NR 601 Week 2 COPD Case Study Part 2

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NR 601 Week 2 COPD Case Study Part 2 (Initial post, faculty, peer responses)

Purpose

Problem-based learning is a methodology designed to help students develop the reasoning process … in clinical practice through problem solving actual patient problems in the same manner as they occur in practice. The purpose of this activity is to develop students’ clinical reasoning skills using a case-based learning exercise. Through participation in an online discussion forum, students identify learning issues in a self-directed manner which facilitates learning for the entire group.

Case Study – Part 2

You ordered a CXR and spirometry at the previous visit and he returns today to review the results. Physical exam and symptoms are … since last visit. Vital signs at this visit are: Temp-98.3, P-68, RR-20, BP 152/90, Height 68.9in., Weight 258 pounds, O2sat 94% on RA

CXR Result: No acute infiltrates or consolidations are seen. Cardiac and mediastinal silhouettes are normal. No hilar enlargement is evident. Osseous thorax is intact. Spirometry Results: … Continue

Requirements/Questions:

  • What is your primary (one) diagnosis for this patient at this time? (support the decision for your diagnosis with pertinent positives and negatives from the case)
  • Identify the corresponding ICD-10 code.
  • Provide a treatment plan for this patient’s primary … which includes:
    • Medication*
    • Any additional testing necessary for this particular … *
    • Patient education
    • Referral
    • Follow up
  • Provide an active problem list for this patient based on the information given in the case.
  • Are there any changes that you would also make to this patient’s overall treatment plan at this time? Must provide an EBP argument for each treatment or testing decision.

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