Presentation: Realistic Clinical
Case Study
For this assignment, you will develop a presentation on a realistic clinical case on a
topic that is of interest to you. And then, use Canvas Studio’s Screen Capture feature
to record (voice-over) your presentation.
How do I record a Canvas Studio video with a webcam in a course?
Links to an external site.
Content Requirements
You will create a PowerPoint presentation with a realistic case study and include
appropriate and pertinent clinical information that will be covering the following:
1. Subjective data: Chief Complaint; History of the Present
Illness (HPI)/ Demographics; History of the Present Illness
(HPI) that includes the presenting problem and the 8
dimensions of the problem; Review of Systems (ROS)
2. Objective data: Medications; Allergies; Past medical
history; Family history; Past surgical history; Social history;
Labs; Vital signs; Physical exam.
3. Assessment: Primary Diagnosis; Differential diagnosis
4. Plan: Diagnostic testing; Pharmacologic treatment plan;
Non-pharmacologic treatment plan; Anticipatory guidance
(primary prevention strategies); Follow up plan.
5. Other: Incorporation of current clinical guidelines;
Integration of research articles; Role of the Nurse
practitioner
Submission Instructions:
• The presentation is original work and logically organized, formatted, and cited in
the current APA style, including citation of references.
• The presentation should consist of 10-15 slides and less than 5 minutes in
length.
• Incorporate a minimum of 4 current (published within the last five years)
scholarly journal articles or primary legal sources (statutes, court opinions) within
your work. Journal articles and books should be referenced according to APA
style (the library has a copy of the APA Manual).
• Complete and submit the assignment by 11:59 PM ET Sunday
Grading Rubric
Your assignment will be graded according to the grading rubric.
View Rubric
Case Study Rubric
Case Study Rubric
Crite
ria Ratings
P
oi
nt
s
Chief
Compl
aint
(Reaso
n for
seekin
g
health
care) –
S
Distinguished
Includes a direct quote from patient about presenting problem
4 pts
Excellent
Includes a direct quote from patient and other unrelated information
3 pts
Fair
Includes information but information is NOT a direct quote
2 pts
Poor
Information is completely missing
0 pts
/4
pt
s
Demog
raphics
– S
Distinguished
Begins with patient initials, age, race, ethnicity and gender (5 demographics)
2 pts
Excellent
Begins with 4 of the 5 patient demographics (patient initials, age, race, ethnicity
and gender)
1.5 pts
Fair
Begins with 3 or less patient demographics (patient initials, age, race, ethnicity
and gender)
1 pts
Poor
Information is completely missing
0 pts
/2
pt
s
History
of the
Present
Illness
(HPI) –
S
Distinguished
Includes the presenting problem and the 8 dimensions of the problem (OLD
CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving
factors, Timing and Severity)
4 pts
Excellent
Includes the presenting problem and 7 of the 8 dimensions of the problem (OLD
CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving
factors, Timing and Severity)
3 pts
Fair
Includes the presenting problem and 6 of the 8 dimensions of the problem (OLD
CARTS – Onset, Location, Duration, Character, Aggravating factors, Relieving
factors, Timing and Severity)
2 pts
Poor
Information is completely missing
0 pts
/4
pt
s
Allergie
s – S
Distinguished
Includes NKA (including = Drug, Environemental, Food, Herbal, and/or Latex or if
allergies are present (reports for each severity of allergy AND description of
allergy)
2 pts
Excellent
If allergies are present, students lists type Drug, environemtal factor, herbal, food,
latex name and includes severity of allergy OR description of allergy
1.5 pts
Fair
If allergies are present, students lists only the type of allergy name
1 pts
Poor
Information is completely missing
0 pts
/2
pt
s
Review
of
System
s (ROS)
– S
Distinguished
Includes a minimum of 3 assessments for each body system and assesses at
least 9 body systems directed to chief complaint AND uses the words “admits”
and “denies”
9 pts
Excellent
Includes 3 or fewer assessments for each body system and assesses 5-8 body
systems directed to chief complaint AND uses the words “admits” and “denies”
7 pts
Fair
Includes 3 or fewer assessments for each body system and assesses less than 5
body systems directed to chief complaint OR student does not use the words
“admits” and “denies”
5 pts
Poor
Information is completely missing
0 pts
/9
pt
s
Vital
Signs –
O
Distinguished
Includes all 8 vital signs, (BP (with patient position), HR, RR, temperature (with
Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or
percentiles for pediatric population) and pain.)
2 pts
Excellent
Includes 7 vital signs, (BP (with patient position), HR, RR, temperature (with
Fahrenheit or Celsius and route of temperature collection), weight, height, BMI (or
percentiles for pediatric population) and pain.)
1.5 pts
Fair
Includes 6 or less vital signs, (BP (with patient position), HR, RR, temperature
(with Fahrenheit or Celsius and route of temperature collection), weight, height,
BMI (or percentiles for pediatric population) and pain.)
