Opportunities for improvement in knowledge base.
PURPOSE
The purpose of this assignment is for learners to:
• Identify opportunities for improvement in their knowledge base.
• Improve their knowledge base and understanding of a disease process identified as an opportunity area on the APEA predictor exam.
• Have the opportunity to integrate knowledge and skills learned throughout all core courses in the FNP track and previous clinical courses.
• Demonstrate the ability to analyze the literature 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.
Course Outcomes
This assignment enables the student to meet the following course outcomes:
CO 1- Interpret subjective and objective data to develop appropriate diagnoses and evidence based management plans for patients and families with complex or multiple diagnoses across the lifespan.
CO 4 -Develop management plans based on current scientific evidence and national guidelines.
Requirements
For Week 5 of the course the faculty will not be providing a case study. Instead you will choose from an area that you have an opportunity for improvement that was identified on your APEA predictor exam. You will research that area of content in relation to complaints and disorders that commonly occur in family practice. Please work up a case study that begins with a chief complaint commonly seen in primary care based on that disorder. The case should be clear and include all elements of a normal case that might be presented in class (subjective, objective, assessment, and full five (5) point plan). The clinical logs 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 5 Part 1: Due by Wednesday 11:59 p.m. MT of Week 5.
Step 1. Review your Week 4 APEA Predictor Exam Results and focus on the “Percent Correct by Knowledge Area” Choose a knowledge area on which you scored the lowest to work on this week. I scored lowest on Women's Health 33%
Step 2. Once you've chosen the subject, research and work up a common chief complaint from that system that you haven’t learned already in the program and present your findings in the discussion threads. Push yourself to explore diagnoses in this area that are still common to primary care, but not a repeat of content learned in this or other courses.
Work up includes:
• Chief complaint, PMHx, Demographics, PSHx, allergies, lifestyle
• Associated risk factors/demographics that contribute to the chief complaint and differential diagnoses
• Three common differential diagnoses represented by the CC including pathophysiology and rationale;
• Discuss how the three differential diagnoses differ from each other in: occurrence, pathophysiology and presentation (NOTE: Simply listing the diagnoses and their occurrence, pathophysiology and presentations separately does not confer an understanding of how they differ. Your discussion should compare and contrast these items against each other among the three differentials chosen);
• Relevant testing required to diagnose/evaluate severity of the three differential diagnoses; and
• Review of relevant National Guidelines related to the Diagnosis and Diagnostic testing for these diagnoses
Part 2
Post your First line treatment plan based on one dx your differential list in SOAP format