Assignment: Your patient is in the second trimester and has had all routine prenatal care elements so far. All results have been normal. The patient reports Nasal congestion Please respond to the following questions based on the common discomfort this patient has reported. Keep the patient’s gestational age in mind
Assignment: Your patient is in the second trimester and has had all routine prenatal care elements so far. All results have been normal. The patient reports Nasal congestion Please respond to the following questions based on the common discomfort this patient has reported. Keep the patient’s gestational age in mind
Your patient is in the second trimester and has had all routine prenatal care elements so far. All results have been normal.
The patient reports Nasal congestion Please respond to the following questions based on the common discomfort this patient has reported. Keep the patient’s gestational age in mind.
Question 1: Briefly and in patient-centered, non-medical language, how would you explain to the patient the physiologic cause for this discomfort of pregnancy? [worth 2 of 10 points for this exam] Include only the level of detail that is appropriate for patients; patients can get overwhelmed with information. Your response does not need to demonstrate to faculty all that you know about the topic. Your response should be no more than about 3 bullet points.
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Question 2: What are the most important HISTORY OF PRESENT ILLNESS (HPI) elements that you would assess that would align with this common discomfort? [worth 2 of 10 points for this exam] Don’t include a list of questions you WOULD ask. Instead, list the HPI FINDINGS that would RULE IN a normal concern of pregnancy and are reassuringly supportive that this is the identified common discomfort, rather than something more serious.
Question 3: What are the most important CHART REVIEW elements that you would assess that would align with this common discomfort? [worth 2 of 10 points for this exam] Please list the FINDINGS FROM THE CHART that would RULE IN a normal concern of pregnancy and are reassuringly supportive that this is the identified common discomfort, rather than something more serious.
Question 4: Assuming that the HPI and chart review findings are benign, do you need OBJECTIVE DATA elements to be reassured that this is a common discomfort? [worth 1 of 10 points for this exam] Choose between the following options:
-No objective data is needed, assuming that the HPI and chart review findings are benign.
-Yes, I need objective data to be reassured that this is a common discomfort even if the HPI and chart review findings are benign.
Question 5: What is your rationale for your decision about objective data being needed or not? If you indicated that no objective data is needed, provide a brief reason for that decision. If you indicated that objective data is needed, include the FINDINGS that would RULE IN a normal concern of pregnancy, rather than indicating what you WOULD order/assess. [worth 1 of 10 points for this exam]
Question 6: What are the most important treatments or relief strategies you would suggest to the patient to manage this common discomfort (after eliciting their needs and values)? [worth 2 of 10 points for this exam] Limit to no more than 3-4 strategies.
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