Assignment 1: Case Study Assignment: Assessing the Head, Eyes, Ears, Nostril, and Throat
Most ear, nostril, and throat circumstances that come up in non-critical care settings are minor in nature. Nonetheless, delicate signs can typically escalate into life-threatening circumstances that require immediate Assessment and remedy.
Nurses conducting assessments of the ears, nostril, and throat should have the ability to establish the small variations between life-threatening circumstances and benign ones. As an example, if a affected person with a sore throat and a runny nostril additionally has infected lymph nodes, the irritation might be as a result of pathogen inflicting the sore throat slightly than a case of throat most cancers. With this information and a ample affected person well being historical past, a nurse wouldn’t have to escalate the Assessment to a biopsy or an MRI of the lymph nodes however would most likely carry out a easy strep take a look at.
On this Case Study Assignment, you contemplate case research of irregular findings from sufferers in a medical setting. You establish what historical past must be collected from the sufferers, what bodily exams and diagnostic checks must be performed, and formulate a differential prognosis with a number of potential circumstances.
To Put together
• By Day 1 of this week, you may be assigned to a selected case examine for this Case Study Assignment. Please see the “Course Bulletins” part of the classroom on your task out of your Teacher.
• Additionally, your Case Study Assignment must be within the Episodic/Targeted SOAP Notice format slightly than the normal narrative fashion format. Consult with Chapter 2 of the Sullivan textual content and the Episodic/Targeted SOAP Template within the Week 5 Studying Assets for steerage. Keep in mind that all Episodic/Targeted SOAP Notes have particular information included in each affected person case.
With regard to the case examine you had been assigned:
• Overview this week’s Studying Assets and contemplate the insights they supply.
• Contemplate what historical past could be obligatory to gather from the affected person.
• Contemplate what bodily exams and diagnostic checks could be acceptable to assemble extra details about the affected person’s situation. How would the outcomes be used to make a prognosis?
• Determine at the least 5 potential circumstances which may be thought of in a differential prognosis for the affected person.
The Assignment
Use the Episodic/Targeted SOAP Template and create an episodic/targeted word concerning the affected person within the case examine to which you had been assigned utilizing the episodic/targeted word template offered within the Week 5 assets. Present proof from the literature to Help diagnostic checks that might be acceptable for every case. Checklist 5 totally different potential circumstances for the affected person’s differential prognosis and justify why you chose every.
CASE STUDY 1: Targeted Nostril Examination A – M
Richard is a 50-year-old male with nasal congestion, sneezing, rhinorrhea, and postnasal drainage. Richard has struggled with an itchy nostril, eyes, palate, and ears for five days. As you test his ears and throat for redness and irritation, you discover him contact his fingers to the bridge of his nostril to press and rub there. He says he has taken Mucinex OTC the previous 2 nights to Help him breathe whereas he sleeps. While you ask if the Mucinex has helped in any respect, he sneers barely and gestures that the development is simply minimal. Richard is alert and oriented. He has pale, boggy nasal mucosa with clear skinny secretions and enlarged nasal turbinates, which impede airway circulation, however his lungs are clear. His tonsils are usually not enlarged however his throat is mildly erythematous.
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