Assignment Prompt & Instructions
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**## ihumanweek7instr.docx**
i-Human Case Study: Evaluation and Management of Gastrointestinal or Genitourinary Conditions
Think ahead to the pediatric patients and families you may meet in this i-Human Case Study Assignment and, based on the Learning Resources, the types of gastrointestinal conditions that may be waiting for you in your virtual office on the i-Human platform. Have in mind GI conditions that you would particularly like to address in the avatar setting. Also reflect on your previous i-Human case studies and consider a child of an age, race, or ethnicity that you have not yet examined and would expand your experience to do so this week.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
[**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/172027/modules/items/7099180)
**To prepare:**
· Review this week’s Learning Resources. Consider how to apply knowledge of gastrointestinal conditions and understanding of socio-cultural family needs to assessing, diagnosing, and treating pediatric patients.
· Access i-Human Patients from this week’s Learning Resources and review the 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 appropriate to gather more information about the patient's condition. Reflect on how the results would be used to make a diagnosis.
· Identify 3–5 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 pediatric patients with gastrointestinal conditions and their families.
**The Assignment:**
As you interact with the 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.
By Day 7 of Week 7
Complete your Assignment in i-Human.
You will access i-Human from the
**Access i-Human** link located in the
[Start Here module](https://waldenu.instructure.com/courses/172027/modules/1352528).
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
**Turnitin Drafts** from the
**Start Here** area.
1. To submit your completed assignment, save your Assignment as
**WK7Assgn+last name+first initial.**
2. Then, click on
**Start Assignment** near the top of the page.
3. Next, click on
**Upload File** and select
**Submit Assignment** for review.
4. Rubric
**NRNP_6541_Week7_Assignment_Rubric**
| | | |
| — | — | — |
| NRNP_6541_Week7_Assignment_Rubric |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeCOMPLETION of the iHuman: Students must complete the required sections: • PE • key findings • differential diagnoses • test summary. | **10 to >6.0 ptsProficient** Student successfully completed all required sections in iHuman.<br> <br>**6 to >2.0 ptsCompetent** Student missed completing 1-2 of the required sections.<br> <br>**2 to >0 ptsNovice** Student does not complete the iHuman required components. | 10 pts |
| This criterion is linked to a Learning OutcomeSUBJECTIVE: Complete HPI including all 8 aspects and pertinent information related to chief complaint, including the pertinent positives & negatives | **15 to >9.0 ptsProficient**• Clearly written chief complaint • HPI well written including all aspects of OLDCARTS/LOCATES • Includes pertinent positives & negatives<br> <br>**9 to >3.0 ptsCompetent**• Clearly written chief complaint • Misses 1-2 key components from the history • Missing pertinent positives and negatives<br> <br>**3 to >0 ptsNovice**• Poorly written HPI • Student includes PE findings • Lacks basic history taking • Missing pertinent positives and negatives | 15 pts |
| This criterion is linked to a Learning OutcomeOBJECTIVE: Physical exam includes appropriate areas based on the pertinent history (subjective). | **15 to >9.0 ptsProficient**• Thoroughly documents all pertinent examination components for type of note • Does not include unnecessary systems in the documentation • Utilizes the correct screening tools<br> <br>**9 to >3.0 ptsCompetent**• Documents most pertinent examination components. • Misses 1-3 components • Does not include unnecessary systems in the documentation • Utilizes the correct screening tools<br> <br>**3 to >0 ptsNovice**• Physical examination cursory • misses several pertinent components • Includes unnecessary systems in the documentation • Does not utilize the screening tools | 15 pts |
