Value: 100 points
Due: Create your initial post by Day 3, Initial Response Post by Day 5, and Reflective Response by Day 7.
Gradebook Category: Discussions/Quizzes – Simulated OV Discussion
Initial Post
You are working in a family practice when Joe, a recently divorced 56-year-old Caucasian man, presents to you with complaints of insomnia and fatigue. He denies any recent injury or specific pain and was last seen in your office 11 months ago where he disclosed that he was going through a divorce due to his sexual orientation. Joe has taken an antihypertensive medication to control his blood pressure for three years and does not report any adverse side effects. Joe has worked in law enforcement for 14 years. He recently discharged his firearm for the first time. Even though no one was injured, Joe has been attending mandated appointments with the department psychologist. Joe reports that he does not have a regular exercise regimen. To relax, he typically goes fishing or has a few beers after his shift. Other than the mandated appointments with the department psychologist, Joe has not sought any mental health treatment. During the appointment, Joe states that it’s hard for him to talk about how he is feeling and begins to cry.
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Initial Post by Wednesday (Day 3) at 11:59 p.m.
List 10 to 20 additional pieces of subjective information you need to elicit from this patient to help formulate your differential diagnoses and plan. You may not ask questions that were already addressed in the HPI/ROS. You will need two scholarly references for the questions you ask. See the rubric for more detail.
Keep in mind: What factors in the scenario demonstrate an increased risk for suicide? What questions do you need to include as part of your risk assessment?
Reply Posts
Initial Response Post by Friday (Day 5) 11:59 p.m. Choose a classmate’s questions to answer:
Choose a classmate’s questions to answer.
Every peer post should have only one response post. Please do not reply to a peer if a response is already posted.
You are answering as the patient. Make it case-appropriate but imaginative. Be creative and answer thoroughly. No references are needed.
Reflective Response Post by Sunday (Day 7). Please respond with the following:
Four differential diagnoses and rationales with references. Support your answers with references.
Create a plan of care for that patient.
Plan must include pharmacology, non-pharmacology, labs/diagnostics, referrals/interprofessional communications, patient education (10 to 15 individual items minimum), and follow-up.
Make sure to pick one health maintenance item for this patient (primary or secondary) and explain to the patient why this is important.
Address one existing or potential social determinant of health for this patient during your visit. How will you help the patient overcome this obstacle to health care?
Please refer to the Grading Rubric for details on how this activity will be graded.
Posting to the Discussion Forum
Select the appropriate Thread.
Select Reply.
Create your post.
Select Post to Forum.
Note: Scholarly resources are defined as evidence–based practice, peer–reviewed journals; textbook (do not rely solely on your textbook as a reference); and National Standard Guidelines. Review assignment instructions, as this will provide any additional requirements that are not specifically listed on the rubric.
CRITERIA EXEMPLARY
EXCEEDS EXPECTATIONS ADVANCED
MEETS EXPECTATIONS INTERMEDIATE
NEEDS IMPROVEMENT NOVICE
INADEQUATE TOTAL POINTS
INITIAL POST Post includes 10–20 questions of subjective information that are appropriate for the patient vignette. Questions are targeted toward the content of the vignette.
Questions are supported by appropriate references.
Initial Post by Wednesday (Day 3) at 11:59 p.m.
30 points
Post includes questions of subjective information that are appropriate for the patient vignette. Questions are general and NOT targeted toward the content of the vignette.
Questions are supported by appropriate references.
Initial Post by Wednesday (Day 3) at 11:59 p.m.
26 points
Post includes less than 10–20 questions of subjective information and/or are not appropriate for the patient vignette. Questions are vague.
Questions are supported by appropriate references.
Initial Post is late.
23 points
Post includes less than 10–20 questions of subjective information and/or are not appropriate for the patient vignette. Questions are vague or not appropriate for patients.
Questions are NOT supported by appropriate references.
Initial Post is late.
20 points
30
INITIAL RESPONSE POST Student answers ALL peer’s questions appropriately, as the patient. Answers drive discussion and analysis forward.
Initial Response Post by Friday (Day 5) 11:59 p.m.
30 points
Student answers ALL peer’s questions appropriately, as the patient. Answers struggle to drive discussion and analysis forward.
Initial Response Post by Friday (Day 5) 11:59 p.m.
26 points
Student does not answer ALL questions appropriately or from patient perspective.
Initial Response Post by Friday (Day 5) 11:59 p.m.
23 points
Student does not answer ALL questions appropriately or from patient perspective. Questions are irrelevant or do not makes sense.
Initial Response Post is late.
20 points
30
REFLECTIVE RESPONSE POST Student replies to additional post with 4 appropriate differentials and rationale that are well supported by evidence.
Appropriate and evidence–based plan of care is developed for one differential; supported by references.
Reflective Response Post due by Sunday (Day 7) 11:59 p.m.
30 points
1–2 minor omissions from differentials or plan of care. These do not constitute missing must not miss differentials or safety issues.
Reflective Response Post due by Sunday (Day 7) 11:59 p.m.
26 points
3+ minor omissions from differentials or plan of care. These do not constitute missing must not miss differentials or safety issues.
Reflective Response Post due by Sunday (Day 7) 11:59 p.m.
23 points
1–2 major omissions from differentials or plan of care. These constitute missing must not miss differentials or safety issues.
Reflective Response Post due by Sunday (Day 7) 11:59 p.m.
Responses after Day 7 will not receive any credit.
20 points
30
ORGANIZATION Well–organized content with a clear and complex purpose statement and content argument. Writing is concise with a logical flow of ideas.
5 points
Organized content with minimal issues in content flow.
4 points
Poor organization, and flow of ideas distract from content. Narrative is difficult to follow and frequently causes reader to reread work.
3 points
Illogical flow of ideas. Missing significant content. Prose rambles. Purpose statement is unclear or missing.
Demonstrates incomplete understanding of content and/or inadequate preparation.
2 points
5
APA, GRAMMAR, AND SPELLING Correct APA formatting with no errors.
There are no spelling, punctuation, or word–usage errors
5 points
Correct and consistent APA formatting of references and cites all references used. No more than two unique APA errors.
The writer demonstrates correct usage of formal English language in sentence construction. Variation in sentence structure and word usage promotes readability.
There are minimal to no grammar, punctuation, or word–usage errors.
4 points
Three to four unique APA formatting errors.
The writer occasionally uses awkward sentence construction or overuses/inappropriately uses complex sentence structure. Problems with word usage (evidence of incorrect use of thesaurus) and punctuation persist, often causing some difficulties with grammar. Some words, transitional phrases, and conjunctions are overused.
Multiple grammar, punctuation, or word usage errors.
3 points
Five or more unique formatting errors or no attempt to format in APA.
The writer demonstrates limited understanding of formal written language use; writing is colloquial (conforms to spoken language).
The writer struggles with limited vocabulary and has difficulty conveying meaning such that only the broadest, most general messages are presented.
Grammar and punctuation are consistently incorrect. Spelling errors are numerous.
2 points
5
TOTAL POINTS 100
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