A 49-year-old woman with advanced stage cancer has been admitted to the emergency room with cardiac arrest. Her husband and one of her children accompanied the ambulance.
To Prepare
Review the scenarios provided by your instructor for this weeks Assignment. Please see the Course Announcements section of the classroom for your scenarios.
Based on the scenarios provided:
oWhat necessary information would need to be obtained about the patient through health assessments and diagnostic tests?
oConsider how you would respond as an advanced practice nurse. Review evidence-based practice guidelines and ethical considerations applicable to the scenarios you selected.
The Lab Assignment
Review the Episodic note case study your instructor provides you for this weeks Assignment. Please see the Course Announcements section of the classroom for your Episodic note case study.
Based on the Episodic note case study:
oReview this weeks Learning Resources, and consider the insights they provide about the case study. Refer to Chapter 3 of the Sullivan resource to guide you as you complete your Lab Assignment.
oSearch the Walden library or the Internet for evidence-based resources to support your answers to the questions provided.
oConsider what history would be necessary to collect from the patient in the case study.
oConsider what physical exams and diagnostic tests would be appropriate to gather more information about the patients condition. How would the results be used to make a diagnosis?
oIdentify at least five possible conditions that may be considered in a differential diagnosis for the patient.
The Lab Assignment
Using evidence-based resources from your search, answer the following questions and support your answers using current evidence from the literature.
Analyze the subjective portion of the note. List additional information that should be included in the documentation.
Analyze the objective portion of the note. List additional information that should be included in the documentation.
Is the assessment supported by the subjective and objective information? Why or why not?
Would diagnostics be appropriate for this case, and how would the results be used to make a diagnosis?
Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.
