| Course | DNP 647 Management of Complex and Chronic Health Problems in Pediatric Primary Care |
|---|---|
| Module | Module 5 |
| Paper type | Case-based presentation slides with speaker notes |
| Length | About 657 words, 5 pages |
| Format | APA 7 slide deck with speaker notes |
| School | Arizona State University |
| Program | Doctor of Nursing Practice |
| Updated | October 2026 |
Free sample paper for DNP 647 Module 5
One Reading, One Prescription: An Evidence-Based Practice Presentation on Pediatric Hypertension Diagnosed and Treated Off the Guideline
Student Name
Edson College of Nursing and Health Innovation, Arizona State University
DNP 647: Management of Complex and Chronic Health Problems in Pediatric Primary Care
Instructor Name
Month Day, Year
Slide 1: One Reading, One Prescription
Title slide: pediatric hypertension in primary care, a case from clinical rotation.
Speaker notes: I chose this case because hypertension in adolescents is common, often missed, and when it is caught, the steps between the first reading and the first prescription matter.
Slide 2: The Case
D., 13, BMI at the 97th percentile, seen for a sports physical. Automated office reading 136/84. No symptoms. Family history of hypertension in both parents.
Speaker notes: For a 13-year-old, the guideline uses adult-style thresholds: 130/80 to 139/89 is stage 1 hypertension (Flynn et al., 2017).
Slide 3: The Preceptor's Plan
Diagnosis of hypertension at this visit; lisinopril 10 mg daily; recheck in three months.
Speaker notes: The preceptor's concern for this adolescent was well founded. The question is the sequence.
Slide 4: Confirming the Diagnosis
Elevated automated readings should be repeated by auscultation at the same visit, and hypertension is diagnosed after elevated readings at three separate visits; ambulatory blood pressure monitoring is recommended to confirm persistent elevated readings (Flynn et al., 2017).
Speaker notes: White coat hypertension is common in adolescents at sports physicals, and ambulatory monitoring sorts it out.
Slide 5: Workup Before Treatment
History and examination for secondary causes; urinalysis, electrolytes, creatinine and lipids; glucose or A1c for children with obesity; echocardiogram when medication is being considered.
Speaker notes: In adolescents with obesity, primary hypertension is the most likely cause, but the guideline still asks for a basic evaluation and a look for target organ damage (Flynn et al., 2017).
Slide 6: Lifestyle First
For stage 1 hypertension without symptoms, target organ damage or chronic kidney disease, lifestyle changes come first: the DASH diet, physical activity and weight management. Medication follows if blood pressure stays elevated after about six months.
Speaker notes: The AHA's statement on pediatric primary hypertension describes it as underrecognized and stresses early lifestyle treatment linked to obesity care (Falkner et al., 2023).
Slide 7: Why the Preceptor Departed
The family lives two hours away and had missed earlier visits; the preceptor feared losing D. to follow-up.
Speaker notes: This is a real access problem, and the assignment asks us to think about families far from specialists.
Slide 8: Weighing the Reasons
Loss to follow-up is a reason to confirm the diagnosis efficiently, not to skip confirmation.
Speaker notes: Starting a medication with teratogenic risk, as ACE inhibitors carry, in a teen who may be white coat hypertensive adds risk without certainty.
Slide 9: My Plan if Practicing Independently
Repeat by auscultation today; arrange ambulatory monitoring or validated home readings; order the basic labs; begin lifestyle counseling with a referral to an intensive obesity program (Hampl et al., 2023); schedule a recheck in four to six weeks.
Speaker notes: If ambulatory monitoring confirms hypertension and lifestyle changes do not control it, I would start an ACE inhibitor or ARB with counseling on pregnancy prevention, or a calcium channel blocker if that counseling is not feasible.
Slide 10: Care Far From Specialists
Readings at home on a cuff validated for adolescents; telehealth visits for counseling; labs at a local laboratory; echocardiogram scheduled with the nearest pediatric cardiology clinic on a single trip.
Speaker notes: The goal is to bring confirmation and follow-up to the family rather than requiring repeated long drives.
Slide 11: Using OpenEvidence
My first question, "treatment of hypertension in teens," returned general reviews. I refined it to "ambulatory blood pressure monitoring to confirm stage 1 hypertension in adolescents with obesity," which returned the AAP guideline and studies on white coat hypertension.
Speaker notes: The tool helped once the question was specific, but I checked every source it cited against the original article before using it.
Slide 12: What I Learned
Confirm, evaluate, start with lifestyle and adapt follow-up to the family's access.
Slide 13: Questions
How would you confirm the diagnosis for a family that cannot return for three visits?
Speaker notes: I welcome questions on making the guideline work in rural practice.
