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Shadow Health Adolescent Sports Evaluation Samantha Monroe Treatment Plan Verified Case, Exams of Nursing

Shadow Health Adolescent Sports Evaluation Samantha Monroe Treatment Plan Verified Case Study

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2024/2025

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Shadow Health Adolescent Sports Evaluation Samantha Monroe Treatment Plan
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Download Shadow Health Adolescent Sports Evaluation Samantha Monroe Treatment Plan Verified Case and more Exams Nursing in PDF only on Docsity!

Shadow Health Adolescent Sports Evaluation Samantha Monroe Treatment Plan

Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan Treatment Plan: 21 of 21 (100.00%)

Problem Selection 8 out of 8

Primary Diagnosis

Review your answers for the Problem Selection activities. You receive one point for each correct diagnosis, and one point for each correct evidence linked to a correct diagnosis Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan. If there are multiple correct diagnoses, you will also receive a point for correctly selecting which diagnosis is the primary diagnosis.

Learner Selection Model Documentation

Diagnosis: Pre- Participation Sports Physical

Identified as primary Evidences:

Samantha reports the reason for her visit is a sports physical Learner Rationale:

The patient indicates that she came for a sports physical.

Score: 3 out of 3

Diagnosis: Pre-Participation Sports Physical

Primary: Yes

Evidences:

Samantha reports the reason for her visit is a sports physical Model Rationale: The primary diagnosis is the reason for the patient’s visit. Because Samantha has indicated she is in the office for her sports physical, the correct primary diagnosis is Pre-Participation Sports Physical. As a primary care provider, it is critical to properly code the reason for Samantha’s visit so it can be covered by insurance Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan.

Learner Selection Model Documentation

Pharmacological Intervention

Selected: No Learner Rationale:

No disease or problem was indicated by the patient Score: 1 out of 1

Recommended: No

This selection is not appropriate. Samantha did not indicate any illness or problem during her sports physical that would require Pharmacological Intervention. Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan

Non-Pharmacological Intervention

Selected: Yes Learner Rationale:

You should discuss with the patient about her food and dieting habits.

Score: 1 out of 1

Recommended: Yes Because you’ve uncovered some eating and body issues during Samantha’s visit, it is appropriate to perform Non-Pharmacological Interventions. You will talk to Samantha and Jackie about their attitudes and habits around food, dieting, and body image in order to interrupt Samantha’s disordered habits before they become more problematic. A more intuitive, holistic approach to healthy living will allow Samantha to shift her focus away from restrictive eating and weight loss towards a lifestyle that supports her well being.

Educate Patient Selected: Yes Learner Rationale:

Patient should be taught to take care of her own health.

Score: 1 out of 1

Recommended: Yes

When a pediatric patient is old enough to take responsibility for their own care, you must educate them as well as their guardian. Clearly communicating to a patient and their guardian what care they need and why improves adherence and outcomes Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan.

Preventive Screening and Recommended: No

Learner Selection Model Documentation

Intervention Selected: No Learner Rationale:

Samantha already got preventive screening during her 134-year old well visit.

Score: 1 out of 1

This selection is not appropriate. Samantha already had her 13-year- old well visit where she was vaccinated and screened for preventative care.

Diagnostic Testing: Labs and Imaging

Selected: No Learner Rationale:

No conditions were indicated that would require testing.

Score: 1 out of 1

Recommended: No

This selection is not appropriate. Samantha did not indicate any conditions or issues that would require labs or testing.

Referral of Care Selected: No Learner Rationale: This selection is not appropriate.

Score: 1 out of 1

Recommended: No

This selection is not appropriate. It’s important to follow-up with Samantha about your initial intervention strategies before referring the patient out for specialized care.

Continued Care and Follow- up

Selected: Yes

Recommended: Yes

Given Samantha’s inappropriate eating habits and body image concerns, a follow-up appointment to see how well she is adhering to

Learner Selection Model Documentation

on social media and refraining from watching shows about weight loss or dieting.

Selected: Yes Learner Rationale:

Score: 1 out of 1

exposure to media that promotes dieting, weight loss, fitness, and idealized or unrealistic bodies. Samantha’s diagnosis of Inappropriate Diet and Eating Habits requires a holistic approach that considers the cultural factors that may influence her. Therefore, Limiting Media Intake is the appropriate selection at this time.

Discuss with Samantha various ways to track her calorie intake, including apps and food diaries, to ensure she meets her recommended caloric intake.

Selected: No Learner Rationale:

Score: 1 out of 1

Recommended: No

Given best practices and the details of Samantha’s case, this is an inappropriate intervention. Taking into account all of Samantha’s signs and symptoms, it is not appropriate to encourage Samantha to fixate further on calories or food intake. Eating Disorder Foundation. (n.d.). About eating disorders. https://eatingdisorderfoundation.org/learn-more/about-eating- disorders

Educate Samantha on identifying problematic eating behaviors, including skipping meals on purpose, misusing laxatives, counting calories,

Recommended: No

Given best practices and the details of Samantha’s case, this is an inappropriate intervention; however, Samantha could be educated on problematic eating behaviors, including in-depth examples like misusing laxatives or purging via exercise or vomiting may

Learner Selection Model Documentation

or purging via exercise or vomiting.

Selected: No Learner Rationale:

Score: 1 out of 1

unintentionally give the patient more strategies to continue covert disordered eating. Eating Disorder Foundation. (n.d.). About eating disorders. https://eatingdisorderfoundation.org/learn-more/about- eating-disorders Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan

Increase knowledge of coping mechanisms for low self- esteem and poor body image, including journaling, support groups, relaxation and stress management, positive self- talk, and affirmations.

