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Case Studies Purpose: The purpose of writing case

Case Studies Purpose: The purpose of writing case studies is to describe your thought process as you develop differential diagnoses and management plans, while delivering holistic, patient/family centered care. This is your case study and should include more than what the provider did. Instructions: Case Study #1 An Acute Case: A patient that came in with an acute problem and the written report: The case study written report should include the following: Background Information: • Subjective Data: all relevant components, include in depth information related to Family and Social, particularly related to age group • Objective Data: Physical exam findings, test results, measurements • Assessment: Provide at least 5 differential diagnoses (sometimes you may have more) – explain why this dx was ruled-in or a potential dx or ruled-out; list the supporting evidence from the H&PE findings. Was one diagnosis was reached, what was it and why? Include at least two red flag items • Plan: Include rationale for the treatment plan.◦ Treatment: Including OTC or Rx medications, therapies, other care, include potential use of non-traditional therapies if they apply. Please discuss the different medications that might be considered for this diagnosis, and the pros and cons of each.Reference at least one research study, and at least one guideline. ◦ Management Plan to include diagnostic studies, procedures, etc if you are trying to rule in or rule-out potential diagnoses. ◦ Education: Health teaching, anticipatory guidance (often guided by Red Flag signs and symptoms) ◦ Follow-up, i.e. When to see client again or have phone contact; consider liability issues ◦ Referral- i.e. to an agency, specialist physician, etc, if applicable. Include rationale for the treatment plan. • Evaluation –What was the outcome? What did or did not work and what future care was projected/planned? • Identify whether or not there are clinical guidelines for the diagnosis reached, whether or not these were used to plan treatment. The written report should be no longer than 3 – 5  pages (single spaced)- you may list or bullet the Subjective and Objective findings instead of doing as paragraphs.  References –  3 at a minimum: from a textbook, a guideline, and an article. Remember these are case studies to help you learn. Do not pick the easiest case study.

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