Unit 11: Discussion CAD, Atrial Fibrillation, Congestive Hea…

Initial Response

Introduction

Hello class, beginning with week 3, your initial discussion response will be a little different from the previous weeks. There are a few headings you need to be sure to include. You will identify the pertinent positives and negatives. These will be the specific findings from the history and your exam that help you rule in or rule out a diagnosis. For example, if a patient has a complaint of chest pain, but has no N/V, pain radiating in the arm or jaw, diaphoresis, etc. – these would all be pertinent negatives. If the patient reported these symptoms, they would be pertinent positives. For the Missing Information section, you would want to include any other information you need from the case to help make your diagnosis, but was not included. This might be things like smoking history, any OTC meds, any recent falls, etc. that are relative to the case. To ensure you are covering each part of the requirement, I am listing the different sections you will need to include in your initial response. You do not need to include all information as you would a soap note, just the headings below. I hope you find this informational helpful. Reach out with any questions.

Instructions:

This week you are learning quite a bit regarding the older adults’ experience with cardiovascular, pulmonary and neurological problems. According to the CDC, 60% of older adults are living with two or more chronic conditions. This starts to become a challenge as you manage and educate multiple conditions and let’s not forget the polypharmacy involved (NIA, n.d.).

Reference: National Institute on Aging. (n.d.).

U.S. Department of Health and Human Services. Retrieved from https://www.nia.nih.gov/health/supporting older-patients-chronic-conditions

Initial Post Requirements:

Please critically evaluate the subjective and objective information provided to you in the attached file below, and use the SOAP template as a reference.

1? The first part of the discussion board is to identify all pertinent positive and, negative information and list missing information. Then create a differential diagnosis list with at least 3 possibly actual diagnosis based on your findings. Here are the headings you should use:

• Pertinent positives
• Pertinent negatives
• Missing information
• Differential diagnoses

2? The second part is to create a plan utilizing clinical practice guidelines for the priority diagnosis. Here are the headings you should use:

• Diagnostics
• Therapeutics
• Educational
• Consultation/Referrals

Be sure to utilize the template, in-text citations and provide full reference citation at the end of the discussion.

Please be sure to validate your opinions and ideas with citations and references in APA format.