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CLINICAL CASE PRESENTATION GUIDELINES

Purpose

The purpose of this assignment is for learners to:

· Have the opportunity to integrate knowledge and skills learned throughout all core courses in the FNP track and previous clinical courses.

· Demonstrate an advancing understanding of the care of women and children.

· Demonstrate the ability to analyze previous patients seen in the clinical setting be able to perform an evidenced-based review of their case, diagnosis, and plan, while guiding and taking feedback from peers regarding the case

· Demonstrate professional communication and leadership, while advancing the education of peers.

Course Outcomes

1. Integrate current evidence based clinical practice guidelines in the care of childbearing and childrearing families.

2. Appropriately apply anticipatory guidance and health promotion in the care of childbearing and childrearing families.

3. Assess growth and developmental milestones in the care of childbearing and childrearing families.

4. Construct an evidence based reproductive health management plan.

5. Identify and address healthcare needs of marginalized childbearing and childrearing families

Requirements

For Week 7 of the course you will be presenting your own case from clinical. The case should be clear, organized, and meet the following guidelines:]

Initial Case Presentation:

The initial presentation should include BOTH the subjective and objective data on the patient organized as you would organize them in a SOAP (CC, HPI – in paragraph format (no OLDCART); ROS, PE findings, and any lab or diagnostic findings for your patient.

**Do not put the diagnosis or plan in initial post.

WEEK 7: The case should be women’s health (meaning a case relating to some aspect of women’s healthcare, unique to women).

WEEK 7 specific guidelines: The case should include some aspect of one the following – contraceptive management, sexuality, sexual health, menses or complaint thereof, pubertal development in a female, a well woman exam, STD, vaginitis, perineal skin changes, breast health or breast complaint, pregnancy, pre-conceptual health, post-partum health/problem, or a complaint thereof, or a disease specific to women or found in greater frequency in women. This might include a disease such as post-partum depression. Please do not use UTI.

Leading the Discussion: Post your subjective, objective, and diagnostic data for your patient by Tuesday at 11:59 PM MT.

Interactive Dialogue: As a student you will also be required to respond to at least two (2) other students initial case presentation. In your responses, you must include the following: Your top three (3) differentials based on the information provided, the primary diagnosis you are leaning toward, how you would treat that diagnosis. Use references to support your response. *DEADLINE – YOUR RESPONSES TO 2 STUDENTS ARE DUE BY FRIDAY AT 11:59 p.m. (MT). **If all students have a response, then choose the student with the least responses to their posting.

Clinical Case Presentation Summary Criteria:

By Sunday 11:59 p.m. MT, post a summary reply to your initial post and respond to any faculty questions to your initial posting or question(s) posed to the general class. Use references to support all of your responses.

Criteria for Summary Post should include all of the following required elements: Summary post written in paragraph(s) type format (No SOAP); discuss primary and any applicable secondary diagnoses along with treatment plan for each diagnosis. Scholarly and evidence based in-text citation support for all of the listed diagnoses; Scholarly and evidence based in-text citation for each treatment plan. Differential diagnoses are eliminated.

*Remember not to use any patient identifiers in your posting (this would be full names or disclosure of clinic name, preceptor name, et cetera). Please include age, gender, and race.

Criterion

Exceptional

Outstanding or highest level of performance

Exceeds

Very good or high level of performance

Meets

Satisfactory level of performance

Needs Improvement

Poor or failing level of performance

Developing

Unsatisfactory level of performance

Total Points Possible = 100

Application of Course Knowledge

30 Points

26 Points

24 Points

12 Points

0 Points

Case presentation contributes unique perspectives/insights applicable to the results from the physical exam and data.

Initial presentation in paragraph format using the following elements:

· chief complaint/concern,

· HPI – narrative/paragraph type format. (No OLDCART)

· ROS –

· PE

· Lab and/or diagnostic data, or statement that data was unavailable at time of visit/follow up

Case presentation contributes unique perspectives or insights, but may lack some applicability to presented case study:

Initial presentation is missing ONE of the following: HPI, CC, ROS, PE, or Lab/diagnostic data

Case presentation contributes unique perspectives or insights, but may lack some applicability to presented case study:

Initial presentation is missing TWO of the following: HPI, CC, ROS, PE, or Lab/diagnostic data

Case presentation contributes unique perspectives or insights, but may lack some applicability to presented case study:

Initial presentation is missing THREE of the following: HPI, CC, ROS, PE, or Lab/diagnostic data

Case presentation offers no insight or application to the case presentation.

Four or more elements of SOAP criteria expectation are missing or not met.

Support from Evidence-Based Practice (EBP)

30 Points

26 Points

24 Points

12 Points

0 Points

Case presentation discussion is supported by evidence from four (4) appropriate sources –One from an EBP Clinical Guidelines and three from Peer Reviewed Journal Articles from Chamberlain Online Library published within the last 5 years.

In-text citations and full references are provided.

