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– 2 years ago **files (1)** – ## four_parts.docx **## four_parts.docx** **Assignment 2. Each assignment builds off each other.** Create a 3 page report on an interview you have conducted with a health care professional colleague. You will identify an issue from the interview that could be improved…
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**Assignment 2. Each assignment builds off each other.**
Create a 3 page report on an interview you have conducted with a health care professional colleague. You will identify an issue from the interview that could be improved with an interdisciplinary approach and review best practices and evidence to address the issue.
By interviewing a healthcare colleague of your choice, you will begin to gather information about an interprofessional collaboration problem that your colleague is experiencing, or has experienced, in the workplace. You will identify a change theory and leadership strategies that can be applied to address this problem.
For this assessment, you will report on the information gathered during your interview. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from literature. The goal of this assessment is to analyze the interview data and identify an issue that would benefit from an interdisciplinary solution. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently in use. Additionally, you will prepare for your Interdisciplinary Plan Proposal assessment by researching change theories, leadership strategies, and collaboration approaches that could be relevant to the issue you have identified.
Interview Template
## **Interview Summary**
Summarize your interview in this section. Be sure to relate concise information about:
· The healthcare organization that was discussed in the interview.
· The interviewee’s role and duties.
· The relevant issues at the organization.
· Any relevant comments on the actions taken by the organization or leadership previously and their effectiveness.
· The organizational culture related to collaboration.
· Any relevant collaboration or interdisciplinary team experience your interviewee has had.
The goal of this section is to convey what was discussed at the interview and set yourself up to identify an issue to pursue in throughout the rest of this assessment (and future assessments in this course), as well as have enough information about the situation at the organization to relate theories, strategies, and approaches to.
## **Issue Identification**
Identify the issue from the interview that you think an evidence-based interdisciplinary approach is appropriate. Provide one or more specific reasons why an interdisciplinary approach would be appropriate for the issue.
### **Change Theories That Could Lead to an Interdisciplinary Solution**
For this section look to the literature and describe one or more change theories that would help to develop an interdisciplinary solution to the identified issue. Also, you should briefly note the relevance and credibility of the source(s) that you cite.
Another way to think through this section is:
· What is the change theory?
· How could it heal create an interdisciplinary solution?
· How relevant is the theory to your specific identified issue?
· How credible is the source?
**Leadership Strategies That Could Lead to an Interdisciplinary Solution**
This section is similar to the previous one, except you will be looking to the literature to help you describe one or more leadership strategy that would help develop an interdisciplinary solution to the identified issue. Also, you should briefly note the relevance and credibility of the source(s) that you cite.
Another way to think through this section is:
· What is the leadership strategy?
· How could it create an interdisciplinary solution?
· How relevant is the strategy to your specific identified issue?
· How credible is the source?
**Collaboration Approaches for Interdisciplinary Teams**
Again, this section will be similar to the previous one, except that the focus will be on collaboration approaches. Depending on if your interviewee’s organization makes frequent use of interdisciplinary teams or not, your focus in this section may be on how to establish interdisciplinary teams and a collaborative foundation or how to improve the collaboration within an already established team. You should also briefly note the relevance and credibility of the source(s) that you cite.
Another way to think through this section is:
· What are the best practices of interdisciplinary collaboration from the literature?
· How could it help establish or improve collaboration?
· How relevant is the approach to your specific identified issue?
· How credible is the source?
be sure to address the following criteria.
· Summarize an interview focused on past or current issues at a healthcare organization.
· Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
· Describe change theories and a leadership strategy that could help in developing an interdisciplinary solution to an organizational issue.
· Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
**Number of references:** Cite a minimum of three sources of scholarly or professional evidence to support your central ideas. Resources should be no more than 5 years old
**Resources should be no more than 5 years old**
**Demonstration of Proficiency**
·
**Competency 1: Explain strategies for managing human and financial resources to promote organizational health.**
·
**Explain organizational resources, including a financial budget, needed for the plan to be a success and the impacts on those resources if nothing is done, related to the improvements sought by the plan.**
·
**Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.**
·
**Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific objective related to improving patient or organizational outcomes.**
·
**Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan's objective. Include best practices of interdisciplinary collaboration from the literature.**
·
**Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.**
·
**Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.**
·
**Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.**
·
**Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.**
·
**Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.**
·
**Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.**
·
**Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.**
·
**Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan's objective. Include best practices of interdisciplinary collaboration from the literature.**
·
**Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.**
·
**Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.**
**Additional Requirements**
·
**Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2–4 pages in length. Be sure to include a reference page at the end of the plan.**
·
**Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.**
·
**APA formatting: Make sure that in-text citations and reference list follow current APA style.**
Assignment 2
Create a 3 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue identified in the second assessment.
Use the context of the organization from your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific organizational or patient outcome based on the information gathered in your interview.
## Interdisciplinary Plan Proposal
Write a brief introduction (2–3 sentences) to your proposal that outlines the issue you are attempting to solve, the part of the organization in which the plan would be carried out, and the desired outcome. This will set the stage for the sections below.
### Objective
Describe what your plan will do and what you hope it will accomplish in one or two succinct sentences. Also, comment on how the objective, if achieved, will improve organizational or patient outcomes
_._
### Questions and Predictions
For this section ask yourself 3–5 questions about your objective and your overall plan. Make a prediction for each question by answering the question you posed. This helps you to define the important aspects of your plan as well as limit the scope and check its ability to be implemented.
For example:
1.
_How much time will using a double-loop feedback model add to a project manager’s workload?_
a. At first, it will likely increase their workloads by 5 to 10 percent. However, as the process is refined and project managers become more familiar and efficient, that percentage will decrease.
### Change Theories and Leadership Strategies
For this section, you may wish to draw upon the research you did regarding change theories and leadership for the Interview and Interdisciplinary Issue Identification assessment. The focus of this section is how those best practices will create buy-in for the project from an interdisciplinary team, improve their collaboration, and/or foster the team’s ability to implement the plan. Be sure that you are including at least one change theory and at least one leadership strategy in your explanation. Always remember to cite your sources; direct quotes require quotation marks and a page or paragraph number to be included in the citation.
Another way to approach your explanations in this section is to think through the following:
· What is the theory or strategy?
· How will it likely help an interdisciplinary team to collaborate, implement, and/or buy in to the project plan?
· Make sure to frame this explanation within the organizational context of the proposed plan, that is, your interviewee’s organization.
### Team Collaboration Strategy
In this section, begin by further defining the responsibilities and actions that represent the implementation of the plan. One strategy to defining this is to take a “
_who_,
_what_,
_where_, and
_when”_ approach for each team member.
