Telehealth Follow Up Sick Visit: Liam Fitzgerald Shadow Health Treatment Plan
Primary Diagnosis
Review your answers for the Problem Selection activities. You receive one point for each correct diagnosis, and one point for each correct evidence linked to a correct diagnosis. If there are multiple correct diagnoses, you will also receive a point for correctly selecting which diagnosis is the primary diagnosis.
Learner Selection
Model Documentation
Diagnosis: xx
Evidences:
Weight gain
Elevated systolic pressure
Fatigue with activity
Pitting edema
Learner Rationale:
The above evidence confirm the diagnosis of xx
Score: 5 out of6
Diagnosis: xx
Primary: xx
Evidences:
Fatigue with activity
Pitting edema
Report of increased sodium consumption
Weight gain
Model Rationale:
Mr. Fitzgerald’s primary diagnosis is xx, with a secondary diagnosis of acute on xx. The xxxx has exacerbated his chronic condition. Mr. Fitzgerald’s signs and symptoms of weight pain, pitting edema, fatigue with activity, and self-reported sodium increase have contributed to his xxx. His elevated diastolic and systolic pressures confirm a worsening condition. For patients with co-morbidities and chronic conditions, examining signs and symptoms at the root of the cause will help you determine why the chronic condition is worsening. Mr. Fitzgerald’s xx is exacerbated and secondary to the xx he is experiencing.
Additional Diagnosis
Learner Selection
Model Documentation
Diagnosis: xx
Evidences:
Elevated diastolic pressure
Elevated systolic pressure
Fatigue with activity
Pitting edema
Report of increased sodium consumption
Weight gain
Learner Rationale:
Patient reports the above symptoms,
Score: 7 out of 7
Diagnosis: xx
Evidences:
Elevated diastolic pressure
Elevated systolic pressure
Fatigue with activity
Pitting edema
Report of increased sodium consumption
Weight gain
Model Rationale:
Mr. Fitzgerald’s primary diagnosis is xx with diastolic dysfunction. The fluid volume overload has exacerbated his chronic condition. Mr. Fitzgerald’s signs and symptoms of weight pain, pitting edema, fatigue with activity, and self-reported sodium increase have contributed to his Telehealth Follow Up Sick Visit: Liam Fitzgerald Shadow Health Treatment Plan. His elevated diastolic and systolic pressures confirm a worsening condition. For patients with co-morbidities and chronic conditions, examining signs and symptoms at the root of the cause will help you determine why the chronic condition is worsening. Mr. Fitzgerald’s CHF is exacerbated and secondary to the fluid volume overload he is experiencing.
ORDER SHADOWHEALTH OR ESSAY WRITING HELP HERE
Review your answers for the Plan of Care activity. You must select “Yes” or “No” for each of the seven care actions. You will receive one point for determining the correct answer for each care action.
Learner Selection
Model Documentation
Selected: Yes
Learner Rationale:
Patient needs heart medications
Score: 0 out of 1
Recommended: No
Mr. Fitzgerald does not require any new pharmacological interventions at this time because the necessary medications have already been prescribed. Mr. Fitzgerald now needs to recognize when it is appropriate to use his PRN medications furosemide 20 mg and potassium chloride tablet 10 mEq.
Selected: Yes
Learner Rationale:
Diet plan
Score: 1 out of 1
Recommended: Yes
You should advise Mr. Fitzgerald on strategies to determine and remember when to use his PRN medications furosemide 20 mg and potassium chloride tablet 10 mEq.
Selected: Yes
Learner Rationale:
Patient education on healthy lifestyle
Score: 1 out of 1
Recommended: Yes
You will need to educate Mr. Fitzgerald about his activity level, diet, medications, and signs and symptoms in the next treatment plan activity.
Selected: No
Learner Rationale:
No preventive interventions on my side
Score: 1 out of 1
Recommended: No
At this time, it is not appropriate to conduct any preventative screenings or interventions for the patient as he is being treated for a sick visit. Recommending preventative screens and interventions at this time are beyond the scope of this visit. Preventative screenings and interventions can be recommended during an annual wellness visit or another visit.
Selected: No
Learner Rationale:
No diagnostics needed
Score: 1 out of 1
Recommended: No
As the patient’s diagnosis is evident, no further diagnostic testing is needed.
Selected: Yes
Learner Rationale:
Refer to cardiologist
Score: 0 out of 1
Recommended: No
There’s no evidence that the patient requires any referral to another healthcare provider at this time. Telehealth Follow Up Sick Visit: Liam Fitzgerald Shadow Health Treatment Plan
Selected: Yes
Learner Rationale:
Treatment evaluation in 2 weeks
Score: 1 out of 1
Recommended: Yes
You should inform Mr. Fitzgerald to follow up on his chronic condition with his cardiologist and to schedule an additional follow-up telehealth appointment in two to three weeks for continued monitoring of his congestive heart failure. It is also good practice to remind patients to schedule their annual physicals and wellness visits.
Topic: Activity
Learner Selection
Model Documentation
It is important that you maintain your activity level; however, if you notice that you are having difficulty completing your daily activities or get fatigued, have chest pain, or shortness of breath during exercise, discontinue the exercise until you follow-up with your cardiologist.
Score: 1 out of 1
Topic: Diet
Learner Selection
Model Documentation
You should adhere to your low-sodium diet as much as possible. Pay attention to labels and avoid foods high in sodium so you are aware of your level of sodium consumption.
You should avoid drinking alcohol since it can impact fluid volume overload. Telehealth Follow Up Sick Visit: Liam Fitzgerald Shadow Health Treatment Plan
