Assignment Prompt & Instructions
– ## casestudy4instructions.docx
**## casestudy4instructions.docx**
ommon Gynecologic Conditions, Part 1
Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, and diagnostic approaches, as well as to the development of treatment plans.
For this Case Study Assignment, you will once again choose 1 of 4 case study scenarios and review the case study scenario to obtain information related to a gynecologic exam and determine differential diagnoses, diagnostics, and develop treatment and management plans.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
[**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/185284/modules/items/7612970)
**To prepare:**
· Review the 4 case studies in this week’s Learning Resources. Select one of the cases to prepare your written assignment.
· Review the Learning Resources for this week and specifically review the clinical guideline resources specific to your chosen case study.
**Assignment Instructions:**
· Use the Case Study Template from the Learning Resources to complete the assignment. Your submission must include a brief case write-up, followed by the fully completed template, which must be integrated into the document rather than submitted separately.
· Include a title page, a case summary in your own words, the completed template, and a reference page formatted in APA style.
· Ensure your submission meets all criteria outlined in the template and rubric for completeness and accuracy.
By Day 7 of Week 4
**Submit** your case study assignment by
**Day 7 of Week 4**.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
**Turnitin Drafts** from the
**Start Here** area.
1. To submit your completed assignment, save your Assignment as
**Wk4Assgn_LastName_Firstinitial**
2. Then, click on
**Start Assignment** near the top of the page.
3. Next, click on
**Upload File** and select
**Submit Assignment** for review.
4. Rubric
**NRNP_6552_Week4_Case_Study_Assignment_Rubric**
| | | |
| — | — | — |
| NRNP_6552_Week4_Case_Study_Assignment_Rubric |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeAnalyzes subjective and objective data and outlines applicable diagnostic tests related to case studies. | **30 to >26.7 ptsExcellent** The response provides clear, complete, and comprehensive descriptions of subjective and objective case data, appropriately outlining all diagnostic tests, clinical procedures and pharmacological interventions.<br> <br>**26.7 to >23.7 ptsGood** The response provides clear, complete partial descriptions of the components of the subjective and objective case data, appropriately outlining most of the diagnostic tests, clinical procedures and pharmacological interventions.<br> <br>**23.7 to >20.7 ptsFair** The response provides some components of the subjective and objective case data, but they are incomplete, vague or inaccurate, outlining some of the diagnostic tests, clinical procedures and pharmacological interventions.<br> <br>**20.7 to >0 ptsPoor** The response provides unclear or incomplete components of subjective and objective case data. The diagnostic tests, clinical procedures and pharmacological interventions are missing, incorrect, or inappropriately applied. | 30 pts |
| This criterion is linked to a Learning OutcomeIdentifies differential diagnoses related to case studies. | **30 to >26.76 ptsExcellent** The response contains at least 3 differential diagnoses relevant and applicable to the case.<br> <br>**26.76 to >23.7 ptsGood** The response contains at least 2 differential diagnoses relevant and applicable to the case.<br> <br>**23.7 to >20.7 ptsFair** The response contains at least 1 differential diagnosis relevant and applicable to the case.<br> <br>**20.7 to >0 ptsPoor** The response contains few or no differential diagnoses and/or diagnoses are not relevant and applicable to the case. | 30 pts |
| This criterion is linked to a Learning OutcomeFormulates a treatment plan related to case studies based on scientific rationale, evidence- based standards of care, and practice guidelines. Integrates ethical, psychological, physical, financial issues and Social Determinants of Health in plan. | **30 to >26.76 ptsExcellent** Formulates a thorough treatment plan including explanations of appropriate diagnostic tests and treatment options. Fully incorporates syntheses representative of knowledge gained from the resources for the module and current credible sources, with no less than 75% of the treatment plan having exceptional depth and breadth. Supported by at least 3 current peer- reviewed, references or professional practice guidelines.<br> <br>**26.76 to >23.7 ptsGood** Formulates a partially complete treatment plan including partial explanations of appropriate diagnostic tests and treatment options. Somewhat incorporates syntheses representative of knowledge gained from the resources for the module and current credible sources with no less than 50% of the treatment plan having exceptional depth and breadth. Supported by at least 3 current peer- reviewed, references or professional practice guidelines.<br> <br>**23.7 to >20.7 ptsFair** Formulates a minimally complete treatment plan including incomplete or vague explanations of appropriate diagnostic tests and treatment options. Lacking in synthesis of knowledge gained from the resources for the module and current credible sources. Supported by at least 2 current peer- reviewed, references or professional practice guidelines.<br> <br>**20.7 to >0 ptsPoor** Formulates a treatment plan that contains incomplete explanations of appropriate diagnostic tests and treatment options and/ or explanations are missing. Lacks synthesis gained from the resources for the module and current credible sources. Supported by 1 or no current peer- reviewed, references or professional practice guidelines. | 30 pts |
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards:<br>Correct grammar, mechanics, and proper punctuation | **5 to >4.45 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4.45 to >3.95 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**3.95 to >3.45 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**3.45 to >0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 5 pts |
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. | **5 to >4.45 ptsExcellent** Uses correct APA format with no errors.<br> <br>**4.45 to >3.95 ptsGood** Contains a few (1 or 2) APA format errors.<br> <br>**3.95 to >3.45 ptsFair** Contains several (3 or 4) APA format errors.<br> <br>**3.45 to >0 ptsPoor** Contains many (≥ 5) APA format errors. | 5 pts |
Susan Lang is a 24-year-old Caucasian female presenting to the clinic for regular care. She
works full-time as an administrative assistant, and relates she loves her job. She has no
medical or surgical history, takes no medication, and has no allergies. Family history is
non-contributary. Social history is remarkable for cigarette smoking at a rate of ½ packs
per day (PPD) since age 14, / EtOH only on weekends, 6-8 hard liquor/ daily, and marijuana
smoking. Gyn history is onset of menses age 13, menses every 28-32 days, lasting 4-6 day
and using 3 tampons daily. She has some cramping during her menses for which she
takes otc Pamprin. She jogs 3-4 times a week, wears seatbelts when in the car, and
“occasionally” uses sunscreen. Susan relates she has been having some postcoital
bleeding for the past 6 weeks and has had a sore throat for past 3 weeks. She did have a
fever for a day or two, but Tylenol took care of it and she thought it was allergies.
