NRNP 6531 Week 7 iHuman Case Study – Step-by-Step Guide

The first step before starting to write the NRNP 6531 Week 7 iHuman Case Study Evita Alonso, it is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NRNP 6531 Week 7 iHuman Case Study

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. 

Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NRNP 6531 Week 7 iHuman Case Study

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NRNP 6531 Week 7 iHuman Case Study

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NRNP 6531 Week 7 iHuman Case Study

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NRNP 6531 Week 7 iHuman Case Study

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NRNP 6531 Week 7 iHuman Case Study

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

An Example NRNP 6531 Week 7 iHuman Case Study Follows:

Evita Alonso iHuman case Study

Chief Complaint: “My stomach has been hurting really bad over the past 2 weeks.”

History of Present Illness:

Mrs. Alfonso is a 48-year-old female patient who present to the urgent-care clinic with a two-week history of intermittent, and progressive RUQ pain that has now increase over the past 2 days. The pain radiates to the right shoulder. She also complains of associated symptoms like nausea, vomiting, anorexia since the past 2 days. She has had previous recurrent self-resolving symptoms over the last one year. Family history is positive for biliary disease (mother) Evita Alonso iHuman. The patient is found to have low-grade temp elevation, mild scleral icterus, RUQ abdominal tenderness with guarding, and a positive Murphy’s sign

Onset: 2 weeks ago, with symptoms becoming more dreadful 2 days ago

Location: Right upper quadrant and occasionally radiated to the right shoulder Duration: Pain has been constant since it started this time; in the past it only lasted 1-2 days.

Character: Crampy, gnawing, achiness

Aggravating/alleviating factors: Pain gets worse with meals and unresolved with antacids and NSAIDs Related symptoms: Nausea. Vomiting, anorexia with onset of symptoms 2 days ago. Denies any recent exposure to other ill contacts. She has had similar symptoms previously

Treatments: Has tried OTC antacids and ibuprofen without relief

Significance: Pain starts with a scale of 2-3 and gets up to 6-7. She reports pain has kept her home from work Evita Alonso iHuman.

Primary Diagnosis

Ascending Cholangitis

This diagnosis may be acute or chronic. The gallbladder is a small organ that is a part of your gastrointestinal system which stores and excretes bile to help the body break down fat. Gallstones can form and clog the organ. In your case the gallstones have caused symptoms such as abdominal pain, right shoulder pain, nausea, and vomiting. You need to be admitted to the hospital because according to the tests we ran you may have a clogged duct leading to inflammation and infection. This is not a disease process that is typically treated as an outpatient. 

You may require surgery or additional testing such as an MRCP to look at the ducts. The surgery which may be needed is called a cholecystectomy. It is a very common procedure performed and is often done laparoscopically and can sometimes be performed as an outpatient procedure. The procedure itself does have some risks since anesthesia is required, but after the gallbladder is removed there will be no return of gallstones. You have an increased risk of forming gallstones when you are overweight (Crowley & Martin, 2022).

The diagnosis for Pt is ascending cholangitis. It is characterised by jaundice, abdominal pain, and fever that develops due to infection and stasis in the biliary tract. Fever, chills, malaise, rigors, widespread abdominal discomfort, pruritus, and pale stools are among the ascending cholangitis symptoms (Chatterjee, Mavani, & Bhatttacharyya, 2022). The Pt reported vomiting nausea, stomach pain, and anorexia. The Pt has a family history of biliary disease and ascending cholangitis develops as a result of biliary tract infection. The family history is a risk factor for developing ascending cholangitis.

Alternative Diagnosis

Cholecystitis

Cholecystitis is an alternative diagnosis. Stones that obstruct the tube connecting the gallbladder to the small intestine can cause cholecystitis. Bloating and excruciating upper-right abdominal pain are symptoms for cholecystitis. The Pt reported pain that radiate at the right at the right shoulder meaning he can be suffering from cholecystitis. Other symptoms for cholesystitis reported by the Pt include nausea, fever, vomiting, and tenderness over the abdomen, pain spreading to the right shoulder or back, and severe pain at the abdomen (Chatterjee et al., 2022),

Pancreatitis Acute

Another possible diagnosis is pancreatitis acute.  It is a condition that leading to inflammation and enlargement of pancreas for a short time. The systems of pancreatitis acute include nausea, vomiting, fever, abdomen tenderness, abdominal pain radiating to the back, and rapid pulse. The symptoms reported by the Pt resemble most of the pancreatitis acute disorder symptoms.

