Presentation: Realistic Clinical Case Study.For this assignment, you will develop a presentation on a realistic clinical case on a topic that is of interest to you.
Dr. Christine: You can choose any of those two.
• Major Depression.
• Anxiety Disorder.
Content Requirements
You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that
will be covering the following:
1. Subjective data: Chief Complaint; History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that
includes the presenting problem and the 8 dimensions of the problem; Review of Systems (ROS)
2. Objective data: Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Labs; Vital
signs; Physical exam.
3. Assessment: Primary Diagnosis; Differential diagnosis
4. Plan: Diagnostic testing; Pharmacologic treatment plan; Non-pharmacologic treatment plan; Anticipatory guidance (primary
prevention strategies); Follow up plan.
5. Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner
Submission Instructions:
•
•
The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of
references.
The presentation should consist of 10-15 slides and less than 5 minutes in length.
•
Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources
(statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library
has a copy of the APA Manual).
Grading Rubric
Your assignment will be graded according to the grading rubric.
Rubric
Case Study Rubric
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomeChief
Complaint (Reason for
seeking health care) – S
Ratings
4 pts
Distinguished
Includes a direct
quote from patient
about presenting
problem
3 pts
Excellent
Includes a direct
quote from patient
and other unrelated
information
Pts
2 pts
Fair
Includes
information but
information is
NOT a direct
quote
0 pts
Poor
Information is
completely
missing
4 pts
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomeDemographics
-S
Ratings
2 pts
Distinguished
Begins with patient
initials, age, race,
ethnicity and
gender (5
demographics)
1.5 pts
Excellent
Begins with 4 of the
5 patient
demographics
(patient initials, age,
race, ethnicity and
gender)
Pts
1 pts
Fair
Begins with 3 or
less patient
demographics
(patient initials, age,
race, ethnicity and
gender)
0 pts
Poor
Information
is completely
missing
2 pts
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomeHistory of the
Present Illness (HPI) – S
Ratings
4 pts
Distinguished
Includes the
presenting problem
and the 8 dimensions
of the problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating factors,
Relieving factors,
Timing and Severity)
3 pts
Excellent
Includes the
presenting problem
and 7 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating
factors, Relieving
factors, Timing and
Severity)
Pts
2 pts
Fair
Includes the
presenting problem
and 6 of the 8
dimensions of the
problem (OLD
CARTS – Onset,
Location, Duration,
Character,
Aggravating
factors, Relieving
factors, Timing and
Severity)
0 pts
Poor
Information
is
completely
missing
4 pts
Case Study Rubric
Criteria
Ratings
Pts
This criterion is linked
to a Learning
OutcomeAllergies – S
2 pts
Distinguished
Includes NKA (including
= Drug, Environemental,
Food, Herbal, and/or
Latex or if allergies are
present (reports for each
severity of allergy AND
description of allergy)
1.5 pts
Excellent
If allergies are
present, students lists
type Drug,
environemtal factor,
herbal, food, latex
name and includes
severity of allergy OR
description of allergy
1 pts
Fair
If allergies
are present,
students
lists only
the type of
allergy
name
0 pts
Poor
Information
is completely
missing
2 pts
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomeReview of
Systems (ROS) – S
Ratings
9 pts
Distinguished
Includes a minimum
of 3 assessments for
each body system and
assesses at least 9
body systems directed
to chief complaint
AND uses the words
“admits” and “denies”
7 pts
Excellent
Includes 3 or fewer
assessments for
each body system
and assesses 5-8
body systems
directed to chief
complaint AND
uses the words
“admits” and
“denies”
Pts
5 pts
Fair
Includes 3 or fewer
assessments for
each body system
and assesses less
than 5 body systems
directed to chief
complaint OR
student does not use
the words “admits”
and “denies”
0 pts
Poor
Information
is
completely
missing
9 pts
Case Study Rubric
Criteria
Ratings
Pts
This criterion is linked
to a Learning
OutcomeVital Signs – O
2 pts
Distinguished
Includes all 8 vital
signs, (BP (with
patient position), HR,
RR, temperature (with
Fahrenheit or Celsius
and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric population)
and pain.)
