NSG 6430 Discussion iHuman Case Study – Tubovarian Abscess

NSG 6430 Discussion iHuman Case Study – Tubovarian Abscess

NSG 6430 Discussion iHuman Case Study – Tubovarian Abscess

Tubovarian Abscess

**Discuss the questions that would be important to include when interviewing a patient with this issue.

Why are you seeking help today? I’ve had this pain in my lower abdomen for 5 days, pretty mild pain (points to suprapubic region). Then yesterday it seemed to move to my left lower side, in the pelvis and it has been getting worse and worse.

Any other symptoms? Yeah. Now I’m feeling sweaty; I have chills and also feel kind of nauseated and dizzy. NSG 6430 Discussion iHuman Case Study – Tubovarian Abscess.

Do you have pain anywhere? If so where? Yeah, really bad pain here… (points to LLQ/pelvis).

Have you been having any fevers? No. Funny, I haven’t had a fever, but I have had chills and sweats.

Do you have nausea and/or vomiting? Yeah, the past 2 days I’ve been nauseated…no vomiting, though.

Do you have vaginitis/vaginal discharge? Yes, I do.

What is the appearance, smell, texture and quantity of the vaginal discharge? I don’t know how to describe it, but it smells pretty strong and smelly to me. It’s nasty. NSG 6430 Discussion iHuman Case Study – Tubovarian Abscess.

Is there vaginal discomfort or itching? No

When did your vaginitis/vaginal discharge start? It started around the time my abdomen started to hurt.

Have you ever had discharge like this before? No. I don’t think so. Well, maybe it is sort of like the stuff that came out when I had the chlamydia a few years ago. This seems worse or different somehow.

Does anything make your pain better or worse? Um, standing on my job as a cashier for a long time has been a killer — totally worse. My job as a cashier, you know, on my feet all day, really makes it so bad I had to leave work. Yesterday, I took the whole day off and laid on the couch. I thought I could manage work today, but I had to leave after just an hour. The pain was so bad. Now just about any movement and walking around is really bad. Nothing makes it better.

What does your pelvic pain feel like? It started out feeling kind of dull and achy. It was more in my abdomen then. NSG 6430 Discussion iHuman Case Study – Tubovarian Abscess. Now it feels like an intense boring pain on that one side.

Is the pelvic pain superficial or deep inside?      It feels like it’s inside, deep in there.

How severe is the pain? It’s bad…I’d say maybe like 8? Maybe 9?

Have you had vaginal bleeding or discharge? Uh…you mean apart from my period? No, my periods are really regular. And …discharge…uh…kind of. It’s kind of nasty.

When did your last period begin? Three weeks ago. Pretty easy to keep track of on the pill.

Has there been a change in your urine frequency? No

NSG 6430 Discussion iHuman Case Study – Tubovarian Abscess

**Describe the clinical findings that may be present in a patient with this issue.

The clinical findings that may be present in a patient with TOA includes the sudden onset of lower abdominal pain, chills, dyspareunia, fever and vaginal discharge (Carter & Garmel, 2016). Other symptoms may include nausea, vomiting and abnormal vaginal bleeding. Women with a ruptured TOA can present with signs and symptoms of an acute abdomen and sepsis.

Findings related to Tubovarian Abscess

**Are there any diagnostic studies that should be ordered on this patient? Why?

The initial evaluation includes routine blood work, urinalysis, vaginal and blood cultures and imaging study, with either a transvaginal ultrasound or a computed tomography scan of the abdomen and pelvis. Treatment for tubo-ovarian abscesses have at least 24 hours of inpatient parenteral treatment with antibiotics, and that they may require surgery. NSG 6430 Discussion iHuman Case Study – Tubovarian Abscess. If surgery becomes necessary, pre-operative administration of broad-spectrum antibiotics is started and removal of the abscess (Carter & Garmel, 2016). After discharge from the hospital, oral antibiotics are continued for the length of time prescribed by the provider to assure the infection is cleared.

NSG 6430 Discussion iHuman Case Study – Tubovarian Abscess

**List the primary diagnosis and three differential diagnoses for this patient. Explain your reasoning for each.

Primary diagnosis: Tubo-ovarian abscess (TOA) is an inflammatory mass found in the fallopian tube, ovary and adjacent pelvic organs and is one of the late complications of pelvic inflammatory disease. It consists of an encapsulated or confined ‘pocket of pus’ with defined boundaries that forms during an infection (Silva et al., 2015). A Tubo-ovarian abscess is a life-threatening condition that can present with sepsis and shock if rupture occurs. This is the most likely diagnosis based on Ms. Phillips’ clinical presentation, risk factors, and diagnostic testing results.

ORDER NOW FOR CUSTOMIZED SOLUTIONS

Week 1 Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, May 24, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W1_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W1 Assignment 3 Dropbox by Wednesday, May 24.

Week 2 Assignment 2: Interactive MedU Case

For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

After you complete the MedU case study for the week, please print the summary of your case session and submit it as a PDF file to the W2 Assignment 2 Dropbox. Note that the summary of your case session has your name on the top right-hand corner. You need to submit this document as evidence that you have completed the case.

The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all MedU assignments completed in order to successfully pass the course.

Click here for information on how to access and navigate MedU.

This week, complete the case entitled “Case #1: 45-year-old female annual exam – Mrs. Payne.”

Submission Details:

Submit your work in a 2- to 3-page Microsoft Word document.

Name your file SU_NSG 6430_W2_A2_LastName_FirstInitial.pdf.

