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Case Studies in Primary Care - E-Book

BOOK

Case Studies in Primary Care - E-Book

Joyce D. Cappiello | Jeffrey A. Eaton | Gene E. Harkless

(2016)

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Additional Information

Book Details

ISBN
978-0-323-37818-5
Edition
2
Language
English
Pages
217
Subjects
Nursing
Botany & plant sciences

Abstract

Real-world scenarios help you develop clinical reasoning skills for primary care! Case Studies in Primary Care: A Day in the Office, 2nd Edition includes 50 case studies on the most commonly encountered situations in primary care. Demonstrating the kinds of health problems that a Nurse Practitioner or Physician Assistant might see during a typical clinical day, case studies cover patients from various cultures and all ages. You’re asked to analyze data and think critically in reaching accurate diagnoses and planning effective treatment; you can then submit your responses online for grading and instant feedback.

  • Real-world scenarios offer the opportunity to analyze clinical situations likely to be encountered in today's primary care settings, providing practice in clinical reasoning skills.
  • Day in the Office format presents cases hour by hour, in the way a typical clinical day might unfold.
  • Emphasis on problem-based learning helps you to think critically and analyze clinical situations — such as ear infections, diarrhea, and coughing and fever — in order to provide appropriate primary care.
  • Six NEW cases are included (for a total of 50), with three focusing on older clients with more complex health challenges, one addressing unplanned pregnancy, and two addressing practice management issues.
  • NEW! Emphasis on follow-up care addresses patients coming to the primary care setting from retail clinics, rehabilitation settings, or acute-care settings, and underscores the importance of interprofessional collaboration.
  • NEW! Enhanced patient diversity includes cases for all age groups, and reflects a more contemporary appreciation of cultural diversity and gender/gender identity. 
  • NEW! Updates to all cases ensure that case studies and feedback are consistent with the latest research evidence, clinical practice guidelines, and national and international treatment standards.
  • NEW! Online answer submission allows you to write Assessment and Plan answers in the printed book, then submit answers online for grading and feedback.
  • NEW! Grading rubrics are provided on the companion Evolve website to help you develop your answers.
  • NEW! Introduction explains how to get the most out of the book.

