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Overview:
Your final project for this course will be a patient record
analysis. You will apply the knowledge of anatomy, physiology,
and pharmacology that you have developed during this course in
a thorough review of existing patient information in the
Final Project Patient File
. Specifically, you will review a patient’s
history and a discharge chart from a recent physician visit,
explaining the reasons behind diagnosis (or diagnoses) based on
documented symptoms, citing any inconsistencies or concerns,
and discussing the potential and current treatments, all in
preparation for your future coding practices.
For this milestone, you will review the patient history file and
discuss what it tells you. Discriminating between signs and
symptoms, primary diagnoses, secondary diagnoses, and
differential diagnoses, discuss what the findings are.
Specifically, the following
critical elements
must be addressed:
I.
Patient History Analysis
a) Summarize the
patient history
, explaining key patient demographics and family history that
could be risk factors for common diseases.
b) Identify the
past diagnosis
(or diagnoses, if more than one exists in the file) and explain
how the diagnosis was made. Specifically, what tests
were done?
c) Discuss the
symptoms
the patient showed according to the file. Why and how did these
symptoms lead the doctors to order certain tests?
d) What
alternate diagnosis
(or diagnoses) could these symptoms have indicated? Explain
using evidence-based resources to support your
conclusions.
e) Using supportive details from peer-reviewed resources,
explain the
pathophysiology
of the diagnosis. In other words, how does the diagnosed
disease develop and progress in the body?
f) Identify the past prescribed medications the patient is taking
and explain the purposes of their larger
pharmacological groupings
.
g) Explain what symptoms the
specific medications
are meant to treat, using resources to support your claims about
the impact of the medication
on the symptoms.
h) Illustrate how these medications
impact
the body and its functions. Use examples to support your
explanations.
Rubric
Guidelines for Submission:
This milestone should be at least 2 pages in length and
submitted as a Word document. All sources should be in APA
format.
Instructor Feedback:
This activity uses an integrated rubric in Blackboard. Students
can view instructor feedback in the Grade Center. For more
information, review
these instructions
.
Patient History Analysis (PHA

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Patient History Analysis (PHA

  • 1. Overview: Your final project for this course will be a patient record analysis. You will apply the knowledge of anatomy, physiology, and pharmacology that you have developed during this course in a thorough review of existing patient information in the Final Project Patient File . Specifically, you will review a patient’s history and a discharge chart from a recent physician visit, explaining the reasons behind diagnosis (or diagnoses) based on documented symptoms, citing any inconsistencies or concerns, and discussing the potential and current treatments, all in preparation for your future coding practices. For this milestone, you will review the patient history file and discuss what it tells you. Discriminating between signs and symptoms, primary diagnoses, secondary diagnoses, and differential diagnoses, discuss what the findings are. Specifically, the following critical elements must be addressed: I. Patient History Analysis a) Summarize the patient history , explaining key patient demographics and family history that could be risk factors for common diseases. b) Identify the past diagnosis (or diagnoses, if more than one exists in the file) and explain how the diagnosis was made. Specifically, what tests were done? c) Discuss the symptoms the patient showed according to the file. Why and how did these symptoms lead the doctors to order certain tests?
  • 2. d) What alternate diagnosis (or diagnoses) could these symptoms have indicated? Explain using evidence-based resources to support your conclusions. e) Using supportive details from peer-reviewed resources, explain the pathophysiology of the diagnosis. In other words, how does the diagnosed disease develop and progress in the body? f) Identify the past prescribed medications the patient is taking and explain the purposes of their larger pharmacological groupings . g) Explain what symptoms the specific medications are meant to treat, using resources to support your claims about the impact of the medication on the symptoms. h) Illustrate how these medications impact the body and its functions. Use examples to support your explanations. Rubric Guidelines for Submission: This milestone should be at least 2 pages in length and submitted as a Word document. All sources should be in APA format. Instructor Feedback: This activity uses an integrated rubric in Blackboard. Students can view instructor feedback in the Grade Center. For more information, review these instructions .