Preschooler Sick Visit: Ear Pain Results | Completed yi yi yi yi yi yi yi
Advanced Nursing III - Primary Care - Pediatrics - March 2023, 202310nur6130802
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Overview
TreatmentPlan:11of24(45.83%) yi yi yi yi yi
Transcrip
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Problem Selection y i 0 out of yi yi
Subjective Data Collection yi yi
Objective Data Collection
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Diagnosis
Education & Empathy
Learner Selection Model Documentation
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yi Documentation
yi Diagnosis: Acute Serous Otitis Media, Left Ear
yi yi yi yi yi yi Diagnosis: Acute Serous Otitis Media, Right Ear yi yi yi yi yi yi
y i Treatment Plan yi
Self-Reflection Evidences: Evidences:
Bulging and non-purulent fluid observed in
yi yi yi yi yi yi Bulging and non-purulent fluid observed in tympanic
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Student Survey
yi yi tympanic membrane
yi yi membrane
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Erythema observed
yi yi Decreased mobility of tympanic membrane yi yi yi yi
Maya presents with hearing loss
yi yi yi yi yi Maya reports pain is a 4 out of 10
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Mr. Parker reports Maya is congested
yi yi yi yi yi yi Mr. Parker reports Maya pulling at ear
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Learner Rationale: yi Model Rationale: y i
al The primary diagnosis is the reason for the patient's visit
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Because Maya Parker was brought to the clinic tugging
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Score: 0 out of 5 yi yi yi yi
on her right ear and reporting pain, as well as with
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bulging, non-purulent fluid, and decreased mobility of he
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right tympanic membrane, the correct primary diagnosis is
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Acute Serous Otitis Media, Right Ear. As a primary car
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provider, it is critical to properly code the reason for
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Maya’s visit so it can be processed by insurance.
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Miyamoto, R. T. (2020, June). Otitis Media (Secretory). yi yi yi yi yi yi yi
Merck Manual.
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https://www.merckmanuals.com/professional/ear,-nose,
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and-throat-disorders/middle-ear-and-tympanic-
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membrane-disorders/otitis-media-secretory?
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query=Acute%20Serous%20Otitis%20Media
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https://www.coursehero.com/file/201735405/Treatment-planpdf/
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https://www.coursehero.com/file/201735405/Treatment-planpdf/