Table of Contents

Section Title Page Action Price
Front Cover Cover
IFC ES1
Case Studies in Primary Care: A Day In The Office i
Case Studies in Primary Care: A Day In The Office iii
Copyright iv
Acknowledgments v
Contributors and Reviewers vi
Contributors vi
Reviewers viii
Introduction ix
To the Instructor ix
To the Student xi
Contents xix
DAY ONE 1
Case 1 3
7:45 AM Organizing and Managing Your Day 3
Learning Issues 3
Case 2 4
8:00 am Harold Baron Age 56 years 4
Opening Scenario 4
History of Present Illness 4
Medical History 4
Family Medical History 4
Social History 5
Medications 5
Allergies 5
Review of Systems 5
Physical Examination 6
Learning Issues 7
Assessment 7
Plan 8
Case 3 9
8:30 am Polly Latour Age 81 years 9
Opening Scenario 9
History of Present Illness 9
Medical History 9
Family Medical History 9
Social History 10
Medications 10
Allergies 10
Review of Systems 10
Physical Examination 10
Laboratory Results 11
Learning Issues 12
Assessment 13
Plan 13
Case 4 14
9:00 am Jenilee Heidemann Age 20 years 14
Opening Scenario 14
History of Present Illness 14
Medical History 14
Family Medical History 15
Social History 15
Medications 15
Allergies 15
Review of Systems 15
Learning Issues 16
Assessment 16
Plan 16
Case 5 17
9:15 am Kate Smith Age 29 years 17
Opening Scenario 17
History of Present Illness 17
Medical History 17
Family Medical History 17
Social History 18
Medications 18
Allergies 18
Review of Systems 18
Physical Examination 18
Learning Issues 19
Assessment 19
Plan 20
Case 6 21
9:30 am Francis Coulter Age 32 years 21
Opening Scenario 21
History of Present Illness 21
Medical History 21
Social History 21
Medications 21
Allergies 21
Review of Systems 22
Physical Examination 22
Learning Issues 22
Assessment 23
Plan 23
Case 7 24
9:45 am Lianne Pierce Age 6 years 24
Opening Scenario 24
History of Present Illness 24
Medical History 24
Family Medical History 25
Social History 25
Medications 26
Allergies 26
Review of Systems 26
Physical Examination 26
Learning Issues 27
Assessment 28
Plan 28
Case 8 29
10:00 am Wendy Raymond\rAge 38 years 29
Opening Scenario 29
History of Present Illness 29
Medical History 29
Family Medical History 29
Social History 30
Medications 30
Allergies 30
Review of Systems 30
Physical Examination 31
Learning Issues 31
Assessment 32
Plan 32
Case 9 33
10:45 am Liu Lee\rAge 24 years 33
Opening Scenario 33
History of Present Illness 33
Medical History 33
Family Medical History 33
Social History 34
Medications 34
Allergies 34
Review of Systems 34
Physical Examination 34
Learning Issues 35
Assessment 35
Plan 35
Case 10 36
11:00 am Amber Jackson\rAge 20 weeks 36
Opening Scenario 36
History of Present Illness 36
Medical History 36
Family Medical History 36
Social History 38
Medications 38
Allergies 38
Review of Systems 38
Physical Examination 39
Learning Issues 40
Assessment 40
Plan 40
Case 11 41
11:30 am M’Tango Bali\rAge 45 years 41
Opening Scenario 41
History of Present Illness 41
Medical History 41
Family Medical History 41
Social History 42
Medications 42
Allergies 42
Review of Systems 42
Physical Examination 43
Learning Issues 43
Assessment 44
Plan 44
Case 12 45
11:45 am Martha Krauntz\rAge 35 years 45
Opening Scenario 45
History of Present Illness 45
Medical History 45
Family Medical History 45
Social History 46
Medications 46
Allergies 46
Review of Systems 46
Physical Examination 46
Learning Issues 47
Assessment 47
Plan 48
Case 13 49
Lunchtime Phone Call Jane Lincoln\rAge 88 years 49
Opening Scenario 49
Learning Issues 49
Assessment 50
Plan 50
Case 14 51
1:00 pm Jake Marland\rAge 8½ months 51
Opening Scenario 51
History of Present Illness 51
Medical History 51
Family Medical History 51
Social History 53
Medications 53
Allergies 53
Review of Systems 54
Physical Examination 54
Learning Issues 55
Assessment 55
Plan 55
Case 15 56
1:15 pm Maurice Lamontagne\rAge 64 years 56
Opening Scenario 56
History of Present Illness 57
Medical History 57
Family Medical History 57
Social History 57
Medications 57
Allergies 57
Review of Systems 57
Physical Examination 58
Learning Issues 59
Assessment 59
Plan 59
Case 16 60
1:30 pm Jerome Wilson\rAge 47 years 60
Opening Scenario 60
Reason for Visit 60
History of Present Illness 60
Medical History 60
Family Medical History 60
Social History 61
Medications 61
Allergies 61
Review of Systems 61
Physical Examination 61
Assessment 62
Plan 62
Reason for Visit 64
History of Present Illness 64
Review of Systems 65
Physical Examination 65
Learning Issues 65
Assessment 66
Plan 66
Case 17 67
1:45 pm Dolores Sanchez\rAge 16 years 67
Opening Scenario 67
History of Present Illness 67
Medical History 67
Family Medical History 67
Social History 68
Medications 68
Allergies 68
Review of Systems 68
Physical Examination 69
