Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers
Week 7: Evaluation and Care of Patients with Liver/Biliary Tract, Pancreas, and Spleen Conditions
Health conditions concerning the liver/biliary tract, pancreas, and spleen often present as chronic and pose challenges in diagnosis. Despite being manageable upon diagnosis, these conditions significantly impact patients’ quality of life. Given that chronic conditions account for a substantial portion of hospital admissions, understanding the diverse presentations and symptoms is crucial (Partnership to Fight Chronic Disease, n.d.).
Learning Objectives: By the end of this week, students will:
- Assess medical and surgical patients with liver/biliary tract, pancreas, and spleen conditions.
- Formulate differential diagnoses for such patients.
- Develop comprehensive treatment plans for medical and surgical patients with these conditions.
Key Learning Resources:
- Doherty, G. M. (2015). Current diagnosis and treatment: Surgery.
- Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach.
Assignment Overview: This week’s assignment entails evaluating and treating pre- and post-operative patients with liver/biliary tract, pancreas, and spleen conditions. It focuses on assessment, diagnosis, and treatment strategies for these patients.
To Prepare:
- Review the Learning Resources, focusing on assessment, diagnosis, and treatment of patients with liver/biliary tract, pancreas, and spleen conditions.
- Examine the assigned i-Human patient case study, considering the patient’s health history and potential differential diagnoses.
- Reflect on appropriate physical exams and diagnostic tests to gather additional information for diagnosis.
- Identify potential differential diagnoses and consider clinical guidelines to support the diagnosis.
- Develop a comprehensive treatment plan incorporating health promotion and patient education strategies.
To Complete: Interact with the assigned i-Human patient case study, applying your knowledge to assess, diagnose, and treat the patient. Refer to the i-Human Patients Case Player Student Manual for guidance.
By Day 7: Submit the completed i-Human patient case study assignment.
Additional Practicum Reminder: Keep track of your practicum experience by maintaining a time log. Record your interactions with patients and enter them into your Meditrek account.
Week in Review: This week focused on evaluating and managing patients with liver/biliary tract, pancreas, and spleen conditions, emphasizing the importance of differential diagnoses and treatment planning. Next week’s focus will shift to pre- and post-operative care for patients with conditions of the intestines, hernias, and abdominal wall lesions.
Application_Rubric
Novice:
- HPI Statement: 0 (0%) – 5 (5%)
- Poorly written HPI statement. Incomplete ideas and sentences. Lacks basic history taking skills.
- Objective testing and physical exam: 0 (0%) – 5 (5%)
- Poorly written physical examination. May be missing 3 or more key exam findings that are critical to patient’s diagnosis. Includes 3 or more inappropriate exams or tests.
- Assessment: 0 (0%) – 10 (10%)
- Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components. Priority list may be out of order. Primary diagnosis may be wrong.
- Plan for patient: 0 (0%) – 15 (15%)
- Poorly written plan. May be missing 3 or more key issues that are critical to patient’s diagnosis.
- Clinical Questions: 0 (0%) – 10 (10%)
- Correctly answered 0-69% of the clinical question.
Emerging:
- HPI Statement: 6 (6%) – 10 (10%)
- Well written HPI statement but may be missing 1-2 key components from the history.
- Objective testing and physical exam: 6 (6%) – 10 (10%)
- Well written physical examination but may be missing 1-2 key exam findings critical to patient’s diagnosis. May include 1-2 unnecessary exams or tests.
- Assessment: 11 (11%) – 19 (19%)
- Well written differential diagnoses. May be missing 1-2 critical components. Correct primary diagnosis identified.
- Plan for patient: 16 (16%) – 25 (25%)
- Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis.
- Clinical Questions: 11 (11%) – 13 (13%)
- Correctly answered 70-89% of the clinical question.
Proficient:
- HPI Statement: 11 (11%) – 15 (15%)
- Clearly written HPI statement with comprehensive information gathering from case questions.
- Objective testing and physical exam: 11 (11%) – 15 (15%)
- Clearly written physical examination covering all critical components of a focus exam. Tests that are ordered are appropriate for patient and cost-effective.
- Assessment: 20 (20%) – 25 (25%)
- Clearly written differential diagnoses. Primary diagnosis identified.
- Plan for patient: 26 (26%) – 30 (30%)
- Clearly written plan covering all critical components for the patient’s final diagnosis.
- Clinical Questions: 14 (14%) – 15 (15%)
- Correctly answered 90-100% of the clinical queries.
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