79 y/o African American lady with long standing, well controlled HTN and questionable pulmonary disease. How do I handle her refusing to work things up but presenting over and over with new problems? 75 y/o female initial visit who has not seen a physician for over 20 years, presenting for progressively increasing confusion and hallucinations. She was living in downtown cville and was interested in going to an assisted living facility, but her sons refused … Case Scenario: An Example Chief Complaint: You are asked to do a home visit by the Community Care Case worker at your hospital. A use case scenario is a single path through the use case. She can no longer comb her hair, and refuses any blood draws and most medication, though is otherwise cognitively intact. What Is a Hospital Case Study? %��������� Scenario 6. A nursing case study is a detailed study of an individual patient, which allows you to gain more information about the symptoms and the medical history of a patient and provide the proper diagnoses of the patient’s illness based on the symptoms he or she experienced and other affecting factors. He has issues of stability and falls frequently. I’m so frustrated at her sons for not supporting her assisted living facility goals (there may be financial issues here I’m not fully aware of). Sample Case Scenarios. Patient has no significant PMH, no medications, does not smoke, drink alcohol or use any other drugs. He refuses to go to a nursing home – he also refuses home health physical therapy. You are asked to see a 58 year old white female who has been admitted to the hospital, twice a month, for the past 3 months. He drives to Barracks Road for lunch every day, and has never had an accident. It is a Friday and you are asked to see the patient in 48 hours. The patient has a complicated medical history. Most example use cases are very simple. stream He lives with his wife, who still works. Psychiatry feels that patient should see them regularly and start Seroquel. Mr. C.A. He has a h/o HTN and Hyperlipidemia, and he is on galantamine for his dementia. She does have a h/o asthma but this has not been active for 30+ years. ��ؾ�H���pȟ](�:+_4e���5>A{��M��ԹK�:��"����:`�I����U��a���G���?P���˴$m�B�$�辿�Ӳ��kFp�v�a � �K�Q��� C�,�*T-�n����G�C]�{�ꇨ���pHe�?���ډ1F_���\�u_Ԋ �ms�^@� lX���$�|��D&� �;=�&A�&���J 3E�[=��;�x�m�j砹Csi��_0�}��K-�#BV�0.b��i���8���3��|6Q�fع䀚Cgb>�/G�T���. This article provides an example use case and some diagrams to help visualize the concept. Case Scenarios – Mental Capacity/Best Interest Decisions. is a 77-year-old female with a history of upper GI bleed, indeterminate pulmonary nodules, and more recently decreasing functionality at home involving muscle weakness and hand swelling, who presents today for follow-up of her hand swelling and urinary incontinence. Sorting through the concerns that were voiced- daughter, wife and patient all seemed to have differing opinions. x�X�r�D}�h �&IJ��Fy�T�*��"���ܾ�4K�ؚV�]�=wQ����{�����o�6mj_������;���wv5!æ�W%�҉#�-ڶ��qǧ���C`I�p�6��H:��,������deYV�Ź/�����N�P�� i���[l��b|���/�|����>�b��� ��r�k�|���'�~���g3�O�of>��Y|���'G�Y�bʋ�[���]T��~�3̇//��d 2���(,?��L�:��Ou�Vm��2��0/��du��������\��\u��g~K��(�yZ��yU�5�:YYCm�"ƭ?�ҤE�k;�=�2 with this she persistently c/o subjective shortness of breath and nocturnal cough.Sshe is on optimal COPD meds, intermittent lasix, albuterol all offering some relief. Learn more about this type of research by reading the article. %PDF-1.3 ���+�4�Vgi�U8��tk��9xCA�|�-�\����M�y��܅0�MZ�����x��;����,m|rC����8� �n�]�,������2�tq"����_VV�f��tl*�|���=�H9��Y His family no longer goes out anymore to stay at home to take care of him. Hospital case studies are like medical case studies.However, instead of focusing on novel, rare, and undocumented cases of diseases and patient conditions, these case studies are about cases and propositions that will, ultimately, improve hospital operation. Using Interpersonal Psychotherapy (IPT) in a Combined Psychotherapy/Medication Research Protocol with Depressed Elders: A Descriptive Report With Case Vignettes. Mr. A is a 78 year old retired Anglican Priest with mild Alzheimer’s dementia. << /Length 7 0 R /Filter /FlateDecode >> The patient has a complicated medical history. Case studies are narratives that feature real world situations or uses of products or services to demonstrate their value. is a 75 y.o. He has had some trouble with depression, which has responded well to celexa. Mr. Y is an 84 y/o man whom lives with his wife and daughter. is a 77-year-old female with a history of upper GI bleed, indeterminate pulmonary nodules, and more recently decreasing functionality at home involving muscle weakness and hand swelling, who presents today for follow-up of her hand swelling and urinary incontinence. Explain the pathophysiology of “polydipsia.” Polydipsia is the increase in thirst as a result of high blood glucose that raises the osmolarity of the blood, thus making it more concentrated. When I inherited her she had a diagnosis of COPD but given her disposition/age, she has been unable to perform PFTs.
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