13 May Summative Assessment: Collaborative with other professionals
Summative Assessment: Collaborative with other professionals
For this assessment, you will be presented with a case study that asks you to consider how best to collaborate with other professionals and specialists to optimize the patient’s treatment plan.
Watch “Care Coordination” prior to completing the case study:
View Transcript
Review the following case study:
Marilyn Whitlow has presented to your primary care clinic 1 week after being discharged from the hospital.
Mrs. Whitlow has a history of stable angina. She initially presented to the emergency department complaining of recurrent chest pain which included a change in both the frequency and the pattern of chest pain, now experiencing chest pain with very little physical exertion. She was initially diagnosed with CAD and unstable angina and admitted for cardiac catheterization, which revealed a 95% mid right coronary lesion, a 45% occlusion of the proximal left anterior descending coronary artery, and a 20% occlusion of the left circumflex. A drug-eluting stent was placed in the right coronary artery to relieve the obstruction, resulting in nearly normal blood flow. Clopidogrel was added to her admission regimen, and her statin dose was increased to further decrease her serum LDL level. She was discharged within 48 hours and has a follow up appointment with her cardiologist in 2 weeks.
Mrs. Whitlow is seeing you, the FNP in the primary care clinic, 1 week after her hospital discharge. She informs you she just got laid off from her job, lost her health insurance, and is very anxious about her ability to follow up with the cardiologist. She verbalizes that she will buy the baby aspirin 81mg daily over the counter but will stop her other medications (atorvastatin 40mg daily, metoprolol ER 25mg daily, and clopidogrel 75mg daily) until she can find another job with insurance. As the FNP, you know that Mrs. Whitlow’s intention to stop her medications is not a safe option with her recent stent placement.
Write a 700- to 1,050-word reflection regarding Marilyn Whitlow’s case in which you:
• Formulate a final diagnosis(es) and ICD-10 code(s) from the information provided in the scenario taking into consideration her medical and social determinants of health issues. Provide a rationale for the inclusion of each diagnosis.
• Discuss best practices for Mrs. Whitlow to continue her medications after her drug-eluting stent placement based on a current evidence-based practice guideline.
• Outline a detailed collaboration plan, including the identification of resources (such as sliding scale clinics and pharmacological discounts), for uninsured patients within your community that will help Mrs. Whitlow continue her medications.
Cite sources to support your assessment.
Format citations and references according to APA guidelines.
Submit your assessment.
Resources
• Center for Writing Excellence
• Reference and Citation Generator
• Grammar Assistance
Rubric for this assignment
Rubric Details
Maximum Score
195 points
• Final Diagnosis(es) and ICD-10 code(s)
25% of total grade
• Rationale for diagnosis
25% of total grade
• Medication best practices
20% of total grade
• Patient-provider collaboration plan
25% of total grade
• APA, Grammar, and Writing Mechanics
5% of total grade
Please review grammar and turnitin
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