NURS 6550 - Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Conditions of the Eye, Ear, Nose, and Throat

Symptoms of eye, ear, nose, and throat (EENT) conditions are among the most common complaints for patients. When patients with EENT conditions reach the level of acuity necessary for inpatient care, proper diagnosis can be challenging, because many EENT symptoms can be associated with multiple conditions. As the advanced practice nurse, you must be able to differentiate symptoms and recognize typical and atypical presentations of EENT conditions.

This week, you will examine limitations and challenges of clinical practice. Then, as you study patient presentations of EENT conditions in acute care settings, you will explore strategies for assessing, diagnosing, and treating patients with these conditions. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Learning Objectives

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By the end of this week, students will:

Analyze limitations and challenges of clinical practice
Evaluate patients with eye, ear, nose, and throat conditions
Develop differential diagnoses for patients with eye, ear, nose, and throat conditions
Develop treatment plans for patients with eye, ear, nose, and throat conditions

Photo Credit: Ariel Skelley/Blend Images/Getty Images

Learning Resources

Required Readings

Colyar, M. R. (2015). Advanced practice nursing procedures. Philadelphia, PA: F.A. Davis Company.

Section 5, “Head: Eyes, Ears, Nose, and Mouth”

Chapter 68, “Audiometry Testing”

Chapter 70, “Tympanometry”

Chapter 71, “Visual Function: Evaluation (Snellen, Illiterate E) Procedures—Eyes”

Chapter 76, “Eyebrow Laceration Repair”

Chapter 77, “Eyelid Eversion Procedures: Ears/Nose”

Chapter 79, “Cerumen Impaction Removal: Irrigation of the Ear and Curette Technique”

Chapter 80, “Ear Piercing”

Chapter 88, “Tooth Avulsion and Fracture”

Papadakis, M. A., McPhee, S. J., & Rabow, M. W. (2018). Current medical diagnosis & treatment (57th ed.). New York, NY: McGraw Hill. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Chapter 7, “Disorders of the Eyes & Lids” (pp. 170-204)

Chapter 8, “Ear, Nose, & Throat Disorders” (pp. 205-245)

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F.A. Davis Company.

Chapter 5, “EENT Imaging” (pp. 105–123)

American Association for Clinical Chemistry. (2014b). Lab tests online: Test index. Retrieved from http://labtestsonline.org/map/aindex

Family Practice Notebook. (2014). Nasal packing. Retrieved from http://www.fpnotebook.com/ent/Procedure/NslPckng.htm

Johns Hopkins Medicine. (2007). Understanding your audiogram. Retrieved from http://www.hopkinsmedicine.org/hearing/hearing_testing/understanding_audiogram.html

University of Texas Medical Branch. (n.d.). Tympanometry. Retrieved Noveember 25, 2014, from http://www.utmb.edu/pedi_ed/aom-otitis/tympanometry/tympanometry.htm

Overgaard, C. B., & Dzavik, V. (2008). Inotropes and Vasopressors: Review of Physiology and Clinical Use in Cardiovascular Disease. Circulation , 118: 1047-1056. Copyright 2008 by Llippincott Williams & Wilkins – Journals. Reprinted by permission of Llippincott Williams & Wilkins – Journals via the Copyright Clearance Center.

Document: Midterm Exam Study Guide

Required Media

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

MDforAll. (2010, September 11). Frontal sinus transillumination [Video file]. Retrieved from http://www.youtube.com/watch?v=8Lo3bENDqzs

MDforAll. (2010, September 11). Maxillary sinus transillumination [Video file]. Retrieved from http://www.youtube.com/watch?v=Z-CYWdc73IQ. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Optional Resources

Godara, H., Hirbe, A., Nassif, M., Otepka, H., & Rosenstock, A. (2014). The Washington manual of medical therapeutics (34th ed.). Baltimore, MD: Lippincott Williams & Wilkins.

Sullivan, D. D. (2012). Guide to clinical documentation (2nd ed.). Philadelphia, PA: F.A. Davis.

Discussion Part I: Limitations and Challenges

The nursing field requires professionals to be committed to life-long learning and growth. Because a large part of this learning and growth is achieved through clinical experiences, it is invaluable for advanced practice nurses to be able to apply knowledge recently gained from clinical experiences to new situations. By collaborating with colleagues and sharing these experiences and knowledge, advanced practice nurses can further enhance their professional competency.

This week in order to demonstrate collaborative learning; discuss a situation in your acute hospital experience of a collaboration that occurred. Reflect on the experience and the impact it had on your care of this patient. How will this experience possibly impact you in your future practice with these type of patients? What are some limitations and challenges you encountered during this clinical experience?

To prepare:

Reflect on this week’s clinical experiences.
Consider one limitation or challenge you encountered.
Think about how you overcame this limitation or challenge and how this might impact your future practice in acute care settings.

