NR565 Week 6 Collaborative Cafe Respiratory
NR565 Week 6 Collaborative Cafe Respiratory Paper
Case Study::
Marla May, a 30-year-old non-binary client (pronouns they/them; DOB: 3/5/1994), presents to the clinic complaining of frequent episodes of shortness of breath, cough, and chest tightness that occur most days of the week. They have been taking prescribed low-dose ICS-formoterol inhaler twice daily and as needed for symptom relief, currently adhering to step three therapy, according to the CPG. Marla asks the NP if there is a possibility for other medications for better symptom control. The NP’s physical assessment reveals bilateral expiratory wheezes on auscultation with no retractions present. The rest of the physical exam is unremarkable. The NP determines that Marla is correctly using the inhaler and spacer and is strictly adhering to their medication regimen. Based on current asthma CPGs, the NP decides to prescribe different asthma medication for Marla and considers what would be appropriate.
Past Medical History
Asthma
Medication
Allergies None
budesonide 80mcg/formoterol 4.5 mcg (Symbicort) two puffs via inhalation BID
Social History
They quit smoking cigarettes five years ago and drink alcohol once per month.
Physical Exam
HEIGHT: 5’10”
BP: 119/73
02 Sat: 96% on RA
WEIGHT: 160 lbs HR: 83
BMI: 23
RR: 22
TEMP: 98.7 oral
Collaborative Cafe Respiratory Assignment Requirements:
Please use clinical practice guidelines for respiratory conditions
Step 2: Assess the client’s case, the applicable clinical practice guideline (CPG), and the prescription writing activity for that client within the lesson.
Step 3: Answer the discussion prompts below with explanation and detail, providing complete references for all citations. Refer to the lesson for client information.
Step 4: Reply to peers with different assigned clients.
Include the following sections:
- Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
- Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking?
- Assess the applicable clinical practice guideline (CPG) for your assigned client. What treatment is recommended by the CPG for your client’s situation?
- Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why?
- Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes?
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Collaborative Cafe Respiratory Rubric
| Criteria | Ratings | Pts | |||||
| This criterion is linked to a Learning Outcome Application of Knowledge
4 Required Criteria Answer all questions/criteria with explanations and detail: 1. Describe your assigned client’s situation. Why are they presenting to the clinic? What medications are they currently taking? 2. Assess the applicable clinical practice guideline (CPG) for your assigned client. What treatment is recommended by the CPG for your client’s situation? 3. Discuss your personal professional assessment of the client’s situation provided in the scenario. What pharmacological treatment is necessary and why? 4. Reflect on additional questions you have about your assigned client that may influence treatment. What else do you need to know? What follow-up assessments, labs, or conversations are required to ensure optimal health outcomes? |
|
25 pts | |||||
| This criterion is linked to a Learning Outcome Engagement in Meaningful Dialogue
3 Required Criteria Engage peers by asking questions, offering new insights, applications, perspectives, information, or implications for practice: 1. Respond to at least one peer. 2. Respond to a second peer. 3. Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice. |
|
20 pts | |||||
| This criterion is linked to a Learning Outcome Professionalism in Communication
Communicates with minimal errors in English grammar, spelling, syntax, and punctuation. |
|
5 pts | |||||
| This criterion is linked to a Learning Outcome Discussion Late Penalty Deduction
A 10% late penalty will be imposed for initial posts posted after the deadline Wednesday at 11:59 p.m. MT, regardless of the number of days late. NOTHING will be accepted after 11:59 p.m. MT on Sunday (i.e., the student will receive an automatic 0). |
|
0 pts | |||||
| This criterion is linked to a Learning Outcome Total Participation Manual Deduction
A 10% penalty will be imposed for not posting on the minimum of TWO separate days. NOTHING will be accepted after 11:59pm MT on Sunday (i.e. student will receive an automatic 0) |
|
0 pts | |||||
| Total Points: 50 | |||||||
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