Discussion: Assessing Neurological Symptoms

Imagine not being able to form new memories. This is the reality patients with anterograde amnesia face. Although this form of amnesia is rare, it can result from severe brain trauma. Anterograde amnesia demonstrates just how impactful brain disorders can be to a patient’s quality of living. Accurately assessing neurological symptoms is a complex process that involves the analysis of many factors.

In this Discussion, you will consider case studies that describe abnormal findings in patients seen in a clinical setting.

Note: By Day 1 of this week, your Instructor will have assigned you to one of the following specific case studies for this Discussion. Also, your Discussion post should be in the SOAP Note format, rather than the traditional narrative style Discussion posting format. Refer to Chapter 2 of the Sullivan text and the Comprehensive SOAP Template in the Week 4 Learning Resources for guidance. Remember that not all comprehensive SOAP data are included in every patient case.

Case 1: Headaches

A 20-year-old male complains of experiencing intermittent headaches. The headaches diffuse all over the head, but the greatest intensity and pressure occurs above the eyes and spreads through the nose, cheekbones, and jaw.

Case 2: Numbness and Pain

A 47-year-old obese female complains of pain in her right wrist, with tingling and numbness in the thumb and index and middle fingers for the past 2 weeks. She has been frustrated because the pain causes her to drop her hair-styling tools.

Case 3: Drooping of Face

A 33-year-old female comes to your clinic alarmed about sudden “drooping” on the right side of the face that began this morning. She complains of excessive tearing and drooling on her right side as well.

To prepare:

With regard to the case study you were assigned:

• Review this week’s Learning Resources, and consider the insights they provide about the case study.
• Consider what history would be necessary to collect from the patient in the case study you were assigned.
• Consider what physical exams and diagnostic tests would be appropriate to gather more information about the patient’s condition. How would the results be used to make a diagnosis?
• Identify at least five possible conditions that may be considered in a differential diagnosis for the patient.

Note: Before you submit your initial post, replace the subject line (“Discussion – Week 9”) with “Review of Case Study ___.” Fill in the blank with the number of the case study you were assigned.

By Day 3

Post a description of the health history you would need to collect from the patient in the case study to which you were assigned. Explain what physical exams and diagnostic tests would be appropriate and how the results would be used to make a diagnosis. List five different possible conditions for the patient’s differential diagnosis, and justify why you selected each.

Read a selection of your colleagues’ responses.

By Day 6

Respond to at least two of your colleagues on two different days who were assigned different case studies than you. Analyze the possible conditions from your colleagues’ differential diagnoses. Determine which of the conditions you would reject and why. Identify the most likely condition, and justify your reasoning.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 9 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:

Week 9 Discussion

I have included all files that will be needed. 

 

 

Please read these assignment instructionsbefore writing your paper, and re-read them often during and after the writing process to make sure that you are fulfilling all of the instructions.

Please also utilize the assignment guidance (see attached file), the modeled example( see attached file), and the outline(see attached file) provided.

Overview
The following assignment is an exercise designed to help you begin the process of addressing a moral issue, a process that will continue in the next two assignments. In this exercise, you will do the following:

• Formulate an ethical question within one of the given topic areas (see attached file) from the list provided.
• Provide an introduction in which you briefly explain the topic and the particular question on which you will focus your paper.
• State your position on the question at issue.
• Identify one consideration that would support your position and one consideration that would challenge it.

Instructions
The exercise must be at least 500 words in length (excluding title and reference pages) and formatted according to APA style. Be sure to include a title page and, if you include references, a bibliography. The exercise should be in outline (not essay) format, with each part labeled and numbered as specified below.   PLEASE SEE THE ATTACHED MODELED EXAMPLE AND OUTLINE. THESE FILES SHOW HOW THIS ASSIGNMENT NEEDS TO BE DONE.

1. Part One: Formulate the Question
   Read through the list of available topic areas, and select a topic on which you would like to write your next two papers. Formulate a specific, concrete, ethical question pertaining to that topic, and place that at the top of your paper.

   The question should be specific enough to discuss in six to eight pages (which is the length of the Final Paper assignment). For example, if you were interested in discussing the topic of capital punishment, a question like “Is capital punishment wrong?” would be too vague, and would need to be reformulated as a more specific question, such as “Should we execute people convicted of first degree murder?” or “Is it just to use capital punishment when there is the possibility of executing innocent persons?” or “Is the capital punishment system racist?”

 

1. Part Two: Provide a Brief Introduction to the Topic
   Your introduction should focus on setting out the topic and scope of the discussion in a way that clearly establishes what exactly you will be talking about and why it is significant. It should also provide any necessary context such as the background, current state of affairs, definitions of key terms, and so on. You want to try to do this in a way that stays as neutral as possible, avoids controversial assumptions, rhetorical questions, and the like. In other words, you should try to construct an introduction to the topic that could be an introduction to a paper defending any position on the question at issue.

   It is important for your introduction to narrow down the topic as much as possible. Doing so will allow you to provide a more detailed consideration of the issues and explain the reasoning more clearly in later papers. In general, arguments and analyses are much stronger when they focus on addressing a particular issue thoroughly and in detail, and doing so often requires deciding on one particular question or point to discuss, and leaving other possible ones aside.

   You should label this section of your paper as “Introduction.”

 

1. Part Three: Provide a Position Statement
   State clearly and precisely the position you intend to defend on the question you have formulated. This does not need to be more than one sentence.

   Note that providing a position statement does not necessarily presume that you are confident in your position, that other positions do not have merit, or that you cannot change your mind later. However, for now, it is important to at least tentatively take a stand on a position you believe to be better supported than others.

   Label this section as “Position Statement.”

 

1. Part Four: Identify and Explain a Supporting Reason
   Identify and explain a plausible reason someone could give that supports the position you have taken and be sure to clearly explain why you think it supports that position. The explanation should aim to be three to five sentences (shorter explanations are possible, but will likely be inadequate; longer explanations are likely to be too verbose).

   Label this section as “Supporting Reason.”

 

 

1. Part Five: Identify and Explain an Opposing Reason
   Identify and explain a plausible reason someone might give that would oppose or challenge the position you have taken and be sure to clearly explain why you think it would oppose or challenge it. The explanation should aim to be three to five sentences (shorter explanations are possible, but will likely be inadequate; longer explanations are likely to be too verbose). You should strive to articulate that reason in a way that someone defending a contrary position to your own would do. This requires stepping back from your own position and being able to think about the problem as objectively as you can. You should not attempt to respond to this opposing reason.

   Label this section as “Opposing Reason.”