Case Study Evaluation and Care Plan Synthesis: This section should be one paragraph. Provide a brief overview of the case study and the purpose of the paper.
Analyzing the Disorder: This section should include three to four paragraphs. Analyze the disorder addressing the following elements: pathophysiology, signs/symptoms, progression trajectory, diagnostic testing, and treatment options. Support your ideas and points.
Differentiate the Disorder from Normal Development: Differentiate the disorder from normal development. Include one to two paragraphs. Support your ideas and points.
Physical and Psychological Demands on the Patient and Family: Discuss the physical and psychological demands the disorder places on the patient and family. Include two to three paragraphs. ) Support your ideas and points.
Key Concepts to Achieve Optimal Management and
Outcomes: Explain the key concepts that must be shared with the patient and family to achieve optimal disorder management and outcomes. Include one to two paragraphs. Support your ideas and points.
The Role of Interdisciplinary Team: Identify key interdisciplinary team personnel needed and how this team will provide care to achieve optimal disorder management and outcomes. Include two to three paragraphs. Support your ideas and points.
Facilitators and Barriers: Interpret the facilitators and barriers to optimal disorder management and outcomes. Include one to two paragraphs. Support your ideas and points.
Strategies to Overcome Barriers: Describe the strategies to overcome the identified barriers. Include one to two paragraphs.) Support your ideas and points.
Section II: Plan of Care
S. Subjective data: (Major data only.)
O. Objective data: (Major data only.)
A. Assessment: Problems and diagnosis: list all previous diagnosis and new diagnosis. You can add rule out diagnosis R/O.
1. Goals of care: Write out the major goals for your plan
2. How does patient’s socio-cultural background potentially impact the optimal management and outcomes of this plan of care? (Support this section with evidence).
P. Plan of care:
1. Diagnostic test: List, Include ICD10 codes.
2. Medications: List new or changes to dose and time. Make sure you write medication, dose, route and length of time to take if relevant.
3.Conservative treatments: This would be treatments such as ice, raise head of bed, weigh every day, etc.
4.Education: Write out specific education plan
5.Collaboration and/or referrals: (To whom and for what reason)
6.Follow-up: Include when and what you will include in the follow up.
Rationale: (What are the recommendations based on evidence for your interventions?)
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