Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers

Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers

Week 7: Assessment and Care of Patients With Conditions of the Liver/Biliary Tract, Pancreas, and Spleen

Conditions related to the liver/biliary tract, pancreas, and spleen frequently are chronic in nature and difficult to diagnose. Although many of these conditions are manageable once diagnosed, they often have a tremendous impact on quality of life for patients. With chronic conditions such as these accounting for 81% of hospital admissions (Partnership to Fight Chronic Disease, n.d.), it is essential that you have a strong foundation in the various presentations and symptoms.

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This week, as you examine the pre- and post-operative care of patients with conditions related to the liver/biliary tract, pancreas, and spleen, you explore strategies for assessment, diagnosis, and treatment.

Learning Objectives

By the end of this week, students will:
  • Evaluate medical and surgical patients with conditions of the liver/biliary track, pancreas, and spleen
  • Develop differential diagnoses for medical and surgical patients with conditions of the liver/biliary track, pancreas, and spleen. Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers
  • Develop treatment plans for medical and surgical patients with conditions of the liver/biliary track, pancreas, and spleen

Photo Credit: ericsphotography/E+/Getty Images

 Learning Resources

Required Readings

Doherty, G. M. (2015). Current diagnosis and treatment: Surgery (14th ed.). New York, NY: McGraw Hill.

  • Chapter 24, “Liver & Portal Venous System”
  • Chapter 25, “Biliary Tract”
  • Chapter 26, “Pancreas”
  • Chapter 27, “Spleen”

Weber, E. C., Vilensky, J. A., & Fog, A. M. (2013). Practical radiology: A symptom-based approach. Philadelphia, PA: F. A. Davis Company. Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers

  • Chapter 8, “Abdomen” (Review)

Gay, S. B., Shaffer, H. A., Vu, Q. D. M., Harker, C. O., Kuzminski, C. D., Christensen, J. D., … Kori, G. A. (2013). Introduction to gastrointestinal radiology. Retrieved from https://www.med-ed.virginia.edu/courses/rad/gi/

Required Media

Geertsma, T. S. A. (n.d.). Abdomen and retroperitoneum. Retrieved from http://www.ultrasoundcases.info/Case-List.aspx?cat=158

i-Human Patient Cases. (2014). Retrieved from https://ih2.i-human.com/users/sign_in

The liver/biliary tract, pancreas, and spleen often are associated with chronic conditions, which may result in long-term symptoms for patients. Whereas some of these symptoms may be connected easily to a particular condition, many symptoms are associated with multiple conditions, making an immediate diagnosis challenging. For this Assignment, as you examine this week’s i-Human patient case study, consider how you might evaluate and treat pre- and post-operative patients who present with health conditions related to the liver/biliary tract, pancreas, and spleen. Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers

To prepare:

  • Review this week’s Learning Resources. With the liver/biliary track, pancreas, and spleen in mind, consider how to assess, diagnose, and treat patients in pre- and post-operative care.
  • Review this week’s i-Human case study. Based on the patient information provided, think about the health history you would need to collect from the patient. Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers
  • Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. Reflect on how the results would be used to make a diagnosis.
  • Identify three to five possible conditions to consider in a differential diagnosis for the patient.
  • Consider the patient’s diagnosis. Think about clinical guidelines that might support this diagnosis. Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers
  • Develop a treatment plan for the patient that includes health promotion and patient education strategies for medical and surgical patients with conditions of the liver/biliary tract, pancreas, and spleen.

To complete:

As you interact with this week’s i-Human patient, complete the assigned case study. For guidance on using i-Human, refer to the i-Human Patients Case Player Student Manual in the Week 2 Learning Resources.

By Day 7

This Assignment is due.

Grading Information

Week 7 i-Human Rubric


Practicum Reminder: Week 7 Time Log

Time Logs

You are required to keep a log of the time you spend related to your practicum experience and enter every patient you see each day. You can access your time log from the Welcome Page in your Meditrek account. You will track time individually for each patient you work with. Please make sure to continuously input your hours throughout the term.


Week in Review

This week you evaluated medical and surgical patients with conditions related to the liver/biliary tract, pancreas, and spleen and developed differential diagnoses and treatment plans for these conditions. Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers

Next week you will study the pre-and post-operative care of patients with conditions of the intestines, hernias, and abdominal wall lesions and explore strategies for assessment, diagnosis, and treatment.

Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers. Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers

Application_Rubric

 

Novice Emerging Proficient
HPI Statement
(0%) – 5 (5%)
Poorly written HPI statement. Incomplete ideas and sentences. Lacks basic history taking skills
(6%) – 10 (10%)
Well written HPI statement but may be missing 1-2 key components from the history
11 (11%) – 15 (15%)
Clearly written HPI statement with comprehensive information gathering from case questions.
Objective testing and physical exam
(0%) – 5 (5%)
Poorly written physical examination. May be missing 3 or more key exam findings that are critical to patient’s diagnosis. Includes 3 or more inappropriate exams or tests.
(6%) – 10 (10%)
Well written physical examination but may be missing 1-2 key exam findings critical to patient’s diagnosis. May include 1-2 unnecessary exams or tests.
11 (11%) – 15 (15%)
Clearly written physical examination covering all critical components of a focus exam. Tests that are ordered are appropriate for patient and cost effective.
Assessment
(0%) – 10 (10%)
Differential diagnosis list too brief and inconclusive. May be missing 3 or more critical components. Priority list may be out of order. Primary diagnosis may be wrong.
11 (11%) – 19 (19%)
Well written differential diagnoses. May be missing 1-2 critical components. Correct primary diagnosis identified.
20 (20%) – 25 (25%)
Clearly written differential diagnoses. Primary diagnosis identified.
Plan for patient
(0%) – 15 (15%)
Poorly written plan. May be missing 3 or more key issues that are critical to patient’s diagnosis.
16 (16%) – 25 (25%)
Well written plan but may be missing 1-2 key issues critical to patient’s diagnosis.
26 (26%) – 30 (30%)
Clearly written plan covering all critical components for patient’s final diagnosis.
Clinical Questions
(0%) – 10 (10%)
Correctly answered 0-69% of the clinical question
11 (11%) – 13 (13%)
Correctly answered 70-89% of the clinical question
14 (14%) – 15 (15%)
Correctly answered 90-100% of the clinical queries

Assessing, Diagnosing, and Treating Pre- and Post-Operative Care Patients – Liver/Biliary Tract, Pancreas, and Spleen Essay Assignment Papers

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