## Clinical Case Study Presentation Outline
### Topic: Management of Type 2 Diabetes in an Adult Patient
#### Slide 1: Title Slide
– Title: Management of Type 2 Diabetes in an Adult Patient
– Your Name
– Course Title
– Date
#### Slide 2: Introduction
– Brief overview of the case study presentation.
– Importance of managing Type 2 Diabetes in primary care.
#### Slide 3: Subjective Data – Chief Complaint
– Chief Complaint: “Frequent urination and excessive thirst for the past month.”
#### Slide 4: Subjective Data – History of Present Illness (HPI)
– Demographics: 55-year-old male, non-Hispanic white.
– HPI:
– Onset: 1 month ago.
– Location: N/A.
– Duration: Continuous.
– Characteristics: Polyuria, polydipsia, fatigue.
– Aggravating factors: High carbohydrate intake.
– Relieving factors: None noted.
– Timing: Worse at night.
– Severity: Moderate to severe impact on daily activities.
#### Slide 5: Subjective Data – Review of Systems (ROS)
– General: Weight gain, fatigue.
– Skin: Dryness.
– Cardiovascular: No chest pain or palpitations.
– Respiratory: No shortness of breath.
– Gastrointestinal: No nausea or vomiting.
– Genitourinary: Frequent urination.
– Musculoskeletal: Joint stiffness.
– Neurological: Occasional headaches.
#### Slide 6: Objective Data – Medical and Surgical History
– Medications: Metformin 500 mg BID.
– Allergies: None.
– Past Medical History: Hypertension, Hyperlipidemia.
– Family History: Father – Type 2 Diabetes; Mother – Hypertension.
– Past Surgical History: Appendectomy at age 30.
– Social History: Non-smoker, occasional alcohol, sedentary lifestyle.
#### Slide 7: Objective Data – Labs and Vital Signs
– Labs:
– HbA1c: 8.5%
– Fasting glucose: 160 mg/dL
– Lipid panel: Total cholesterol 210 mg/dL, LDL 130 mg/dL, HDL 40 mg/dL, Triglycerides 150 mg/dL.
– Vital Signs:
– BP: 140/90 mmHg
– HR: 78 bpm
– RR: 16 breaths/min
– BMI: 30 kg/m²
#### Slide 8: Objective Data – Physical Exam
– General: Overweight, appears fatigued.
– Skin: Dry, no lesions.
– Cardiovascular: S1, S2 normal, no murmurs.
– Respiratory: Clear to auscultation.
– Abdominal: Soft, non-tender, no masses.
– Neurological: Alert and oriented, no focal deficits.
#### Slide 9: Assessment – Primary and Differential Diagnosis
– Primary Diagnosis: Type 2 Diabetes Mellitus.
– Differential Diagnoses:
– Hyperthyroidism.
– Chronic kidney disease.
– Cushing’s syndrome.
#### Slide 10: Plan – Diagnostic Testing
– Additional Labs: Thyroid function tests, Kidney function tests.
– Imaging: N/A at this stage.
#### Slide 11: Plan – Pharmacologic Treatment
– Continue Metformin 500 mg BID.
– Add a second agent: GLP-1 receptor agonist (e.g., Liraglutide).
– Adjust antihypertensive therapy (e.g., ACE inhibitor).
#### Slide 12: Plan – Non-Pharmacologic Treatment
– Lifestyle modifications:
– Diet: Low-carb, high-fiber diet.
– Exercise: 150 minutes of moderate activity per week.
– Diabetes education: Referral to a dietitian and diabetes educator.
#### Slide 13: Plan – Anticipatory Guidance and Follow-Up
– Primary Prevention:
– Educate on foot care, glucose monitoring.
– Emphasize the importance of medication adherence.
– Follow-Up Plan:
– Follow-up visit in 3 months to assess HbA1c and treatment adherence.
– Monitor blood pressure and lipid levels.
#### Slide 14: Incorporation of Current Clinical Guidelines
– ADA Guidelines: Management of hyperglycemia in Type 2 Diabetes.
– AACE/ACE Guidelines: Comprehensive Type 2 Diabetes Management Algorithm.
#### Slide 15: Integration of Research Articles
– Summarize findings from 4 current scholarly articles on Type 2 Diabetes management.
– Highlight the importance of a multidisciplinary approach.
#### Slide 16: Conclusion
– Recap the importance of effective management of Type 2 Diabetes.
– Emphasize the role of the Nurse Practitioner in patient education and follow-up.
#### Slide 17: References
– List of scholarly references in APA format.
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This outline provides a structured approach for your PowerPoint presentation, covering all necessary clinical information and integrating current guidelines and research for managing a patient with Type 2 Diabetes.
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
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).
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