NRNP 6568 Week 6 Assessing, Diagnosing, and Treating

Walden University NRNP 6568 Week 6 Assessing, Diagnosing, and Treating Patients With Complex Conditions-Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NRNP 6568 Week 6 Assessing, Diagnosing, and Treating Patients With Complex Conditions assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NRNP 6568 Week 6 Assessing, Diagnosing, and Treating Patients With Complex Conditions

Whether one passes or fails an academic assignment such as the Walden University NRNP 6568 Week 6 Assessing, Diagnosing, and Treating Patients With Complex Conditions depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NRNP 6568 Week 6 Assessing, Diagnosing, and Treating Patients With Complex Conditions

The introduction for the Walden University NRNP 6568 Week 6 Assessing, Diagnosing, and Treating Patients With Complex Conditions is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

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How to Write the Body for NRNP 6568 Week 6 Assessing, Diagnosing, and Treating Patients With Complex Conditions

After the introduction, move into the main part of the NRNP 6568 Week 6 Assessing, Diagnosing, and Treating Patients With Complex Conditions assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NRNP 6568 Week 6 Assessing, Diagnosing, and Treating Patients With Complex Conditions

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NRNP 6568 Week 6 Assessing, Diagnosing, and Treating Patients With Complex Conditions

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NRNP 6568 Week 6 Assessing, Diagnosing, and Treating Patients With Complex Conditions

Patient Information:

ED, 69 years, Male

CC (chief complaint): “Fatigue, fever, and chills”

HPI: ED is a 69-year-old male who presented to the facility complaining of fever, chills, and fatigue for the past few days. ED did not take his temperature but reported feeling hot. He expressed coughing up a little phlegm, pain when taking a deep breath, and changes in his appetite. ED has been taking Tylenol with minimal relief. He has been drinking teas to break up the phlegm. ED is a non-smoker and non-drinker.

Current Medications: ED has been taking Tylenol with minimal relief. He has been drinking teas to break up the phlegm.

Allergies: ED denied food, drug, or environmental allergies.

PMHx: ED denied a history of hospitalization or surgery. His immunization is up-to-date. He received his last tetanus toxoid vaccine more than a year ago.

Soc & Substance Hx: ED is a retired teacher. He is a non-smoker and a non-drinker. He is married. He lives with his wife and a dog. His hobbies include reading and visiting new places. He uses a seat belt when driving. ED does not have a gun at home. Their home has working smoke detectors. His family is his support system.

Fam Hx: ED reports his father died of chronic hypertension. His father also had type 2 diabetes mellitus. His paternal grandfather died from lung cancer. His uncle died from substance use disorder. There is no other significant family history.

Surgical Hx: ED denied any history of surgery

Mental Hx: ED denied any history of mental health problems, including depression and anxiety.

Violence Hx: ED denied any violence concerns.

Reproductive Hx: ED denied any history of sexually transmitted infections. He also denied urgency, frequency, or dysuria.

ROS:

GENERAL: The patient reports fever, chills, and fatigue.

HEENT: Eyes: ED denies visual changes, eye drainage, or eye pain. He denies hearing loss, nasal congestion, sneezing, sore throat, or runny nose.

SKIN: ED denies skin rash or skin itchiness

CARDIOVASCULAR: ED reports chest pain on inspiration. He denies palpitations, chest pressure, or discomfort.

RESPIRATORY: ED reports a productive cough with no shortness of breath

GASTROINTESTINAL: ED reports changes in his appetite. He denies nausea, vomiting, diarrhea, or constipation.

GENITOURINARY: ED denies burning on urination, urinary frequency, or urgency.

NEUROLOGICAL: ED denies headaches, dizziness, ataxia, or numbness. There is no change in his bladder or bowel control.

MUSCULOSKELETAL: ED denies joint pain or stiffness.

HEMATOLOGIC: ED denied anemia or easy bleeding.

LYMPHATICS: ED denied lymphadenopathy or a history of splenectomy.

PSYCHIATRIC: ED denies a history of anxiety or depression.

ENDOCRINOLOGIC: ED denies heat or cold intolerance, polyuria, or polydipsia

REPRODUCTIVE: ED denies penile discharge.

ALLERGIES: ED denies asthma, rhinitis, or allergic reactions

Physical exam:

Vitals: BP 130/80, P 84, R 14, T103.2, SPO2 94%

Respiratory: The patient is not in visible respiratory distress. There is no nasal flaring. Auscultation reveals decreased rales and rhonchi, which are more pronounced in the left lower lung fields. There is increased dullness and fremitus to percussion. A chest x-ray reveals left lower lobe consolidation.

Cardiovascular: There is no cyanosis or lower limb edema. Auscultation reveals normal heart rhythm with no murmurs or skipped beats.

Diagnostic results: A chest x-ray was ordered. It revealed left lower lobe consolidation. A sputum culture and sensitivity should be ordered. This will help determine the bacteria associated with ED’s respiratory problem. It would also guide treatment decisions.

Differential Diagnoses:

Pneumonia: Pneumonia is ED’s primary diagnosis. Pneumonia is an infection of the lung parenchyma caused by bacteria, fungi, or viruses. Patients present to the hospital complaining of malaise, fever, chills, myalgias, cough, and loss of appetite (Jain et al., 2024). Physical examination findings seen in these patients include tachycardia, tachypnea, decreased bronchial breath sounds, egophony, tactile fremitus, crackles, and dullness on percussion. Radiological evaluation through chest X-rays would reveal lung consolidation (Aliberti et al., 2021; Niederman & Torres, 2022). Physical examination, radiological, and subjective assessment findings confirm pneumonia diagnosis. For example, there is left lower lobe consolidation, dullness on percussion, and malaise.

Tuberculosis: Tuberculosis is ED’s secondary diagnosis. Tuberculosis is a respiratory tract infection caused by Mycobacterium tuberculosis. Patients present to the hospital complaining of fever, cough, weight loss, malaise, and night sweats. Sputum culture is the gold approach to TB diagnosis (Natarajan et al., 2020; Tobin & Tristram, 2024). However, it is the least likely diagnosis for ED because of the absence of night sweats and unintentional weight loss.

Chronic obstructive pulmonary disease (COPD): COPD is a respiratory tract infection characterized by airflow limitation to the lungs. Recurrent exposure to noxious substances causes airway inflammation and structural lung changes. COPD is commonly seen in patients with cigarette smoking. Patients experience symptoms, including cough, dyspnea, and sputum production (Agarwal et al., 2024; Ritchie & Wedzicha, 2020; Stolz et al., 2022). COPD is the least likely diagnosis due to the absence of a smoking history and symptoms such as dyspnea.

A chest x-ray was performed. It revealed left lower lobe consolidation. Laboratory investigations, including sputum and blood culture, microscopy, lymphocyte, and blood counts should be ordered. A C-reactive protein test should also be performed to differentiate between bacterial and viral pneumonia. The patient was prescribed oral doxycycline 500 mg BD for five days and oral Tylenol 1 g thrice daily as needed for pain. The patient was educated on the importance of treatment adherence, infection prevention, and signs of worsening disease status that should be reported (Jain et al., 2024). A follow-up visit was scheduled after two weeks to assess treatment response.

Health promotion and disease prevention strategies such as emphasizing the importance of flu vaccination were considered. ED was educated on the significance of utilizing screening services, including prostate cancer, hypertension, and diabetes for timely diagnoses and treatment. ED was also educated on the importance of healthy dietary practices, engaging in active physical activity, and minimizing exposure to environmental allergens for his optimal health (Ritchie & Wedzicha, 2020).

The reflection also is included in this section. I learned from this case study the benefits of a comprehensive patient assessment. Practitioners should perform detailed subjective and objective assessments to develop accurate diagnoses and appropriate treatment plans. For example, they should not rely on subjective findings alone but obtain objective data through physical examination, laboratory investigations, and diagnostic studies. I will use the knowledge gained to develop patient-centered care plans that optimize outcomes.

References

Agarwal, A. K., Raja, A., & Brown, B. D. (2024). Chronic Obstructive Pulmonary Disease. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK559281/

Aliberti, S., Cruz, C. S. D., Amati, F., Sotgiu, G., & Restrepo, M. I. (2021). Community-acquired pneumonia. The Lancet, 398(10303), 906–919. https://doi.org/10.1016/S0140-6736(21)00630-9

Jain, V., Vashisht, R., Yilmaz, G., & Bhardwaj, A. (2024). Pneumonia Pathology. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK526116/

Natarajan, A., Beena, P. M., Devnikar, A. V., & Mali, S. (2020). A systemic review on tuberculosis. Indian Journal of Tuberculosis, 67(3), 295–311. https://doi.org/10.1016/j.ijtb.2020.02.005

Niederman, M. S., & Torres, A. (2022). Severe community-acquired pneumonia. European Respiratory Review, 31(166). https://doi.org/10.1183/16000617.0123-2022

Ritchie, A. I., & Wedzicha, J. A. (2020). Definition, Causes, Pathogenesis, and Consequences of Chronic Obstructive Pulmonary Disease Exacerbations. Clinics in Chest Medicine, 41(3), 421–438. https://doi.org/10.1016/j.ccm.2020.06.007

Stolz, D., Mkorombindo, T., Schumann, D. M., Agusti, A., Ash, S. Y., Bafadhel, M., Bai, C., Chalmers, J. D., Criner, G. J., Dharmage, S. C., Franssen, F. M. E., Frey, U., Han, M., Hansel, N. N., Hawkins, N. M., Kalhan, R., Konigshoff, M., Ko, F. W., Parekh, T. M., … Dransfield, M. T. (2022). Towards the elimination of chronic obstructive pulmonary disease: A Lancet Commission. The Lancet, 400(10356), 921–972. https://doi.org/10.1016/S0140-6736(22)01273-9

Tobin, E. H., & Tristram, D. (2024). Tuberculosis. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK441916/