Submit your file to the W2 Assignment 2 Dropbox by Monday, May 29,.

Week 2 Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, May 31, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W2_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W2 Assignment 3 Dropbox by Wednesday, May 31.

Week 3 assignment 2

Assignment 2: Interactive MedU Case

For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

After you complete the MedU case study for the week, please print the summary of your case session and submit it as a PDF file to the W3 Assignment 2 Dropbox. Note that the summary of your case session has your name on the top right-hand corner. You need to submit this document as evidence that you have completed the case.

The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all MedU assignments completed in order to successfully pass the course.

Click here for information on how to access and navigate MedU.

This week, complete the case titled “Case #12: 16-year-old female with vaginal bleeding and UCG – Savannah Bauer.”

Submission Details:

Submit your work in a 2- to 3-page Microsoft Word document.

Name your file SU_NSG 6430_W3_A2_LastName_FirstInitial.pdf.

Submit your file to the W3 Assignment 2 Dropbox by Monday, June 5.

Week 3 assignment 3

Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 7, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W3_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W3 Assignment 3 Dropbox by Wednesday, June 7.

Week 4 assignment 2

Assignment 2: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 14, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W4_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W4 Assignment 2 Dropbox by Wednesday, June 14.

Week 5 assignment 1

Assignment 1: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 21, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W5_A1_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W5 Assignment 1 Dropbox by Wednesday, June 21.

Week 6 assignment 2

Assignment 2: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, June 28, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W6_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W6 Assignment 2 Dropbox by Wednesday, June 28.

Week 7 assignment 2

Assignment 2: Interactive MedU Case

For this assignment, you will complete a MedU case study based on the course objectives and weekly content. MedU cases emphasize core learning objectives for an evidence-based primary care curriculum. Throughout your nurse practitioner program, you will use the MedU case studies to promote the development of clinical reasoning through the use of ongoing assessments and diagnostic skills and to develop patient care plans that are grounded in the latest clinical guidelines and evidence-based practice.

After you complete the MedU case study for the week, please print the summary of your case session and submit it as a PDF file to the W7 Assignment 2 Dropbox. Note that the summary of your case session has your name on the top right-hand corner. You need to submit this document as evidence that you have completed the case.

The MedU assignments are highly interactive and a dynamic way to enhance your learning. Material from the MedU cases will be present in the weekly quizzes, the midterm exam, and the final exam. You must have all MedU assignments completed in order to successfully pass the course.

Click here for information on how to access and navigate MedU.

This week, complete the case titled “Case #14: 35-year-old female with missed period – Ms. Rios.”

Submission Details:

Submit your work in a 2- to 3-page Microsoft Word document.

Save your file as SU_NSG 6430_W7_A2_LastName_FirstInitial.pdf.

Submit your file to the W7 Assignment 2 Dropbox by Sunday, July 2.

Week 7 assignment 3

Assignment 3: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, July 5, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W7_A3_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W7 Assignment 3 Dropbox by Wednesday, July 5.

Week 8 assignment 2

Assignment 2: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, July 12, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W8_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W8 Assignment 2 Dropbox by Wednesday, July 12.

Week 8 assignment 3

Research Paper

For this week, you will be completing a research appraisal about a women’s health topic in which you may be interested. The purpose is to complete only a synthesis of the topic. To start, only look at studies that are specific to your women’s health topic. Your appraisal will assist in finding the most current evidence. Remember, this is only for the purpose of synthesis. Simplicity is key to a successful evaluation. Below is a way to assist you in compiling your significant articles. Your table should only contain 5 articles. Finalize your findings in 1–2 pages and submit with your evaluation table.

Submission Details:

By Tuesday, July 11, 2017, enter your table and summary

Name your document SU_NSG6330_W8_A3_LastName_FirstInitial.doc

Submit your document to the W8 Assignment 3 Dropbox by Tuesday, July 11.

In the headings for the columns, include the following:

Citation: Author, year, title

Conceptual Framework: Theoretical basis for study

Design/Method: Indicate design and describe what was done in the study

Sample/setting: Number, characteristics, attrition rate, and why

Major variables studied and their definitions: Independent/dependent variable

Measurement: What scales were used to measure the outcome variables (e.g., name of scale, author, reliability info)

Data analysis: What stats were used to answer the clinical question

Findings: Statistical findings or qualitative findings (one for every statistical test mentioned in data anlysis)

Appraisal/Worth to Practice: Strengths and limitations of the study, risk or harm if study intervention or findings implemented, and feasibility.

ORDER NOW FOR CUSTOMIZED SOLUTIONS

Week 9 – Assignment 2

Assignment 2: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, July 19, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W9_A2_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document.

Submit your document to the W9 Assignment 2 Dropbox by Wednesday, July 19.

Week 10 assignment

Assignment 1: SOAP Note

Each week, you are required to enter your patient encounters into eMedley. Your faculty will be checking to ensure you are seeing the right number and mix of patients for a good learning experience. You will also need to include a minimum of one complete SOAP note using the SOAP Note template. The SOAP note should be related to the content covered in this week, and the completed note should be submitted to the Dropbox. When submitting your note, be sure to include the reference number from eMedley.

Submission Details:

By Wednesday, July 26, 2017, enter your patient encounters into eMedley and complete at least one SOAP note in the template provided.

Name your SOAP note document SU_NSG 6430_W10_A1_LastName_FirstInitial.doc.

Include the reference number from eMedley in your document. NSG 6430 Discussion and Assignment Essay Papers.

Submit your document to the W10 Assignment 1 Dropbox by Wednesday, July 26.