Susan’s vital signs are taken and were temperature 97.8, pulse 68, BP 112/64, height 5’6”
and weight 118 lbs. (which was the same as last year). BMI 19.04
• HEENT: WNL except some anterior cervical adenopathy bilaterally, and throat
appears reddened.
• Lung: clear to auscultation
• CV: regular sinus rhythms without murmur or gallop
• Abd: soft, non-tender, liver normal,
• Breasts: fibrocystic changes bilaterally, no masses, dimpling, redness or
discharge, no adenopathy, and bilateral nipple piercings.
• VVBSU: wnl, slight frothy yellow discharge by cervix, clitoral piercing noted
• Cervix: friable, some petechia no cervical motion tenderness.
• Uterus: mid mobile, non-tender
• Adnexa: without masses or tenderness
• Perineum: wnl
• Rectum: wnl
• Extremities: full rom, skin clear, no edema, reflexes 1+.
## image1.jpeg
**## casestudy4instructions.docx**
ommon Gynecologic Conditions, Part 1
Case studies provide the opportunity to simulate realistic scenarios involving patients presenting with various health problems or symptoms. Such case studies enable nurse learners to apply concepts, lessons, and critical thinking to interviewing, screening, and diagnostic approaches, as well as to the development of treatment plans.
For this Case Study Assignment, you will once again choose 1 of 4 case study scenarios and review the case study scenario to obtain information related to a gynecologic exam and determine differential diagnoses, diagnostics, and develop treatment and management plans.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
[**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/185284/modules/items/7612970)
**To prepare:**
· Review the 4 case studies in this week’s Learning Resources. Select one of the cases to prepare your written assignment.
· Review the Learning Resources for this week and specifically review the clinical guideline resources specific to your chosen case study.
**Assignment Instructions:**
· Use the Case Study Template from the Learning Resources to complete the assignment. Your submission must include a brief case write-up, followed by the fully completed template, which must be integrated into the document rather than submitted separately.
· Include a title page, a case summary in your own words, the completed template, and a reference page formatted in APA style.
· Ensure your submission meets all criteria outlined in the template and rubric for completeness and accuracy.