| This criterion is linked to a Learning OutcomeASSESSMENT: Primary diagnosis and differential diagnoses are identified and supported by rationales; correct ICD codes provided, and appropriate diagnostic tests are ordered. | **15 to >9.0 ptsProficient**• Identifies the primary diagnosis with rationale and the correct ICD • 3 differential diagnoses with ICD codes are supported by findings and ruled out • Appropriate tests ordered and results documented • Rationale for differential diagnoses provided by scholarly resources<br> <br>**9 to >3.0 ptsCompetent**• Identifies the primary diagnosis with rationale and the correct ICD • 3 differential diagnoses are identified but 1-2 are not supported by findings. ICD codes included • Missing <1-2 appropriate tests ordered, and results documented • Rationale for differential diagnoses provided by scholarly resources<br> <br>**3 to >0 ptsNovice**• Incorrect primary does not provide a rationale and incorrect ICD code • <3 differential diagnoses identified, or differential diagnoses not supported by findings • Inappropriate tests ordered • Scholarly resources not provided or do not support differential diagnoses | 15 pts |
| This criterion is linked to a Learning OutcomeMEDICATION: Ordered (including over the counter) are appropriate, evidenced based, written as a complete prescription. | **10 to >6.0 ptsProficient**• Student appropriately writes the correct medication as a prescription • Student appropriately calculates the correct doses and route<br> <br>**6 to >2.0 ptsCompetent**• Student misses 1-2 components of medication order • Student appropriately calculates the correct doses and route<br> <br>**2 to >0 ptsNovice**• Student identifies the incorrect medication • Student does not appropriately calculate the correct doses and route | 10 pts |
| This criterion is linked to a Learning OutcomePLAN: Comprehensive plan to address the diagnosis should include the following: • Appropriate interventions & referrals (if needed) • Pt education • SDOH • Health promotion/anticipatory guidance | **20 to >12.0 ptsProficient**• Clearly written plan covering all critical components proper intervention, including referrals for the patient’s final diagnosis • Student addresses 6 components of SDOH • Student includes 4 health maintenance • Comprehensive patient education is included related to current health visit, must list 5. • Supported 3 by peer-reviewed literature<br> <br>**12 to >8.0 ptsCompetent**• Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis • Some aspects of SDOH are addressed • Some aspects of Health Promotion/anticipatory guidance are addressed. • Patient education is present but missing 1 or 2 key pieces of information • Supported by only 2 peer reviewed literature<br> <br>**8 to >0 ptsNovice**• Poorly written plan. May be missing 3 or more key issues that are critical to patient's diagnosis • There are missing aspects of SDOH • There are missing aspects health promotion anticipatory guidance • Patient education is missing many aspects related to current visit • Supported by less than 2 peer reviewed literature | 20 pts |
| This criterion is linked to a Learning OutcomeFOLLOW-UP: Instructions | **5 to >3.0 ptsProficient** Follow up instructions are complete and include time to next visit and specific symptoms to prompt a return visit sooner.<br> <br>**3 to >1.0 ptsCompetent**• Follow up instructions are generally complete but missing 1 or 2 aspects • Symptoms that would prompt a return visit sooner are included but some are missing<br> <br>**1 to >0 ptsNovice**• Follow up instructions are missing important timing aspects • Symptoms prompting return visit sooner are incomplete or missing | 5 pts |
| This criterion is linked to a Learning OutcomeOFFICE BILLING/VISIT CODE: CPT CODES | **5 to >3.0 ptsProficient**• Student identifies the correct office billing code • Student identifies the correct CPT codes<br> <br>**3 to >1.0 ptsCompetent**• Student does not correctly identify the correct office billing code • Student does not correctly identify the correct CPT codes<br> <br>**1 to >0 ptsNovice** Student does not address the billing and CPT codes. | 5 pts |
| This criterion is linked to a Learning OutcomeClinical Guidelines | **5 to >3.0 ptsProficient** Student identifies the clinical guidelines utilized and rationale.<br> <br>**3 to >1.0 ptsCompetent** Student identifies the clinical guidelines but does not provide a rationale.<br> <br>**1 to >0 ptsNovice** Student does not address the clinical guidelines. | 5 pts |
Total Points: 100
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**## ihumanweek7instr.docx**
i-Human Case Study: Evaluation and Management of Gastrointestinal or Genitourinary Conditions
Think ahead to the pediatric patients and families you may meet in this i-Human Case Study Assignment and, based on the Learning Resources, the types of gastrointestinal conditions that may be waiting for you in your virtual office on the i-Human platform. Have in mind GI conditions that you would particularly like to address in the avatar setting. Also reflect on your previous i-Human case studies and consider a child of an age, race, or ethnicity that you have not yet examined and would expand your experience to do so this week.