Learning Issues 69
Assessment 69
Plan 70
Case 18 71
2:00 pm Maria O’Malley\rAge 13 years 71
Opening Scenario 71
History of Present Illness 71
Medical History 71
Family Medical History 71
Social History 72
Medications 72
Allergies 72
Review of Systems 72
Physical Examination 72
Learning Issues 73
Assessment 73
Plan 73
Case 19 74
2:15 pm Liang Wang\rAge 13½ years 74
Opening Scenario 74
History of Present Illness 74
Medical History 74
Family Medical History 74
Social History 74
Medications 75
Allergies 75
Review of Systems 75
Physical Examination 75
Camp Physical Examination for Liang Wang from One Month Ago 75
Learning Issues 76
Assessment 76
Plan 77
Case 20 78
2:45 pm Tess Ireland\r45 years 78
Opening Scenario 78
History of Present Illness 78
Medical History 78
Family Medical History 79
Medications 79
Allergies 79
Review of Systems 79
Physical Examination 79
Assessment 80
Plan 80
Review of Systems 80
Physical Examination 80
Learning Issues 81
Assessment 81
Plan 81
Case 21 82
3:15 pm Michael Smith\rAge 24 years 82
Opening Scenario 82
History of Present Illness 82
Medical History 83
Family Medical History 83
Social History 83
Medications 83
Allergies 84
Review of Systems 84
Physical Examination 84
Learning Issues 85
Assessment 85
Plan 86
Case 22 87
4:00 pm Timothy Gifford\rAge 4 years 87
Opening Scenario 87
History of Present Illness 87
Medical History 87
Medications 87
Allergies 87
Review of Systems 87
Physical Examination 88
Learning Issues 88
Assessment 89
Plan 89
Case 23 90
4:00 pm Rita Davison\rAge 54 years 90
Opening Scenario 90
History of Present Illness 90
Medical History 90
Social History 90
Medications 90
Allergies 91
Review of Systems 91
Physical Examination 92
Learning Issues 92
Assessment 92
Plan 92
Case 24 93
4:30 pm Jay Leeds\rAge 13 93
Opening Scenario 93
History of Present Illness 93
Medical History 93
Social History 93
Medications 93
Allergies 93
Review of Systems 93
Physical Examination 94
Learning Issues 94
Assessment 94
Plan 95
Case 25 96
After Office Hours 96
Opening Scenario 96
Medical History 97
Family Medical History 97
Social History 97
Medications 98
Allergies 98
Review of Systems 98
Physical Examination 98
Learning Issues 99
Assessment 99
Plan 99
Case 26 100
After Office Hours 100
Opening Scenario 100
Learning Issues 100
Assessment 101
Plan 101
Case 27 102
After Office Hours 102
Opening Scenario 102
Medical History 102
Medications 102
Allergies 102
Learning Issues 103
Assessment 103
Plan 103
DAY TWO 105
Case 28 107
8:00 am Kerry Bailey\rAge 15 years 107
Opening Scenario 107
History of Present Illness 107
Medical History 107
Family Medical History 107
Social History 107
Medications 107
Allergies 108
Review of Systems 108
Physical Examination 109
Learning Issues 110
Assessment 110
Plan 110
Case 29 111
8:30 am Henry (“Hank”) Dodge\rAge 83 111
Opening Scenario 111
History of Present Illness 111
Medical History 111
Family Medical History 111
Social History 112
Functional Assessment 112
Medications 112
Allergies 112
Review of Systems 113
Physical Examination 113
Laboratory Tests for Henry (“Hank”) Dodge 113
Learning Issues 116
Assessment 116
Plan 116
Case 30 117
9:00 am Deborah Pierce\rAge 39 years 117
Opening Scenario 117
History of Present Illness 117
Medical History 117
Family Medical History 117
Social History 117
Medications 117
Allergies 118
Review of Systems 118
Physical Examination 118
Learning Issues 119
Assessment 119
Plan 119
Case 31 120
9:15 am Mimi Murray\rAge 54 years 120
Opening Scenario 120
History of Present Illness 120
Medical History 121
Family Medical History 121
Social History 121
Medications 121
Allergies 121
Review of Systems 121
Physical Examination 122
Learning Issues 126
Assessment 126
Plan 126
Case 32 127
9:45 am Al Olsson\rAge 55 years 127
Opening Scenario 127
History of Present Illness 127
Medical History 127
Family Medical History 127
Social History 127
Medications 128
Allergies 128
Review of Systems 128
Physical Examination 128
Learning Issues 129
Assessment 129
Plan 129
Case 33 130
10:00 am Rose D’Angelo\rAge 78 years 130
Opening Scenario 130
History of Present Illness 130
Medical History 130
Family Medical History 130
Social History 131
Medications 131
Allergies 131
Review of Systems 131
Physical Examination 132
Learning Issues 134
Assessment 134
Plan 134
Case 34 135
10:45 am Lisa Pacheco\rAge 9 months 135
Opening Scenario 135
History of Present Illness 135
Medical History 135
Family Medical History 135
Medications 135
Allergies 137
Review of Systems 137
Physical Examination 137
Learning Issues 138
Assessment 138
Plan 138
Case 35 139
11:00 am Lynne Spencer\rAge 19 years 139
Opening Scenario 139
History of Present Illness 139
Medical History 139
Family Medical History 139
Social History 140