For example:
·
_Project Manager A will apply the double-loop feedback model on one new product project for a single quarter._
·
_Project Manager B will apply the double-loop feedback model on all new product projects for a quarter._
_Vice President A will review the workloads of project managers using the double-loop feedback model every Thursday for one quarter._
After you have roughly outlined the roles and responsibilities of team members, you will explain one or more collaborative approaches that will enable the team to work efficiently to achieve the plan’s objective. As with the change theories and leadership strategies, you may draw on the research you conducted for the Interview and Interdisciplinary Issue Identification assessment. However, you are being asked to give a more in-depth explanation of the collaboration approaches and look at how they will help the theoretical interdisciplinary team in your plan proposal.
Another way to approach your explanations in this section is to think through the following:
· What is the collaboration approach?
· What types of collaboration and teamwork will best help the interdisciplinary team be successful?
· How is the collaboration approach relevant to the team’s needs and will it help drive success?
· Make sure to frame this explanation in terms of the subject of the plan proposal; that is, your interviewee’s organization.
### Required Organizational Resources
For this section, you will be making rough estimates of the resources needed for your plan proposal to be successful. This section does not have to be exact, but the estimates should be realistic for the chosen organization. Items you should include or address in this section:
· What are the staffing needs for your plan proposal?
· What equipment or supplies are needed for your plan proposal?
· Does the organization already have these?
· If so, what are the rough financial implications associated with using these resources?
· If not, what are the rough financial implications of acquiring these resources?
· What access (to patients, departments, and so forth) is needed?
· Are there any costs associated with these?
· What are the overall financial implications for the plan proposal?
· Staff time, resource use, resource acquisition, and access charged.
After you have detailed your required resources, make sure that you explain any impacts on organizational resources that could happen if your plan is not undertaken and successful. In other words, if the issue you are trying to solve through your plan proposal persists or gets worse, what will be the potential costs to the organization?
Assignment should address the following:
· Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
· Explain organizational resources, including financial, needed for a plan to succeed and the impacts on those resources if nothing is done to address the improvements sought by the plan.
· Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
· Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving a plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
· Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
· Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
· Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
· Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
· Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
· Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format
Assignment 3
Create a 12 slide PowerPoint presentation for one or more stakeholders or leadership groups to generate interest and buy-in for the plan proposal you developed for the previous assessment.
Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you know what is needed for a distinguished score.
· Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
· Summarize an
**evidence-based** interdisciplinary plan to address an organizational or patient issue.
· Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
· Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
· Produce slides that are easy to read and error free. Detailed speaker notes are provided.
·
**Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years) with an APA formatted reference list with few errors**.
**Number of references:** Cite a minimum of three sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
**APA formatting:** Make sure that in-text citations on your slides and notes pages, and your reference list are in current APA style.
Competencies measured:
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
· Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
· Explain how an interdisciplinary plan could be implemented and how the human and financial resources would be managed.
· Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
· Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
· Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
· Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
· Propose evidence-based criteria to evaluate the degree to which a project was successful in achieving the improvement goal.
· Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
· Produce slides that are easy to read and error free. Detailed speaker notes are provided.
· Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years) with an APA formatted reference list with few errors.
**## four_parts.docx**
**Assignment 2. Each assignment builds off each other.**
Create a 3 page report on an interview you have conducted with a health care professional colleague. You will identify an issue from the interview that could be improved with an interdisciplinary approach and review best practices and evidence to address the issue.
By interviewing a healthcare colleague of your choice, you will begin to gather information about an interprofessional collaboration problem that your colleague is experiencing, or has experienced, in the workplace. You will identify a change theory and leadership strategies that can be applied to address this problem.
For this assessment, you will report on the information gathered during your interview. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from literature. The goal of this assessment is to analyze the interview data and identify an issue that would benefit from an interdisciplinary solution. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently in use. Additionally, you will prepare for your Interdisciplinary Plan Proposal assessment by researching change theories, leadership strategies, and collaboration approaches that could be relevant to the issue you have identified.
Interview Template
## **Interview Summary**
Summarize your interview in this section. Be sure to relate concise information about:
· The healthcare organization that was discussed in the interview.
· The interviewee’s role and duties.
· The relevant issues at the organization.
· Any relevant comments on the actions taken by the organization or leadership previously and their effectiveness.
· The organizational culture related to collaboration.
· Any relevant collaboration or interdisciplinary team experience your interviewee has had.
The goal of this section is to convey what was discussed at the interview and set yourself up to identify an issue to pursue in throughout the rest of this assessment (and future assessments in this course), as well as have enough information about the situation at the organization to relate theories, strategies, and approaches to.
## **Issue Identification**
Identify the issue from the interview that you think an evidence-based interdisciplinary approach is appropriate. Provide one or more specific reasons why an interdisciplinary approach would be appropriate for the issue.
### **Change Theories That Could Lead to an Interdisciplinary Solution**
For this section look to the literature and describe one or more change theories that would help to develop an interdisciplinary solution to the identified issue. Also, you should briefly note the relevance and credibility of the source(s) that you cite.
Another way to think through this section is:
· What is the change theory?
· How could it heal create an interdisciplinary solution?
· How relevant is the theory to your specific identified issue?
· How credible is the source?
**Leadership Strategies That Could Lead to an Interdisciplinary Solution**
This section is similar to the previous one, except you will be looking to the literature to help you describe one or more leadership strategy that would help develop an interdisciplinary solution to the identified issue. Also, you should briefly note the relevance and credibility of the source(s) that you cite.
Another way to think through this section is:
· What is the leadership strategy?
· How could it create an interdisciplinary solution?
· How relevant is the strategy to your specific identified issue?
· How credible is the source?
**Collaboration Approaches for Interdisciplinary Teams**
Again, this section will be similar to the previous one, except that the focus will be on collaboration approaches. Depending on if your interviewee’s organization makes frequent use of interdisciplinary teams or not, your focus in this section may be on how to establish interdisciplinary teams and a collaborative foundation or how to improve the collaboration within an already established team. You should also briefly note the relevance and credibility of the source(s) that you cite.
Another way to think through this section is:
· What are the best practices of interdisciplinary collaboration from the literature?
· How could it help establish or improve collaboration?
· How relevant is the approach to your specific identified issue?
· How credible is the source?
be sure to address the following criteria.
· Summarize an interview focused on past or current issues at a healthcare organization.
· Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
· Describe change theories and a leadership strategy that could help in developing an interdisciplinary solution to an organizational issue.
· Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.
· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
· Apply APA formatting to in-text citations and references exhibiting nearly flawless adherence to APA format.
