Week 1: Case Study
Start Assignment
• Due Jan 9 by 11:59pm
• Points 100
• Submitting a file upload
Purpose
The purpose of this assignment is to apply hypersensitivity pathophysiological concepts to explain assessment findings of a patient with Allergic Rhinitis. Students will examine all aspects of the patient’s assessment including: Chief Complaint (CC), History of Present Illness (HPI), Past Medical History (PMH), Family History (FH), Social History (SH), Review of Systems (ROS), and Medications and then answer the questions that follow on the provided Comprehensive Case Study template.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Analyze the case to arrive at the type of hypersensitivity reaction that the patient is exhibiting. (CO1)
2. Explain the pathophysiology of the identified hypersensitivity reaction. (CO1)
3. Identify all subjective and objective information provided in the case. (CO3)
4. Explain, using pathophysiology, the rationale for each subjective and objective finding. (CO1, CO3)
5. Identify two types of medications that are strongly recommended for the treatment of allergic rhinitis according to the clinical practice guidelines on the management of allergic rhinitis. (CO2, CO5)
6. Explain the mechanism of action of the two medication classifications and include how the symptoms of allergic rhinitis are alleviated when taken. (CO2, CO5)
Due Date: Sunday by 11:59 PM MT of Week 1
Total Points Possible: 100
Requirements:
Content Criteria:
1. Read the case study listed below.
2. Refer to the rubric for grading requirements.
3. Utilizing the Week 1 Case Study Template (Links to an external site.), provide your responses to the case study questions listed below.
4. You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.
5. You must use the Clinical Practice Guideline (CPG) for the management of allergic rhinitis to answer the treatment recommendation questions. The guideline can be found at the following web address: https://journals.sagepub.com/doi/10.1177/0194599814561600 (Links to an external site.) .You may also use a medication administration reference such as Epocrates to provide medication names.
6. Proper Ace homework tutors – APA format (in-text citations, reference page, spelling, English language, and grammar) must be used.
Case Study Scenario
A 35-year-old woman presents to the primary care office with a history of nasal congestion that has worsened over time and recurrent sinus infections. She considered herself healthy until about 12 months ago when she began experiencing rhinorrhea, sneezing, and nasal stuffiness that “seems to never go away”. She noticed that her rhinorrhea greatly improved when she attended her family reunion on a two-week Caribbean cruise but returned after being home a few days. She lives with her husband and 5- year-old child. They have two household pets: a dog that has lived with them for the last 4 years and a cat who joined the family 1 year ago. Upon exam, the NP observed eyelid redness and swelling, conjunctival swelling and erythema, allergic shiners (lower lid venous swelling), Allergic crease (lateral crease on the nose) and inflamed nares.
Case Study Questions
Pathophysiology & Clinical Findings of the Disease
1. Identify the correct hypersensitivity reaction.
2. Explain the pathophysiology associated with the chosen hypersensitivity reaction.
3. Identify at least three subjective findings from the case.
4. Identify at least three objective findings from the case.
Management of the Disease
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.
1. Identify two strongly recommended medication classes for the treatment of the condition and provide an example (drug name) for each.
2. Describe the mechanism of action for each of the medication classes identified above.
3. Identify two treatment options that are NOT recommended (I.e., recommended against).
Category Points % Description
Pathophysiology & Clinical Findings of the Disease 45 45% The student:
• Identifies the correct hypersensitivity reaction.
• Explains the pathophysiology associated with the chosen hypersensitivity reaction.
• Supports the pathophysiology statement with at least one appropriate, scholarly reference (textbook is acceptable for pathophysiology statements only).
• Identifies at least three subjective findings from the case.
• Identifies at least three objective findings from the case.
(5 Required Elements)
Management of the Disease 45 45% The student:
• Utilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment recommendations.
• Identifies two strongly recommended medicationclassesfor the treatment of the condition and provides an example (drug name) for each.
• Describes the mechanism of action for each of the medications identified.
• Identifies two treatment options that are NOT recommended (I.e.,recommended against).
90 90% Total CONTENT Points= 90 pts
ASSIGNMENT FORMAT
Category Points % Description
Organization, spelling, grammar & Ace homework tutors – APA format 10 10% The student:
• Uses the week 1 case study template for case study responses.
• Provides correct in-text citations for responses which match the reference page.
• Has minimal spelling, grammar & Ace homework tutors – APA format errors.
100 100% Total FORMAT Points= 10 pts
ASSIGNMENT TOTAL=100 points
Rubric
NR507 Week 1 Case Study
NR507 Week 1 Case Study
Criteria Ratings Pts
This criterion is linked to a Learning OutcomePathophysiology & Clinical Findings of the Disease
The student:
– Identifies the correct hypersensitivity reaction.
– Explains the pathophysiology associated with the chosen hypersensitivity reaction.
