Develop power point on a realistic clinical case on a topic that is of interest to you.
You 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 examination.
Assessment: Primary Diagnosis; Differential diagnosis
Plan: Diagnostic examination; 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 practitioner
Submission Instructions:
The presentation should consist of 11 slides. (NOT INCLUDING TITTLE AND REFERENCES SLIDES)
Incorporate a minimum of 5 current (from 2019- now) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
formatted and cited in current APA style 7 ed with support from at least 5 academic sources which need to be journal articles or books from 2019 up to now. NO WEBSITES allowed for reference entry. Include doi, page numbers, etc. Plagiarism must be less than 5%. WILL BE CHECKED.
NEEDS TO INCLUDE:
Chief Complaint : Includes a direct quote from patient about presenting problem
Demographics : Begins with patient initials, age, race, ethnicity and gender (5 demographics)
History of the Present Illness (HPI) : Includes the presenting problem and the 8 dimensions of the problem (OLD CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity)
Allergies – S
Includes NKA (including = Drug, Environemental, Food, Herbal, and/or Latex or if allergies are present (reports for each severity of allergy AND description of allergy)
Review of Systems (ROS) – S
Includes 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”
Vital Signs – O
Includes 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.)
Labs – O
Includes 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.
Medications – O
Includes a list of all of the patient reported medications and the medical diagnosis for the medication (including name, dose, route, frequency)
Screenings – O
Includes an assessment of at least 5 screening tools
Past Medical History – O
Includes, 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 medications
Past Surgical History – O
Includes, for each surgical procedure, the year of procedure and the indication for the procedure
Family History – O
Includes an assessment of at least 4 family members regarding, at a minimum, genetic disorders, diabetes, heart disease and cancer.
