Explain the pathophysiology of “polydipsia.” Polydipsia is the increase in thirst as a result of high blood glucose that raises the osmolarity of the blood, thus making it more concentrated. Hospital case studies are like medical case studies.However, instead of focusing on novel, rare, and undocumented cases of diseases and patient conditions, these case studies are about cases and propositions that will, ultimately, improve hospital operation. You are asked to see a 58 year old white female who has been admitted to the hospital, twice a month, for the past 3 months. Unfortunately, a simple use case does not help get a clear understanding of the differences between a use case and a use case scenario. She has full ADLs and is not seem altered or confused during the clinic session. Scenario 6. She does have a h/o asthma but this has not been active for 30+ years. is a 75 y.o. She has, instead, moved out into the country to live with her sons, where she may have less access to med facilities/nursing care. << /Length 7 0 R /Filter /FlateDecode >> When should he stop driving? His family no longer goes out anymore to stay at home to take care of him. The patient has a complicated medical history. Chief Complaint: You are asked to do a home visit by the Community Care Case worker at your hospital. Entries (RSS) and Comments (RSS) ^, Challenging Patient Curriculum for Family Medicine Residents. She was living in downtown cville and was interested in going to an assisted living facility, but her sons refused to support her in that decision due to poor outcome with another family member. You are asked to see a 58 year old white female who has been admitted to the hospital, twice a month, for the past 3 months. 79 y/o African American lady with long standing, well controlled HTN and questionable pulmonary disease. stream He also refuses to go to an senior community center with his wife for daytime activities. An Example Use Case. When I inherited her she had a diagnosis of COPD but given her disposition/age, she has been unable to perform PFTs. Using Interpersonal Psychotherapy (IPT) in a Combined Psychotherapy/Medication Research Protocol with Depressed Elders: A Descriptive Report With Case Vignettes. Prioritizing his medical issues in the context of his complaint (he was worried about his legs, so was I but I was also worried about his shortness of breath and CKD!). This article provides an example use case and some diagrams to help visualize the concept. Sample Case Scenarios. He lives with his wife, who still works. Mr. Y is an 84 y/o man whom lives with his wife and daughter. The patient does not wish to see any other doctors other than myself and does not want to take medications. The basic flow is the best case scenario of what should happen in the use case if all the conditions are met. %��������� Case Scenarios – Mental Capacity/Best Interest Decisions. Patient has no significant PMH, no medications, does not smoke, drink alcohol or use any other drugs. ECHO shows some diastolic dysfunction. He drives to Barracks Road for lunch every day, and has never had an accident. How do I evaluate him for this? It is a Friday and you are asked to see the patient in 48 hours. A case study is a special type of thought leadership content that tells a story. male with a hx of pulm htn, CHF, lymphedema with chronic wounds, HTN, and CKD presenting in WI clinic for follow up on his multiple medical issues. P.W. Case studies are narratives that feature real world situations or uses of products or services to demonstrate their value. Case Scenario: An Example Chief Complaint: You are asked to do a home visit by the Community Care Case worker at your hospital. Situational interview questions focus on how you’ll handle real-life scenarios you may encounter in the workplace, and how you’ve handled similar situations in previous roles. Caretaker occasionally visits but patient is predominantly alone. %PDF-1.3 Asking these questions helps employers better understand your thought process and assess your problem-solving, self-management and communication skills. So in our example, the basic flow is as follows: The customer visits the support website; The customer clicks the “generate support ticket button” The customer is taken to a page where they are told that support will be present shortly. 6 0 obj A use case scenario is a single path through the use case. with this she persistently c/o subjective shortness of breath and nocturnal cough.Sshe is on optimal COPD meds, intermittent lasix, albuterol all offering some relief. x�X�r�D}�h �&IJ��Fy�T�*��"���ܾ�4K�ؚV�]�=wQ����{�����o�6mj_������;���wv5!æ�W%�҉#�-ڶ��qǧ���C`I�p�6��H:��,������deYV�Ź/�����N�P�� i���[l��b|���/�|����>�b��� ��r�k�|���'�~���g3�O�of>��Y|���'G�Y�bʋ�[���]T��~�3̇//��d 2���(,?��L�:��Ou�Vm��2��0/��du��������\��\u��g~K��(�yZ��yU�5�:YYCm�"ƭ?�ҤE�k;�=�2 Her cxr’s look fine. P.W. ���+�4�Vgi�U8��tk��9xCA�|�-�\����M�y��܅0�MZ�����x��;����,m|rC����8� �n�]�,������2�tq"����_VV�f��tl*�|���=�H9��Y She was living in downtown cville and was interested in going to an assisted living facility, but her sons refused … How do I handle her refusing to work things up but presenting over and over with new problems? Digging through his notes to figure out what would be the appropriate next step in his management. Patient lives at home alone but close to daughter’s house. A user story is typically a narrative that describes how a user would experience the functionality of the system. is a 77-year-old female with a history of upper GI bleed, indeterminate pulmonary nodules, and more recently decreasing functionality at home involving muscle weakness and hand swelling, who presents today for follow-up of her hand swelling and urinary incontinence. Learn more about this type of research by reading the article. I can’t get PFTs on her: she cannot do them, She is not interested in many interventions/changes, She gets confused easily with medications, changes etc, She lives by herself and comes in by herself so I don’t have a friend or family member to help with her management/insights (though i have been in contact with her daughter who live in Maryland), She does not want to schedule visits often (2 months is the quickest f/u she wishes to do), She told me “she’s used to having a male doctor” but is willing to “stick with” me, I am not sure what else to offer her and it seems we are just status quo but she does state that she is doing ok and her SOB is not worse nor much better on meds. (1998). APS have already been involved. He also takes lisinopril and hctz. Subsequent consults to neuro feel that patient may have Lewy body dementia but they are not certain. However, unlike a use case which is a step-by-step enumeration of the tasks carried out during a process (with the associated actors), a scenario is much more free-form. He has issues of stability and falls frequently. He has had some trouble with depression, which has responded well to celexa. He has a h/o HTN and Hyperlipidemia, and he is on galantamine for his dementia. The patient has a complicated medical history. What Is a Hospital Case Study? Mr. C.A. She can no longer comb her hair, and refuses any blood draws and most medication, though is otherwise cognitively intact. Psychiatry feels that patient should see them regularly and start Seroquel. Most example use cases are very simple. Sorting through the concerns that were voiced- daughter, wife and patient all seemed to have differing opinions. These scenarios are intended to provoke thought and discussion with respect to issues related to mental capacity/best interest decisions and associated social work themes and topics. He refuses to go to a nursing home – he also refuses home health physical therapy. is a 77-year-old female with a history of upper GI bleed, indeterminate pulmonary nodules, and more recently decreasing functionality at home involving muscle weakness and hand swelling, who presents today for follow-up of her hand swelling and urinary incontinence. I’m so frustrated at her sons for not supporting her assisted living facility goals (there may be financial issues here I’m not fully aware of). ��ؾ�H���pȟ](�:+_4e���5>A{��M��ԹK�:��"����:`�I����U��a���G���?P���˴$m�B�$�辿�Ӳ��kFp�v�a � �K�Q��� C�,�*T-�n����G�C]�{�ꇨ���pHe�?���ډ1F_���\�u_Ԋ �ms�^@� lX���$�|��D&� �;=�&A�&���J 3E�[=��;�x�m�j砹Csi��_0�}��K-�#BV�0.b��i���8���3��|6Q�fع䀚Cgb>�/G�T���. 75 y/o female initial visit who has not seen a physician for over 20 years, presenting for progressively increasing confusion and hallucinations. 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