(Answered) NURS 6512 Week 5 Case Study Assignment; Assessing

COURSE  

NURS 6512 Advanced Health Assessment and Diagnostic

NURS 6512 Week 5 Case Study Assignment; Assessing the Ears, Nose, and Throat

Most ear, nose, and throat conditions that arise in non-critical care settings are minor in nature. However, subtle symptoms can sometimes escalate into life-threatening conditions that require prompt assessment and treatment.

Nurses conducting assessments of the ears, nose, and throat must be able to identify the small differences between life-threatening conditions and benign ones. For instance, if a patient with a sore throat and a runny nose also has inflamed lymph nodes, the inflammation is probably due to the pathogen causing the sore throat rather than a case of throat cancer Assessing the Head, Eyes, Ears, Nose, and Throat Episodic/Focused SOAP Note Case Study Assignment. With this knowledge and a sufficient patient health history, a nurse would not need to escalate the assessment to a biopsy or an MRI of the lymph nodes but would probably perform a simple strep test.

In this Case Study Assignment, you consider case studies of abnormal findings from patients in a clinical setting. You determine what history should be collected from the patients, what physical exams and diagnostic tests should be conducted, and formulate a differential diagnosis with several possible conditions.

To Prepare

  • By Day 1 of this week, you will be assigned to a specific case study for this Case Study Assignment. Please see the “Course Announcements” section of the classroom for your assignment from your Instructor.
  • Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format rather than the traditional narrative style format Assessing the Head, Eyes, Ears, Nose, and Throat Episodic/Focused SOAP Note Case Study Assignment. Refer to Chapter 2 of the Sullivan text and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for guidance. Remember that all Episodic/Focused SOAP Notes have specific data included in every patient case.

With regard to the case study you were assigned:

  • Review this week’s Learning Resources and consider the insights they provide.
  • Consider what history would be necessary to collect from the patient.
  • 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?
  • Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

The Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient in the case study to which you were assigned using the episodic/focused note template provided in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that would be appropriate for each case. List five different possible conditions for the patient’s differential diagnosis and justify why you selected each. Assessing the Head, Eyes, Ears, Nose, and Throat Episodic/Focused SOAP Note Case Study Assignment

ANSWER  

Case Study Assignment: Assessing the Head, Eyes, Ears, Nose, and Throat

Patient Information: Jason, a 13-year-old African American male

Subjective (S):

Chief Complaint: Jason presents with his mom complaining of “painful swallowing.”

History of Present Illness: Jason is a 13-year-old AA male complaining of painful swallowing, which he said started yesterday as a “really bad sore throat” made worse with swallowing. He reports feeling very tired. His Mom gave him over-the-counter Children’s Motrin, which improved his fever but did not help his sore throat. He reports his symptoms are especially worse during nighttime. His tonsils are 2+ and erythematous; tonsil stones are on the right side. He has white patches on his tongue.

Medications: Children’s Motrin

Past Medical History: no significant health issues.

Family History: Father and mother both have Hypertension.

Social History: Negative for tobacco and alcohol use.

Allergies: No known allergies

Immunizations: Declined Covid Vaccine and Influenza vaccine in Jan 2022. Up to date with all childhood immunizations per parents. No other major illness.…………please click the icon below to purchase full answer at $10