1.5 pts
Excellent
Includes 7 vital
signs, (BP (with
patient position),
HR, RR,
temperature (with
Fahrenheit or
Celsius and route
of temperature
collection), weight,
height, BMI (or
percentiles for
pediatric
population) and
pain.)
1 pts
Fair
Includes 6 or less
vital signs, (BP
(with patient
position), HR, RR,
temperature (with
Fahrenheit or
Celsius and route of
temperature
collection), weight,
height, BMI (or
percentiles for
pediatric
population) and
pain.)
0 pts
Poor
Information
is
completely
missing
2 pts
Case Study Rubric
Criteria
Ratings
Pts
This criterion is linked
to a Learning
OutcomeLabs – O
3 pts
Distinguished
Includes a list of the labs
reviewed at the visit,
values of lab results and
highlights abnormal
values OR acknowledges
no labs/diagnostic tests
were reviewed.
2 pts
Excellent
Includes a list of
the labs
reviewed at the
visit, values of
lab results but
does not
highlight
abnormal values.
1 pts
Fair
Includes a list of
the labs reviewed
at the visit but
does not include
the values of lab
results or
highlight
abnormal values.
0 pts
Poor
Information
is completely
missing
3 pts
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomeMedications O
Ratings
4 pts
Distinguished
Includes a list of all of
the patient reported
medications and the
medical diagnosis for
the medication
(including name,
dose, route,
frequency)
2 pts
Excellent
Includes a list of all
of the patient
reported medications
and the medical
diagnosis for the
medication
(including 3 of the 4:
name, dose,
medications route,
frequency)
Pts
1 pts
Fair
Includes a list of
all of the patient
reported
medications
(including 2 of
the 4: name,
dose, route,
frequency)
0 pts
Poor
Information
is
completely
missing
4 pts
Case Study Rubric
Criteria
Ratings
Pts
This criterion is linked
to a Learning
OutcomeScreenings – O
3 pts
Distinguished
Includes an
assessment of at
least 5 screening
tests
2 pts
Excellent
Includes an
assessment of
at least 4
screening
tests
1 pts
Fair
Includes each medical
diagnosis but does not
include year of diagnosis or
whether the diagnosis is
active or current OR does
not include a medical
diagnosis for each
medication listed under
medications.
0 pts
Poor
Information
is completely
missing
3 pts
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomePast Medical
History – O
Ratings
3 pts
Distinguished
Includes, for each
medical diagnosis,
year of diagnosis and
whether the diagnosis
is active or current
AND there is a
medical diagnosis for
each medication
listed under
medications
2 pts
Excellent
Includes, for each
medical diagnosis,
either year of
diagnosis OR
whether the
diagnosis is active
or current AND
there is a medical
diagnosis for each
medication listed
under medications
Pts
1 pts
Fair
Includes, for each
medical diagnosis,
either year of
diagnosis OR
whether the
diagnosis is active
or current AND
there is a medical
diagnosis for each
medication listed
under medications
0 pts
Poor
Information
is
completely
missing
3 pts
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomePast Surgical
History – O
This criterion is linked
to a Learning
OutcomeFamily History
-O
Ratings
Pts
3 pts
Distinguished
Includes, for each
surgical procedure, the
year of procedure and
the indication for the
procedure
2 pts
Excellent
Includes, for each
surgical
procedure, the
year of procedure
OR indication of
the procedure
1 pts
Fair
Includes, for each
surgical procedure
but not the year of
procedure or
indication of the
procedure
0 pts
Poor
Information is
completely
missing
3 pts
Distinguished
Includes an
assessment of at least
4 family members
regarding, at a
minimum, genetic
disorders, diabetes,
heart disease and
cancer.
2 pts
Excellent
Includes an
assessment of at
least 3 family
members
regarding, at a
minimum, genetic
disorders, diabetes,
heart disease and
cancer.
1 pts
Fair
Includes an
assessment of at
least 2 family
members
regarding, at a
minimum, genetic
disorders, diabetes,
heart disease and
cancer.
