NURS 6512 week 4 ihuman – 36 y/o 5′ 0″ (152 cm) 144.0 lb (65.5 kg) with Itchy rash

NURS 6512 week 4 ihuman – 36 y/o 5′ 0″ (152 cm) 144.0 lb (65.5 kg) with Itchy rash – I-HUMAN PATIENTS CASE STUDY: EVALUATING AND MANAGING INTEGUMENTARY CONDITIONS

History and physical exam

How can I help you today?

Do you have any other symptoms or concerns we should discuss?

Tell me how that makes you feel?

How does this affect your lifestyle?

What symptom is the most distressing for you?

Have you been having fevers?

Have you ever been exposed to poison ivy/oak/sumac?

Have you been exposed to mosquitoes or ticks? Any bites?

Have you…

 

All Physical Exams

Temperature

Vitals: Pulse

Vitals: Blood pressure

Vitals respiration

Vitals…

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Key Findings and Problem Statement

Key. Einding
Blateral, circular thigh rash for two weeks
Constant Itching, severity 6/10
Frequent workouts in hot, humid environments
No exposure to irritants or new products
No fever, recent camping, travel, or insect bites
PMH of type 2 diabetes
No discharge, palpable nodules, or fluctuance in affected areas Additional past medical/family history
Medications/Allergies
Additional social history (habits)
ROS: Inquiry into constitutional symptoms
ROS:…

Case: Problem Statement
This patient is a 36-year-old overweight female with a PMH of type 2 diabetes who reports two weeks of progressively worsening 6/10 ichy, circular rashes on both thighs. She has used an over-the-counter topical steroid for three days and reports intensified redness and a burning sensation. Reports beginning workouts at an indoor pool. She denies fever, recent travel exposure to known irritants or new skin products, recent skin injuries, insect or animal bites, or any infections. Physical exam reveals multiple circular lesions on the bilateral thighs with raised borders, central clearing, and associated erythema and scaling. No discharge palpable nodules, fluctuance, vesicles, or pustules are present.

 

Management Plan

 

Rubric – NURS 6512 week 4 ihuman – 36 y/o 5′ 0″ (152 cm) 144.0 lb (65.5 kg) with Itchy rash

NURS_6512_Week 4_Assignment_Rubric
NURS_6512_Week 4_Assignment_Rubric
Criteria Ratings Pts
History: Complete an appropriate health history. (Scores are automatically calculated in the i-Human platform.)

20 pts

Excellent
Achieves a score of 85–100%

15 pts

Good
Achieves a score of 84–75%

10 pts

Fair
Achieves a score of 74–65%

5 pts

Poor
Achieves a score of 64–55%

0 pts

Unsatisfactory
Achieves a score of 54% or below
20 pts
Physical Exam: Complete an appropriate physical exam. (Scores are automatically calculated in the i-Human platform.)

20 pts

Excellent
Achieves a score of 85–100%

15 pts

Good
Achieves a score of 84–75%

10 pts

Fair
Achieves a score of 74–65%

5 pts

Poor
Achieves a score of 64–55%

0 pts

Unsatisfactory
Achieves a score of 54% or below
20 pts
EMR Documentation History of Present Illness: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only

10 pts

Excellent
Complete HPI meeting all 5 criteria.

8 pts

Good
4 requirements are met.

6 pts

Fair
3 requirements are met.

4 pts

Poor
1–2 requirements are met.

0 pts

Unsatisfactory
No requirements are met.
10 pts
EMR Documentation Subjective Data Document Current Medications, Review of System: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Subjective findings only

10 pts

Excellent
Complete HPI meeting all 5 criteria.

8 pts

Good
4 requirements are met.

6 pts

Fair
3 requirements are met.

4 pts

Poor
1–2 requirements are met.

0 pts

Unsatisfactory
No requirements are met.
10 pts
EMR Documentation Objective Data Document Physical Exam Findings: 5 criteria: 1.) Complete; 2.) Accurate; 3.) Written in Professional Language; 4.) Pertinent to the Chief Complaint; 5.) Includes Objective findings only

10 pts

Excellent
Complete HPI meeting all 5 criteria.

8 pts

Good
4 requirements are met.

6 pts

Fair
3 requirements are met.

4 pts

Poor
1–2 requirements are met.

0 pts

Unsatisfactory
No requirements are met.
10 pts
Key Findings: Organize the key findings with the most important first and least important last.

5 pts

Excellent
The key findings are complete and appropriately organized.

4 pts

Good
The key findings are complete but the organization is not correct.

3 pts

Fair
There are 1–2 key findings missing or organized inappropriately.

2 pts

Poor
There are 3 key findings missing and organization is incorrect.

0 pts

Unsatisfactory
There are more than 3 key findings missing and organization is incorrect.
5 pts
Problem Statement: Document a brief and accurate problem statement using professional language that includes the following: 1.) Name or initials, age; 2.) Chief complaint; 3.) Positive and negative subjective findings; 4.) Positive and negative objective findings.

5 pts

Excellent
All requirements are met.

4 pts

Good
3 requirements are met.

3 pts

Fair
2 requirements are met.

2 pts

Poor
1 requirement is met.

0 pts

Unsatisfactory
No requirements are met.
5 pts
Management Plan: Use the expert diagnosis provided to create a pertinent, comprehensive, evidenced-based management plan. Address the following criteria in the plan: 1.) Diagnostic tests; 2.) Medications (write out a complete order, even for OTC meds); 3.) Suggested consults/referrals; 4.) Patient education; 5.) Follow up, including time interval and specific symptoms to prompt a return visit sooner; 6.) Provide rationales for each intervention and include references to support your plan. Clinical practice guidelines should be utilized as applicable.

15 pts

Excellent
All requirements are met.

13 pts

Good
5 requirements are met.

10 pts

Fair
4 requirements are met.

7 pts

Poor
1-3 requirements are met.

0 pts

Unsatisfactory
No requirements are met.
15 pts
References and Format: Current APA citations for references in management plan. Use of clinical practice guidelines when applicable.

5 pts

Excellent
0–1 errors Clinical practice guidelines used when applicable.

4 pts

Good
2–3 errors Clinical practice guidelines used when applicable.

3 pts

Fair
4–5 errors Clinical practice guidelines not used when applicable.

2 pts

Poor
6–7 errors Clinical practice guidelines not used when applicable.

0 pts

Unsatisfactory
More than 7 errors; clinical practice guidelines not used when applicable.
5 pts
Total Points: 100 NURS 6512 week 4 ihuman – 36 y/o 5′ 0″ (152 cm) 144.0 lb (65.5 kg) with Itchy rash
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+1 (442) 290-4086
WhatsApp chat +1 (442) 290-4086
www.OnlineNursingPapers.com
We will write your work from scratch and ensure it's plagiarism-free, you just submit the completed work.


WHATSAPP US, WE'LL RESPOND