Zachary LaFontaine Treatment Plan Shadow health
Zachary LaFontaine Treatment Plan Shadow health
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Review your answers for the Problem Selection activities. You receive one point for each correct diagnosis and one point for each correct piece of 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
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
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.
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