iHuman Week 7

iHuman Week 7 presents a series of diverse, clinically relevant cases that challenge nursing and nurse practitioner students to synthesize patient data, make diagnostic decisions, and apply evidence-based interventions. Among these case studies are:

• Tommy Acker: Suspected Child Abuse (NSG 6435)
• 49-Year-Old Patient: Intermittent Chest Pain (Class 6512)
• 18-Month-Old with GI Symptoms
• 56-Year-Old Female: Uncontrolled Blood Pressure
• 18-Year-Old Male: Syncope (Passing Out)

Each case enhances core clinical competencies such as assessment, differential diagnosis, clinical reasoning, and documentation. Below is a breakdown and discussion of these cases, including general expectations for comprehensive SOAP note writing and research-based evaluation.

NSG 6435 iHuman Week 7 Case: Tommy Acker – Child Abuse

Tommy Acker is a 26-month-old child brought in with concerning physical symptoms, prompting a full assessment for possible non-accidental trauma. This case is essential in building awareness and diagnostic insight into child abuse scenarios, which are often underreported or missed.

SOAP Note and Case Requirements:

Students must:

• Use the Pediatric SOAP Note template.
• Include thorough subjective and objective data.
• Present a complete assessment and plan based on evidence-based pediatric guidelines.
• Utilize at least five scholarly, peer-reviewed sources (excluding textbooks and secondary sources).
• Submit the assignment using the format: SU_NSG6435_W7_A1_Lastname_Firstinitial.doc.

Key Learning Objectives:

• Develop trauma-informed care strategies.
• Apply mandatory reporting guidelines.
• Differentiate between medical explanations and abuse-related injuries.
• Collaborate with child protective services and interdisciplinary teams.

Class 6512 Week 7 iHuman Case: 49-Year-Old with Intermittent Squeezing Chest Pain

Case Synopsis:

This patient presents with episodic squeezing chest pain, raising concern for ischemic heart disease, angina, or early myocardial infarction. This case evaluates adult cardiac assessment and management.

Key Clinical Tasks:

• Obtain a comprehensive cardiovascular history.
• Evaluate risk factors like hypertension, dyslipidemia, smoking, and family history.
• Interpret diagnostic testing including ECG, cardiac biomarkers, and stress testing.
• Formulate an evidence-based differential diagnosis and treatment plan.

Evidence-Based Focus:

Use AHA/ACC guidelines for evaluation and management of stable and unstable angina, as well as appropriate use of medications like nitrates, beta-blockers, and statins.

iHuman Week 7 Case: 18-Month-Old Child with GI Issues

Case Description:

This pediatric case involves a child presenting with vomiting, diarrhea, or failure to thrive, prompting evaluation for infections, food allergies, or congenital anomalies.

Important Clinical Considerations:

• Assess for dehydration, electrolyte imbalance, and nutritional status.
• Consider GI infections (e.g., rotavirus, norovirus), food intolerances (e.g., lactose, cow milk protein allergy), and structural issues like pyloric stenosis or intussusception.
• Ensure hydration with oral or IV fluids based on severity.

Pediatric SOAP Note Essentials:

• Document feeding history, diaper output, immunization status.
• Include a family and social history relevant to infectious exposure.
• Formulate a plan with pediatric GI guidelines.

iHuman Week 7 Case: 56-Year-Old Female with Hypertension

Overview:

This middle-aged woman presents with uncontrolled blood pressure, and possibly signs of target organ damage (e.g., headaches, vision changes, or chest discomfort).

Diagnostic Strategy:

• Evaluate for essential vs. secondary hypertension.
• Assess kidney function (BUN, creatinine), lipid profile, A1C.
• Determine medication adherence, lifestyle factors, and comorbidities.

Treatment Plan:

• Initiate or adjust antihypertensive therapy per JNC 8 or ACC/AHA guidelines.
• Emphasize lifestyle modifications: low-sodium diet, physical activity, weight loss.
• Screen for end-organ effects: ECG, fundoscopic exam, UA.

Assignment Objective:

This case enhances your skills in managing chronic diseases, promoting adherence, and implementing long-term follow-up strategies.

iHuman Week 7 Case: 18-Year-Old Male with Syncope

Clinical Summary:

This young adult presents after a syncopal episode, raising suspicion for cardiac, neurologic, or vasovagal causes.

History and Examination:

• Document precipitating factors, prodromal symptoms (e.g., nausea, tunnel vision), and post-episode findings.
• Perform a full cardiovascular and neurologic exam.
• Consider EKG, orthostatic vitals, and possibly a tilt table test or Holter monitor.

Differential Diagnosis:

• Vasovagal syncope
• Orthostatic hypotension
• Arrhythmias (e.g., Long QT Syndrome)
• Seizure (if tonic-clonic movements occurred)

SOAP Note Documentation:

• Include detailed ROS (review of systems) and family history of sudden cardiac death or arrhythmias.
• List referrals (e.g., cardiology, neurology) and educational guidance for the patient.

i-Human System and Case Study Requirements

iHuman is a dynamic, interactive simulation platform used by nursing programs like South University and Walden University to bridge the gap between theoretical learning and clinical reasoning.

Common Requirements for iHuman Week 7 Cases:

1. Complete and submit one SOAP note per weekly case (using the approved template).
2. Log all patient encounters into eMedley (or other institution-assigned platforms).
3. Ensure SOAP notes:
   • Use appropriate medical terminology.
   • Include diagnosis coding (ICD-10).
   • Are evidence-based with minimum 5 peer-reviewed references.
   • Avoid secondary sources like Medscape or UpToDate.

NSG 6435 iHuman Week 7- Tommy Acker, Child Abuse Case Study

The NSG 6435 Week 7 assignment centers on the iHuman case titled “Tommy Acker, Child Abuse.” This case study is pivotal for nursing students to understand the complexities of pediatric assessments, especially in situations involving potential child abuse. The assignment requires a comprehensive evaluation beyond a standard SOAP note, integrating clinical findings with evidence-based research.​

Assignment Overview

In this week’s assignment, students are tasked with completing a comprehensive case study based on the iHuman case of Tommy Acker. This involves:​

• Completing a detailed SOAP note using the approved Pediatric SOAP Note template.
• Conducting extensive research and discussion on the disease process presented in the case.
• Supporting the case study with a minimum of five evidence-based articles, excluding course texts and secondary sources like Medscape or UpToDate.
• Submitting the evaluation in a document named SU_NSG6435_W7_A1_lastname_firstinitial.doc.​

Understanding the iHuman Case: Tommy Acker

Tommy Acker is a 26-month-old child presenting with symptoms that raise concerns about possible child abuse. The case requires students to assess the patient’s condition thoroughly, considering factors such as:​

• Airway, breathing, and circulation assessments.
• Vital signs monitoring and continuous pulse oximetry.
• Primary and secondary surveys, including a head-to-toe examination.
• Further testing, such as imaging with contrast, and consultations with surgical and child protective services.​

The case emphasizes the importance of recognizing signs of abuse and understanding the appropriate steps for intervention and reporting.​

Educational Objectives

The primary goals of this assignment are to:​

• Enhance students’ clinical reasoning and diagnostic skills in pediatric care.
• Develop the ability to integrate clinical findings with current evidence-based practices.
• Foster a comprehensive understanding of the protocols involved in identifying and managing child abuse cases.​

Submission Guidelines

Students must ensure that their SOAP notes are thorough and reflect a deep understanding of the case. All patient encounters should be entered into eMedley, and at least one complete SOAP note should be submitted to the Dropbox, including the reference number from eMedley. The document should be named appropriately as per the guidelines.

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