Shadow Health Assignments
Samantha Monroe shadow health Treatment plan
Problem Selection (8 out of 8)
Primary Diagnosis Review:
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Diagnosis: Pre-Participation Sports Physical
Identified as primary.
Evidence:
Samantha’s reason for visit is a sports physical.
Rationale:
Samantha stated she came for a sports physical.
Score: 3 out of 3
Diagnosis: Pre-Participation Sports Physical
Primary: Yes
Evidence:
Samantha’s reason for visit is a sports physical.
Model Rationale:
The main diagnosis is the reason for the patient’s visit. Since Samantha came for a sports physical, the primary diagnosis is Pre-Participation Sports Physical. Correctly coding her visit ensures insurance coverage.
Additional Diagnosis (5 out of 5)
Diagnosis: Inappropriate Diet and Eating Habits
Evidence:
Samantha wants to lose baby fat.
She feels dizzy.
She aims to look more athletic.
She occasionally skips lunch.
Model Rationale:
Samantha’s desire to lose weight, dizziness, desire for an athletic look, and skipping meals suggest Inappropriate Diet and Eating Habits. Her weight and BMI are healthy, pointing to this diagnosis.
Plan of Care (7 out of 7)
Pharmacological Intervention:
Selected: No
Rationale:
No health issues indicated.
Non-Pharmacological Intervention:
Selected: Yes
Rationale:
Discussing food and dieting habits.
Educate Patient:
Selected: Yes
Rationale:
Teaching patient self-care.
Preventive Screening and Intervention:
Selected: No
Rationale:
Samantha had preventive screening during her well visit.
Diagnostic Testing: Labs and Imaging:
Selected: No
Rationale:
No need for testing.
Referral of Care:
Selected: No
Rationale:
Not suitable.
Continued Care and Follow-up:
Selected: Yes
Rationale:
A follow-up needed to assess adherence.
Non-Pharmacological Intervention (6 out of 6)
Discuss health risks of eating disorders, e.g., heart failure, bone loss, hair and tooth loss, and loss of menses.
Selected: Yes
Rationale:
Ensure understanding of risks.
Limit media intake, unfollow fitness accounts, and avoid weight loss/dieting shows.
Selected: Yes
Rationale:
Reduce harmful influences.
Track calorie intake with apps or food diaries.
Selected: No
Rationale:
Inappropriate in this case.
Educate on identifying problematic eating behaviors.
Selected: No
Rationale:
Could unintentionally worsen issues.
Increase knowledge of coping mechanisms, e.g., journaling, support groups, positive self-talk.
Selected: Yes
Rationale:
Develop positive coping strategies.
Inform that overcoming body issues via diet and exercise is possible.
Selected: No
Rationale:
Simplistic approach isn’t effective.
Education
Discuss health risks of disordered eating with Samantha and Ms. Monroe.
Response:
Proper nutrition for strong bones, teeth, and hair is vital. Eating well supports development, energy, and health.
Discuss limiting media intake with Samantha and Jackie.
Response:
Limit media exposure to promote a positive body image. Reframe thoughts about body. Your body deserves care.
Discuss coping mechanisms with Samantha and Jackie.
Response:
Use strategies like journaling, positive self-talk, and affirmations. Consider support groups. Manage negative thoughts.
Treatment Plan: 21 of 21 (100.00%)
Problem Selection
8 out of 8
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: Pre-Participation Sports Physical Identified as primary Evidences: Samantha reports the reason for her visit is a sports physical Learner Rationale: The patient indicates that she came for a sports physical. Score: 3 out of 3 |
Diagnosis: Pre-Participation Sports Physical Primary: Yes Evidences: Samantha reports the reason for her visit is a sports physical Model Rationale: The primary diagnosis is the reason for the patient’s visit. Because Samantha has indicated she is in the office for her sports physical, the correct primary diagnosis is Pre-Participation Sports Physical. As a primary care provider, it is critical to properly code the reason for Samantha’s visit so it can be covered by insurance. |
Additional Diagnosis
| Learner Selection | Model Documentation |
|
Diagnosis: Inappropriate Diet and Eating Habits Evidences: Samantha reports a desire to lose baby fat Samantha reports dizziness Samantha reports wanting to look more athletic Samantha reports skipping lunch once or twice each week Score: 5 out of 5 |
Diagnosis: Inappropriate Diet and Eating Habits Evidences: Samantha reports a desire to lose baby fat Samantha reports dizziness Samantha reports wanting to look more athletic Samantha reports skipping lunch once or twice each week Model Rationale: Samantha’s desire to lose baby fat and appear more athletic, as well as her diet modifications, are clear indications that Samantha’s diagnosis pertains to Inappropriate Diet and Eating Habits. This subjective data, along with Samantha’s normal weight range and healthy BMI collected during physical examination, indicate that Samantha’s problematic behavior is not severe enough to meet the criteria of other eating-related diagnosis or disorders. Therefore, Inappropriate Diet and Eating Habits is the correct additional diagnosis at this time. American Psychiatric Association. (2017). Feeding and Eating Disorders. In Diagnostic and statistical manual of mental disorders (5th ed.). https://doi.org/10.1176/appi.books.9780890425596.dsm10 |
