CASE STUDY

PLEASE READ COMPLETELY AND FOLLOW DIRECTIONS**

For your signature assignment, you will write a scholarly case study that will compare and contrast two possible ways of treating a chronic health condition.

 

Select a chronic health issue you may have encountered in your clinical rotations. You may either recall a real patient you saw with this condition or you may create a fictitious patient for the paper. You will write a paper about this patient where you will compare and contrast two different ways of treating the problem, both with published peer-reviewed literature to support the treatment plans. After analyzing the options, you will choose the most appropriate plan for the patient’s scenario, based on their unique and individual health needs and desires. A SOAP note is not required and should not be submitted as an appendix. To support your progression in master’s level writing, you will integrate subjective and objective information into the paper to create a scholarly case study, in third-person language, worthy of publication. 

 

***Topic Examples: (you are not limited to the following)

 

  • Acupuncture vs pharmacotherapeutics for a patient with chronic low back pain
  • Systemic vs topical estrogen for vaginal atrophy
  • Aggressive lifestyle modifications vs traditional pharmacotherapy for hypertension treatment
  • JNC-8 vs AHA/ACC hypertension guidelines for resistant hypertension
  • European, Australian, or Canadian guidelines vs US guidelines for any chronic disease (you may choose countries also but articles must be from published peer-reviewed journals and in the English language)
  • Aggressive treatment of subclinical hypothyroid with levothyroxine vs selenium or non-pharmacologic treatment
  • Cognitive behavioral therapy alone vs psychotropic medications or vs combo for depression or anxiety 
  • Aggressive lifestyle modifications (LSM) vs pharmacologic therapy for weight loss or for dyslipidemia

****Include the following information in your case study:

  • Introduction: Introduce the patient demographics, complaints, and discuss key concepts related to the topic
  • Setting and social dynamics (community clinic, private practice, skilled nursing facility, support system, etc.)
  • Subjective information: Chief complaint, HPI, PMH, PSH, FH, SH, ROS
  • Objective information: Physical exam and any known results
  • Medical decision-making and clinical impression (diagnosis)
  • Introduction of two different evidence-based, peer-reviewed articles or treatment guidelines for the chosen diagnosis
  • Compare and contrast the two treatment options or approaches
  • Assess and include analysis of the merit and soundness of research (i.e. discuss which treatment has more research or better research)
  • Indicate which treatment option was chosen for the patient scenario and provide justification on why it was better for them
  • Include specific plans or interventions, recommendations, education, health promotion, and follow-up as needed for the case
  • Discuss possible or real cultural and socioeconomic considerations or how you would ensure equitable, inclusive care for your patient
  • Conclusion: Include a summary of the case study and lessons learned

 

*****Submit a scholarly paper, written in the third person with APA 7th edition writing style at the graduate level. Include a title page, text with correct headings, and references. Do not include an abstract. Do not write the paper as a SOAP note, and do not include a SOAP note as an appendix.

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CASE STUDY

 

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Case Study

In clinical settings, pediatric patients often present with hematologic and metabolic disorders such as anemia and diabetes. Many of these disorders are manageable with drug therapy and lifestyle changes, but they can pose serious complications for patients if left untreated. In your role as the advanced practice nurse, you must identify patients at risk of hematologic and metabolic disorders and provide the appropriate education for them and their families. Consider potential treatment, management, and education strategies for the patients in the following case studies.

Case Study 1

You see a 1-week-old Asian infant for a weight check. The infant is back to his birth weight and is breastfeeding for 10 minutes every 2 hours with one 3-hour stretch a day. He is alert, has bowel movements with each feeding, and wets 8–10 diapers a day. His blood type is A+ and his mother’s blood type is A+. Coombs’ testing at birth was negative. You note slight scleral and skin jaundice.

Case Study 2

Jimmy is a 3-year-old “picky” eater according to his mother. He refuses to eat anything but waffles for breakfast and macaroni and cheese or chicken nuggets for lunch and dinner. He will eat apples and bananas but refuses all vegetables except corn. After a normal physical examination, you obtained blood testing that revealed the hemoglobin is 11.4 mg/dl and his hematocrit is 30% (both obtained by venipuncture). The CBC revealed microcytic hypochromic RBCs.

Case Study 3

Melissa is a 13-year-old who presents to your office for a well-child check. Physical examination reveals a thin child who is short of stature. Breast Tanner stage is II and pubic hair development is Tanner I. Neurologic, skin, heart, lung, abdominal, and HEENT examinations are normal.

To prepare:

  • Review “Endocrine and Metabolic Disorders” and “Hematologic Disorders” in the Burns et al. text.
  • Review and select one of the three provided case studies. Analyze the patient information.
  • Consider a differential diagnosis for the patient in the case study you selected. Think about the most likely diagnosis for the patient.
  • Think about a treatment and management plan for the patient. Be sure to consider appropriate dosages for any recommended pharmacologic and/or non-pharmacologic treatments.
  • Consider strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

By Day 3

Post an explanation of the differential diagnosis for the patient in the case study you selected. Explain which is the most likely diagnosis for the patient and why. Include an explanation of unique characteristics of the disorder you identified as the primary diagnosis. Then, explain a treatment and management plan for the patient, including appropriate dosages for any recommended treatments. Finally, explain strategies for educating patients and families on the treatment and management of the hematologic or metabolic disorder.

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