Assignment task: Watch video on YouTube: Frailty (Failure to Thrive) Video Case Study
This video case simulation prepares learners to:
1. Apply knowledge in advance health assessment to form differential diagnoses based upon scientific knowledge to differentiate between normal and abnormal findings in physiological, psychological and sociological presentation of frailty.
2. Consider the safety a patient with limited mobility in ambulation and transferring.
3. Recommend resources as a means of coping mechanisms to patient and family members of a patient recognized as frail.
4. Distinguish between signs and symptoms of frailty.
5. Establish with the patient a mutually established plan to manage chronic health condition.
6. Adapt teaching on management of symptoms of fatigue and limited, painful mobility on the patient's readiness to learn, literacy, and resources.
Answer the following questions:
Q1. What are the pertinent positives and negatives learned from the HPI and review of systems (ROS)?
Q2. Based on the subjective findings of the chief complaint and HPI, what are the top five differential diagnoses? Support your choices with rationales.
Q3. Is/are there any medication(s), over the counter drugs, vitamins or herbs that can potentially be causing this patient's symptoms?
Q4. What are some symptoms and physical findings that you would expect to find in a patient with frailty? In a patient with depression?
Q5. Identify pertinent positives and negative in the physical findings. Explain the meaning of these findings. How do they assist in the ruling in or out a differential diagnosis?
Q6. What diagnostic test are the most appropriate to order during this visitation? Explain your rationale or ordering each test(s).
Q7. Based on the differentials and plan of care what are some preventative care measures or health promotion initiatives that could be included?