References
Falkner, B., Gidding, S. S., Baker-Smith, C. M., Brady, T. M., Flynn, J. T., Malle, L. M., South, A. M., Tran, A. H., & Urbina, E. M. (2023). Pediatric primary hypertension: An underrecognized condition: A scientific statement from the American Heart Association. Hypertension, 80(6), e101-e111. https://doi.org/10.1161/HYP.0000000000000228
Flynn, J. T., Kaelber, D. C., Baker-Smith, C. M., Blowey, D., Carroll, A. E., Daniels, S. R., de Ferranti, S. D., Dionne, J. M., Falkner, B., Flinn, S. K., Gidding, S. S., Goodwin, C., Leu, M. G., Powers, M. E., Rea, C., Samuels, J., Simasek, M., Thaker, V. V., & Urbina, E. M. (2017). Clinical practice guideline for screening and management of high blood pressure in children and adolescents. Pediatrics, 140(3), Article e20171904. https://doi.org/10.1542/peds.2017-1904
Hampl, S. E., Hassink, S. G., Skinner, A. C., Armstrong, S. C., Barlow, S. E., Bolling, C. F., Avila Edwards, K. C., Eneli, I., Hamre, R., Joseph, M. M., Lunsford, D., Mendonca, E., Michalsky, M. P., Mirza, N., Ochoa, E. R., Sharifi, M., Staiano, A. E., Weedn, A. E., Flinn, S. K., ... Okechukwu, K. (2023). Clinical practice guideline for the evaluation and treatment of children and adolescents with obesity. Pediatrics, 151(2), Article e2022060640. https://doi.org/10.1542/peds.2022-060640
DNP 647 Module 5 instructions, in plain terms
DNP 647's Evidence-Based Practice Presentation, worth 25 points, is given at the third immersion in Week 11, alongside the OSCEs. It builds on the DNP 645 version with three requirements: the case must involve a complex or chronic condition, the presentation must explain how the patient would receive initial and ongoing care if the family lives far from specialists, and the student must use OpenEvidence to answer a clinical question from the case and describe the experience. At its center is still a clinical case where care departed from the guideline, set beside the guideline, the preceptor's reasoning and the student's own plan.
How the DNP 647 Module 5 example is put together
Thirteen slides with speaker notes carry the presentation. The case, the examination reading and the preceptor's plan come first. Three slides then compare the plan with the guideline on confirming the diagnosis, the workup before treatment and lifestyle as first-line therapy, citing the AAP guideline and the AHA statement. Two slides record the preceptor's reason, distance and missed visits, and weigh it fairly. The student's own plan follows with steps, timing and the drug she would choose if needed. A slide on care far from specialists turns the access problem into practical arrangements. A slide on OpenEvidence describes refining a question and verifying the sources. The closing slides state the lesson and pose a question to the class.
DNP 647 Module 5 rubric: what earns full marks
The 25-point presentation is scored on a rubric posted in Canvas. Expect credit for a clear chronic illness case, an accurate guideline summary tied to the specific departures, a fair account of the preceptor's reasoning, a detailed alternative plan, a realistic plan for families far from tertiary care and a reflective account of using OpenEvidence, including how the question was refined and how sources were checked, along with delivery and handling of questions. Presentations lose points for acute topics, vague alternatives, a missing rural plan and an AI section that only states the tool was used. Graders want to see the tool's answers checked against the guideline itself.
DNP 647 Module 5 help with common mistakes
Treat the OpenEvidence requirement as a short case study of its own: what you asked first, what came back, how you changed the question and how you checked the sources it cited. For the families far from specialists, describe exactly how confirmation and follow-up reach them, such as validated home devices and telehealth. Compare the preceptor's plan to the precise recommendation it departed from. Report the preceptor's reasons respectfully. Keep slides short and the evidence in the notes. Post your topic early for approval. If you send the desk your approved topic and outline, it can help you shape the comparison slides. Remove identifying details about the child, the preceptor and the clinic from every slide.
Write yours, or have the desk draft it
This paper is an original model document written by our desk, not a submitted student paper and not an official Arizona State University document. Read it for the moves, then write your own to the instructions in your classroom. If you want one built to your exact prompt and rubric, the first custom sample is free and arrives in 24 to 48 hours.
More DNP 647 and Doctor of Nursing Practice sample papers
- DNP 647 Module 1: Case Study 1: Respiratory Disorders (Poorly Controlled Asthma)
- DNP 647 Module 2: Case Study 2: Neurological Disorders (Childhood Absence Epilepsy)
- DNP 647 Module 3: Case Study 3: Gastrointestinal Disorders (Celiac Disease)
- DNP 647 Module 4: Case Study 4: Endocrinology and Metabolic Disorders (Early Puberty)
- DNP 711 Module 7: White Paper
- DNP 641 Module 1: Written Complete History (SOAP 1): Pediatric Health History With Safety and Risk Assessment
- DNP 661 Module 4: Ethical Dilemma Topic Exploration
- DNP 671 Module 9: Discussion: Motivational Interviewing With Adolescents Who Use Substances
DNP 647 Module 5 questions, answered
Where can I find a free DNP 647 Module 5 sample paper?
On this page is the complete DNP 647 Module 5 sample, thirteen slides with notes on an adolescent whose high blood pressure was handled differently from the pediatric guideline.
How is hypertension diagnosed in adolescents?
After elevated readings at three separate visits, with automated readings repeated by auscultation and ambulatory monitoring recommended to confirm persistent elevation.
Is medication first-line for stage 1 hypertension in teens?
Usually not; lifestyle changes come first unless there are symptoms, target organ damage or chronic kidney disease, with medication if pressure stays high.
What does the DNP 647 presentation require about OpenEvidence?
Students use OpenEvidence to answer a clinical question from their case and discuss how they refined the question and evaluated the sources it returned.
How much is the DNP 647 presentation worth?
The evidence-based practice presentation is worth 25 points and is presented at the third immersion in Week 11.