[APA] Nursing Case Study

Request: This is a study case for my nursing class, consisting of two parts. Each part should be delivered in a different word document ,APA formatted, 1500 words per each part. The request for each parts can be found above and in the attachments you have the case study. You MUST use the infos from the case study provided and NOT from another case. Part 1 (1500 words) Part 2 (1500 words) Now, assume that any procedures and/or testing which were performed are NORMAL. 1. What is your primary (one) diagnosis for this patient at this time? (support the decision for your diagnosis with pertinent positives and negatives from the case) 2. Identify the corresponding ICD-10 code. 3. Provide a treatment plan for this patient’s primary diagnosis which includes: 4. Provide an active problem list for this patient based on the information given in the case. 5. Are there any changes that you would also make to this patient’s overall treatment plan at this time? Must provide an EBM argument for each treatment or testing decision. 6. Provide an appropriate F/U plan. *If part of the plan does not warrant an action, you must explain why. ALL medication and testing decisions (or decisions not to treat with medication or additional testing) MUST be supported with an evidence-based medicine (EBM) argument. Over-the-counter (OTC) and RXs must be written in full as if handing a script to the patient in the office. Requirements: Two parts based on the same case study provided above, each part 1500 words, each delivered in a different word document. Briefly and concisely summarize the history and physical (H&P) findings as if you were presenting it to your preceptor using the pertinent facts from the case. Use shorthand where possible and approved medical abbreviations. Avoid redundancy and irrelevant information. Provide a differential diagnosis (minimum of 3) which might explain the patient’s chief complaint along with a brief statement of pathophysiology for each. Analyze the differential by using the pertinent findings from the history and physical to argue for or against a diagnosis. Rank the differential in of most likely to least likely. Identify any additional tests and/or procedures that you feel is necessary or needed to help you narrow your differential. All testing decisions must be supported with an evidence-based medicine (EBM) argument as to why it is necessary or pertinent in this case. If no testing is indicated or needed, you must also support this decision with EBM evidence. Medication* Any additional testing necessary for this particular diagnosis* Patient education Referral Rank the differential in of most likely to least likely.
Identify any additional tests and/or procedures that you feel is necessary or needed to help you narrow your differential. All testing decisions must be supported with an evidence-based medicine (EBM) argument as to why it is necessary or pertinent in this case. If no testing is indicated or needed, you must also support this decision with EBM evidence.