Case Study Outline CASE

Case Study Outline CASE STUDY OUTLINE
Content
Patient Profile Present a description of the patient in terms of age, sex, race, height, weight, marital status, occupation, social/cultural history, previous hospital admissions, chief complaint on current admission, and all diagnoses.This serves to orient the reader to the case study patient and provide an overview of clinical issues pertaining to the patient.
Pathophysiology, Treatments, and Medical Respiratory Therapy Standards of Practice
In this section, the student will provide general information about the medical conditions and treatments that would be utilized in evaluating and planning care for the case study patient. • Explain the patient’s diagnoses and how they are pertinent to their Respiratory status and the Respiratory care plan
• Give a brief description of the disease process in terms of incidence, prevalence, risk factors/etiology, symptoms, pathophysiology; diagnostic procedures (e.g., biopsy, laboratory tests, x-rays); treatments (e.g., medical; surgical; occupational; physical, or speech therapy; social service, psychological); and prognosis (e.g., expected degree of recovery).
• The role of lifestyle and lifestyle modifications should also be addressed, as appropriate, including exercise, alcohol, and smoking.
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Patient history and Clinical Course
The following information will be specific to your case study patient:
• Pathophysiology – specific to the patient.
• Laboratory tests – report only those abnormal values pertinent to the related pathophysiology, be prepared to explain the value’s meaning. Compare them to the normal.
• Medications. All medications mentioned in the case study should include a description of what they are used for. Discuss drugs with respiratory implicationsin greater detail than other medications.
• Procedures and surgeries
Respiratory Assessment
• Patient’s Sensorium. Those with respiratory problems may appear exhausted, anxious or unresponsive. Hypoxia and hypercapnia can alter the mental state and cause confusion or disorientation.
• Patient’s skin color. Cyanotic with hypoxia. A patient with hypercapnia may appear flushed because of high carbon dioxide levels.
• Communicate with the patient. Note if he has shortness of breath or uses short sentences. This could indicate a certain level of respiratory failure.
• Observe the patient’s chest rises and falls. A limited movement could point to a respiratory problem or collapsed lung.
• Observe the patient’s respiratory rate per minute,shallow or deep. Note how long it takes the patient toexhale. • Inspect the patient’s mouth. Look for traces of mucus or blood, which are both signs of lung problems. Smell the breath for a fruity or fecal smell, which could also indicate respiratory problems.
References
• References should be listed in American Psychology Association,(APA) format, including; use of original source material, data , formation form chart, and p patient interview Organization of Paper
Your paper’s body will exceed 3 typed pages. The material should be presented in a logical, well-organized manner.All APA format. o Title page with running head.
o Font; Times New Roman size 12 throughout o Body of paper;
Patient profile, Presentation (how the patient presents), Medical History, Pathophysiology
o Medications ( what are they used for) Vital signs, Lab tests ,with normal values (X ray, Blood gases, labs) treatments modalities and the purpose of performing them.
o Summary (summaries the case study, what happened, what was done, outcome, and future.)
o References
• Do not refer to the patient by name. Instead, use thewords “the patient”.
85 points available
5 points Format,
APA format, 3 page length, cover page Title page, Body of paper, Summary, References
5
4
3 2
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10 Patient Profile, Patient Information, History
age, sex, race, height, weight, marital status, occupation, social/cultural history, previous hospital admissions, chief complaint on current admission
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8 6 4
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20 Pathophysiology, research of disease
general information about the medical conditions and treatments that would be utilized in evaluating and planning care for the case study patient. Explain the patient’s diagnoses
20
18
16
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12
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8
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15 Treatment, Effectiveness of treatment, plan, and research of treatment options
treatments (e.g., medical; surgical; occupational; physical, or speech therapy; social service, psychological)
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13
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8 4
10 points Summary
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6
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5 points Reference Page
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2 1
10 points Grammar and spelling
10
8
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4 2
10 Points Respiratory Assessment, Patient’s Sensorium, Patient’s skin color, Therapist Contact with the patient 10
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