Assignment task: Mrs. Smith came to the clinic with this list;
- You work at a VA clinic, VA defines the list
- She wrote mask, to ensure she brought one with her due to COVID
- B. pres: she presents you with a list of blood pressures ranging from 109/64-150/96, most are in the 128/72 range.
- B. sugar: she hands you a list of her blood sugars, her average fasting blood sugar is 100, ranges are 89-119.
- She wonders what her Hgba1c is, she thinks it is about 7
- Urine sample: she reports her urine seems dark/sometimes has "shadows" in it
- She needs you to renew her prescriptions
- She needs more test strips
- Dermatology-she has a recurrent rash and some nail fungus, she has an appointment scheduled with Dermatology soon.
- PMT: $504, she wants to know if the front office can take her money
- CPAP: new?/cleaning. Her machine is about 10 years old and she wonders if she needs a new one of if there is a way she can deep clean the machine.
- She wants to update her medical record with procedures she had for a pinched nerve in Nov/October of 2021 and let you know she had cataracts removed in November
- She is currently receiving PT for her knee and hip
- She is still seeing his cardiologist for a-fib
- In 2023 she wants to lose weight, exercise, and get her knee stronger.
In the VA primary care office you work in you have 25 minutes to complete Mrs. Smith's visit. You are generally able to deal with 4 problems during a visit.
It has been 6 months since Mrs. Smith was last seen in your office, at your last visit you referred her to see the orthopedic surgeon, the opthalmologist, and she was seeing her cardiologist. You have no labs more recent than 6 months ago. Please download the answer sheet and based on the Mrs. Smith's medical history, current medications, the list she provides to you and the article you have read about patient lists above, please answer the questions and upload the assignment. Each question is worth 6.25 points. Hint: In the real world, there is often more than one correct answer.
1. Which problems based on both his list and his problem list will you address today?
2. What is your rationale for choosing those problems? (Please be succinct-no more than 2 sentences per dx).
3. What will you do about his prescriptions and test strips?
4. What will you tell him about the balance due?
5. What will you do about the new medical/surgical history information?
6. What will you do about his goals for 2021?
7. What would you anticipate the problems for his next visit will be? (based on todays data).