Case Study: JE is a 38-year-old white woman with a 6-year history of psoriasis. Her family history includes allergies, asthma, and her mother with psoriasis. JE returns to the clinic today reporting an increase in symptoms and expresses a desire to improve the appearance of her skin.

• Application of Course Knowledge: Answer all questions/criteria with explanations and detail.
  • Describe one source of big data that you are likely to use in your future advanced practice nursing role.  
  • Identify the types of information that can be obtained from this source.  
  • Examine three ways data from this source can be used to impact client care. 
  • Discuss the role of the advanced practice nurse in data stewardship. 

Describe your clinical experience for this week

must be on Geriatrics patient 

• Did you face any challenges, any success? If so, what were they?
• Describe the assessment of a patient, detailing the signs and symptoms (S&S), assessment, plan of care, and at least 3 possible differential diagnosis with rationales.
• Mention the health promotion intervention for this patient.
• What did you learn from this week’s clinical experience that can beneficial for you as an advanced practice nurse?
• Support your plan of care with the current peer-reviewed research guideline.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources

A 78-year-old female comes to your office escorted by a neighbor who is a patient of yours. The neighbor, who has lived next door to the older woman for years, relates that a week ago the elderly woman’s sister died and that she had been her caregiver for many years. The neighbor relates that although she would occasionally see the older woman, she did not visit the home. At the funeral last week, she noticed that the woman appeared fatigued, confused, sad, and gaunt in appearance. Later the neighbor approached the woman, inquired about her health, and determined that the woman had a very difficult time the past couple of months, caring alone for her sister until the end when hospice care was initiated. The neighbor convinced the woman to seek medical care and today is the first appointment with a provider that this 78-year-old female has had in 3 years. The older woman states that she is very fatigued and sad over the loss of her sister. Neither her sister nor the patient has been married. A distant niece came to the funeral but lives about 30 miles away. The woman states that she is not taking any prescription medication and relates no medical problems that she is aware of being diagnosed.

Vital signs: T 97.6°F, HR 98, RR 22, BP 95/60, BMI 21 

Chief Complaint: Fatigue and sadness over the death of her older sister.

Discuss the following:

1) What additional subjective information will you be asking the patient?
2) What additional objective findings would you be examining the patient for?
3) What are the differential diagnoses that you are considering?
4) What laboratory tests will help you rule out some of the differential diagnoses?
5) What screening tools will you select to use on this patient?
6) What is your plan of care?
7) What additional patient teaching may be needed?
8) Will you be looking for a consult?

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources.

Purpose

This assignment is intended to help you learn to do the following:

• Describe ethical considerations for healthcare professionals and medical researchers.
• Apply ethical decision-making models to healthcare ethical dilemmas.
• Evaluate legal issues in healthcare decision-making situations.

Action Items

1. Read Ethics case: Should One Kind of Freedom Be Restricted to Promote Another?Links to an external site.
2. Respond in a 150- to 200-word discussion post to the following prompts:
   • What are the ethical issues addressed in this case?
   • Which issues are ethics issues and which are medical decisions? Explain your answer.
   • Who needs to be involved in making the necessary decisions to move forward?
   • Answer the key questions posed in the article, “What factors can make the clinical benefits of restraints outweigh their harms, and how can restraints be effectively and ethically regulated and applied?” Explain your answer.
3. By the due date indicated, create your initial post.
4. By Sunday, respond to at least two of your classmates. Your response should be thoughtful and add to the learning.