Learning is Priceless

• Apply knowledge and theory related to the prevention, diagnosis, and management of select uncomplicated common acute and chronic health problems for individuals across the lifespan.
• Develop a health maintenance plan for patients at all ages and stages.
• Lay the foundation of ordering labs and diagnostics including health maintenance.
• Explain the difference between screening, diagnosing/detecting, and monitoring labs.

Overview

This discussion features 3 patient vignettes. The patients will have a variety of conditions and issues. You will pick one patient then address the health maintenance to be ordered (supporting your choices). Then, you will respond to one other student’s post supporting the exams ordered with ICD/CMS support for the lab or suggesting changes to the exams ordered. The response will discuss if exams were needed or excessive, and why.

Vignettes

Kristin Cole is a 41-year-old female who presents to your primary care office. She has never had a pelvic exam and knows very little about her family history, except that she herself was a large baby weighing over 9 pounds. Kristin works as a cashier and spends a lot of time on her feet. She feels tired and frustrated.

Alvin Klein is a 3-year-old male who presents to your primary care office. He lives in a house that is 100-years old and loves to pay outside on his bike. Mom says his delivery was uneventful, but she is not good about bringing him in regularly. They eat an organic vegetarian diet.

Barry Stewart is a 68-year-old male who presents to your primary care office. He is having issues with frequent urination and had not been followed by a PCP in many years. Barry thinks it is time for him to take care of his health. He says that back when he was in his 50’s he was diagnosed as diabetic but he doesn’t take any medications.

Action Items

1. Compose an evidence-based response to the following items. As you complete this discussion, you will want to provide responses that are grounded in evidence. As such, please be certain to provide citations and references.
2. Here are the items to address:
   1. What are some health promotion items that need to be completed on the patient?
   2. Make sure to note whether the intervention is: primary, secondary or tertiary.
   3. What tests or diagnostic tools would you consider in this case, if any?
3. Read your classmates’ responses. Pick a classmate that used a different patient than your initial post. Considering what you read in your peers’ posts, compose an evidence-based response to the following items. Use APA format.
   1. Did they order the appropriate screening?
   2. Please support with a rationale of why or why not?
   3. Why were those screenings appropriate to the patient?
   4. Are there screening items missing?