Assignment 1: Case Study Assignment: Assessing Neurological Symptoms

Assignment 1: Case Study Assignment: Assessing Neurological Symptoms

Assignment 1: Case Study Assignment: Assessing Neurological Symptoms

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Assignment 1: Case Study Assignment:

Assessing Neurological Symptoms

 

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Imagine not being able to form new memories. This is the reality patients with

anterograde amnesia face. Although this form of amnesia is rare, it can result from severe

brain trauma. Anterograde amnesia demonstrates just how impactful brain disorders can

be to a patient's quality of living. Accurately assessing neurological symptoms is a

complex process that involves the analysis of many factors.

In this Case Study Assignment, you will consider case studies that describe abnormal

findings in patients seen in a clinical setting.

To Prepare

 By Day 1 of this week, you will be assigned to a specific case study for this Case Study

Assignment. Please see the “Course Announcements” section of the classroom for your

assignment from your Instructor.

 Also, your Case Study Assignment should be in the Episodic/Focused SOAP Note format

rather than the traditional narrative style format. Refer to Chapter 2 of the Sullivan text

and the Episodic/Focused SOAP Template in the Week 5 Learning Resources for

guidance. Remember that all Episodic/Focused SOAP notes have specific data included

in every patient case.

With regard to the case study you were assigned:

 Review this week's Learning Resources, and consider the insights they provide about the

case study.

 Consider what history would be necessary to collect from the patient in the case study

you were assigned.

 Consider what physical exams and diagnostic tests would be appropriate to gather more

information about the patient's condition. How would the results be used to make a

diagnosis?

 Identify at least five possible conditions that may be considered in a differential

diagnosis for the patient.

 

The Case Study Assignment

Use the Episodic/Focused SOAP Template and create an episodic/focused note about the patient

in the case study to which you were assigned using the episodic/focused note template provided

in the Week 5 resources. Provide evidence from the literature to support diagnostic tests that

would be appropriate for each case. List five different possible conditions for the patient's

differential diagnosis, and justify why you selected each.

By Day 6 of Week 9

Submit your Assignment.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

 Please save your Assignment using the naming convention “WK9Assgn1+last name+first

initial.(extension)” as the name.

 Click the Week 9 Assignment 1 Rubric to review the Grading Criteria for the

Assignment.

 Click the Week 9 Assignment 1 link. You will also be able to “View Rubric” for grading

criteria from this area.

 Next, from the Attach File area, click on the Browse My Computer button. Find the

document you saved as “WK9Assgn1+last name+first initial.(extension)” and

click Open.

 If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit

my paper(s) to the Global Reference Database.

 Click on the Submit button to complete your submission.

Grading Criteria

 

To access your rubric:

Week 9 Assignment 1 Rubric

 

Check Your Assignment Draft for Authenticity

 

To check your Assignment draft for authenticity:

Submit your Week 9 Assignment 1 draft and review the originality report.

 

Submit Your Assignment by Day 6 of Week 9

 

To participate in this Assignment:

Week 9 Assignment 1

 

Learning Resources

 

Required Readings (click to expand/reduce)

 

Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2019).

Seidel's guide to physical examination: An interprofessional approach (9th ed.).

St. Louis, MO: Elsevier Mosby.

 

 Chapter 7, “Mental Status”

This chapter revolves around the mental status evaluation of an

 

individual’s overall cognitive state. The chapter includes a list of mental

abnormalities and their symptoms.

 

 ·Chapter 23, “Neurologic System”

The authors of this chapter explore the anatomy and physiology of the

neurologic system. The authors also describe neurological examinations

and potential findings.

Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment

and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary

Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019

by Mosby. Reprinted by permission of Mosby via the Copyright Clearance

Center.

 

Chapter 4, “Affective Changes”

This chapter outlines how to identify the potential cause of affective changes in a

patient. The authors provide a suggested approach to the evaluation of this type of

change, and they include specific tools that can be used as part of the diagnosis.

 

Chapter 9, “Confusion in Older Adults”

This chapter focuses on causes of confusion in older adults, with an emphasis on

dementia. The authors include suggested questions for taking a focused history as

well as what to look for in a physical examination.

 

Chapter 13, “Dizziness”

Dizziness can be a symptom of many underlying conditions. This chapter outlines

the questions to ask a patient in taking a focused history and different tests to use

in a physical examination.

 

Chapter 19, “Headache”

The focus of this chapter is the identification of the causes of headaches. The first

step is to ensure that the headache is not a life-threatening condition. The authors

give suggestions for taking a thorough history and performing a physical exam.

 

Chapter 31, “Sleep Problems”

In this chapter, the authors highlight the main causes of sleep problems. They also

provide possible questions to use in taking the patient’s history, things to look for

when performing a physical exam, and possible laboratory and diagnostic studies

that might be useful in making the diagnosis.

 

Sullivan, D. D. (2019). Guide to clinical documentation (3rd ed.). Philadelphia,

PA: F. A. Davis.

 Chapter 2, "The Comprehensive History and Physical Exam" ("Cranial

Nerves and Their Function" and "Grading Reflexes") (Previously read in

Weeks 1, 2, 3, and 5)

Note: Download the Physical Examination Objective Data Checklist to use

as you complete the Comprehensive (Head-to-Toe) Physical Assessment

assignment.

 

Seidel, H. M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R.

W. (2011). Physical examination objective data checklist. In Mosby’s guide to

physical examination (7th ed.). St. Louis, MO: Elsevier Mosby.

Credit Line: Mosby’s Guide to Physical Examination, 7th Edition by Seidel, H.

M., Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R.

W. Copyright 2011 by Elsevier. Reprinted by permission of Elsevier via the

Copyright Clearance Center.

 

Note: Download and review the Student Checklists and Key Points to use during

your practice neurological examination.

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