– Supports the pathophysiology statement with at least one appropriate, scholarly reference (textbook is acceptable for pathophysiology statements only).
– Identifies at least three subjective findings from the case.
– Identifies at least three objective findings from the case.
(5 Required Elements) 45 pts
All 5 required elements are present 41 pts
1 required element is missing. 37 pts
2 required elements are missing 23 pts
3-4 required elements are missing. 0 pts
All 5 required elements are missing.
45 pts
This criterion is linked to a Learning OutcomeManagement of the Disease
The student:
– Utilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment recommendations.
– Identifies two strongly recommended medication classes for the treatment of the condition and provides an example (drug name) for each.
– Describes the mechanism of action for each of the medications identified.
– Identifies two treatment options that are NOT recommended (I.e., recommended against). 45 pts
All 4 elements are present 41 pts
1 required element is missing 37 pts
2 required elements are missing 23 pts
3 required elements are missing 0 pts
All 4 required elements are missing
45 pts
This criterion is linked to a Learning OutcomeOrganization, spelling, grammar & Ace homework tutors – APA format
The student:
– Uses the week 1 case study template for case study responses.
– Provides correct in-text citations for responses which match the reference page.
– Has minimal spelling, grammar & Ace homework tutors – APA format errors. 10 pts
Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 0-2 errors in spelling, grammar or Ace homework tutors – APA format. 9 pts
Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 3-5 errors in spelling, grammar or Ace homework tutors – APA format. 8 pts
Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 6-8 errors in spelling, grammar or Ace homework tutors – APA format. 5 pts
Case study template is not used for responses OR In-text citations are incorrect or do not match the reference page AND There are 0-5 errors in spelling, grammar or Ace homework tutors – APA format. 0 pts
Case study template is not used for responses AND/OR In-text citations are incorrect or do not match the reference page AND There are 6 or more errors in spelling, grammar or Ace homework tutors – APA format.
10 pts
This criterion is linked to a Learning OutcomeLate penalty deductions
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. 0 pts
Manual Deductions 0 pts
Manual Deduc
tions
0 pts
Total Points: 100
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Week 1: Case Study Start Assignment • Due at 11:59 p.m. on January 9th.
• 100 points
• Adding a file to an upload
Purpose
The goal of this assignment is to use hypersensitive pathophysiological ideas to explain a patient’s Allergic Rhinitis evaluation findings. Students will look over all aspects of the patient’s assessment, including the Chief Complaint (CC), History of Present Illness (HPI), Past Medical History (PMH), Family History (FH), Social History (SH), Review of Systems (ROS), and Medications, before answering the questions on the Comprehensive Case Study template.
Learning Outcomes from Activities
The student will demonstrate the following skills through this assignment: 1. Analyze the case to determine the sort of hypersensitive reaction the patient is having. (CO1)
2. Describe the pathophysiology of the hypersensitive reaction that has been identified. (CO1)
3. List all of the case’s subjective and objective information. (CO3)
4. Explain the rationale for each subjective and objective finding using pathophysiology. CO1, CO3, CO2
5. According to the clinical practice guidelines for the management of allergic rhinitis, identify two categories of drugs that are strongly recommended for the treatment of allergic rhinitis. CO2 (CO5, CO2)
6. Describe how the two medication classes work and how they help with allergic rhinitis symptoms. CO2 (CO5, CO2)
Week 1’s deadline is Sunday at 11:59 p.m. MT.
The maximum number of points that can be earned is 100.
Requirements:
Criteria for content:
1. Go over the case study in the section below.
2. For grading standards, consult the rubric.
3. Respond to the case study questions mentioned below using the Week 1 Case Study Template (Links to an other site.).
4. Pathophysiology statements must include at least one scholarly reference. It is permitted to utilize the textbook for pathophysiology statements in this class. You might alternatively use a journal that is evidence-based.
5. To answer the treatment recommendation questions, you must apply the Clinical Practice Guideline (CPG) for the management of allergic rhinitis. The guideline is available at https://journals.sagepub.com/doi/10.1177/0194599814561600 (This is a link to an external site.) To offer pharmaceutical names, you can also use a medication administration reference like Epocrates.
6. Ace homework tutors – APA format must be followed (in-text citations, reference page, spelling, English language, and grammar).
Scenario for Case Study
A 35-year-old woman comes to the primary care office with recurrent sinus infections and a history of nasal congestion that has worsened over time. She thought she was healthy until she started having rhinorrhea, sneezing, and nasal stuffiness that “seems to never go away” approximately a year ago. When she went on a two-week Caribbean vacation for her family reunion but returned home after a few days, she found a significant improvement in her rhinorrhea. She has a 5-year-old child and lives with her spouse. They have two household pets: a dog who has been with them for four years and a cat who has been with them for one year. The NP found redness and swelling of the eyelids, conjunctival swelling and erythema, allergic shiners (lower lid venous swelling), Allergic crease (lateral furrow on the nose), and inflamed nares during the exam.