Selected: Yes Learner Rationale:

Score: 1 out of 1

Recommended: Yes Given Samantha’s poor body image, desire to lose weight, and her tendency to compare herself to her peers, it is critical she develop positive coping mechanisms to build a more neutral, if not positive, approach to her body. Coping mechanisms may include journaling, support group, relaxation and stress management, positive self-talk, and affirmations. Samantha’s diagnosis of Inappropriate Diet and Eating Habits requires a patient-centered empathetic approach. Therefore, Increase Knowledge of Coping Mechanisms is the appropriate selection at this time.

Inform Samantha that if she sets her mind to it, she can overcome her body issues and low-self esteem through proper diet and exercise.

Selected: No

Recommended: No

Given best practices and the details of Samantha’s case, this is an inappropriate intervention. Disordered eating arises from complex, overlapping factors such as culture, fatphobia, peer pressure, and anxiety. Informing Samantha that she can simply choose to overcome her low self-esteem is not a patient-centered intervention. Eating

Thank you. This is pretty concerning so we’ll take this very seriously.

In your own words, discuss limiting media intake with Samantha and Jackie.

Learner Response Model Response

You should limit media exposure Samantha, you mentioned social media and your friends’ follower count as influencin

and remember that your body your body-image. We’re going to talk about social media and strategies you can use to

deserves to be fed, cared or, regardless of the size.

protect your mental health and body-image. It’s critical you limit your exposure to me sources that promote diet culture, fad diets, weight loss, fitness goals, and idealized, unrealistic bodies Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan. Instead of focusing on how you look in comparison to others, try to reframe those thoughts and remind yourself that your body isn’t a problem to be solve punished. When you see images, articles, or TV shows that make you feel bad, turn th off and remember your body deserves to be fed, cared for, and appreciated, regardless its size.

Yeah, I mean I don’t want an eating disorder or anything like that. I just thought thinking like that was pretty normal, but I guess not.

We’re just both going to have to rethink how we see our bodies and talk about nutrition. I don’t want to see my daughter struggle with her self-esteem.

In your own words, discuss increasing knowledge of coping mechanisms with Samantha and Jackie.

Learner Response Model Response

You can try journalling, relaxation and stress management techniques, and affirmations

Now we’re going to talk about some specific coping strategies you can use to interrupt negative thoughts about yourself and work towards a more neutral, if not positive, approach to your body. You can try journaling, relaxation and stress management techniques, replacing negative self-talk with positive things you like and appreciate about yourself, and affirmations. A good affirmation for you might be, “All bodies deserve to be fed and watered,” or “All bodies deserve care and praise.” You can also consider going to a support group for teens looking to build-up their self- esteem. Body image and disordered eating can significantly impact a person’s anxiety levels and sense of control over their lives. Try using these coping strategies the next time you have anxious, controlling, or restrictive thoughts about your body or food.

Yeah, that make sense. It’s not like I want to feel this way, you know?

I’m just glad we figured out that this was an issue. I had no idea. Samantha Monroe Adolescent Sports Evaluation shadow health Treatment Plan

Samantha Monroe shadow Health Subjective data

Samantha Monroe shadow Health Subjective data Subjective Data Collection: 26 of 27 (96.3%) Hover To Reveal…

Pro Tip: Confirming the patient’s relationship with their guardian ensures that you are observing legal and ethical protections for patient privacy, and that you are speaking with someone who has access to the patient’s information.

Example Question:

What is your relationship to the patient? Chief Complaint

Finding:

Asked about reason for visit

Finding:

Reports needing sports physical for soccer (Found)

Pro Tip: Confirming the purpose of a patient’s visit is important for determining the scope of the exam. Knowing that a patient is seeking a pre-participation evaluation will guide your conversation and inform the physical exam actions that you take, all with the goal of determining if a patient is healthy enough to participate in sports. It is also important to know which sport(s) the patient plays. Some sports have a higher risk of concussions, while other may require participants to maintain a certain weight. Individual considerations must be made for each type of activity Samantha Monroe shadow Health Subjective data. Example Question:

What brings you into the clinic? Past Medical History

Finding:

Asked about medical conditions

Finding:

Asked about missing organs

Finding:

Denies missing organs (Found)

Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf. Example Question:

Are you missing any organs?

Finding:

Asked about allergies

Finding:

Denies being allergic to insects (Available)

Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf. Example Question:

Are you allergic to insects?

Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf. Example Question:

Do you have medication allergies?

Finding:

Asked about immunizations

Finding:

Reports being up to date on all immunizations (Found)

Pro Tip: Discussing the patient’s past medical history will alert you to any past or present medical conditions that may restrict a patient from participating in sports. Keep in mind the particular sport the patient wishes to participate in, as a contact sport like football has different risks than a sport like golf. Example Question:

Are your vaccinations up to date? Home Medications

Finding:

Asked about medications

Finding:

Denies taking medications (Found)

Pro Tip: Learning what medication the patient takes is important for understanding any conditions they may be suffering from, how those conditions are managed, and if those medications pose any risks for sports participation. Pay careful attention to any vitamins or supplements, as this is an important aspect of health for many athletes, and although they are meant to maintain and improve health, improper use of vitamins and supplements can be dangerous.

Example Question:

Do you take any medications?

Finding:

Asked about vitamins and supplements

Finding:

Reports taking a multivitamin (Found)

Pro Tip: Learning what medication the patient takes is important for understanding any conditions they may be suffering from, how those conditions are managed, and if those medications pose any risks for sports participation. Pay careful attention to any vitamins or supplements, as this is an important aspect of health for many athletes, and although they are meant to maintain and improve health, improper use of vitamins and supplements can be dangerous.

Example Question: Do you take vitamins?