Diagnostic and Reasoning for Geriatric Population Essay

Diagnostic and Reasoning for Geriatric Population Essay

Diagnostic and Reasoning for Geriatric Population Essay

The purpose of this assignment is to provide you the opportunity to expand the scope of your clinical documentation and your thought processes relative to complex patient care cases.

  1. Select a complex patient encounter that involves pediatric health issues.
  2. The patient encounter you select should be one of the more complex patient cases that you have experienced with your current clinical patient population. Given that you are to select complex cases, this assignment may not be completed for a ‘general health, well child, routine physical exam (etc.)’ type of encounter. Please See attached for additional information. All requirements must be addressed.Must be in APA format

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TEACHER COMMENTS-please elaborate of plans, what did you discuss with vascular or what was the final ICD code. if I am a following provider I would like to be able to find this information readily and know what was being done or had been done, as not to re-create the wheel or have added cost due to repeat testing.Please see attachments there are samples of a paper with teacher corrections

Diagnostic and Reasoning for Geriatric Population Essay

Diagnostic and Clinical Reasoning Paper Assignment 80 Point Rubric

 

 

               
Criterion Highly Proficient Proficient Marginally Proficient Approaching Proficiency Not Proficient Not evident  
Points 15 13               11 9 7 0 Total Points
Subjective Data All elements  of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) are adeptly documented and demonstrate consistent information across all aspects represented All elements of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) are  appropriately documented and demonstrate consistent information across all aspects represented All elements of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) are satisfactorily  documented but do not demonstrate consistent information across all aspects represented All elements of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) are either not satisfactorily  documented or do not demonstrate consistent information across all aspects represented All elements of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) are not satisfactorily  documented and do not demonstrate consistent information across all aspects represented No elements of subjective data (CC, HPI, PMH, Allergy identification, Medication Reconciliation, Social History, Family History, Health Promotion, and ROS) are provided in the assignment
Points 15 13 11 9 7 0  
Objective Data All elements of objective data are adeptly documented and demonstrate consistency relative to the information documented in the CC, HPI, PMH, and ROS All elements of objective data are appropriately documented and demonstrate consistency relative to the information documented in the CC, HPI, PMH, and ROS All elements of objective data are satisfactorily documented but do not demonstrate consistency relative to the information documented in the CC, HPI, PMH, and ROS All elements of objective data are either not satisfactorily documented or do not demonstrate consistency relative to the information documented in the CC, HPI, PMH, and ROS All elements of objective data are not satisfactorily documented and do not demonstrate consistency relative to the information documented in the CC, HPI, PMH, and ROS No elements of objective data are provided in the assignment
Points 10 9 8 7 6 0  
Assessment Assessment designations  and other elements in this section are adeptly documented and demonstrate congruence with information documented in the CC, HPI, PMH, ROS, and the objective data Assessment designations and other elements in this section are appropriately documented  and demonstrate congruence with information  documented in the CC, HPI, PMH, ROS, and the objective data Assessment designations and other elements in this section are satisfactorily documented  but do not  demonstrate congruence with information  documented in the CC, HPI, PMH, ROS, and the objective data Assessment designations and other elements in this section are either not satisfactorily documented  or do not  demonstrate congruence of information documented in the CC, HPI, PMH, ROS, and the objective data Assessment designations and other elements in this section are not satisfactorily documented  and do not  demonstrate congruence of information documented in the CC, HPI, PMH, ROS, and the objective data Assessment designations and other elements in this section are not provided in the assignment
Points 10 9 8 7 6 0  
Plan Elements of the plan are adeptly documented, demonstrate application of  current clinical practices for the identified assessment designations, and demonstrate congruence of information across all aspects represented Elements of the plan are appropriately documented, demonstrate application of  current clinical practices for the identified assessment designations,  and demonstrate congruence of information across all aspects represented Elements of the plan are satisfactorily documented but either do not demonstrate application of current clinical practices for the identified assessment designations, or do not  demonstrate congruence of information across all aspects represented Elements of the plan are either not satisfactorily documented, or do not demonstrate application of current clinical practices for the identified assessment designations, or do not demonstrate congruence of information across all aspects represented Elements of the plan are not satisfactorily documented, do not demonstrate application of current clinical practices for the identified assessment designations,   and do not  demonstrate congruence of information across all aspects represented Elements of a plan are not provided in the assignment
Points 10 9 8 7 6 0  
