Case Study #1

“Patient JB, 39 yo Caucasian female, is seen by her care provider for a complaint of productive cough, weakness, and “I just havenâ€t felt good for the past 2 weeks.” The care provider completes an assessment of listening to her lungs by having her take 2 deep breaths and informs her that her lungs are clear and to take OTC cough medication and hydrate well. The next day, JB feels worse and visits a different care provider who at this time, assesses her head, eyes, ears, nose, throat, auscultates her heart sounds and hears a murmur (which she did not know she had), auscultates her lungs by having her to take 4 deep breaths, performs percussion techniques, and tells her there is fluid on her lungs, examines her lower extremities and notices that there is bilateral  2+ pitting edema, and lastly, reviews her vital signs and tells her that her heart rate is 120, respirations are 22, and she has a temp of 101.

Questions:

1.)   Is the health history about the patientâ€s complaint thorough?

2.)   Which providerâ€s examination would provide the patient with an accurate diagnosis and treatment plan?

3.)   What diagnoses (we call them differential diagnoses) would be considered, and how would you rule them out to come up with an actual diagnosis?

Assignment  4 pages, not including title and reference pages):

Assignment Option 1: Adult Assessment Tools or Diagnostic Tests: Include the following:

• A description of how the assessment tool or diagnostic test you were assigned is used in healthcare.
  • What is its purpose?
  • How is it conducted?
  • What information does it gather?
• Based on your research, evaluate the test or the toolâ€s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values. Include references in appropriate APA formatting.

 

 

 

RUBRICS

In 3–4 pages, address the following: A description of how the assessment tool or diagnostic test you were assigned is used in healthcare. o What is its purpose? o How is it conducted? o What information does it gather?

30 (30%) – 35 (35%)

The response clearly, accurately, and with specific detail describes how the assessment tool or diagnostic test assigned is used in healthcare, including its purpose, how it is conducted, and what information it gathers.

 

Based on your research, evaluate the test or the toolâ€s validity and reliability, and explain any issues with sensitivity, reliability, and predictive values.

45 (45%) – 50 (50%)

The response accurately and thoroughly evaluates the test or tool’s validity and reliability, and explains any issues with clear sensitivity, reliability, and predictive values. Student’s research is clear, accurate, and appropriate for the evaluation.

 

Written Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.

5 (5%) – 5 (5%)

Paragraphs and sentences follow writing standards for flow, continuity, and clarity. A clear and comprehensive purpose statement, introduction, and conclusion are provided that delineate all required criteria.

 

Written Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation

5 (5%) – 5 (5%)

Uses correct grammar, spelling, and punctuation with no errors.

 

Written Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.

5 (5%) – 5 (5%)

Uses correct APA format with no errors.

 

NB: References cannot be more than 5 years old

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