By Day 7 of Week 4
**Submit** your case study assignment by
**Day 7 of Week 4**.
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
**Turnitin Drafts** from the
**Start Here** area.
1. To submit your completed assignment, save your Assignment as
**Wk4Assgn_LastName_Firstinitial**
2. Then, click on
**Start Assignment** near the top of the page.
3. Next, click on
**Upload File** and select
**Submit Assignment** for review.
4. Rubric
**NRNP_6552_Week4_Case_Study_Assignment_Rubric**
| | | |
| — | — | — |
| NRNP_6552_Week4_Case_Study_Assignment_Rubric |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeAnalyzes subjective and objective data and outlines applicable diagnostic tests related to case studies. | **30 to >26.7 ptsExcellent** The response provides clear, complete, and comprehensive descriptions of subjective and objective case data, appropriately outlining all diagnostic tests, clinical procedures and pharmacological interventions.<br> <br>**26.7 to >23.7 ptsGood** The response provides clear, complete partial descriptions of the components of the subjective and objective case data, appropriately outlining most of the diagnostic tests, clinical procedures and pharmacological interventions.<br> <br>**23.7 to >20.7 ptsFair** The response provides some components of the subjective and objective case data, but they are incomplete, vague or inaccurate, outlining some of the diagnostic tests, clinical procedures and pharmacological interventions.<br> <br>**20.7 to >0 ptsPoor** The response provides unclear or incomplete components of subjective and objective case data. The diagnostic tests, clinical procedures and pharmacological interventions are missing, incorrect, or inappropriately applied. | 30 pts |
| This criterion is linked to a Learning OutcomeIdentifies differential diagnoses related to case studies. | **30 to >26.76 ptsExcellent** The response contains at least 3 differential diagnoses relevant and applicable to the case.<br> <br>**26.76 to >23.7 ptsGood** The response contains at least 2 differential diagnoses relevant and applicable to the case.<br> <br>**23.7 to >20.7 ptsFair** The response contains at least 1 differential diagnosis relevant and applicable to the case.<br> <br>**20.7 to >0 ptsPoor** The response contains few or no differential diagnoses and/or diagnoses are not relevant and applicable to the case. | 30 pts |
| This criterion is linked to a Learning OutcomeFormulates a treatment plan related to case studies based on scientific rationale, evidence- based standards of care, and practice guidelines. Integrates ethical, psychological, physical, financial issues and Social Determinants of Health in plan. | **30 to >26.76 ptsExcellent** Formulates a thorough treatment plan including explanations of appropriate diagnostic tests and treatment options. Fully incorporates syntheses representative of knowledge gained from the resources for the module and current credible sources, with no less than 75% of the treatment plan having exceptional depth and breadth. Supported by at least 3 current peer- reviewed, references or professional practice guidelines.<br> <br>**26.76 to >23.7 ptsGood** Formulates a partially complete treatment plan including partial explanations of appropriate diagnostic tests and treatment options. Somewhat incorporates syntheses representative of knowledge gained from the resources for the module and current credible sources with no less than 50% of the treatment plan having exceptional depth and breadth. Supported by at least 3 current peer- reviewed, references or professional practice guidelines.<br> <br>**23.7 to >20.7 ptsFair** Formulates a minimally complete treatment plan including incomplete or vague explanations of appropriate diagnostic tests and treatment options. Lacking in synthesis of knowledge gained from the resources for the module and current credible sources. Supported by at least 2 current peer- reviewed, references or professional practice guidelines.<br> <br>**20.7 to >0 ptsPoor** Formulates a treatment plan that contains incomplete explanations of appropriate diagnostic tests and treatment options and/ or explanations are missing. Lacks synthesis gained from the resources for the module and current credible sources. Supported by 1 or no current peer- reviewed, references or professional practice guidelines. | 30 pts |
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards:<br>Correct grammar, mechanics, and proper punctuation | **5 to >4.45 ptsExcellent** Uses correct grammar, spelling, and punctuation with no errors.<br> <br>**4.45 to >3.95 ptsGood** Contains a few (1 or 2) grammar, spelling, and punctuation errors.<br> <br>**3.95 to >3.45 ptsFair** Contains several (3 or 4) grammar, spelling, and punctuation errors.<br> <br>**3.45 to >0 ptsPoor** Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding. | 5 pts |
| This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list. | **5 to >4.45 ptsExcellent** Uses correct APA format with no errors.<br> <br>**4.45 to >3.95 ptsGood** Contains a few (1 or 2) APA format errors.<br> <br>**3.95 to >3.45 ptsFair** Contains several (3 or 4) APA format errors.<br> <br>**3.45 to >0 ptsPoor** Contains many (≥ 5) APA format errors. | 5 pts |
Susan Lang is a 24-year-old Caucasian female presenting to the clinic for regular care. She
works full-time as an administrative assistant, and relates she loves her job. She has no
medical or surgical history, takes no medication, and has no allergies. Family history is
non-contributary. Social history is remarkable for cigarette smoking at a rate of ½ packs
per day (PPD) since age 14, / EtOH only on weekends, 6-8 hard liquor/ daily, and marijuana
smoking. Gyn history is onset of menses age 13, menses every 28-32 days, lasting 4-6 day
and using 3 tampons daily. She has some cramping during her menses for which she
takes otc Pamprin. She jogs 3-4 times a week, wears seatbelts when in the car, and
“occasionally” uses sunscreen. Susan relates she has been having some postcoital
bleeding for the past 6 weeks and has had a sore throat for past 3 weeks. She did have a
fever for a day or two, but Tylenol took care of it and she thought it was allergies.
Susan’s vital signs are taken and were temperature 97.8, pulse 68, BP 112/64, height 5’6”
and weight 118 lbs. (which was the same as last year). BMI 19.04
• HEENT: WNL except some anterior cervical adenopathy bilaterally, and throat
appears reddened.
• Lung: clear to auscultation
• CV: regular sinus rhythms without murmur or gallop
• Abd: soft, non-tender, liver normal,
• Breasts: fibrocystic changes bilaterally, no masses, dimpling, redness or
discharge, no adenopathy, and bilateral nipple piercings.
• VVBSU: wnl, slight frothy yellow discharge by cervix, clitoral piercing noted
• Cervix: friable, some petechia no cervical motion tenderness.
• Uterus: mid mobile, non-tender
• Adnexa: without masses or tenderness
• Perineum: wnl
• Rectum: wnl
• Extremities: full rom, skin clear, no edema, reflexes 1+.
## image1.jpeg