Case Study

A 32-year-old woman is concerned about the possibility of being pregnant. During the initial interview, you discover that she missed her usual menstrual cycle over 3 weeks ago. You also notice that her complexion is markedly tan for this time of the year (winter season). You briefly comment on this fact, and she states, “I want to keep my summer tan. So, I keep going to the tanning salon weekly.” She is here today to confirm the pregnancy with her primary care provider, and you are the nurse completing the initial interview. When asked if she has been taking a folic acid supplement, she states that she had “no concerns of pregnancy and was not aware of the need to take this medicine.” After she sees her primary care provider, he gives you the plan of care. The plan is to have a maternal serum marker test drawn today and recommend that she start on 600 μg of folic acid daily. In analyzing this case, please answer the following questions:

1. Discuss any teratogenic effect of this individual not taking a folic acid supplement. Explain what effect may occur on the developing fetus, identifying specific risks noted in this case.
2. Explain why the primary care provider included a maternal serum marker test in the plan of care for this individual.
3. Discuss the vulnerability of the fetus based on trimesters and teratogens and the role of the folic acid supplement.
4. Briefly discuss the how UVA and UVB rays contribute to the process of oncogenesis in skin cells.
5. How would you educate this individual on the risk of skin cancer related to increased exposure to UVA/UVB rays? Would you expect the primary care provider to perform a skin assessment during this visit? Why or why not?

6. NUR 315 Case Study Guidelines and Rubric Critical thinking is a habit of mind characterized by the comprehensive exploration of issues, ideas, artifacts, and events before accepting or formulating an opinion or conclusion. Case studies are meant to connect real-world scenarios with theoretical teachings. You are expected to test assumptions and find creative ways to consider all the facets contributing to analysis of the case. Prompt: For each case study, be sure to:

    Introduce main elements and concerns and identify the pathology.

    Use the associated questions to guide your paper and explain the pathology in the development of a plan of care.

    Explain the role patient-care technologies (i.e., point of care testing, computer provider order entry, bar-coding medication administration, EMR/EHR) in caring for the individual(s).

    Apply critical thinking in analyzing and interpreting the data.

    Include evidence to support your analysis of the case.

    Write clearly and concisely, following standard rules of grammar. Guidelines for Submission: Your paper must be submitted as at least a 2-page Microsoft Word document with double spacing, 12-point Times New Roman font, one-inch margins, and at least two peer-reviewed sources cited in APA format. Instructor Feedback: This activity uses an integrated rubric in Blackboard. Students can view instructor feedback in the Grade Center. For more information, review these instructions.

   Critical Elements Exemplary (100%) Proficient (85%) Needs Improvement (55%) Not Evident (0%) Value

   Pathology: Introduction and

   Identification

   Meets “Proficient” criteria and uses industry-specific language and is exceptionally clear and well-informed

   Introduces the reader to specific themes and main elements of the assigned case study without any gaps and precisely identifies specific pathology

   Introduces the reader to specific themes and main elements of the assigned case study and identifies the pathology, but with gaps in information presented

   Does not accurately introduce the reader to specific themes and main elements of the assigned case study and does not identify the pathology

   15

   Pathology: Explanation and Plan

   of Care

   Meets “Proficient” criteria and uses industry-specific language to establish expertise

   Comprehensively explains the pathological condition in the development of plan of care for the individual in the assigned case study without any gaps

   Explains the pathological condition in the development of plan of care for the individual in the assigned case study, but with gaps

   Does not explain the pathological condition in the development of plan of care for the individual in the assigned case study

   20

    

   http://snhu-media.snhu.edu/files/production_documentation/formatting/rubric_feedback_instructions_student.pdf

    

    

   Response to Questions

   Meets “Proficient” criteria and seamlessly incorporates these responses into the submission

   Thoroughly addresses all prompts from the case study and comprehensively explores issues, ideas, and concerns

   Adequately addresses most prompts included in the case study, but does not explore issues, ideas, or concerns

   Addresses less than half of the prompts from the case study

   25

   Patient-Care Technologies

    

   Meets “Proficient” criteria, and explanation is exceptionally clear and well-informed

   Accurately explains the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study without any gaps

   Accurately explains the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study, but with gaps in information given

   Does not accurately explain the role of patient-care technologies (as appropriate) in caring for individuals identified in the assigned case study

   15

   Incorporation of Resources

   Incorporates more than two discipline-specific, peer- reviewed journal articles and one source from an interdisciplinary, peer-reviewed journal. Viewpoints of experts are analyzed and well-informed

   Incorporates sources of evidence from at least two discipline-specific, peer- reviewed journal articles

   Incorporates at least two sources of evidence from peer- reviewed journals, but fails to make connection to case study clear

   Does not incorporate at least two sources of evidence from a peer-reviewed journal

   15

   Articulation of Response

   (APA/Mechanics)

   Submission is free of errors related to citations, grammar, spelling, syntax, and organization and is presented in a professional and easy-to-read format

   Submission has no major errors related to citations, grammar, spelling, syntax, or organization

   Submission has major errors related to citations, grammar, spelling, syntax, or organization that negatively impact readability and articulation of main ideas

   Submission has critical errors related to citations, grammar, spelling, syntax, or organization that obstruct understanding

   10

   Earned Total 100%

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