0 pts
Poor
Information
is completely
missing
3 pts
3 pts
Case Study Rubric
Criteria
Ratings
Pts
This criterion is linked
to a Learning
OutcomeSocial History
-O
3 pts
Distinguished
Includes all 11 of the
following: tobacco
use, drug use,
alcohol use, marital
status, employment
status, current and
previous occupation,
sexual orientation,
sexually active,
contraceptive use,
and living situation.
2 pts
Excellent
Includes 10 of the
11 following:
tobacco use, drug
use, alcohol use,
marital status,
employment status,
current and
previous
occupation, sexual
orientation, sexually
active,
contraceptive use,
and living situation.
1 pts
Fair
Includes 9 or less of
the following:
tobacco use, drug
use, alcohol use,
marital status,
employment status,
current and previous
occupation, sexual
orientation, sexually
active,
contraceptive use,
and living situation.
0 pts
Poor
Information
is
completely
missing
3 pts
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomePhysical
Examination – O
This criterion is linked
to a Learning
OutcomeDiagnosis – A
Ratings
9 pts
Distinguished
Includes a minimum
of 4 assessments for
each body system and
assesses at least 5
body systems
directed to chief
complaint
5 pts
Distinguished
Includes a clear outline
of the accurate principal
diagnosis AND lists the
remaining diagnoses
addressed at the visit (in
descending priority)
7 pts
Excellent
Includes a
minimum of 3
assessments for
each body system
and assesses at
least 4 body
systems directed to
chief complaint
Pts
5 pts
Fair
Includes a
minimum of 2
assessments for
each body system
and assesses at
least 4 body
systems directed to
chief complaint
3 pts
Excellent
Includes a clear
outline of the
accurate diagnoses
addressed at the visit
but does not list the
diagnoses in
descending order of
priority
2 pts
Fair
Includes an
inaccurate
diagnosis as
the principal
diagnosis
0 pts
Poor
Information
is completely
missing
0 pts
Poor
Information
is completely
missing
9 pts
5 pts
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomeDifferential
Diagnosis – A
Ratings
5 pts
Distinguished
Includes at least 3
differential diagnoses
for the principal
diagnosis
3 pts
Excellent
Includes 2
differential
diagnoses for the
principal
diagnosis
Pts
2 pts
Fair
Includes 1
differential
diagnosis for the
principal
diagnosis
0 pts
Poor
Information is
completely
missing
5 pts
This criterion is linked
to a Learning
OutcomePharmacologic
treatment plan – P
4 pts
Distinguished
Includes a detailed
pharmacologic
treatment plan for
each of the
diagnoses listed
under “assessment”.
The plan includes
ALL of the
following: drug
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic
agent. If the
diagnosis is a
chronic problem,
student includes
instructions on
currently prescribed
medications as
above.
3 pts
Excellent
Includes a detailed
pharmacologic
treatment plan for
each of the
diagnoses listed
under “assessment”.
The plan includes 4
of the following 7:
the drug name, dose,
route, frequency,
duration and cost as
well as education
related to
pharmacologic
agent. If the
diagnosis is a
chronic problem,
student includes
instructions on
currently prescribed
medications as
above.
2 pts
Fair
Includes a detailed
pharmacologic
treatment plan for
each of the
diagnoses listed
under “assessment”.
The plan includes
less than 4 of the
following: the drug
name, dose, route,
frequency, duration
and cost as well as
education related to
pharmacologic
agent. If the
diagnosis is a
chronic problem,
student includes
instructions on
currently prescribed
medications as
above.
0 pts
Poor
Information
is
completely
missing
4 pts
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomeDiagnostic/Lab
Testing – P
Ratings
5 pts
Distinguished
Includes appropriate
diagnostic/lab testing
100% of the time OR
acknowledges “no
diagnostic testing
clinically required at
this time”
3 pts
Excellent
Includes appropriate
diagnostic/lab testing
50% of the time OR
acknowledges “no
diagnostic testing
clinically required at
this time”
Pts
2 pts
Fair
Includes
appropriate
diagnostic
testing less
than 50% of
the time.
