Case Study Patient Care Plan
Present this Assignment as a narrative document, with a minimum of 4, and maximum of 5 pages not counting the cover page or reference page. It is not necessary to repeat the facts of the case in your narrative.
Mr. Smith brings his 4-year-old son to your primary care office. He states the boy has been ill for three days. Mr. Smith indicates that he would like antibiotics so he can send his son back to pre-school the next day.
History – Child began with sneezing, mild cough, and low grade fever of 100 degrees three days ago. All immunizations UTD. Father reports that the child has had only two incidents of URI and no other illnesses.
Social – non-smoking household. Child attends preschool four mornings a week and is insured through his father’s employment. No other siblings in the household.
PE/ROS -T 99, R 20, P 100. Alert, cooperative, in good spirits, well-hydrated. Mildly erythemic throat, no exudate, tonsils +2. Both ears mild pink tympanic membrane with good movement. Lungs clear bilaterally. All other systems WNL.
Do not consider COVID-19 for this patient diagnosis.
For the assignment, do the following:
Diagnose the child and describe how you arrived at the diagnosis (i.e. how you ruled out other diagnoses). An accurate diagnosis is provided
- Rationale for arrival at the diagnosis with support from literature
Provide a specific treatment plan for this patient, pharmacologic and/or nonpharmacologic. A correct and specific pharmacologic and non-pharmacologic treatment plan for the case study patient is provided
Provide a communication plan for how the family will be involved in the treatment plan. A communication plan which includes principles of therapeutic communication is included.
Provide resources that Mr. Smith could access which would provide information concerning your treatment decisions. Three or more patient resources to assist with
Utilize national standards, your pharm and/or patho book and medical or advanced practice professional sources. Do not use patient-facing sources or general nursing texts to support your diagnosis and treatment.
Use references to support your concepts. Utilize correct APA formatting and mechanics of professional communication. Professional, peer-reviewed, advanced practice references are used that are no more than 5 years old
● Grammar and mechanics of writing demonstrate graduate level work
● Adheres to page number requirements
● Includes a strong attempt to cite all sources using APA style.
● Minor paper formatting errors may occur.
● Minor in-text citation errors may occur.
● All authorship is clear and retrievable.