363616 Camilla Franklin* for Walden University - NURS- - Advanced Health Assessment and Diagnostic Reasoning

363616 Camilla Franklin* for Walden University - NURS -6512 202470 - Advanced Health Assessment and Diagnostic Reasoning Answer & Explanation Solved by verified expert Answered by crissiatan7 Advanced Health Assessment and Diagnostic Reasoning iHuman Neuro Assignment Patient Information and History Patient's Chief Complaint (CC): Detail the primary reason the patient is seeking medical attention. History of Present Illness (HPI): Provide a comprehensive description of the symptoms, including the onset, location, duration, characteristics, aggravating factors, relieving factors, and treatment. Past Medical History (PMH): List previous medical conditions, surgeries, hospitalizations, and treatments. Family History (FH): Detail any relevant medical history of immediate family members that could affect the patient's condition. Social History (SH): Include lifestyle factors such as smoking, alcohol use, drug use, occupational history, and living conditions. Review of Systems (ROS): Conduct a systematic review of all body systems to identify any additional symptoms not covered in the HPI. Physical Examination General Appearance: Describe the patient's general physical appearance, including level of distress, posture, and any noticeable abnormalities. Vital Signs: Record the patient's temperature, pulse, respiration rate, blood pressure, and oxygen saturation. Neurological Examination: Mental Status: Assess the patient's orientation, memory, attention, language, and cognition. Cranial Nerves: Evaluate all cranial nerves (CN I -XII) for proper functioning. Motor System: Check muscle strength, tone, and bulk in all major muscle groups. Sensory System: Test for light touch, pain, temperature, vibration, and proprioception. Reflexes: Assess deep tendon reflexes (DTRs), including biceps, triceps, brachioradialis, patellar, and Achilles reflexes. Coordination: Perform tests for coordination such as finger -to-nose, heel -to-shin, and rapid alternating movements. Gait and Balance: Observe the patient's gait, including walking on heels, toes, and tandem gait. Diagnostic Testing Imaging Studies: Detail any imaging studies performed, such as CT scan, MRI, or X -rays, including the rationale for each and the findings. Laboratory Tests: List laboratory tests ordered and thei r results, explaining how they support the diagnosis. Special Tests: Include any special tests conducted, such as lumbar puncture, EEG, or EMG, with a discussion on their findings and implications. Differential Diagnosis List of Differential Diagnoses: Provide a list of potential diagnoses, ranked by likelihood. Rationale for Differential Diagnoses: Discuss why each differential diagnosis is considered, based on the patient's history, physical examination, and diagnostic test results. Final Diagnosis Final Diagnosis: State the final diagnosis. Justification for Final Diagnosis: Explain how the patient's presentation, examination findings, and diagnostic test results led to the final diagnosis. Management Plan Treatment Plan: Outline the treatment plan, including medications, dosages, and other therapeutic interventions. Patient Education: Provide information on how to educate the patient about their condition, treatment, and any necessary lifestyle modifications. Follow -Up: Describe the follow -up plan, including any further appointments, tests, or evaluations needed. Case Reflection Reflection on Case: Reflect on the case, including what was learned, what could have been done differently, and any challenges faced during the ass essment and diagnostic process. Implications for Practice: Discuss the implications of this case for future practice, including any changes to clinical approach or patient management strategies. Step-by-step explanation Example Answer: