The purpose of this assignment is for learners to:
- Have the opportunity to integrate knowledge and skills learned throughout all core courses in the FNP track and previous clinical courses.
- Demonstrate an advancing understanding of the patient with a mental health disorder in primary care.
- Demonstrate the ability to analyze the literature/ previous patients seen in the clinical setting be able to perform an evidenced-based review of their case, diagnosis, and plan, while guiding and taking feedback from peers regarding the case
- Demonstrate professional communication and leadership, while advancing the education of peers.
4 Develop management plans based on current scientific evidence and national guidelines.
6Prioritize treatment based on relevant clinical presentation.
For Week 6 of the course there will not be a case study given to you by the faculty. Instead you will be assigned a mental health disorder commonly seen in primary care and you will create a case study based on that disorder. You may create a case study either from a previous clinical patient experience or if you have not had a patient in clinical that represents your assigned topic you may research your disease using the week’s classroom material and the evidence-based literature in the field. The case should be clear and include all elements of a normal case that might be presented in class (subjective, objective, assessment, and full 5 point plan). The clinical practicum documentation will be helpful for this process, or notes you have taken in clinical regarding cases. The case should be clear, organized, and meet the following guidelines:
Week 6 Part One:
This part goes in part one and should begin with subjective and objective data just like we do in your weekly case study discussion. Do not put diagnosisuntil your peers respond.
WEEK 6 Part One: The case should lead the class toward the mental health diagnosis assigned to you by your instructor.
WEEK 6 Part One Specific Guidelines:
If this is an actual patient from clinical- Include their actual chief complaint, demographic data, HPI, PMHX, PSHX, medications, allergies, subjective and objective findings without identifying the patient’s name.
If this is a fictitious case you’ve created from the literature/readings you should design an example patient and include chief complaint, demographic data, HPI, PMHX, PSHX, medications and allergies, subjective and objective findings. Be mindful that the background data for the case should bear some relevance to the diagnosis.
The case should not be overly simple. Like your weekly case studies, it should include subjective data that loosely represents the diagnosis you have been given, but includes some elements of the pathophysiology/presentation of the disease.
You must include the following elements in part one:subjective: chief complaint/HPI, demographic data, HPI, PMHX, PSHX, subjective and objective findings.
Leading the discussion in part one: You must respond to any student who posts regarding your case with a substantial response, either answering their questions or noting their response and acting as leader. You also must respond to any faculty responses to your initial posting. Use references to support your responses. Remember: Your response to your peers is part of where you demonstrate your knowledge of the disease you were assigned. You should be discussing hallmark symptoms, diagnostic tools etc along with discussing the student’s impressions and conclusions. Once your peers respond you can share the primary diagnosis and treatment plan that actually occurred if it is a live patient, and the ideal treatment plan if it is an invented case. Your treatment plan should address any national guidelines as appropriate for the diagnosis.
Participating in part one: As a student you will be required to respond to at least one other student, whom has no responses to their posting**. In your response to your peer you must include the following: Your top three (3) differentials based on the information provided, the primary diagnosis you are leaning toward, and first line treatment for how you would treat that diagnosis. Use references to support your response. *DEADLINE – YOUR ONE REPSONSE TO A STUDENT IN DISCUSSION #1 IS DUE BY THURSDAY AT 11:59 p.m. MT SO THAT THE STUDENT CAN INTERACT WITH YOU AS WE DO IN OTHER CASES. **If all students have a response, then choose the student with the least responses to their posting.
Part 2- Turning in your final SOAP/Analysis
The final SOAP will include your case as posted in part one and two of the clinical case presentation. After you write out the SOAP include the following sections in a large area called ANALYSIS:
- Pathophysiology and Pharmacology: For the primary diagnoses in the case, write a brief summary of the underlying pathophysiology and tie pharmacological treatment chosen in the reversal or control of that pathology.
- Additional analysis of the case: This includes national guidelines that were or should have been used to make diagnosis or treatment and review how they applied or how care was unique but based in guidelines.
- Follow-up: This means how the patient was doing when seen a second time if this applies. This would be their response to your plan of care.
- Quality: Include anything that should have been considered in hindsight or changes you would make in seeing similar patients in the future with the same complaint, history, exam, or diagnosis. Add anything you learned from discussion in the class that shed new light on this patient.
- Coding and Billing. Any or all CPT and ICD-10 codes that should have been used (List them and name them only.
Written in a word document and submitted in the Week 6 case study summary.