Plan of Care
7 out of 7
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 disease or problem was indicated by the patient Score: 1 out of 1 |
Recommended: No
This selection is not appropriate. Samantha did not indicate any illness or problem during her sports physical that would require Pharmacological Intervention. |
|
Non-Pharmacological Intervention
Selected: Yes Learner Rationale: You should discuss with the patient about her food and dieting habits. Score: 1 out of 1 |
Recommended: Yes
Because you’ve uncovered some eating and body issues during Samantha’s visit, it is appropriate to perform Non-Pharmacological Interventions. You will talk to Samantha and Jackie about their attitudes and habits around food, dieting, and body image in order to interrupt Samantha’s disordered habits before they become more problematic. A more intuitive, holistic approach to healthy living will allow Samantha to shift her focus away from restrictive eating and weight loss towards a lifestyle that supports her well being. |
|
Educate Patient
Selected: Yes Learner Rationale: Patient should be taught to take care of her own health. Score: 1 out of 1 |
Recommended: Yes
When a pediatric patient is old enough to take responsibility for their own care, you must educate them as well as their guardian. Clearly communicating to a patient and their guardian what care they need and why improves adherence and outcomes. |
|
Preventive Screening and Intervention
Selected: No Learner Rationale: Samantha already got preventive screening during her 134-year old well visit. Score: 1 out of 1 |
Recommended: No
This selection is not appropriate. Samantha already had her 13-year-old well visit where she was vaccinated and screened for preventative care. |
|
Diagnostic Testing: Labs and Imaging
Selected: No Learner Rationale: No conditions were indicated that would require testing. Score: 1 out of 1 |
Recommended: No
This selection is not appropriate. Samantha did not indicate any conditions or issues that would require labs or testing. |
|
Referral of Care
Selected: No Learner Rationale: This selection is not appropriate. Score: 1 out of 1 |
Recommended: No
This selection is not appropriate. It’s important to follow-up with Samantha about your initial intervention strategies before referring the patient out for specialized care. |
|
Continued Care and Follow-up
Selected: Yes Learner Rationale: A follow-up appointment is essential to see how the patient is complying with non-pharmacological interventions Score: 1 out of 1 |
Recommended: Yes
Given Samantha’s inappropriate eating habits and body image concerns, a follow-up appointment to see how well she is adhering to the non-pharmacological interventions is an appropriate selection. |
Non-Pharmacological Intervention
6 out of 6
| Learner Selection | Model Documentation |
|
Discuss life-threatening health problems caused by eating disorders, such as heart failure, bone loss, hair and tooth loss, and loss of menses.
Selected: Yes Learner Rationale:
Score: 1 out of 1 |
Recommended: Yes
Given Samantha’s lack of knowledge around the consequences of eating disorders, it is critical she understand the long-term consequences of poor nutrition. Samantha’s diagnosis of Inappropriate Diet and Eating Habits requires that Samantha understand the potential risks she is taking with her behavior. Therefore, Discuss Life-threatening Health Problems is an appropriate selection at this time. |
|
Discuss limiting Samantha’s media intake, including unfollowing fitness accounts on social media and refraining from watching shows about weight loss or dieting.
Selected: Yes Learner Rationale:
Score: 1 out of 1 |
Recommended: Yes
Given that Samantha mentioned social media and peer pressure as influencing her body image and self-esteem, it is critical she limits her exposure to media that promotes dieting, weight loss, fitness, and idealized or unrealistic bodies. Samantha’s diagnosis of Inappropriate Diet and Eating Habits requires a holistic approach that considers the cultural factors that may influence her. Therefore, Limiting Media Intake is the appropriate selection at this time. |
|
Discuss with Samantha various ways to track her calorie intake, including apps and food diaries, to ensure she meets her recommended caloric intake.
Selected: No Learner Rationale:
Score: 1 out of 1 |
Recommended: No
Given best practices and the details of Samantha’s case, this is an inappropriate intervention. Taking into account all of Samantha’s signs and symptoms, it is not appropriate to encourage Samantha to fixate further on calories or food intake. Eating Disorder Foundation. (n.d.). About eating disorders. https://eatingdisorderfoundation.org/learn-more/about-eating-disorders |
|
Educate Samantha on identifying problematic eating behaviors, including skipping meals on purpose, misusing laxatives, counting calories, or purging via exercise or vomiting.
