M.D. is a 36-yr-old male, employed as a stockbroker working 60-70 hours a week. He complains of midsternal burning sensation, often worse at night and he frequently wakes with a bad taste in his mouth. No history of weight loss of change in appetite. Cardiac problems are ruled out. He is diagnosed with gastroesophegeal reflux disease (GERD). VS are stable.
1. What other relevant questions would you ask M.D.?
2. What pathophysiological variations exist in other populations?
3. What factors influence the incidence and manifestation?
4. What are specific treatment goals for M.D.?
5. What drug therapy would you prescribe? Why?
6. How would you monitor success?
Student-Led Case Studies is a power point Presentation and follow a specific template in which they will provide the following:
• Four – five differential diagnoses, with a brief rationale;
• A succinct explanation of the pathophysiology of the disease, including a discussion of the links between the signs and symptoms and the disordered physiological processes;
• Specific treatment goals (no more than 5) AND therapeutic objectives;
• Identification of appropriate treatment guidelines, with an emphasis on Canadian Clinical Practice Guidelines;
• Specific patient-centered pharmacotherapies;
• Overview of mechanism(s) of action of selected pharmacotherapy;
• A summary of potential drug-drug and food-drug interactions;
• Patient risk factors;
• Patient education and follow-up;
• Pathophysiological variations (how does age, gender, ethnicity affect the disease prevalence and presentation)
• Two or three questions posted within the presentation to stimulate discussion
• THE LAST SLIDE MUST INCLUDE A SCRIPT WRITTEN FOR THAT PATIENT
• NOTE ON USING NARRATED POWERPOINTS:
to avoid text-heavy presentations, speaker notes may be used to good effect.
Laboratory Value Conversions
lab value has to be in Canadian units
CASE STUDIES MUST BE CONCISE (a total of 20 – 24 slides, including title page and references). Remember, each case will form the basis for a study guide in unit tests. Students are encouraged to minimize text-heavy slides by using the powerpoint speaker notes to provide additional detail. The use of diagrams is encouraged, although they must be appropriately-sourced and a legend/explanation of each diagram provided. IFMORE THAN 5 WORDS IN A ROW ARE TAKEN FROM A SCHOLARLY RESOURCE OR WEBSITE, THEY MUST BE ENCLOSED IN QUOTATION MARKS AND APPROPRIATELY CITED. If you are unsure about what constitutes plagiarism, please consult with your instructor.
Case studies will be due during the week of the corresponding unit, with the specific day being at the discretion of each instructor, and will be . All content covered in case studies is examinable.
While your textbooks provide some guidance as to pathophysiological mechanisms and possible pharmacotherapies, it is expected that students will not rely solely on these resources. Peer-reviewed references from the primary literature (eg: Journal articles and reviews) from within the last 5 years are an expectation for references in this course. Secondary references (eg: Textbooks) should be used sparingly.
With respect to some of the specific resources you will encounter, it is necessary to discern between those which are appropriate for substantiating statements regarding diagnoses, clinical decisions, and pathophysiology. For the latter, your textbook must be supplemented by peer-reviewed literature, and PubMed is the ‘Gold Standard’ for accessing current research articles. With respect to diagnoses and clinical decision-making, it is important to understand that your pharmacology text, while excellent, is both an American resource, and is not necessarily current. Below is some sage advice from one of our Nurse Practitioner instructors.
“UptoDate” is a great resource for making clinical decisions. It is a synthesis of clinical practice guidelines by a panel of experts in a given field, and it is updated on an ongoing basis. For making a diagnosis, screening tests, and pharmacology, it incorporates Canadian content. Examples are that all of the Ottawa Rules (for diagnosing fractures) are included, the Canadian Neurological Scale is used and the recommendations from the Canadian Task Force on Preventive Care is used. There are many other examples. Lexicomp is a very complete drug data base and is part of UptoDate. In Lexicomp, under the heading Brand names, Canadian brand names are listed. Under the heading Dosage forms, anything uniquely Canadian is listed as a Canadian dosage form. Under the heading, Administration, differences in Canada are listed. For example, for the drug dimenhydranate, Lexicomp states that the Canadian product is available rectally.
What you find in UptoDate has already been reviewed and evaluated. It is general, and is used in North America and all over the world. When you select specific clinical practice guidelines, it is best to consider the epidemiological model of person, place and time. Select guidelines that are useful for the Canadian population, and which are current. Some of your other courses cover all of the parameters needed to evaluate clinical practice guidelines. Some good clinical guidelines are the TOP guidelines from Alberta, the BCMSP guidelines, from BC, the CMA guidelines, the RNAO !guidelines from Ontario and others. FNHIB has also has guidelines for practice in rural First Nations communities.
A data base like UptoDate and CPG’s do not take the place of delving into the literature to find the most current research on a topic. Peer reviewed articles in reputable journals are important in giving you background and new information to use when making clinical decisions. It is easy to plug in a practice guideline, but your job as a NP is to integrate critical thinking and individualize care based on all of the knowledge. Good care is based on extensive knowledge gleaned from a variety of resources combined with critical thinking
Its is case study in power point presentation. I have selected 5 pages based on the word counts. the power point presentation should be in 20 to 24 slides
Type of service: Academic paper writing
Type of assignment: Writing from scratch
Pages / words: 5 / 1400
Number of sources: 2
Academic level: Undergraduate
Paper format: APA
Line spacing: Double
Language style: US English
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