28 Jul Use of AI in Evidence-Based Plan Management NURS 6512: Week 9 Assignment

SECTION 1: Differential Diagnoses (3–5 Required)

List and provide a rationale for each, using subjective, objective, and pertinent history of findings to rule out each differential diagnosis.

SECTION 2: Final Diagnosis

Identify the final diagnosis with a rationale supported by subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.

Final Problem Statement (Use Template Below)

[Initials/Name], [Age], presents with [chief complaint] characterized by [positive subjective findings] and denies [negative subjective findings]. Physical exam reveals [positive objective findings] with absence of [negative objective findings]. Pertinent history includes [relevant PMH, family history, or risk factors]. The overall clinical picture is most consistent with [final diagnosis].

SECTION 3: Evidence-Based Management Plan

Include diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. Using a minimum of 3–5 peer- reviewed scholarly sources published within the last 5 years, develop an evidence-based management plan. Cite all sources used with in-text citations and a corresponding list of references listed in Section 4.

Diagnostics

• Order only tests supported by clinical decision rules or guidelines.

• Testing must change management.

• Document test + guideline + rationale.

Medications

• Include name, dose, route, frequency, duration, quantity, refills.

• Use evidence-based, first-line therapies.

• Consider allergies, interactions, renal/hepatic adjustment.

• Provide patient-specific instructions.

Patient Education

• Explain diagnosis and expected course.

• Provide medication teaching and red flags.

• Include lifestyle recommendations.

• Reinforce with teach-back when possible.

Referrals / Consults

• Refer to specialists or services as indicated (cardiology, neuro, derm, GI, psych, PT/OT, nutrition, behavioral health).

• Document the reason for referral.

Follow-Up

• Set specific time frame.

• State purpose of follow-up.

• Provide ED/urgent care precautions.

References (3–5 REQUIRED)

Include 3–5 peer-reviewed, scholarly sources published within the last 5 years. Cite them in APA format.

SECTION 5: Reflection on AI Use

Write a brief paragraph discussing the accuracy (verified against evidence-based resources), usefulness, and limitations of AI in developing your management plan.

Use of AI

Ensure all AI-generated recommendations are verified and adjusted based on clinical judgment and guideline validation.

Appendix

Include copies of all your interactions with various AI tools used, including prompts entered and outputs generated.

The Assignment (Template)

Analyze your assigned patient scenario (posted in Week 9 Announcements) and use an AI tool (such as ChatGPT, GROK, etc.) to assist in creating the following:

· Differential Diagnoses (3–5): List and provide a rationale for each diagnosis, using subjective, objective, and pertinent history findings to rule out each differential diagnosis.

· Final Diagnosis: Identify the final diagnosis with a rationale supported by subjective, objective, and pertinent history findings that rule in the diagnosis according to evidence-based guidelines.

· Final Problem Statement: Write a problem statement with positive, negative, subjective and objective findings and pertinent history.

· Evidence-Based Management Plan: Include diagnostics, medications, referrals/consults, patient education, and follow-up, verified against evidence-based clinical guidelines. Use a minimum of 3–5 peer-reviewed, scholarly sources published within the last 5 years. Cite all sources used with in-text citations and a corresponding list of references.

· Complete and appropriate first-line medication orders (dose, route, frequency, duration, quantity, refills); thorough patient education including diagnosis explanation, medication teaching, lifestyle guidance, and red-flag symptoms; appropriate referrals with clear justification; and specific follow-up instructions including timeframe, purpose, and ED/urgent care precautions.)

· Reflection on AI US: Write a brief paragraph discussing the accuracy, usefulness, and limitations of AI in developing your management plan.

· Use of AI: Ensure all AI-generated recommendations are verified and adjusted based on clinical judgment and guideline validation.

· Appendix: Include copies of prompts entered and outputs generated.

Assigned Week 9 Case Study (Use This Case for Your Assignment)

Case Study 1: Headache and Vision Changes

Chief Complaint

“I’ve been having bad headaches and sometimes see flashing lights.”

History of Present Illness

A 28-year-old female presents with a 3-month history of recurrent headaches occurring 2–3 times per week. The pain is described as throbbing, located on one side of the head, and is often accompanied by nausea and light sensitivity. The headaches last several hours and are sometimes preceded by visual disturbances, including shimmering lights or zigzag lines. She denies trauma, fever, or neck stiffness. Stress and lack of sleep worsen the headaches. Ibuprofen provides partial relief. She denies weakness, confusion, or speech changes.

Past Medical History

· Seasonal allergies

· No hypertension

· No diabetes

Family History

· Mother: History of migraines

· Father: Hypertension

Social History

· Nonsmoker

· Drinks 2–3 cups of coffee daily

· Occasional alcohol use

· Works long hours as a graphic designer

· Sleeps approximately 5–6 hours per night

Review of Systems

Positive

· Light sensitivity

· Mild nausea

· Visual aura before headaches

Negative

· Weakness

· Dizziness

· Neck stiffness

· Vision loss

Objective Findings

· Vital Signs: BP 118/76 mmHg, HR 78 bpm, afebrile

· General: Alert, cooperative, no acute distress

· HEENT: No sinus tenderness; pupils equal, round, and reactive to light; no papilledema

· Neurological: Cranial nerves II–XII intact; motor strength 5/5 throughout; reflexes 2+; gait normal; no focal neurological deficits

· Pain: 7/10 during headache episodes