NSG 6430 Discussion iHuman Case Study
**Discuss your management plan for this patient, including pharmacologic therapies, tests, patient education, referrals, and follow-ups.
Ruptured TOA is a life-threatening potential complication and a surgical emergency. Surgical drainage of the abscess via interventional radiology or laparoscopy may decrease treatment time and directly obtained cultures may provide antibiotic guidance (Silva et al., 2015). All patients with a high suspicion for a TOA need to be hospitalized and intravenous antibiotics immediately started.
According to the Centers for Disease Control and prevention broad spectrum intravenous antibiotics including coverage for N. gonorrhoeae and C. trachomatis should be started empirically for the first 48 hours to 72 hours which include: Ampicillin/Sulbactam 3 g IV every 6 hours and Doxycycline 100 mg orally or IV every 12 hours. Referral to an Obgyn for follow-up which is usually seen three days after hospital discharge and then again one to two weeks later to confirm that the infection has cleared CDC, 2015). NSG 6430 Discussion iHuman Case Study.
Patient education
■ Instruct patients to take all of their medications, if they feel nauseated, and to contact their provider promptly if they experience vomiting or are unable to take their medications.
■ Instruct patients to have sexual partners get treatment if they had sexual contact during the 60 days preceding the patient’s onset of symptoms. Treat empirically for both chlamydia and gonorrhea.
■ Advise patients to avoid sexual contact until the infection has been cured.
■ Provide education about sexual risk reduction, using condoms with every sexual contact to prevent becoming reinfected and to prevent other STDs.
What laboratory studies (if any) should be ordered to help establish the diagnosis? How should the results be interpreted?
A urine pregnancy test should be performed in any woman of reproductive age with adnexal tenderness. If the pregnancy test is positive, then a beta subunit of human chorionic gonadotropin (β-hCG) level needs to be obtained.. A complete blood count with a differential may show an elevated WBC count with a left shift. If the patient is febrile or hemodynamically unstable, then blood and urine cultures need to be ordered. In addition, tests for sexually transmitted diseases including chlamydia and gonorrhea should also be obtained during the pelvic exam.
References Assignment:
Arab-Mazar, Z., & Niyyati, M. (2015). Trichomonas vaginalis pathogenesis: A narrative review. Novelty in Biomedicine, 3(3), 148-154.
Brunham, R. C., Gottlieb, S. L., & Paavonen, J. (2015). Pelvic inflammatory disease. The New England Journal of Medicine, 372(21), 2039.
Carter, K. L., & Garmel, G. M. (2016). Image diagnosis: Tubo-ovarian abscess with hydrosalpinx. The Permanente Journal, 20(3) doi:10.7812/TPP/15-211
Centers for Disease Control and Prevention. (2015). Trichomoniasis. Retrieved from https://www.cdc.gov/std/tg2015/trichomoniasis.htm
Lee, L. (2017). Pelvic inflammatory disease. Journal of the American Academy of Physician Assistants, 30(2), 47-48. doi: 10.1097/01.JAA.0000511799.14244.57 O’Connell, C. M., & Ferone, M. E. (2016). Chlamydia trachomatis genital infections. Microbial Cell, 3(9), 390-403. doi:10.15698/mic2016.09.525. NSG 6430 Discussion iHuman Case Study
Sekmen, T., Gündüz, M., & Ciftci, I. (2017). Ruptured hemorrhagic cyst of undescended ovary mimicking mucocele: A rare pediatric case. Iranian Journal of Medical Sciences, 42(1), 98-101.
Silva, F., Castro, J., Godinho, C., Gonçalves, J., Ramalho, G., & Valente, F. (2015). Minimally invasive approach of tubo-ovarian abscesses. Revista Brasileira De Ginecologia e Obstetrícia, 37(3), 115-118. doi:10.1590/SO100-720320150005257.
Week 1 Assignment 3: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
By Wednesday, May 24, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG 6430_W1_A3_LastName_FirstInitial.doc. Include the reference number from eMedley in your document.
Submit your document to the W1 Assignment 3 Dropbox by Wednesday, May 24.
Week 2 Assignment 2: Interactive MedU Case
For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
After you complete the MedU case study for the week, please print the summary of your case session and submit it as a PDF file to the W2 Assignment 2 Dropbox. Note that the summary of your case session has your name on the top right-hand corner. You need to submit this document as evidence that you have completed the case.
The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all MedU assignments completed in order to successfully pass the course.
Click here for information on how to access and navigate MedU.
This week, complete the case entitled “Case #1: 45-year-old female annual exam – Mrs. Payne.”
Submission Details:
Submit your work in a 2- to 3-page Microsoft Word document.
Name your file SU_NSG 6430_W2_A2_LastName_FirstInitial.pdf.
Submit your file to the W2 Assignment 2 Dropbox by Monday, May 29,.
Week 2 Assignment 3: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template.
The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
By Wednesday, May 31, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided. Name your SOAP note document SU_NSG 6430_W2_A3_LastName_FirstInitial.doc. Include the reference number from eMedley in your document.
Submit your document to the W2 Assignment 3 Dropbox by Wednesday, May 31.
