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Learning Goal: I’m working on a management discussion question and need guidance

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Learning Goal: I’m working on a management discussion question and need guidance to help me learn.
This is a graded discussion: 20 points possible
due august 12
Unit 1 Discussion – Chest Pain
No unread replies.No replies.
Instructions
It is anticipated that the initial discussion post should be in the range 1 page or 300 words. Response posts to peers have no minimum word requirement but must demonstrate topic knowledge and scholarly engagement with peers. Substantive content is imperative for all posts. All discussion prompt elements for the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments unless specified in the instructions. All posts should be supported by a minimum of one scholarly resource, ideally within the last 5 years. Journals and websites must be cited appropriately. Citations and references must adhere to APA format.
Classroom Participation
All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion or initial discussion is late, you will not receive points for content and analysis, you may however post to your peers for partial credit following the guidelines above.
Initial Discussion Question/Prompt [Due Wednesday ]
Chest Pain
Scenario: A 52-year-old male patient who is a house painter presents to the office reporting chronic fatigue and “mild” chest pain. When he is painting, the chest pain is relieved after taking a break. He reports that the pain usually lasts 5 minutes or less and occasionally spreads to his left arm before subsiding. The patient was last seen 3 years ago by you, and you recommended diet changes to manage mild hyperlipidemia, but the patient has gained 30 pounds since that time. The patient’s medical history includes anxiety, vasectomy, cholecystectomy, and mild hyperlipidemia. The patient does not smoke or use other tobacco or nicotine products. The patient cares for his wife, who has multiple sclerosis and requires 24-hour care. His daughter and grandson also live with the patient. His daughter assists with the care of his wife, and his job is the major source of income for the family. The initial vital signs are: blood pressure 158/78, heart rate 87, respiratory rate 20, and body mass index 32. As part of the diagnostic work-up, an ECG, lipid levels, cardiac enzymes, and C-reactive protein (CRP) are ordered. The patient reports that he does not have time to “be sick” and says that he needs to take care of everything during this visit so he can return to work and care for his wife.
1. What additional information should you obtain about the pain the patient is experiencing?
2. What additional physical assessments need to be completed for this patient?
3. What differential diagnoses should be considered for the patient?
4. Assuming that the in office EKG did not indicate any abnormalities, how would you proceed to manage the abnormal subjective and objective findings discovered during this visit? Include specific interventions for each diagnosis in your treatment plan. Provide complete prescription details, follow up instructions, and potential referrals.
5. What patient teaching will be incorporated into the visit to modify the patient’s risk factors?
6. Include the ICD 10 codes you would choose for each problem addressed and the Evaluation and Management code expected for this visit. Keep in mind the length of time it has been since this patient has been seen in the clinic.
Follow Rubric:
Assignment Rubric Detailsclose
Rubric
NU623 Unit 1 Discussion – Chest Pain Rubric
NU623 Unit 1 Discussion – Chest Pain Rubric
Criteria Ratings Pts
This criterion is linked to a Learning OutcomeContent 6 pts
100%
Initial post addresses all of the required prompt elements in the discussion and demonstrates an exemplary understanding of course content and topic. 5.5 pts
92%
Initial post addresses all of the required prompt elements in the discussion and demonstrates a comprehensive understanding of course content and topic. 5 pts
83%
Initial post is missing one important prompt element and/or demonstrates a basic understanding of course content and topic. 4.5 pts
75%
Initial post is missing more than one important prompt element and/or demonstrates a limited understanding of course content and topic. 4 pts
67%
Initial post does not address discussion prompt elements, and/or does not demonstrate understanding of course content and topic and/or initial post is poorly paraphrased even if accompanied by in-text citations. 0 pts
0%
Initial post was not submitted and/or not submitted on time and/or initial post demonstrates copying and pasting with or without proper use of quotations or supporting in-text citations.
6 pts
This criterion is linked to a Learning OutcomeAnalysis 6 pts
100%
The analysis of the topic includes breadth and depth, is aligned to the unit topic, relates to the course content and personal analysis is supported by exemplary references and examples. 5.5 pts
92%
The analysis of the topic is justified, and aligned to the unit topic, and personal analysis is supported by comprehensive references and/or examples. 5 pts
83%
There is a basic analysis of the topic and personal analysis is supported by basic references and/or examples. 4.5 pts
75%
There is minimal evidence of analysis of the topic and/or personal analysis is supported by limited references and/or examples. 4 pts
67%
There is no evidence of analysis of the topic and/or personal analysis is not supported by references and/or examples. 0 pts
0%
Initial post was not submitted and/or not submitted on time and/or analysis had no relationship to the topic and/or initial post demonstrates copying and pasting with or without proper use of quotations or supporting in-text citations.
6 pts
This criterion is linked to a Learning OutcomeCollaboration 6 pts
100%
Collaborates with fellow learners at an exemplary level relating the discussion to relevant course concepts and extending the conversation with substantive content. 5.5 pts
92%
Collaborates with fellow learners at a comprehensive level relating the discussion to relevant course concepts and extending the conversation with substantive content. 5 pts
83%
Collaborates with fellow learners at a basic level relating the discussion to some course concepts and extending the conversation with basic content and/or postings are not submitted on a minimum of 3 separate days. 4.5 pts
75%
Limited collaboration with fellow learners and makes little connection to course content and/or does not extend the conversation. 4 pts
67%
Collaborates with fellow learners but only one response post was submitted and/or response post(s) are poorly paraphrased even if accompanied by in-text citations. 0 pts
0%
No response posts were submitted and/or not submitted on time and/or there is no relationship between the response posts and the discussion prompts and/or one or more response posts demonstrate copying and pasting with or without proper use of quotations or supporting in-text citations.
6 pts
This criterion is linked to a Learning OutcomeWriting 1 pts
100%
Posts in this discussion are well written and well organized demonstrating exemplary scholarly writing. Mechanics (spelling and punctuation) and grammar are excellent. 0.9 pts
92%
Posts in this discussion are well written and well organized demonstrating comprehensive scholarly writing and/or have 1-2 errors in mechanics and/or grammar. 0.8 pts
83%
Posts in this discussion are basic examples of scholarly writing and/or have 3 errors in mechanics and/or grammar. 0.7 pts
75%
Posts in this discussion are not clear and/or lack organization and/or have 4 or more errors in mechanics and/or grammar. 0.6 pts
67%
Posts in this discussion lack evidence of clear, organized scholarly writing. Errors interfere with reading and/or understanding of content. 0 pts
0%
Posts were not submitted and/or one or more posts demonstrate copying and pasting with or without proper use of quotations or supporting in-text citations.
1 pts
This criterion is linked to a Learning OutcomeAPA 1 pts
100%
Posts in this discussion demonstrate in-text citations of sources and references in proper APA style and formatting. 0.9 pts
92%
Posts in this discussion demonstrate in-text citations of sources and references but have 1-2 minor APA errors. 0.8 pts
83%
Posts in this discussion demonstrate in-text citations of sources and references but have 3-4 APA errors. 0.7 pts
75%
Posts in this discussion demonstrate in-text citations of sources and references but have 5-6 APA errors. 0.6 pts
67%
Posts in this discussion do not provide sufficient in-text citations and/or references and/or have 7 or more APA errors. 0 pts
0%
Posts were not submitted and/or one or more posts demonstrate copying and pasting with or without proper use of quotations or supporting in-text citations.
1 pts
Total Points: 20

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