Resources
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
[**WEEKLY RESOURCES**](https://waldenu.instructure.com/courses/172027/modules/items/7099180)
**To prepare:**
· Review this week’s Learning Resources. Consider how to apply knowledge of gastrointestinal conditions and understanding of socio-cultural family needs to assessing, diagnosing, and treating pediatric patients.
· Access i-Human Patients from this week’s Learning Resources and review the 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 appropriate to gather more information about the patient's condition. Reflect on how the results would be used to make a diagnosis.
· Identify 3–5 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 pediatric patients with gastrointestinal conditions and their families.
**The Assignment:**
As you interact with the 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.
By Day 7 of Week 7
Complete your Assignment in i-Human.
You will access i-Human from the
**Access i-Human** link located in the
[Start Here module](https://waldenu.instructure.com/courses/172027/modules/1352528).
submission information
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the
**Turnitin Drafts** from the
**Start Here** area.
1. To submit your completed assignment, save your Assignment as
**WK7Assgn+last name+first initial.**
2. Then, click on
**Start Assignment** near the top of the page.
3. Next, click on
**Upload File** and select
**Submit Assignment** for review.
4. Rubric
**NRNP_6541_Week7_Assignment_Rubric**
| | | |
| — | — | — |
| NRNP_6541_Week7_Assignment_Rubric |
| **Criteria** | **Ratings** | **Pts** |
| This criterion is linked to a Learning OutcomeCOMPLETION of the iHuman: Students must complete the required sections: • PE • key findings • differential diagnoses • test summary. | **10 to >6.0 ptsProficient** Student successfully completed all required sections in iHuman.<br> <br>**6 to >2.0 ptsCompetent** Student missed completing 1-2 of the required sections.<br> <br>**2 to >0 ptsNovice** Student does not complete the iHuman required components. | 10 pts |
| This criterion is linked to a Learning OutcomeSUBJECTIVE: Complete HPI including all 8 aspects and pertinent information related to chief complaint, including the pertinent positives & negatives | **15 to >9.0 ptsProficient**• Clearly written chief complaint • HPI well written including all aspects of OLDCARTS/LOCATES • Includes pertinent positives & negatives<br> <br>**9 to >3.0 ptsCompetent**• Clearly written chief complaint • Misses 1-2 key components from the history • Missing pertinent positives and negatives<br> <br>**3 to >0 ptsNovice**• Poorly written HPI • Student includes PE findings • Lacks basic history taking • Missing pertinent positives and negatives | 15 pts |
| This criterion is linked to a Learning OutcomeOBJECTIVE: Physical exam includes appropriate areas based on the pertinent history (subjective). | **15 to >9.0 ptsProficient**• Thoroughly documents all pertinent examination components for type of note • Does not include unnecessary systems in the documentation • Utilizes the correct screening tools<br> <br>**9 to >3.0 ptsCompetent**• Documents most pertinent examination components. • Misses 1-3 components • Does not include unnecessary systems in the documentation • Utilizes the correct screening tools<br> <br>**3 to >0 ptsNovice**• Physical examination cursory • misses several pertinent components • Includes unnecessary systems in the documentation • Does not utilize the screening tools | 15 pts |
