{"id":12777,"date":"2020-11-24T09:04:38","date_gmt":"2020-11-24T09:04:38","guid":{"rendered":"http:\/\/onlineclassesguru.com\/index.php\/2020\/11\/24\/poor-patient-outcome\/"},"modified":"2020-11-24T09:04:38","modified_gmt":"2020-11-24T09:04:38","slug":"poor-patient-outcome","status":"publish","type":"post","link":"https:\/\/onlineclassesguru.com\/index.php\/2020\/11\/24\/poor-patient-outcome\/","title":{"rendered":"Poor Patient Outcome"},"content":{"rendered":"<style type=\"text\/css\"><\/style><p>&nbsp;<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">No Plegarism please, assignment will be checked with Turnitin.<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">Will need minimum of 3 pages, title, and reference page APA Style, double spaced, times new romans, font 12, and and 3 references with intext citations.<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">Poor Patient Outcome<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">Relying solely on the classic features of a disease may be misleading. That\u2019s because the clinical presentation of a disease often varies: the symptoms and signs of many conditions are non-specific initially and may require hours, days, or even months to develop.<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">Generating a differential diagnosis; that is, developing a list of the possible conditions that might produce a patient\u2019s symptoms and signs \u2014 is an important part of clinical reasoning. It enables appropriate testing to rule out possibilities and confirm a final diagnosis.<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">This case portrays a poor patient outcome after a misdiagnosis.<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">Case scenario<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">A previously healthy 35-year-old lawyer presents to a primary care office with a chief complaint of chest pain and a non-productive cough. The pain started suddenly 2 hours prior to coming to the office while the patient was sitting at his desk. The patient describes the pain as sharp in nature, constantly present but made worse with inspiration and movement, and with radiation to the base of the neck. His blood pressure in the right arm and other vital signs are normal.<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">On physical examination the only findings of note are chest wall tenderness and a faint cardiac murmur. The ECG in the office is normal. The patient is observed for an hour in the office and assessed. He is diagnosed with viral pleurisy and sent home on non-steroidal analgesics.<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">The following day the patient collapses at home and cannot be resuscitated by the paramedic service. An autopsy reveals a Type 1 aortic dissection with pericardial tamponade.<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">Written Assignment:<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">Developing a list of possible conditions that might produce a patient\u2019s symptoms and signs is an important part of clinical reasoning.<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">As an NP in primary care what would you have done differently?<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">Discuss the importance of creating a list of differentials for this patient. How could it have changed this outcome?<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">If a serious diagnosis comes to mind based on a patient\u2019s symptoms:<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">Ask yourself; Have you considered the likelihood of it and whether it needs to be ruled out by testing or referral?<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">Because many serious disorders are challenging to diagnose, have you considered ruling out the worst case scenario?<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">Ask yourself: Do you have sufficient understanding of the clinical presentation to offer an opinion on the diagnosis?<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">What other diagnosis could it be? How might the treatment to date have altered the patient outcome?<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">What other diagnostic and laboratory or imaging was needed in order to make a complete differential list?<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828;\">What support tools would you consider using in helping to create a differential diagnosis list?<\/p>\n<p>&nbsp;<\/p>\n<p style=\"margin: 0px 0px 15px; padding: 0px; border: 0px; font-style: normal; font-variant-ligatures: normal; font-variant-caps: normal; font-variant-numeric: inherit; font-variant-east-asian: inherit; font-weight: 400; font-stretch: inherit; font-size: 13px; line-height: inherit; font-family: Prompt, Arial, Tahoma, sans-serif; vertical-align: baseline; color: #282828; letter-spacing: normal; orphans: 2; text-align: start; text-indent: 0px; text-transform: none; white-space: normal; widows: 2; word-spacing: 0px; -webkit-text-stroke-width: 0px; background-color: #ffffff; text-decoration-style: initial; text-decoration-color: initial;\">Are you familiar with the current clinical practice guidelines for the investigation of a suspected condition such as chest pain?<\/p>\n<p><center><a href=\"http:\/\/onlineclassesguru.com\/orders\/ordernow\"><img decoding=\"async\" src=\"https:\/\/encrypted-tbn0.gstatic.com\/images?q=tbn:ANd9GcTyj99p60XCLyLk1htB7-1neRt8-2QdnenNlQ&usqp=CAU\"target=\"_http:\/\/onlineclassesguru.com\/orders\/ordernow\"\/><\/center><p>","protected":false},"excerpt":{"rendered":"<p>&nbsp; No Plegarism please, assignment will be checked with Turnitin. Will need minimum of 3 pages, title, and reference page APA Style, double spaced, times new romans, font 12, and and 3 references with intext citations. Poor Patient Outcome Relying solely on the classic features of a disease may be misleading. That\u2019s because the clinical&#8230;<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[],"tags":[],"class_list":["post-12777","post","type-post","status-publish","format-standard","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v17.0 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Poor Patient Outcome - onlineclassesguru<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"http:\/\/onlineclassesguru.com\/index.php\/2020\/11\/24\/poor-patient-outcome\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Poor Patient Outcome - onlineclassesguru\" \/>\n<meta property=\"og:description\" content=\"&nbsp; No Plegarism please, assignment will be checked with Turnitin. 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