Discussion: Complex Case Study Presentation
Walden University Discussion: Complex Case Study Presentation-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University Discussion: Complex Case Study Presentation 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 Discussion: Complex Case Study Presentation
Whether one passes or fails an academic assignment such as the Walden University Discussion: Complex Case Study Presentation 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 Discussion: Complex Case Study Presentation
The introduction for the Walden University Discussion: Complex Case Study Presentation 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.
How to Write the Body for Discussion: Complex Case Study Presentation
After the introduction, move into the main part of the Discussion: Complex Case Study Presentation 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 Discussion: Complex Case Study Presentation
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 Discussion: Complex Case Study Presentation
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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Discussion: Complex Case Study Presentation
In Weeks 4, 7, and 9 of the course, you will participate in clinical discussions called grand rounds. In one of these three weeks, you will be a presenter as well as help facilitate the online discussion; in the others you will be an active discussion participant. When it is your week to present, you will create a Focused SOAP note and a short didactic (teaching) video presenting a real (but de-identified) complex patient case from your practicum experience.
You should have received an assignment from your Instructor letting you know which week of the course you are assigned to present.
By Day 3
Post your video and your focused SOAP note to the Grand Rounds Discussion forum. You must submit two files for the SOAP note,
including a Word document and scanned PDF/images of each page that is initialed and signed by your Preceptor. Then, actively respond to and guide the conversation as your colleagues post responses to your video.
Week 4 Participants:
By Day 7
Respond at least 2 times each to all colleagues who presented this week (should be 2–3 presenters each week). The goal is for the discussion forum to function as robust clinical conferences on the patients. Provide a response to 1 of the 3 discussion prompts that your colleagues provided in their video presentations. You may also provide additional information, alternative points of view, research to support treatment, or patient education strategies you might use with the relevant patient.
Submission and Grading Information
RESPOND HERE
Hi
Thank you for sharing your interventional approach in this cease. I particularly find the need for emphasizing on healthy living for this patient. Discussing the dangers of smoking and the need to stop smoking ensures that the patient reduces the risk of other diseases and even aggravating the existing condition. The choice of withdrawing remedies with severe side effects and consideration of alternative medication with minimal side effects helps in patient compliance and achieving best patient outcome (Zuckerman et al., 2018). The weight gain resulting from the use of mirtazapine could lead to more severe conditions linked to weight gain. This informs the need for withdrawal as well as the benefit that could be offered by an alternative medicine with fewer side effects (Zuckerman et al., 2018).
Buspirone comes as an alternative with fewer side effects compared to Cymbalta. Buspirone is efficacious n treating anxiety and patients who present with co-exciting depressive symptoms (Shin et al., 2020). The goal of managing symptoms and reducing side effects of the drugs may be achieved through the choice of medicine that offers effective therapeutic effect and minimal side effects (Shin et al., 2020). Efficient treatment requires a discussion on the treatment approach and follow-up plan that entails details on:
- The need for antidepressant to handle the symptoms
- The side effects of the chosen medicine on the adolescent patient
- Highlight the available alternative of medicine for the treatment of the disease
- Offer parental guide to the parent to ensure best utilization of the prescribed medication
- Discuss and agree on a weekly follow up plan
- Discuss on the possible symptoms to look out and the need to seek immediate attention in case of any severe side effects.
References
Shin, C., Ko, Y. H., Shim, S. H., Kim, J. S., Na, K. S., Hahn, S. W., & Lee, S. H. (2020). Efficacy of Buspirone Augmentation of Escitalopram in Patients with Major Depressive Disorder with and without Atypical Features: A Randomized, 8 Week, Multicenter, Open-Label Clinical Trial. Psychiatry investigation, 17(8), 796–803. https://doi.org/10.30773/pi.2020.0017
Zuckerman, H., Pan, Z., Park, C., Brietzke, E., Musial, N., Shariq, A. S., Iacobucci, M., Yim, S. J., Lui, L., Rong, C., & McIntyre, R. S. (2018). Recognition and Treatment of Cognitive Dysfunction in Major Depressive Disorder. Frontiers in psychiatry, 9, 655. https://doi.org/10.3389/fpsyt.2018.00655
RESPOND HERE
Hello
I appreciate your analysis of the patient condition from the historical events to the present symptom presentation typical of PTSD. Mr. C.A. experienced traumatic events through killing of 50 people and killing children while in Iraq. Manifestation of PTSD varies among individuals hence the need for individualized treatment plan (Lewis et al., 2020). PTSD consideration s are made following exposure to key traumatic events. Psychological treatment focusing on trauma may be effective in the management of PTSD.