Week 3 assignment 2
Assignment 2: Interactive MedU Case
For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
After you complete the MedU case study for the week, please print the summary of your case session and submit it as a PDF file to the W3 Assignment 2 Dropbox. Note that the summary of your case session has your name on the top right-hand corner. You need to submit this document as evidence that you have completed the case.
The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all MedU assignments completed in order to successfully pass the course.
Click here for information on how to access and navigate MedU.
This week, complete the case titled “Case #12: 16-year-old female with vaginal bleeding and UCG – Savannah Bauer.”
Submission Details:
Submit your work in a 2- to 3-page Microsoft Word document.
Name your file SU_NSG 6430_W3_A2_LastName_FirstInitial.pdf.
Submit your file to the W3 Assignment 2 Dropbox by Monday, June 5.
Week 3 assignment 3
Assignment 3: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
By Wednesday, June 7, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG 6430_W3_A3_LastName_FirstInitial.doc. Include the reference number from eMedley in your document.
Submit your document to the W3 Assignment 3 Dropbox by Wednesday, June 7.
Week 4 assignment 2
Assignment 2: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
By Wednesday, June 14, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG 6430_W4_A2_LastName_FirstInitial.doc. Include the reference number from eMedley in your document.
Submit your document to the W4 Assignment 2 Dropbox by Wednesday, June 14.
Week 5 assignment 1
Assignment 1: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
By Wednesday, June 21, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG 6430_W5_A1_LastName_FirstInitial.doc. Include the reference number from eMedley in your document.
Submit your document to the W5 Assignment 1 Dropbox by Wednesday, June 21.
Week 6 assignment 2
Assignment 2: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
By Wednesday, June 28, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG 6430_W6_A2_LastName_FirstInitial.doc. Include the reference number from eMedley in your document.
Submit your document to the W6 Assignment 2 Dropbox by Wednesday, June 28.
Week 7 assignment 2
Assignment 2: Interactive MedU Case
For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.
After you complete the MedU case study for the week, please print the summary of your case session and submit it as a PDF file to the W7 Assignment 2 Dropbox. Note that the summary of your case session has your name on the top right-hand corner. You need to submit this document as evidence that you have completed the case.
The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all MedU assignments completed in order to successfully pass the course.
Click here for information on how to access and navigate MedU.
This week, complete the case titled “Case #14: 35-year-old female with missed period – Ms. Rios.”
Submission Details:
Submit your work in a 2- to 3-page Microsoft Word document.
Save your file as SU_NSG 6430_W7_A2_LastName_FirstInitial.pdf. Submit your file to the W7 Assignment 2 Dropbox by Sunday, July 2.
Week 7 assignment 3
Assignment 3: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
By Wednesday, July 5, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG 6430_W7_A3_LastName_FirstInitial.doc. Include the reference number from eMedley in your document.
Submit your document to the W7 Assignment 3 Dropbox by Wednesday, July 5.
Week 8 assignment 2
Assignment 2: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
By Wednesday, July 12, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG 6430_W8_A2_LastName_FirstInitial.doc. Include the reference number from eMedley in your document.
Submit your document to the W8 Assignment 2 Dropbox by Wednesday, July 12.
Week 8 assignment 3
Research Paper
For this week, you will be completing a research appraisal about a women’s health topic in which you may be interested. The purpose is to complete only a synthesis of the topic. To start, only look at studies that are specific to your women’s health topic. Your appraisal will assist in finding the most current evidence.
Remember, this is only for the purpose of synthesis. Simplicity is key to a successful evaluation. Below is a way to assist you in compiling your significant articles. Your table should only contain 5 articles. Finalize your findings in 1–2 pages and submit them with your evaluation table. Submission Details:
By Tuesday, July 11, 2017, enter your table and summary
Name your document SU_NSG6330_W8_A3_LastName_FirstInitial.doc
Submit your document to the W8 Assignment 3 Dropbox by Tuesday, July 11. In the headings for the columns, include the following:
Citation: Author, year, title
Conceptual Framework: Theoretical basis for study
Design/Method: Indicate design and describe what was done in the study Sample/setting: Number, characteristics, attrition rate, and why
Major variables studied and their definitions: Independent/dependent variable
Measurement: What scales were used to measure the outcome variables (e.g., name of scale, author, reliability info)Data analysis: What stats were used to answer the clinical question
Findings: Statistical findings or qualitative findings (one for every statistical test mentioned in data analysis)Appraisal/Worth to Practice: Strengths and limitations of the study, risk or harm if study intervention or findings implemented, and feasibility.
Week 9 – Assignment 2
Assignment 2: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
By Wednesday, July 19, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG 6430_W9_A2_LastName_FirstInitial.doc. Include the reference number from eMedley in your document.
Submit your document to the W9 Assignment 2 Dropbox by Wednesday, July 19.
Week 10 assignment
Assignment 1: SOAP Note
Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.
Submission Details:
By Wednesday, July 26, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.
Name your SOAP note document SU_NSG 6430_W10_A1_LastName_FirstInitial.doc. Include the reference number from eMedley in your document.
Submit your document to the W10 Assignment 1 Dropbox by Wednesday, July 26.
