History of the Present Illness

Content Requirements
You will create a PowerPoint presentation with a realistic case study and include appropriate and pertinent clinical information that will be covering the following:

  1. Subjective data: Chief Complaint; History of the Present Illness (HPI)/ Demographics; History of the Present Illness (HPI) that includes the presenting problem and the 8 dimensions of the problem; Review of Systems (ROS)
  2. Objective data: Medications; Allergies; Past medical history; Family history; Past surgical history; Social history; Labs; Vital signs; Physical exam.
  3. Assessment: Primary Diagnosis; Differential diagnosis
  4. Plan: Diagnostic testing; Pharmacologic treatment plan; Non-pharmacologic treatment plan; Anticipatory guidance (primary prevention strategies); Follow up plan.
  5. Other: Incorporation of current clinical guidelines; Integration of research articles; Role of the Nurse practitioner

SUBMISSION INSTRUCTIONS:

  • The presentation is original work and logically organized, formatted, and cited in the current APA style, including citation of references.
  • The presentation should consist of 10-15 slides and less than 5 minutes in length.
  • Incorporate a minimum of 4 current (published within the last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work. Journal articles and books should be referenced according to APA style (the library has a copy of the APA Manual).

Requirements: 10-15 slides

Answer preview

uTemperature, 95.8 F; heart rate 88.3; rate of respiratory, 21; blood pressure 133/87; body mass index, 27

uHe appears well and talks freely but seems anxious, with problems in breathing leading to mid-sentence stops.

uHas respiratory challenges.

uHis cardiovascular rate is regular and rhythm with no murmurs and gallops.

uHas X4 bowel gastrointestinal sounds but no bruits or pulsatile mass

[Slide 5 of 10]

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