Peer response. Length: A minimum of 150 words per post, not including reference.Citations: At least one high-level scholarly reference in APA per post from within the last 5 yearsPeer Post:Week 1- Questions 1- Differential Diagnosis and StepsWhen a person either go to their primary care provider, urgent care, or emergency rooms, a provider thinks about possible medical diagnosis or diagnoses related to patients acute symptoms. Because some patients symptoms might be similar to other medical diagnosis. Therefore, in order to eliminate certain disorders or medical condition a differential diagnosis [DD] term was developed. When initiating a treatment plan, a provider thinks about possible DD that are manifested with patients symptoms (Cook & Dcary, 2020). In DD some of the symptoms are similar to other condition. Therefore, differential diagnosis can be viewed as hypothetic-deductive method as well as systematic process (Cook & Dcary, 2020). In other words, a clinician makes a hypothesis and uses a knowledge-based process of assessment to terminate and recognizes existence of a disease or condition (Cook & Dcary, 2020). Differential diagnosis also improve prognosis for patients (Cook & Dcary, 2020). In addition, it also provides clarity of patients condition as well as communication amongst the interdisciplinary team members (Cook & Dcary, 2020). However, selective hypothesis in DD must be tested further for confirmatory and for patient safety.In addition to identifying patients chief complaint there are three processes used in clinical practice for DD. One of the primary process in DD is gathering patients pertinent past medical history related to symptoms (Cook & Dcary, 2020). This is one of the essential steps in DD process because this provides a baseline for the clinician to distinguish between acute versus chronic or baseline symptoms. Secondary process is performing a head-to-toe physical examination on a patient if patient is not in acute distress. This process will help identify any abnormal objective data findings in which a clinician will be able to order a pertinent laboratory and diagnostic imaging (Cook & Dcary, 2020). Tertiary process is ordering laboratory as well as diagnostic imaging for final diagnosis to rule out other DD. This final step will help identify the base of the condition in order to initiate a proper treatment plans or referral (Cook & Dcary, 2020). Although, all three process entails both risks and benefits.The risk for obtaining past medical history from the patient as it might not be cost effective for the patient. For example, if the patient never seen a provider in the past and they are poor historian. Then a provider may order all imaging and laboratory work and their payer may or may not pay for those diagnostic tests that not applicable with patients symptoms. The benefit of this process is to aid the provider to evaluate which possible past medical diagnosis would be contributing or exacerbating patients acute symptoms. This process help provide the guidance for the provider which benefit the patient as well when ruling out DD.The risk for performing physical examination as well as ordering pertinent diagnostic imaging and laboratory work would depend on a clinicians experience (Duquesne University School of Nursing, 2020). For example, if a registered nurse never worked in their role prior to being an Advanced Registered Nurse Practitioner, then they might have difficulty obtaining as well as lack of confidence when performing examinations or ordering tests. Because they might not have a prior clinical experience to gather the sufficient data which is backed-up which evidence-based knowledge before initiating a treatment and a care plan. In addition, some diagnostic imaging may also cause fear for getting exposed to diagnostic ionizing radiation (Oakley& Harrison, 2020). Also, it may also cause anxiety for some patients who might claustrophobic regarding certain diagnostic imaging. On the contrary, the benefits for both of process includes: ruling out life threatening conditions, make accurate final diagnosis, and provides guidance for treatment care plans (Duquesne University School of Nursing, 2020).Consequently, differential diagnosis is essential in medicine. The three steps help guide a clinician to make an appropriate diagnosis as well as test their hypothesis. When patients care team is knowledgeable using evidence-based research, then that also help prevent further deteriorating patients health. At the end of the day, its about patient safety as well as their satisfaction.ReferencesCook, C. E., & Dcary, S. (2020). Higher order thinking about differential diagnosis.Brazilian Journal of Physical Therapy,24(1), 17.https://doi.org/10.1016/j.bjpt.2019.01.010Oakley, P. A., & Harrison, D. E. (2020). X-Ray Hesitancy: Patients Radiophobic Concerns Over Medical X-rays.Dose-Response,18(3), 155932582095954. https://doi.org/10.1177/1559325820959542Duquesne University School of Nursing. (2020, April 10).Family Nurse Practitioners using differential diagnoses to identify and treat medical conditions. https://onlinenursing.duq.edu/blog/family-nurse-practitioners-using-differential-diagnoses-identify-treat-medical-conditions/MD, Clinical Problem Solving, Module 1: Part 3. https://www.youtube.com/watch?v=KATky6USI6E.
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