1 pts
Poor
Information is completely missing
0 pts
/2
pt
s
Labs –
O
Distinguished
Includes a list of the labs reviewed at the visit, values of lab results and highlights
abnormal values OR acknowledges no labs/diagnostic tests were reviewed.
3 pts
Excellent
Includes a list of the labs reviewed at the visit, values of lab results but does not
highlight abnormal values.
2 pts
Fair
Includes a list of the labs reviewed at the visit but does not include the values of
lab results or highlight abnormal values.
1 pts
Poor
Information is completely missing
0 pts
/3
pt
s
Medica
tions –
O
Distinguished
Includes a list of all of the patient reported medications and the medical
diagnosis for the medication (including name, dose, route, frequency)
4 pts
Excellent
Includes a list of all of the patient reported medications and the medical
diagnosis for the medication (including 3 of the 4: name, dose, medications route,
frequency)
2 pts
Fair
Includes a list of all of the patient reported medications (including 2 of the 4:
name, dose, route, frequency)
1 pts
Poor
Information is completely missing
0 pts
/4
pt
s
Screeni
ngs – O
Distinguished
Includes an assessment of at least 5 screening tests
3 pts
Excellent
Includes an assessment of at least 4 screening tests
2 pts
Fair
Includes each medical diagnosis but does not include year of diagnosis or
whether the diagnosis is active or current OR does not include a medical
diagnosis for each medication listed under medications.
1 pts
Poor
Information is completely missing
0 pts
/3
pt
s
Past
Medica
l
History
– O
Distinguished
Includes, for each medical diagnosis, year of diagnosis and whether the
diagnosis is active or current AND there is a medical diagnosis for each
medication listed under medications
3 pts
Excellent
Includes, for each medical diagnosis, either year of diagnosis OR whether the
diagnosis is active or current AND there is a medical diagnosis for each
medication listed under medications
2 pts
Fair
Includes, for each medical diagnosis, either year of diagnosis OR whether the
diagnosis is active or current AND there is a medical diagnosis for each
medication listed under medications
1 pts
Poor
Information is completely missing
0 pts
/3
pt
s
Past
Surgica
l
History
– O
Distinguished
Includes, for each surgical procedure, the year of procedure and the indication for
the procedure
3 pts
Excellent
Includes, for each surgical procedure, the year of procedure OR indication of the
procedure
2 pts
Fair
Includes, for each surgical procedure but not the year of procedure or indication
of the procedure
1 pts
Poor
Information is completely missing
0 pts
/3
pt
s
Family
History
– O
Distinguished
Includes an assessment of at least 4 family members regarding, at a minimum,
genetic disorders, diabetes, heart disease and cancer.
3 pts
Excellent
Includes an assessment of at least 3 family members regarding, at a minimum,
genetic disorders, diabetes, heart disease and cancer.
2 pts
Fair
Includes an assessment of at least 2 family members regarding, at a minimum,
genetic disorders, diabetes, heart disease and cancer.
1 pts
Poor
Information is completely missing
0 pts
/3
pt
s
Social
History
– O
Distinguished
Includes all 11 of the following: tobacco use, drug use, alcohol use, marital
status, employment status, current and previous occupation, sexual orientation,
sexually active, contraceptive use, and living situation.
3 pts
Excellent
Includes 10 of the 11 following: tobacco use, drug use, alcohol use, marital
status, employment status, current and previous occupation, sexual orientation,
sexually active, contraceptive use, and living situation.
2 pts
Fair
Includes 9 or less of the following: tobacco use, drug use, alcohol use, marital
status, employment status, current and previous occupation, sexual orientation,
sexually active, contraceptive use, and living situation.
1 pts
Poor
Information is completely missing
0 pts
/3
pt
s
Physic
al
Examin
ation –
O
Distinguished
Includes a minimum of 4 assessments for each body system and assesses at
least 5 body systems directed to chief complaint
9 pts
Excellent
Includes a minimum of 3 assessments for each body system and assesses at
least 4 body systems directed to chief complaint
7 pts
Fair
Includes a minimum of 2 assessments for each body system and assesses at
least 4 body systems directed to chief complaint
5 pts
Poor
Information is completely missing
0 pts
/9
pt
s
Diagno
sis – A
Distinguished
Includes a clear outline of the accurate principal diagnosis AND lists the
remaining diagnoses addressed at the visit (in descending priority)
5 pts
Excellent
Includes a clear outline of the accurate diagnoses addressed at the visit but does
not list the diagnoses in descending order of priority
3 pts
Fair
Includes an inaccurate diagnosis as the principal diagnosis
2 pts
Poor
Information is completely missing
0 pts
/5
pt
s
Differe
ntial
Diagno
sis – A
Distinguished
Includes at least 3 differential diagnoses for the principal diagnosis
5 pts
Excellent
Includes 2 differential diagnoses for the principal diagnosis
3 pts
Fair
Includes 1 differential diagnosis for the principal diagnosis
2 pts
Poor
Information is completely missing
0 pts
/5
pt
s
Pharm
acologi
c
treatm
ent
plan – P
Distinguished
Includes a detailed pharmacologic treatment plan for each of the diagnoses listed
under “assessment”. The plan includes ALL of the following: drug name, dose,
route, frequency, duration and cost as well as education related to pharmacologic
agent. If the diagnosis is a chronic problem, student includes instructions on
currently prescribed medications as above.
4 pts
Excellent
Includes a detailed pharmacologic treatment plan for each of the diagnoses listed
under “assessment”. The plan includes 4 of the following 7: the drug name, dose,
route, frequency, duration and cost as well as education related to pharmacologic
agent. If the diagnosis is a chronic problem, student includes instructions on
currently prescribed medications as above.
3 pts
Fair
Includes a detailed pharmacologic treatment plan for each of the diagnoses listed
under “assessment”. The plan includes less than 4 of the following: the drug
name, dose, route, frequency, duration and cost as well as education related to
pharmacologic agent. If the diagnosis is a chronic problem, student includes
instructions on currently prescribed medications as above.
2 pts
Poor
Information is completely missing
0 pts
/4
pt
s
Diagno
stic/
Lab
Testing
– P
Distinguished
Includes appropriate diagnostic/lab testing 100% of the time OR acknowledges
“no diagnostic testing clinically required at this time”
5 pts
Excellent
Includes appropriate diagnostic/lab testing 50% of the time OR acknowledges
“no diagnostic testing clinically required at this time”
3 pts
Fair
Includes appropriate diagnostic testing less than 50% of the time.
2 pts
Poor
Information is completely missing
0 pts
/5
pt
s
Educati
on – P
Distinguished
Includes at least 3 strategies to promote and develop skills for managing their
illness and at least 3 self-management methods on how to incorporate healthy
behaviors into their lives.
5 pts
Excellent
Includes at least 2 strategies to promote and develop skills for managing their
illness and at least 2 self-management methods on how to incorporate healthy
behaviors into their lives.
3 pts
Fair
Includes at least 1 strategies to promote and develop skills for managing their
illness and at least 1 self-management methods on how to incorporate healthy
behaviors into their lives.
2 pts
Poor
Information is completely missing
0 pts
/5
pt
s
Anticip
atory
Guidan
ce – P
Distinguished
Includes at least 3 primary prevention strategies (related to age/condition (i.e.
immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at
least 2 secondary prevention strategies (related to age/condition (i.e. screening))
4 pts
Excellent
Includes at least 2 primary prevention strategies (related to age/condition (i.e.
immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at
least 2 secondary prevention strategies (related to age/condition (i.e. screening))
2 pts
Fair
Includes at least 1 primary prevention strategies (related to age/condition (i.e.
immunizations, pediatric and pre-natal milestone anticipatory guidance)) and at
least 1 secondary prevention strategies (related to age/condition (i.e. screening))
1 pts
Poor
Information is completely missing
0 pts
/4
pt
s
Follow
up plan
– P
Distinguished
Includes recommendation for follow up, including time frame (i.e. x # of days/
weeks/months)
4 pts
Excellent
Includes recommendation for follow up, but does not include time frame (i.e. x #
of days/weeks/months)
2 pts
Poor
Does not include follow up plan
0 pts
/4
pt
s
Refere
nces
Distinguished
High level of APA precision
3 pts
Excellent
Moderate level of APA precision
2 pts
Fair
Incorrect APA style
1 pts
Poor
Information is completely missing
0 pts
/3
pt
s
Gramm
ar
Distinguished
Free of grammar and spelling errors
3 pts
Excellent
Writing mechanics need more precision and attention to detail
2 pts
Poor
Writing mechanics need serious attention
0 pts
/3
pt
s
Incorp
oration
of
Current
Practic
e
Guideli
nes
Distinguished
Includes recommendations from at least 1 professional set of practice guidelines
(although not the current version)
4 pts
Excellent
Includes 2 or fewer recommendations from at least 1 current, professional set of
practice guidelines
3 pts
Fair
Includes recommendations from at least 1 professional set of practice guidelines
(although not the current version)
2 pts
Poor
Information is completely missing or student includes a non-credible set of
treatment guidelines
0 pts
/4
pt
s
Role of
the
Nurse
Practiti
oner
Distinguished
Includes a discussion of the role of NP pertaining to the assessment, work up,
collaboration and management of the case presented AND gives at least 1
example pertaining to each of the 4 areas (assessment, work up, collaboration
and management).
4 pts
Excellent
Includes a discussion of the role of NP pertaining to the assessment, work up,
collaboration and management of the case presented AND gives atleast 1
example pertaining to 2 of the 4 areas (assessment, work up, collaboration and
management).
3 pts
Fair
Does not include a discussion of the role of NP pertaining to the assessment,
work up, collaboration and management of the case presented OR give at least 1
example pertaining to 3 or more of the following areas (assessment, work up,
collaboration and management).
2 pts
Poor
Information is completely missing
0 pts
/4
pt
s
