o Consider what history would be necessary to collect from the patient in the case study.
o Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
o Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.
The Assignment Instructions:
- Analyze the subjective portion of the note. List additional information that should be included in the documentation.
- Analyze the objective portion of the note. List additional information that should be included in the documentation.
- Is the assessment supported by the subjective and objective information? Why or why not?
- What diagnostic tests would be appropriate for this case, and how would the results be used to make a diagnosis?
- Would you reject/accept the current diagnosis? Why or why not? Identify three possible conditions that may be considered as a differential diagnosis for this patient. Explain your reasoning using at least three different references from current evidence-based literature.
Sample Solution
The world we know blazes past us every second. Our closest friends may soon leave forever, others may change, our old homes may be torn down to build a parking lot; yet time still marches on. I feel very strong that with guidance from our past and hope for our future we must live each day to its fullest, make each day more valuable than the previous. Life, love, and friendship are the most precious things on this earth, it is very important for each to find his true love and friends, and live his life with them to its fullest potential. The past is just that, the past. There is nothing you can do about it except learn from it. In the last year I have spent countless hours contemplating what I could have done different to change the events that took place last October. The death of Jen Elliott, my friend, was the hardest thing I have ever experience in my short life. I would have given anything and everything to go back and change those events, and I still would. However, I have learned that there is nothing I can truly do, except learn from her and comfort her family. What I learned from her is that none of us know how long we will be here. We have to live each day like it is our last, because it may be. The future, will always be the future. We have to set a goal as to what our futures will be and always keep that goal in sight. We mustn’t, though, let this goal take over our life. There will always be a future and a goal until the last minute. We have to take what we can now; be with our friends and family and care for them. The past and the future are guideposts, beacons. They are not more. You can’t live in the past, >
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