Assignment: This week, you examine assessment, diagnosis, and treatment of head, neck, and face disorders in older adults and complete a SOAP note.
This week, you examine assessment, diagnosis, and treatment of head, neck, and face disorders in older adults and complete a SOAP note. As you complete your readings, consider factors that contribute to the development of head, neck, and face disorders, as well as strategies for treatment and improvement in patient health outcomes.
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LEARNING OBJECTIVES
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Students will:
- Evaluate patients presenting with symptoms of head, neck, and face disorders
- Develop differential diagnoses for patients with disorders of the head, neck, and face
- Develop appropriate treatment plans, including diagnostics and laboratory orders, for patients with disorders of the head, neck, and face Head and Neck Assessment
- Analyze the diagnosis and treatment of disorders of the head, neck, and face
WEEK 4 CASE ASSIGNMENT
A 79-year-old woman presents today with complaints of nasal drainage, clearing of throat, and occasional nasal congestion, especially on waking in the morning. She has recently moved into an independent living center after living in her home for 40 years. She states that, although she has had these symptoms before, generally the symptoms appeared in the spring, and she associated the nasal drainage with pollination. Because it is winter, she could not identify the trigger of her symptoms.
Chief complaint: Persistent “runny nose” for 4-week duration, associated clearing of throat, and nasal congestion on awakening in the morning.
VS: BP 130/84, temperature 98.6, pulse 78, respiratory rate 16 02 Sat 98% Head and Neck Assessment
ANSWER THESE QUESTIONS:
- What further ROS questions will you want to ask her? List at least three.
- What physical exam (PE) will you perform on this patient? List at least three.
- What are the differential diagnoses that you are considering? Describe at least three.
- What laboratory tests will help you rule out some of the differential diagnoses?
- You have determined, by choosing your ROS, PE, and differential diagnosis, that this patient has allergic rhinitis (AR). Describe the treatment options for your diagnosis, and what specific information about the prescription will you give to this patient? List at least two treatment options: medications with dose, side effects and/or cautions in the older adult.
- Describe any health promotion topics for this patient, when will you have the patient follow up? Be specific. Head and Neck Assessment
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