I-human Case Reflection

I-human Case Reflection

Problem Statement

This is an 18-year-old male college student with a history of childhood asthma who presents with acute onset of nonproductive cough, sore throat, fatigue, myalgias, and headache × 4 days. He reports a sick contact, and has not had annual flu vaccine or COVID booster. Physical examination reveals a temperature of 101°F, tachycardia, erythematous pharynx, and anterior cervical lymphadenopathy, but is negative for adventitious breath sounds and hepatosplenomegaly.

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Case: Management Plan

Pharmacologic Care:

• Acetaminophen OTC 325 mg 1-2 tabs PO q 4-6 hours; maximum dose 10 tablets per day pm fever, headache, myalgias
• Dextromethorphan HBr + guaifenesin 20mg/400 mg 20 mL PO q 4 hrs; maximum dose 6 doses daily pr cough

I-human Case Reflection

Supportive Care:

• Increase fluid intake
• Rest – no class attendance – school note provided for 48 hours
• Marvin Webster Jr i-Human Patients Case Study

Patient Education:

• Offered education on the diagnosis and treatments provided
• Educated patient that oseltamivir is not indicated given timeline since symptom onset

Follow-Up/Disposition:

• Follow up in the student health center if not improving within 48 hours or headache worsens or if shortness of breath develops
• At future visit, address vaccination status – encourage flu vaccine and COVID booster
• Marvin Webster Jr i-Human Patients Case Study

I-human Case Reflection

Please read the assignment guidelines and rubric. Respond substantively to each self-reflection question below. Write on this template.
A. Assess your ability to gather information on your client within the iHuman Virtual Patient Encounter.
1. Use the iHuman score sheet to review your results for the focused health history and focused physical exam. How did you perform?
2. What did you find easy or difficult about navigating through the focused health history and focused physical exam sections of the case?
3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.
B. Assess your performance in documenting your findings on the electronic health record (EHR).
1. What did you find easy or difficult about navigating through the documentation of the history and physical within the system?
2. Did you document all required components in the case?
3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.

I-human Case Reflection

C. Assess your performance in determining key findings and reviewing the most significant active problem.
1. What did you find easy or difficult about navigating through the key findings and organization section of the case?
2. How did your key findings compare with the expert’s findings?
3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.
D. Assess your performance in creating and documenting a problem statement within the iHuman case.
1. What did you find easy or difficult about creating the problem statement?
2. How did your problem statement compare with the expert’s response provided?
3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.
E. Assess your performance in creating and documenting a management plan within the iHuman case.
1. What did you find easy or difficult about creating the management plan?
2. How did your management plan compare with the expert’s response provided?
3. Describe one strategy to improve your performance in the next Virtual Patient Encounter.