FNP Case Study Paper
FNP Case Study Paper
Please write a case study about the provided scenario using SOAP format and APA format. Cannot plagiarize obviously, school runs papers through “turnitin”. Please read ALL instructions. This is for my final paper for my FNP program. Please review attachments.
1. Case scenario- you will use this to create case study in SOAP format.
2. Rubric template- utilize as an example
3. Case study example- previous case study that was turned in and received fill credit.
The review of systems must be incorporated into the paper (see examples). All references must be included throughout text and properly referenced in APA format. If you have any questions, reach out.
Required elements of the case study: FNP Case Study Paper
All papers are to be type written, double spaced, with pages numbered. Please write course name and number, your name, and date clearly on materials submitted. Use American Psychological Association (APA) style 6th edition including paper format and references. Points may be deducted for multiple spelling, grammar, format and typing errors.
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1. Subjective (0.5 point)
State the patient’s chief complaint, reason for visit and/or the problem for which the patient sought consultation.
a. All symptoms related to the problem are described using the following cue descriptive categories:
1. Precipitating/alleviating factors (including prescribed and/or self-remedies and their effect on the problem).
2. Associated symptoms
3. Quality of all reported symptoms including the effect on the patient’s lifestyle
4. Temporal factors (date of onset, frequency, duration, sequence of events)
5. Location (localized or generalized? does it radiate?)
6. Sequelae (complications, impact on patient and/or significant other) FNP Case Study Paper
7. Severity of the symptoms
b. Past Medical History including immunizations, allergies, accidents, illnesses, operations, hospitalizations.
c. Family History includes family members’ health history.
d. Social history to include habits, residence, financial situation, outside assistance, family inter-relationships.
e. Review of Systems relevant to the chief complaint/presenting problem is included. Include pertinent positives and negatives.
2. Objective (0.5 point)
a. Using inspection, palpation, percussion, and auscultation, the examiner evaluates all systems associated with the subjective complaint including all systems which may be causing the problem or which will manifest or may potentially manifest complications and records positive and pertinent negative findings
b. Performs appropriate diagnostic studies if equipment is available
c. Records results of pertinent, previously obtained diagnostic studies.
d. Use Handout Guidelines to Physical Examination.
3. Assessment (1.5 points)
a. Diagnosis/es is (are) derived from the subjective and objective data highlighting the pathophysiology of the case/s.
b. Differential diagnoses are prioritized (minimum of 2) FNP Case Study Paper
c. Diagnosis/es come(s) from the medical and/or nursing domain
d. Assessment includes health risks/needs assessment
4. Plan (1.5 points)
a. Appropriate diagnostic studies with rationale
b. Therapeutic treatment plan with rationale
c. Was this patient appropriate for a nurse practitioner as a provider? Is consultation or collaboration with another health care provider required?
d. Health promotion/disease prevention carried out or planned: education, discussion, handouts given, evidence of patient’s understanding.
e. What community resources are available in the provision of care for this client?
f. Referrals initiated (including to whom the patient is referred to and the purpose)
g. Target dates for re-evaluating the results of the plan and follow up
5. Other (1 point)
a. Information is typed , double-spaced, 12pt font, and concise (using short paragraphs and phrases)
b. Information is written so that the objective reader can follow the progression of events and information
c. Only standard, accepted medical terminology and abbreviations are used.
d. At least three (3) references from recent professional journal publications are required for each (APA format) . These can include but not limited to medical, research, pharmacological or advanced practice nursing journals. More than 3 references should be used.
e. Rationales need to include a clear demonstration of the use of evidence-based practice in decision-making. Risks and benefits as well as how an intervention was determined to be evidence-based will be clear to the reader.
f. Rationales need to include a clear demonstration of the use of evidence-based practice in decision-making. Risks and benefits as well as how an intervention was determined to be evidence-based will be clear to the reader.
Instructions:
1. Write a case study about the given case scenario using the SOAP format.
2. Review and follow the case study writing outline and rubric in building your case and as basis of grading.
3. Paperwork must be submitted via assignment link provided in the Blackboard on or before 7/31/2020 11:59 pm. FNP Case Study Paper
Case Scenario: (CHANCROID WITH INGUINAL LYMPHADENOPATHY)
A 21-year old college student and self-described as a “ladies’ man” presents to the clinic because of a concerning spot that developed on his penis. He complains of pain at the spot but denies itching. He reports no fever. When asked further about his sexual practices, he reports no condom use because his partners are all “on the pill.” He had chlamydia in high school but is otherwise healthy.
The rest of the pertinent medical histories are unremarkable.
His review of systems is negative.
VS: BP 120/80; HR 70; RR 16; T 98.0 F; Pain level 3/10
On examination of the penis, you find a 1-cm tender, erythematous papule with a deep central ulceration at the glans penis. There is some mild, tender lymphadenopathy in the inguinal area. The rest of the examination is unremarkable FNP Case Study Paper.
