Case analysis-SOAP

Description

Instructions for Case Analysis Exercise Limit 16 pages (excluding title and reference pages).Scientific Underpinning: Scholarly, peer-reviewed articles published within the past 5 years. Sources should include primary sources, meta-analysis, or expert guidelines along with level of evidence. Format (Times New Roman, 12-point font, 1-inch margins). Appropriate APA format, 7th edition grammar/spelling/sentence and paragraph structure/transitions). The student will choose one (1) patient encountered during their practicum experience for a pediatric patient (age 1-18). See SOAP note above The student will analyze each encounter for the CAE assignments.  Please see Case Analysis Exercise instructions below:

Introduction:

First, discuss (past tense) the reason for selecting the patient encounter. Sbecondly, briefly discuss Practicum Objectives that encounter assisted in meeting for this practicum experience. 1-2 Paragraph(s).   SOAP: Replicate SOAP from case encounter. Not Graded. If replicated SOAP not included, the assignment will be returned to the student for completion and resubmission with 10% grade deduction. (see SOAP note above)   Differential Diagnoses: Lastly, develop a comprehensive list of differential diagnosis and rank according to the highest index of suspicion. There should be a minimum of 4 differential diagnoses.

 Epidemiology:

Firstly, discuss the incidence, prevalence, and at-risk populations for each differential diagnosis.   Etiology and Pathophysiology. Secondly, provide a 1 paragraph synopsis of the etiology and pathophysiology for each differential diagnosis.   Clinical manifestation (history and mental status exam findings) that would be associated with each differential diagnosis. Thirdly, discuss common presentation and history of present illness for each differential diagnosis. Fourth, discuss expected mental status examination findings for each differential diagnosis.   Diagnostics: Present the diagnostic test that are appropriate in order to inform each differential and the rationale for each diagnostic test. Also, discuss the evidence that supports the indication and appropriateness for each diagnostic test. Finally, discuss the risks and benefits of each diagnostic test.

Further instructions

Consequently, discuss the cost effectiveness of the chosen diagnostic tests compared with other potential diagnostic test. Secondly, discuss if further diagnostic tests are needed for the diagnosis or management of the diagnosis including the rationale and risk-benefit ratio. Lastly, Present the final diagnosis discussing the diagnostic reasoning and process which contributed to the formulation of the final assessment for case analysis. Further,  provide a comprehensive assessment of the patient that includes all current diagnosis and relevant past diagnosis in order of priority.   Management: Provide a narrative of the plan of care for the final assessment. The plan of care should be supported by current evidence for each component of the plan. Also,include if pertinent diagnostic tests, non-pharmacological and pharmacological therapies, referrals, counseling and education, health care maintenance, and follow up. Finally, discuss the short-term and long-term outcomes associated with the plan of care.

DISCUSSION

First, discuss and provide an evidence-based rationale of appropriate risk assessments/preventative screenings for the patient considering their age, race, gender, family history and/or health status. Secondly, discuss important topics for health promotion and counseling.   Patient/Family Education: Thirdly, discuss patient/family education pertinent to the care of the patient, including the rationale.   Christian Worldview: Also, discuss the PMHNP role in managing the patient presenting with a mental health condition topic of this paper in context of the within the Christian worldview.   Level of Evaluation and Management: Provide the level of evaluation and management that this patient encounter generated. Finally, discuss how the level of management was justified according to the CMS Coding and Billing Guide.

Conclusion

  Format and Presentation of case analysis: Limit 16 pages (excluding title and reference pages); Scientific Underpinning: Scholarly, peer-reviewed articles published within the past 5 years, sources should include primary sources, meta-analysis, or expert guidelines along with level of evidence; Format (Times New Roman, 12-point font, 1-inch margins); appropriate APA format, 7th edition grammar/spelling/sentence and paragraph structure/transitions).

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