- Reflection: Download this worksheetLinks to an external site. One rule is to always include “the worst-case scenario” in your differential diagnosis and make sure you have ruled out this possibility based on your findings and patient assessment. Your goal is to minimize the risk of missing unusual or infrequent conditions such as meningococcal meningitis, bacterial endocarditis, pulmonary embolus, or subdural hematoma that are particularly ominous.Address the following question: What are the “red flags” in this case? Based on your pertinent key findings, what is “the worst-case scenario”? What lessons did you learn from this case that you can apply to your future professional practice? Include the following components:
- type 150-300 words in a Microsoft Word document
- demonstrate clinical judgment appropriate to the virtual patient scenario
- provide rationales for each intervention and cite at least one relevant scholarly source as defined by program expectations
- communicate with minimal errors in English grammar, spelling, syntax, and punctuation
Submission
Submit both the Performance Overview Report and reflection document to the Week 6 dropbox.
Rubric
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Focused Health History Complete a focused health history (scores are automatically calculated within the iHuman platform)
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Focused Physical Exam Complete a focused physical exam (scores are automatically calculated within the iHuman platform
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EMR Documentation- Subjective data 5 Required Criteria Document the history of present illness (HPI) and focused review of systems (ROS). Documentation must be: 1. accurate 2. detailed 3. written using professional terminology 4. pertinent to the chief complaint 5. include subjective findings only |
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EHR Documentation – Objective data 5 Required Criteria Document physical exam findings. Documentation must be: 1. accurate 2. detailed 3. written using professional terminology 4. pertinent to the chief complaint 5. include objective findings only |
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Key Findings/Most Significant Active Problem Identify the most significant active problem (MSAP)
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Problem Statement 4 Required Criteria Document a brief, accurate problem statement using professional language. Include the following components: 1. name or initials, age 2. chief complaint 3. positive and negative subjective findings 4. positive and negative objective findings |
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Management Plan 6 Required Criteria Use the expert diagnosis provided to create a pertinent comprehensive evidence-based management plan. If a specific component of the management plan is not warranted (i.e., no referrals are appropriate for the virtual patient) document that no intervention is warranted. Include the following components: 1. diagnostic tests 2. medications: write a specific prescription for each medication, including over-the-counter medications 3. suggested consults/referrals 4. client education 5. follow-up, including time interval and specific symptomatology to prompt a sooner return 6. Provide rationales for each intervention and cite at least one relevant scholarly source as defined by program expectations |
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Reflection 4 Required Criteria Address the following question: What are the “red flags” in this case? Based on your pertinent key findings, what is “the worst-case scenario”? What lessons did you learn from this case that you can apply to your future professional practice? Include the following components: 1. write 150-300 words in a Microsoft Word document 2. demonstrate clinical judgment appropriate to the virtual patient scenario 3. cite at least one relevant scholarly source as defined by program expectations 4. communicate with minimal errors in English grammar, spelling, syntax, and punctuation |
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Formatting Use current APA format for citations and references in management plan and reflection and is free of errors.
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Late penalty deductions Students are expected to submit assignments by the time they are due. Assignments submitted after the due date and time will receive a deduction of 10% of the total points possible for that assignment for each day the assignment is late. Assignments will be accepted, with penalty as described, up to a maximum of three days late, after which point a zero will be recorded for the assignment.
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Total Points: 100
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