NR602 Week 5: Submission: iHuman Case 3NR602 Week 5: Submission: iHuman Case 3Submit your Case Study
NR602 Week 5: Submission: iHuman Case 3
NR602 Week 5: Submission: iHuman Case 3
Submit your Case Study completion score form here once you have finished the iHuman Case on Pediatric Asthma. Your completion score sheet may be submitted again if necessary.
Please visit the Week 5: iHuman Activity page if you haven’t finished it yet. Assignment: iHuman Case on Pediatric Asthma for access to iHuman and for the purposes of the assignment. NR602 Week 5: Submission: iHuman Case 3
History taking, physical examination, differential diagnoses, rank diagnoses, MNM (must not miss) diagnoses, ordering tests, final diagnosis, and management plan are the areas in which iHuman assignments in NR602 will be evaluated.
Each of these sections must be completed including the EMR section for the assignment to be considered complete.
A score of 80% or better is your target with this assignment. You will have (2) two attempts; the highest score of two attempts will be taken as the final grade. NR602 Week 5: Submission: iHuman Case 3
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Rubric iHuman Assignment
iHuman AssignmentCriteriaRatingsPts
This criterion is linked to a Learning OutcomeAssignment Content
Virtual Patient EncounterNR602 Week 5: Submission: iHuman Case 3
75.0 pts
ExcellentStudent achieves a score of 80-100% on the assigned iHuman activity.
68.0 pts
Very GoodStudent achieves a score of 70-79% on the assigned iHuman activity.
62.0 pts
SatisfactoryStudent achieves a score of 55-69% on the assigned iHuman activity.
38.0 pts
Needs ImprovementStudent achieves a score of 30-54% on the assigned iHuman activity.
0.0 pts
UnsatisfactoryStudent achieves a score of 0-29% on the assigned iHuman activity.75.0 pts
This criterion is linked to a Learning OutcomeLate Penalty Deductions
Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment. Quizzes and discussions are not considered assignments and are not part of the late assignment policy.NR602 Week 5: Submission: iHuman Case 3
0.0 pts
Manual Deduction
0.0 pts
Manual Deduction 0.0 ptsTotal Points: 75.0
NR 602 Week 5 Ihuman Reflection
Address the following questions:
- What resources are available in your community to assist with concerns such as those faced by your virtual patient? (Roanoke,Va.) see below
- What are the reporting requirements for your state, and to whom would you report Abuse?
Include the following components:
- Write 150-300 words in a Microsoft Word document
- Demonstrate clinical judgment appropriate to the patient scenario
- Cite at least two relevant scholarly sources as defined by program expectations. Scholarly citations of <5yrs. Please do not put the wrong dates to fulfil the requirements.
Pt. scenario:
H.K. is a 2-year-old male with a medical history significant for Down syndrome and atrial-septal defect that was repaired who was brought into the clinic by his mother for abdominal pain for 2 days and one episode of vomiting last night. Mother states that he has been lethargic, has fewer wet diapers and no bowel movement for one day due to his decrease in appetite.
Mother states that the patient had fallen off the bed while napping. No medications have been given for the pain.
Problem Statement: H.K. is a 2-year-old male with a medical history significant for Down syndrome and atrial-septal defect that was repaired who was brought into the clinic by his mother for abdominal pain for 2 days with 1 episode of vomiting last night. Mother states that symptoms began after the patient fell from the bed while taking a nap. She states that he has been lethargic, has decreased wet diapers daily with dark and strong-smelling urine and no bowel movement for one day and has had a decrease in appetite. Upon assessment, the patient is listless and has poor eye contact. Skin is pale, cool, and slightly mottled. Diffuse diaper rash noted. Faint circumferential macular discoloration at wrists consistent with aging ligature marks.
Ecchymoses overlying epigastrium measuring 10cm in diameter in an oval shape. Hypoactive BS x 3. Distended, firm abdomen. Diffuse tenderness on palpation with associated guarding. 2cm, reducible umbilical hernia. No medications have been given to the patient.
NR602 Week 5 IHuman Reflection Example
Community Resources in Roanoke, VA
In Roanoke, Virginia, there are several resources available to assist children with disabilities who also undergo abuse. For example, Carilion Clinic offers pediatric emergency services, and given H.K.’s medical history of Down syndrome and atrial-septal defect, the specialized care available at Carilion Clinic is important for the child’s well-being (Carilion Clinic, 2023). Pediatric cardiology specialists provide targeted interventions and ongoing care to manage H.K.’s cardiac condition, ensuring optimal health outcomes. Similarly, H.K. can receive comprehensive medical attention tailored to his unique health profile, ensuring diagnosis and effective management of his presenting symptoms.
Access to these healthcare facilities is evidence of Roanoke’s commitment to providing top-tier medical care for pediatric patients. In addition to medical services, Roanoke has resources to support families in crisis or facing challenges related to child welfare. The Roanoke Department of Social Services offers programs and support for families experiencing child abuse or neglect (Roanoke, 2024). They provide assistance, intervention, and resources to ensure the safety and well-being of children in the community.
The Roanoke Department of Social Services offers programs and support services, such as providing assistance, intervention, and resources to safeguard the safety and well-being of children within the community (Roanoke, 2024). Families in distress can avail themselves of various support programs administered by the Roanoke Department of Social Services, including counseling services, parenting classes, and access to community resources to address underlying issues contributing to child welfare concerns. The department operates in close collaboration with other local agencies and organizations to ensure a coordinated and comprehensive response to instances of child abuse or neglect.
Reporting Requirements for Child Abuse in Virginia
By Virginia law, healthcare professionals serve as mandated reporters of child abuse or neglect. This stipulates that any individual who has reasonable grounds to suspect that a child is subjected to abuse or neglect must report such concerns to the local Department of Social Services or the Child Protective Services hotline (Roanoke, 2024). Importantly, reports can be submitted anonymously, ensuring confidentiality for the reporter.
The physical findings observed in H.K.’s case, including ligature marks, ecchymoses, and abdominal tenderness, are all indications for immediate reporting to safeguard his safety and well-being. These are suggestive of potential abuse or neglect, necessitating intervention to mitigate any further harm. The reporting process entails providing information and details regarding suspected abuse or neglect to the designated authorities (Roanoke, 2024). This includes thorough documentation of the observed physical findings, relevant medical history, and any additional information deemed critical to the case. This allows for a thorough investigation and implementation of appropriate intervention measures to protect the child from harm.
References
Carilion Clinic. (2023). Visitroanokeva.com. https://www.visitroanokeva.com/listings/carilion-clinic/5998/
Roanoke. (2024). Benefits programs. Roanokeva.gov. https://www.roanokeva.gov/383/Benefits-Programs
Solution:
