The purpose of this assignment is to apply hypersensitivity pathophysiological concepts to explain assessment findings of a patient with Allergic Rhinitis. Students will examine all aspects of the patient’s assessment including: Chief Complaint (CC), History of Present Illness (HPI), Past Medical History (PMH), Family History (FH), Social History (SH), Review of Systems (ROS), and Medications and then answer the questions that follow on the provided Comprehensive Case Study template.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
Analyze the case to arrive at the type of hypersensitivity reaction that the patient is exhibiting. (CO1)
Explain the pathophysiology of the identified hypersensitivity reaction. (CO1)
- Identify all subjective and objective information provided in the case. (CO3)
- Explain, using pathophysiology, the rationale for each subjective and objective finding. (CO1, CO3)
- Identify two types of medications that are strongly recommended for the treatment of allergic rhinitis according to the clinical practice guidelines on the management of allergic rhinitis. (CO2, CO5)
- Explain the mechanism of action of the two medication classifications and include how the symptoms of allergic rhinitis are alleviated when taken. (CO2, CO5)
- Total Points Possible: 100
- Requirements:
Content Criteria:
Read the case study listed below.
Refer to the rubric for grading requirements.
Utilizing the
Week 1 Case Study Template (Links to an external site.)
, provide your responses to the case study questions listed below.
- You must use at least one scholarly reference to provide pathophysiology statements. For this class, use of the textbook for pathophysiology statements is acceptable. You may also use an appropriate evidence-based journal.
-
You must use the Clinical Practice Guideline (CPG) for the management of allergic rhinitis to answer the treatment recommendation questions. The guideline can be found at the following web address:
https://journals.sagepub.com/doi/10.1177/0194599814561600 (Links to an external site.)
.You may also use a medication administration reference such as Epocrates to provide medication names. - Proper APA format (in-text citations, reference page, spelling, English language, and grammar) must be used.
Case Study Scenario
- A 35-year-old woman presents to the primary care office with a history of nasal congestion that has worsened over time and recurrent sinus infections. She considered herself healthy until about 12 months ago when she began experiencing rhinorrhea, sneezing, and nasal stuffiness that “seems to never go away”. She noticed that her rhinorrhea greatly improved when she attended her family reunion on a two-week Caribbean cruise but returned after being home a few days. She lives with her husband and 5- year-old child. They have two household pets: a dog that has lived with them for the last 4 years and a cat who joined the family 1 year ago. Upon exam, the NP observed eyelid redness and swelling, conjunctival swelling and erythema, allergic shiners (lower lid venous swelling), Allergic crease (lateral crease on the nose) and inflamed nares.
- Case Study Questions
Pathophysiology & Clinical Findings of the Disease
- Identify the correct hypersensitivity reaction.
Explain the pathophysiology associated with the chosen hypersensitivity reaction.
Identify at least three subjective findings from the case.
Identify at least three objective findings from the case.
Management of the Disease
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.
- Identify two strongly recommended medication classes for the treatment of the condition and provide an example (drug name) for each.
- Describe the mechanism of action for each of the medication classes identified above.
- Identify two treatment options that are NOT recommended (I.e., recommended against).
- Please make sure you use the template i sent you and follow the requirements and rubrics.
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.
https://journals.sagepub.com/doi/10.1177/0194599814561600 (Links to an external site.)
Category
Points %
Description
The student:
•
•
Pathophysiology & Clinical
Findings of the Disease
45
45%
•
•
•
Identifies the correct hypersensitivity reaction.
Explains the pathophysiology associated with the chosen
hypersensitivity reaction.
Supports the pathophysiology statement with at least one
appropriate, scholarly reference (textbook is acceptable for
pathophysiology statements only).
Identifies at least three subjective findings from the case.
Identifies at least three objective findings from the case.
(5 Required Elements)
The student:
•
•
Management of the Disease
45
45%
•
•
90
90%
Utilizes the required Clinical Practice Guideline (CPG) to support
the chosen treatment recommendations.
Identifies two strongly recommended medicationclassesfor the
treatment of the condition and provides an example (drug name)
for each.
Describes the mechanism of action for each of the medications
identified.
Identifies two treatment options that are NOT recommended
(I.e.,recommended against).
Total CONTENT Points= 90 pts
Category
Points %
Description
Points %
Description
ASSIGNMENT FORMAT
Category
The student:
Organization, spelling, grammar
& APA format
10
•
10% •
•
100
100%
Uses the week 1 case study template for case study responses.
Provides correct in-text citations for responses which match the
reference page.
Has minimal spelling, grammar & APA format errors.
Total FORMAT Points= 10 pts
ASSIGNMENT TOTAL=100 points
Rubric
NR507 Week 1 Case Study
NR507 Week 1 Case Study
Criteria
Ratings
Pts
This criterion is linked to a
Learning
OutcomePathophysiology
& Clinical Findings of the
Disease
The student:
– Identifies the correct
hypersensitivity reaction.
– Explains the
pathophysiology associated
with the chosen
hypersensitivity reaction.
– Supports the
pathophysiology statement
with at least one
appropriate, scholarly
reference (textbook is
acceptable for
pathophysiology
statements only).
– Identifies at least three
subjective findings from
the case.
45 pts
All 5 required
elements are
present
41 pts
1 required
element is
missing.
37 pts
2 required
elements are
missing
23 pts
3-4 required
elements are
missing.
0 pts
All 5 required
elements are
missing.
45 pts
– Identifies at least three
objective findings from the
case.
(5 Required Elements)
NR507 Week 1 Case Study
Criteria
Ratings
Pts
This criterion is linked to a
Learning
OutcomeManagement of
the Disease
The student:
– Utilizes the required
Clinical Practice Guideline
(CPG) to support the
chosen treatment
recommendations.
– Identifies two strongly
recommended medication
classes for the treatment of
the condition and provides
an example (drug name)
for each.
– Describes the mechanism
of action for each of the
medications identified.
– Identifies two treatment
options that are NOT
recommended (I.e.,
recommended against).
45 pts
All 4 elements
are present
41 pts
1 required
element is
missing
37 pts
2 required
elements are
missing
23 pts
3 required
elements are
missing
0 pts
All 4 required
elements are
missing
45 pts
NR507 Week 1 Case Study
Criteria
This criterion is linked to a
Learning
OutcomeOrganization,
spelling, grammar & APA
format
The student:
– Uses the week 1 case
study template for case
study responses.
– Provides correct in-text
citations for responses
which match the reference
page.
– Has minimal spelling,
grammar & APA format
errors.
Ratings
10 pts
Case study
template is
used for
responses AND
In-text
citations are
correct which
match the
reference page
AND There are
0-2 errors in
spelling,
grammar or
APA format.
9 pts
Case study
template is
used for
responses AND
In-text
citations are
correct which
match the
reference page
AND There are
3-5 errors in
spelling,
grammar or
APA format.
8 pts
Case study
template is
used for
responses AND
In-text
citations are
correct which
match the
reference page
AND There are
6-8 errors in
spelling,
grammar or
APA format.
Pts
5 pts
Case study
template is not
used for
responses OR
In-text citations
are incorrect or
do not match
the reference
page AND
There are 0-5
errors in
spelling,
grammar or
APA format.
0 pts
Case study
template is not
used for
responses
AND/OR Intext citations
are incorrect or
do not match
the reference
page AND
There are 6 or
more errors in
spelling,
grammar or
APA format.
10 pts
NR507 Week 1 Case Study
Criteria
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.
Total Points: 100
Ratings
0 pts
Manual Deductions
0 pts
Manual Deductions
Pts
0 pts
Week 1 Case Study Template
Pathophysiology & Clinical Findings of the Disease
1. Identify the correct hypersensitivity reaction:
2. Explain the pathophysiology associated with the chosen hypersensitivity reaction:
3. Identify at least three subjective findings from the case:
4. Identify at least three objective findings from the case:
Week 1 Case Study Template
Management of the Disease
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment recommendations.
