CASE STUDY
A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain with acute onset that began “yesterday.” The mother states that the child has been crying frequently due to the pain. Ibuprofen has provided minimal relief. This morning, the child refused breakfast and appeared to be “getting worse.”
Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. The mother reports no known allergies. The child has not been on antibiotics for the last year. The child does not have history of OM. The child is otherwise healthy without any other known health problems.
Physical examination reveals: Vital signsl HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. Bilateral TMs are bulging with severe erythematous. Pneumatic otoscopy reveals absent mobility. Ear canals are nomal.
After your questioning and examination, you diagnose this child with bilateral Acute Otitis Media.
>Assignment Rubric
grading rubric. Refer to the Assignment directions for specific content requirements.
column. Score –3.9
4 4 4 40 Rubric
Introductory Emergent Practiced Proficient/Mastered Score Weight Final Score 2 3 4 4 4 35% 1.40 4 4 10% 0.40
Case Study:
A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain with acute onset that began “yesterday.” The mother states that the child has been crying frequently due to the pain. Ibuprofen has provided minimal relief. This morning, the child refused breakfast and appeared to be “getting worse.” Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. The mother reports no known allergies. The child has not been on antibiotics for the last year. The child does not have history of OM. The child is otherwise healthy without any other known health problems. Physical examination reveals: Vital signsl HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. Weight is 40.5 lbs. Bilateral TMs are bulging with severe erythematous. Pneumatic otoscopy reveals absent mobility. Ear canals are nomal. After your questioning and examination, you diagnose this child with bilateral Acute Otitis Media.
According to the current guidelines on medications for a 5 year old with Acute Otits Media (AOM), address the following:
Questions If No, explain why If you decide to recommend/ prescribe medication provide a brief rationale. Give name of medication along with strength, frequency, dosage, and length of treatment. (provide citations) What Parent/Patient Education is essential? (you may use bullet format) What side effects might be expected? (you may use bullet format) Should the APRN prescribe an antibiotic? What would the APRN prescribe if this child was allergic to penicillin? What determines the choice of an antibiotic ? Will you recommend or prescribe any other medications? The child returns in 48 hours with increased pain and fever. What changes will the APRN make in treatment plan?
Unit
4
Instructors: Enter total available points in cell H2, and values between 0 and 4 in the yellow cells in the
Score
Total available points =
40
Content Rubric
Introductory
Emergent
Practiced
Proficient/Mastered
Weight
Final Score
0–1.9
2–2.9
3
Content Quality
Student successfully completes less than 55% of the required elements of synthesizing expert opinions on the utilization of medications in the young pediatric population.
Student successfully completes 55–75% of the required elements of synthesizing expert opinions on the utilization of medications in the young pediatric population
Student successfully completes 76–97% of tithe required elements of synthesizing expert opinions on the utilization of medications in the young pediatric population.
Student successfully completes 98–100% of the required elements of synthesizing expert opinions on the utilization of medications in the young pediatric population.
90%
3.60
Resources
Does not include any resources (0) or sources utilized are not relevant and credible sources of information (1).
Not all sources utilized are relevant and/or credible.
Supports many opinions and ideas with relevant and credible sources of information that are current.
Supports opinions and ideas with relevant and credible sources of information that are current and exceeds the expected number and types of resources.
10%
0.40
Content Score
Writing Deduction
0-1
Grammar & Punctuation
The overall meaning of the paper is difficult to understand. Sentence structure, subject verb agreement errors, missing prepositions, and missing punctuation make finding meaning difficult.
Several confusing sentences or one to two confusing paragraphs make understanding parts of the paper difficult, but the overall paper meaning is clear. Many subject verb agreement errors, run-on sentences, etc. cause confusion.
A few confusing sentences make it difficult to understand a small portion of the paper. However, the overall meaning of a paragraph and the paper are intact. There may be a few subject verb agreement errors or some missing punctuation.
There are one or two confusing sentences, but the overall sentence and paragraph meanings are clear. There are a few minor punctuation errors such as comma splices or run-on sentences.
35%
1.40
Spelling
The many misspelled words and incorrect word choices significantly interfere with the readability.
Many typos, misspelled words, or the use of incorrect words making understanding difficult in a few places.
Some misspelled words or the misuse of words such as confusing then/than. However, intent is still clear.
A few misspelled words normally caught by spellcheckers are present but do not significantly interfere with the overall readability of the paper.
Order of Ideas & Length Requirement
Paper has some good information or research, but it does not follow assignment directions and is lacking in overall organization and content.
The order of information is confusing in several places and this organization interferes with the meaning or intent of the paper. However, the paper has a generally discernible purpose and follows assignment directions overall.
The order of information is confusing in a few places and the lack of organization interferes with the meaning or intent of the paper in a minor way.
The overall order of the information is clear and contributes to the meaning of assignment. There is one paragraph or a sentence or two that are out of place or other minor organizational issues. A few sentences may be long and hard to understand. Meets length requirements.
20%
0.80
APA
There is some attempt at APA formatting and citing. There are one or more missing parts such as the cover page or references list. Citation information may be missing. Citation mistakes make authorship unclear.
There is an attempt to use APA formatting and citing. There are both in-text citations and reference listings. Citation information may be missing or incorrect (i.e., websites listed as in-text or reference citations). There is an attempt to cite all outside sources in at least one place. Authorship is generally clear.
There is an overall attempt at APA formatting and citation style. All sources appear to have some form of citation both in the text and on a reference list. There are some formatting and citation errors. Citations generally make authorship clear.
There is a strong attempt to cite all sources using APA style. Minor paper formatting errors such as a misplaced running head or margins may occur. Minor in-text citation errors such as a missing page number or a misplaced date may occur. Quotation marks and citations make authorship clear.
Writing Deduction
0.00
Final Score
40.00
Percentage
100.00%
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