To begin, review the provided
case note Word Document
and identify inaccuracies in interpretation. Then, in your initial post, address the following:
Respond to at least two of your peers by pointing out any inaccuracies they did not see or providing suggestions on how to interpret the inaccuracies. In addition, discuss commonalities or differences in the ways your peers explained the importance of accurately interpreting medical terminology. What insight can you provide your peers? Did your peers identify reasons that you found particularly insightful?
Note: You must submit your initial post before you can see your peers’ posts.
To complete this assignment, review the
Discussion Rubric PDF
document.
HCM 205 Discussion
Rubric
The discussions in this course might be new and very different from discussions you have had in other courses. This discussion offers you the opportunity to
express your own thoughts, ask questions for clarification, and gain insight from your classmates’ responses and instructor’s guidance. This discussion format
should not be viewed as a short paper with citations. APA formatting, including the use of citations, is not required.
Imagine yourself sitting around a conference table with your instructor and classmates. This discussion board will be similar. It is a place to have lively
conversations on the course content with your instructor and peers. These discussions will help you internalize the course content and become more
comfortable with it. You should provide thoughtful responses using the course content to support your statements. Although these discussions are informal, be
aware of how you are presenting yourself professionally. Do not use slang and be aware of your spelling.
You are required to post one initial post and to follow up with at least two response posts for each discussion board assignment. You will need to submit your
initial post before you can see your peers’ posts.
For your initial post (1), you must do the following:
In Module One, complete the initial post by Thursday at 11:59 p.m.
Eastern Time.
In Modules Two through Eight, complete the initial post by Thursday at
11:59 p.m. of your local time zone.
Take into consideration material such as course content and other
discussion forums from the current module and previous modules,
when appropriate.
For your response posts (2), you must do the following:
Reply to at least two different classmates outside of your own initial
post thread.
In Module One, complete the two response posts by Sunday at
11:59 p.m. Eastern Time.
In Modules Two through Eight, complete the response posts by Sunday
at 11:59 p.m. of your local time zone.
Demonstrate more depth and thought than simply stating “I agree” or
“You are wrong.” Guidance is provided for you in each discussion prompt.
Rubric
Note: To receive credit for this assignment, you must score “Evident” in two of the three critical elements listed below. Your instructor will encourage you to
repost or clarify as needed to ensure you receive credit.
Critical Elements Evident (100%) Not Evident (0%) Value
Clarity of Communication Initial post clearly communicates key ideas and thoughts
related to the prompt
Does not clearly communicate key ideas and thoughts in an
initial posting related to the prompt
45
Timeliness Submits initial post on time Initial post is not submitted or is submitted late 25
Response Engagement Posts responses that build off the initial post and
incorporate course concepts
Response posts are missing or do not build from initial posts
and incorporate course concepts
30
Total 100%
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Global Care Medical Center 100 Main S t, Alfred NY 14802 Hospital No. 999 |
Inpatient Face Sheet | ||||||
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Patient Name and Address |
Gender |
Race |
Marital Status |
Patient No. |
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W EST, KEITH 417 RUSH ROAD ALMOND, NY 14804 |
M |
W | S |
IPCase010 |
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Date of Birth |
Age |
Maiden Name |
Occupation |
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05/23/YYYY |
8 mo |
N/A |
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Admission Date |
Time |
Discharge Date |
Length of Stay |
Telephone Number |
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02-09-YYYY |
15:55 |
02-11-YYYY |
1300 |
02 DAYS |
(607)000-8107 |
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Guarantor Name and Address |
Next Of Kin Name and Address |
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WEST, KEN 417 RUSH ROAD |
WEST, KELLY 417 RUSH ROAD |
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Guarantor Telephone No. |
Relationship to Patient |
Next of Kin Telephone Number |
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| (607)000-8107 |
Father |
Mother |
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Admitting Physician |
Service |
Admit Type |
Room Number/Bed |
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Fred Moore, MD |
331 |
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Attending Physician |
Admitting Diagnosis |
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John Black, MD |
BRONCHIOLITIS / CROUP |
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Primary Insurer |
Policy and Group Number |
Secondary Insurer |
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Blue Cross of WNY |
76894567-900 |
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Diagnoses and Procedures |
ICD Code |
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Principal Diagnosis |
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Bronchiolitis with fever |
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Secondary Diagnoses |
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Principal Procedure |
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Croup tent with nebulizer |
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Secondary Procedures |
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Discharge Instructions |
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Activity: ( Usual |
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Diet: |
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Follow-Up: |
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Special Instructions: |
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Attending Physician Authentication: |
Reviewed and Approved: John Black MD ATP-B-S:02:1001261385: John Black MD (Signed: 02/09/YYYY 04:20:44 PM EST) |
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WEST, KEITH IPCase010 Dr. BLACK |
Admission:02/09/YYYY DOB: 05/23/YYYY ROOM: 331 |
History & Physical Exam |
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CHIEF COMPLAINT: Difficulty breathing HISTORY OF PRESENT ILLNESS: This is an 8-month-old white male seen by Dr. White at the Lofty Pines Health Center for a viral-type syndrome. The mother states that the baby had a temperature over the weekend with it being 134 on Saturday night and 103 last night. The baby has progressively gotten more worked up, more short of breath and has had more problems with congestion. The baby was admitted for observation and evaluation of his upper resporitory and lower respiratory disease. This is the first hospitalization for this child. PAST MEDICAL HISTORY: This baby only has one other hospitalization besides that of birth and that was for admission to the hospital for respiratory distress syndrome and was taken care of by Dr. Smith in the neonatal intensive care unit. He only stayed less than a week and did quite well and there was no need for follow up. The mother states that the patient was born three weeks early and the doctors felt that this was secondary to her having a kidney stone. The child had a normal, spontaneous, vaginal birth. He was 19 inches at birth and weighed 6 pounds 15 ounces. GENERAL: This is an 8-month-old looking his stated age with respiratory problems with a rapid rate and rather annoyed with a stuffed-up nose. TEMPERATURE: 101.3 PULSE: 158 RESPIRATIONS: 62 EENT: Extraocular movements are full. Pupils are equal, round, and reactive to light and accommodation – red reflexes within normal limits. Nose – stuffed up with clear rhanirea. Mouth – within normal limits. CHEST: No inflammation of the bronchioles. HEART: Regular rhythm. Without murmur, rub, or gallop that I can detect, but the patient indeed had a tachycardia at the time of examination. The patient has low blood pressure. ABDOMEN: Within normal limits. LAB DATA: Complete Blood Count revealed: White count was 10.7, hemeglabon was 12.2, hematocrit was 37.7, 13 segmented cells, 77 lymphocytes, 10 monocytes. Uranalisis was within normal limits except for trace blood on dipstick; doubt whether that is significant. Chest x-ray was within normal limits. IMPRESSION: 1. Bronchiolitis 2. History of premature delivery with one hospitalization for lung immaturity at time of birth. 3. Anisocoria Plan: Patient will need forced fluids and close observation. Provide patient decongestant. Provide patient with COX-2 inhibitor. |
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DD: 02/09/YYYY |
Reviewed and Approved: Fred Moore MD ATP-B-S:02:1001261385: Fred Moore MD (Signed: 02/09/YYYY 04:14:44 PM EST) |
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DT: 02/10/YYYY |
Physician Authentication |
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Global Care Medical Center ( 100 Main St, Alfred NY 14802 ( (607) 555-1234 |
