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Case Studies in Primary Care: A Day in the Office

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Overview

To address the needs of advanced practice nursing programs that have been increasingly moving in the direction of problem-based learning, CASE STUDIES IN PRIMARY CARE provides students and instructors with "real-world" scenarios from which to teach and learn. Problem-based learning closely portrays the real world of health care and teaches students to carefully analyze various situations in order to deliver the most effective health care. This book includes 44 case studies on the most commonly encountered situations in primary care. The case studies are presented as those that might occur during a "normal day in the office." The case studies cover all age groups as well as various cultures. Each of the case studies is presented with an introductory scenario, which varies in detail from case to case, just as one would find in the clinical setting. Then the reader is presented with some points to consider requiring critical thinking and analysis of the data. After the student has considered his or her plan of action (or after class discussion of the case), he is able to review a thorough feedback analysis for each case study. The feedback sections illustrate the critical thinking processes related to differential diagnosis, treatment options, and all other aspects related to the delivery of primary care.

* Covers "real-world" scenarios to give students the opportunity to analyze situations likely to be encountered in clinical settings.
• Emphasizes problem-based learning to encourage students to think critically and analyze situations thoroughly in order to provide appropriate health care.
• Includes case studies for all age groups and cultures to provide a variety of possible situations for the student to "encounter" before entering the health care arena.
• Presents cases in a format that shows student how a typical day might ensue.

The book contains black-and-white illustrations.

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Editorial Reviews

Doody's Review Service
Reviewer: Kathleen Stilling Burkhart, MSN, CANP, CGNP (Uniformed Services University)
Description: This book describes 44 actual patient encounters that take place in an office setting and cover a wide variety of clinical scenarios, and involve patients of different ages, cultural backgrounds, and clinical findings. The case discussions are structured to provide insight to the clinical management of the various clinical complaints.
Purpose: It is organized in such a way that students can sharpen their clinical problem-solving skills and integrate prior learning from didactic materials into "real life" clinical situations. The text is written by two experienced adult nurse practitioners and has been reviewed by clinically experienced nurse practitioners, physicians assistants, and physicians.
Audience: The case studies are intended to be used as a tool to promote critical thinking skills for the advanced practice clinician as well as students preparing for an advanced practice role.
Features: The black-and-white illustrations assist students in collecting information needed to fully assess the various clinical scenarios. Diagrams and photographs are clear and informative. Prescription blanks are provided for prescription-writing practice. The discussion that follows each case is extremely thorough and includes current references from a variety of sources to support the clinical management of the patient. Follow-up of the patients is also addressed, which can be a challenge even for a seasoned clinician to decide when (and if) a patient needs a return visit.
Assessment: I found this text to be an excellent resource for the nurse practitioner/advanced practice student. It will be especially helpful to the advanced student who must synthesize patient data and establish a clinical plan. The information that follows each clinical case promotes class discussion about the numerous approaches to the management of patients in the primary care setting.
Kathleen Stilling Burkhart
This book describes 44 actual patient encounters thattake place in an office setting and cover a wide variety of clinicalscenarios, and involve patients of different ages, culturalbackgrounds, and clinical findings. The case discussions arestructured to provide insight to the clinical management of the variousclinical complaints. It is organized in such a way that students cansharpen their clinical problem-solving skills and integrate priorlearning from didactic materials into ""real life"" clinicalsituations. The text is written by two experienced adult nursepractitioners and has been reviewed by clinically experienced nursepractitioners, physicians assistants, and physicians. The casestudies are intended to be used as a tool to promote critical thinkingskills for the advanced practice clinician as well as studentspreparing for an advanced practice role. The black-and-whiteillustrations assist students in collecting information needed to fullyassess the various clinical scenarios. Diagrams and photographs areclear and informative. Prescription blanks are provided forprescription-writing practice. The discussion that follows each caseis extremely thorough and includes current references from a variety ofsources to support the clinical management of the patient. Follow-upof the patients is also addressed, which can be a challenge even for aseasoned clinician to decide when (and if) a patient needs a returnvisit. I found this text to be an excellent resource for the nursepractitioner/advanced practice student. It will be especially helpfulto the advanced student who must synthesize patient data and establisha clinical plan. The information that follows each clinical casepromotesclass discussion about the numerous approaches to themanagement of patients in the primary care setting.

4 Stars! from Doody
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Product Details

  • ISBN-13: 9780815115595
  • Publisher: Elsevier Health Sciences
  • Publication date: 4/15/1998
  • Pages: 346
  • Product dimensions: 8.05 (w) x 10.03 (h) x 0.79 (d)

Table of Contents

DAY ONE: Case 1. 8:30 Harold Baines, CPE · 2. 9:15 Kate Smith, Dysuria · 3. 9:30 Francis Coulter, Head Congestion · 4. 9:45 Lianne Pierce, Rash · 5. 10:00 Wendy Raymond, CPE/Headaches · 6. 10:45 Liu Lee, Emergency Contraception · 7. 11:00 Amber Jackson, WCC · 8. 11:30 M'Tango Bali, Travel · 9. 11:45 Martha Krauntz, URI · 10. Phone call Jane Lincoln, Negative PPD · 11. 1:00 Jake Marland, Ear Infection · 12. 1:15 Maurice Lamontagne, Anemia · 13. 1:30 Jerome Wilson, Cholesterol Follow-Up · 14. 1:45 Dolores Sanchez, Contraception · 15. 2:00 Maria O'Malley, Ankle Pain · 16. 2:15 Laing Wang, Follow-Up Acne · 17. 2:45 Tess Ireland, Heartburn · 18. 3:15 Michael Smith, Recurrent Diarrhea · 19. 3:45 Tim Gifford, Head Lice · 20. 4:00 Rita Davidson, Follow-Up Diabetes · 21. 4:30 Jay Leeds, Scrotal Pain · 22. After hours Sharon Goldstein, Review Pap Results · 23. Phil Noonan, Rectal Bleeding · 24. Annie Littlefield, Worms · DAY TWO: Case 25. 8:30 Kerry Bailey, Sports PE · 26. 9:00 Deborah Pierce, LBP · 27. 9:15 Mimi Murray, High Blood Pressure · 28. 9:45 Al Olsson, Toe Pain · 29. 10:00 Rose D'Angelo, CPE · 30. 10:45 Lisa Pacheco, Diarrhea · 31. 11:00 Lynne Spencer, Annual GYN · 32. 11:30 Irene Anderson, Annual GYN · 33. Phone call Donna Downing, Mammogram · 34. 1:00 Emma Thurlow, Allergy Shot · 35. 1:15 Albert Steinberg, Cough/Fever/Chills · 36. 1:30 Betty Hackett, Prenatal Check · 37. 1:45 Olga Manjakhina, Urinary Incontinence · 38. 2:30 Justin Baker, Eye Redness · 39. 2:45 Curt Ozana, Scrotal Pain · 40. 3:00 Melanie Roberge, Vaginal Discharge · 41. 3:15 Janet Jones, Wrist Pain · 42. 3:30 Judy Marland, Confusion · 43. 4:00 Wilson Metcalf, Difficulty Urinating · 44. 4:15 Kim Parsons, Cough

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