NU623 Advanced Adult Health, Herzing University

NU623 Advanced Adult Health, Herzing University

JG Hispanic male referred by Clara Maass Medical Center ED Case Study

JG Hispanic male referred by Clara Maass Medical Center ED Case Study

Unit 13 Discussion – Headache

It is anticipated that the initial discussion response should be in the range of 250-300 words. Response posts must demonstrate topic knowledge and scholarly engagement with peers. This is not the only criteria utilized for evaluation; substantive content is imperative. All questions in the topic must be addressed. Please proofread your response carefully for grammar and spelling. Do not upload any attachments. All responses need to be supported by a minimum of one scholarly resource. Journals and websites must be cited appropriately. Citation and reference must adhere to APA format.

Classroom Participation

Students are expected to initially address the discussion question by Wednesday of each week. Participation in the discussion forums is expected with a minimum total of three (3) substantive postings (this includes your initial posting and posting to two peers) on three (3) different days per week. Substantive means that you add something new to the discussion, you aren’t just agreeing. This is also a time to ask questions or offer information surrounding the topic addressed by your peers. Personal experience is appropriate for a substantive discussion and should be correlated to the literature.

All discussion boards will be evaluated utilizing rubric criterion inclusive of content, analysis, collaboration, writing and APA. If you fail to post an initial discussion you will not receive these points, you may however post to your peers for partial credit following the guidelines above. Due to the nature of this type of assignment and the need for timely responses for initial posts and posting to peers, the Make-Up Coursework Policy (effective July 2017) does not apply to Discussion Board Participation.

Discussion Prompt [Due Wednesday]

Gina is a healthy 32-year-old lawyer who presents to the clinic with recent onset of intermittent headaches. She recently started at a new law firm and has been under a lot of stress. Her headaches can last 4 hours or more and they are a moderate to serve pulsation quality. She has had to leave work on at least 5 occasions over the last two months. During a headache, she has photophobia and nausea. Lying down in a dark room with a cold compress helps as she eventually falls asleep. Ibuprofen has been mildly effective, but she can’t tolerate it when she is nauseated. She is worried that she is missing too much work at her new job.

  1. What should the initial history and physical examination include?
  2. What diagnostic tests would you order and provide the rationale?
  3. What are the differential diagnoses for this patient?
  4. What is the most likely diagnosis for this patient? Explain your answer.
  5. What are the first line initial treatment recommendations for management of this disorder? Provide pharmacological (with full prescription details) and nonpharmacological treatment options.
  6. What patient education would you offer Gina?

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 2 hours

Peer Responses/Participation [Due Sunday]   

  • Make sure to respond to at least two of your fellow classmates postings as well and challenge each other to go beyond just the surface.
  • Share your thoughts on how you support their ideas and explain why.
  • Present new references that support your opinions.

Please be sure to validate your opinions and ideas with citations and references in APA format.

Estimated time to complete: 1 hour