Week 3 Discussion 1: Hispanic / Nondocumented Patient with Acute Illness
Week 3 Discussion 1: Hispanic / Nondocumented Patient with Acute Illness
Primary Care of the Family I
Discussion Board Instructions Video Transcript
Hello students. This will provide you an overview of the discussion boards that will be required in this course. You will find that the format for all discussion boards is the same. So what you’re going to do in one week will be the same in all subsequent weeks.
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For your initial post, you are going to read the patient vignette and list 10 to 20 questions of subject of information that you need to get from your patient to help formulate your differential diagnoses and plan. So these are going to be your HPI and review of systems questions that you’re going to ask your patient with information that you need to continue with your visit and formulate your differential diagnoses and plan. Please provide references for the questions that you ask of your patient. Meaning, what support can you find in the literature for why these questions are important? Your initial post is due by Day 3, which is Wednesday at 11:59 PM.
The next thing you’re going to do in the discussion board is reply to one classmate’s questions. So this will be your initial response post or your second post in the discussion board. So you’re going to look for a peer’s question list and answer as the patient. Make it case appropriative, but imaginative. You do not need references for this post, as you are simply replying to your classmate’s questions as if you were the patient. Please note that every peer post should only have one response. If you see that a different classmate has already replied to a post and answered that peer’s questions, please move on to a different post. Your initial response post is due by Friday, Day 5 at 11:59 PM.
The final post you will make in the discussion board is your reflective response, which is post three. In this post you’re going to go back to your initial post and respond to your peer’s reply and answers to your questions. So look at how your peers answered the questions that you originally posted and come up with four appropriate differential diagnoses and rationale. So based on the answers that your peers replied as the patient, develop four differentials and explain why they are relevant. You are then going to pick one of those differentials and create a plan of care for that patient. So based on the way that they answered your questions, what do you think is the most appropriate differential? And how would you develop a plan of care for a patient with that diagnosis? You do need references on this post. So please make sure that your plan of care and your differentials are supported by peer-reviewed evidence. This reflective response post is due by Sunday, which is Day 7 at 11:59 PM. If you have any questions, please reach out to your faculty.
Value: 100 points
Due: Create your initial post on Day 3, Initial Response post by Day 5, and Reflective Response by Day 7.
Gradebook Category: Simulated OV Discussions
Introduction
Prior to completing this first discussion forum, please watch the Discussion Board Directions video for more information on how to complete the forums.
Discussion Board Instructions (2:53 Minutes)
Discussion Board Instructions Video Transcript
Initial Post
Imagine that you are a primary care provider in the middle of your busy Thursday and your 2:00 p.m. appointment is as follows:
HPI: A 75-year-old patient of Hispanic descent arrives in an immigrant healthcare clinic with fever, chills, a sore throat, and a nonproductive cough. She speaks some English. The patient appears very ill, with dry mucous membranes, dark circles under the eyes, and pale skin. The patient appears anxious and is reluctant to make eye contact or speak. The health history reveals that the patient lives with extended family in a home setting, including infants and elderly. All of the family members are undocumented residents of the United States.
Past Medical History: Hypertension, Asthma.
Family History: Father (Deceased 81 / Stroke); Mother (Alive 95 / HTN, COPD, Diabetes)
Complete the following:
Initial Post by Wednesday (Day 3) at 11:59 p.m.
List 10–20 questions of subjective information that your patient will need to provide to help you formulate your differential diagnoses and plan. Include two scholarly references for the questions that you ask of your patient. See the Grading Rubric for more detail.
Make sure to address a health maintenance item for this patient (primary or secondary) and the social determinants of the health barrier questions. (See Reply Post for additional information.)
If there is a screening tool for the disorder, this would count as ONE question. Example PHQ-9 has nine individual questions but would count as one for the purpose of this assignment.
Initial Response Post by Friday (Day 5) 11:59 p.m. Choose a classmate’s questions to answer:
Every peer post should only have one response post. Please do not reply to a peer if a response is already posted.
You are answering as the patient. Make it case appropriate but imaginative. Be creative and answer thoroughly. No references are needed.
Reply Posts
Reflective Response Post by Sunday (Day 7). Please respond with the following:
Four appropriate differential diagnoses and rationales with references. For each differential diagnosis, explain why this is an appropriate differential and how it was/would be ruled in or out. Support your answers with references.
