Week 1 Assignment: Case Study

Brief Case Scenarios

Provide one or more of the following case scenarios for students to use for their Discussion. For instance, you may wish to assign two cases and divide the class in two by last name. The cases should be rotated so there is some variation term to term.

Case Study 1:

Mr. Perkins, age 81, reports for an annual physical examination. He says he is doing well. His only known problem is osteoarthritis. He also requests a flu shot. He takes no medications other than Tylenol for arthritis pain. When he walks into the exam room, you notice that he is using a straight cane in his right hand. When you ask about the cane, he says he began using the cane because the pain in his right hip had increased significantly over the past 6 months.

Case Study 2:

Mr. Abrams, a 69-year-old man, was referred to your office for a hearing evaluation. He continues to work in a printing company, although he works only part time. He has worked at the printing company for the past 35 years. He complains that he cannot hear much of the dialogue on the television. He is accompanied by his wife, who states that her husband cannot hear her at home. He has no history of dizziness, tinnitus, or vertigo. He has had cerumen impactions removed from both ears in the past. Overall, his medical history is quite benign. His only medications are aspirin 81 mg. daily, a multivitamin daily, and occasional ibuprofen for back pain.

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Case Study 3:

Mrs. Simmons, an 84-year-old widow, is brought to the office by her daughter. The daughter claims that her mother seems to be depressed. There is a history of depression approximately 5 years ago, shortly after Mrs. Simmons’s husband died. At that time, she was successfully treated with antidepressants. Currently, the daughter states that her mother's memory for appointments and events has declined severely, and she can no longer drive because she does not remember the route to the store or other familiar places. The daughter also noted that her mother's house seemed very disorganized and dirty, there was a limited amount of food in the kitchen, and the checkbook had not been balanced for several months. Mrs. Simmons appears slightly disheveled, she has a flat affect, and she does not maintain eye contact during your interview.

• Review this week’s Learning Resources, considering how assessment tools are used to evaluate patients.
• Your Instructor will assign a case study to use for this Discussion. Review the case study and based on the provided information, think about a possible patient evaluation plan. As part of your evaluation planning, consider where the evaluation would take place, whether any other professionals or family members should be present, appropriate assessment tools and guidelines, and any other relevant information you may wish to address.
• Consider whether the assessment tool you identified was validated for use with this specific patient population and if this poses issues. Think about additional factors that might present issues when performing assessments such as language, education, prosthetics, missing limbs, etc.
• Consider immunization requirements that may be needed for this patient.

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By Day 3

Post an explanation of your evaluation plan for the patient in the case study provided and explain which type of assessment tool you might use for the patient. Explain whether the assessment tool was validated for use with this patient’s specific patient population and whether this poses issues. Include additional factors that might present issues when performing assessments, such as language, education, prosthetics, etc. Also explain the immunization requirements related to health promotion and disease prevention for the patient.

By Day 6

Respond to at least two of your colleagues on two different days in one or more of the following ways:

• Suggest alternative assessment tools and explain why these tools might be appropriate for your colleagues’ patients.
• Recommend strategies for mitigating issues related to use of the assessment tools your colleagues discussed.
• Explain other health promotion considerations for patients in this population or with related issues.