Week 5: Case Study Assignment
Purpose
The purpose of this case study assignment is to?:
Analyze provided subjective and objective information to diagnose and develop a management plan for the selected case study patient.?
Apply national diabetes guidelines to a case study patient.?
Apply national guidelines to develop a management plan for all identified secondary diagnosis(es).
Activity Learning Outcomes
Through this assignment, the student will demonstrate the ability to:
Select appropriate health promotion and disease prevention strategies for patients with or at risk for a glucose metabolism disorder (WO5.1) (CO1,2,3,4,5)
Demonstrate competence in the evaluation and management of patients with glucose metabolism disorders (WO5.2) (CO1,2,3,4,)
Develop a management plan for the case study patient based on identified primary, secondary and differential diagnoses. (WO5.3) (CO1,2,3,4,5)
Apply polypharmacy knowledge to medication reconciliation for selected case study patient.(WO5.4) (CO 6)
Due Date
The Late Assignment Policy applies to this assignment.
Sunday 11:59 p.m. MT at the end of Week 5
This assignment is submitted through Turn It In (TII).* Students are allowed two opportunities to submit. The first Turn It In submission allows the student to view the Turn It In Score and edit the assignment if necessary. The second submission is considered the final submission and will be graded. Any further Turn IT In submissions will not be considered for grading.
Preparing the Assignment
ASSIGNMENT CONTENT
Category
Points
%
Description
Assessment: Primary diagnosis
24
15
General Patient Overview: (HPI for today’s visit)
3 Differential Diagnoses: Brief description include ICD10 code. Cite ICD10.com for ICD10 codes
______________________________________________
Presentation of the case study patient’s primary diagnosis includes the following required elements:?
Diagnosis is consistent with the cited guideline recommendations or scholarly reference, ICD10 code is listed, statement includes paraphrased pathophysiology statement. The statements include pertinent positive and negative subjective and objective findings from the history and physical exam, which links this diagnosis to the case study patient. Abnormal lab results are included and interpreted.
Assessment: Secondary diagnosis
16
10
Presentation of the case study patient’s secondary diagnosis include(s) the following required elements:?
Diagnosis is consistent with the cited current guideline recommendations or scholarly, ICD10 code is listed, statements include paraphrased pathophysiology statement. The statements include pertinent positive and negative subjective and objective findings from the history and physical exam, which links this diagnosis to the case study patient. Abnormal lab results are included and interpreted within the statements.
Evidence-Based Practice (EBP)
40
25
National guidelines are used to support all diagnoses and develop the management plan.??
The American Diabetes Association Standards and Medical Care in Diabetes 2021 CPG, (or an evidence-based provider journal article published in 2021) are used to support the primary diagnosis and develop the management plan.??
Every diagnosis rationale must include an in-text citation to a scholarly reference. Each action step or order within all plan sections includes an in-text citation to an appropriate reference as listed in the 2021 Clinical Practice Guidelines document. Reference interpretation is accurate.
Plan: Diagnostics
8
5
All ordered diagnostics tests are linked to a diagnosis listed in the assessment section and include a paraphrased EBP rationale with citation and include date when test should be performed (ie: today, 1 week, 1 month). Further testing/diagnostics for the differential diagnosis is included. Plans are consistent with the current cited guideline recommendations or scholarly reference.
Plan: Medications
8
5
The plan includes both prescribed and OTC medications written in prescription format.??The plan includes a minimum of one OTC medication. Each prescribed and OTC medication is linked to a diagnosis listed in the assessment section??
Diagnosis is clearly stated in the statement. And includes a paraphrased rationale EBP rationale
Plan: Education
8
5
All education steps are linked to a diagnosis, paraphrased, and include an EBP rationale.??
?This section is written exactly how you would discuss the education to the patient. Use vocabulary which the patient can understand, not medical terminology.
Section includes personalized detailed education on diagnoses, medications, diet, exercise and any warning signs.? Personalized diet and exercise recommendations are appropriate for the case study patient and include specific instructions for the case study patient such as a specific exercise- length of time to exercise and frequency/week. Any published diet recommendations, will include a rationale statement as to why this recommendation is beneficial for the case study patient.??
Plans are consistent with the 2021 guideline recommendations or 2021 scholarly reference.
Plan: Referrals
8
5
All recommended referrals are appropriate for the patient diagnoses:?
each referral is linked to a specific diagnosis each which was listed in the assessment section and includes a paraphrased EBP rationale.? All referrals related to the primary diagnosis are obtained from the ADA 2021 guidelines.
Plans are consistent with the cited guideline recommendations or scholarly reference
Plan: Follow up
8
5
Follow up includes a specific time/date to return to PCP office. EBP rationale with in text citation is included.? Only follow up information is listed in this section. Additional information, such as future testing, education or referrals are not listed in follow up but within the appropriate paper sections. Plans are EBP and consistent with the guideline recommendations.
Assessment of comorbidities
16
10
The 2021 ADA guidelines includes a Comprehensive Medical Evaluation and Assessment of Comorbidities section which includes comorbidities that providers should consider when managing disorders of glucose metabolism.??
Choose one of the listed comorbidities from the ASSESSMENT OF COMORBIDITIES subsection*???
Explain the significance of and the relationship between your primary diagnosis and your chosen comorbidity. Explain how one diagnosis affects the other diagnosis in no more than 3-5 sentences. Include any recommended screening, diagnostic testing, and referrals in no more than 2-3 sentences.??
* the chosen comorbidity cannot be any secondary diagnosis already discussed in your paper’s assessment section.
Medication costs
8
5
All monthly medication costs are calculated, including the current medications the patient may be already taking.
A total cost for all the month’s medication is included.??Cite Pharmacy Checker.
All medications including OTCs are included.??
Medication cost reference source is included.? Summary/reflection statement regarding medication costs and any medications changes based on cost and polypharmacy concerns is included.
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