Case Study Presentation

Case Study Presentation
Goal:
To conduct an assessment of health
promotion while applying the nursing process and evidence based research
to disseminate findings to course colleagues.
Case:
Jessica is a 32 y/old math teacher who
presents to the ER with a friend for evaluation of sudden decrease of
vision in the left eye. She denies any trauma or injury. It started this
morning when she woke up and has progressively worsened over the past
few hours. She had some blurring of her vision 1 month ago and thinks
that may have been related to getting overheated, since it improved when
she was able to get in a cool, air-conditioned environment. She has
some pain if she tries to move her eye, but none when she just rests.
She is also unable to determine colors. She denies tearing or redness or
exposure to any chemicals. Nothing has made it better or worse.
She denies fever, chills, night sweats,
weight loss, fatigue, headache, changes in hearing, sore throat, nasal
or sinus congestion, neck pain or stiffness, chest pain or palpitations,
shortness of breath or cough, abdominal pain, diarrhea, constipation,
dysuria, vaginal discharge, swelling in the legs, polyuria, polydipsia,
and polyphagia.
Patient is alert; she appears anxious. BP
135/85 mm Hg; HR 64bpm and regular, RR 16 per minute, T: 98.5F. Visual
acuity 20/200 in the left eye and 20/30 in the right eye. Sclera white,
conjunctivae clear. Unable to assess visual fields in the left side;
visual fields on the right eye are intact. Pupil response to light is
diminished in the left eye and brisk in the right eye. The optic disc is
swollen. Full range of motions; no swelling or deformity. Mental
status: Oriented x 3. Cranial nerves: I-XII intact; horizontal nystagmus
is present. Muscles with normal bulk and tone; Normal finger to nose,
negative Romberg. Intact to temperature, vibration, and two-point
discrimination in upper and lower extremities. Reflexes: 2+ and
symmetric in biceps, triceps, brachioradialis, patellar, and Achiles
tendons; no Babinski.

Submission Instructions:
Complete a comprehensive history and Physical Examination.
What physical findings are you looking for to help determine a presumptive nursing diagnosis?
Support your findings with peer reviewed articles.
Presentation is original work and logically organized in
current APA style. Incorporate a minimum of 4 current (published within
last five years) scholarly journal articles or primary legal sources
(statutes, court opinions) within your work.
Power point presentation with 8 -10 slides, excluding the tile slide and the reference slide.
The presentation is clear and concise and students will lose points for improper grammar, punctuation, APA and misspelling.
Speaker notes expanded upon and clarified content on the slides.
Your presentation will be shared with class colleagues during the ZOOM meeting.
Grading Rubric
Your assignment will be graded according to the grading rubric.

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