
Using your answer to question 2, describe the pathophysiology of Baby C’s signs and symptoms.
Why is the father’s medical history significant? Are there any other family history questions you would like to ask Baby C’s mother to help understand the etiology of her rash?
Thinking about the pathophysiology of Baby C’s condition, identify one pharmacologic and one non-pharmacologic treatment that can help her; explain how they can normalize the pathology she is experiencing and return her to a state of homeostasis.
Part of your treatment plan should include limiting scratching. Explain why this is important to the pathophysiologic process occurring with Baby C and describe practical methods to achieve this.
Baby C’s mother asks you if the rash will get better, and what Baby C can expect as she grows up. What is your best response to her, including a patient-appropriate explanation of the pathophysiology, risk factors, and treatment you have described so far?

Value: 100 points

Due: Day 5

Gradebook Category: Assignments

Instructions

Using what you have learned in Weeks 1 through 14, please complete the case study specific to your certification track (see Note:). Make sure to address all components of each question and answer thoroughly and concisely. Support each answer with evidence. Please be sure to use evidence-based, peer-reviewed journals that have been published within the past three to five years in addition to your textbook and course materials. APA format is required for references and citations, but not for the body of the case study. Please use the provided template to help with organization. Please note: This assignment is due on DAY 5.

Note:

If you are a Pediatric NP student, a WHNP student, or a PMHNP student, you must complete your population-specific case study.
If you are a Family NP student, you can complete any one of the following three case studies:
- Pediatric Case
- Adult Case
- Woman’s Health Case
If you are an Adult-Geriatric NP student, you can complete either the Adult Case or the Woman’s Health Case.

Case Study Links

Please refer to the Grading Rubric for details on how this activity will be graded.

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Case Study Rubric

Case Study Rubric – 100 Points
Student Participation	Exemplary-Exceeds Expectations	Advanced Meets Expectations	Intermediate Below Expectations	Novice Below Expectations	Below Expectations	Total Points
Focus and Content	Well-articulated case study components are provided along with clear examples supported by course content and references that speaks to how resources relate to the study and the questions posed within the assignment. Cites three or more references, using at least one new scholarly resource that was not provided in the course materials 30 points	Components of the case study are accurately and thoroughly represented with explanations and application of knowledge to include evidence-based practice, ethics, theory, and/or role. Synthesizes course content using course materials and scholarly resources to support required concepts. And 2 references 24 points	Components of the case study are summarized with minimal or absent application to evidence-based practice, theory, or role development. Synthesis of course content present but missing depth and or development. And 1 reference. 16 points	Absent application to evidence-based practice, theory, or role development. Synthesis of course content is superficial. 0-1 references cited 8 points	Demonstrates incomplete understanding of content and or inadequate preparation. Content of case study is inaccurately portrayed or missing. No references cited. Submits post late 0 points	30
Analysis and Synthesis of Case Study Content and Meaning	Through critical analysis, the submitted Case Study provides an accurate, clear, concise, and complete summary of the scenario. Information from scholarly resources is synthesized, providing new information or insight related to the context of the assignment by providing both supportive and alternative 30 points	Case study is complete, providing evidence of further synthesis of course content via scholarly resources. Submission provides clarification of the assignment by correctly answering all posed questions within the instructions. 24 points	Lacks clarification or new information. Scholarly reference supports the content without adding any new information or insight. Case Study content may be confusing or unclear and the summary may be incomplete 16 points	Post is primarily a summation of peer’s post without further synthesis of course content. And or missing reference from both peer post 8 points	Demonstrates incomplete understanding of content and or inadequate preparation. Submission is primarily a summation of assignment without further synthesis of course content or analysis of the scenario Submits assignment late. 0 points	30
Application of Knowledge	The summary of the case study provides validated information via scholarly resources that offer a multidisciplinary approach to the scenario provided. The student’s application in practice is accurate and plausible and additional scholarly resource(s) supporting the application is provided. 30 points	A summary of the study, findings and knowledge gained from the assignment is presented. Student indicates how the information will be used within their professional practice. 24 points	Objective criteria are not clearly used allowing for a more superficial analysis of content between the assignment and the broader course content. Not all questions are answered and or one of the questions is answered incorrectly The student did not note within the summary of the case study how the information was to be used within their personal practice. 16 points	Post made on same day. 8 points	Demonstrates incomplete understanding of content and or inadequate preparation. Multiple questions are not answered or are answered incorrectly. Student fails to explain how the information will be used within their personal practice. Submits assignment late. 0 points	30
Organization	Well-organized content with a clear purpose statement and content argument. Writing is concise with a logical flow of ideas. 5 points	Organized content with introductory statement, supportive content, and summary statement. Argument content is developed with minimal issues in content flow. 4 points	Poor organization and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work. 3 points	Illogical flow of ideas. Missing significant content. Prose rambles. 2 points	Demonstrates incomplete understanding of content and or inadequate preparation Submits assignment late 0 points	5
APA, Grammar and Spelling	Correct APA formatting with no errors. The writer correctly identifies reading audience, as demonstrated by appropriate language (avoids jargon and simplifies complex concepts appropriately). Writing is concise, in active voice, and avoids awkward transitions and overuse of conjunctions. There are no spelling, punctuation, or word-usage errors 5 points	Correct and consistent APA formatting of references and cites all references used. No more than two unique APA errors. The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability. There are minimal to no grammar, punctuation, or word-usage errors. 4 points	Three to four unique APA formatting errors. The writer occasionally uses awkward sentence construction or overuses/ inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of Thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused. Multiple grammar, punctuation, or word usage errors. 3 points	Five or more unique formatting errors. The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language). The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented. Grammar and punctuation are consistently incorrect. Spelling errors are numerous. 2 points	No attempt to format in APA Grammar and punctuation are consistently incorrect. Spelling errors are numerous. Submits assignment late. 0 points	5
Total points						100

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NUR 606 Week 15 Final Assignment: Population-Specific Case Study