NU-664B Week 4 Assignment 1: iHuman Simulation
NU-664B Week 4 Assignment 1: iHuman Simulation
Week 4 Assignment 1: iHuman Simulation
Due: Sunday, 29 January 2023, 11:55 PM
Done: Make a submission
Value: 100 points
Due: 7
Gradebook Category: Assignments—iHuman Assignments
Introduction
The iHuman platform is an opportunity for you to interact with a simulated patient and gather data. When working in iHuman, practice as if this were a real patient. For example, the platform allows you to ask several questions when taking a patient history. In real life, you likely will be limited in time. Practice setting yourself a patient history time limit and work on being efficient in your clinical interview.
If you require technical support with the iHuman platform, use the iHuman Help Center to contact iHuman Technical Support directly. Technical support only includes a malfunction of the platform; they cannot help with issues involving content!
Instructions
In this assignment, you will review a patient scenario in iHuman. Please see the course announcement for the case assigned this week. Your deliverable for this assignment is a paper based on the iHuman Soap Note Template (Word).
- Follow the requirements listed in the iHuman Soap Note Template.
- When your iHuman Soap Note Template is complete, upload it to this assignment.
All papers must conform to the most recent APA standards.
Please refer to the Grading Rubric for details on how this assessment and plan is graded.
To Submit Your Assignment:
- Select the Add Submissions button.
- Drag or upload your files to the File Picker.
- Select Save Changes.
i-Human Soap Note – Bobbie Case Study
Chief complaints (CC): Bobbie is 18 y/o student who presents with sudden onset of myalgias, pleuritic pain, SOB, and productive cough.
HPI: Bobbie had symptoms of the flu about ten days ago. He did not seek medical attention but now presents with the return of symptoms that appear worse. He reports fevers, chills, rigors, muscle aches, tender cervical lymph node, and right-sided chest wall pain aggravated by deep breathing and coughing. His cough is productive of thick yellow mucus, and he feels a bit winded when he climbs up or runs to class.
Assessment
- Community-Acquired Pneumonia (CAP) (J18.9)
- Rationale: CAP is pneumonia acquired outside healthcare facilities. However, it is the leading cause of morbidity, mortality, hospitalization, and increased care costs (Shoar & Musher, 2020). The disease is caused by streptococcus pneumoniae (pneumococcus) (Shoar & Musher, 2020). The clinical manifestation of community-acquired pneumonia ranges from mild to severe pneumonia. Pneumonia is characterized by productive cough, respiratory distress, fever, shaking chills, rigor, myalgias, and chest pains. The disease is considered the primary or final diagnosis because Bobbie is a college student living within the college environment. He might have acquired pneumonia after hanging out with friends. Also, the patient presents all the symptoms of community-acquired pneumonia during the hospital visit.
- Pulmonary embolism (I26)
- Rationale: pulmonary embolism is an illness caused by a blood clot that develops within the pulmonary artery in the lungs (Poyiadji et al., 2019). The symptoms of the disease relevant to the case study include cough, muscle aches, chest pains, and fever. The clinical manifestations make it possible to include pulmonary embolism as a differential diagnosis (Poyiadji et al., 2019). However, the patient only presents fewer symptoms that can be associated with pulmonary embolism. Symptoms such as chills and rigors are not related to pulmonary embolism. Thus, the disease cannot be considered the primary or final diagnosis.
- Influenza (J10. 1)
- Rationale: influenza is an acute respiratory disease caused by the influenza virus (Dolin, 2020). The disease is transmitted from one person to another through droplets made whenever people talk, sneeze, or cough (Dolin, 2020). The clinical manifestation of influenza is rapid onset of headache, myalgia, sore throat, weakness, fever, non-productive cough, and nasal discharge. Influenza risk factors include age (worse for children under two years and adults over 65), pregnancy, obesity, living conditions, and race (Dolin, 2020). The disease is ruled out by the patient’s history. Bobbie had flu over the last ten days and did not receive a vaccination or seek medication. However, most people get the flu once every few years. Thus, the flu could not have reappeared within ten days.
- Covid-19 (Z20.822)
- Rationale: Covid-19 is a communicable respiratory disease caused by the coronavirus (Poyiadji et al., 2019). The disease is transmitted from one human to the next through respiratory droplets produced whenever an individual with the virus sneezes or coughs (Poyiadji et al., 2019). The clinical manifestations or symptoms of the disease relevant to the case include cough, sore throat, myalgia, fever, respiratory distress, and nasal discharge. The clinical diagnosis can be considered because Bobbie presented most of the symptoms of upper respiratory infections.
Final Diagnosis: Community-Acquired Pneumonia (J18.9)
Plan
Pharmacology
- Amoxicillin 1 g PO three times a day or
- Azithromycin 500 mg once a day or
Non-Pharmacology
- Stay hydrated – Bobbie should take plenty of fluids, including water, to loosen the mucus in the lungs.
- Receive enough rest – Bobbie is not expected to resume work until the body temperature returns to normal or until the coughing stops.
- Take steamy showers and use humidifiers to provide additional moisture.
Diagnostics
- Urinary antigen testing (UAT) – An assay used to identify the C-polysaccharide antigen of pneumonia microbial in the patient’s urine. The test samples are easy to collect, and results are obtained in real-time.
