Sick Visit: Integumentary Felipe Barbosa Shadow Health Treatment Plan
Treatment Plan: 38 of 40 (95.0%)
Diagnosis
| Learner Selection | Model Documentation |
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Diagnosis: Herpes Zoster Evidences: Burning pain at rash location Clustered rash with vesicular lesions History of chickenpox infection Recent period of severe mental stress Rash placement along the dermatome on one side of the body Learner Rationale: Above symptoms are consistent with Herpes Zoster Score: 6 out of 6 |
Diagnosis: Herpes Zoster Evidences: Burning pain at rash location Clustered rash with vesicular lesions History of chickenpox infection Recent period of severe mental stress Rash placement along the dermatome on one side of the body Model Rationale: Herpes zoster is the most likely diagnosis for Mr. Barbosa given his signs and symptoms. The clustered rash of vesicular lesions, causing burning pain and occurring along the dermatome on one side of the body, is consistent with herpes zoster. Mr. Barbosa has previous history of a chickenpox infection, which is required in order for herpes zoster to be triggered. Additionally, the patient’s recent stress after losing his loved one provides a potential antecedent to the onset of the zoster outbreak Sick Visit: Integumentary Felipe Barbosa Shadow Health Treatment Plan. |
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 Sick Visit: Integumentary Felipe Barbosa Shadow Health Treatment Plan |
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Pharmacological Intervention
Selected: xx Learner Rationale: xx Score: 1 out of 1 |
Recommended: xx
You will want to prescribe medication for the patient. You will conduct a medication selection in the next activity. |
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Non-Pharmacological Intervention
Selected: xx Learner Rationale: xx Score: 1 out of 1 |
Recommended: xx
xx. |
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Educate Patient
Selected: xx Learner Rationale: xx Score: 1 out of 1 |
Recommended: xx
You should xx; until this has happened, the patient should avoid sharing towels, clothing, and bedding, as such items can pass the virus to others who come in contact with them. The patient needs to return for an urgent follow-up if symptoms worsen, which include: exacerbated pain, fever, the appearance or spread of lesions near the eyes, inside the mouth, or on the genitals. |
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Preventive Screening and Intervention
Selected: xx Learner Rationale:
Score: 1 out of 1 |
Recommended: xx
At this time,xxx. Recommending preventative screens and interventions at this time are xx. Preventative screenings and interventions can be recommended during an xx |
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Diagnostic Testing: Labs and Imaging
Selected: xx Learner Rationale:
Score: 1 out of 1 |
Recommended: xx
As the patient’s diagnosis is evident, further diagnostic testing is needed. Sick Visit: Integumentary Felipe Barbosa Shadow Health Treatment Plan |
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Referral of Care
Selected: Learner Rationale:
Score: 1 out of 1 |
Recommended:
There’s evidence that the patient requires any referral to another healthcare provider at this time. |
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Continued Care and Follow-up
Selected: Learner Rationale: x Score: 1 out of 1 |
Recommended:
You want to instruct the patient to follow up as needed for this condition and address any ongoing issues that arise with regards to pain management and medication changes. Additionally, it is good practice to remind patients to follow-up for their annual physicals and wellness checks. |
This activity represents your ability to synthesize subjective data, objective data, guidelines, drug interactions, and contraindications to select the most effective medications(s) for the patient’s problems. Your points are based on the selection of correct medication(s) for the patient’s indication(s), with some points being removed based on the number of attempted tries.
| Learner Selection | Model Documentation |
| Target:
Herpes Zoster Treatment Selected Medication: acyclovir (800 mg 5x/day for 7 days) Score: 9 out of 9 |
Acyclovir, famciclovir, and valacyclovir are all appropriate choices for the treatment of Mr. Barbosa’s herpes zoster when prescribed with the correct dosing instructions. Antibiotics are an inappropriate selection because herpes zoster is a viral infection, which antibiotics cannot treat. The antivirals oseltamivir and remdesivir have not been proven effective in the treatment of herpes zoster Sick Visit: Integumentary Felipe Barbosa Shadow Health Treatment Plan. |