**Number of references:** Cite a minimum of three sources of scholarly or professional evidence to support your central ideas. Resources should be no more than 5 years old
**Resources should be no more than 5 years old**
**Demonstration of Proficiency**
·
**Competency 1: Explain strategies for managing human and financial resources to promote organizational health.**
·
**Explain organizational resources, including a financial budget, needed for the plan to be a success and the impacts on those resources if nothing is done, related to the improvements sought by the plan.**
·
**Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.**
·
**Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific objective related to improving patient or organizational outcomes.**
·
**Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan's objective. Include best practices of interdisciplinary collaboration from the literature.**
·
**Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.**
·
**Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.**
·
**Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.**
·
**Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.**
·
**Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format.**
·
**Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.**
·
**Explain a change theory and a leadership strategy, supported by relevant evidence, that is most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.**
·
**Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving the plan's objective. Include best practices of interdisciplinary collaboration from the literature.**
·
**Explain organizational resources, including a financial budget, needed for the plan to succeed and the impacts on those resources if the improvements described in the plan are not made.**
·
**Communicate the interdisciplinary plan, with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.**
**Additional Requirements**
·
**Length of submission: Use the provided template. Remember that part of this assessment is to make the plan easy to understand and use, so it is critical that you are clear and concise. Most submissions will be 2–4 pages in length. Be sure to include a reference page at the end of the plan.**
·
**Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.**
·
**APA formatting: Make sure that in-text citations and reference list follow current APA style.**
Assignment 2
Create a 3 page plan proposal for an interprofessional team to collaborate and work toward driving improvements in the organizational issue identified in the second assessment.
Use the context of the organization from your interview to develop a viable plan for an interdisciplinary team to address the issue you identified. Define a specific organizational or patient outcome based on the information gathered in your interview.
## Interdisciplinary Plan Proposal
Write a brief introduction (2–3 sentences) to your proposal that outlines the issue you are attempting to solve, the part of the organization in which the plan would be carried out, and the desired outcome. This will set the stage for the sections below.
### Objective
Describe what your plan will do and what you hope it will accomplish in one or two succinct sentences. Also, comment on how the objective, if achieved, will improve organizational or patient outcomes
_._
### Questions and Predictions
For this section ask yourself 3–5 questions about your objective and your overall plan. Make a prediction for each question by answering the question you posed. This helps you to define the important aspects of your plan as well as limit the scope and check its ability to be implemented.
For example:
1.
_How much time will using a double-loop feedback model add to a project manager’s workload?_
a. At first, it will likely increase their workloads by 5 to 10 percent. However, as the process is refined and project managers become more familiar and efficient, that percentage will decrease.
### Change Theories and Leadership Strategies
For this section, you may wish to draw upon the research you did regarding change theories and leadership for the Interview and Interdisciplinary Issue Identification assessment. The focus of this section is how those best practices will create buy-in for the project from an interdisciplinary team, improve their collaboration, and/or foster the team’s ability to implement the plan. Be sure that you are including at least one change theory and at least one leadership strategy in your explanation. Always remember to cite your sources; direct quotes require quotation marks and a page or paragraph number to be included in the citation.
Another way to approach your explanations in this section is to think through the following:
· What is the theory or strategy?
· How will it likely help an interdisciplinary team to collaborate, implement, and/or buy in to the project plan?
· Make sure to frame this explanation within the organizational context of the proposed plan, that is, your interviewee’s organization.
### Team Collaboration Strategy
In this section, begin by further defining the responsibilities and actions that represent the implementation of the plan. One strategy to defining this is to take a “
_who_,
_what_,
_where_, and
_when”_ approach for each team member.
For example:
·
_Project Manager A will apply the double-loop feedback model on one new product project for a single quarter._
·
_Project Manager B will apply the double-loop feedback model on all new product projects for a quarter._
_Vice President A will review the workloads of project managers using the double-loop feedback model every Thursday for one quarter._
After you have roughly outlined the roles and responsibilities of team members, you will explain one or more collaborative approaches that will enable the team to work efficiently to achieve the plan’s objective. As with the change theories and leadership strategies, you may draw on the research you conducted for the Interview and Interdisciplinary Issue Identification assessment. However, you are being asked to give a more in-depth explanation of the collaboration approaches and look at how they will help the theoretical interdisciplinary team in your plan proposal.
Another way to approach your explanations in this section is to think through the following:
· What is the collaboration approach?
· What types of collaboration and teamwork will best help the interdisciplinary team be successful?
· How is the collaboration approach relevant to the team’s needs and will it help drive success?
· Make sure to frame this explanation in terms of the subject of the plan proposal; that is, your interviewee’s organization.
### Required Organizational Resources
For this section, you will be making rough estimates of the resources needed for your plan proposal to be successful. This section does not have to be exact, but the estimates should be realistic for the chosen organization. Items you should include or address in this section:
· What are the staffing needs for your plan proposal?
· What equipment or supplies are needed for your plan proposal?
· Does the organization already have these?
· If so, what are the rough financial implications associated with using these resources?
· If not, what are the rough financial implications of acquiring these resources?
· What access (to patients, departments, and so forth) is needed?
· Are there any costs associated with these?
· What are the overall financial implications for the plan proposal?
· Staff time, resource use, resource acquisition, and access charged.
After you have detailed your required resources, make sure that you explain any impacts on organizational resources that could happen if your plan is not undertaken and successful. In other words, if the issue you are trying to solve through your plan proposal persists or gets worse, what will be the potential costs to the organization?
Assignment should address the following:
· Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
· Explain organizational resources, including financial, needed for a plan to succeed and the impacts on those resources if nothing is done to address the improvements sought by the plan.
· Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
· Explain the collaboration needed by an interdisciplinary team to improve the likelihood of achieving a plan’s objective. Include best practices of interdisciplinary collaboration from the literature.
· Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
· Describe an objective and predictions for an evidence-based interdisciplinary plan to achieve a specific goal related to improving patient or organizational outcomes.
· Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
· Explain a change theory and a leadership strategy, supported by relevant evidence, that are most likely to help an interdisciplinary team succeed in collaborating and implementing, or creating buy-in for, the project plan.
· Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
· Organize content so ideas flow logically with smooth transitions; contains few errors in grammar/punctuation, word choice, and spelling.
· Apply APA formatting to in-text citations and references, exhibiting nearly flawless adherence to APA format
Assignment 3
Create a 12 slide PowerPoint presentation for one or more stakeholders or leadership groups to generate interest and buy-in for the plan proposal you developed for the previous assessment.
Be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you know what is needed for a distinguished score.
· Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
· Summarize an
**evidence-based** interdisciplinary plan to address an organizational or patient issue.
· Explain how the interdisciplinary plan could be implemented and how the human and financial resources would be managed.
· Propose evidence-based criteria that could be used to evaluate the degree to which the project was successful in achieving the improvement goal.
· Produce slides that are easy to read and error free. Detailed speaker notes are provided.
