Encopresis Case Study: Cole Wilson - A Comprehensive Analysis, Assignments of Nursing

Download Encopresis Case Study: Cole Wilson - A Comprehensive Analysis and more Assignments Nursing in PDF only on Docsity! lOMoARcPSD|1709022 lOMoARcPSD|1709022 Performance Overview for Michelle Denise Smiley on case Cole Wilson The following table summarizes your performance on each section of the case, whether you completed that section or not. Time spent: 6hr 37min 37sec Status: Submitted Case Section Stat us Your Score Time spent Performance Details Total Score 43% History Done 100% 27min 31sec 19 questions asked, 15 correct, 0 missed relative to the case's list Physical exams Done 88% 28min 21sec 33 exams performed, 10 correct, 2 partially correct, 0 missed relative to the case's list Key findings organizati on Done 1mi n 19se c 8 findings listed; 7 listed by the case Problem statement Done 5mi n 28se c 78 words long; the case's was 97 words Differentials Done 60% 53sec 3 items in the DDx, 3 correct, 2 missed relative to the case's list Differenti als ranking Done 100% (lead/ alt score) 20% (mus t not miss scor e) 1min 3sec Tests Done 100% 17sec 0 tests ordered, 0 correct, 0 missed relative to the case's list Diagnosis Done 100% 1mi n 25se c Managemen t plan Done 1hr 22min 59sec 754 words long; the case's was 207 words Exercises Done 100% (of score d items only) 3min 5sec 1 of 1 correct (of scored items only) lOMoARcPSD|1709022 Attempt: 2815606 Report generated on 7/16/2023, 7:25:36 PM America/Denver lOMoARcPSD|1709022 toileting Additional Ancillary- None Referrals -Nutritionist Follow-ups -Follow-up in 2 weeks or sooner if symptoms worsen (increased abdominal pain, vomiting, or fever) lOMoARcPSD|1709022 Problem Statement – See IHuman Social Determinants of Health Cole's parents (accountant and college professor) assist in ensuring that his SDOH is met and contribute positively to his health outcomes and ability to manage his condition. Environmental factors, such as the safety, quality, and access to basic necessities like clean water and sanitation, can influence his overall health. Additionally, Cole's cultural background and beliefs may shape his dietary choices, healthcare-seeking behaviors, and adherence to treatment recommendations. Health Promotion Vaccinations, and nutritional education. Pt. Risk Factors Dietary habits, Sedentary lifestyle, Psychological factors References A. I. Safina. (2022). Constipation in children in the practice of a pediatrician. Медицинский Совет, 12, 50–57. https://doi.org/10.21518/2079-701X-2022-16-12-50-57 Kokurenkova Polina Andreevna, & Shishkov Valery Vitalievich. (2020). The use of emotional-stress psychotherapy in decompensation of oppositional-defiant disorder among children, manifested by protest or infantile encopresis. Studia Humanitatis, 4 Tham, S. W., Rollins, M. D., Reeder, R. W., Lewis, K. E., Calkins, C. M., Avansino, J. R., & Palermo, T. M. (2022). Health-related quality of life in children with Hirschsprung disease and children with functional constipation: Parent- child variability. Journal of Pediatric Surgery, 57(8), 1694–1700. https://doi.org/10.1016/j.jpedsurg.2022.04.009 Vargas, M. M., Artigiani Neto, R., & Sdepanian, V. L. (2022). Quantitative histology as a diagnostic tool for celiac disease in children and adolescents. Annals of Diagnostic Pathology, 61. https://doi.org/10.1016/j.anndiagpath.2022.152031 Attempt: 2815606 Report generated on 7/16/2023, 7:25:36 PM America/Denver lOMoARcPSD|1709022 Electronic Health Record by Michelle Denise Smiley on case Cole Wilson History of Present Illness Category Data entered by Michelle Denise Smiley Reason for Encounter Leaking stool x 3 weeks History of present illness Cole is a 4 y/o Caucasian male who presents to the clinic with his father for evaluation of intermittent, uncontrollable, watery stool leaking x3 weeks. Dad reports that Cole has a history of intermittent abdominal pain and constipation x 2 years. His abdominal pain begins after eating and is relieved with defecation. Last BM x5 days ago, Dad reports hard balls and straining while having bowel movements. Father denies any diet change but reports that Cole is a picky eater (no veggies, eats processed foods, desserts, and dairy) and does not drink water. His parents are currently going through a divorce. Father denies any OTC medication or treatment for constipation, pain, or stool leakage. Past Medical History Category Data entered by Michelle Denise Smiley Past Medical History None Hospitalizations / Surgeries None Medications Category Data entered by Michelle Denise Smiley Medications None Allergies Category Data entered by Michelle Denise Smiley Allergies NKDA Preventive Health Category Data entered by Michelle Denise Smiley Preventive health UTD on immunizations Routine Checkups