Which of the following four categories of academic misconduct breaches should be covered in a research paper?

Which of the following four categories of academic misconduct breaches should be covered in a research paper?Complete the following case study for this module by following the directions below! Posts should NOT be edited or this will raise concerns of Academic Misconduct.

Chest Pain Case Study

Reason for Visit (Chief Complaint): “I’ve been having chest pain”

For this case, everyone will have the opportunity to design a unique case based on the MANY causes of Chest Pain!

For the first part of the case study, you will develop a case to post for your peers. This should include all of the bold sections for the subjective data (CC – Supplied for you, but you need to fill out the HPI, Medical & Social History, and the ROS) and the objective data section (Vital Signs and Physical Exam).
While completing your post, you should be documenting as if you have a specific diagnosis in mind! Be creative! This is your opportunity to share unique experiences and presentations you may have seen in your nursing practice or in clinicals, or even something unique to this body system which you want your peers to pick up on! Try and ensure the symptoms align with a somewhat typical presentation of what we would expect to find if the patient was diagnosed with the condition.
Most importantly, do not give away your working diagnosis though! This is for your peers to work out and even potentially surprise you too, if they consider a differential diagnosis which might also be a good fit for the case you presented.
Your case study need to be posted by Thursday night before midnight. This is worth 50 points.

In part two, you will do some detective work in analyzing the case and clues provided!

You will need to choose 2 peers unique case studies for your “Grand Rounds/ Peer Case Reviews”. Additional detailed instructions are found below.
Each peer posting should be in APA format, requires in-text citations and APA references, and is worth 25 points.
These are due before Monday (end of the week) by midnight.

History of Presenting Illness:

Let’s find out more about what’s going on. In order to do this, we will use the acronym OLD CARTS (Onset, Location/radiation, Duration, Character, Aggravating factors, Relieving factors, Timing and Severity). You will fill in the blanks below with an answer to the information in parentheses. You decide the path for this patient using this “mad libs” format.

Please delete the information in parentheses once you fill in the blank.

HPI: ___(initials) is a ___ (age) year-old _____ (male/ female) who presents for evaluation of chest pain. ___(he/she/they) denies any prior history of similar symptoms like this. ____(initials) reports the symptoms started _____(onset). ____(he/she/they) points to the ______(anatomical location) of the chest when asked where it hurts. ____(he/she/they) reports the pain _______ (radiates to ____/ does not move). Symptom duration reported as _______(constant, waxes and wanes/ intermittent, brief, etc). ___(initials) describes the characteristics of pain as _____ (1 or more). ___(initials) reports it’s aggravated by _________(factors) and relieved by ________(factors). The pain is rated ____ (0-10) out of 10 by the patient. __(initials) came in today because _______ (create your own or pick one of these examples: spouse/ friend told them they needed to get it checked out, sent by doctor, got tired of dealing with it, the symptoms changed, etc)

After completing the HPI, consider anything you might want to include for your peers such as:

important past medical history and
social history (occupation, substance use, etc) such as the Health History you learned about in Week 2 and in Chapter 3 which could contribute to their symptoms you were assigned in the HPI.
Based on the case you are creating for your peers, choose to include this information or if you expect the patient denies any significant, please state that below!

Personal Past Medical History:

_______ (Year dx) or Denies any pertinent

Social History:

As pertinent

Review of Systems (ROS):

Based on the prompt above, we’re now going to practice asking more about the patient’s health history and symptoms of possible related body systems.

Resource: Guide to Using ROS (https://meded.ucsd.edu/clinicalmed/ros.htmlLinks to an external site.)
Resource: Box 3-18 in Bates textbook (p.101-102)
List a minimum of 3 specific symptoms for the associated body systems below which you would expect the patient would report or deny. You must be specific!

Do not document chronic medical illnesses or disease processes in the review of systems; those belong in the medical history only.

Be thorough in asking about many symptoms for you assigned body system based on the CC! Remember the patient may report some, and deny other symptoms in each system!


Cardiovascular (C/V):
Integumentary and PV:

So now that we know about the patient’s reason for coming, and have documented subjective data above, let’s get to our Objective Data!

Objective Data = Your physical exam of the patient!

When documenting the findings, we need to remember that exams should only include objective findings that we assess as the RN (Inspection, Palpation, Percussion, and Auscultation).
Within normal limits or WNL is not appropriate to use. Your normal limits and someone else’s definition of normal limits leaves room for interpretation and we want specifics! Additionally, do not use acronyms or abbreviations for this assignment.
This assessment will be problem-focused as we are triaging this patient. You must document expected findings of the physical examination below.

Objective Data:

Vital Signs (make these whatever you would like to fit the case)

BP: Pulse: Oxygen saturation on room air: Oral Temp: F Respiration Rate: Pain:
Ht: Wt: BMI:
Physical Exam Documentation: ***What you assess only – Remember Inspection, Palpation, Percussion, and Auscultation! Not what the patient tells you***

This assessment will be problem-focused as we are triaging this patient. You must document expected findings of the physical examination below.

General Survey (brief):
Respiratory (brief):
Cardiovascular (detailed):
Include at minimum Inspection of the Chest Wall and lower extremities (color, edema, cap refill), Palpation of the bilateral Carotid Pulses and at least 1 upper and 1 lower extremity/ peripheral pulses bilaterally. On Auscultation, you should document the rate, rhythm, regularity, and any audible murmurs/ clicks/ extra heart sounds
Skin (brief):
Neuro (brief):

Great! You completed the subjective and objective findings for the case study! Post the above information (copy and paste into the discussion and complete all information) by Thursday before 11:59pm EST as per the due date listed in the syllabus. The late policy does apply.


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