1. Identify two strongly recommended medication classes for the treatment of the condition
and provide an example (drug name) for each:
2. Describe the mechanism of action for each of the medication classes identified above:
3. Identify two treatment options that are NOT recommended (I.e., recommended against):
Week 1 Case Study Template
References
[Must be on a separate page and in APA format]
Week 1: Case Study
Start Assignment
•
Points 100
•
Submitting a file upload
Purpose
The purpose of this assignment is to apply hypersensitivity pathophysiological concepts
to explain assessment findings of a patient with Allergic Rhinitis. Students will examine
all aspects of the patient’s assessment including: Chief Complaint (CC), History of
Present Illness (HPI), Past Medical History (PMH), Family History (FH), Social History
(SH), Review of Systems (ROS), and Medications and then answer the questions that
follow on the provided Comprehensive Case Study template.
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
1. Analyze the case to arrive at the type of hypersensitivity reaction that the patient is
exhibiting. (CO1)
2. Explain the pathophysiology of the identified hypersensitivity reaction. (CO1)
3. Identify all subjective and objective information provided in the case. (CO3)
4. Explain, using pathophysiology, the rationale for each subjective and objective finding.
(CO1, CO3)
5. Identify two types of medications that are strongly recommended for the treatment of
allergic rhinitis according to the clinical practice guidelines on the management of
allergic rhinitis. (CO2, CO5)
6. Explain the mechanism of action of the two medication classifications and include how
the symptoms of allergic rhinitis are alleviated when taken. (CO2, CO5)
Total Points Possible: 100
Requirements:
Content Criteria:
1. Read the case study listed below.
2. Refer to the rubric for grading requirements.
3. Utilizing the Week 1 Case Study Template (Links to an external site.), provide your
responses to the case study questions listed below.
4. You must use at least one scholarly reference to provide pathophysiology statements.
For this class, use of the textbook for pathophysiology statements is acceptable. You
may also use an appropriate evidence-based journal.
5. You must use the Clinical Practice Guideline (CPG) for the management of allergic
rhinitis to answer the treatment recommendation questions. The guideline can be
found at the following web
address: https://journals.sagepub.com/doi/10.1177/0194599814561600 (Links to an
external site.) .You may also use a medication administration reference such as
Epocrates to provide medication names.
6. Proper APA format (in-text citations, reference page, spelling, English language, and
grammar) must be used.
Case Study Scenario
A 35-year-old woman presents to the primary care office with a history of nasal
congestion that has worsened over time and recurrent sinus infections. She considered
herself healthy until about 12 months ago when she began experiencing rhinorrhea,
sneezing, and nasal stuffiness that “seems to never go away”. She noticed that her
rhinorrhea greatly improved when she attended her family reunion on a two-week
Caribbean cruise but returned after being home a few days. She lives with her husband
and 5- year-old child. They have two household pets: a dog that has lived with them for
the last 4 years and a cat who joined the family 1 year ago. Upon exam, the NP
observed eyelid redness and swelling, conjunctival swelling and erythema, allergic
shiners (lower lid venous swelling), Allergic crease (lateral crease on the nose) and
inflamed nares.
Case Study Questions
Pathophysiology & Clinical Findings of the Disease
1.
2.
3.
4.
Identify the correct hypersensitivity reaction.
Explain the pathophysiology associated with the chosen hypersensitivity reaction.
Identify at least three subjective findings from the case.
Identify at least three objective findings from the case.
Management of the Disease
*Utilize the required Clinical Practice Guideline (CPG) to support your treatment
recommendations.
1. Identify two strongly recommended medication classes for the treatment of the
condition and provide an example (drug name) for each.
2. Describe the mechanism of action for each of the medication classes identified above.
3. Identify two treatment options that are NOT recommended (I.e., recommended
against).
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