PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
Based on your midterm evaluation, how do you feel about your progress toward your goals? Are you receiving a diversity of experiences at your practicum site to add to your clinical toolbox? What procedures are you confident in, and what do you need to hone as an advanced practice nurse? As you progress in your practicum, reach out to your Clinical Faculty and preceptor with questions you have.
This week, you will continue to engage with Meditrek, recording your clinical hours and patient encounters. You will also participate in a grand rounds discussion. PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
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Learning Objectives
Students will:
- Complete a focused SOAP note for a clinical patient*
- Develop a case study presentation based on a clinical patient*
- Analyze cases involving advanced practice care of older adults
- Describe clinical hours and patient encounters
*Presenter only
Learning Resources
Grand Rounds Discussion: Complex Case Study Presentation
Photo Credit: [RGtimeline]/[iStock / Getty Images Plus]/Getty Images
This week you participate in the second of four clinical discussions called grand rounds. In one of these 4 weeks, you will be a presenter as well as help facilitate the online discussion; in the others you will be an active discussion participant. When it is your week to present, you will create a focused SOAP note and a short didactic (teaching) video presenting a real (but de-identified) complex patient case from your practicum experience.
You should have received communication from your Instructor letting you know which week of the course you are assigned to present.
To prepare:PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
- Review this week’s Learning Resources and consider the insights they provide. Also review the Kaltura Media Uploader resource in the left-hand navigation of the classroom for help creating your self-recorded Kaltura video.
- Select a patient from your clinical experience that presents with significant comorbidities. This should not be a patient with a single, straightforward condition, such as an ear infection, nor should it be a wellness visit. Create a focused SOAP note for this patient using the template in the Resources. All SOAP notes must be signed and each page must be initialed by your preceptor. When you submit your SOAP Note, you should include the complete SOAP Note as a Word document and pdf/images of each page that is initialed and signed by your preceptor. You must submit your SOAP Note using SafeAssign.
Please Note: Electronic signatures are not accepted. If both files are not received by the due date, faculty will deduct points per the Walden Late Policies.PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation - Based on this patient case, and using the focused SOAP note as a reference, develop a case study presentation that includes the history of present illness (HPI), appropriate positive and negative physical exam findings, past medical and surgical history, diagnostic results, diagnosis including differentials that were ruled out, and treatment plan.
- Your presentation should also include objectives for your audience (see the resource on Bloom’s Taxonomy), at least three possible discussion questions/prompts for your classmates to respond to, and at least five scholarly resources to support your diagnostic reasoning and treatment plan.
- Ensure that you have the appropriate lighting and equipment to record the presentation. PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
Video Assignment for this week’s presenters:
Record yourself presenting the complex case study for your clinical patient. In your presentation:
- Dress professionally with a lab coat and present yourself in a professional manner.
- Display your photo ID at the start of the video when you introduce yourself.
- Ensure that you do not include any information that violates the principles of HIPAA (i.e., don’t use the patient’s name or any other identifying information).PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
- State 3–4 objectives for the presentation that are targeted, clear, use appropriate verbs from Bloom’s taxonomy, and address what the audience will know or be able to do after viewing.
- Present the full complex case study. Include the history of present illness, appropriate positive and negative physical exam findings, past medical and surgical history, diagnostic results, diagnosis including differentials that were ruled out, and treatment plan.
- Report normal diagnostic results as the name of the test and “normal” (rather than specific value). Abnormal results should be reported as a specific value.
- Pose three questions or discussion prompts, based on your presentation, that your colleagues can respond to after viewing your video.
- Be succinct in your presentation, and do not exceed 8 minutes.
A note on grading:
- Presenters: Review the Grand Rounds Presenter Rubric to ensure you meet the scoring criteria.
- Participants: Review the Grand Rounds Participant Rubric to ensure you meet the scoring criteria.
Week 6 Presenters:PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
By Day 3
Post your video and your focused SOAP note to the grand rounds discussion forum. You must submit two files for the SOAP note, including a Word document and scanned pdf/images of each page that is initialed and signed by your preceptor. Then, actively respond to your colleagues as they post responses to your video.
Week 6 Participants:
By Day 7
Respond at least two times each to both of your colleagues who presented this week. The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to one of the three discussion prompts that your colleague provided in his or her video presentation. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.##
Rubric Detail
Select Grid View or List View to change the rubric’s layout.
Content
Excellent | Good | Fair | Poor | |
---|---|---|---|---|
Photo ID Display and Professional Attire |
Points Range: 5 (5%) – 5 (5%)
Photo ID is displayed. The student is dressed professionally with a lab coat.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)
Photo ID is not displayed. Student must remedy this before grade is posted. The student is not dressed professionally with a lab coat.
|
Time |
Points Range: 5 (5%) – 5 (5%)
The video does not exceed the 8-minute time limit.PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 0 (0%)PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
|
Points Range: 0 (0%) – 0 (0%)
The video exceeds the 8-minute time limit. (Note: Information presented after the 8 minutes will not be evaluated for grade inclusion.)
|
Objectives for the presentation |
Points Range: 5 (5%) – 5 (5%)
3-4 objectives provided and written in terms of what the audience will know or be able to do after viewing. Appropriate Bloom’s verbs are used. Objectives are targeted and clear.
