22-year-old AA female looks in the mirror and notices the left side of her mouth to be slanted when she smiles. She also notes she has has some headaches, off and on for the last few days. Her taste has decreased as well when she started brushing her teeth.
Using the Episodic/Focused SOAP Template:
· Create documentation or an episodic/focused note in SOAP format about the patient in the case study to which you were assigned.
· Provide evidence from the literature to support diagnostic tests that would be appropriate for your case.–
· List five different possible conditions for the patient’s differential diagnosis and justify why you selected each.–
Written Expression and Formatting – Paragraph Development and Organization:
Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate the continuity of ideas. Sentences are carefully focused–neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction are provided that delineate all required criteria.–
Written Expression and Formatting – English writing standards:
Correct grammar, mechanics, and proper punctuation–
Written Expression and Formatting – The paper follows the correct APA format for the title page, headings, font, spacing, margins, indentations, page numbers, running heads, parenthetical/in-text citations, and reference list.–
An array of neurological conditions could be causing the above symptoms. When assessing the neurologic system, it is vital to formulate an accurate diagnosis as early as possible to prevent continued damage and deterioration of a patient’s quality of life.
This week, you will explore methods for assessing cognition and the neurologic system.
Learning Objectives
Students will:
Evaluate abnormal neurological symptoms
Apply concepts, theories, and principles relating to health assessment techniques and diagnoses for cognition and the neurologic system
Assess health conditions based on a head-to-toe physical examination
resources to used
Dains, J. E., Baumann, L. C., & Scheibel, P. (2019). Advanced health assessment and clinical diagnosis in primary care (6th ed.). St. Louis, MO: Elsevier Mosby.
Credit Line: Advanced Health Assessment and Clinical Diagnosis in Primary Care, 6th Edition by Dains, J.E., Baumann, L. C., & Scheibel, P. Copyright 2019 by Mosby. Reprinted by permission of Mosby via the Copyright Clearance Center.
https://content.waldenu.edu/content/dam/laureate/laureate-academics/wal/ms-nurs/nurs-6512-11wk/week-9/Dains_Chap13.pdf
https://content.waldenu.edu/content/dam/laureate/laureate-academics/wal/ms-nurs/nurs-6512-11wk/week-9/Dains_Chap13.pdf