Medications 140
Allergies 140
Review of Systems 140
Physical Examination 141
Learning Issues 142
Assessment 142
Plan 142
Case 36 143
11:30 am Irene Anderson\rAge 39 years 143
Opening Scenario 143
History of Present Illness 143
Medical History 143
Family Medical History 143
Social History 144
Medications 144
Allergies 144
Review of Systems 144
Physical Examination 145
Learning Issues 146
Assessment 146
Plan 146
Case 37 147
Lunchtime Follow-up Donna Downing\rAge 45 years 147
Opening Scenario 147
Medical History 148
Menstrual History 148
Contraceptive History 148
Family Medical History 148
Social History 148
Medications 148
Allergies 149
Review of Systems 149
Physical Examination 149
Learning Issues 150
Assessment 150
Plan 150
Case 38 151
1:00 pm Emma Thurlow\rAge 68 years 151
Opening Scenario 151
Part I 151
Part II 151
Part III 151
Learning Issues 152
Assessment 152
Plan 152
Case 39 153
1:15 pm Albert Steinberg\rAge 44 years 153
Opening Scenario 153
History of Present Illness 153
Medical History 153
Family Medical History 153
Social History 154
Medications 154
Allergies 154
Review of Systems 154
Physical Examination 154
Learning Issues 155
Assessment 156
Plan 156
Case 40 157
1:30 pm Betty Hackett\rAge 33 years 157
Opening Scenario 157
Family Medical History 157
Genetic history: No known familial disorders, including cystic fibrosis, musculoskeletal disorders, hematological disorders, or ... 157
Social History 159
Medications 159
Allergies 159
Review of Systems 159
Physical Examination 159
Learning Issues 160
Assessment 161
Plan 161
Case 41 162
1:45 pm Olga Manjakhina\rAge 54 years 162
Opening Scenario 162
History of Present Illness 162
Medical History 162
Family Medical History 162
Social History 163
Medications 163
Allergies 163
Review of Systems 163
Physical Examination 163
Learning Issues 164
Assessment 164
Plan 165
Case 42 166
2:30 pm Justin Baker\rAge 3½ years 166
Opening Scenario 166
History of Present Illness 166
Medical History 166
Family Medical History 166
Social History 168
Medications 168
Allergies 168
Review of Systems 168
Physical Examination 168
Learning Issues 169
Assessment 170
Plan 170
Case 43 171
2:45 pm Curt Ozana\rAge 36 years 171
Opening Scenario 171
History of Present Illness 171
Medical History 171
Family Medical History 171
Social History 171
Medications 172
Allergies 172
Review of Systems 172
Physical Examination 172
Learning Issues 173
Assessment 173
Plan 173
Case 44 174
3:00 pm Melanie Roberge\rAge 20 years 174
Opening Scenario 174
History of Present Illness 174
Medical History 174
Family Medical History 174
Social History 175
Medications 175
Allergies 175
Review of Symptoms 175
Physical Examination 176
Learning Issues 176
Assessment 176
Plan 177
Case 45 178
3:15 pm Renée Jones\rAge 35 years 178
Opening Scenario 178
History of Present Illness 178
Medical History 178
Family Medical History 179
Social History 179
Medications 179
Allergies 179
Review of Systems 179
Physical Examination 179
Learning Issues 180
Assessment 180
Plan 180
Case 46 181
3:30 pm Judy Marland\rAge 81 years 181
Opening Scenario 181
History of Present Illness 181
Medical History 181
Family Medical History 183
Social History 183
Medications 183
Allergies 183
Review of Systems 183
Physical Examination 184
Learning Issues 184
Assessment 185
Plan 185
Case 47 186
4:00 pm Erin Smith\rAge 25 years 186
Opening Scenario 186
History of Present Illness 186
Medical History 186
Family Medical History 186
Social History 187
Medications 187
Allergies 187
Dietary History 187
Review of Systems 187
Physical Examination 188
Learning Issues 188
Assessment 189
Plan 189
Case 48 190
4:30 pm Wilson Metcalf\rAge 64 years 190
Opening Scenario 190
History of Present Illness 190
Medical History 190
Family Medical History 191
Social History 191
Medications 191
Allergies 191
Review of Systems 191
Physical Examination 191
Laboratory Results for Wilson Metcalf from Six Months Ago 192
Learning Issues 194
Assessment 194
Plan 194
Case 49 195
4:45 pm Kimberly Parsons\rAge 16 years 195
Part 1 195
Opening Scenario 195
History of Present Illness 195
Medical History 195
Family Medical History 195
Social History 196
Medications 196
Allergies 196
Review of Systems 196
Physical Examination 196
Part 2 197
Learning Issues 197
Assessment 197
Plan 197
Case 50 198
6:00 pm Staff Meeting to Review Financials 198
Opening Scenario 198
Learning Issues 199
Assessment 199
Plan 199
A - Grading Criteria: Assessment\rand Plan Write-Up (generic) 200
B - Abbreviations 201
Index 205
A 205
B 205
C 205
D 206
E 206
F 206
G 206
H 206
I 207
K 207
L 207
M 207
N 208
O 208
P 208
R 208
S 209
T 209
U 209
V 209
W 209
X 209
Y 209
Z 209
Questions to consider ES2

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