This course will require you to complete a series of case studies using the i-Human software application. The i-Human Patients (IHP) Case Player enables you to interact with virtual patients for the purpose of learning patient-assessment and diagnostic-reasoning skills. With IHP, you will be able to independently interview, examine, diagnose, and treat virtual patients and receive expert feedback on your performance.
The integumentary system is susceptible to a variety of diseases, conditions, and injuries, ranging from the bothersome but relatively innocuous bacterial or fungal infections that are categorized as disorders to skin cancer and severe burns, which can be life-threatening.
For this Case Study Assignment, you will examine your first case study and work with a patient with an integumentary condition. You will formulate a differential diagnosis, evaluate treatment options, and then create an appropriate treatment plan for the patient.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To prepare:
Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with integumentary conditions.
Access i-Human from this week’s Learning Resources and review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be most appropriate to gather more information about the patient’s condition.
Reflect on how the results would be used to make a diagnosis.
Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with integumentary conditions.
Assignment
As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Graduate Programs Help link within the i-Human platform.
Hello David,
I agree that a challenging issue in healthcare we will continue to face is an increased workload, particularly now as the baby-boomer population ages. For years, many nurses have already felt overworked due largely to the imbalance between increased patient care needs and inadequate staffing and resources, resulting in widespread nursing burnout (Waterfield & Barnason, 2022). As you stated, nurses often feel they must compromise their competencies to manage this increased workload. I agree and believe that this compromise, in itself, can create a moral dilemma that can place an even greater burden on healthcare professionals as they face difficult decisions on how to manage all of their required tasks and responsibilities while ensuring thorough, effective, and safe patient care. Moreover, an increased nursing workload leads to many other problematic outcomes for patients, including but not limited to increased adverse events such as patient falls, infections, medication errors, longer hospitalizations, and even death (Waterfield & Barnason, 2022).
Although its many negative effects are evident, the contributing factors of this vicious cycle are complex and not easily resolved. Still, there are many ways that we as providers can learn to cope with the high workload and demands to manage stress and prevent burnout. Overall, recommendations include activities that focus on self-care, encourage professional development, obtain support from leadership, and promote a sense of community (Kapu et al., 2021). In other words, schedule uninterrupted quality time away from work. Take that vacation. Exercise and spend time on your hobbies. Continue to find passion in one’s purpose and seek new opportunities to grow in one’s career. Take advantage of available resources and get involved with your team or local community. David, as nurses, we have both personally experienced the issue of high nurse workload, and possibly burnout. As advanced practice practitioners, our role may change, but we will likely still encounter this challenge. Hopefully these recommendations can help us both throughout our professional careers. Best of luck!
References
Kapu, A. , Borg Card, E. , Jackson, H. , Kleinpell, R. , Kendall, J. , Lupear, B. , LeBar, K. , Dietrich, M. , Araya, W. , Delle, J. , Payne, K. , Ford, J. & Dubree, M. (2021). Assessing and addressing practitioner burnout: Results from an advanced practice registered nurse health and well-being study. Journal of the American Association of Nurse Practitioners, 33 (1), 38-48. doi: 10.1097/JXX.0000000000000324.
Waterfield, D., & Barnason, S. (2022). The integration of care ethics and nursing workload: A qualitative systematic review. Journal of Nursing Management, 30( 7), 2194– 2206. https://doi.org/10.1111/jonm.13723
By Day 7
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submission information
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Rubric
NRNP_6531_Week2_Assignment_Rubric
CriteriaRatingsPtsThis criterion is linked to a Learning Outcome HPI10 to >6.0 pts ProficientClearly written HPI statement with comprehensive information gathering from case questions. Includes important personal /family medical and social history. 6 to >3.0 pts CompetentWell written HPI statement but may be missing 1-2 key components from the history. Missing pertinent positives and negatives. Does not include all important personal /family medical and social history. 3 to >0 pts NovicePoorly written HPI statement. Incomplete ideas and sentences. Lacks basic history taking skills. Missing pertinent positives and negatives. Missing important personal /family medical and social history.10 pts
This criterion is linked to a Learning Outcome Management Plan40 to >28.0 pts ProficientClearly written plan covering all critical components for patient’s final diagnosis. Follows current quarter management plan template. 3 scholarly references included. 28 to >12.0 pts CompetentWell written plan but may be missing 1-2 key issues critical to patient’s diagnosis. Follows some of the current quarter management plan template. 2 scholarly references included. 12 to >0 pts NovicePoorly written plan. May be missing 3 or more key issues that are critical to patient’s diagnosis. Does not follow current quarter management plan template. 0-1 scholarly references included.40 pts
This criterion is linked to a Learning Outcome Performance overview/total i-Human Score50 to >35.71 pts ProficientTotal i-Human performance score is missing 1-2 key elements in overall clinical work-up. History, physical exams, body system classification, differentials, rankings, tests, diagnosis and exercises. 35.71 to >21.43 pts CompetentTotal i-Human performance score is missing some key elements in overall clinical work-up. History, physical exams, body system classification, differentials, rankings, tests, diagnosis and exercises. 21.43 to >0 pts NoviceTotal i-Human performance score is missing many key elements in overall clinical work-up. History, physical exams, body system classification, differentials, rankings, tests, diagnosis and exercises.50 pts
Total Points: 100