·
**Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years) with an APA formatted reference list with few errors**.
**Number of references:** Cite a minimum of three sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old.
**APA formatting:** Make sure that in-text citations on your slides and notes pages, and your reference list are in current APA style.
Competencies measured:
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
· Competency 1: Explain strategies for managing human and financial resources to promote organizational health.
· Explain how an interdisciplinary plan could be implemented and how the human and financial resources would be managed.
· Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.
· Explain an organizational or patient issue for which a collaborative interdisciplinary team approach would help achieve a specific improvement goal.
· Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
· Summarize an evidence-based interdisciplinary plan to address an organizational or patient issue.
· Propose evidence-based criteria to evaluate the degree to which a project was successful in achieving the improvement goal.
· Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
· Produce slides that are easy to read and error free. Detailed speaker notes are provided.
· Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years) with an APA formatted reference list with few errors.
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**Sustainable Strategies for the Treatment of Chronic Pain While Reducing Opioid Misuse and Overdose**
As the opioid epidemic sweeps the silver states of the United States, it emphasizes the need for healthcare trainees, especially advanced practice nurses, to implement safe and evidence-based techniques to treat chronic pain. Moreover, although opioids can be effective in the right setting, their potential for misuse, dependence, and overdose requires a judicious and multifaceted approach to patient care. Advanced practice nurses specializing in pharmacology must be aware of strategic approaches that enhance pain relief while decreasing adverse effects.
**Risk-Benefit Assessment and Patient-Centered Care.**
Conducting a comprehensive assessment of the patient's pain condition, medical history, and risk factors for opioid misuse is an important and necessary first step in the safe management of chronic pain. The Opioid Risk Tool (ORT) as well as the Screener and Opioid Assessment for Patients with Pain-Revised (SOAPP-R) are tools that can help identify high-risk individuals (Butler et al., 2008). Shared decision-making is important: Patients should be informed about both opioid and non-opioid approaches and be involved in choosing the most appropriate treatment approach.
**Use of Non-Opioids and Multimodal Pain Management**
Doctors suggest multimodal pain management to decrease opioid use. Non-opioid pharmacologic options include acetaminophen, nonsteroidal anti-inflammatory drugs (NSAIDs), antidepressants (i.e., duloxetine), anticonvulsants (i.e., gabapentin), and topical agents (Dowell et al., 2022). The treatment of chronic pain includes non-pharmacologic options like physical therapy, cognitive-behavioral therapy (CBT), acupuncture, and interventional procedures (e.g., nerve blocks), among others.
**Opioid Prescribing Practices That Are Safe**
Guidance on evidence-based prescribing practices is imperative for patients who need opioids. The Centers for Disease Control and Prevention (CDC) advises initiating treatment with the lowest effective dose of narcotics possible and, when practical, an immediate-release formulation (Dowell et al., 2022). Regular monitoring through urine drug screening, prescription drug monitoring programs (PDMPs), and reassessment of pain and function facilitates early detection of opioid misuse. Co-prescribing naloxone for patients at risk of overdose is also an important harm reduction strategy.
**Conclusion**
By applying safer chronic pain management strategies, advanced practice nurses are pivotal to combating the opioid epidemic. In the absence of early detection and treatment through multimodal pain approaches and adherence to evidence-based guidelines on opioid prescribing, however, the risk for misuse and overdose becomes exceedingly high.
**References**
Butler, S. F., Fernandez, K., Benoit, C., Budman, S. H., & Jamison, R. N. (2008). Validation of the revised Screener and Opioid Assessment for Patients with Pain (SOAPP-R). The Journal of Pain, 9(4), 360-372. https://doi.org/10.1016/j.jpain.2007.11.014
Dowell, D., Ragan, K. R., Jones, C. M., Baldwin, G. T., Chou, R., & Paulozzi, L. (2022). CDC clinical practice guideline for prescribing opioids for pain—United States, 2022. MMWR Recommendations and Reports, 71(3), 1–95. https://doi.org/10.15585/mmwr.rr7103a1
With opioid deaths increasing, AMA urges expansion of proven treatment | American Medical Association. https://www.ama-assn.org/press-center/press-releases/opioid-deaths-increasing-ama-urges-expansion-proven-treatment
– 2 years ago
**Please ensure that the Reply includes more than 200 words of scholarly articles and that the plagiarism level remains below 20%.** **Discussion Post: The Opioid Epidemic and Chronic Pain Management** The problem of opioid drugs in the United States has evolved into a severe epidemic that hurts the…
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**Discussion Post: The Opioid Epidemic and Chronic Pain Management**
The problem of opioid drugs in the United States has evolved into a severe epidemic that hurts the well-being of people, their relatives, and society. Thus, the students of advanced nursing practice pharmacology need to determine the stimulant applicability and the issues connected with opioid use in the aspect of chronic pain treatment. It is estimated that millions of Americans experience chronic pain; however, the administration of opioids for chronic pain has brought about the current problem (Olfson et al., 2023). Therefore, the best approach to chronic pain patients should incorporate research-based solutions to ensure that there is minimal compromise of the health of this patient through opioids while, at the same time, providing them with the requisite pain relief that they need.
**Risks and Benefits of Opioid Use**
Opioids are strong pain relievers, and they, therefore, can be useful in managing the chronic pain of patients. However, recreational use is attached to specific dangers, which are addiction, tolerance, dependence, and overdose possibilities. Dowell (2022) has mentioned that opioids are effective only in acute pain, but for chronic pain, more harm is incurred than benefit. Hence, it is important to take over every patient and look for other options for managing the pain before prescribing opioids.
**Evidence-Based Strategies for Safe Opioid Use**
To reduce the risk of opioid abuse and deaths, advanced practice nurses should follow evidence-based procedures. According to CDC, the following are some of the measures that can be taken;
_**Comprehensive Patient Assessment:**_ Assess the pain characteristics, comorbidities, extent of expected opioid use, and specific risks of opioid abuse before initiating therapy with opioids. This consists of psychiatric check-ups, such as checking for substance use disorder and other mental health disorders.
_**Use of Non-Opioid Therapies:**_ The non-pharmacological and non-opioid therapies, including physical therapy, psychological therapy, and other medications like nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen, should be the first-line interventions for chronic pain.
_**Lowest Effective Dose:**_ When opioids in any form are required, it is advisable to administer the minimum dose just adequate to alleviate the arising pain and for the shortest possible time only (Olfson et al., 2023). Clinically review the evaluation of a patient’s pain and functional status to identify whether opioids should be continued or not.
_**Patient Education:**_ Provide patients with an understanding of the general dangers associated with opioids that involve the use of these drugs and dependency, overdoses, and the like. Promote proper storage and disposal of opioids to help minimize this problem among other people as much as possible.
