NR 603 Week 4 ihuman

Assignment

Purpose

The i-Human assignments provide students with an opportunity to experience clinical scenarios that are relevant to the lesson content through virtual patient encounters. i-Human is a highly interactive and dynamic way to enhance student learning.  

Course Outcomes

This assignment enables the student to meet the following course outcomes:     

• CO 1: Interpret subjective and objective data to develop appropriate diagnoses and evidence based management plans for patients and families with complex or multiple diagnoses across the lifespan. (PO 5) 
  CO 2: Utilize healthcare delivery system resources in a fiscally responsible manner in the diagnosis and treatment of patients and families across the lifespan. (PO 5) 
  CO 3: Involve the patient and family in the formulation of management plans that align with their goals and perspectives of health and wellness. (PO 5) 
  CO 4: Develop management plans based on current scientific evidence and national guidelines. (PO 5) 
  CO 6: Prioritize treatment based on relevant clinical presentation. (PO 5)

Due Date

Students must complete the assigned i-Human Virtual Patient Encounter and submit the required documentation by Sunday at 11:59 p.m. MT.  

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 that point, a zero will be recorded for the assignment. 

Total Points Possible

This assignment is worth a total of 100 points.

Preparing the Assignment

Follow these guidelines when completing each component of the assignment. Contact your course faculty if you have questions.  

General Instructions

Access i-Human through the Week 4 Case Link. Click the blue bar to launch the activity in a new browser window. The case does not need to be completed in one sitting; it can be re-entered at the same case location at a later time.

All graded documentation, including the management plan, must be completed within the i-Human platform. Follow the i-Human Documentation GuideLinks to an external site. to complete your client’s electronic health record (EHR) and management plan. Use current APA Style Standards to format citations and references in the management plan and reflection. Use https://apastyle.apa.org/Links to an external site. and APA Academic WriterLinks to an external site. for formatting and grammar assistance.

Include the following sections (detailed criteria listed below and in the Grading Rubric):

Complete the following components in the i-Human Virtual Patient Encounter for the required case addressing the cardiovascular system.

1. Focused Health History: Complete a focused health history. Scores are automatically calculated within the i-Human platform when the health history is submitted. 
2. Focused Physical Exam: Complete a focused physical exam. Scores are automatically calculated within the i-Human platform when the health history is submitted. 
3. EHR Documentation-Subjective Data: Document the history of the present illness (HPI) and focused review of systems (ROS). Documentation must be:
   
   1. accurate
   2. detailed
   3. written using professional terminology
   4. pertinent to the chief complaint
   5. includes subjective findings only
4. EHR Documentation-Objective Data: Document physical exam findings. Documentation must be:
   
   1. accurate
   2. detailed
   3. written using professional terminology
   4. pertinent to the chief complaint
   5. include objective findings only
5. Problem Statement: Document a brief, accurate problem statement using professional language. Include the following components:
   
   1. name or initials, age
   2. chief complaint
   3. positive and negative subjective findings
   4. positive and negative objective findings
6. Differential diagnosis (DDx): Select the most appropriate differential diagnoses for the encounter.  Your score will automatically calculate after the focused physical exam is submitted. 
7. Differential diagnosis ranking: Rank the differential as lead and alternate diagnoses
8. Must Not Miss: Identify the must not miss (MNM) diagnoses
9. Diagnostic tests: Select the appropriate diagnostic tests for the virtual patient. Once selected, review the results provided. 
10. Management Plan: Use the expert diagnosis provided to create a pertinent comprehensive evidence-based management plan. If a specific component of the management plan is not warranted (i.e., no referrals are appropriate for the virtual patient) document that no intervention is warranted. Include the following components: 
    
    1. diagnostic tests
    2. medications: write a specific prescription for each medication, including over-the-counter medications 
    3. suggested consults/referrals
    4. client education
    5. follow-up, including time interval and specific symptomatology to prompt a sooner return
    6. cite at least one relevant scholarly source as defined by program expectationsLinks to an external site.
11. Click ”Submit” once the case is complete. Take a screenshot of the i-Human Virtual Patient Encounter report. 
12. Reflection: Address the following questions:  
    
    1. Which diagnostic tests did you select for this client? Using the estimated national average cost for each diagnostic test from a website such as MD saveLinks to an external site., calculate the total cost for diagnostic testing for this client if she was uninsured and did not meet age requirements for Medicare. How might this information change your decision to order diagnostic tests for the client? Would lack of insurance change your management plan? Why or why not?
       
       1. The client in this encounter would likely benefit from community and health care support services. Which services might you recommend? What is available in your community? What is the process of referral in your area?
    2. Include the following components: 
       
       1. write 150-300 words in a Microsoft Word document 
       2. demonstrate clinical judgment appropriate to the virtual patient scenario
       3. cite at least one relevant scholarly source as defined by program expectations
       4. communicate with minimal errors in English grammar, spelling, syntax, and punctuation 

Click “Submit” once the case is complete. Take a screenshot or snippet of your report to upload to the dropbox.  Submit to the dropbox by Sunday at 11:59 p.m. MT along with your completed reflection WORD document to the Week 4 dropbox.