Primary Diagnosis
His treatment plan involves a meticulous consideration of primary and additional diagnoses, coupled with a well-structured plan of care. This comprehensive approach aims to address Zachary’s feeding difficulties and ensure his overall well-being.
Body:
Primary Diagnosis: Encounter for routine child health examination with abnormal findings
Zachary’s primary diagnosis centers around a routine child health examination with abnormal findings, as indicated by Ms. LaFontaine. This choice is essential for proper insurance coverage and aligns with the reason for Zachary’s visit.
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Additional Diagnosis: Feeding Difficulty
The identification of feeding difficulty is supported by various evidences, including incomplete emptying of breasts after feeding, falling asleep while breastfeeding, and feeding sessions of insufficient length. The model rationale emphasizes the importance of addressing developmentally appropriate weight gain, highlighting the need for intervention related to feeding, nutrition, or digestion.
Zachary LaFontaine Infant Well Visit Shadow health Objective Data Collection
Plan of Care:
1. Pharmacological Intervention (Vitamin D Supplement):
– The learner suggests supplements for the mother but not the infant, aligning with the recommendation to provide Vitamin D supplements due to potential deficiency in Zachary. This non-prescription intervention is crucial for infant bone and tooth development.
2. Non-Pharmacological Intervention (Breastfeeding Education):
– The learner appropriately recommends non-pharmacological interventions such as acquiring a breast pump and planning an effective feeding schedule. This approach aims to enhance Zachary’s nutrition while ensuring Daanis’s well-being.
3. Educate Guardian:
– Recognizing the importance of educating guardians, the learner suggests providing essential information to Daanis about infant nutrition and breastfeeding. Clear communication enhances adherence to care recommendations and improves overall outcomes.
4. Preventive Screening and Intervention:
– The learner opts not to recommend preventive screening and intervention, understanding that vaccines are due for Zachary. However, the model recommends discussing the necessity of vaccines and administering them with Daanis’s consent.
5. Diagnostic Testing: Labs and Imaging:
– Acknowledging the evident diagnosis, the learner rightly chooses not to recommend further diagnostic testing, ensuring a targeted and efficient approach to Zachary’s care.
6. Referral of Care (Lactation Specialist):
– Recognizing the need for specialized support, the learner recommends referring Daanis to a lactation specialist aligned with Indian Health Services. This referral aims to improve feeding practices and integrate Daanis’s schedule with Zachary’s needs.
7. Continued Care and Follow-up:
– The learner appropriately suggests continued care and follow-up in two months or earlier if needed. This proactive approach ensures timely assessment and resolution of Zachary’s feeding problems.
Conclusion:
The outlined treatment plan underscores the importance of a multi-faceted approach in addressing Zachary LaFontaine’s health concerns. By combining pharmacological and non-pharmacological interventions, education, preventive measures, diagnostic considerations, referrals, and ongoing follow-up, the plan aims to provide comprehensive and effective care for Zachary’s well-being.