_**Monitoring and Follow-Up:**_ There should be effective prescription and boosting follow-up checks as the patient vessels continue to take opioids regularly (Dowell, 2022). This includes the detection of illicit use of substances through urine tests, the use of prescription drug monitoring programs (PDMPs), and regular assessment of the patient’s pain and general condition.
**Conclusion**
Chronic pain is one of the most pressing issues nowadays, and opioids are one of the most problematic substances that need special attention. It is noble for any APN to find ways of providing patients with relief from pain while at the same time minimizing the risks that are associated with opioid use and abuse. Despite the risks that are associated with opioid consumption, it is necessary to prevent the misuse and consumption of opioids concerning patient-centered approaches that will allow attending to people with chronic pain.
**References**
Dowell, D. (2022). CDC clinical practice guideline for prescribing opioids for pain—United States, 2022. MMWR. Recommendations and reports, 71.
[https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm?os=www.nbcchicago.com&ref=app](https://www.cdc.gov/mmwr/volumes/71/rr/rr7103a1.htm?os=www.nbcchicago.com&ref=app)
Olfson, M., Waidmann, T., King, M., Pancini, V., & Schoenbaum, M. (2023). Population-based opioid prescribing and overdose deaths in the USA: an observational study. Journal of General Internal Medicine, 38(2), 390-398.
[https://link.springer.com/article/10.1007/s11606-022-07686-z](https://link.springer.com/article/10.1007/s11606-022-07686-z)
– 2 years ago
Assessment and Intervention Reflection To provide children with a safe and supportive learning environment, and maintain instructional effectiveness, it is important to incorporate observation, documentation, and assessment into your daily routine. It is equally important that teachers acknowledge t…
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To provide children with a safe and supportive learning environment, and maintain instructional effectiveness, it is important to incorporate observation, documentation, and assessment into your daily routine. It is equally important that teachers acknowledge their own biases to remain open-minded and objective during assessments and truly understand the development and needs of children.
Prepare
To prepare for this journal,
– Complete the [Program Feedback SurveyLinks to an external site.](https://uarizona.co1.qualtrics.com/jfe/form/SV_3w92Qnty0xn4V5s).
– Review the six-minute video, [_Recognizing Bias and Promoting Equity in Early Childhood Settings_Links to an external site.](https://www.youtube.com/watch?v=PJs1aByD2Ao).
– Read the fact sheet, [_Performance-Based Learning and Assessment_Links to an external site.](https://www.nysed.gov/sites/default/files/programs/plan-pilot/fact-sheet-performance-based-learning-assessment.pdf).
– Use the [_Assessment and Intervention Reflection journal_](https://uagc.instructure.com/courses/144088/files/22985207?wrap=1) [Download Assessment and Intervention Reflection journal](https://uagc.instructure.com/courses/144088/files/22985207/download?download_frd=1) template.
In your journal,
– Describe how the information you have learned in your courses here at UAGC has helped prepare you to support the needs of the diverse learners you will work with.
– Discuss three ideas that you learned about assessment and documentation that will benefit your future work with children.
– Explain your understanding of using assessment to drive your instruction planning.
– Summarize the steps that you will take to acknowledge your own biases so that they do not impact your objective assessment of children.
– [\
\
AssessmentandInterventionReflectionJournal.docx](https://www.sweetstudy.com/files/assessmentandinterventionreflectionjournal-docx "AssessmentandInterventionReflectionJournal.docx")
– 2 years ago
– 2 years ago **files (2)** – ## IHUMANTEMPLATE1.docx – IHUMAN7.docx **## IHUMANTEMPLATE1.docx** **NAME** **UNIVERSITY NAME** **CLASS** **PROF NAME** **DATE** **NRNP 6531 i-Human Template / Week 2 Case** Management Plan Template 1. Problem Statement a. How would you present this patient to your pre…
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**files (2)**
– ## IHUMANTEMPLATE1.docx
– IHUMAN7.docx
**## IHUMANTEMPLATE1.docx**
**NAME**
**UNIVERSITY NAME**
**CLASS**
**PROF NAME**
**DATE**
**NRNP 6531 i-Human Template / Week 2 Case**
Management Plan Template
1. Problem Statement
a. How would you present this patient to your preceptor? Include both subjective
and objective findings.
· Patient is a 36-year-old female with PMH of Type 2 DM, who presents with multiple annular lesions on her bilateral thighs x 2 weeks that she describes as constantly itchy (6/10), characterized by red raised borders, central clearing, and associated erythema and scaling. Denies fever or systemic symptoms. Denies recent travel, exposure to known irritants, new skin products, skin injuries, bites, or infection. Reports worsening of rash with OTC corticosteroid use. Physical exam reveals that the patient is afebrile; lesions are negative for fluctuance, palpable nodules, vesicles, pustules, discharge, or signs of secondary infection. Risk factors include Type 2 DM diagnosis and participation in hot yoga and indoor swimming, making the presentation concerning for a superficial dermatophyte infection.
2. Primary Diagnosis with coding
a. Primary diagnosis with ICD-10 code:
· Tinea Corporis: ICD-10 Code- B35.4
b. Rationale for primary diagnosis:
· The clinical presentation of an annular, itchy/pruritic rash on the legs with multiple lesions characterized by raised, erythematous, scaly edges with central clearing and exacerbation with topical corticosteroids use aligns with the AAFP guidelines for diagnosing tinea corporis. (Ely et al., 2014)
c. CPT Code for Visit:
· 99213 (Established patient, low complexity visit, problem-focused exam, and decision-making.)
3. Evidence-based guidelines
a. Which guidelines were used to develop the primary diagnosis?
· American Academy of Family Physicians (AAFP) 2014 Clinical Practice Guidelines for diagnosing and managing tinea infections.
4. Differential Diagnoses
a. Include 3 -5 differential diagnoses (different from the primary diagnosis):
· Atopic Dermatitis, Contact Dermatitis, Psoriasis
b. Rationale for each diagnosis:
1. Atopic Dermatitis
· Rationale: Also has erythematous/itchy lesions/plaques, less likely to have active borders or central clearing of lesions that are usually not annular and may be lichenified.
2. Contact Dermatitis
· Rationale: Also has erythematous/itchy lesions/plaques, is less likely to have active borders or central clearing, and lesions are usually not annular.
3. Psoriasis
· Rationale: Psoriasis can present as well-demarcated, erythematous plaques with silvery scales; however, it lacks central clearing, and lesions tend to persist without spreading in an annular pattern.
(Ely et al., 2014)
5. Management Plan: Medications, nonpharmacological treatments, ancillary tests, and referrals:
a. Drug name, dosage, route. Include any supplements or OTC medications. Include education for prescribed medications:
· New Rx: Luliconazole 1% cream, apply cream to affected area and 1-inch surrounding area(s) daily for 1 week.
