Case Presentation COPD/Emphysema, health and medicine homework help

Case
Presentation Rubric for Grading Scale

·  APA STYLE Presentation

·  Power Point Presentations with
16-18 slides

1. Introduction

a. 
Patient Identifying Data: 

White Female 57 y/o

b. 
Chief Complaint/ Reason for Visit: 

Back pain with difficulty breathing

2. Subjective
Data

a.  History
of present illness (HPI)

·  X-smoker of 3 packs daily now smokes 5-6 cigarettes a day (trying
to quit), oxygen at home, on hospice care, walker to ambulate, pursed
breathing, chronic pain  

b.  Past
Medical History: 

·  COPD, emphysema, GERD, Anxiety, Resp Distress

c.  Family
History

d. 
Surgical History Denies

e. 
Allergies: NKA

f. 
Health Maintenance: 

Flu vaccine 8/15, pneumonia vaccine: 9/05

g.  Medications

 (duoneb, flexeril 10, lorazepam 1, famotidine 20,
prednisone 5, voltaren)

h.  e.
Review of Systems

3. Objective
Data

a.  Physical
Examination (pertinent to positives)

b.  Chart
Review of Past Health Visits

c.  Lab/
diagnostics tests

4. Diagnosis/
Differential Diagnosis

·  List
in DESCENDING priority, the 3 most appropriate differential diagnoses

5. Treatment/
Management

a. 
Pharmacological

b. 
Non-Pharmacological

c. 
Consultation or Referral if indicated

d. 
Health Promotion and Disease Prevention

e. 
Lifestyle Modifications

f. 
Interpretation of Lab, imaging or
special testing

g. 
Patient/ Family Education included in
plan of care

6. Evaluation of Management Plan and Outcome (10
points)

 Incorporate
the findings of 2 journal articles to
support or refute findings in the above listed sections. Journal articles
must be within last 5 years. (Cochrane,
Cinahl or Medline Review)

7. Research Findings ONE additional article must
be related to a research study on the topic. For example, the use of a CT angiogram
vs. MRI for evaluation of DVT.

8. Role of the Nurse Practitioner

·  Specific
to the patient being discussed. For example: A patient placed on Metformin
needs education on diet modifications including drug-drug or food-drug
interaction, educational teachings.

9. Ethical, legal and Cultural / Religious
Considerations

·  Specific
to patient being discussed Example: Legal- reporting abuse, Religious- Not
accepting transfusion or decision to for chosen treatment plan.

10. Risk Analysis Risk vs. benefits of treatment

11. Reference page

·  articles
must be within 5 years

·  Total
of 3 articles—NO Book references.

12.  APA style