Case presentation discussion is supported by three (3) scholarly sources: at least one from an EBP Clinical Guidelines and two from Peer Reviewed Journal Articles from Chamberlain Online Library published within the last 5 years.

In-text citations and full references are provided.

Case presentation discussion is supported by two (2) scholarly sources: at least one from an EBP Clinical Guidelines and one from Peer Reviewed Journal Articles from Chamberlain Online Library published within the last 5 years.

In-text citations and full references are provided.

Case presentation discussion is partially supported with one scholarly source or include citations to non-scholarly/evidence based websites as support.

Reference(s) listed and cited but does not fully support – particularly diagnoses and treatment(s).

References used not published within the last 5 years.

In-text citations and full references are not provided.

Discussion posts contain no evidence-based practice reference or citation from appropriate sources.

*Students should note that fictitious sources, sources that are clearly not read by the student and used, or sources that have incorrect dates will result in an automatic ZERO (0) for this section for the week.

Organization

10 Points

9 Points

8 Points

4 Points

0 Points

Presents case study in a logical, meaningful, and understandable sequence.

Summary post is submitted by due date and includes all of the following required elements: Summary post written in paragraph(s) type format (No SOAP); discuss primary and any secondary diagnoses along with treatment plan for each diagnosis. Scholarly and evidence based in-text citation support for all of the listed diagnoses; Scholarly and evidence based in-text citation for each treatment plan

Presents case study in a logical, meaningful, and understandable sequence. However, summary post is missing one (1) of the following elements: use of correct format (No SOAP); Discussion of primary diagnosis; Any applicable secondary diagnoses; Scholarly and evidence based in-text citation support for all of the listed diagnoses; Scholarly and evidence based in-text citation for each treatment plan.

Presents case study in a logical, meaningful, and understandable sequence. However, Summary post is missing two (2) of the following elements: use of correct format (No SOAP); discussion of primary and any secondary diagnoses along with treatment plan for each diagnosis. Scholarly and evidence based in-text citation support for all of the listed diagnoses; Scholarly and evidence based in-text citation for each treatment plan

Presents case study in a logical, meaningful, and understandable sequence. However, summary post is missing three (3) of the following elements: use of correct format (No SOAP). Discussion of primary and any secondary diagnoses along with treatment plan for each diagnosis. Scholarly and evidence based in-text citation support for all of the listed diagnoses; Scholarly and evidence based in-text citation for each treatment plan

Case presentation is unclear or not relevant to presenting chief complaint/concern and HPI or summary post is missing four (4) or more of the following elements: use of correct format (No SOAP). Discuss primary and any secondary diagnoses along with treatment plan for each diagnosis. Scholarly and evidence based in-text citation support for all of the listed diagnoses; Scholarly and evidence based in-text citation for each treatment plan.

Interactive Dialogue

26 Points

23 Points

21 Points

10 Points

0 Points

Responds substantively to at least two topic-related post of a peer including evidence from appropriate sources by Friday, 11:59 p.m. MT and responds to faculty questions posted to the student’s initial post and all questions posted in general to the class Sunday, 11:59 p.m. MT.

· For each peer response, Includes three appropriate differential diagnoses with rationale and presumed diagnosis with treatment.

· Rationale for each differential diagnosis and treatment plan is supported with in-text citation using scholarly evidence.

Responds to at least two (2) student peers’ initial post but the nature of one or more responses are not substantive or missing evidence from appropriate sources to support responses.

and

Responds to faculty questions posted to the student’s initial post and all questions posted in general to the class by the Sunday deadline.

Responds substantively to one (1) student peer’s initial post with evidence from appropriate sources to support response.

and

Responds to faculty questions posted to the student’s initial post and all questions posted to the class as a whole by the Sunday deadline.

Responds to one (1) student peer’s initial post but the nature of the responses is not substantive or missing evidence from appropriate sources to support response.

and

Does not respond to faculty question(s) posted to the student’s initial post and all questions posted in general to the class by the Sunday deadline.

Does not respond to any topic-related peer post by Friday deadline and does not respond to faculty question(s) posted to the student’s initial post and all questions posted in general to the class by the Sunday deadline.

Grammar, Syntax, APA

4 points

3 points

2 points

1 point

0 points

APA format, grammar, spelling, and/or punctuation are accurate, or with zero to one errors.

Two to four errors in APA format, grammar, spelling, and syntax noted.

Five to seven errors in APA format, grammar, spelling, and syntax noted.

Eight to nine errors in APA format, grammar, spelling, and syntax noted.

Post contains ten or greater errors in APA format, grammar, spelling, and/or punctuation or repeatedly makes the same errors after faculty feedback.

Participation

Submits initial case presentation by 11:59 p.m. MT on Tuesday; .

0 points deducted

Points deducted for late or missing posts

Submits initial case presentation by 11:59 p.m. MT on Tuesday;

Ten percent (10%) for late initial case presentation discussion post not posted by Tuesday, 11:59pm MT

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