Medicinal treatment as well as psychological intervention may be employed in managing the disease. Prazosin may also help in the reduction of nightmares for the patient. Mr. C.A. could also benefit from combined pharmacotherapy with psychological therapy. The common side effects of prazosin include polyuria, nausea, syncope, hypotension among others. This calls for the close monitoring of the side effects and the need for the patient to report in case of severe side effects (Heir et al., 2021). Additionally, Mr. C.A. may require mood stabilizers and valproic acid may be of help. I would encourage a number of discussions with the patient in order to have the best outcome, which include:
- Possible alternatives for his conditions including pharmacological and psychological interventions
- Discuss the efficacy of the medication that could help in acceptance of the medicine
- Discussing the possible side effects of the medicine and the need to monitor the side effects.
- Discussing the psychological intervention program available
- Discussing the fortnightly follow-up plan to track progress.
- Discussing the about healthy lifestyle to help in the prevention of other diseases.
References
Heir, T., Hussain, A., Kristensen, P., & Weisæth, L. (2021). Delayed post-traumatic stress
and memory inflation of life-threatening events following a natural disaster: prospective study. BJPsych open, 7(4), e132. https://doi.org/10.1192/bjo.2021.955
Lewis, C., Roberts, N., Andrew, M., Starling, E., & Bisson, J. (2020). Psychological therapies
for post-traumatic stress disorder in adults: Systematic review and meta-analysis. European Journal of Psychotraumatology, 11(1), 1729633. doi:10.1080/20008198.2020.1729633.
Identification of the disease affecting a patient starts from recording objective data and determining the patient’s history (Suer & Sehgal, 2021). The identification process would allow a physician to develop a medical intervention based on the signs and symptoms presented by the patient. The objective data aids in revealing infections in a patient. This paper analyzes the clinical manifestation of Mr. C to examine what he is ailing from and the required measures of treatment.
Clinical Manifestation of Mr. C
The objective data on the patients shows that Mr. C suffers from obesity and is likely to have type 2 diabetes and heart malfunction. The reason behind this projection comes from the BMI of the patient. For instance, the data shows that MR. C weighs 134.5kg and has a height of 68 inches showing that he is obese and susceptible to type 2 diabetes. The blood pressure of the patient is 172/98 implying that he is suffering from uncontrolled hypertension. Despite Mr. C mentioning that he has been avoiding sodium in his diet, its effect has not been effective. The creatinine serum in the blood is 1.8, a BUN of 32, and a 3+ pitting edema bilateral feet and ankles. This sign shows that the patient might be suffering from chronic kidney disease. The cholesterol readings are 250, with the HDL at 30 and the triglycerides at 312. This information indicates the signs of hyperlipidemia on the patient. The history of the patient being heavy since childhood and increasing weight in the last 2-3 years makes him susceptible to depression and heart diseases.
Potential Health Risks and Bariatric Surgery
The increase in weight recorded by the patient is a health risk and should be one of the major concerns for the patient. Mr. C is certain that he is obese and has been experiencing breathing problems. Besides, the high blood pressure and sleep apnea evident on the patient data also increase the risk of diabetes. These signs imply that Mr. C has various potential health risks like chronic kidney failure, high blood pressure, cancer, sleep apnea, and cardiovascular infections. Studies have shown that Bariatric surgery is one of the most effective interventions to treat patients. It will be important in reducing weight and last for more than five years (American Society for Metabolic and Bariatric Surgery, 2019).
The information given by Mr. C further shows that he has been gaining weight rapidly, which has resulted in breathing problems. The patient works in a catalog call center where the main duty is to sit and receive calls for better work. This work does not involve more physical activities. The primary work of the patient promotes obesity. Scholars define obesity as the accumulation and retention of body fat that would increase the physical weight of a person. Besides, these studies have further connected obesity to many health complications such as heart disease, kidney, diabetes, stroke, and hypertension (Lee et al.., 2019). These complications always culminate in death. Mr. C further said that he is unable to lose weight and have control of his pressure. These comments imply that Mr. C is not able to sustain a healthy life.