· Medication Education:
· Emphasize the importance of applying topical medication 1 inch beyond the border of the lesions.
· Emphasize the importance of completing the entire course of the topical antifungal regimen to prevent recurrence.
· Instruct that medication is for topical use only.
· Instruct not to apply over large surface areas due to the risk of increased systemic exposure.
(Medscape, 2024)
· Discontinue OTC corticosteroid cream, as it can worsen tinea infections.
· OTC antihistamines, like diphenhydramine, as needed for pruritus/itching per package instructions.
· OTC antifungal powder for prevention.
b. Nonpharmacological treatment/supportive care:
· Wash affected areas with mild soap and water, and pat areas dry completely before applying topical medications.
· Shower, dry the body completely, and wear fresh/clean clothing immediately after activities like yoga or swimming.
· Aloe Vera can help moisturize and minimize discomfort.
c. Any ancillary testing needed: None relevant to diagnosis.
d. Referrals: None relevant to diagnosis.
6. SDOH, health promotion and risk factors
a. SDOH – After reviewing this patient’s social history, they do not appear to have any significant SDOH barriers, but here are some important factors to consider.
· Economic Stability: Assess the affordability of prescription medications.
· Health Literacy: Ensure understanding of fungal transmission and prevention.
· Environmental Exposure: Discuss hygiene practices in shared public spaces like gyms and pools.
b. Health promotion – include all age-appropriate preventive health screenings and immunizations:
· The patient is currently UTD on the following:
· Immunizations
· Dental cleanings
· Pap smear
· Annual eye exam
· Clinical breast exam
· Additional health promotion screenings needed include:
· Hemoglobin A1C
· Lipid panel
c. Risk factors – Address patient risk factors related to primary diagnosis:
· Type 2 DM: Impaired immune response related to the disease process of DM predisposes patients to increased risk for dermatophyte infections and impaired wound healing.
· Exposure to frequent sweating and moist/humid environments: Frequent participation in hot yoga and swimming increases possible exposure to fungi, increasing the susceptibility to dermatophyte infections.
7. Patient Education
a. Include comprehensive patient education related to the current health visit:
· Educate on Diagnosis: Tinea corporis, commonly referred to as "ringworm," is a superficial fungal infection of the legs, arms, or trunk that is treated with consistent antifungal therapy.
· Transmission Prevention: Avoid sharing towels, clothing, and gym equipment. Keep skin clean and dry. Frequent hand washing. Avoid scratching affected areas if possible.
· Avoiding Corticosteroids: These medications can worsen fungal/tinea infections.
· Avoiding excessive moisture: Wear loose-fitting, breathable clothing; change/wash clothing and towels frequently.
· Disinfect personal items: Clean yoga mats, gym equipment, clothing, and swimwear to prevent reinfection. Do not share items that have not been disinfected, like towels or equipment. Use a separate towel to dry affected areas to avoid spreading the infection.
· Diagnosis of Type 2 DM as a Risk Factor: Educate on the importance of compliance with disease management and the implications of uncontrolled blood glucose on skin health and its effects on healing, leading to bacterial infections and increased risk for fungal infections.
8. Follow up
a. Include time for the next visit and specific symptoms to prompt a return visit sooner:
· Routine Follow-Up: Schedule in 2 weeks to assess treatment response.
· Return Sooner If (Red-Flag symptoms):
· Symptoms worsen despite treatment.
· New lesions begin to develop.
· Presence of fever, or if any lesions develop signs of infection like excessive redness, swelling, pain, warmth, or drainage. Go to the emergency room if symptoms are severe.
· Any adverse reaction to prescribed medications. Go to the emergency room if symptoms are severe, like throat swelling or shortness of breath.
9. References
Ely, J. W., Rosenfeld, S., & Stone, M. S. (2014). Diagnosis and Management of Tinea Infections.
_American Family Physician_,
_90_(10), 702–711.
[https://www.aafp.org/pubs/afp/issues/2014/1115/p702.html](https://www.aafp.org/pubs/afp/issues/2014/1115/p702.html)
_Luzu_. (2024, July 15). Medscape.com. Accessed on March 8, 2025, from https://reference.medscape.com/drug/luzu-luliconazole-999891
Dermatophyte (tinea) infections. (2025). Uptodate.com. Accessed on March 8, 2025, from https://www.uptodate.com/contents/dermatophyte-tinea-infections?search=tinea%20corporis&source=search_result&selectedTitle=2%7E43&usage_type=default&display_rank=2#H18300298
Yee, G., Aboud, A. A., & Syed, H. (2025, February 14).
_Tinea Corporis_. StatPearls. https://www.statpearls.com/point-of-care/30206#History%20and%20Physical
**IHUMAN7.docx**
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**IHUMAN7.docx**
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**## IHUMANTEMPLATE1.docx**
**NAME**
**UNIVERSITY NAME**
**CLASS**
**PROF NAME**
**DATE**
**NRNP 6531 i-Human Template / Week 2 Case**
Management Plan Template
1. Problem Statement
a. How would you present this patient to your preceptor? Include both subjective
and objective findings.
· Patient is a 36-year-old female with PMH of Type 2 DM, who presents with multiple annular lesions on her bilateral thighs x 2 weeks that she describes as constantly itchy (6/10), characterized by red raised borders, central clearing, and associated erythema and scaling. Denies fever or systemic symptoms. Denies recent travel, exposure to known irritants, new skin products, skin injuries, bites, or infection. Reports worsening of rash with OTC corticosteroid use. Physical exam reveals that the patient is afebrile; lesions are negative for fluctuance, palpable nodules, vesicles, pustules, discharge, or signs of secondary infection. Risk factors include Type 2 DM diagnosis and participation in hot yoga and indoor swimming, making the presentation concerning for a superficial dermatophyte infection.
2. Primary Diagnosis with coding
a. Primary diagnosis with ICD-10 code:
· Tinea Corporis: ICD-10 Code- B35.4
b. Rationale for primary diagnosis:
· The clinical presentation of an annular, itchy/pruritic rash on the legs with multiple lesions characterized by raised, erythematous, scaly edges with central clearing and exacerbation with topical corticosteroids use aligns with the AAFP guidelines for diagnosing tinea corporis. (Ely et al., 2014)
c. CPT Code for Visit:
· 99213 (Established patient, low complexity visit, problem-focused exam, and decision-making.)
3. Evidence-based guidelines
a. Which guidelines were used to develop the primary diagnosis?
· American Academy of Family Physicians (AAFP) 2014 Clinical Practice Guidelines for diagnosing and managing tinea infections.