0 pts
Poor
Information
is completely
missing
5 pts
Case Study Rubric
Criteria
Ratings
Pts
This criterion is linked
to a Learning
OutcomeEducation – P
5 pts
Distinguished
Includes at least 3
strategies to promote
and develop skills for
managing their
illness and at least 3
self-management
methods on how to
incorporate healthy
behaviors into their
lives.
3 pts
Excellent
Includes at least 2
strategies to
promote and
develop skills for
managing their
illness and at least 2
self-management
methods on how to
incorporate healthy
behaviors into their
lives.
2 pts
Fair
Includes at least 1
strategies to
promote and
develop skills for
managing their
illness and at least 1
self-management
methods on how to
incorporate healthy
behaviors into their
lives.
0 pts
Poor
Information
is
completely
missing
5 pts
Case Study Rubric
Criteria
Ratings
Pts
This criterion is linked
to a Learning
OutcomeAnticipatory
Guidance – P
4 pts
Distinguished
Includes at least 3
primary prevention
strategies (related to
age/condition (i.e.
immunizations,
pediatric and prenatal milestone
anticipatory
guidance)) and at
least 2 secondary
prevention strategies
(related to
age/condition (i.e.
screening))
2 pts
Excellent
Includes at least 2
primary prevention
strategies (related to
age/condition (i.e.
immunizations,
pediatric and prenatal milestone
anticipatory
guidance)) and at
least 2 secondary
prevention strategies
(related to
age/condition (i.e.
screening))
1 pts
Fair
Includes at least 1
primary prevention
strategies (related to
age/condition (i.e.
immunizations,
pediatric and prenatal milestone
anticipatory
guidance)) and at
least 1 secondary
prevention strategies
(related to
age/condition (i.e.
screening))
0 pts
Poor
Information
is
completely
missing
4 pts
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomeFollow up plan
-P
This criterion is linked
to a Learning
OutcomeReferences
This criterion is linked
to a Learning
OutcomeGrammar
Ratings
4 pts
Distinguished
Includes recommendation for
follow up, including time frame
(i.e. x # of days/weeks/months)
3 pts
Distinguished
High level of APA
precision
3 pts
Distinguished
Free of grammar and
spelling errors
Pts
2 pts
Excellent
Includes recommendation for
follow up, but does not include
time frame (i.e. x # of
days/weeks/months)
0 pts
Poor
Does not
include
follow up
plan
4 pts
1 pts
Fair
Incorrect
APA style
0 pts
Poor
Information is
completely missing
3 pts
2 pts
Excellent
Writing mechanics need more
precision and attention to detail
0 pts
Poor
Writing mechanics
need serious attention
3 pts
2 pts
Excellent
Moderate level of
APA precision
Case Study Rubric
Criteria
This criterion is linked
to a Learning
OutcomeIncorporation
of Current Practice
Guidelines
Ratings
4 pts
Distinguished
Includes
recommendations
from at least 1
professional set of
practice guidelines
(although not the
current version)
3 pts
Excellent
Includes 2 or fewer
recommendations
from at least 1
current,
professional set of
practice guidelines
2 pts
Fair
Includes
recommendations
from at least 1
professional set of
practice guidelines
(although not the
current version)
Pts
0 pts
Poor
Information is
completely
missing or
student
includes a
non-credible
set of
treatment
guidelines
4 pts
Case Study Rubric
Criteria
Ratings
Pts
This criterion is linked
to a Learning
OutcomeRole of the
Nurse Practitioner
4 pts
Distinguished
Includes a
discussion of the
role of NP
pertaining to the
assessment, work
up, collaboration
and management of
the case presented
AND gives at least 1
example pertaining
to each of the 4
areas (assessment,
work up,
collaboration and
management).
Total Points: 100
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3 pts
Excellent
Includes a
discussion of the
role of NP
pertaining to the
assessment, work
up, collaboration
and management of
the case presented
AND gives atleast 1
example pertaining
to 2 of the 4 areas
(assessment, work
up, collaboration
and management).
2 pts
Fair
Does not include a
discussion of the
role of NP pertaining
to the assessment,
work up,
collaboration and
management of the
case presented OR
give at least 1
example pertaining
to 3 or more of the
following areas
(assessment, work
up, collaboration and
management).
0 pts
Poor
Information
is
completely
missing
4 pts