| This criterion is linked to a Learning OutcomeASSESSMENT: Primary diagnosis and differential diagnoses are identified and supported by rationales; correct ICD codes provided, and appropriate diagnostic tests are ordered. | **15 to >9.0 ptsProficient**• Identifies the primary diagnosis with rationale and the correct ICD • 3 differential diagnoses with ICD codes are supported by findings and ruled out • Appropriate tests ordered and results documented • Rationale for differential diagnoses provided by scholarly resources<br> <br>**9 to >3.0 ptsCompetent**• Identifies the primary diagnosis with rationale and the correct ICD • 3 differential diagnoses are identified but 1-2 are not supported by findings. ICD codes included • Missing <1-2 appropriate tests ordered, and results documented • Rationale for differential diagnoses provided by scholarly resources<br> <br>**3 to >0 ptsNovice**• Incorrect primary does not provide a rationale and incorrect ICD code • <3 differential diagnoses identified, or differential diagnoses not supported by findings • Inappropriate tests ordered • Scholarly resources not provided or do not support differential diagnoses | 15 pts |
| This criterion is linked to a Learning OutcomeMEDICATION: Ordered (including over the counter) are appropriate, evidenced based, written as a complete prescription. | **10 to >6.0 ptsProficient**• Student appropriately writes the correct medication as a prescription • Student appropriately calculates the correct doses and route<br> <br>**6 to >2.0 ptsCompetent**• Student misses 1-2 components of medication order • Student appropriately calculates the correct doses and route<br> <br>**2 to >0 ptsNovice**• Student identifies the incorrect medication • Student does not appropriately calculate the correct doses and route | 10 pts |
| This criterion is linked to a Learning OutcomePLAN: Comprehensive plan to address the diagnosis should include the following: • Appropriate interventions & referrals (if needed) • Pt education • SDOH • Health promotion/anticipatory guidance | **20 to >12.0 ptsProficient**• Clearly written plan covering all critical components proper intervention, including referrals for the patient’s final diagnosis • Student addresses 6 components of SDOH • Student includes 4 health maintenance • Comprehensive patient education is included related to current health visit, must list 5. • Supported 3 by peer-reviewed literature<br> <br>**12 to >8.0 ptsCompetent**• Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis • Some aspects of SDOH are addressed • Some aspects of Health Promotion/anticipatory guidance are addressed. • Patient education is present but missing 1 or 2 key pieces of information • Supported by only 2 peer reviewed literature<br> <br>**8 to >0 ptsNovice**• Poorly written plan. May be missing 3 or more key issues that are critical to patient's diagnosis • There are missing aspects of SDOH • There are missing aspects health promotion anticipatory guidance • Patient education is missing many aspects related to current visit • Supported by less than 2 peer reviewed literature | 20 pts |
| This criterion is linked to a Learning OutcomeFOLLOW-UP: Instructions | **5 to >3.0 ptsProficient** Follow up instructions are complete and include time to next visit and specific symptoms to prompt a return visit sooner.<br> <br>**3 to >1.0 ptsCompetent**• Follow up instructions are generally complete but missing 1 or 2 aspects • Symptoms that would prompt a return visit sooner are included but some are missing<br> <br>**1 to >0 ptsNovice**• Follow up instructions are missing important timing aspects • Symptoms prompting return visit sooner are incomplete or missing | 5 pts |
| This criterion is linked to a Learning OutcomeOFFICE BILLING/VISIT CODE: CPT CODES | **5 to >3.0 ptsProficient**• Student identifies the correct office billing code • Student identifies the correct CPT codes<br> <br>**3 to >1.0 ptsCompetent**• Student does not correctly identify the correct office billing code • Student does not correctly identify the correct CPT codes<br> <br>**1 to >0 ptsNovice** Student does not address the billing and CPT codes. | 5 pts |
| This criterion is linked to a Learning OutcomeClinical Guidelines | **5 to >3.0 ptsProficient** Student identifies the clinical guidelines utilized and rationale.<br> <br>**3 to >1.0 ptsCompetent** Student identifies the clinical guidelines but does not provide a rationale.<br> <br>**1 to >0 ptsNovice** Student does not address the clinical guidelines. | 5 pts |
Total Points: 100
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