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For this assignment you will create a NARRATED powerpoint presentation on the case scenario below in a SOAP note format. This assignment is a little different whereas we will give you the diagnosis for the patient and you will then discuss the following key items related to the provided diagnosis. Be sure to address ALL key items using a powerpoint presentation. You will also provide recorded narration for each slide (you will do this within the tool bar in powerpoint). Case Scenario: A 6 mos old male presents to your clinic with his mother. Mom states he has been sick for several days with runny nose, congestion, fever, and cough. Mother states he has been breathing fast and his cough sounds like he is “barking”. He is also not sleeping well due to the cough. He does attend daycare and has an older sister in preschool. The infant has no past medical history, was born full term without any complications, and his immunizations are up to date. He does not have any known allergies and does not take any routine medications. There is family history of asthma on paternal side. His vitals in the clinic are T 100 P 120 RR 54. Weight is 17 lbs. After examining the patient, you diagnose him with Croup. Diagnosis: Croup Directions: 1. Create a narrated powerpoint presentation addressing the following key points from the provided case scenario. The best way to record narration is using the “record” feature located in the toolbar within the powerpoint application. Use these bulleted key points below as the headings for your slides. Provide a separate slide for each bulleted item below. CC HPI Allergies Medications PMH FMH Sochx ROS (describe the pertinent positives and negatives that would be reported to you with diagnosis provided) Vitals PE (describe positive and negative exam findings you would expect to see with diagnosis provided) Diagnostic tests (this includes any labs/tests done during the visit to help lead you to your diagnosis) Risk Factors (this includes the risk factors for the diagnosis provided) Primary Diagnosis (Provide a paragraph explaining definition of primary diagnosis, pertinent positives and negatives for each diagnosis, and ICD10 code. Also discuss pathophysiology of the provided diagnosis. Support with evidenced based literature). Differential Diagnoses (Provide TWO differential diagnoses. For each differential diagnosis, provide a paragraph explaining definition of differential diagnosis, pertinent positives and negatives for each diagnosis, and ICD10 code. Support with evidenced based literature). National Clinical Guidelines (State the national clinical guideline you used in APA format and then provide the LINK to the national clinical guideline you used to develop your treatment/plan section on your actual slide). Plan – include the following. Include ALL items below. If an item does not apply, then state N/A. Pharmacological Management Non-pharmacological Management Diagnostics – labs/tests ordered once pt leaves your clinic Health promotion Disease prevention Referral Follow up References Rubric: Narrated Powerpoint Presentation Rubric This criterion is linked to a Learning OutcomeSubjective 10 pts Proficient All key items are thoroughly discussed: CC, HPI, Allg, Meds, PMH, Fam hx, Soc hx and ROS. For ROS, pertinent positives and negatives are clearly stated. 5 pts Developing Some key items are discussed: CC, HPI, Allg, Meds, PMH, Fam hx, Soc hx and ROS. For ROS, some pertinent positives and negatives are clearly stated. 1 pts Beginner Missing key items: CC, HPI, Allg, Meds, PMH, Fam hx, Soc hx and ROS. For ROS, pertinent positives and negatives are not indicated. 10 pts This criterion is linked to a Learning OutcomeObjective 10 pts Proficient Fully identifies all pertinent positive and negative physical exam findings as related to provided diagnosis. 5 pts Developing Identifies some of the pertinent positive and negative physical exam findings as related to provided diagnosis. 1 pts Beginner Missing several pertinent positive and negative physical exam findings as related to provided diagnosis. 10 pts This criterion is linked to a Learning OutcomeDiagnostic tests and Risk Factors 10 pts Proficient Fully addresses diagnostic tests (those done during the visit as applicable) and risk factors for provided diagnosis. 5 pts Developing Limited discussion on diagnostic tests (those done during the visit as applicable) and risk factors for provided diagnosis. 1 pts Beginner Does not discuss diagnostic tests (those done during the visit as applicable) and risk factors for provided diagnosis. 10 pts This criterion is linked to a Learning OutcomeAssessment 15 pts Proficient Fully discusses the primary diagnosis AND two differential diagnoses. Includes ICD10 code, definition, and pertinent positives and negatives for each diagnosis. 7.5 pts Developing Limited discussion of the primary diagnosis AND two differential diagnoses. Missing some of the following information- ICD10 code, definition, and pertinent positives and negatives for each diagnosis. 1.5 pts Beginner Minimal discussion of the primary diagnosis AND two differential diagnoses. Does not include ICD10 codes, definitions, and/or pertinent positives and negatives for each diagnosis. 15 pts This criterion is linked to a Learning OutcomeClinical Guidelines 10 pts Proficient Identifies clinical guidelines used for plan section and cites them appropriately. Also provides hyperlink to the guidelines on the slide. 5 pts Developing Identifies clinical guidelines used for plan section but does not cite them appropriately. Also does not provide hyperlink on the slide. 1 pts Beginner Does not identify clinical guidelines used for plan section and does not cites them appropriately. Does not provide hyperlink of guidelines on slide. 10 pts This criterion is linked to a Learning OutcomePlan 15 pts Proficient Addresses all items on plan: Pharm tx, non-pharm tx, diagnostic tests, health promotion, disease prevention, referral, and follow up. 7.5 pts Developing Addresses some of the items on plan: Pharm tx, non-pharm tx, diagnostic tests, health promotion, disease prevention, referral, and follow up. 1.5 pts Beginner Missing several items of the plan section: Pharm tx, non-pharm tx, diagnostic tests, health promotion, disease prevention, referral, and follow up. 15 pts This criterion is linked to a Learning OutcomeNarration 10 pts Proficient Includes clear, succinct narration on each slide. 5 pts Developing Only includes narration on some of the slides. 1 pts Beginner Does not include narration on any slides. 10 pts This criterion is linked to a Learning OutcomeVisual Presentation 10 pts Proficient Slides are visually appealing, not over crowded. Font is readable and images included are appropriate. Background is not distracting. 5 pts Developing Slides are somewhat appealing. Slides may be overcrowded, difficult to read, background distracting. 1 pts Beginner Slides are not visually appealing. Slides are overcrowded, not readable, images not appropriate, and background is distracting. 10 pts This criterion is linked to a Learning OutcomeSpelling/Grammar 5 pts Proficient No spelling or grammatical errors in any postings. 3 pts Developing A few spelling and grammatical errors. 1 pts Beginner Multiple spelling and grammatical errors in all postings. 5 pts This criterion is linked to a Learning OutcomeAPA Format 5 pts Proficient Correct utilization of APA format for font, spacing, indentation, headings, in text citations, and reference list. 3 pts Developing Utilizes APA format for font, spacing, indentation, headings, in text citations, and reference list with minor errors noted. 1 pts Beginner Does not use APA format for font, spacing, indentation, headings, in text citations, and reference list or several errors noted. 5 pts Total Points: 100

As nurses, we encounter situations that challenge us emotionally, ethically, and professionally. Building resilience begins with recognizing stress and reflecting on how we respond. For this first storytelling discussion, reflect on a clinical situation you experienced in your role as an LPN that felt stressful, overwhelming, or emotionally difficult. In your initial post, address the following: Briefly describe the situation (maintain confidentiality no names or identifying information). What made this situation stressful for you? How did you respond at the time? Looking back, what coping or resilience strategies did you use or wish you had used? Identify one practical strategy you would use today if faced with a similar situation.