Purpose
This assignment is intended to help you learn to:
- 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 (FNP) or adolescent through end of life (AGPCNP).
- Develop differential diagnoses and plans of care based on evidence-based research and clinical practice guidelines.
Case Overview
A 32-year-old presents to the clinic with fatigue, palpitations, and shortness of breath with activity for several months. She reports a history of long (8-9 day), heavy menstrual periods with clots since the birth of her last child 18 months ago, and an unusual, recent desire to eat ice (pica). The patient also complains of tinnitus.
She follows a strict Vegan diet, takes no routine medications or supplements, and denies smoking or alcohol use.
Relevant assessment findings: Vital signs: Blood Pressure 100/56, Pulse 90, Resp 22, HR 110, Oxygen Saturation 96% on room air, Height 62 inches, Weight 121 lbs, and BMI 22.1. The patient has mild pallor of the conjunctiva and mucous membranes, and there is cracking in the corners of the patient's mouth. Ear exam is WNL. The patient's hair appears very thin, and she states that this is a recent change.
Instructions
Compose Initial Response
Compose an evidence-based response to address the following:
- Outline any laboratory and diagnostic tests needed to assess this patient; include the rationale for ordering the tests.
- What is the significance of the assessment findings? Discuss the long-term health risks that the patient faces if the underlying diagnosis is left untreated.
- Outline 3 differential diagnoses for this patient and how you would rule them in/out.
- What is the final diagnosis for this patient?
- What teaching would you provide to the patient while awaiting diagnostic results?
- Outline the plan of care for the patient, including medications and referrals.
Your response should include sources in APA formatLinks to an external site..
Compose Follow-Up Response
Read the responses posted in the discussion by other members of the class. Consider the responses and compose an evidence-based response to the following items:
- Does your final diagnosis change?
- Would you make any changes to the diagnostic tests ordered?
- Would you make any other changes to the plan?
Include sources in APA formatLinks to an external site..