Week 9 Case Study- Urinary Problems
please follow rubric:
A 28-year-old woman presents to the clinic with symptoms of a urinary tract infection (UTI) for the fourth time in 5 months. The woman describes urinary frequency and dysuria. The woman denies blood in the urine or a foul smell to the urine. A clean catch urine specimen demonstrates cloudiness, alkaline pH, increased nitrites, and leukocyte esterase. Some mucus is present, as well as bacterial overgrowth. The woman indicates that she uses proper hygiene measures by wiping from front to back, has completed the full course of antibiotics previously prescribed, wears cotton underwear, avoids tub baths, and drinks increased fluids each day to encourage voiding. Upon further discussion, the woman reveals the use of a diaphragm and spermicide for birth control. The previous urine culture from the last UTI demonstrated gram-positive cocci, which were not present in the most recent UTI culture. The woman is not currently pregnant.
Case Questions
- What risk factor(s) for UTI does the woman demonstrate?
- What are the differential diagnoses for this patient?
- What additional medication management should be considered?
- What patient education should be considered?
- What follow-up education is important for this patient?
Discussion Board Rubric
|
Grading Elements |
2 |
1 |
0 |
|
Initial Post Requirements |
Post by due date at 2359 CST. This is respectful behavior to allow fellow students in the course time to read your initial post and formulate a highly synthesized response and meet the reply post due date/time. |
Posted one day late at 2359 CST. |
Posted two days late at 2359. |
|
Initial Post Content |
Demonstrates synthesis of issues/content presented for the discussion week by significantly contributing to the quality of discerning ideas, and/or provides insightful interpretations and analyses of the content presented for the week, and/or stimulates further discussion by providing a new perspective. |
Demonstrates in depth understanding of issues/content presented for the discussion week by providing a summary of the content presented for the week. |
Demonstrates minimal understanding of issues/content presented for the discussion week by providing a brief answer to the discussion board question. |
|
Initial Post Support |
Provides support for discussions with at least 2 current scholarly references, one of which may include the assigned text. Uses APA 7th edition format for citations and references within last 5 years. |
Provides support for discussions with at least 1 current scholarly references, one of which may include the assigned texts. Uses APA 7thedition format for citations and references within last 5 years. |
NO support. |
|
Initial Peer Response Requirements |
Posted by due date at 2359 CST. |
Posted one day late at 2359 CST. |
Posted two days late at 2359 CST. |
|
Initial Peer Response Content |
Significantly adds to the discussion demonstrated by synthesizing key elements and adds further analysis of peer’s post. Respectfully adds a different perspective/critique of the peer’s post for healthy debate of the content presented for the week. Uses scholarly references in APA 7th edition format where applicable. |
Adds to the discussion with in depth summary of key elements of peer’s post and highlights key elements of the post. Does not add a new perspective/critique. Uses scholarly references in APA 7th edition format where applicable. |
Provides only a brief summary of peer’s post. |
|
Spelling/Grammar/APA |
Less than 10 spelling/grammar/APA errors. |
Less than 15 spelling/grammar/APA errors |
More than 15 spelling/grammar/APA errors |
|
Follow-up to peer responses (purpose is to maintain some dialogue on the topic during the week) |
Significant response to either peer or faculty with referencing optional but the post needs to continue adding new perspective/critique to maintain open discussion of topic. Uses scholarly references in APA 7thedition format where applicable. |
Response to peer is a summary with no new perspective/critique. Uses scholarly references in APA 7th edition format where applicable. |