Questions for Case Studies
The Disease’s Pathophysiology and Clinical Findings
1. Determine which hypersensitive reaction is right.
2. Describe the pathophysiology of the hypersensitive reaction you choose.
3. Identify at least three subjective case findings.
4. Assignment Help – Summarize at least three objective case results.
The Disease’s Management
*Back up your treatment suggestions with the necessary Clinical Practice Guideline (CPG).
1. Identify two pharmaceutical types that are strongly recommended for the treatment of the ailment and give an example (drug name) for each.
2. Describe the mechanism of action for each of the above-mentioned pharmaceutical classes.
3. Identify two non-recommended therapy choices (I.e., recommended against).
Points Percentage Category Description
The Disease’s Pathophysiology and Clinical Findings
45 Percentage
• Recognizes the appropriate hypersensitive reaction.
• Describes the pathophysiology of the selected hypersensitivity reaction.
• Provides at least one scholarly reference to back up the pathophysiological statement (textbook is acceptable for pathophysiology statements only).
• Identifies at least three subjective case findings.
• Identifies at least three objective case findings.
(5 Essential Elements)
The Disease’s Management
45 Percentage
• Supports the specified treatment recommendations by using the relevant Clinical Practice Guideline (CPG).
• Identifies two medication classes that are strongly suggested for the treatment of the illness and gives an example (drug name) for each.
• Outlines the mechanism of action for each of the drugs listed.
• Identifies two therapy alternatives that should not be used (I.e.,recommended against).
90% of the time
CONTENT POINTS TOTAL= 90 POINTS
Category Points Percentage Description ASSIGNMENT FORMAT
Ace homework tutors – APA format, organization, spelling, and grammar
ten percent ten percent
The pupil says,
• For case study responses, using the week 1 case study form.
• Correct in-text citations for responses that match the reference page are provided.
• There are few problems in spelling, grammar, and Ace homework tutors – APA format.
a hundred percent
FORMAT POINTS TOTAL=10 POINTS
TOTAL ASSIGNMENT POINTS=100
Rubric sNR507 Week 1 Case Study Criteria Ratings Pts NR507 Week 1 Case Study Criteria Ratings Pts NR507 Week 1 Case Study Criteria Ratings Pts NR507
This criterion has a Learning Outcome attached to it.
The Disease’s Pathophysiology and Clinical Findings
The pupil says,
– Determines which hypersensitivity reaction is correct.
– Explains the pathophysiology associated with the chosen hypersensitivity reaction.
– Supports the pathophysiology statement with at least one appropriate, scholarly reference (textbook is acceptable for pathophysiology statements only).
– Identifies at least three subjective findings from the case.
– Identifies at least three objective findings from the case.
(5 Essential Elements)
45 pts
All 5 required elements are present
41 pts
1 required element is missing.
37 pts
2 required elements are missing
23 pts
3-4 required elements are missing.
0 pts
All 5 required elements are missing.
45 pts
This criterion is linked to a Learning Outcome
Management of the Disease
The student:
– Utilizes the required Clinical Practice Guideline (CPG) to support the chosen treatment recommendations.
– Identifies two strongly recommended medication classes for the treatment of the condition and provides an example (drug name) for each.
– Describes the mechanism of action for each of the medications identified.
– Identifies two treatment options that are NOT recommended (I.e., recommended against).
45 pts
All 4 elements are present 41 pts
1 required element is missing 37 pts
2 required elements are missing 23 pts
3 required elements are missing
0 pts
All 4 required elements are missing 45 pts
This criterion is linked to a Learning OutcomeOrganization, spelling, grammar & Ace homework tutors – APA format
The student:
– Uses the week 1 case study template for case study responses.
– Provides correct in-text citations for responses which match the reference page.
– Has minimal spelling, grammar & Ace homework tutors – APA format errors.
10 pts Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 0-2 errors in spelling, grammar or Ace homework tutors – APA format. 9 pts
Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 3-5 errors in spelling, grammar or Ace homework tutors – APA format. 8 pts Case study template is used for responses AND In-text citations are correct which match the reference page AND There are 6-8 errors in spelling, grammar or Ace homework tutors – APA format. 5 pts
Case study template is not used for responses OR In-text citations are incorrect or do not match the reference page AND There are 0-5 errors in spelling, grammar or Ace homework tutors – APA format.
0 pts Case study template is not used for responses AND/OR In-text citations are incorrect or do not match the reference page AND There are 6 or more errors in spelling, grammar or Ace homework tutors – APA format.
10 pts
This criterion is linked to a Learning Outcome
Late penalty deductions
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy. 0 pts
Manual Deductions
0 pts
Manual Deductions
0 pts
Total Points: 100
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