How to Answer Lucile Packard Children Questions (Complete Guide)
Understanding this question requires applying core subject principles.
What This Question Is About
This question relates to lucile packard children and requires a structured academic response.
How to Approach This Question
Break the problem into smaller parts and analyze each logically.
Key Explanation
This topic involves lucile packard children. A strong answer should include explanation, application, and examples.
Original Question
At the Lucile Packard Children’s Hospital at Stanford, Elliot Krane works on the problem of treating pain in children. Why you should listen to him: It’s an awful problem to contemplate: How do you help a young child in pain? As director of Pain Management Services at Lucile Packard Children’s Hospital at Stanford, Elliot Krane works on solving this problem, studying and treating kids who are undergoing surgeries, suffering from complications of diabetes — and kids suffering “neuropathic pain” resulting from injury to the nervous system itself. Brain Plasticity in Patients With Complex Regional Pain Syndrome (multiple short resources) Birklein, Frank*; Schlereth, Tanja. Complex regional pain syndrome—significant progress in understanding. (2015). PAIN, 156, S94-S103. doi: 10.1097/01.j.pain.0000460344.54470.20 You are only required to use the resources provided for this discussion board although others may be used if you desire. Please provide citations. Scenario: Dr. Krane’s patient is YOUR patient! Important Ideas: For decades it was believed that the brain was immutable, unchangeable and static. New research in the field of neuroscience has shown this core belief to be untrue and revealed that the brain is in fact a dynamic organ that changes almost constantly. Experience changes the brain. The brain is not hardwired, but plastic. The Hebbian Theory states that “neurons that fire together, wire together/neurons that fire out of sync, fail to link.” This concept is referred to as PLASTICITY, and there are no better examples of plasticity than in chronic pain and the sensory organs. Not all Plasticity is good. Keep this in mind when answering the discussion board questions about YOUR patient. Part One: Let’s look at patient “Chandler” who is a 16-year-old female dancer (Dr. Krane’s patient). She comes to see you as a patient and you are entrusted with completing a thorough episodic history, physical exam, and diagnosing the pathology that will dictate her care. Create a brief SOAP note based on the information, descriptions, and pictures you viewed in the TED Talk. I am providing examples of SOAP NOTES that are all inclusive for your review. Your SOAP note will be much shorter than the examples I am sharing, however feel free to use anything I provided to help you through this important process and to keep the SOAP notes for future reference if you find them helpful to your learning. CC: Based on the information from Dr. Krane’s video, state a simple CC. This is one simple statement with an approximate timeframe. (5 points) HPI: Based on the information from Dr. Krane’s video, describe the CC (think OLDCARTS). (10 points) PMH: This would include past injury/trauma; since she is basically healthy it is also important to include categories where there is denial of other components of the PMH. Basically, you make up or create this information. (5 points) SH: Based on the information from Dr. Krane’s video, describe what you know about her SH (the SH of an adolescent can include grade in school, extracurricular activities and you create this information). (5 points) FH: You may make pertinent family members healthy but include the category. (5 points) ROS: Include 3 pertinent negatives in each system; include pertinent positives in the appropriate systems. This is purely subjective, only what the patient tells you and not what you observe. (10 points) Physical Exam (PE): Include a minimum of 3 pertinent negatives in each system; include pertinent positives in the appropriate systems. Pay close attention to the writing on her arm. This is purely objective, only what you observe on exam. (10 points) Assessment/Diagnosis: What is your diagnosis? Remember, think like a nurse practitioner when formulating your diagnosis. Pain is not your diagnosis. Allodynia is not your diagnosis. Your diagnosis is directly related to the video and resources provided. (10 points) Plan: List a few components of a plan based on the TED talk and whatever you would like to include based on any literature. Do not prescribe opioids for pain but include medical, pharmacological, and mental health modalities. Think of referrals, medications you might prescribe in the primary care setting or any other interesting therapies you may find in the literature. (10 points) Respond to a minimum of one peer in your group with constructive feedback on a SOAP note. (10 points) Part Two: Chandler is a very bright young woman, and she is seeking to understand her diagnosis. BRIEFLY (may use bullet points, just a few sentences) explain the pathophysiology of this diagnosis and how it is an example of PLASTICITY from the perspective of pathophysiology. (20 points) Congratulations! You continue to follow the nursing and medical models, one step closer to becoming a nurse practitioner!
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