Clinical Decision Making All elements  of Clinical Decision Making (pathophysiology, pharm/alternate therapy, differential diagnoses, ethical/cultural concerns, and barriers) are adeptly documented and demonstrate congruence with information across all preceding sections (SOAP) of the assignment All elements  of Clinical Decision Making (pathophysiology, pharm/alternate therapy, differential diagnoses, ethical/cultural concerns, and barriers) are appropriately documented and demonstrate congruence with information across all preceding sections (SOAP) of the assignment All elements  of Clinical Decision Making (pathophysiology, pharm/alternate therapy, differential diagnoses, ethical/cultural concerns, and barriers) are satisfactorily  documented but do not demonstrate congruence with information across all preceding sections (SOAP) of the assignment All elements  of Clinical Decision Making (pathophysiology, pharm/alternate therapy, differential diagnoses, ethical/cultural concerns, and barriers) are either not satisfactorily  documented or do not demonstrate congruence with information across all preceding sections (SOAP) of the assignment All elements  of Clinical Decision Making (pathophysiology, pharm/alternate therapy, differential diagnoses, ethical/cultural concerns, and barriers) are not satisfactorily  documented and do not demonstrate congruence with information across all preceding sections (SOAP) of the assignment Elements of clinical decision making are not provided in the assignment
Points 10 9 8 7 6 0  
Evidence-based Practice (EBP) Elements of EBP(formulation of evidence support question, demonstration of the results of a scholarly search for EBP resources or CPGs, appraisal of the evidence located, analysis of the applicability of the EBP or CPG guidelines to this encounter, analysis of patient care values to EBP or CPGs presented to them during your encounter) are adeptly discussed and demonstrate congruence with information across all preceding sections (SOAP and Clinical Decision Making) of the assignment Elements of EBP(formulation of evidence support question, demonstration of the results of a scholarly search for EBP resources or CPGs, appraisal of the evidence located, analysis of the applicability of the EBP or CPG guidelines to this encounter, analysis of patient care values to EBP or CPGs presented to them during your encounter) are appropriately discussed and demonstrate congruence with information across all preceding sections (SOAP and Clinical Decision Making) of the assignment Elements of EBP(formulation of evidence support question, demonstration of the results of a scholarly search for EBP resources or CPGs, appraisal of the evidence located, analysis of the applicability of the EBP or CPG guidelines to this encounter, analysis of patient care values to EBP or CPGs presented to them during your encounter) are satisfactorily discussed but do not demonstrate congruence with information across all preceding sections (SOAP and Clinical Decision Making) of the assignment Elements of EBP(formulation of evidence support question, demonstration of the results of a scholarly search for EBP resources or CPGs, appraisal of the evidence located, analysis of the applicability of the EBP or CPG guidelines to this encounter, analysis of patient care values to EBP or CPGs presented to them during your encounter) are either not satisfactorily discussed or do not demonstrate congruence with information across all preceding sections (SOAP and Clinical Decision Making) of the assignment Elements of EBP(formulation of evidence support question, demonstration of the results of a scholarly search for EBP resources or CPGs, appraisal of the evidence located, analysis of the applicability of the EBP or CPG guidelines to this encounter, analysis of patient care values to EBP or CPGs presented to them during your encounter) are not satisfactorily discussed and do not demonstrate congruence with information across all preceding sections (SOAP and Clinical Decision Making) of the assignment No elements of evidence-based practice are provided in the assignment
Points 5 4.5 4 3.5 3 0  
Self-Reflection/Critique Reflective discussions of decision making and advanced practice practitioner role analysis are adeptly articulated and logically flow from the discussions in the preceding sections (SOAP, Clinical Decision Making, and EBP) of the assignment Reflective discussions of decision making and advanced practice practitioner role analysis are appropriately articulated and logically flow from the discussions in the preceding sections (SOAP, Clinical Decision Making, and EBP) of the assignment Reflective discussions of decision making and advanced practice practitioner role analysis are satisfactorily  articulated but do not logically flow from the discussions in the preceding sections (SOAP, Clinical Decision Making, and EBP) of the assignment Reflective discussions of decision making and advanced practice practitioner role analysis are either not satisfactorily  articulated or do not logically flow from the discussions in the preceding sections (SOAP, Clinical Decision Making, and EBP) of the assignment Reflective discussions of decision making and advanced practice practitioner role analysis are not satisfactorily  articulated and do not logically flow from the discussions in the preceding sections (SOAP, Clinical Decision Making, and EBP) of the assignment No reflective discussions are provided in the assignment
Points 5 4.5 4 3.5 3 0  
Professional Communication The discussions and exploration of thoughts are adeptly provided and demonstrate sound grammatical construction without readily detectable errors in application of APA style guidelines The discussions and exploration of thoughts are appropriately provided and  demonstrate sound grammatical construction with only minor detectable errors in application of APA style guidelines The discussions and exploration of thoughts are satisfactorily provided but either do not demonstrate sound grammatical construction or include several readily detectable errors in application of APA style guidelines The discussions and exploration of thoughts are either not satisfactorily provided, or do not demonstrate sound grammatical construction, or  include several readily detectable errors in application of APA style guidelines The discussions and exploration of thoughts are not satisfactorily provided, do not demonstrate sound grammatical construction, and include several readily detectable errors in application of APA style guidelines No discussions or exploration of thoughts are provided in the submission
Total Score:     XX/80

Diagnostic and Reasoning for Geriatric Population Essay

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