Preventative Health and Assessing, Diagnosing and Treating Special Populations

Assignment: Preventative Health and Assessing, Diagnosing, and Treating Special Populations
Certain groups of patients have concerns that may be specific to their particular population. Conditions related to men’s or women’s health, older adults, college students, LGBTQ individuals, athletes, those with particular cultural beliefs or concerns, or those undergoing palliative or end-of-life care would all fall under this category. Individuals may identify with more than one category.
For this Assignment, you practice assessing, diagnosing, and treating disorders seen in special population patients.
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To Prepare:
• Review this week’s Learning Resources. Consider preventative health and assessing, diagnosing, and treating special populations.
• Review the case study provided by your Instructor. Based on the provided patient information, think about the health history you would need to collect from the patient.
• Consider what physical exams and diagnostic tests would be appropriate in order to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
• Identify three to five possible conditions that may be considered in a differential diagnosis for the patient.
• Consider each patient’s diagnosis. Think about clinical guidelines that might support this diagnosis.
• Develop a preventative health treatment plan for the patient that includes health promotion and patient education strategies for special populations.
Complete:
Use the Focused SOAP Note Template to address the following:
• Subjective: What details are provided regarding the patient’s personal and medical history?
• Objective: What observations did you make during the physical assessment? Include pertinent positive and negative physical exam findings. Describe whether the patient presented with any morbidities or psychosocial issues.
• Assessment: Explain your differential diagnoses, providing a minimum of three. List them from highest priority to lowest priority and include their CPT and ICD-10 codes for the diagnosis. What would your primary diagnosis be and why?
• Plan: Explain your plan for diagnostics and primary diagnosis. What would your plan be for treatment and management? Include pharmacologic and non-pharmacologic treatments, alternative therapies, and follow-up parameters as well as a rationale for this treatment and management plan.
• Reflection notes: Describe your “aha!” moments from analyzing this case.
Submit your focused SOAP note
Week 9 case study
Use the following case to complete a focused SOAP note. Incorporate answers to the questions into your SOAP write up.
Marcia is a 28-year-old female who comes in with a complaint of nipple drainage. She says that the discharge started about three months ago and it appears milky. She says that she has also felt tired, and has been constipated lately. Her periods have been very light. She is worried that she “might have cancer.”
1. What are the three classifications of nipple discharge? What classification does this fit into?
2. Aside from the above concerns, name three other things this woman may be experiencing.
3. Women with a strong family history of breast cancer may be candidates for genetic testing for mutations.
4. You do a thorough breast examination on this pt. What are two important components of this exam on anyone with nipple drainage?
5. You do a complete medication history as well as elicit past medical history, including endocrine and reproductive history. What are four important parts of the exam on this pt and why?
6. Name five chemical agents that can cause nipple discharge and galactorrhea.