Functional Health Pattern
Bodyweight is one of the potential problems facing the patient. All the infections diagnosed on the patient rely on his obese nature. Mr. C does work that does not encourage physical exercise. Sitting all day while receiving and answering calls has a limited physical activity that can increase the body’s health status. The patient understands himself; he has a self-concept on the issues affecting him. For instance, he was certain that his body weight had increased in the last three years but did nothing to curb bodyweight (Mayo Clinic, 2019). Self-perception plays a significant role in compelling a person to undertake measures beneficial to them. However, in this case, Mr. C is reluctant about his condition and seems to take everything as normal. The health management measures taken by the patient are poor. The patients look at everything from a normal perspective without realizing that hos condition is tragic and would lead to death. The coping tolerance strategy of the patient is high (Lee et al.., 2019). He does not want to feel the stress of undergoing healthy eating and activities that would aid in correcting their conditions. These functional patterns seem to be worsening the condition of the patient each day.
Staging of End-stage Renal Disease (ESRD) and Contributing Factors to Consider
ESRD is an end-stage kidney disease that occurs when chronic kidney disease has gradually lost kidney functions to an advanced state. In this stage, the kidney of a patient cannot function as required to meet the body’s needs. The kidney filters end up wasting a lot of fluids from blood excreted as urine. ESRD comes with other infections on the patient, such as type 1 or type 2 diabetes, inflammation of the kidney tubules, polycystic kidney disease, kidney stones, prolonged blockage of the urinary tract, and some cancers. Besides, ESRD further leads to vesicoureteral reflux, which is a condition that causes the urine to flow up into the kidney (Mayo Clinic, 2019).
The ESRD is irreversible, and in most cases, patients always go for a kidney transplant to discard the non-functioning kidneys with healthy kidneys. According to the condition of MR. C, there are various contributing factors to ESRD. The risk that the chronic kidney disease will be progressing to ESRD is evident from the patient (Mayo Clinic, 2019). Some of these conditions include the diseases that the patient is currently fighting. For instance, diabetes comes with poor blood sugar control, kidney disease that will affect glomeruli and the structure in the kidney that ais in blood filtration, high blood pressure, male, high cholesterol, and the age factor.
ESRD Prevention and Health Promotion Opportunities
Studies have proved that ESRD is a significant health issue that needs effective control before it causes death. Its initial control starts from the management of the contributing factors to reduce its risk. Besides, it would be significant to develop an intervention program that promotes identifying and screening people with a high risk of ESRD. Adopting a lifestyle modification will also be imperative in enabling people to adopt a healthy living that reduces the chances of contracting ESRD (Mayo Clinic, 2019). Nurses need to have the skills meant to deal with ESRD patients. Dialysis and kidney transplant are some of the effective treatments used for kidney transplants.
Mr. C needs to understand how his condition is fatal, and taking things for granted would worsen the situation. A healthy diet is an activity that should be forming part of his practices towards recovery. Besides, the body needs exercise to burn excess fats and reduce the effects of the organs that would soon cease to function with reduced exercise. Undergoing dialysis procedures will also save the deteriorating renal status.
Types of Resources Available for ESRD Patients
ESRD patients have access to many resources, and they can receive care from groups and multidisciplinary methods. Besides, these patients can develop their relationship with physicians, nephrologists, emergency response teams, and nutritionists to aid them in fighting for ESRD (DaVita Kidney Care, 2019). Each of these professionals has a significant impact on the team and control of ESRD.
Conclusion
The case presented on Mr. C has elicited various health conditions that he has been facing and their origin. The life of Mr. depends on the health care advice and healthy living practice that would effectively manage weight and limit other chronic infections. Change in the lifestyle and adoption of treatment strategies would be effective in saving Mr. C
References
American Society for Metabolic and Bariatric Surgery (2019). Who is a Candidate for Bariatric Surgery? https://asmbs.org/patients/who-is-a-candidate-for-bariatric-surgery
DaVita Kidney Care. (2019). Kidney and Dialysis Resources. https://pressreleases.davita.com/2019-03-01-Empowering-the-Kidney-Care-Community-Kidney-Disease-Treatment-Options-to-Fit-Many-Lifestyles
Lee, P. C., Ganguly, S., Tan, H. C., Lim, C. H., Chan, W. H., Kovalik, J. P., … & Tham, K. W. (2019). Attitudes and perceptions of the general public on obesity and its treatment options in Singapore. Obesity research & clinical practice, 13(4), 404-407.
Mayo Clinic. (2019). Kidney Disease. -conditions/chronic-kidney-disease/symptoms-causes/syc-20354521.
Suer, M., & Sehgal, N. (2021). Physical Examination and Assessment. In Questions and Answers in Pain Medicine (pp. 27-32). Springer, Cham.