Week 7: Evaluation and Management of Renal and Genitourinary Conditions

The renal and genitourinary system is critical to the function of the entire body. As an advanced practice nurse, obtaining a relevant, focused history is critical. Conditions involving the genitourinary system, such as prostate cancer, often create a feeling of powerlessness, frustration, anxiety, and embarrassment in patients. Having provider-patient conversations about symptoms, potential treatment options, and patient education can be overwhelming for patients under such stress. It is your role to sensitively facilitate the treatment and management process through these difficult conversations and ultimately promote their well-being and empowerment. An accurate assessment will help you recognize and address any impact on the renal and genitourinary system in order to manage and prevent damages to the kidneys or other components of the system. Your role in the clinical setting is unique, as it is not only your responsibility to evaluate, diagnose, manage, and educate patients on their conditions, but also to provide emotional and psychological support to patients and their families.

For this week, you will analyze an i-Human simulation case study about an adult patient with a gastrointestinal condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and then create an appropriate treatment plan for the patient.

Learning Objectives
Students will:

Formulate differential diagnoses for adult patients with renal and genitourinary conditions
Analyze pattern recognition in adult patient diagnoses
Analyze the role of patient information in differential diagnosis
Evaluate pharmacologic and non-pharmacologic treatment options for adult patients
Create an appropriate treatment plan that includes health education and follow-up care
Learning Resources
Required Readings (click to expand/reduce)
Required Media (click to expand/reduce)
Assignment: i-Human Case Study: Evaluating and Managing Genitourinary or Gastrointestinal Conditions
Urinary frequency is an example of a genitourinary condition that presents problems for adults across the lifespan. It can be the result of various systemic conditions such as diabetes, urinary tract infections, enlarged prostates, kidney infections, or prostate cancer. Many of these conditions have very serious implications requiring thorough patient evaluations. When evaluating patients, it is essential to carefully assess the patient’s personal, medical, and family history prior to recommending certain physical exams and diagnostic testing, as sometimes the benefits of these exams do not outweigh the risks.

Photo Credit: Crystal light / Adobe Stock

For this Case Study Assignment, you will analyze an i-Human simulation case study about an adult patient with a gastrointestinal condition. Based on the patient’s information, you will formulate a differential diagnosis, evaluate treatment options, and then create an appropriate treatment plan for the patient.

To prepare:

Review this week’s Learning Resources. Consider how to assess, diagnose, and treat patients with GI or GU conditions.
Access i-Human from this week’s Learning Resources and review this week’s i-Human case study. Based on the provided patient information, think about the health history you would need to collect from the patient.
Consider what physical exams and diagnostic tests would be appropriate to 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 that may be considered in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Develop a treatment plan for the patient that includes health promotion and patient education strategies for patients with GI or GU conditions.
Assignment

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 Graduate Programs Help link within the i-Human platform.

By Day 7
Complete your Assignment in i-Human.

Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK7Assgn+last name+first initial.(extension)” as the name.
Click the Week 7 Assignment Rubric to review the Grading Criteria for the Assignment.
Click the Week 7 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK7Assgn+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:

Week 7 Assignment Rubric

Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:

Submit your Week 7 Assignment draft and review the originality report.

Submit Your Assignment by Day 7
To participate in this Assignment:

Week 7 Assignment

What’s Coming Up in Week 8?
Week 8 Knowledge Check

Photo Credit: [BrianAJackson]/[iStock / Getty Images Plus]/Getty Images

In Week 8, you will complete the next Knowledge Check, which covers the Module 3 topics from Weeks 6, 7, and 8. Refer to the Week 8 Knowledge Check Assignment for further details related to the topics covered. Plan your time accordingly.

To go to the next week:

NRNP_6531_Week7_Assignment_Rubric

Grid View
List View
Novice Competent Proficient
HPI statement
0 (0%) – 5 (5%)
Poorly written HPI statement. Incomplete ideas and sentences. Lacks basic history taking skills
6 (6%) – 10 (10%)
Well written HPI statement but may be missing 1-2 key components from the history
11 (11%) – 15 (15%)
Clearly written HPI statement with comprehensive information gathering from case questions.
History
0 (0%) – 6 (6%)
Incomplete history missing 3 or more aspects of the OLDCARDS critical to patient’s diagnosis.
7 (7%) – 8 (8%)
Fairly complete history covering most of the requirements but may be missing 1-2 aspects of OLDCARDS critical to patient’s diagnosis.
9 (9%) – 10 (10%)
Complete history covering all critical components of a focus exam. Includes all aspects of OLDCARDS
Physical Exam
0 (0%) – 6 (6%)
Incomplete physical examination. May be missing 3 or more key exam findings that are critical to patient’s diagnosis.
7 (7%) – 8 (8%)
Fairly complete physical examination but may be missing 1-2 key exam findings critical to patient’s diagnosis.
9 (9%) – 10 (10%)
Complete physical examination covering all critical components of a focus exam.
Testing
0 (0%) – 6 (6%)
Includes 3 or more inappropriate exams or tests. May include contraindicated testing.
7 (7%) – 8 (8%)
Tests ordered are generally apprropriate. May include 1-2 unnecessary exams or tests.
9 (9%) – 10 (10%)
Tests that are ordered are appropriate for patient and cost effective.
Differential Diagnosis Summary
0 (0%) – 9 (9%)
Primary diagnosis may be wrong.Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components.
10 (10%) – 14 (14%)
Correct primary diagnosis identified. Well written differential diagnoses. May be missing 1-2 critical components. Priority list may be out of order
15 (15%) – 20 (20%)
Primary diagnosis identified. Clearly written differential diagnoses.
Plan for patient
0 (0%) – 15 (15%)
Poorly written plan. May be missing 3 or more key issues that are critical to patient’s diagnosis.
16 (16%) – 25 (25%)
Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis.
26 (26%) – 30 (30%)
Clearly written plan covering all critical components for patient’s final diagnosis.
Exercises
0 (0%) – 2 (2%)
Correctly answered 0-69% of the clinical questions.
3 (3%) – 4 (4%)
Correctly answered 70-89% of the clinical questions.
0 (0%) – 5 (5%)
Correctly answered 90-100% of the clinical questions.
Total Points: 100
Name: NRNP_6531_Week7_Assignment_Rubric

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