Pathophysiology

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)

Due Date: Sunday by 11:59 PM MT of Week 1

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. 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.

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).

Category

Points

%

Description

Pathophysiology & Clinical Findings of the Disease

45 

45%

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.

· Identifies at least three objective findings from the case.

(5 Required Elements)

Management of the Disease

45

45%

The student:

· 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).

90

90%

Total CONTENT Points= 90 pts

ASSIGNMENT FORMAT

Category

Points

%

Description

Organization, spelling, grammar & APA format

10

10%

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.

100

100%

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. – Identifies at least three objective findings from the case. (5 Required Elements)

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

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

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.

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.

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 In-text 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

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.

0 pts

Manual Deductions

0 pts

Manual Deductions

0 pts

Total Points: 100

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