Peptic Ulcer Disease

The last alternative diagnosis is peptic ulcers. It develops when acid digestive tract acid eats away to the small intestine or stomach’s inner surface. The symptoms for peptic ulcers include burning stomach pain, heartburn, nausea, bloating and heartburn (Hatnoorkar & Rajpal, 2022) Evita Alonso iHuman. Since the patient reported stomach pain, nausea, and vomiting is possible to consider peptic ulcers as a possible diagnosis.

Case: Management Plan:

Pharmacologic Care:

  • Start IV
  • Collect blood culture x2
  • Give Ertapenem 1g IV
  • Consult general Surgery for the next steps

Supportive Care:

  • Make NPO
  • Give 0.9% IV normal Saline 100ml bolus, then 50 ml per hours
  • Give Zosyn 3.375 g IV every 6 hours for 7 days
  • Zofran 4mg IV every 6 hours as needed for nausea/vomiting.
  • Check blood glucose every 4 hours to monitor for hypoglycemia due to NPO status.

Patient Education

Offered education on diagnosis, need for continued evaluation in the emergency department given fever and anticipated course. Patient expressed understanding and had no further questions.

Follow-Up:

  • Alert staff if the patient has increased pain, nausea, fever, lightheadedness, fatigue, or any other needs while in the emergency department.
  • Follow up in clinic post-Op, 1-2 weeks after discharge. If gallbladder is removed, decrease fat in diet and eat small meals. Avoid any strenuous activities or lifting. Take pain medication as prescribed.
  • Contact a physician if pain is not adequately controlled. If you have symptoms of infection such as fever/chills or bleeding contact the urgent care as soon as possible.

NRNP 6531 Week 7 iHuman Case Study References

Chatterjee, S., Mavani, A., & Bhatttacharyya, J. (2022). Chemistry and mechanism of the diseases caused by digestive disorders. In Nutrition and Functional Foods in Boosting Digestion, Metabolism, and Immune Health (pp. 3-14). Academic Press.

Crowley, K., & Martin, K. A. (2022). Patient education: Gallstones (The Basics). UpToDate. 

Hatnoorkar, S. A., & Rajpal, C. (2022). Homoeopathy and Acid Peptic Disorder. Journal of Medical and Pharmaceutical Innovation, 9(45). https://www.jmedpharm.com/index.php/home/issue/view/22

Frequently Asked Questions (FAQs)

When approaching a 500-word essay, it’s essential to understand the nuances of this compact form of writing. These frequently asked questions will guide you through the process of crafting a concise and impactful essay.

How many pages is a 500-word essay typically?

A 500-word essay usually spans about one page if single-spaced or two pages when double-spaced, with standard margins and a 12-point font size.

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Certainly, to see the structure and flow of a well-written essay, you might want to take a look at a student’s writing guide that provides insights and examples.

Are there specific formatting guidelines for a 500-word essay?

Formatting guidelines typically involve using a legible font like Times New Roman or Arial, size 12, with double-spacing and one-inch margins on all sides. Check any specific requirements your instructor might have provided.

What are some effective strategies for writing a personal essay of 500 words?

For a personal essay, focus on a singular event or characteristic, ensuring your ideas are clear and you reflect on the significance of the subject matter. Use concise language and powerful imagery to maximize impact.

What topics are suitable for a concise 500-word essay?

Choose topics you can thoroughly address within the word limit, such as a personal anecdote, a critical analysis of a poem, or a focused argument on a singular point or issue.

How much time should you allocate to write a 500-word essay effectively?

Depending on your familiarity with the topic and writing proficiency, allocate anywhere from one to several hours for planning, drafting, and revising to ensure a well-presented essay.