NR 509 Week 5 iHuman Comprehensive Encounter Preparation Guide
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Since this is a vascular case with per琀椀nent PMH, FH, & SH, consider that much you discover could be caused by, a昀昀ected by, or could become a complica琀椀on/co-morbidity (CVD, LVH, PVD, DM, TIA/Stroke, OSA, COPD, Re琀椀nopathy, Nephropathy). His occupa琀椀on and lifestyle even impact his health. Apply your knowledge from Advanced Pathophysiology here. Write your Management Plan in the grading rubric format using the six headings . Details are important. 1. List All diagnos琀椀c tests that iHuman provides. There are several. Provide the ra琀椀onale(s) & reference(s) for the tes琀椀ng. 2. Medica琀椀ons: Write complete prescrip琀椀on(s) to include the dispense & re昀椀ll designa琀椀ons for any Rx meds & the 24hr max dose for any OTC meds. Provide ra琀椀onale(s) & reference(s) for both Rx & OTC prescrip琀椀ons. For BP drug dosing, we start low. You 琀椀trate up as you determine the pa琀椀ent’s drug tolerance & to achieve BP control noted during follow-up visits. See Whelton et al. (2018, e165) Table 18 Oral An琀椀hypertensive Drugs. Apply your knowledge from Advanced Pharmacology here. Consider adherence/compliance to the medica琀椀on & treatment plan (my ques琀椀on to you in the Week4 Discussion). Example prescrip琀椀ons are in my Example Management Plan & Prescrip琀椀ons Wri琀椀ng posts in the Q&A forum. 3. For consults/referrals, if not needed, document that. If indicated, list to who & provide ra琀椀onale(s) & reference(s). In my opinion, he needs a least one referral now but do not refer for something that you as the primary care provider can do. 4. Pa琀椀ent educa琀椀on should include informa琀椀on for Diagnosis; Test results; Lifestyle changes: diet, physical ac琀椀vity/weight loss, tobacco use cessa琀椀on, alcohol intake modera琀椀on; Medica琀椀ons: discon琀椀nua琀椀on of a current drug, poten琀椀al side e昀昀ects to report of newly prescribed drug(s); Home BP monitoring; Update recommended preventa琀椀ve screenings & immuniza琀椀ons. Provide the ra琀椀onale(s) & reference(s) for all interven琀椀ons. 5. Follow-up includes when to see back including 琀椀me interval for this encounter (ini琀椀a琀椀ng treatment for a new chronic disease) & include speci昀椀c symptoms that would require being seen earlier than planned or that would require seeking emergent care. Provide ra琀椀onale(s) & reference(s) for both this encounter and for emergent care. 6. Include your References list. The peer-reviewed ar琀椀cles & the Whelton et al. CPG ar琀椀cle listed below are to be used in your Management Plan. I have provided them as PDF a琀琀achments. They cover everything needed & meet the program guidelines. There is no need to use any other sources. You may not use Stat Pearls, UpToDate, PDR.net, Epocrates, Medscape, CDC, WHO, Drugs.com, Healthline, Johns Hopkins, Harvard Health, Mayo Clinic, textbooks, etc. as they do not meet the NP Program Expecta琀椀ons for Scholarly Sources in wri琀琀en assignments. Re昀氀ec琀椀on The Re昀氀ec琀椀on part of the assignment addresses your development of diagnos琀椀c/clinical reasoning. Concepts of clinical reasoning and cri琀椀cal thinking are o昀琀en used interchangeably. However, they are not the same. Cri琀椀cal thinking is iden琀椀昀椀ca琀椀on & evalua琀椀on (analysis & synthesis) of an issue in order to form a judgment for ac琀椀on. Diagnos琀椀c/Clinical reasoning is where NPs iden琀椀fy and priori琀椀ze per琀椀nent clinical data (key 昀椀ndings from a medical
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