Description

NR 603 Week 4 iHuman Case Study – Constance Barn

C.B. is a 70-year-old Caucasian woman with a history of hypertension, and 26-year 1PPD smoking history, who presents today with complaints of trouble breathing for several years but has progressively gotten worse. Her shortness of breath is worse with exertion and improves with rest. She also complains of some swelling in her feet and ankles, and fatigue. Upon exam, patient has a pansystolic murmur, and bilateral 1+ pretibial edema, lungs are clear to auscultation. The echocardiogram showed mean gradient consistent with severe aortic stenosis, estimated area consistent with severe/critical aortic stenosis 0.65cm2.

NR 603 Week 4 iHuman Reflection – Cardiovascular Assessment

Reflection: Address the following questions:

1. Which diagnostic tests did you select for this client? Using the estimated national average cost for each diagnostic test from a website such as MD save (https://www.mdsave.com/) , calculate the total cost for diagnostic testing for this client if she was uninsured and did not meet age requirements for Medicare. How might this information change your decision to order diagnostic tests for the client? Would lack of insurance change your management plan? Why or why not?
   • The client in this encounter would likely benefit from community and health care support services. Which services might you recommend? What is available in your community? What is the process of referral in your area?
2. Include the following components:
   • write 150-300 words in a Microsoft Word document
   • demonstrate clinical judgment appropriate to the virtual patient scenario
   • cite at least one relevant scholarly source as defined by program expectations
   • communicate with minimal errors in English grammar, spelling, syntax, and punctuation