The purpose of this exercise is to further develop skills in writing a scholarly paper, to expand skills in conducting scholarly research, and to expand knowledge about chronic disease management.
For this assignment, the student will analyze the chronic disease process and create a comprehensive management plan including disease prevention and health promotion as well as discuss patient engagement in chronic disease management
All elements in the grading rubric must be addressed in the paper and discussion should be based on current best practices supported by citations from current literature such as systematic reviews, meta-analyses, research-based clinical practice guidelines and randomized controlled trials.
The use of evidence-based practice should be evident throughout the paper by using at least 2 references for each discussion topic. The reference list should only include those references cited in the paper. A minimum of 3 current peer-reviewed references (research articles or systematic reviews) less than 5 years old must be used to demonstrate the content reflects the most current research. Textbooks and websites (Up-to-Date, MedScape, et al) can be used but should not constitute more than 25% of resources in the reference list.
Part 1: Analysis of the chronic disease (65 points) is a detailed study of the chronic disease.
- Define the disease and include discussion on epidemiology, risk factors, incidence, prevalence, and the cost of care.
- Pathophysiology discussion should compare normal anatomy and physiology to the pathophysiologic changes of the chronic disease.
- Discuss the natural history of the chronic disease including mortality, morbidity, complications, and life expectancy as well as the physical and psychological demands the chronic disease places on patients and their family/caregivers.
- Subjective Data: Clinical Presentation should include discussion on how the patient with the chronic disease typically presents to the healthcare provider. Include history of present illness, pertinent past medical / surgical history, family medical history, and social history. A review of each body system should address positive subjective findings (symptoms) the patient may share with the practitioner during the interview.
- Objective Data: Clinical Presentationshould include discussion on the comprehensive physical examination findings. Identify the pertinent positive findings that support the diagnosis as well as the pertinent negative findings (signs) that support the diagnosis.
- Assessment and Diagnosisshould focus on identifying a minimum of five differential diagnoses with similar clinical presentation and provide discussion on how each differential diagnoses will be ruled out. Discuss diagnostic tests important to the diagnosis of the chronic disease including rationale for why they would be ordered and what findings support the diagnosis of the chronic disease.
- Plan for Management of the Chronic Diseaseshould include discussion on the goals of treatment for the chronic disease as well as all pharmacological and non-pharmacological treatments. Discuss the rationale for each treatment. Identify and explain key concepts that the practitioner needs to share with the patient in order to achieve disease management goals. Identify other disciplines who may need to be consulted and explain each members role in the care of the patient.
Part 2: Engaging Patients with Chronic Disease(20 points) is a scholarly discussion on how the nurse practitioner engages the patient in their treatment plan which includes empowering patients to make decisions about their care.
- Identify facilitators and barriers to chronic diseasemanagement and describe strategies to overcome the barriers
- Define patient activation and patient empowerment and describe the role both concepts play in self-managementof chronic disease
- Discuss five evidence-based strategies to promote patient activation and empowerment in chronic disease management
Part 3: APA Format and general writing skills accounts (15% of grade)
Correct use of spelling, grammar, and punctuation
Correct APA formatting including title page, running head, pagination, and headings (must be used)
Correct in-text citations of references
Correct format of reference page and reference list
Utilizes a minimum of 3 research-based references no older than 5 years
The paper should not exceed 15 pages excluding title page and reference pages. Grading of the assignment will follow the grading rubric below and all elements should be addressed in the paper. A score of zero will be recorded for each grading rubric element not addressed in the paper.
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