HEENT Reflection on Critical Patient (Subarachnoid hemorrhage)

Description

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Students will provide a PowerPoint presentation (with speaker notes )of an acute care patient case.

  • Students should choose a patient with a HEENT related to the weekly topics covered in Week 3 (Subarachnoid hemorrhage).
  • Students in a concurrent clinical course with a clinical site will present a patient case seen in the clinical setting.
  • Students not placed in a clinical setting by Week 3 should email the instructor for a case assignment. Please use your WCU email address for all communications.

The oral case presentation should follow the SOAP format:

  1. Visit type (H&P, progress note, or consult)
  2. The purpose of the visit (CC and HPI – use OLDCARTS)
  3. Pertinent histories (PMH, PSH, PFH, PSH, etc.)
  4. Medication and Allergies
  5. Pertinent Review of Systems (ROS)
  6. Vital Signs and pertinent physical exam elements
  7. Provide a differential dx of at least 3 diagnoses (2 differentials plus the working diagnosis)
  8. Final (Working) Diagnosis
  9. Treatment Plan
  10. Patient Education
  11. Disposition and Prognosis
  12. Oral assignments should include verbally articulated evidence-based guideline(s) used to prepare the oral presentation. (For example, the 2022 American Heart Association/American College of Cardiology/Heart Failure Society of America Guidelines for the management of Heart Failure were referenced to prepare this oral presentation).

*Please do not disclose or enter any patient-identifying information except the age/gender of the patient and visit type (H&P, progress note, or consult). 1.

  1. Download the SOAP Note Template and fill it out based on this scenario to guide your oral presentation. No written submission is required for this assignment.
  2. You will use the screen share setting to record yourself.
  3. The presentation should be no longer than 15 minutes.
  4. This is a video presentation. Review the instructions on how to export the presentation with your narration as a video. 5. Review the rubric to ensure you address all assignment requirements.

Video Reflection

Video Reflection
Criteria Ratings Pts

This criterion is linked to a Learning OutcomeClinical Case Presentation
20 to >15.0 pts

Meets or Exceeds Expectations

Reports subjective and objective data in an organized and professional manner. Obtains all pertinent data with enough detail to be able to formulate correct diagnosis without extraneous data. Includes all important data (subjective or objective).

 15 to >10.0 pts

Mostly Meets Expectations

Reports and organizes subjective and objective data in a professional manner that is mainly focused. Obtains most pertinent data with enough detail to be able to formulate correct diagnosis. May collect a few pieces of extraneous data. Misses no important data (subjective or objective).

 10 to >5.0 pts

Below Expectations

Reports subjective and objective data in a manner that is less organized or professional and less focused. Obtains data that are mostly pertinent with enough detail to be able to formulate correct diagnosis. May collect many pieces of extraneous data. Misses one or two pieces of important data (subjective or objective).

 5 to >0 pts

Does Not Meet Expectations

Fails to report subjective and objective data in an organized, professional manner or is not focused. Collects data that does not enable the student to formulate the correct diagnosis. May collect many pieces of extraneous data. Misses significant amounts of important data (subjective or objective) or performs tasks and skills incorrectly.

20 pts

This criterion is linked to a Learning OutcomeClinical Reasoning, Problem-Solving, and Management Skills
20 to >15.0 pts

Meets or Exceeds Expectations

Synthesizes subjective and objective information in a logical manner and formulates the correct diagnosis and plan that addresses each diagnosis, appropriate dx tests, treatments, pt. education, and referrals. Oral presentation reflects incorporation of current standards of care.

 15 to >10.0 pts

Mostly Meets Expectations

Synthesizes subjective and objective in a logical manner and formulates the correct diagnosis and plan that addresses each diagnosis. Plan may be missing one or two minor components from the dx tests, tx, pt. ed, referral or health maintenance). Consults resources (e.g. preceptor & reference materials) appropriately.

 10 to >5.0 pts

Below Expectations

Synthesizes subjective and objective in a manner that leads to an incorrect dx but the differential is correct. Plan fails to address each diagnosis and may be missing two or three minor components from the dx tests, tx, pt. ed, referral or health maintenance). Consults resources (e.g. preceptor & reference materials) appropriately.

 5 to >0 pts

Does Not Meet Expectations

Unable to synthesize subjective and objective data in a manner that leads to correct diagnosis or differential. Plan does not address the diagnosis or may be missing significant components. Does not consult resources (preceptor or references appropriately.

20 pts

This criterion is linked to a Learning OutcomeOrganization and Time Mangement
10 to >7.5 pts

Meets or Exceeds Expectations

Oral presentation of patient encounter is well organized and flows. Prognosis and disposition are included. Case presentation is presented within 15 minutes.

 7.5 to >5.0 pts

Mostly Meets Expectations

Patient encounter is mostly organized as far as flow and time management is somewhat well managed. Prognosis and disposition are included. Case presentation is presented within 20 minutes.

 5 to >2.5 pts

Below Expectations

Patient encounter is less organized and does not flow. Prognosis or disposition are missing. Time is not managed well. Case is presented within 25 minutes.

 2.5 to >0 pts

Does Not Meet Expectations

Patient encounter does not flow and is not organized. Prognosis and disposition are missing. Time is not managed well. Case presentation exceeds 25 minutes.

10 pts

Total Points: 50
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