NURS 6550:Week 11: Conditions of the Hematologic, Lymphatic, and Immune Systems Essay Assignment Paper

This week, you will participate in your final Clinical Conference and discuss “aha” moments of insight, inspiration, or realization. Then, as you explore how hematologic, lymphatic, and immune conditions may present in acute care settings, you will examine strategies for assessing, diagnosing, and treating patients with these conditions.

Learning Objectives

By the end of this week, students will:

• Analyze the impact of clinical experiences on future clinical practice
• Evaluate patients with hematologic, lymphatic, and immune conditions
• Develop differential diagnoses for patients with hematologic, lymphatic, and immune conditions
• Develop treatment plans for patients with hematologic, lymphatic, and immune conditions
• Assess knowledge of patient evaluation, diagnosis, and treatment in acute care settings

Learning Resources

Required Readings

Papadakis, M. A., McPhee, S. J., & Rabow, M. W. (2018). Current medical diagnosis & treatment (57th ed.). New York, NY: McGraw Hill.

• Chapter 5, “Palliative Care & Pain Management” (Review) (pp. 72-99)
• Chapter 12, “Blood Vessels & Lymphatic Disorders” (Review) (pp. 479-506)
• Chapter 13, “Blood Disorders” (pp. 507-552)
• Chapter 14, “Disorders of Hemostasis, Thrombosis, & Antithrombotic Therapy” (pp. 553-585)
• Chapter 17, “Breast Disorders” (pp. 746-770)
• Chapter 20, “Rheumatologic & Immunologic Disorders” (Review) (pp. 834-892)
• Chapter 31, “HIV Infection & AIDS” (pp. 1340-1377)
• Chapter 39, “Cancer” (pp. 1620-1689)

Central Vermont Medical Center. (n.d.). Breast biopsy procedure. Retrieved October 27, 2014, from http://www.cvmc.org/our-services/cancer-care/surgical-services/breast-biopsies

Johns Hopkins University. (n.d.-a). Bone marrow biopsy. Retrieved October 17, 2014, from http://www.hopkinsmedicine.org/healthlibrary/test_procedures/orthopaedic/bone_marrow_biopsy_92,P07679/

Johns Hopkins University. (n.d.-b). Plasmapheresis. Retrieved October 17, 2014, from http://www.hopkinsmedicine.org/transplant/programs/kidney/incompatible/plasmapheresis.html

University of Virginia. (2013o). PET/CT basics. Retrieved from http://www.med-ed.virginia.edu/courses/rad/PETCT/index.html

Siân Williams, A. (2014). Pharmacology of steroids in the musculoskeletal system. Nurse Prescribing, 12(5), 237-242.

Note: Retrieved from the Walden Library databases.

Trinka, E., Höfler, J., Zerbs, A., & Brigo, F. (2014). Efficacy and safety of intravenous valproate for status epilepticus: a systematic review. CNS Drugs, 28(7), 623-639. doi:10.1007/s40263-014-0167-1

Required Media

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

Optional Resources

Barkley, T & Myers, C. (2015). Practice Considerations for Adult-Gerontology Acute Care Nurse Practitioners, Volumes 1 and 2 West Hollywood,, Ca: Barkley and Associates, Inc.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F.A. Davis.

Assignment 1: Assessing, Diagnosing, and Treating Conditions of the Skin and Musculoskeletal System

Patients with hematologic, lymphatic, and immune conditions often present to acute care settings with multiple physical symptoms. The health implications of these conditions also cause many patients to experience emotional distress, which may lead to psychosocial health conditions. Thus, your role in the holistic care of patients is essential. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat patients who present with hematologic, lymphatic, and immune conditions.

To prepare:

• Review this week’s i-Human case studies. Based on the patient information provided, think about the health history you would need to collect from the patient.
• Consider what physical exams and diagnostic tests would be appropriate to help you gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
• Identify three to five possible conditions to consider in a differential diagnosis for the patient.
• Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
• Reflect on a treatment plan for the patient that includes health promotion and patient education strategies.

To complete:

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 1 Learning Resources.

Assignment 2: Final Practicum Evaluation

By Day 7

Submit your Final Practicum Evaluation to Meditrek.

Exam: Final Exam

This exam will cover topics related to assessing, diagnosing, and treating the following:

• Psychosocial health conditions
• Conditions of the eye, ear, nose, and throat
• Conditions of the cardiovascular system
• Conditions of the respiratory system
• Conditions of the gastrointestinal system
• Conditions of the genitourinary, gynecologic, and renal systems and acid/base disorders
• Conditions of the endocrine system and infections
• Conditions of the skin and musculoskeletal system
• Conditions of the neurologic system, pain, and toxic exposures
• Conditions of the hematologic, lymphatic, and immune systems