4. Differential Diagnoses
a. Include 3 -5 differential diagnoses (different from the primary diagnosis):
· Atopic Dermatitis, Contact Dermatitis, Psoriasis
b. Rationale for each diagnosis:
1. Atopic Dermatitis
· Rationale: Also has erythematous/itchy lesions/plaques, less likely to have active borders or central clearing of lesions that are usually not annular and may be lichenified.
2. Contact Dermatitis
· Rationale: Also has erythematous/itchy lesions/plaques, is less likely to have active borders or central clearing, and lesions are usually not annular.
3. Psoriasis
· Rationale: Psoriasis can present as well-demarcated, erythematous plaques with silvery scales; however, it lacks central clearing, and lesions tend to persist without spreading in an annular pattern.
(Ely et al., 2014)
5. Management Plan: Medications, nonpharmacological treatments, ancillary tests, and referrals:
a. Drug name, dosage, route. Include any supplements or OTC medications. Include education for prescribed medications:
· New Rx: Luliconazole 1% cream, apply cream to affected area and 1-inch surrounding area(s) daily for 1 week.
· Medication Education:
· Emphasize the importance of applying topical medication 1 inch beyond the border of the lesions.
· Emphasize the importance of completing the entire course of the topical antifungal regimen to prevent recurrence.
· Instruct that medication is for topical use only.
· Instruct not to apply over large surface areas due to the risk of increased systemic exposure.
(Medscape, 2024)
· Discontinue OTC corticosteroid cream, as it can worsen tinea infections.
· OTC antihistamines, like diphenhydramine, as needed for pruritus/itching per package instructions.
· OTC antifungal powder for prevention.
b. Nonpharmacological treatment/supportive care:
· Wash affected areas with mild soap and water, and pat areas dry completely before applying topical medications.
· Shower, dry the body completely, and wear fresh/clean clothing immediately after activities like yoga or swimming.
· Aloe Vera can help moisturize and minimize discomfort.
c. Any ancillary testing needed: None relevant to diagnosis.
d. Referrals: None relevant to diagnosis.
6. SDOH, health promotion and risk factors
a. SDOH – After reviewing this patient’s social history, they do not appear to have any significant SDOH barriers, but here are some important factors to consider.
· Economic Stability: Assess the affordability of prescription medications.
· Health Literacy: Ensure understanding of fungal transmission and prevention.
· Environmental Exposure: Discuss hygiene practices in shared public spaces like gyms and pools.
b. Health promotion – include all age-appropriate preventive health screenings and immunizations:
· The patient is currently UTD on the following:
· Immunizations
· Dental cleanings
· Pap smear
· Annual eye exam
· Clinical breast exam
· Additional health promotion screenings needed include:
· Hemoglobin A1C
· Lipid panel
c. Risk factors – Address patient risk factors related to primary diagnosis:
· Type 2 DM: Impaired immune response related to the disease process of DM predisposes patients to increased risk for dermatophyte infections and impaired wound healing.
· Exposure to frequent sweating and moist/humid environments: Frequent participation in hot yoga and swimming increases possible exposure to fungi, increasing the susceptibility to dermatophyte infections.
7. Patient Education
a. Include comprehensive patient education related to the current health visit:
· Educate on Diagnosis: Tinea corporis, commonly referred to as "ringworm," is a superficial fungal infection of the legs, arms, or trunk that is treated with consistent antifungal therapy.
· Transmission Prevention: Avoid sharing towels, clothing, and gym equipment. Keep skin clean and dry. Frequent hand washing. Avoid scratching affected areas if possible.
· Avoiding Corticosteroids: These medications can worsen fungal/tinea infections.
· Avoiding excessive moisture: Wear loose-fitting, breathable clothing; change/wash clothing and towels frequently.
· Disinfect personal items: Clean yoga mats, gym equipment, clothing, and swimwear to prevent reinfection. Do not share items that have not been disinfected, like towels or equipment. Use a separate towel to dry affected areas to avoid spreading the infection.
· Diagnosis of Type 2 DM as a Risk Factor: Educate on the importance of compliance with disease management and the implications of uncontrolled blood glucose on skin health and its effects on healing, leading to bacterial infections and increased risk for fungal infections.
8. Follow up
a. Include time for the next visit and specific symptoms to prompt a return visit sooner:
· Routine Follow-Up: Schedule in 2 weeks to assess treatment response.
· Return Sooner If (Red-Flag symptoms):
· Symptoms worsen despite treatment.
· New lesions begin to develop.
· Presence of fever, or if any lesions develop signs of infection like excessive redness, swelling, pain, warmth, or drainage. Go to the emergency room if symptoms are severe.
· Any adverse reaction to prescribed medications. Go to the emergency room if symptoms are severe, like throat swelling or shortness of breath.
9. References
Ely, J. W., Rosenfeld, S., & Stone, M. S. (2014). Diagnosis and Management of Tinea Infections.
_American Family Physician_,
_90_(10), 702–711.
[https://www.aafp.org/pubs/afp/issues/2014/1115/p702.html](https://www.aafp.org/pubs/afp/issues/2014/1115/p702.html)
_Luzu_. (2024, July 15). Medscape.com. Accessed on March 8, 2025, from https://reference.medscape.com/drug/luzu-luliconazole-999891
Dermatophyte (tinea) infections. (2025). Uptodate.com. Accessed on March 8, 2025, from https://www.uptodate.com/contents/dermatophyte-tinea-infections?search=tinea%20corporis&source=search_result&selectedTitle=2%7E43&usage_type=default&display_rank=2#H18300298
Yee, G., Aboud, A. A., & Syed, H. (2025, February 14).
_Tinea Corporis_. StatPearls. https://www.statpearls.com/point-of-care/30206#History%20and%20Physical
**IHUMAN7.docx**
This file is too large to display. [View in new window](https://www.sweetstudy.com/files/ihuman7-docx-10258021)
**## IHUMANTEMPLATE1.docx**
**NAME**
**UNIVERSITY NAME**
**CLASS**
**PROF NAME**
**DATE**
**NRNP 6531 i-Human Template / Week 2 Case**
Management Plan Template
1. Problem Statement
a. How would you present this patient to your preceptor? Include both subjective
and objective findings.
· Patient is a 36-year-old female with PMH of Type 2 DM, who presents with multiple annular lesions on her bilateral thighs x 2 weeks that she describes as constantly itchy (6/10), characterized by red raised borders, central clearing, and associated erythema and scaling. Denies fever or systemic symptoms. Denies recent travel, exposure to known irritants, new skin products, skin injuries, bites, or infection. Reports worsening of rash with OTC corticosteroid use. Physical exam reveals that the patient is afebrile; lesions are negative for fluctuance, palpable nodules, vesicles, pustules, discharge, or signs of secondary infection. Risk factors include Type 2 DM diagnosis and participation in hot yoga and indoor swimming, making the presentation concerning for a superficial dermatophyte infection.