|
Points Range: 4 (4%) – 4 (4%)
3-4 objectives provided and written in terms of what the audience will know or be able to do after viewing. Appropriate Bloom’s verbs are used.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 3 (3%)
Fewer than 3 objectives provided. Objectives for the presentation are vague, unclear, or missing.
|
Description of chief complaint and the 7 elements of the history of present illness |
Points Range: 5 (5%) – 5 (5%)
The student provides an accurate, clear, and complete description of the chief complaint and the 7 elements of the History of Present Illness.
|
Points Range: 4 (4%) – 4 (4%)
The student provides an accurate description of the chief complaint and the 7 elements of the History of Present Illness.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 3 (3%)
The student provides a vague, inaccurate, or incomplete description of the chief complaint and the 7 elements of the History of Present Illness, or description is missing.
|
Description of past medical and surgical history |
Points Range: 5 (5%) – 5 (5%)
The student provides an accurate, clear, and complete description of past medical and surgical history.PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
|
Points Range: 4 (4%) – 4 (4%)
The student provides an accurate description of past medical and surgical history.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 3 (3%)
The student provides a vague, inaccurate, or incomplete description of past medical and surgical history, or description is missing.PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
|
Discussion of current medications |
Points Range: 5 (5%) – 5 (5%)
The student provides an accurate, clear, and complete discussion of current medications. PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
|
Points Range: 4 (4%) – 4 (4%)
The student provides an accurate discussion of current medications.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 3 (3%)
The student provides a vague, inaccurate, or incomplete discussion of current medications, or discussion is missing.
|
Discussion of physical exam findings |
Points Range: 5 (5%) – 5 (5%)
The student provides an accurate, clear, and complete discussion of physical exam findings, including both the positives and pertinent negatives.
|
Points Range: 4 (4%) – 4 (4%)
The student provides an accurate discussion of physical exam findings, including both the positives and pertinent negatives.
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 3 (3%)
The student provides a vague, inaccurate, or incomplete discussion of physical exam findings. The student may not address both positives and pertinent negatives. Or, the discussion is missing.
|
Discussion of diagnostics with results |
Points Range: 9 (9%) – 10 (10%)
The student provides an accurate, clear, and complete discussion of diagnostics with results.PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
|
Points Range: 8 (8%) – 8 (8%)
The student provides an accurate discussion of diagnostics with results.
|
Points Range: 7 (7%) – 7 (7%)
The student provides a vague, inaccurate, or incomplete discussion of diagnostics with results.PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
|
Points Range: 0 (0%) – 6 (6%)
All or most of the discussion is missing.
|
Diagnosis with differentials |
Points Range: 9 (9%) – 10 (10%)
The student provides an accurate, clear, and complete diagnosis with differentials.
|
Points Range: 8 (8%) – 8 (8%)
The student provides an accurate diagnosis with differentials.
|
Points Range: 7 (7%) – 7 (7%)
The student provides a vague, inaccurate, or incomplete diagnosis with differentials.
|
Points Range: 0 (0%) – 6 (6%)
All or most of the discussion is missing.
|
Treatment plan |
Points Range: 14 (14%) – 15 (15%)
The student provides an appropriate, clear, and complete treatment plan.PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
|
Points Range: 12 (12%) – 13 (13%)
The student provides an appropriate treatment plan.
|
Points Range: 11 (11%) – 11 (11%)
The student provides a vague, inappropriate, or incomplete treatment plan.
|
Points Range: 0 (0%) – 10 (10%)
A treatment plan is mostly or entirely missing.PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
|
Focused SOAP Note |
Points Range: 14 (14%) – 15 (15%)
The response clearly, accurately, and thoroughly follows the SOAP format to document the selected patient case.
|
Points Range: 12 (12%) – 13 (13%)
The response accurately follows the SOAP format to document the selected patient case.
|
Points Range: 11 (11%) – 11 (11%)
The response follows the SOAP format to document the selected patient case, with some vagueness and inaccuracy.
|
Points Range: 0 (0%) – 10 (10%)
The response incompletely and inaccurately follows the SOAP format to document the selected patient case.
|
Presentation style |
Points Range: 5 (5%) – 5 (5%)
Presentation style is exceptionally clear, professional, and focused.
|
Points Range: 4 (4%) – 4 (4%)
Presentation syle is clear, professional, and focused.PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
|
Points Range: 0 (0%) – 0 (0%)
|
Points Range: 0 (0%) – 3 (3%)
Presentation style is unclear, unprofessional, and/or unfocused.
|
Discussion Facilitation |
Points Range: 9 (9%) – 10 (10%)
Presentors effectively lead, sustain, and engage the discussion from Day 4 through Day 7.PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation
|
Points Range: 8 (8%) – 8 (8%)
Presentors lead, sustain, and engage the discussion from Day 4 through Day 7.
|
Points Range: 7 (7%) – 7 (7%)
Presentors lead, sustain, and engage the discussion at least three out of four days between Days 4 and 7.
|
Points Range: 0 (0%) – 6 (6%)
Presentors did not sustain and engage the discussion through Day 7.
|
Total Points: 100 |
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PRAC 6540 Week 6: Grand Rounds: Complex Case Study Presentation