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i have done my assessment, i just want any professor to rate my assessment, and tell me if everything is fine or something need to be added, pls review the assessment and let me know. Thanks question- Use this link to find Mario Bello’s Electronic medical record in EHRgo https://web21.ehrgo.com/rd/?courseActivityId=58591 (Links to an external site.) .You need to review this record and complete the following written task (please note words counts are a guide only): Identify the key objective data from the record and provide a brief summary of Mario’s current health in the form of a SOAP (subjective, objective, assessment, plan) note. (200 words) Write a brief explanation about objective data and how it is used in health assessment and documentation.(200 words) Discuss how you will respond to any two pieces of objective data for Mario (from his EHRgo record). Explain how you will use that objective data to inform your plan of care for Mario, using the clinical reasoning cycle by Jarvis (2020). (600 words) Tasks 1-3 need to be supported by current (less than 5 years old), relevant evidence (peer reviewed research, academic text books, clinical policies or documents written by clinical experts). An introduction and conclusion need to be included (100 words each) ergo login username s3904221 password Y2j4mebr0 answer- introduction Mario Bello, a 42-year-old male, comes to the clinic complaining of fatigue and flu-like symptoms for the past 2 weeks. He reports that his temperature has been elevated to 37°C and has reduced energy levels and a poor appetite. He has also developed a rash on his chest and his body feels especially achy. He is generally feeling quite unwell. Medical history: Mario is generally healthy, with no significant medical history to report. In the past he has suffered from occasional episodes of sinus infections. Medications: Mario is currently taking over-the-counter ibuprofen and paracetamol for his current symptoms. Clinical examination: On examination, Mario is generally swollen and feels especially tender on examination around his chest. He also has a diffuse red rash on his torso and a mild fever of 37°C. Investigations: Blood tests reveal an elevated white blood cell count and an increase in his inflammatory markers. A chest x-ray is also performed, which shows some evidence of pulmonary congestion. part 1 Subjective Mario Bello is a 56-year-old male who presents to the clinic complaining of fatigue and flu-like symptoms for the past two weeks. He reports that his temperature has been elevated to 37°C and has reduced energy levels and a poor appetite. He has also developed a rash on his chest and his body feels especially achy. He is generally feeling quite unwell. Objective On examination, Mario Bello is generally swollen and feels especially tender on examination around his chest. He also has a diffuse red rash on his torso and a temperature of 37°C. His heart rate is elevated at 100 bpm and his blood pressure is slightly raised at 140/90 mmHg. Assessment Based on the information and examination findings, it is likely that Mario Bello has developed a viral infection which has led to him feeling unwell and developing a rash. He may benefit from some simple treatment measures such as rest, fluids and over-the-counter medication to help relieve his symptoms. Plan: The patient should be treated with supportive care, including rest, hydration, and over-the-counter medication for fever and pain relief. If the patient’s condition worsens, they should be seen by a healthcare provider. part 2 Objective data is data that is objective, or measurable, and can be gathered without interpretation. In health assessment and documentation, objective data is used to provide a factual representation of a patient’s health status. This data can be gathered through physical examination, laboratory testing, or medical imaging. Objective data is important in health assessment and documentation because it provides a foundation upon which to make clinical decisions. part 3 If the patient has a fever of 102 degrees Fahrenheit, the first priority would be to ensure that they are adequately hydrated. The patient should be encouraged to drink plenty of fluids, and if they are unable to take fluids orally, they may need to be given fluids intravenously. The patient should also be given medication to help reduce the fever, such as acetaminophen or ibuprofen. If the patient’s heart rate is 100 beats per minute, it is important to assess for any underlying causes, such as fever, anxiety, or exercise. The patient should be monitored for any changes in their heart rate, and if there is no underlying cause, they may be given medication to help slow their heart rate. The objective data from the patient’s record will be used to inform the plan of care using the clinical reasoning cycle. The first step is to collect data, which has been done through the physical examination, lab tests, and imaging studies. The next step is to analyze the data to look for any patterns or abnormalities. Based on the data, it is likely that the patient has a viral infection. The next step is to form a hypothesis, which is that the patient has a viral infection. The next step is to test the hypothesis, which can be done through further testing, such as a viral culture. The final step is to evaluate the results of the testing and make a diagnosis. In this case, the patient has a viral infection. Explanation: conclusion The objective data from the patient’s record is important in making a diagnosis and developing a treatment plan. The data collected through the physical examination, lab tests, and imaging studies will help to inform the plan of care for the patient. The clinical reasoning cycle is a helpful tool in making a diagnosis and developing a treatment plan.. references https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7138033/
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