Students will choose a clinical case they have encountered in their clinical areas, gather relevant clinical data
associated with the pathophysiology, document the information in a SOAP note format, and relate the clinical
data to the pathophysiological process. References for case studies should be in APA format. Use the
Independent Case Study Template provide for this assignment. Guidelines: Consider the SOAP note format for
clinical documentation. S- Subjective Subjective information obtained from the patient/caretaker. O-Objective
Objective information obtained during a physical exam or diagnostics completed prior to the exam. Assessment (or Diagnosis) Name the pathophysiological condition(s). P-Plan – for NURS 681, the P will stand
for Pathophysiology Pathophysiology: Students will thoroughly discuss the pathophysiology from cellular to
tissue to system to whole being effects. Relationship between the pathophysiological symptoms and
signs/diagnostic results presented in the subjective and objective sections, respectively, are thoroughly
discussed. If co-morbid conditions exist, students must discuss the interaction of these pathophysiological
processes. Use the questions below to guide the discussion. Questions to answer for the Pathophysiology
Section As with our case studies in class, these may be bulleted. However, be sure to clearly link the
information to the pathophysiology. Describe the pathophysiology. Consider cellular, tissue, organ, system,
whole being responses. (Etiology) What is the incidence and prevalence of this pathophysiology? Prevalence
is a statistical concept referring to the number of cases of a disease that are present in a particular population
at a given time. Incidence refers to the number of new cases that develop in a given period of time. How do the
symptoms, signs, and diagnostic studies of this specific case relate to the pathophysiology of the diagnosis
indicated in the Assessment section? Not all cases of a given pathophysiology present in an identical manner.
When discussing symptoms and signs of your patient, be sure to explain how the symptoms or signs occur
given the specific pathophysiology. When discussing diagnostics, clearly link the diagnostic to the
pathophysiology. Explain the diagnostic, what the results mean, and its relationship to the specific
pathophysiology. Are there any nonpharmacological interventions that may assist with the pathophysiological
condition? If so, describe how the intervention would benefit the patient with this specific pathophysiology. Are
there any additional diagnostics that could be performed for the diagnosis? If so, describe the diagnostic(s) and
how it would provide additional relevant information for the specific pathophysiology.
Sample Solution