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Introduction- As part of your essential skills, you are learning to interpret and analyze abnormal data. For this scenario, you will be provided by chart and video:
1. Demographic data: Patient’s age and Date of Birth, Gender, Ethnicity and Past Medical History
2. Symptom being analyzed(COLDSPA) per video.
3. The client’s medical diagnosis
4. Pertinent lab work or diagnostic tests.
5. Assessment findings (subjective and objective assessment).
Performance Objective:
a. Collect and analyze data regarding a symptom to obtain a history of present illness (symptom analysis) using the COLDSPA mnemonic.
b. Analyze clinical assessment and diagnostic findings.
c. Answer questions in canvas related to scenario and chapter content
d. Identify priority lab/ diagnostic data and priority nursing diagnosis for patient symptom
e. Submit completed documentation and reflection then upload both for completion.
f. Must be typed word or pdf doc and completed per rubric
1. Review patient chart
Case Scenario- Jones, C student chart 1221 (See upload doc at 5.04pm).
1B. Cardiac supplemental file.docx– (See upload doc at 5.08pm).
2. Watch Case Scenario video- Charles Jones -https://youtu.be/E48WWqqOoJA
3. .Submit completed focused assessment form–Ps Verify your answers with the completion video provided —ps see uploaded 5.10pm.
4. 4. Complete the assessment reflection.
Case scenario Assignment Reflection- see uploaded at 5.11pm
RUBRIC – Case Scenario Assignment Reflection (2)
1. Upload completed patient assessment form
2. Q1 Medical DX- patho with reference
3. Q2 (2 or more) common assessment findings for this diagnosis
4. Q3 (2 or more) findings- identify if your patient was getting better or worse?
5. Q4 (2 or more) lab or diagnostic tests/ abnormal for this patient?
6. Q5 assessment findings common with each abnormal lab values? (related to Q4)
7. Q6 Name 2 nursing diagnosis, identify the priority diagnosis. Why do you think you chose that diagnosis?
8. Q7 Possible interventions for this patient? (Name 2)
9. Q8 Possible medications related to priority diagnosis? Name, indications, effects (list 2)
10. Q9 Anything you would have liked to know or would have done differently? Why? (2 sentences or greater)
11. Professional writing- avoid slang, spelling, grammar- 1 pt per issue (Max 5)
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