You should be prepared to explain How you arrived at this diagnosis, or differentials, Why you arrived at this diagnosis, Supporting signs and symptoms, Discordant signs and symptoms, Abnormal signs and symptoms that fit with the diagnosis and differentials, What more do you need to know and How will you find these issues out. Defend your plan of treatment based on evidence based care and use references to EBP guidelines
Discussion Question Format
Terminology used in this course
VINDICATE
Please see course content for VINDICATE terminology, please write the discussion question up in this format. The answers to the questions will be in the assessment part of SBAR
Situation
This will include the patients age, sex and the reason for visit of the reason you saw the patient.
Background
This includes the patients review of systems, the physical exam, PMH, diagnostic information, medications. Please list the forceful features in the presentation case study that assisted you to decide on diagnosis and differentials and prescribe the current pharmaceutical therapy. Be specific.
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Assessment
This includes your diagnosis and differential diagnosis. As these cases are usually the more troublesome or complex you will have differential diagnosis.
Response
This includes what you did for the patient, medications include dose, route and duration, other testing, referral with treatment plans, and any for alternative therapy that can include alternative herbals, vitamins or treatments. What kind of teaching, comfort care, palliative care, nutritional, would you provide and when will the patient follow up with you.
Work up the case and present it in the SBAR format including your diagnosis, differentials (VINDICATE FORMAT), any testing and pharmaceutical therapy for treatment. You should include a brief synapsis of how you arrived at the diagnosis and differentials, and why you choose your pharmaceutical therapy. Please provide your supporting signs and symptoms within the case. Defend your plan of treatment based on evidenced based care, current pharmaceutical therapy, cost, and use appropriate references.
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