2. Primary Diagnosis with coding
a. Primary diagnosis with ICD-10 code:
· Tinea Corporis: ICD-10 Code- B35.4
b. Rationale for primary diagnosis:
· The clinical presentation of an annular, itchy/pruritic rash on the legs with multiple lesions characterized by raised, erythematous, scaly edges with central clearing and exacerbation with topical corticosteroids use aligns with the AAFP guidelines for diagnosing tinea corporis. (Ely et al., 2014)
c. CPT Code for Visit:
· 99213 (Established patient, low complexity visit, problem-focused exam, and decision-making.)
3. Evidence-based guidelines
a. Which guidelines were used to develop the primary diagnosis?
· American Academy of Family Physicians (AAFP) 2014 Clinical Practice Guidelines for diagnosing and managing tinea infections.
4. Differential Diagnoses
a. Include 3 -5 differential diagnoses (different from the primary diagnosis):
· Atopic Dermatitis, Contact Dermatitis, Psoriasis
b. Rationale for each diagnosis:
1. Atopic Dermatitis
· Rationale: Also has erythematous/itchy lesions/plaques, less likely to have active borders or central clearing of lesions that are usually not annular and may be lichenified.
2. Contact Dermatitis
· Rationale: Also has erythematous/itchy lesions/plaques, is less likely to have active borders or central clearing, and lesions are usually not annular.
3. Psoriasis
· Rationale: Psoriasis can present as well-demarcated, erythematous plaques with silvery scales; however, it lacks central clearing, and lesions tend to persist without spreading in an annular pattern.
(Ely et al., 2014)
5. Management Plan: Medications, nonpharmacological treatments, ancillary tests, and referrals:
a. Drug name, dosage, route. Include any supplements or OTC medications. Include education for prescribed medications:
· New Rx: Luliconazole 1% cream, apply cream to affected area and 1-inch surrounding area(s) daily for 1 week.
· Medication Education:
· Emphasize the importance of applying topical medication 1 inch beyond the border of the lesions.
· Emphasize the importance of completing the entire course of the topical antifungal regimen to prevent recurrence.
· Instruct that medication is for topical use only.
· Instruct not to apply over large surface areas due to the risk of increased systemic exposure.
(Medscape, 2024)
· Discontinue OTC corticosteroid cream, as it can worsen tinea infections.
· OTC antihistamines, like diphenhydramine, as needed for pruritus/itching per package instructions.
· OTC antifungal powder for prevention.
b. Nonpharmacological treatment/supportive care:
· Wash affected areas with mild soap and water, and pat areas dry completely before applying topical medications.
· Shower, dry the body completely, and wear fresh/clean clothing immediately after activities like yoga or swimming.
· Aloe Vera can help moisturize and minimize discomfort.
c. Any ancillary testing needed: None relevant to diagnosis.
d. Referrals: None relevant to diagnosis.
6. SDOH, health promotion and risk factors
a. SDOH – After reviewing this patient’s social history, they do not appear to have any significant SDOH barriers, but here are some important factors to consider.
· Economic Stability: Assess the affordability of prescription medications.
· Health Literacy: Ensure understanding of fungal transmission and prevention.
· Environmental Exposure: Discuss hygiene practices in shared public spaces like gyms and pools.
b. Health promotion – include all age-appropriate preventive health screenings and immunizations:
· The patient is currently UTD on the following:
· Immunizations
· Dental cleanings
· Pap smear
· Annual eye exam
· Clinical breast exam
· Additional health promotion screenings needed include:
· Hemoglobin A1C
· Lipid panel
c. Risk factors – Address patient risk factors related to primary diagnosis:
· Type 2 DM: Impaired immune response related to the disease process of DM predisposes patients to increased risk for dermatophyte infections and impaired wound healing.
· Exposure to frequent sweating and moist/humid environments: Frequent participation in hot yoga and swimming increases possible exposure to fungi, increasing the susceptibility to dermatophyte infections.
7. Patient Education
a. Include comprehensive patient education related to the current health visit:
· Educate on Diagnosis: Tinea corporis, commonly referred to as "ringworm," is a superficial fungal infection of the legs, arms, or trunk that is treated with consistent antifungal therapy.
· Transmission Prevention: Avoid sharing towels, clothing, and gym equipment. Keep skin clean and dry. Frequent hand washing. Avoid scratching affected areas if possible.
· Avoiding Corticosteroids: These medications can worsen fungal/tinea infections.
· Avoiding excessive moisture: Wear loose-fitting, breathable clothing; change/wash clothing and towels frequently.
· Disinfect personal items: Clean yoga mats, gym equipment, clothing, and swimwear to prevent reinfection. Do not share items that have not been disinfected, like towels or equipment. Use a separate towel to dry affected areas to avoid spreading the infection.
· Diagnosis of Type 2 DM as a Risk Factor: Educate on the importance of compliance with disease management and the implications of uncontrolled blood glucose on skin health and its effects on healing, leading to bacterial infections and increased risk for fungal infections.
8. Follow up
a. Include time for the next visit and specific symptoms to prompt a return visit sooner:
· Routine Follow-Up: Schedule in 2 weeks to assess treatment response.
· Return Sooner If (Red-Flag symptoms):
· Symptoms worsen despite treatment.
· New lesions begin to develop.
· Presence of fever, or if any lesions develop signs of infection like excessive redness, swelling, pain, warmth, or drainage. Go to the emergency room if symptoms are severe.
· Any adverse reaction to prescribed medications. Go to the emergency room if symptoms are severe, like throat swelling or shortness of breath.
9. References
Ely, J. W., Rosenfeld, S., & Stone, M. S. (2014). Diagnosis and Management of Tinea Infections.
_American Family Physician_,
_90_(10), 702–711.
[https://www.aafp.org/pubs/afp/issues/2014/1115/p702.html](https://www.aafp.org/pubs/afp/issues/2014/1115/p702.html)
_Luzu_. (2024, July 15). Medscape.com. Accessed on March 8, 2025, from https://reference.medscape.com/drug/luzu-luliconazole-999891
Dermatophyte (tinea) infections. (2025). Uptodate.com. Accessed on March 8, 2025, from https://www.uptodate.com/contents/dermatophyte-tinea-infections?search=tinea%20corporis&source=search_result&selectedTitle=2%7E43&usage_type=default&display_rank=2#H18300298
Yee, G., Aboud, A. A., & Syed, H. (2025, February 14).
_Tinea Corporis_. StatPearls. https://www.statpearls.com/point-of-care/30206#History%20and%20Physical
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