Zachary LaFontaine Treatment Plan Shadow health
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. 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: Encounter for routine child health examination with abnormal findings Identified as primary Evidences: Ms. LaFontaine reports that the reason for the visit is a well-child exam Learner Rationale: nothing Score: 2 out of 3 |
Diagnosis: Encounter for routine child health examination with abnormal findings Primary: Yes Evidences: Ms. LaFontaine reports that the reason for the visit is a well-child exam Model Rationale: The primary diagnosis is the reason for the patient’s visit. Because Ms. LaFontaine has indicated she has brought Zachary in for his well-child exam, the correct primary diagnosis is “Encounter for routine child health examination with abnormal findings.” As a primary care provider, it is critical to properly code the reason for Zachary’s visit so it can be covered by insurance. |
Additional Diagnosis
| Learner Selection | Model Documentation |
|
Diagnosis: Feeding Difficulty Evidences: Breasts are not always empty after feeding Falling asleep while breastfeeding Feeding sessions of insufficient length Mother does not perceive enough time to feed Mother does not consume enough calories Learner Rationale: I really found a normal developed infant Score: 4 out of 6 |
Diagnosis: Feeding Difficulty Evidences: Breasts are not always empty after feeding Drop in weight percentile for age Feeding sessions of insufficient length Less frequent than normal elimination Mother does not perceive enough time to feed Model Rationale: A delay or reduction in developmentally appropriate weight gain indicates that Zachary has a problem related to feeding, nutrition, or digestion, as does his somewhat infrequent eliminations. Daanis reports that her breasts do not always feel empty after feedings, which could be an indication that Zachary is experiencing mechanical problems with latching or that Daanis cannot express breast milk. However, Daanis also reports that she does not feel like she has enough time to feed Zachary, and describes feeding sessions that are shorter than recommended. This leads to “Feeding difficulty” being the correct additional diagnosis. Kerzner B et al. (2015). A practical approach to classifying and managing feeding difficulties. Pediatrics, 135(2): 344. |
Review your answers for the Plan of Care activity. You must select “Yes” or “No” for each of the seven care actions. You will receive one point for determining the correct answer for each care action.
| Learner Selection | Model Documentation |
|
Pharmacological Intervention
Selected: No Learner Rationale: No for the infant. In the other hand, the mother will need suplements such as multivitamis Score: 0 out of 1 |
Recommended: Yes
Zachary may be deficient in Vitamin D, which is critical for infant bone and tooth development. Vitamin D deficiency is common in children who are breastfed, as breast milk contains no Vitamin D. You will recommend an OTC Vitamin D supplement to Daanis for Zachary to take. |
|
Non-Pharmacological Intervention
Selected: Yes Learner Rationale: Infant nutrition, and breast feeding education. Score: 1 out of 1 |
Recommended: Yes
You will talk to Daanis about acquiring a breast pump and planning an effective feeding schedule. A more structured feeding schedule and the use of a breast pump will allow Daanis to fully meet Zachary’s nutritional needs while also maintaining her own well being. |
|
Educate Guardian
Selected: Yes Learner Rationale: as above Score: 1 out of 1 |
Recommended: Yes
Providing education to patients’ guardians is a key component of pediatric practice. Clearly communicating to guardians what care their children need and why improves adherence and outcomes. |
|
Preventive Screening and Intervention
Selected: No Learner Rationale: not need it Score: 0 out of 1 |
Recommended: Yes
At two months, Zachary is due for several vaccines: Hepatitis B (HepB), Rotavirus (RV), Diphtheria, Tetanus and Acellular pertussis (DTaP), Pneumococcal conjugate (PCV13), Inactivated poliovirus (IPV), and Haemophilus influenzae (HiB). You will talk to Daanis about the need for these vaccines and administer them with her consent. |
|
Diagnostic Testing: Labs and Imaging
Selected: No Learner Rationale: not need it Score: 1 out of 1 |
Recommended: No
As the patient’s diagnosis is evident, no further diagnostic testing is needed. |
|
Referral of Care
Selected: Yes Learner Rationale: Breastfeeding education. Mother health, caloric intake, supplements or vitamis use. Score: 1 out of 1 |
Recommended: Yes
A lactation specialist will allow Daanis to improve her feeding practices and integrate her challenging schedule with Zachary’s nutritional and emotional needs. You will refer Daanis to a lactation specialist that is in network with Indian Health Services. |
|
Continued Care and Follow-up
Selected: Yes Learner Rationale: in 2 months of before if needed. Score: 1 out of 1 |
Recommended: YesDont wait until the last minute.Provide your requirements and let our native nursing writers deliver your assignments ASAP. Because Zachary is lagging developmentally, it would not be appropriate to wait for his four-month wellness visit to see if the interventions you have selected are working. You will schedule a follow-up appointment with Daanis to make sure that the interventions have resolved Zachary’s feeding problems and that he is gaining weight in a developmentally appropriate way. |