Human disease and drug

Humanities

Bryant and Stratton College

Question Description

Bryant & Stratton College

HCAS143 006 Human Disease and Drug Pharmacology

Culminating Case Study

Outcome(s) Assessed:

  • Course Outcomes
    • Explain the fundamental concepts and processes of diseases and/or conditions.
    • Relate the causes and mechanisms of disease with the associated diagnosis, treatments, and medications typically prescribed.
  • Institutional Outcome
    • Quantitative & Scientific Reasoning – Follow established methods of inquiry and mathematical reasoning to form conclusions and make decisions.

Relevant Background Information:

This assessment will examine the student’s ability to identify signs, symptoms, lab/diagnostic testing, and medication use as it pertains to a specific disease/condition. In addition, the student will identify possible complications of the stated disease/condition as well as treatment options for the presenting patient. The knowledge and skills assessed will examine the student’s ability to identify disease specific information from a patient presentation.

Assessment Purpose:

To assess the student’s ability to identify specific signs, symptoms, and lab/diagnostic results associated with various disease/conditions.

Assessment Directions:

For this assessment, you will review one case study and complete four short answer questions based on the information provided. Provide your answers in a well-developed paragraph of 100 – 200 words for each question. Type your responses into a Word document with your name, date, and the title of this assessment at the top of the page. Total word count for this assessment should not exceed 800 words.