- PCR test for respiratory specimen – used to detect respiratory pathogens among patients suspected of community-acquired pneumonia.
- Sputum culture and grain stain – a lab test that enables the physician to diagnose bacterial infections within the respiratory tract.
- Blood culture – it is a laboratory test that involves obtaining blood cultures before antibiotic administration since some pathogens are linked with blood cultures.
Consults/Referrals
- Not needed at this time.
Patient Education
- You should rest until you feel better and not smoke within such a period. Smoking makes community-acquired pneumonia worse. Also, if the pneumonia is severe or linked to other diseases, the doctor might recommend being treated in the hospital (Shoar & Musher, 2020).
- You should learn about the drug prescription (including its side effects) and how to adhere to the prescribed dosage. The antibiotics will significantly improve how the body fights pathogens (Shoar & Musher, 2020).
- Maintain good health habits – this includes eating right, receiving sufficient sleep, and exercising to prevent community-acquired pneumonia and other related infections. Regularly talk about lifestyle changes with your doctor to improve your health.
- Drink plenty of fluids, especially water, to stay hydrated. One way to know you are hydrated is when your urine is light yellow to almost clear.
Follow Up
- Follow-up within two weeks to review the lab results and make medication changes. However, visit the care facility within 24 hours if the symptoms worsen.
NU-664B Week 4 Assignment 1: iHuman Simulation References
Dolin, R. (2020). Seasonal influenza in adults: Transmission, clinical manifestations, and complications. UpToDate. https://www.uptodate.com/contents/seasonal-influenza-in-adults-clinical-manifestations-and-diagnosis#H3916408703
Poyiadji, N., Cormier, P., Patel, P. Y., Hadied, M. O., Bhargava, P., Khanna, K., … & Song, T. (2020). Acute pulmonary embolism and COVID-19. Radiology, 297(3), E335.
Shoar, S., & Musher, D. M. (2020). Etiology of community-acquired pneumonia in adults: a systematic review. Pneumonia, 12(1), 1-10.
Submission status
| Submission status | Submitted for grading | ||
|---|---|---|---|
| Grading status | Graded | ||
| Time remaining | Assignment was submitted 3 days 10 hours early | ||
| Last modified | Thursday, 26 January 2023, 1:23 PM | ||
| File submissions |
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| Submission comments |
Comments (0)
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iHuman Moodle Rubric
| Criteria | Exceeds Expectations | Meets Expectations | Needs Improvement | Inadequate | Total Points |
|---|---|---|---|---|---|
| Subjective – 40% | Determined by iHuman
40 points |
Determined by iHuman
36 points |
Determined by iHuman
32 points |
Determined by iHuman
0 points |
40 |
| Objective – 25% | Determined by iHuman
25 points |
Determined by iHuman
22 points |
Determined by iHuman
20 points |
Determined by iHuman
0 points |
25 |
| Objective – 5% (Testing) | Determined by iHuman
5 points |
Determined by iHuman
4 points |
Determined by iHuman
3 points |
Determined by iHuman
0 points |
5 |
| Assessment—5% | Three differential diagnoses are supported by findings and include worst-case scenario.
Rationale for differential diagnoses provided by scholarly resources. 5 points |
Three differential diagnoses include worst-case scenario, but one diagnosis might not be fully supported by findings.
Rationale for differential diagnoses provided by scholarly resources. 3 points |
Differential diagnoses may or may not include worst-case scenario, and two differential diagnoses are not supported by findings.
Rationale for all differential diagnoses not provided by scholarly resources. 1 points |
Fewer than three differential diagnoses identified, or differential diagnoses not supported by findings and do not include worst-case scenario.
Scholarly resources not provided or do not support differential diagnoses. 0 points |
5 |
| Plan—25% | Comprehensive plan includes all components:
Appropriate and current guidelines cited. 25 points |
Plan missing one of the identified components:
Appropriate and current guidelines cited. 17 points |
Plan missing two of the identified components:
Guidelines are not current or appropriate for identified problem. 9 points |
Plan missing more than three of the identified components:
Guidelines for plan not cited. 0 points |
25 |
| Total Points | 100 | ||||
Lopes Write Policy
For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.
Late Policy
The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.
Click here to ORDER an A++ paper from our Verified MASTERS and DOCTORATE WRITERS:
Communication
Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.
Important information for writing discussion questions and participation
Welcome to class
Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to
I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.
Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.
If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.
Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.
Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.
I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!
Hi Class,
Please read through the following information on writing a Discussion question response and participation posts.
Contact me if you have any questions.
Important information on Writing a Discussion Question
- Your response needs to be a minimum of 150 words (not including your list of references)
- There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
- Include in-text citations in your response
- Do not include quotes—instead summarize and paraphrase the information
- Follow APA-7th edition
- Points will be deducted if the above is not followed
Participation –replies to your classmates or instructor
- A minimum of 6 responses per week, on at least 3 days of the week.
- Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
- Each response needs to be at least 75 words in length (does not include your list of references)
- Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
- Follow APA 7th edition
- Points will be deducted if the above is not followed
- Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
- Here are some helpful links
- Student paper example
- Citing Sources
- The Writing Center is a great resource