Selected: No Learner Rationale:
Score: 1 out of 1 |
Recommended: No
Given best practices and the details of Samantha’s case, this is an inappropriate intervention; however, Samantha could be educated on problematic eating behaviors, including in-depth examples like misusing laxatives or purging via exercise or vomiting may unintentionally give the patient more strategies to continue covert disordered eating. Eating Disorder Foundation. (n.d.). About eating disorders. https://eatingdisorderfoundation.org/learn-more/about-eating-disorders |
|
Increase knowledge of coping mechanisms for low self-esteem and poor body image, including journaling, support groups, relaxation and stress management, positive self-talk, and affirmations.
Selected: Yes Learner Rationale:
Score: 1 out of 1 |
Recommended: Yes
Given Samantha’s poor body image, desire to lose weight, and her tendency to compare herself to her peers, it is critical she develop positive coping mechanisms to build a more neutral, if not positive, approach to her body. Coping mechanisms may include journaling, support group, relaxation and stress management, positive self-talk, and affirmations. Samantha’s diagnosis of Inappropriate Diet and Eating Habits requires a patient-centered empathetic approach. Therefore, Increase Knowledge of Coping Mechanisms is the appropriate selection at this time. |
|
Inform Samantha that if she sets her mind to it, she can overcome her body issues and low-self esteem through proper diet and exercise.
Selected: No Learner Rationale:
Score: 1 out of 1 |
Recommended: No Dont wait until the last minute.Provide your requirements and let our native nursing writers deliver your assignments ASAP. Given best practices and the details of Samantha’s case, this is an inappropriate intervention. Disordered eating arises from complex, overlapping factors such as culture, fatphobia, peer pressure, and anxiety. Informing Samantha that she can simply choose to overcome her low self-esteem is not a patient-centered intervention. Eating Disorder Foundation. (n.d.). About eating disorders. https://eatingdisorderfoundation.org/learn-more/about-eating-disorders |
Education
In your own words, discuss life-threatening health problems related to disordered eating with Samantha and Ms. Monroe.
| Learner Response | Model Response |
| Forcing yourself to diet or skip meals can make you very sick because strong bones teeth, and hair require adequate nutrition. | Eating as much as you should is a very important part of staying healthy. Forcing yourself to diet or skip meals can make you very sick. Strong bones, hair, and teeth all require sufficient nutrition and calories. Eating well is important for development. You mentioned feeling self-conscious about not having your period yet, but you’re developing at a normal rate. Eating regularly will help you stay on track to develop properly, which includes getting your period. Also, you’re a soccer player — that requires a lot of energy and stamina. Eating plenty of food allows you to perform on the field and helps protect you from injury and overexertion. As an athlete, a student, and a young woman, having three meals of balanced food a day will help you achieve your goals. |
Oh, um yeah. That makes sense. I don’t want any of that to happen.
Thank you. This is pretty concerning so we’ll take this very seriously.
In your own words, discuss limiting media intake with Samantha and Jackie.
| Learner Response | Model Response |
| You should limit media exposure and remember that your body deserves to be fed, cared or, regardless of the size. | Samantha, you mentioned social media and your friends’ follower count as influencing your body-image. We’re going to talk about social media and strategies you can use to protect your mental health and body-image. It’s critical you limit your exposure to media sources that promote diet culture, fad diets, weight loss, fitness goals, and idealized, unrealistic bodies. Instead of focusing on how you look in comparison to others, try to reframe those thoughts and remind yourself that your body isn’t a problem to be solved or punished. When you see images, articles, or TV shows that make you feel bad, turn them off and remember your body deserves to be fed, cared for, and appreciated, regardless of its size. |
Yeah, I mean I don’t want an eating disorder or anything like that. I just thought thinking like that was pretty normal, but I guess not.
We’re just both going to have to rethink how we see our bodies and talk about nutrition. I don’t want to see my daughter struggle with her self-esteem.
In your own words, discuss increasing knowledge of coping mechanisms with Samantha and Jackie.
| Learner Response | Model Response |
| You can try journalling, relaxation and stress management techniques, and affirmations | Now we’re going to talk about some specific coping strategies you can use to interrupt negative thoughts about yourself and work towards a more neutral, if not positive, approach to your body. You can try journaling, relaxation and stress management techniques, replacing negative self-talk with positive things you like and appreciate about yourself, and affirmations. A good affirmation for you might be, “All bodies deserve to be fed and watered,” or “All bodies deserve care and praise.” You can also consider going to a support group for teens looking to build-up their self-esteem. Body image and disordered eating can significantly impact a person’s anxiety levels and sense of control over their lives. Try using these coping strategies the next time you have anxious, controlling, or restrictive thoughts about your body or food. |
Yeah, that make sense. It’s not like I want to feel this way, you know?
I’m just glad we figured out that this was an issue. I had no idea.