Unformatted Attachment Preview

Bryant & Stratton College HCAS143 Human Diseases and Drug Pharmacology Summative Assessment #4 Culminating Case Study Outcome(s) Assessed: • Course Outcomes o Explain the fundamental concepts and processes of diseases and/or conditions. o Relate the causes and mechanisms of disease with the associated diagnosis, treatments, and medications typically prescribed. • Institutional Outcome o Quantitative & Scientific Reasoning – Follow established methods of inquiry and mathematical reasoning to form conclusions and make decisions. Relevant Background Information: This assessment will examine the student’s ability to identify signs, symptoms, lab/diagnostic testing, and medication use as it pertains to a specific disease/condition. In addition, the student will identify possible complications of the stated disease/condition as well as treatment options for the presenting patient. The knowledge and skills assessed will examine the student’s ability to identify disease specific information from a patient presentation. Assessment Purpose: To assess the student’s ability to identify specific signs, symptoms, and lab/diagnostic results associated with various disease/conditions. Assessment Directions: For this assessment, you will review one case study and complete four short answer questions based on the information provided. Provide your answers in a well-developed paragraph of 100 – 200 words for each question. Type your responses into a Word document with your name, date, and the title of this assessment at the top of the page. Total word count for this assessment should not exceed 800 words. Scenario: Ms. T, a 53-year-old Caucasian female smoker, has a long history of Diabetes Mellitus. Last year, she was diagnosed with a mood disorder and has since been under the care of a psychiatrist. Recently, Ms. T has seen her primary care physician for shortness of breath and a wheezing cough that has developed over the last few months. Chief Complaint Encounter Type: Office Visit - Follow-Up/Established Visit 12/13/2017 Chief Complaint: SOB and Wheezing tussis Record Date/Time: 12/13/17 02:44pm History of Present Illness Location: Chest Quality: Wheezing Severity: Consistent Duration: 2 months Timing: Worse at night Context: Worse when supine Modifying Factors: Hx of DM and anxiety Associated Signs and Symptoms: Facial erythema, unhealed bilateral plantar lesions, cyanosis and hypothermia in pedal phalanges, rhonchi w/associated dyspnea, generalized agitation. Pt states transient lower extremity paresthesia, polydipsia, and nocturia. General Fever Chills Sweats Fatigue Weight Gain Weight Loss No No No No No No HEENT HA Vision Changes Dizziness Ear Ache Sore Throat Discharge No No No No No No HEENT/2 Blurred Vision Ringing Deafness Vertigo Epistaxis Hoarse No No No No No No Cardiac Chest Pain Palpitations DOE Edema PND Diaphoresis No No No Yes No No Respiratory Cough Congestion Expectoration Wheezing SOB Hemoptysis No No No Yes Yes No Gastrointestinal Constipation Dysphagia N/V Abdominal Pain Heart Burn Diarrhea No No No No No No GU Dysuria Incontinence Frequency Nocturia Sexual Dysfunction Irregular Menses No No Yes Yes No No Musculoskeletal Myalgia Back Pain Radiation Joint Pain Joint Swelling Injury No No No No No No Hem/Skin Anemia Adenopathy Rashes Leg Ulcer Bruising Itching No No No Yes No No Neuro Memory Loss Confusion Weakness Ataxia Tremors Paresthesia No No No No No Yes Psych Depression Anxiety Insomnia Agitations Hallucination Disorientation No Yes No Yes No No Dental Bleeding Gums Sensitivity Tooth Pain Sores/Lumps Noisy Jaw Clench/Grind No No No No No No Comments: Patient states an overall feeling of "Stress" Entry By: SPN Diagnostic / Lab Results Date Type 12/11/2017 Path/Lab 12/13/2017 Path/Lab 12/15/2017 Respiratory Notes Urinalysis: Color - Yellow Specific Gravity - 1.035 pH - 6.5 Nitrites - negative Leukocytes - negative Urobilinogen - positive Bilirubin - negative Blood - negative Protein - positive Creatinine - positive Ketones - positive Glucose - positive Hematology: RBC Count 5.9 million WBC Count 7,500 Platelet Count 200,000 Hct 52% Hgb 17 g/dL ESR 38 mm/hr Pulmonary Function Testing: FVC 2.3 L/min Pulse Oximetry 95% Provider Verified SPN SPN SPN Medication List: Alprazolam 0.25mg Metformin 750mg Questions 1. Based on the medical record above, differentiate the presenting signs and symptoms with following diseases/conditions: Diabetes mellitus, COPD, and anxiety. 2. For each disease/condition stated below, discuss how the process and development of each resulted in this patient’s laboratory/diagnostic test results and medication list. a. Diabetes Mellitus b. COPD c. Anxiety 3. For each disease/condition stated below, discuss the complications that might develop if they are left untreated or not properly managed. a. Diabetes Mellitus b. COPD c. Anxiety 4. For each disease/condition stated below, identify possible plan of care options that may include patient education, treatment options, necessary referral(s), and/or further diagnostic testing. a. Diabetes Mellitus b. COPD c. Anxiety Reflection Discussion 1. Describe your thoughts process and resources you used to reach the conclusions for each of the questions. Explain how what you learned as it relates to appropriate medication dosages will help you in your future career. Assessment Rubric Template Complications of Condition and/or Disease Development of the Condition/Disease Identifying Sign & Symptoms of Multiple Conditions/Diseases Level 3 (Overall score 85 – 100%) Level 1 (Overall score 65 – 69%) Level 0 (Overall score 0 – 64%) 10 – 8.5 8.4 – 7 6.9 – 6.5 0 – 6.4 The student successfully correlated the provided the signs and symptoms presented in the case description to their respective diseases/conditions, with few or no errors. The student correlated the provided signs and symptoms presented in the case description to their respective diseases/conditions with relative successes, but several errors were present. The student correlated the provided signs and symptoms presented in the case description to their respective diseases/conditions with limited successes; numerous errors were noted. The student did not properly match the provided signs and symptoms presented in the case description to their respective diseases/conditions, or only made a few proper matches. 25 – 21 20 – 18 17– 15 0 - 16 The student provided a complete and accurate description of the development of all three of the conditions/disease processes, and fully integrated information from the patient’s laboratory/diagnostic test results and/or medication list. The student provided a relatively complete and/or accurate description of the development of all three of the conditions/disease processes, but only partially integrated information from the patient’s laboratory/ diagnostic test results and/or medication list, or made limited errors in the analysis of the patient’s laboratory/diagnostic test results and/or medication list. The student provided an accurate, but basic description of the development of all three of the conditions/disease processes, but did not accurately integrate information from the patient’s laboratory/diagnostic test results and/or medication list. The student failed to provide an accurate description of the development of all three of the conditions/disease processes. 25 – 21 20 – 18 17 – 15 0 - 16 The student provided a complete and accurate explanation of the possible complications related to each of the given conditions/disease processes. The student provided a relatively complete and/or accurate explanation of the possible complications related to each of the given conditions/disease processes. The student provided a complete and/or accurate, but basic explanation of the possible complications related to each of the given conditions/disease processes. The student’s response failed to provide an accurate explanation of possible complications related to each of the given conditions/disease processes. 25 – 21 Plan of Care for the Condition and/or Disease Level 2 (Overall score 70 – 84%) The student provided a complete and accurate identification of the possible plan of care options for each of the condition/disease processes, and fully included the majority of relevant and appropriate patient education, treatment, referrals and/or further diagnostic tests. 5 20 – 18 17– 15 The student provided a relatively complete and/or accurate identification of the possible plan of care options for each of the condition/disease processes, but omitted a few of the relevant and appropriate patient education, treatment, referrals and/or further diagnostic tests. 4 The student provided a limited, but accurate identification of the possible plan of care options for each of the condition/disease processes, but omitted the vast majority of the relevant and appropriate patient education, treatment, referrals and/or further diagnostic tests. 3 0 - 16 The student’s response failed to provide an accurate identification of an appropriate and/or relevant course of care for the majority of the conditions/disease processes. 2-0 Mechanics Institutional Outcome Student makes no errors in grammar, spelling and punctuation. Writing is clear with no “text” or “chat” language. Student makes minimal errors (1-3) in grammar, spelling and punctuation. Writing is clear with no “text” or “chat” language. Student makes several errors (4 - 6) in grammar, spelling and punctuation. Errors may distract reader or cloud meaning of the message. No “text” or “chat” language is used. 10 – 8.5 Quantitative & Scientific Reasoning: Work indicates that the student has exceeded expectations for this institutional outcome. 8.4 – 7.0 Quantitative & Scientific Reasoning: Work indicates that the student has successfully met expectations for this institutional outcome. 6.9 – 6.5 Quantitative & Scientific Reasoning: Work indicates that the student has partially met expectations for this institutional outcome. Final Score: /100 Comments: Student makes several errors (4 - 6) in grammar, spelling and punctuation. Errors may distract reader or cloud meaning of the message. No “text” or “chat” language is used. 6.4 - 0 Quantitative & Scientific Reasoning: Work indicates that the student has not or scarcely met expectations for this institutional outcome. ...
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