THEME FOR THE WEEK: DEVELOPING A TREATMENT PLAN
You are working in an emergency department and your patient is John D, a 72-year-old male. Patient lives at home with his wife. She is at home and unable to perform all her ADLs and he takes care of her along with a home aide. John D presents with a complaint of frequent (4-5 per day) loose stools for the last two days. He has normally 1 bowel movement/day and they are formed. He denies any recent travel out of the country or any blood in the stool. He has mild indigestion but no other abdominal pain or discomfort. He denies history of the same. He exercises daily with senior friends in the community. He eats healthy and denies any changes in diet. Patient denies any trauma. Focused abdominal exam is unremarkable. He has been self treating with blackberry root, which helped somewhat. He has a recent history of prostatitis and is being treated for this. He has a past history of hypertension, rheumatoid arthritis, hyperlipidemia. He has not had any major surgeries. No recent exposure around anyone with the same symptoms.
Vitals: Temp-36.3, Pulse-92, RR-16 BP-101/59 O2-100%
Metoprolol XR 25mg PO Daily
Lisinopril / HCTZ 10/12.5mg PO Daily
Simvastatin 20mg PO Daily
Ibuprofen 200mg PO TID
Ciprofloxacin 500mg PO BID
Write what your diagnosis, admission decision, and treatment plan are. Be as detailed as possible and provide "medical decision making". This is your justification and will be required as a provider to support all your decisions. Your plan must be supported by an evidence-based source such as CPGs.
Your initial post should be at least 500 words, formatted, and cited in current APA style with support from at least 2 academic sources.
You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts.
All replies must be constructive and use literature where possible. They must be at least 100 words and supported by at least one source.
Please post your initial response by 23:59 Thursday, and comment on the posts of two classmates by 23:59 Sunday.
You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.
Your assignment will be graded according to the grading rubric.
Category Points Description
Application of Course Knowledge 4 The quality of this category is determined by the ability to analyze, synthesize, and/or apply principles and concepts learned in the course lessons and outside readings and relate them to real-life professional situations
Scholarliness and Scholarly Resources
This category is evaluated on the quality of the student’s ability to: Support writing with appropriate, scholarly sources; provide relevant evidence of scholarly inquiry clearly stating how the evidence-informed or changed professional or academic decisions; evaluate literature resources to develop a comprehensive analysis or synthesis; use sources published within the last 5 years; match reference list and in-text citations match, and minimize or appropriately format direct quotations
Grammar, Spelling, Syntax, Mechanics and APA Format 1
Reflection post has minimal grammar, spelling, syntax, punctuation, and APA* errors. Direct quotes (if used) are limited to 1 short statement** which adds substantively to the post.
* APA style references and in-text citations are required; however, there are no deductions for errors in indentation or spacing of references. All elements of the reference otherwise must be included.
**Direct quote should not exceed 15 words & must add substantively to the discussion
Interactive Dialogue 2 The quality for this category is determined by substantive written responses to a peer and faculty member’s questions in the threaded discussion. Substantive posts add importance, depth, and meaningfulness to the discussion. Students must respond to at least two peers in the threaded discussion. If no question asked directly from faculty, students must respond to questions posed to the entire class. The post must include at least one scholarly source.
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