DC is a 46-year-old female who presents with a 24-hour histo…

DC is a 46-year-old female who presents with a 24-hour histo…

nursing writing question
Week 4 Case AssignmentDC is a 46-year-old female who presents with a 24-hour history of RUQ pain. She states the pain started about 1 hour after a large dinner she had with her family. She has had nausea and on instance of vomiting before presentation.PMH: Vitals:HTN Temp: 98.8oFType II DM Wt: 202 lbsGout Ht: 58?DVT Caused by oral BCPs BP: 136/82HR: 82 bpmCurrent Medications: Notable Labs:Lisinopril 10 mg daily WBC: 13,000/mm3HCTZ 25 mg daily Total bilirubin: 0.8 mg/dLAllopurinol 100 mg daily Direct bilirubin: 0.6 mg/dLMultivitamin daily Alk Phos: 100 U/LAST: 45 U/LALT: 30 U/LAllergies:LatexCodeineAmoxicillinPE:Eyes: EOMIHENT: NormalGI:bNondistended, minimal tendernessSkin: Warm and dryNeuro: Alert and OrientedPsych: Appropriate moodGastrointestinal (GI) and hepatobiliary disorders affect the structure and function of the GI tract. Many of these disorders often have similar symptoms, such as abdominal pain, cramping, constipation, nausea, bloating, and fatigue. Since multiple disorders can be tied to the same symptoms, it is important for advanced practice nurses to carefully evaluate patients and prescribe a treatment that targets the cause rather than the symptom.Once the underlying cause is identified, an appropriate drug therapy plan can be recommended based on medical history and individual patient factors. In this Assignment, you examine a case study of a patient who presents with symptoms of a possible GI/hepatobiliary disorder, and you design an appropriate drug therapy plan.RESOURCESBe sure to review the Learning Resources before completing this activity.Click the weekly resources link to access the resources.WEEKLY RESOURCESTo Prepare:Review the case study assigned by your Instructor for this AssignmentReflect on the patients symptoms, medical history, and drugs currently prescribed.Think about a possible diagnosis for the patient. Consider whether the patient has a disorder related to the gastrointestinal and hepatobiliary system or whether the symptoms are the result of a disorder from another system or other factors, such as pregnancy, drugs, or a psychological disorder.Consider an appropriate drug therapy plan based on the patients history, diagnosis, and drugs currently prescribed.BY DAY 7 OF WEEK 4Write a 1-page paper that addresses the following:Explain your diagnosis for the patient, including your rationale for the diagnosis.Describe an appropriate drug therapy plan based on the patients history, diagnosis, and drugs currently prescribed.Justify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center offers an example of those required elements (available at http://writingcenter.waldenu.edu/57.htmLinks to an external site.). All papers submitted must use this formatting.SUBMISSION INFORMATIONBefore submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.To submit your completed assignment, save your Assignment as WK4Assgn_LastName_FirstinitialThen, click on Start Assignment near the top of the page.Next, click on Upload File and select Submit Assignment for review.RubricNURS_6521_Week4_Assignment_RubricNURS_6521_Week4_Assignment_RubricCriteria Ratings PtsThis criterion is linked to a Learning OutcomeExplain your diagnosis for the patient, including your rationale for the diagnosis.25 to >22.25 ptsExcellentThe response accurately and clearly explains in detail the diagnosis for the patient, including an accurate and thorough rationale for the diagnosis that supports clinical judgment.22.25 to >19.75 ptsGoodThe response provides a basic explanation of 1-2 diagnoses for the patient, including an accurate rationale for the diagnosis that may support clinical judgment.19.75 to >17.25 ptsFairThe response inaccurately or vaguely explains the diagnosis for the patient, including an inaccurate or vague rationale for the diagnosis that may or may not support clinical judgment.17.25 to >0 ptsPoorThe response inaccurately and vaguely explains the diagnosis for the patient, including an inaccurate and vague rationale for the diagnosis that does not support clinical judgment, or is missing.25 ptsThis criterion is linked to a Learning OutcomeDescribe an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.30 to >26.7 ptsExcellentThe response accurately and completely describes in detail an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.26.7 to >23.7 ptsGoodThe response describes a basic explanation of the appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.23.7 to >20.7 ptsFairThe response inaccurately or vaguely describes an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.20.7 to >0 ptsPoorThe response inaccurately and vaguely describes an appropriate drug therapy plan based on the patient’s history, diagnosis, and drugs currently prescribed.30 ptsThis criterion is linked to a Learning OutcomeJustify why you would recommend this drug therapy plan for this patient. Be specific and provide examples.30 to >26.7 ptsExcellentThe response provides an accurate, clear, and detailed justification for the recommended drug therapy plan for this patient. … The response includes specific, accurate, and detailed examples that fully support the justification provided.26.7 to >23.7 ptsGoodThe response provides a basic justification for the recommended drug therapy plan for this patient. … The response includes only 1-2 examples that fully support the justification provided.23.7 to >20.7 ptsFairThe response provides an inaccurate or vague justification for the recommended drug therapy plan for this patient. … The response may include examples, which may inaccurately or vaguely support the justification provided.20.7 to >0 ptsPoorThe response provides an inaccurate and vague justification for the recommended drug therapy plan for this patient, or is missing. … The response does not include examples that support the justification provided, or is missing.30 ptsThis criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance.5 to >4.45 ptsExcellentParagraphs and sentences follow writing standards for flow, continuity, and clarity.4.45 to >3.95 ptsGoodParagraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time.3.95 to >3.45 ptsFairParagraphs and sentences follow writing standards for flow, continuity, and clarity 60%79% of the time.3.45 to >0 ptsPoorParagraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time.5 ptsThis criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation5 to >4.45 ptsExcellentUses correct grammar, spelling, and punctuation with no errors4.45 to >3.95 ptsGoodContains a few (12) grammar, spelling, and punctuation errors3.95 to >3.45 ptsFairContains several (34) grammar, spelling, and punctuation errors3.45 to >0 ptsPoorContains many (?? 5) grammar, spelling, and punctuation errors that interfere with the readers understanding5 ptsThis criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running head, parenthetical/in-text citations, and reference list.5 to >4.45 ptsExcellentUses correct APA format with no errors4.45 to >3.95 ptsGoodContains a few (12) APA format errors3.95 to >3.45 ptsFairContains several (34) APA format errors3.45 to >0 ptsPoorContains many (?? 5) APA format errors5 ptsTotal Points: 100PreviousNextRequirements: 1 page
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