By Day 3

Post a description of at least one limitation or challenge you encountered during your clinical experience this week. Explain how you overcame this limitation or challenge and how this might impact your future practice. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Read a selection of your colleagues’ responses.

By Day 6

Respond to two colleagues by sharing additional insights or alternative perspectives.

Discussion Part II: Pharmacology

To Prepare:

Read the following article to enhance your knowledge on commonly prescribed medications:

Overgaard, C. B., & Dzavik, V. (2008). Inotropes and Vasopressors: Review of Physiology and Clinical Use in Cardiovascular Disease. Circulation, 118: 1047-1056. Copyright 2008 by Llippincott Williams & Wilkins – Journals. Reprinted by permission of Llippincott Williams & Wilkins – Journals via the Copyright Clearance Center.

All of the following groups of medications are commonly prescribed in the acute care setting. Choose one of the topics below to discuss. If it is a medication group, select a specific drug within that group. (This is a good way to prepare for clinical practice, because you will get to know the drugs you will prescribe for patients.). Focus your discussion on the hospital or ICU setting and IV usage.

Antiemetic:

Zofran
Kytril
Phenergan;

Positive Inotropes:

Digoxin

Catecholamines:

Dobutamine
Dopamine
Epinephrine
Norepinephrine
Vasopressin

Nitroglycerine;

Amrinone
Midodrine
Milrinone

Note: When sharing your initial post, select a topic that has not yet been discussed. If all topics have been discussed, then you may select that topic again, but select a different drug within the medication group.

By Day 3

For this Discussion, address 1 of the following options:

Option 1

Post a description of a patient you have taken care of (inpatient as an RN, or as an NP student) who has been prescribed the medication you selected. Include the scenario, indication, dosing, complications, and outcome. Then explain whether or not you would have ordered the same drug and same dose.

Option 2

Conduct an evidence-based drug search on the drug you selected and post an explanation of any possible issues. Are there any drug interactions? Any black box warnings? To what type of patient would you prescribe this medication?

Option 3

Post an explanation of the properties of the drug you selected, including usages and dosing in the hospital or ICU. Describe a patient to whom you would prescribe this medication. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Note: To be considered as one of your required responses, your pharmacology rationale must include a supporting reference.

Submission and Grading Information

Grading Criteria

Week 3 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 3 Discussion

Assignment: Assessing, Diagnosing, and Treating EENT Conditions

Many EENT conditions have common symptoms and are often the result of underlying health disorders. Therefore, to ensure proper diagnosis, it is essential for advanced practice nurses to perform comprehensive assessments when patients present with EENT complaints. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat patients presenting with EENT conditions.

To prepare:

Review this week’s Learning Resources. Consider how to assess, diagnose, and treat conditions of the eye, ear, nose, and throat.
Review this week’s i-Human case studies. Based on the patient information provided, think about the health history you would need to collect from the patient
Consider what physical exams and diagnostic tests would be appropriate to help you gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
Identify three to five possible conditions to consider in a differential diagnosis for the patient.
Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
Reflect on a treatment plan for the patient that includes health promotion and patient education strategies.

To complete:

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 Patients Case Player Student Manual in the Week 1 Learning Resources.

NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

iHuman_Evaluation_Criteria_Rubric

	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.
Objective testing and physical exam	0 (0%) – 5 (5%) Poorly written physical examination. May be missing 3 or more key exam findings that are critical to patient’s diagnosis. Includes 3 or more inappropriate exams or tests.	6 (6%) – 10 (10%) Well written physical examination but may be missing 1-2 key exam findings critical to patient’s diagnosis. May include 1-2 unnecessary exams or tests.	11 (11%) – 15 (15%) Clearly written physical examination covering all critical components of a focus exam. Tests that are ordered are appropriate for patient and cost effective.
Assessment	0 (0%) – 10 (10%) Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components. Priority list may be out of order. Primary diagnosis may be wrong.	11 (11%) – 19 (19%) Well written differential diagnoses. May be missing 1-2 critical components. Correct primary diagnosis identified.	20 (20%) – 25 (25%) Clearly written differential diagnoses. Primary diagnosis identified.
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.
Clinical Questions	0 (0%) – 10 (10%) Correctly answered 0-69% of the clinical questions.	11 (11%) – 13 (13%) Correctly answered 70-89% of the clinical questions.	14 (14%) – 15 (15%) Correctly answered 90-100% of the clinical questions.

NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers

Discussion_Rubric

	Outstanding Performance	Excellent Performance	Competent Performance	Proficient Performance	Room for Improvement
Main Posting: Response to the discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources.	44 (44%) – 44 (44%) Thoroughly responds to the discussion question(s) is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current credible sources. supported by at least 3 current, credible sources	40 (40%) – 43 (43%) Responds to the discussion question(s) is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 75% of post has exceptional depth and breadth supported by at least 3 credible references	35 (35%) – 39 (39%) Responds to most of the discussion question(s) is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of post has exceptional depth and breadth supported by at least 3 credible references	31 (31%) – 34 (34%) Responds to some of the discussion question(s) one to two criteria are not addressed or are superficially addressed is somewhat lacking reflection and critical analysis and synthesis somewhat represents knowledge gained from the course readings for the module. post is cited with fewer than 2 credible references	0 (0%) – 30 (30%) Does not respond to the discussion question(s) lacks depth or superficially addresses criteria lacks reflection and critical analysis and synthesis does not represent knowledge gained from the course readings for the module. contains only 1 or no credible references
Main Posting: Writing	6 (6%) – 6 (6%) Written clearly and concisely Contains no grammatical or spelling errors Fully adheres to current APA manual writing rules and style	5.5 (5.5%) – 5.5 (5.5%) Written clearly and concisely May contain one or no grammatical or spelling error Adheres to current APA manual writing rules and style	5 (5%) – 5 (5%) Written concisely May contain one to two grammatical or spelling error Adheres to current APA manual writing rules and style	4.5 (4.5%) – 4.5 (4.5%) Written somewhat concisely May contain more than two spelling or grammatical errors Contains some APA formatting errors	0 (0%) – 4 (4%) Not written clearly or concisely Contains more than two spelling or grammatical errors Does not adhere to current APA manual writing rules and style
Main Posting: Timely and full participation	10 (10%) – 10 (10%) Meets requirements for timely and full participation posts main discussion by due date	0 (0%) – 0 (0%) NA. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers	0 (0%) – 0 (0%) NA	0 (0%) – 0 (0%) NA	0 (0%) – 0 (0%) Does not meet requirement for full participation
First Response: Post to colleague’s main post that is reflective and justified with credible sources.	9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings responds to questions posed by faculty the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives	8.5 (8.5%) – 8.5 (8.5%) Response exhibits critical thinking and application to practice settings	7.5 (7.5%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting	6.5 (6.5%) – 7 (7%) Response is on topic, may have some depth	0 (0%) – 6 (6%) Response may not be on topic, lacks depth. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
First Response: Writing	6 (6%) – 6 (6%) Communication is professional and respectful to colleagues Response to faculty questions are fully answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English	5.5 (5.5%) – 5.5 (5.5%) Communication is professional and respectful to colleagues Response to faculty questions are answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English	5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues Response to faculty questions are mostly answered if posed Provides opinions and ideas that are supported by few credible sources Response is written in Standard Edited English	4.5 (4.5%) – 4.5 (4.5%) Responses posted in the discussion may lack effective professional communication Response to faculty questions are somewhat answered if posed Few or no credible sources are cited	0 (0%) – 4 (4%) Responses posted in the discussion lack effective Response to faculty questions are missing No credible sources are cited
First Response: Timely and full participation	5 (5%) – 5 (5%) Meets requirements for timely and full participation posts by due date	0 (0%) – 0 (0%) NA	0 (0%) – 0 (0%) NA	0 (0%) – 0 (0%) NA	0 (0%) – 0 (0%) Does not meet requirement for full participation
Second Response: Post to colleague’s main post that is reflective and justified with credible sources.	9 (9%) – 9 (9%) Response exhibits critical thinking and application to practice settings * responds to questions posed by faculty the use of scholarly sources to support ideas demonstrates synthesis and understanding of learning objectives	8.5 (8.5%) – 8.5 (8.5%) Response exhibits critical thinking and application to practice settings	7.5 (7.5%) – 8 (8%) Response has some depth and may exhibit critical thinking or application to practice setting	6.5 (6.5%) – 7 (7%) Response is on topic, may have some depth	0 (0%) – 6 (6%) Response may not be on topic, lacks depth. NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers
Second Response: Writing	6 (6%) – 6 (6%) Communication is professional and respectful to colleagues Response to faculty questions are fully answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English	5.5 (5.5%) – 5.5 (5.5%) Communication is professional and respectful to colleagues Response to faculty questions are answered if posed Provides clear, concise opinions and ideas that are supported by two or more credible sources Response is effectively written in Standard Edited English	5 (5%) – 5 (5%) Communication is mostly professional and respectful to colleagues Response to faculty questions are mostly answered if posed Provides opinions and ideas that are supported by few credible sources Response is written in Standard Edited English	4.5 (4.5%) – 4.5 (4.5%) Responses posted in the discussion may lack effective professional communication Response to faculty questions are somewhat answered if posed Few or no credible sources are cited	0 (0%) – 4 (4%) Responses posted in the discussion lack effective Response to faculty questions are missing No credible sources are cited
Second Response: Timely and full participation	5 (5%) – 5 (5%) Meets requirements for timely and full participation Posts by due date	0 (0%) – 0 (0%) NA	0 (0%) – 0 (0%) NA	0 (0%) – 0 (0%) NA	0 (0%) – 0 (0%) Does not meet requirement for full participation

NURS 6550 – Conditions of the Eye, Ear, Nose, and Throat (EENT) Essay Assignment Papers