Pick one differential and create a plan of care for that patient.
Plans must include Pharmacology, Non-Pharmacology, Labs/Diagnostics, Referrals/Interprofessional Communications, Patient Education (10–15 individual items minimum) and follow up.
Make sure to pick one health maintenance item for this patient (primary or secondary) and explain to the patient why this is important.
Address one social determinant of the health this patient may face during your visit. How will you help the patient overcome this obstacle to health care?
Please refer to the Grading Rubric for details on how this activity will be graded
Posting to the Discussion Forum
Select the appropriate Thread.
Select Reply.
Create your post.
Select Post to Forum.
Simulated Office Visit Assignment Rubric
Note: Scholarly resources are defined as evidence-based practice, peer-reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.
Simulated Office Visit Assignment Rubric – 100 Points
Criteria Exemplary
Exceeds Expectations Advanced
Meets Expectations Intermediate
Needs Improvement Novice
Inadequate Total Points
Initial Post Post includes 10–20 questions of subjective information that are appropriate for the patient vignette. Questions are targeted toward the content of the vignette.
Questions are supported by appropriate references.
Initial Post by Wednesday (Day 3) at 11:59 p.m.
15 points Post includes questions of subjective information that are appropriate for the patient vignette. Questions are general and NOT targeted toward the content of the vignette.
Questions are supported by appropriate references.
Initial Post by Wednesday (Day 3) at 11:59 p.m.
11 points
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Post includes less than 10–20 questions of subjective information and/or are not appropriate for the patient vignette. Questions are vague.
Questions are supported by appropriate references.
Initial Post is late.
8 points Post includes less than 10–20 questions of subjective information and/or are not appropriate for the patient vignette.
Questions are vague or not appropriate for patients.
Questions are NOT supported by appropriate references.
Initial Post is late.
5 points 15
Initial Response Post Student answers ALL peer’s questions appropriately, as the patient. Answers drive discussion and analysis forward.
Initial Response Post by Friday (Day 5) 11:59 p.m.
15 points
Student answers ALL peer’s questions appropriately, as the patient. Answers struggle to drive discussion and analysis forward.
Initial Response Post by Friday (Day 5) 11:59 p.m.
11 points Student does not answer ALL questions appropriately or from patient perspective.
Initial Response Post by Friday (Day 5) 11:59 p.m.
8 points Student does not answer ALL questions appropriately or from patient perspective. Questions are irrelevant or do not makes sense.
Initial Response Post is late.
5 points 15
Reflective Response Post Student replies to additional post with 4 appropriate differentials and rationale that are well supported by evidence.
Appropriate and evidence-based plan of care is developed for one differential; supported by references.
Reflective Response Post due by Sunday (Day 7) 11:59 p.m.
60 points
1–2 minor omissions from differentials or plan of care. These do not constitute missing must not miss differentials or safety issues.
Reflective Response Post due by Sunday (Day 7) 11:59 p.m.
45 points 3+ minor omissions from differentials or plan of care. These do not constitute missing must not miss differentials or safety issues.
Reflective Response Post due by Sunday (Day 7) 11:59 p.m.
30 points
1–2 major omissions from differentials or plan of care. These constitute missing must not miss differentials or safety issues.
Reflective Response Post due by Sunday (Day 7) 11:59 p.m.
Responses after Day 7 will not receive any credit.
15 points 60
Organization Well-organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.
5 points
Organized content with minimal issues in content flow.
4 points Poor organization, and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.
3 points Illogical flow of ideas. Missing significant content. Prose rambles. Purpose statement is unclear or missing.
Demonstrates incomplete understanding of content and/or inadequate preparation.
2 points
5
APA, Grammar, and Spelling Correct APA formatting with no errors.
There are no spelling, punctuation, or word-usage errors
5 points
Correct and consistent APA formatting of references and cites all references used. No more than two unique APA errors.
The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.
There are minimal to no grammar, punctuation, or word-usage errors.
4 points Three to four unique APA formatting errors.
The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.
Multiple grammar, punctuation, or word usage errors.
3 points Five or more unique formatting errors or no attempt to format in APA.
The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).
The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.
Grammar and punctuation are consistently incorrect. Spelling errors are numerous.
2 points
5
Total Points 100